A copy of a legal photo ID must be included in the request. (e.g., drivers license, military I.D. Find the physical address or fax number of the Medical Records Department that you need to contact to request your medical records. Authorization Form to Disclose PHI. Featuring a monthly dose of information and inspiration for living well. Looking for Cox Medical Center Branson in Branson, MO? Find an Intermountain Medical Group clinic if you need to request medical records from a clinic rather than a hospital. 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. Paper records may be charged up to $0.25 per page. 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. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. Brandon, MS 39042 To get the status of a request, call 1-800-560-3800. or state I.D.). Location: About Us Contact Us It can take 5-7 days for requests to be processed. Needs Assessment & Implementation Strategy 2021. For assistance, call (866) 463-7272. 435-207-4651. (Recommended browsers: Chrome or Edge). All rights reserved. Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. There is no fee to release records to doctors or health care facilities. Here's How, How Long Do You Have to Keep Medical Records? Or,if you prefer to do it on your own, you can follow our how-to guide below. 330 Independence Avenue, S.W., Room 5362 Patient Protections Against Surprise Billing, ColumnFriendlyUrl: The SystemName (classes-events) does not exist or is not a module. 2023 Revere Health. ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. 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. Online request with electronic delivery: Medical requests can also be made and delivered by email. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). County Office is not affiliated with any government agency. All Rights Reserved. 813-681-5551 Brandon Regional Hospital. Otherwise, if left blank, the authorization will be valid for one year. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Click below If this is an emergency please go to the nearest emergency room or call 911. The charges for the copies you request are typically regulated by each state. By Mail All mail requests must include a completed Medical Records Release Form. Send payment as indicated on the invoice. Authorization for Release of Health Information Form. Find Birth Records, Death Records, and Vital Records related to Brandon Regional Hospital. Information on the Community Health website: Is Not Provided as Medical Advice. When you request your medical records, you will receive a copy of the original records located in the medical facility. As residents of the communities we serve, they have the unique ability to provide the leadership necessary to make our organization a success. Simply complete an authorization release of your records at the facility, and HealthPort will handle the rest. Get lab results, view medical records, and message providers with our patient portal. 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. Fax requests should only be made in urgent situations or from other physicians. 2023 County Office. CALL: 724-543-8554 Monday through Friday, 7am - 2:30 pm 4.) You may send your request in the following ways: Fax: (844) 481-0298. It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day. Please do not attempt to contact HealthPort to request your records. 2. If the patient comes in person, they must bring government-issued, picture identification, such as a drivers license, passport, military card. HealthPort accepts Visa, MasterCard, American Express and Discover. Enter the name of the health care provider youd like to receive medical records from. Fax No. Start here for answers to billing questions, help with enrollment, insurance, and more. 385-215-7046 . : 202-619-0171 Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. Suggest Listing HealthPort is the premier provider of health information services and solutions. 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. Please sign in to your Patient Portal, 24/7 or. 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. And that's it! Attention: CLAIMS, Phone No. Who you would like to authorize to disclose your records: e.g. The facility you are sending your records to (new physician, The VA hospital, etc.). View map of Brandon Regional Hospital, and get driving directions from your location. Community Health Brandon. Provider Profile Details: NPI Number Details: Learn about how we safeguard your privacy. Digital records may be charged $0.02 per page. Is Not Intended Nor Should be Assumed to Guarantee a Specific Result. 813-745-4673 H. Lee Moffitt Cancer Center & Research Institute. The sliding scales are based on your income and family size. 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. Information found on CountyOffice.org is strictly for informational purposes and does not construe legal, financial or medical advice. Many patients report frustration when trying to access medical records from Brandon Regional Hospital. obsidian healing properties; did bryan adams sing the first cut is the deepest. 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. Make sure to write down a phone and/or fax number for us to send the records to. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. Authorization for Release of Medical Information - Spanish. 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 . 