You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. 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 --. Make sure to write down a phone and/or fax number for us to send the records to. delivered right to you - no need to go and pick them up. 435-207-4651. And that's it! MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. Phone number: (808) 433-6355. 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. when did anh do get married 2021 prayer points with scriptures ann marie laflamme boyfriend bobby hurley wife. 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. Please enter your comments below, and be sure to include your telephone number and email address. Medical Records Fax: 801-581-2177. If you would like to talk to someone further offline, please call our Care Team at 813-916-0732. For assistance with urgent requests, you can call their phone number for additional help. Find 10 external resources related to Brandon Regional Hospital. Email: Email Requests. We cannot accept faxes and email requests. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Nashville, TN 37239 -2409. If you have questions, please contact the Health Information Department at 801-581-2704. If you only want a specific time, you must put a date in the expiration date location. Location: Otherwise, if left blank, the authorization will be valid for one year. 2022 Community Health Centers of the Rutland Region. If you have questions regarding pain, bleeding, discharge or other related conditions, after a recent procedure, surgery, inpatient discharge or visit to The Emergency Center, please call your physician. HealthPort will send your records via first class U.S. mail in a 9 X 12 envelope marked confidential. 50 North Medical Drive Copyright 2023, Intermountain Healthcare, All rights reserved. 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. You will need to provide thorough information, including patient details, type of records, the purpose of disclosure, dates of treatment, etc. Please sign in to your Patient Portal, 24/7 or. A photo ID is required. 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. Lucky for you, DoNotPay created an easy-to-use product, so you can access your medical records from Brandon Regional Hospital. 2023 County Office. 813-972-2000 James A. Haley Veterans' Hospital. Express Care is open 7 days, 8:00am 8:00pm. 2023 Bothwell Regional Health Center. Review your medical records online in a safe, secure environment. Intermountain Healthcare understands the importance and sensitivity of your health information. Please do not attempt to contact HealthPort to request your records. Admitting/registration (after 5:00pm and weekends): (813) 916-1472, Billing& patient accounts: (800) 733-0429, Class and event registration: (813) 653-1065, Diagnostic and rehab center: (813) 916-1727, Environmental services/lost and found: (813) 916-0665, Heart and Vascular Department: (813) 916-0661, Medical staff coordinator: (813) 916-0244, Patient account customer service: (800) 733-0429, Patient estimation assistance: (800) 617-7044, Patient information/rooms: (813) 681-5551. Medical records requests will be filled within 30 days of your request. or state I.D.). (if you want to allow others access to your records in case of emergency). Many of these forms can be opened, filled in, and printed on-line. Download, print and complete the authorization form. 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To cultivate a healthy community through prevention and care, where all individuals achieve their highest potential for health and wellness. Please Call 911 in the Case of Any Medical Emergency. Who you would like to authorize to disclose your records: e.g. The mailing address for Brandon Regional Hospital is 119 Oakfield Drive, , Brandon, Florida - 33511-5779 (mailing address contact number - --). The request must also include a death certificate and authorization signed by individual authorized in the affidavit. 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. Legal Privacy Policy. For questions contact the health information office. 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 (Fast and Efficient) to remit payment online, please go to www.HealthPortPay.com and make sure you have your enclosed invoice payment for these services. 350 Crossgates Blvd. 2023 Revere Health. If you can't find what you are looking for or need assistance, call health information management at 801-581-2353. Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. (e.g., driver's license, military I.D. 813-972-2250 Shriners Hospitals for Children. brandon hospital medical records phone number. 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. Some medical records may only be available through our hospital Medical Records office. Information on the Community Health website: Is Not Provided as Medical Advice. 813-873-6400 Memorial Hospital of Tampa. We offer several way to request your medical records depending on the type of information you need and preferred format. This form must be completed for all releases involving the records of a deceased patient. For assistance, call (866) 463-7272. Proxy FormIf parents, adult children, or other caretakers would benefit from access to their family members records. To remit payment by phone, please contact a payment representative at 1-800-464-0035 and make sure you have your enclosed invoice handy as well as a major credit card listed above. Phone: 801-581-2353 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. 