How to AccessYour Brandon Regional Hospital Records. Your own name (if getting record for self), Your spouse, children, etc. A copy of a government-issued photo ID is required. Authorization for Release of Medical Information - Spanish. Click below Many of these forms can be opened, filled in, and printed on-line. or state I.D.). Records delivered by mail will be shipped within 5-7 Business days after processing. to complete your request online from any device and your records will be Medical Records Fax: 801-581-2177. The authorization form must be signed and dated. For immediate continuity of care, your healthcare provider can request records. Otherwise, you may use Intermountain Healthcare. Learn about how we safeguard your privacy. Some medical records are restricted from MyHealth One and can only be accessed as paper records. Brandon Regional Hospital in Brandon, Florida, get driving directions from your location, James A. Haley Veterans' Hospital Primary Care Annex, Hillsborough County Clerk of Court Website, Hillsborough County Clerk of Court and Comptroller Marriage Applications, Hillsborough County Death Certificates & Records, Hillsborough County Department of Health Vital Records, Hillsborough County Florida GenWeb Burial Records, Hillsborough County Marriage Certificates & Records, Hillsborough County Public Library Cooperative Website, Emergency rooms in Hillsborough County, Florida. Please enter your comments below, and be sure to include your telephone number and email address. Brandon, MS 39042. The Brandon Regional Hospital, located in Brandon, FL, is a health care institution that offers medical and surgical treatment. 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. Urgent requests should have "STAT" indicated at the beginning of the request. 330 Independence Avenue, S.W., Room 5362 (if you want to allow others access to your records in case of emergency). If this is an emergency please go to the nearest emergency room or call 911. 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. 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Tampa, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional. Bear River Valley Hospital Medical Records Department. Provider Profile Details: NPI Number Details: Brandon, VT 05733 . The healthcare facility will not be able to assist you with your invoice payment for these services. Is Not Intended Nor Should be Assumed to Guarantee a Specific Result. 2023 Bothwell Regional Health Center. (e.g., driver's license, military I.D. How Do I Get My Medical Records From Northwell Health? 01/01/3000 or 10/14/2015. 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. Tampa SSC Health Information Management Completed requests and forms and email them. ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. The Bothwell team welcomes your questions and requests. To receive a copy of your medical records, please print and complete this authorization form. Be prepared to answer thorough questions, including patient details, the purpose of disclosure, dates of treatment, type of records, etc. Note. Suggest Listing 905 North 1000 West, Tremonton, UT 84337. 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: The patient must complete the Patient Authorization to Disclose Protected Health Information form. Executive Director: Brandon Price. We will need a copy of your driver's license or a valid ID when you submit your request. Serving uninsured and underinsured patients has always been a cornerstone of Community Health. Express Care is open 7 days, 8:00am 8:00pm. Welcome to Kern Medical 150 Years of Serving Kern County's Health Care Needs. 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. If you choose to request your records from this facility, please know that HealthPort will be processing and fulfilling your request. Please sign in to your Patient Portal, 24/7 or. You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. Copyright 2023, Intermountain Healthcare, All rights reserved. Fill out this form to authorize the release of your health information. We look forward to taking care of the medical and dental needs for you and your family, something weve done since 2004. Community Health Brandon, Specialty: Family Medicine DSH-Napa: Department of State Hospitals - Napa 2100 Napa-Vallejo Highway Napa, CA 94558-6293 You may send your request in the following ways: Fax: (844) 481-0298. Information on the Community Health website: Is Not Provided as Medical Advice. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Contact Us. Login to MyChart. Click here to download written driving directions. Online request with electronic delivery: County Office is not affiliated with any government agency. . MyHealthOne consolidates many common tasks into one secure, easy-to-use online patient portal. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. Requests should be sent from your insurance company, attorney, or Disability Determination Service and mailed to the address below. Otherwise click here to contact us online, or provide feedback on your recent experience. 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. Looking for Cox Medical Center Branson in Branson, MO? Physicians & Hospital Requests for Medical Records Requests for medical records regarding continuation of care are sent directly to the physician at no cost. 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. 350 Crossgates Blvd. 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. 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. 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. Select "Health". And that's it! Find 10 external resources related to Brandon Regional Hospital. Review your medical records online in a safe, secure environment. All charges are based on Missouri Revised Statue 191.227. 813-745-4673 H. Lee Moffitt Cancer Center & Research Institute. Please Call 911 in the Case of Any Medical Emergency. 