ChartCheck™ Record Review + Response Tool |

About this tool

Medical records often contain errors, biased language, or omissions that shape future care in ways patients may not realize. ChartCheck walks you step by step through reviewing your chart notes for accuracy and impact, offering strategies for correction or follow-up when problems arise. By working with guided checklists and reflection prompts, you surface both factual mistakes and subtler issues of tone or framing. You end with a structured record review and tailored options for action, from amendment requests to clarifying portal messages.

Basic Information

Today’s Date

Date of Visit/Encounter

Provider Name

Facility/Practice

Your Name

Medical Record # (Optional)

Diagnosis Issues

Incorrect diagnosis listed

Missing diagnosis

Resolved condition still listed as active

Medication Issues

Wrong medication listed

Incorrect dosage

Current medication not listed

Additional Information

Describe any other documentation errors or provide additional context:

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Our tools are provided for self-advocacy purposes only. Results do not constitute medical advice, diagnosis, or treatment, and are not a substitute for professional medical judgment. Use of this tool does not create a client relationship with PatientLead Health LLC. PatientLead Health LLC is not responsible for any outcomes, decisions, or actions taken based on the use of this tool.

Basic Information

Diagnosis Issues

Medication Issues

Other Documentation Issues

Additional Information