If the individual submits a written disagreement, append it to the record, The organization must prepare a written rebuttal if desired (providing a copy to the individual), and link both to the PHI.
For all future disclosures of the relevant PHI, include the amendment request, denial, disagreement (if any), and rebuttal (if any), or a summary of these, particularly if a disagreement exists or if requested by the individual when no disagreement was filed, ensuring separate transmission if standard transactions are insufficient.