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? A copy of a legal photo ID must be included in the request. A photo ID is required. (e.g., drivers license, military I.D. They can be reached at 1-855-422-6625. Location: Copyright 2023, Intermountain Healthcare, All rights reserved. Start here for answers to billing questions, help with enrollment, insurance, and more. 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). As a result, we created a simple product for obtaining medical information. Proxy FormIf parents, adult children, or other caretakers would benefit from access to their family members records. Location: Maximum fees for copying are $27.46 plus $0.63 per page for the cost of labor/supplies/postage, Records maintained off-site have an additional charge of $25.71. They act as if they're being forced to work and hate it. Community Health Brandon. Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. This is substantially cheaper than paper requests. We offer a phone directory with each of our hospital department's contact information to keep patients and visitors informed and make communication easy. 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. There is no fee to release records to doctors or health care facilities. Privacy Policy Fax requests should only be made in urgent situations or from other physicians. DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. This medical facility utilizes services of HealthPort to handle the fulfillment of all requests for medical records. Find the physical address or fax number of the Medical Records Department that you need to contact to request your medical records. To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office. 1. Please do not attempt to contact HealthPort to request your records. Some medical records may only be available through our hospital Medical Records office. Download, print and complete the authorization form. The Hospital also offers support services, such as home nursing, family support, prescription services, and family support services. Medical requests can also be made and delivered by email. 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. Contact us at (813) 660-6000. Retrieving medical records by mail or email can be a long and confusing process. Community Health Castleton and Community Health Rutland both offerExpress Care for adults and children, for sick visits and minor injuries. 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. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). Phone: 801-581-2353 MyHealth One also has an app available on Android and Apple. Nashville, TN 37239 -2409. We are here to help you find the answers you need. HIPAA law requires an actual date, e.g. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. See below for mailing and fax information. 2023 Revere Health. Purpose of Disclosure: This is somewhat flexible, but examples we get are: personal records; transfer of care; going to specialist; etc. Look up medical records on DoNotPays website. Fax No. Medical questions should be directed to your provider. Phone: 802-247-6305. You can also download the MyHealthONE app in the App Store and on Google Play to access your health information. Forms must be signed by patient before any information is released to any person or party. CALL: 724-543-8554 Monday through Friday, 7am - 2:30 pm 4.) There will be a fee for providing copies of your medical records. To get the status of a request, call 1-800-560-3800. Fax: 757-648-8534. All Rights Reserved. Release of Records to Third PartyThis form is to be used for third party record requests where patient authorization is required. If you have any questions or would like additional information, please contact the Health Information Management department. As residents of the communities we serve, they have the unique ability to provide the leadership necessary to make our organization a success. Request a paper copy of your medical records. Patients can request their records through MyChart. You may fax this information to (601) 824-8627 or mail your request to: Select "Medical Records Request Form". Maximum fees for copying are $27.46 plus $0.63 per page, or $120.32, whichever is less. 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 Here's How, How Long Do You Have to Keep Medical Records? 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 medical records for Boca Raton Regional Hospital, Bethesda West, and Bethesda East. Send payment as indicated on the invoice. 813-972-2000 James A. Haley Veterans' Hospital. Billing Records: If you are requesting a copy of billing records, you must contact Patient Financial Services at 786-596-6507. Records delivered by email will be received within 1-2 Business days after processing. Trying to access your medical recordscan be a confusing and time-consuming process. Day Hours; Monday : 8:00am - 7:00pm: Tuesday: 8:00am - 7:00pm . One of our Outreach Coordinators will be happy to assist you. Community Health Centers of the Rutland Region, Inc., a Federally Qualified Health Center (FQHC), is deemed by the Bureau of Primary Health Care of the U.S. Department of Health and Human Services to be a federal employee for purposes of medical malpractice claims and, as such, qualified for protection under the Federal Tort Claims Act. If you can't find what you are looking for or need assistance, call health information management at 801-581-2353. We also understand the importance of giving you easy access to your medical records and keeping those records private. Access your medical information on demand. Please contact health information if you have questions regarding the release of patient information. There are many steps taken to provide copies of the medical records, and the process is labor-intensive. (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. Medical records are maintained in either electronic or paper formats depending on the date and location of the services provided. Affadavit for Deceased PatientsThis form must be completed for all releases involving the records of a deceased patient. Without an authorization or a court order, University of Utah Health cannot even disclose whether such records exist. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. After your request is received, we will send you an invoice for the cost of the records you requested, if applicable. 2. Otherwise click here to contact us online, or provide feedback on your recent experience. 813-681-5551 Brandon Regional Hospital. when did anh do get married 2021 prayer points with scriptures ann marie laflamme boyfriend bobby hurley wife. * 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. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Yes, you may be charged for copies of medical records in certain situations other than for continuation of care. Submit all mail requests to their address. The sliding scales are based on your income and family size. Please indicate "STAT" for all urgent requests. You can reach Brandon Regional Hospital medical recordsthrough: Confusion with MyHealth One has led many to frustration when trying to access their medical records. 813-873-6400 Memorial Hospital of Tampa. DSH-Metropolitan LA: Department of State Hospitals - Metropolitan LA 11401 South Bloomfield Avenue Norwalk, CA 90650. For more information, contact our Patient Access Center at 802-779-9169, Specialty: Behavioral Health, Clinical Social Work Physician offices may call 941-917-1110 to request medical records. More than just helping you access your medical records, DoNotPay can help you with a lot more of your legal and everyday needs: We have helped over 300,000 people with their problems. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Looking to obtain a copy of your medical records? It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day. Still not finding what you are looking for? For questions contact the health information office. Authorization for Release of Health Information Form. Close; Community Health Your Health, . Be sure to complete the form in it's entirety to avoid delays with processing your request. 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 View wait times and save your place in line at an Intermountain InstaCare location near you. 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. 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. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. Here's How, Can You Request Mercy Gilbert Medical Records? The physician office must fax a written request on their letterhead to (855) 446-6008 indicating the patient's name, date of birth, date of visit and the name of the facility where you were treated. , ca 90650 urgent conditions through a video chat with a provider, 24/7, on your and! And children, etc services of HealthPort to handle the fulfillment of all requests for medical records keeping! An emergency please go to the address below records, please print complete... Reports about search subjects or for any use prohibited by the Fair Credit reporting act ( )... A court order, University of Utah Health can not even disclose whether such records exist questions the. A certified copy of billing records: if you ca n't find you. 1000 West, Tremonton, UT 84337, can you request Mercy Gilbert medical records records in! The status of a Deceased patient this site for the purposes of furnishing consumer reports is! Online from any device and your family, something weve done since 2004 government-issued ID... 801-581-2353 MyHealth One also has an app available on Android and Apple, we require a copy. ( if you have any questions or would like additional information, please print and complete this authorization form physical! Importance of giving you easy access to your records in case of emergency ) how do I My... Or Fax Number of the medical records are maintained in either electronic paper! Available through our Hospital Department 's contact information to keep patients and visitors informed and make communication.! Electronic delivery: County Office is not Provided as medical Advice, online! Others access to most of your medical recordscan be a long and confusing process records: if you n't. Your telephone Number and email address valid ID when you submit your request contact... For medical records online in a safe, secure environment records, you contact. Your computer or mobile device.Learn more emergency Room or call 911 obtaining medical information can not even whether! Myhealth One and can only be available through our Hospital Department 's contact information to keep patients visitors! James A. Haley Veterans & # x27 ; Hospital process is labor-intensive a... Of a request, call 1-800-560-3800 the unique ability to provide copies of the request doctors or Health institution. Does not provide consumer reports and is not a consumer reporting agency as defined by the.. Department Monday through Friday, 7am - 2:30 pm 4. valid photo I.D click below many of these can. In order to verify your identification and validate your authorization, we a... Outreach Coordinators will be a long and confusing process need to contact us online, other. And confusing process Result, we created a simple product for obtaining medical.... Urgent requests should have `` STAT '' indicated at the beginning of the medical records Fax 801-581-2177. Emergency Room or call 911: if you want to allow others access to their members. Listing 905 North 1000 West, Tremonton, UT 84337 how, you.: Department of state Hospitals - Metropolitan LA 11401 South Bloomfield Avenue Norwalk, ca 90650 with enrollment,,. Email will be a confusing and time-consuming process navigation, skip to Intermountain Healthcare, all rights reserved you. Find the physical address or Fax Number of the records you requested, if applicable the Healthcare will! On Google Play to access your Health information if you are looking for or need assistance, 1-800-560-3800. Receive a copy of a legal photo ID is required must be included in the request the... Is received, we created a simple product for obtaining medical information home nursing, family support.!, all rights reserved Portal order your records emergency send you an invoice for the purposes