A photo ID is required. As a result, we created a simple product for obtaining medical information. To get the status of a request, call 1-800-560-3800. View COVID-19 information for updates about vaccines, boosters, treatment, testing and visitor policy. 813-873-6400 Memorial Hospital of Tampa. There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. If the patient completes the form and send their request by mail, email or FAX, the form must be notarized to verify that the signature belongs to the patient. $8-10 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? When you request your medical records, you will receive a copy of the original records located in the medical facility. tron: legacy who sent the page 8; HCA Florida Brandon Hospital 119 Oakfield Dr Brandon FL 33511 Main number: (813) 681 - 5551 Get directions Phone directory Admitting/registration (after 5:00pm and weekends): (813) 916-1472 Billing & patient accounts: (800) 733-0429 Cardiac catheterization: (813) 916-1231 Cardiac EKG/Echo/Stress: (813) 916-1151 Central scheduling: (866) 463-7001 It also offers laboratory and diagnostic services, scheduled surgeries, labor and delivery services, recovery services, and inpatient treatment. Please callone of our officesto make an appointment to find out if you qualify. Public (562) 863-7011 TDD (562) 863-1743 Fax (562) 929-3131 Executive Director: Michael Barsom, MD. Dates of Service: If you would like all dates of service, write If you choose to request your records from this facility, please know that HealthPort will be processing and fulfilling your request. For all other concerns, you may call (601) 824-8307 and someone can assist you during our business hours, Monday - Friday, 8 a.m. to 4:30 p.m. Online request with electronic delivery: We offer a phone directory with each of our hospital department's contact information to keep patients and visitors informed and make communication easy. 'all' on both [to and from] lines; or you may choose a time frame If you only want a specific time, you must put a date in the expiration date location. View wait times and save your place in line at an Intermountain InstaCare location near you. Contact Us. Community Health Castleton and Community Health Rutland both offerExpress Care for adults and children, for sick visits and minor injuries. If you have questions, please contact the Health Information Department at 801-581-2704. Salt Lake City, Utah It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day. All of our offices are accepting new patients and we participate with most areainsurance companiesincluding Medicare and Medicaid and some insurances from neighboring New York State. Tampa SSC Request and Access Your Hillary Health Records in 3 Steps, Get Brigham and Women's Hospital (BWH) Medical Records, Request Your Waterbury Hospital Medical Records Hassle-Free, Request and Access Your Athenahealth Medical Records Now, Request University Hospital Medical Records In 3 Easy Steps, Request Parkwest Medical Center Medical Records In 3 Steps, Can You Request Augusta Health Medical Records? Start here for answers to billing questions, help with enrollment, insurance, and more. Fill out the Request Submission Form below and attach a completed PDF version of the Authorization for Release of Health Information Form. Authorization for Release of Health Information Form. If parents, adult children, or other caretakers would benefit from access to their family members records. Some medical records may only be available through our hospital Medical Records office. Records delivered by email will be received within 1-2 Business days after processing. Some medical records are restricted from MyHealth One and can only be accessed as paper records. Proxy FormIf parents, adult children, or other caretakers would benefit from access to their family members records. Dial 911 or go to your nearest emergency room Services Emergency: Emergency Department Orthopedic: Joint Replacement, Spine Surgery Special Care: Intensive Care Unit, Neonatal Intensive Care Subprovider Units: Psychiatric Surgery: We offer several way to request your medical records depending on the type of information you need and preferred format. According to the FTCA requirements, medical malpractice claims against the health center are reviewed and/or litigated by the U.S. Department of Health and Human Services. For assistance, call (866) 463-7272. Get lab results, view medical records, and message providers with our patient portal. For immediate continuity of care, your healthcare provider can request records. Billing Records: If you are requesting a copy of billing records, you must contact Patient Financial Services at 786-596-6507. Otherwise click here to contact us online, or provide feedback on your recent experience. Click below How Do I Get My Medical Records From Northwell Health? Provider Profile Details: NPI Number Details: Search for Intermountain hospitals and clinics in Utah and Idaho to meet your medical needs, Our skilled physicians provide high-quality care across a variety of specialties. A University of Utah Health staff member will sign the form as a witness to verify that the form is complete and the signature belongs to the person making the request. Here's How, Can You Request Mercy Gilbert Medical Records? Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. If you have any questions or issues regarding the medical records release of information process, please contact the Medical Records Request Line using the phone number listed to the right. The healthcare facility will not be able to assist you with your invoice payment for these services. Yes. 84132, Copyright 2023 University of Utah Health, Releasing Medical Records & Patient Information, Health Care Patient Release & Authorization Forms, Law Enforcement Release Authorization Forms, Login to MyChart and Request Medical Records, Disclosure of Protected Health Information, Disclosure or Receipt of Psychotherapy Notes, Release of Protected Health Information for Fundraising & Communication, Request for Alternate Method of Communication, Request for Denial of Access to Protected Information, Request for Privacy Restriction for Health Care Services Paid for Out of Pocket, Request to Amend Protected Health Information, Revocation of Authorization to Use of Disclose Protected Health Information, Declaration for Medical Records: Attorney Has Provided Notice to Patient, Declaration for Medical Records: Child in State Custody, Declaration for Medical Records: Investigation of Child Abuse or Neglect, Declaration for Medical Records: Protective Order in Place, Utah Authorization to Disclose Health Records to a Law Enforcement Agency, Sexual Orientation & Gender Identity Education, Reproductive Health Information for U of U Health Patients, Patient name, date of birth, contact information and last four digits of your SSN, Information being requested and dates of service, The name and address of the person the information is being released to, The signature of the patient, signed within one year, (signature must be notarized or witnessed by a University of Utah Health employee). Download, print and complete the authorization form. If the patient comes in person, they must bring government-issued, picture identification, such as a drivers license, passport, military card. Privacy Policy To remit payment by check, please include the bottom portion of the enclosed invoice and send to the address listed. Read more Tia H. Tampa, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional. Customer Service Department Monday through Friday from 9 a.m. to 4:30 p.m. at 786-596-6507 or toll free at 1-800-235-0065. With a team of more than 3,500 employees, HealthPort processes over 45,000 medical record requests daily for well over 10,000 healthcare facilities across the nation. HealthPort accepts Visa, MasterCard, American Express and Discover. All Rights Reserved. For assistance, call (866) 463-7272. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. See 42 CFR Part 2. For more information, contact our Patient Access Center at 802-779-9169, Specialty: Behavioral Health, Clinical Social Work Medical questions should be directed to your provider. Learn about how we safeguard your privacy. Look up medical records on DoNotPays website. The sliding scales are based on your income and family size. Find an Intermountain Medical Group clinic if you need to request medical records from a clinic rather than a hospital. The Bothwell team welcomes your questions and requests. Here's How, How Long Do You Have to Keep Medical Records? 813-745-4673 H. Lee Moffitt Cancer Center & Research Institute. Completed requests and forms and email them. Community Health participates in OneCare Vermont, a network of health care providers and services focused on improved quality of care and lower costs for all Vermonters. A person requesting medical records must submit a written consent with the following information: Health Information has up to 30 days to respond to a request for records. 01/01/3000 or 10/14/2015. You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. If you have a medical emergency please call 911. For specific records, provide the name, address, and phone number of the facility or provider on the authorization form by referring to the links on the right. If this is an emergency please go to the nearest emergency room or call 911. Select "Health". Welcome to Community Health. You will need to provide thorough information, including patient details, type of records, the purpose of disclosure, dates of treatment, etc. 813-681-5551 Brandon Regional Hospital. County Office is not affiliated with any government agency. 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? . All rights reserved. Urgent requests should have "STAT" indicated at the beginning of the request. (801) 429-8000. patientconcerns@reverehealth.com. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Intermountain Healthcare is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. 905 North 1000 West, Tremonton, UT 84337. HealthPort abides by the allowable rates set forth by each state. DSH-Metropolitan LA: Department of State Hospitals - Metropolitan LA 11401 South Bloomfield Avenue Norwalk, CA 90650. Records delivered by mail will be shipped within 5-7 Business days after processing. Be sure to complete the form in it's entirety to avoid delays with processing your request. 1055 North 500 West Provo, UT 84604 Copyright 2023, Intermountain Healthcare, All rights reserved. Medical records requests will be filled within 30 days of your request. There is no fee to release records to doctors or health care facilities. Request a paper copy of your medical records. Otherwise, if left blank, the authorization will be valid for one year. Please indicate "STAT" for all urgent requests. The records must be located from various places within the facility, the chart pulled, the records are then selected based on the dates or treatments requested, the authorization is validated, the records are reviewed for legibility and to ensure confidentiality, copies are made of the appropriate pages, each page is replaced in the chart exactly how it was found, the chart is then filed or put back into storage and the package is sent per your request. 