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• When an amendment is accepted, make the change in the designated record set , and provide appropriate notice to the individual and all persons or entities listed on the individual ' s amendment request form, if any, and also provide notice of the amendment to any persons/entities who are known to have the particular record and who may rely on the uncorrected information to the detriment of the individual . • When an amendment request is denied, the following procedures apply : • All notices of denial must be prepared or approved by the Privacy Official . A Denial Notice must contain ( 1 ) the basis for the denial ; (2) information about the individual 's right to submit a written statement disagreeing with the denial and how to file such a statement : (3 ) an explanation that the individual may (if he or she does not file a . statement of disagreement) request that the request for amendment and its denial be included in future disclosures of the information ; and (4) a statement of how the individual may file a complaint concerning the denial . • If, following the denial , the individual files a statement of disagreement, include the individual' s request for an amendment; the denial notice of the request ; the individual ' s statement of disagreement, if any; and the County' s rebuttal/response to such statement of disagreement, if any, with any subsequent disclosure of the record to which the request for amendment relates . If the individual has not submitted a written statement of disagreement, include the individual ' s request for amendment and its denial with any subsequent disclosure of the protected health information only if the individual has requested such action . 3 . Processing Requests for an Accounting of Disclosures of PHI Procedure Request From Individual, Parent of Minor Child, or Personal Representative. Upon receiving a request from an individual (or a minor's parent or an individual 's personal 0. representative) for an accounting of disclosures , the employee must take the following steps : Follow the procedures for verifying the identity of the individual (or parent or personal representative) set forth in " Verification of Identity of Those Requesting Protected Health Information . " • If the individual requesting the accounting has already received one accounting within the 12 month period immediately preceding the date of receipt of the current request, a written notice will be sent to the individual informing him or her that a fee for processing will be charged which will provide the individual with a chance to withdraw the request . The fee for processing will be as follows : Fifteen ( 15 ) cents per page . Also if extensive clerical or supervisory assistance by personnel of Indian River County is involved ; or both, Indian River County may 29