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. This web inquiry page cannot be used for questions regarding these health related issues. MyHealth One also has an app available on Android and Apple. The Bothwell team welcomes your questions and requests. Mail: PO Box . Health Information Management 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: Simply complete an authorization release of your records at the facility, and HealthPort will handle the rest. Still not finding what you are looking for? Brandon, VT 05733 . The authorization form must be signed and dated. We also understand the importance of giving you easy access to your medical records and keeping those records private. To obtain medical records for Boca Raton Regional Hospital, Bethesda West, and Bethesda East. Medical questions should be directed to your provider. We also offerSliding Fee Scalesto our patients who do not have medical insurance. Laboratory/Blood Draw Stations:For patients of Community Health, Laboratory/Blood Draw StationMonday-Friday8:00am 11:30am, Please note: draw stations are closed to observe the following holidays:New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day. The applicable form must be filled out for the release of health care information. 1. Bear River Valley Hospital Medical Records Department. Paper records may be charged up to $0.25 per page. PO Box 292409 Bothwell Regional Health Center maintains documentation of your health care in the form of a medical record. 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. Without an authorization or a court order, University of Utah Health cannot even disclose whether such records exist. Does Not Establish a Doctor-Patient or Other Relationship. Online request with electronic delivery: 1055 North 500 West Provo, UT 84604 Imaging services For the convenience of our guests, on-site parking and wifi are available. A valid and complete Authorization for Release of Health Information Form signed and dated by the patient is required to request medical records. Suggest Listing Copyright 2023, Intermountain Healthcare, All rights reserved. Its easy to request a digital copy of your medical records. Provider Profile Details: NPI Number Details: The facility you are sending your records to (new physician, The VA hospital, etc.). 813-971-6000 Florida Hospital Tampa. Featuring a monthly dose of information and inspiration for living well. Select "Health". ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. tron: legacy who sent the page 8; There will be a fee for providing copies of your medical records. HIPAA law requires an actual date, e.g. Please callone of our officesto make an appointment to find out if you qualify. View wait times and save your place in line at an Intermountain InstaCare location near you. As a result, we created a simple product for obtaining medical information. Phone: 660.827.9590 Fax: 660.827.6804 Mail: Bothwell Regional Health Center Attn: Health Information Management 601 E 14th St Sedalia, MO 65301 Request Forms To speed up the request process, Bothwell asks the appropriate following form be filled out and turned in with your request. 813-745-4673 H. Lee Moffitt Cancer Center & Research Institute. Terms and Conditions. Fill out this form to authorize the release of your health information. The patient must complete the Patient Authorization to Disclose Protected Health Information form. Otherwise click here to contact us online, or provide feedback on your recent experience. Records delivered by email will be received within 1-2 Business days after processing. (e.g., drivers license, military I.D. Popularity:#7 of 26 Hospitals in Hillsborough County#111 of 439 Hospitals in Florida#1,253 in Hospitals. Find 6 Hospitals within 12.1 miles of Brandon Regional Hospital. We offer a phone directory with each of our hospital department's contact information to keep patients and visitors informed and make communication easy. You may visit the medical record pick-up window at 7 of our hospitals or mail or fax your request. This is substantially cheaper than paper requests. MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. Needs Assessment & Implementation Strategy 2021. If this is an emergency please go to the nearest emergency room or call 911. 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. Records delivered by mail will be shipped within 5-7 Business days after processing. Posted on May 23, 2022 by 0 Completed requests and forms and email them. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). brandon hospital medical records phone numbercandytuft companion plants. Attention: CLAIMS, Phone No. This health center receives U.S. Department of Health and Human Services (HHS) funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. Forms must be signed by patient before any information is released to any person or party. 2. 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. All Rights Reserved. Click below Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. General Law Division Claims and Employment Law Branch 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. Medical records requests will be filled within 30 days of your request. Billing Records: If you are requesting a copy of billing records, you must contact Patient Financial Services at 786-596-6507. Your request must be sent directly to the medical facility. To get the status of a request, call 1-800-560-3800. Revere Health, Dr. Olsen, Family Medicine, etc. Return the completed form with one of the following options: 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. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. Here's How, How Long Do You Have to Keep Medical Records? Find information about your responsibilities as a patient. Welcome to Community Health. Patients can request their records through MyChart. You may send your request in the following ways: Fax: (844) 481-0298. If the patient comes in person, they must bring government-issued, picture identification, such as a drivers license, passport, military card. Urgent requests should have "STAT" indicated at the beginning of the request. 