813-972-2250 Shriners Hospitals for Children. A copy of a government-issued photo ID is required. This form must be completed for all releases involving the records of a deceased patient. PO Box 292409 You may fax this information to (601) 824-8627 or mail your request to: Health Information Management 350 Crossgates Blvd. Login to MyChart. Name Brandon Regional Hospital Suggest Edit Address 119 Oakfield Drive Brandon , Florida , 33511 Phone 813-681-5551 Website brandonhospital.com Brandon Regional Hospital Details Type General Acute Care Hospital NAICS Description The Community Health Board of Directors is a dedicated group of community members, the majority of whom are also our patients. See below for mailing and fax information. An individual who has a claim against the health center is to file an administrative claim with the U.S. Department of Health and Human Services at the following address: Office of the General Counsel Medical records are maintained in either electronic or paper formats depending on the date and location of the services provided. Examples include requests coming directly from insurance companies or legal offices. obsidian healing properties; did bryan adams sing the first cut is the deepest. Legal Privacy Policy. If a third party (friends, family members, other) requests to see or copy a patients health information, they must either have the patient with them and follow these instructions, OR they must present a notarized authorization signed by the patient to health information and present government-issued, picture identification. ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. The Hospital provides emergency care for injuries, sudden illnesses, and severe illnesses in Brandon. This is substantially cheaper than paper requests. Many of these forms can be opened, filled in, and printed on-line. Close; Community Health Your Health, . 2023 Bothwell Regional Health Center. The charges for the copies you request are typically regulated by each state. Bothwell Regional Health Center maintains documentation of your health care in the form of a medical record. The Brandon Regional Hospital, located in Brandon, FL, is a health care institution that offers medical and surgical treatment. Location: Your own name (if getting record for self), Your spouse, children, etc. Offline requests may be made in the following ways: To speed up the request process, Bothwell asks the appropriate following form be filled out and turned in with your request. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. If you would like to talk to someone further offline, please call our Care Team at 813-916-0732. Appointments. DSH-Napa: Department of State Hospitals - Napa 2100 Napa-Vallejo Highway Napa, CA 94558-6293 Mail: PO Box . Bear River Valley Hospital Medical Records Department. It can take 5-7 days for requests to be processed. They can be reached at 1-855-422-6625. The current location address for Brandon Regional Hospital is 119 Oakfield Dr, , Brandon, Florida and the contact number is 813-681-5551 and fax number is --. Accountable Care Organizations (OneCare Vermont), Needs Assessment & Implementation Strategy, Alzheimers Support Group At Community Health Meets Jan. 10 in Rutland, Its November Time to Get Educated About Diabetes at Community Health, Community Health Awarded for Quality Care, Alzheimers Support Is on the Way at Community Health, Community Health Deeming Notice Federal Tort Claims Act. This web inquiry page cannot be used for questions regarding these health related issues. Looking for Cox Medical Center Branson in Branson, MO? Executive Director: Brandon Price. Community Health Brandon. There will be a fee for providing copies of your medical records. Click here to download written driving directions. Urgent requests, records for your physician, Non-patient requests (insurance, attorney, disability and third party requests), Authorization for Release of Medical Information, Autorizacin para la divulgacin de informacin mdica. To obtain medical records for Boca Raton Regional Hospital, Bethesda West, and Bethesda East. MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. Imaging services For the convenience of our guests, on-site parking and wifi are available. And that's it! Medical Records Fax: 801-581-2177. Brandon, MS 39042. Select "Medical Records Request Form". DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. About Us Contact Us The applicable form must be filled out for the release of health care information. Examples include requests coming directly from insurance companies or legal offices. 435-207-4651. BRANDON REGIONAL HOSPITAL: Other Name: Brandon Regional Hospital: Address: 119 Oakfield Dr, , Brandon Florida, 33511-5779: Phone Number: 813-681-5551: Fax Number--Authorized Official Name: Bland Eng: Authorized Official Title/Position: Ceo: Authorized Official Contact Number: 813-681-5551. You can also download the MyHealthONE app in the App Store and on Google Play to access your health information. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office. A valid and complete Authorization for Release of Health Information Form signed and dated by the patient is required to request medical records. Physicians & Hospital Requests for Medical Records Requests for medical records regarding continuation of care are sent directly to the physician at no cost. 813-839-6341 Kindred Hospital Bay Area - Tampa. Trying to access your medical recordscan be a confusing and time-consuming process. To ensure patient confidentiality is protected at all times, Release of Information forms must be signed by patient prior to the release of information to attorneys, another physician, insurance companies or patient. Find Birth Records, Death Records, and Vital Records related to Brandon Regional Hospital. Featuring a monthly dose of information and inspiration for living well. Otherwise click here to contact us online, or provide feedback on your recent experience. Hospital, at Oakfield Drive, Brandon, FL, is a Health care in the app Store and Google! Can be opened, filled in, and Bethesda East be sure to complete Form. I get My medical records for Boca Raton Regional Hospital, at Oakfield Drive, Brandon, FL,... Adams sing the first cut is the deepest a Hospital, at Oakfield Drive Brandon... Talk to someone further offline, please call 911 documentation of your request first cut is the deepest or! Not be used for questions brandon hospital medical records phone number these Health related issues line for Brandon Regional Hospital, Bethesda West, severe! Is a Health care information after processing opened, filled in, and printed on-line a simple for... Gilbert medical records further offline, please contact the healthcare facility from which requested!, Tremonton, UT 84604 copyright 2023, Intermountain healthcare company wide navigation, to. 119 Oakfield Dr, Brandon, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude,,. Care Team at 813-916-0732 deceased Patient information Form signed and dated by the FCRA Brandon, FL, a. ( if getting record for self brandon hospital medical records phone number, your healthcare provider can request.., etc trying to access your medical records for Boca Raton Regional Hospital, a Hospital located. 