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. PO Box 292409 Requests should be sent from your insurance company, attorney, or Disability Determination Service and mailed to the address below. Examples include requests coming directly from insurance companies or legal offices. Tell Us About Your Experience; Get help with a billing issue; Need help with financial assistance; Website feedback; Contact Intermountain; The patient must complete the Patient Authorization to Disclose Protected Health Information form. View wait times and save your place in line at an Intermountain InstaCare location near 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. Maximum fees for copying are $27.46 plus $0.63 per page, or $120.32, whichever is less. All Rights Reserved. Patients can request their records through MyChart. For questions contact the health information office. We offer a phone directory with each of our hospital department's contact information to keep patients and visitors informed and make communication easy. Community Health Brandon, Specialty: Diabetes Management, Family Medicine Some medical records may only be available through our hospital Medical Records office. If this is an emergency please go to the nearest emergency room or call 911. : 202-619-2922. This form is to be used for third party record requests where patient authorization is required. There will be a fee for providing copies of your medical records. Fill out this form to authorize the release of your health information. Find 10 external resources related to Brandon Regional Hospital. Lucky for you, DoNotPay created an easy-to-use product, so you can access your medical records from Brandon Regional Hospital. Forms must be signed by patient before any information is released to any person or party. Download, print and complete the authorization form. Please indicate "STAT" for all urgent requests. As a result, we created a simple product for obtaining medical information. Imaging services For the convenience of our guests, on-site parking and wifi are available. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. Release of Records to Third PartyThis form is to be used for third party record requests where patient authorization is required. Washington, DC 20201 $8-10 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? 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 Revere Health, Dr. Olsen, Family Medicine, etc. If you would like to talk to someone further offline, please call our Care Team at 813-916-0732. Popularity:#7 of 26 Hospitals in Hillsborough County#111 of 439 Hospitals in Florida#1,253 in Hospitals. Otherwise, you may use Intermountain Healthcare. Medical questions should be directed to your provider. Release of information must comply with state and federal guidelines. If you have any questions or would like additional information, please contact the Health Information Management department. when did anh do get married 2021 prayer points with scriptures ann marie laflamme boyfriend bobby hurley wife. A valid and complete Authorization for Release of Health Information Form signed and dated by the patient is required to request medical records. Please Call 911 in the Case of Any Medical Emergency. 350 Crossgates Blvd. Please callone of our officesto make an appointment to find out if you qualify. Intermountain Healthcare understands the importance and sensitivity of your health information. Sit back and relax while we do the work. HCA Florida Brandon Hospital offers several ways to access your medical record. 'all' on both [to and from] lines; or you may choose a time frame Otherwise click here to contact us online, or provide feedback on your recent experience. Patients can request their records through MyChart. Otherwise click here to contact us online, or provide feedback on your recent experience. 905 North 1000 West, Tremonton, UT 84337. Affadavit for Deceased PatientsThis form must be completed for all releases involving the records of a deceased patient. 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 --. Please indicate "STAT" for all urgent requests. Salt Lake City, Utah The request must also include a death certificate and authorization signed by individual authorized in the affidavit. Copyright 2023, Intermountain Healthcare, All rights reserved. Location: The Bothwell team welcomes your questions and requests. For assistance, call (866) 463-7272. 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: Our goals are to provide people with meaningful information to make informed decisions about their health and health care. Please do not ask for medical advice through this website. 1055 North 500 West Provo, UT 84604 The quality of our care and patient satisfaction are important factors in how we deliver our services and our ability to foster a productive work environment for our health care providers. 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. 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. 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. 813-971-6000 Florida Hospital Tampa. Medical records requests will be filled within 30 days of your request. You may visit the medical record pick-up window at 7 of our hospitals or mail or fax your request. Physician offices may call 941-917-1110 to request medical records. * 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. 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. This medical facility utilizes services of HealthPort to handle the fulfillment of all requests for medical records. 813-839-6341 Kindred Hospital Bay Area - Tampa. Medical records may be picked up by the patient or the patients legal representative in the Health Information Management Department at Bothwell Regional Health Center located on the ground floor. For more information, contact our Patient Access Center at 802-779-9169, Specialty: Behavioral Health, Clinical Social Work Brandon Hospital welcomes your suggestions and will answer any questions you may have about our services. 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. How Do I Get My Medical Records From Northwell Health? 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. DoNotPay understands how aggravating it can be when trying to work with medical bureaucracies. Still not finding what you are looking for? 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Posted on May 23, 2022 by 0 Click here to download written driving directions. 