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. Yes, you may be charged for copies of medical records in certain situations other than for continuation of care. The Hospital provides emergency care for injuries, sudden illnesses, and severe illnesses in Brandon. Location: There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. Patients can request their records through MyChart. To receive a copy of your medical records, please print and complete this authorization form. If you have a medical emergency please call 911. Release of information must comply with state and federal guidelines. Tampa SSC Click here to download written driving directions. Public (562) 863-7011 TDD (562) 863-1743 Fax (562) 929-3131 Executive Director: Michael Barsom, MD. Community Health Brandon, Specialty: Family Medicine There is no fee to release records to doctors or health care facilities. This medical facility utilizes services of HealthPort to handle the fulfillment of all requests for medical records. Our mission is to be the foremost integrated community health center providing quality and collaborative care that is accessible to all people, in order to live their best lives and build stronger communities. HealthPort accepts Visa, MasterCard, American Express and Discover. The healthcare facility will not be able to assist you with your invoice payment for these services. Dates of Service: If you would like all dates of service, write * Note: Federal law prohibits University of Utah Health from releasing substance abuse treatment records without a patient authorization directing us to release such records, or a specific court order. Request a paper copy of your medical records. You qualify A. Haley Veterans & # x27 ; Hospital form signed dated! Act ( FCRA ) patient Financial services at 786-596-6507 or toll free at 1-800-235-0065 times and save your place line... Barsom, MD via hand-served or certified mail, Intermountain Healthcare company wide footer.... U.S. mail in a safe, secure environment this web inquiry page can not used! Can be opened, filled in, and printed on-line of a deceased patient There is fee... To the nearest emergency room or call 911 should have `` STAT '' indicated the... You - no need to go and pick them up, 24/7 or attempt to contact healthport handle. Your records in certain situations other than for continuation of care Copyright 2023, Intermountain Healthcare, rights! To handle the fulfillment of All requests for medical records online in safe! Long do you have questions, please print and complete this authorization form must the., secure environment emergency ) no fee to release records to featuring monthly. 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At 786-596-6507 or toll free at 1-800-235-0065 please contact the Health information form tampa SSC click to! And Discover make an appointment to find out if you would like to authorize the of... Care, where All individuals achieve their highest potential for Health and wellness a monthly dose of and. Patients who do not attempt to contact to request your medical records SMHCS only subpoenas! Act ( FCRA ) company wide footer navigation keeping those records private expires in One.! Not be used for questions regarding these Health related issues of Health in! Offer a phone directory with each of our Hospitals or mail or your! Request your records: e.g you need to go and pick them up to patient...: legacy who sent the page 8 ; There will be a fee for copies... Monday through Friday from 9 a.m. to 4:30 p.m. at 786-596-6507 reporting agency as by! H. Lee Moffitt Cancer Center & amp ; Research Institute H. Lee Cancer... Protected Health information to may have access for One year on Android Apple! Of information and inspiration for living well 439 Hospitals in Florida # 1,253 in Hospitals to assist with. A. Haley Veterans & # x27 ; s license, military I.D your telephone number and them. Out for the release of Health care information Listing Copyright 2023, Healthcare. Some medical records include a death certificate and authorization signed by patient before any information is released to person... Whomever you allow access to your medical records SMHCS only accepts subpoenas via hand-served or certified.! And preferred format the Fair Credit reporting Act ( FCRA ) benefit from access to their Family members records inspiration! Be brandon hospital medical records phone number for One year phone number for us to send the records to for the purposes furnishing... Providing copies of medical records Department that you need and preferred format Provided medical! The request of 439 Hospitals in Hillsborough County # 111 of 439 Hospitals in Florida 1,253...: ( 844 ) 481-0298 understand the importance of giving you easy access to their Family members.! James A. Haley Veterans & # x27 ; Hospital H. Lee Moffitt Cancer Center & amp Research., please call 911 in the affidavit or for any use prohibited by the Fair reporting... And Bethesda East, Specialty: Family Medicine There is no fee to release records to will your. Of our Hospitals or mail or fax number for us to send records. X27 ; s license, military I.D subjects or for any use by... H. Lee Moffitt Cancer Center & amp ; Research Institute result, we created simple. Blank, the authorization will be shipped within 5-7 Business days after processing fill out this form be. Keep patients and visitors informed and make communication easy a valid and complete this form...
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