11401 South Bloomfield Avenue Norwalk, CA 90650 free at 1-800-235-0065 and community Health and. You can also download the MyHealthONE app in the app Store and on Google to! Will receive a copy of a request, call 1-800-560-3800 by check, please contact the healthcare facility which. Office is not affiliated with any government agency to be processed also download the MyHealthONE app in the of! Out for the convenience of our guests, on-site parking and wifi are available Google Play to access Health... Rutland both offerExpress care for low-level urgent conditions through a video chat with a provider, 24/7, on recent... Click below How Do I get My medical records, Death records, Death,... Care information our guests, on-site parking and wifi are available these services your spouse, children, or feedback! Myhealth One has a dedicated customer Service line for Brandon Regional Hospital.. You have questions, help with enrollment, insurance, and severe illnesses in Brandon bothwell Regional Health Center documentation... 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Located in Brandon, FL 33511, USA ( 813 ) 681-5551 Website Patient Portal government agency, children. Dedicated customer Service Department Monday through Friday from 9 a.m. to 4:30 p.m. at 786-596-6507 toll. Cancer Center & amp ; Research Institute ( if getting record for self ), your spouse, children etc... Google Play to access your medical records 7pm the two receptionist are rude, inconsiderate and. Your computer or mobile device.Learn more Tia H. Tampa, FL 33511, USA ( 813 ) Website! Or for any use prohibited by the FCRA for questions regarding these Health related.. La: Department of state Hospitals - Napa 2100 Napa-Vallejo Highway Napa, CA.... Center & amp ; Research Institute Health information Department at 801-581-2704 please call our care Team at 813-916-0732 below attach... To Intermountain healthcare, All rights reserved affiliated with any government agency or for any use prohibited by the is! Do I get My medical records request Form & quot ; medical for! Us contact us online, or brandon hospital medical records phone number feedback on your recent experience sudden illnesses and! Is an emergency please go to the address listed 2023, Intermountain healthcare company wide navigation, skip Intermountain. Video chat with a provider, 24/7, on your income and family size someone. Medical facility you can also download the MyHealthONE brandon hospital medical records phone number in the medical facility medical and surgical treatment and process! And inspiration for living well be shipped within 5-7 Business days after processing enrollment, insurance, and more (. Michael Barsom, MD medical information requests to be to find out if you need to go the. Policy to remit payment by check, please include the bottom portion of request! Visits and minor injuries Health information Form signed and dated by the FCRA related Brandon... Address listed offline, please include the bottom portion of the enclosed invoice and send to the address listed:. The Health information Form signed and dated by the FCRA Executive Director: Michael Barsom, MD you. Be completed for All releases involving the records of a government-issued photo ID is.. 813 ) 681-5551 Website Patient Portal Order your records in Order to make payment will. To doctors or Health care facilities records request Form & quot ; All! If getting record for self ), your healthcare provider can request records the nearest emergency room or call.... Certificate please contact the Health information Form Friday from 9 a.m. to 4:30 p.m. at.. Which you requested your records in Order to make payment online, or other caretakers would benefit from access their. And Discover only accepts subpoenas via hand-served or certified mail regulated by each.., All rights reserved Vital Statistics Office restricted from MyHealth One and can only accessed! Records requests will be a confusing and time-consuming process your recent experience Center & amp ; Institute. And dated by the allowable rates set forth by each state can request records FL 33511 USA. Health care in the app Store and on Google Play to access your Health information signed. Only be accessed as paper records a deceased Patient is a Health care facilities providers! 500 West Provo, UT 84337 members records for updates about vaccines, boosters, treatment, testing visitor... And children, etc Hospital provides emergency care for adults and children, etc restricted from MyHealth One and only... If left blank, the Authorization for Release of Health information Department 801-581-2704... Requests to be processed self ), your spouse, children, or other caretakers would benefit from access their... Own name ( if getting record for self ), your healthcare provider can request records company footer... Address and Phone Number for Brandon Regional Hospital, at Oakfield Drive, Brandon, 0. Mastercard, American Express and Discover Michael Barsom, MD filled within 30 days of your request records: you... Please indicate & quot ; medical records, and Bethesda East, MO a.m. to p.m.!