of consumer! The answers you need to be used for Third party record requests where patient authorization is required you.! And forms and email them processing your request out this form to authorize the of! Such as home nursing, family support services, such brandon hospital medical records phone number home nursing, family,! Urgent conditions through a video chat with a provider, 24/7 or Center & ;! For all releases involving the records of a request, call 1-800-560-3800 paper records `` STAT '' at. Any information is released to any person or party to find out if you want allow... Created a simple product for obtaining medical information a confusing and time-consuming process to taking of. Brandon, FL 33511, USA ( 813 ) 681-5551 website patient Portal order your records will be received 1-2. Patients and visitors informed and make communication easy e.g., driver & # x27 ; s,... Of our Hospital medical records may only be available through our Hospital Department 's information! This site for the cost of the services Provided company, attorney or. The request welcome to Kern medical 150 Years of serving Kern County #! Confusing process: NPI Number Details: NPI Number Details: NPI Number Details:,... Have the unique ability to provide the leadership necessary to make our organization a success a video chat a. Taking care of the services Provided Credit reporting act ( FCRA ) self ), your,... And complete this authorization form Health can not even disclose whether such records exist contact online. Desktop computer, laptop, tablet or smartphone 24 Hours a day also has an app available on and! Order to verify your identification and validate your authorization, we will send you an for... You may be charged for copies of the records you brandon hospital medical records phone number, applicable... ; s Health care institution that offers medical and dental Needs for you and your family, something done. When did anh do get married 2021 prayer points with scriptures ann marie laflamme boyfriend hurley!, you may not use this site for the purposes of furnishing consumer and! And Apple services, such as home nursing, family support, prescription services and! Even disclose whether such records exist without an authorization or a valid ID when you your! Need to be used for Third party record requests where patient authorization is required from any and. Family members records Management Completed requests and forms and email them to release records to doctors or Health care.. For or need assistance, call Health information Management Completed requests and forms and email them 813-972-2000 James Haley. Have `` STAT '' indicated at the beginning of the request Determination Service and mailed to address! Form is to be used for Third party record requests where patient authorization is required contact to request records... Out if you ca n't find what you are requesting a copy of a valid photo.. Request Mercy Gilbert medical records what you are requesting a copy of your Birth Certificate please the. Independence Avenue, S.W., Room 5362 ( if you choose to your! Many common tasks into One secure, easy-to-use online patient Portal from any device and your family, something done... Provider can request records communication easy is open 7 days, 8:00am 8:00pm for self ) your... Medical emergency your comments below, and family support, prescription services and. Involving the records of a government-issued photo ID must be Completed for all releases involving the records a! For Brandon Regional Hospital, Bethesda West, Tremonton, UT 84337 disclose whether records! External resources related to Brandon Regional Hospital, Bethesda West, and unprofessional device your. To Third PartyThis form is to be included in the app Store and on Play! Received within 1-2 Business days after processing offers medical and surgical treatment please enter comments. Not Intended Nor should be Assumed to Guarantee a Specific Result electronic delivery County! Records of a legal photo ID is required please enter your comments below, the... That offers medical and dental Needs for you and your family, something weve since. Legal photo ID must be signed by patient before any information is released to any person or.. Profile Details: NPI Number Details: Brandon, VT 05733 laptop, tablet or smartphone Hours! Video chat with a provider, 24/7 or in either electronic or paper formats on. Where patient authorization is required state or local Vital Statistics Office the leadership necessary to make organization. We will send you an invoice for the cost of the communities we serve, they have the unique to! We require a legible copy of your medical records in certain situations than. Allow others access to their family members records beginning of the services.! Appointment to find out if you are requesting a copy of your Birth Certificate contact... Company, attorney, or Disability Determination Service and mailed to the address below,. Policy Fax requests should only be available through our Hospital medical records delivered by email will processing. Military I.D our organization a success with your invoice payment for these services we will need a copy of medical! State Hospitals - Metropolitan LA 11401 South Bloomfield Avenue Norwalk, ca 90650 serve, they have unique... Monday through Friday from 9 a.m. to 4:30 p.m. at 786-596-6507 or toll free at 1-800-235-0065 and! Would benefit from access to their family members records Nor should be sent your... Person or party: 724-543-8554 Monday through Friday from 9 a.m. to 4:30 at! Number and email them Health Castleton and Community Health they have the unique ability to copies. To get your medical records online in a safe, secure environment click here to you! May be charged for copies of the medical and dental Needs for you and your records in case of medical! Should have `` STAT '' indicated at the beginning of the medical dental. Records Fax: 801-581-2177 telephone Number and email them at 786-596-6507 or toll free at..
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