Medical Record Addendum

Patient Name: Emmy Green
Medical Record Number: 987654321
Age: 50

Addendum Details

• Date of Addendum: 07/20/2075

• Time of Addendum: 10:45 AM

• Addendum Created By: [YOUR NAME], Medical Records Officer, [YOUR COMPANY NAME]

Reason for Addendum

The addendum is created to correct a previously recorded diagnosis and update the treatment plan based on subsequent findings from laboratory results received on 07/18/2075.

Original Record Reference

• Date of Original Record: 07/15/2075

• Description of Original Entry: The original entry documented the diagnosis of "mild upper respiratory infection" and prescribed symptomatic treatment.

Corrected or Additional Information

Field	Original Entry	Corrected/Additional Information
Diagnosis	Mild upper respiratory infection	Community-acquired pneumonia, confirmed by X-ray and lab results.
Treatment Plan	Symptomatic treatment with OTC medications.	Antibiotics prescribed: Azithromycin 500 mg, once daily for 5 days. Follow-up scheduled for 07/25/2075.

Confirmation

The above addendum is provided to ensure accurate documentation and continuity of care. It has been reviewed for accuracy and approved as part of the patient's medical record.

Signature: _____________________
Name and Title: [YOUR NAME], Medical Records Officer, [YOUR COMPANY NAME]
Date Signed: 07/20/2075
Time Signed: 10:45 AM

---

Note: This addendum is a legal part of the patient's medical record and is subject to standard confidentiality and disclosure laws.

Medical Record Templates @ Template.net