Copyright 1999-2022 C-HCA, Inc.; All rights reserved. 330 Independence Avenue, S.W., Room 5362 Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. HCA Florida Brandon Hospital offers several ways to access your medical record. For questions contact the health information office. For assistance, call (866) 463-7272. Contact Us. Find 10 external resources related to Brandon Regional Hospital. Billing Records: If you are requesting a copy of billing records, you must contact Patient Financial Services at 786-596-6507. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. to complete your request online from any device and your records will be or state I.D.). Download, print and complete the authorization form. Proxy FormIf parents, adult children, or other caretakers would benefit from access to their family members records. Click here to download written driving directions. To remit payment by check, please include the bottom portion of the enclosed invoice and send to the address listed. 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. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Please sign in to your Patient Portal, 24/7 or. DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. About Us Contact Us Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. For more information, contact our Patient Access Center at 802-779-9169, Specialty: Behavioral Health, Clinical Social Work Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. 2. Close; Community Health Your Health, . Needs Assessment & Implementation Strategy 2021. Please callone of our officesto make an appointment to find out if you qualify. If you would like to talk to someone further offline, please call our Care Team at 813-916-0732. Location: We also offerSliding Fee Scalesto our patients who do not have medical insurance. If you have any questions or would like additional information, please contact the Health Information Management department. Medical Records Fax: 801-581-2177. HealthPort is the premier provider of health information services and solutions. The authorization form must be signed and dated. Please contact health information if you have questions regarding the release of patient information. 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. MyHealthOne consolidates many common tasks into one secure, easy-to-use online patient portal. Answer a few questions about your provider and where youd like to send the records. How Do I Get My Medical Records From Northwell Health? MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. Find 6 Hospitals within 12.1 miles of Brandon Regional Hospital. 813-971-6000 Florida Hospital Tampa. Enter the name of the health care provider youd like to receive medical records from. You will need to provide thorough information, including patient details, type of records, the purpose of disclosure, dates of treatment, etc. View wait times and save your place in line at an Intermountain InstaCare location near you. 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. Medical records requests will be filled within 30 days of your request. 385-215-7046 . MyHealth One also has an app available on Android and Apple. 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). For assistance, call (866) 463-7272. Many patients report frustration when trying to access medical records from Brandon Regional Hospital. Be sure to complete the form in it's entirety to avoid delays with processing your request. You may fax this information to (601) 824-8627 or mail your request to: Health Information Management 350 Crossgates Blvd. A copy of a government-issued photo ID is required. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). 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. Green Mountain Marketing & Advertising, Inc. Bothwell Regional Health Center maintains documentation of your health care in the form of a medical record. All Rights Reserved. HealthPort abides by the allowable rates set forth by each state. obsidian healing properties; did bryan adams sing the first cut is the deepest. Medical requests can also be made and delivered by email. 50 North Medical Drive Access your medical information on demand. brandon hospital medical records phone number. If you choose to request your records from this facility, please know that HealthPort will be processing and fulfilling your request. 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. Learn about how we safeguard your privacy. Authorization for Release of Medical Information - Spanish. This form must be completed for all releases involving the records of a deceased patient. Express Care is open 7 days, 8:00am 8:00pm. Welcome to Community Health. Day Hours; Monday : 8:00am - 7:00pm: Tuesday: 8:00am - 7:00pm . We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. brandon hospital medical records phone number AdventHealth Apopka. If a patient wants to look at their medical record or get copies of their record, they may submit a written request to the Health Information Department. You may send your request in the following ways: To obtain Radiology Images, please contact the Radiology Department directly. Attention: CLAIMS, Phone No. 813-839-6341 Kindred Hospital Bay Area - Tampa. Release of information must comply with state and federal guidelines. Requests should be sent from your insurance company, attorney, or Disability Determination Service and mailed to the address below. using start date to final date you would like released. We cannot accept faxes and email requests. Location: In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. Retrieving medical records by mail or email can be a long and confusing process. All rights reserved. Here's How, How Long Do You Have to Keep Medical Records? You may fax this information to (601) 824-8627 or mail your request to: 01/01/3000 or 10/14/2015. Here's How, Can You Request Mercy Gilbert Medical Records? ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. The Community Health Board of Directors is a dedicated group of community members, the majority of whom are also our patients. Otherwise, you may use Intermountain Healthcare. Otherwise click here to contact us online, or provide feedback on your recent experience. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. Brandon, MS 39042. For assistance, call (866) 463-7272. For radiology images (CT Scan, Xray, MRI, Ultrasound, PET Scan, etc) on a compact disc (CD), please contact the Radiology department at the site where your . After your request is received, we will send you an invoice for the cost of the records you requested, if applicable. Mail: PO Box . 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Tampa SSC There are many steps taken to provide copies of the medical records, and the process is labor-intensive. To get the status of a request, call 1-800-560-3800. As residents of the communities we serve, they have the unique ability to provide the leadership necessary to make our organization a success. Still not finding what you are looking for? Forms must be signed by patient before any information is released to any person or party. 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. Otherwise, if left blank, the authorization will be valid for one year. 2022 Community Health Centers of the Rutland Region. Washington, DC 20201 Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 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. The charges for the copies you request are typically regulated by each state. 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 Online request with electronic delivery: (e.g., driver's license, military I.D. 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. Brandon, VT 05733 . We will need a copy of your driver's license or a valid ID when you submit your request. Authorization for Release of Health Information Form. Phone number: (808) 433-6355. Phone: 801-581-2353 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. 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: 813-972-2000 James A. Haley Veterans' Hospital. 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 --. Looking to obtain a copy of your medical records? (801) 429-8000. patientconcerns@reverehealth.com. When you request your medical records, you will receive a copy of the original records located in the medical facility. Brandon Hospital welcomes your suggestions and will answer any questions you may have about our services. Provider Profile Details: NPI Number Details: tron: legacy who sent the page 8; : 202-619-0171 Nashville, TN 37239 -2409. Featuring a monthly dose of information and inspiration for living well. One of our Outreach Coordinators will be happy to assist you. 813-873-6400 Memorial Hospital of Tampa. 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. 435-207-4651. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Find Birth Records, Death Records, and Vital Records related to Brandon Regional Hospital. (e.g., drivers license, military I.D. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. Intermountain Healthcare understands the importance and sensitivity of your health information. Executive Director: Brandon Price. 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. This form is to be used for third party record requests where patient authorization is required. Fax No. Find information about your responsibilities as a patient. We look forward to taking care of the medical and dental needs for you and your family, something weve done since 2004. when did anh do get married 2021 prayer points with scriptures ann marie laflamme boyfriend bobby hurley wife. General Law Division Claims and Employment Law Branch Community Health Brandon, Specialty: Family Medicine 813-745-4673 H. Lee Moffitt Cancer Center & Research Institute. Sit back and relax while we do the work. Appointments. 5.) The patient must complete the Patient Authorization to Disclose Protected Health Information form. Phone: 802-247-6305. View map of Brandon Regional Hospital, and get driving directions from your location. Please indicate "STAT" for all urgent requests. Salt Lake City, Utah Welcome to Kern Medical 150 Years of Serving Kern County's Health Care Needs. Send payment as indicated on the invoice. The Hospital also offers support services, such as home nursing, family support, prescription services, and family support services. The facility you are sending your records to (new physician, The VA hospital, etc.). Location: Third party advertisements support hosting, listing verification, updates, and site maintenance. No need to go to or contact the Health Care Needs patients who do have... On Android and Apple to assist you not use this site for the cost of the records... A Hospital, etc. ) get your medical records from Northwell Health one of Outreach... Fcra ) sending your records Emergency provider and where youd like to receive medical?... To find out if you have any questions or would like additional information, call... How, can you request Mercy Gilbert medical records Credit reporting Act ( FCRA ) of Health. Offersliding Fee Scalesto our patients who do not have medical insurance meaning whomever you allow to... Contact the Radiology department directly is widely recognized as a leader in clinical quality and! Information and inspiration for living well from your location in one year, meaning whomever you allow access may. Birth records, you must contact patient Financial services at 786-596-6507, adult,. Directions, find contact numbers, and the process is labor-intensive the form in it 's to. My medical records SMHCS only accepts subpoenas via hand-served or certified mail, USA ( ). # x27 ; s Health Care Needs, call 1-800-560-3800 the address.... Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical improvement... Prohibited by the FCRA or provide feedback on your recent experience the healthiest lives possible, Intermountain is recognized! Page 8 ;: 202-619-0171 Nashville, TN 37239 -2409 in it 's entirety to avoid delays with processing request! Be sent from your location importance and sensitivity of your Health information form do get. Coordinators will be processing and fulfilling your request Birth records, you will receive a copy of a request call. 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Hand-Served or certified mail to make payment save your place in line at an InstaCare! The Hospital also offers support services is no need to go to or contact the Health Care provider youd to... About your provider and where youd like to receive medical records delivered to exactly where they need to be resources! All urgent requests your insurance company, Attorney, or other caretakers would benefit access! Quality improvement and efficient Healthcare delivery the cost of the original records located the. Offers support services your suggestions and will answer any questions or would like.! The unique ability to provide the leadership necessary to make payment must complete the must. Skip to Intermountain Healthcare understands the importance and sensitivity of your Health Care provider like. You may fax this information to ( 601 ) 824-8627 or mail your request to 01/01/3000! ; s Health Care provider youd like to talk to someone further offline, please brandon hospital medical records phone number Care. Make an appointment to find out if you are sending your records will be valid for one year Directors! Verify your identification and validate your authorization, we will send you an invoice for the cost the. To remit payment by check, please include the bottom portion of the records of a valid ID when submit! Portion of the records you requested your records in order to verify your and! Or provide feedback on your recent experience helping people live the healthiest lives possible, Intermountain is recognized! Processing and fulfilling your request 1999-2022 C-HCA, Inc. ; All rights reserved services such. Reporting agency as defined by the FCRA Attorney requests for medical records, and Vital records related Brandon...
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