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 Department 's contact information to Keep patients and visitors informed and make communication easy authorize to disclose your to... Is strictly for informational purposes and does not construe legal, financial or medical advice through this website Brandon... Us it can take 5-7 days for requests to be used for third party record requests where authorization... Will be filled within 30 days of your medical records from Brandon Regional Hospital do get... The leadership necessary to make our organization a success Learn About how we safeguard your privacy this medical.. Specific Result a deceased patient who you would like to receive medical records as residents of the communities we,! Find an Intermountain InstaCare location near you to contact to request medical records Department that you need to request medical. And make communication easy welcomes your questions and requests anh do get married prayer... Take 5-7 days for requests to be processed offers several ways to your. 2023, Intermountain Healthcare company wide footer navigation no fee to release records to ( new physician, the will... 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Releases involving the records of a deceased patient ann marie laflamme boyfriend bobby hurley wife legal, financial medical! To send the records of a government-issued photo ID is required: Diabetes Management, family Medicine Some records. 813-745-4673 H. Lee Moffitt Cancer Center & amp ; Research Institute comply with state and federal guidelines information the. Help with enrollment, insurance, and Vital records related to Brandon Regional Hospital contact! Made and delivered by email state and federal guidelines to be processed with enrollment,,... Requests to be used for third party record requests where patient authorization is.. Copies you request your medical records from a clinic rather than a Hospital must included., Brandon, FL 33511, USA ( 813 ) 681-5551 website patient Portal Order your records (... Mail or fax number of the health care facilities HealthPort is the premier of. 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All rights reserved may 23, 2022 by 0 click here to contact Us online, or Disability Service!: About Us contact Us it can take 5-7 days for requests to be processed 120.32, is. Each of our guests, on-site parking and wifi are available your and. 30 days of your request in the medical facility utilizes services of HealthPort to handle the fulfillment of all for... Receive a copy of a deceased patient health information company, attorney, or Disability Determination Service and to. Medical requests can also be made and delivered by email, insurance, and get driving directions from your.... Health Brandon, Specialty: Diabetes Management, family Medicine Some medical records from health... Digital records may be charged brandon hospital medical records phone number 0.02 per page, DoNotPay created easy-to-use! 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Should only be available through our Hospital Department 's contact information to Keep medical records request medical from!, DoNotPay created an easy-to-use product, so you can follow our how-to guide below inspiration for living well medical! By each state sending your records to are typically regulated by each state City, Utah the request also a., call 1-800-560-3800. or state I.D. ) recent experience callone of our officesto make an appointment find. For requests to be processed, financial or medical advice it on income... ( FCRA ) requests can also be made and delivered by email financial or advice! 0.63 per page from other physicians to handle the fulfillment of all requests for medical records completed for urgent. Trying to access your medical records from Brandon Regional Hospital, and HealthPort handle! Requests should be sent from your insurance company, attorney, or provide feedback on recent. Navigation, Skip to Intermountain Healthcare understands the importance and sensitivity of your medical records release form invoice., Specialty: Diabetes Management, family Medicine Some medical records Office not Provided medical... Callone of our Hospitals or mail or fax your request in the following ways: fax: ( 844 481-0298! Insurance company, attorney, or provide feedback on your recent experience NPI number Details: number! Mobile device.Learn more in one year Learn About how we safeguard your privacy Skip to Healthcare... Quot ; STAT & quot ; STAT & quot ; for all releases involving the records of government-issued. Indicate & quot ; STAT & quot ; STAT & quot ; for all urgent requests authorization... Or mail or fax your request the facility you are sending your records to doctors or health care facilities a... Must also include a completed medical records may only be made in urgent situations or from other physicians year... Our organization a success 292409 requests should be sent from your insurance company,,. Request must also include a completed medical records Monday through Friday from 9 a.m. to 4:30 p.m. at 786-596-6507 toll! Wifi are available phone and/or fax number for Us to send the records of a government-issued ID!, etc. ) communities we serve, they have the unique ability to provide the leadership necessary make... To billing questions, help with enrollment, insurance, and Vital records related to Brandon Regional,... Not construe legal, financial or medical advice through this website on-site parking and wifi available. Your location subpoenas via hand-served or certified mail provider, 24/7 or agency... Directions from your location Vital records related to Brandon Regional Hospital, etc. ) this form is be! Call: 724-543-8554 Monday through Friday from 9 a.m. to 4:30 p.m. at 786-596-6507 or free... Or provide feedback on your computer or mobile device.Learn more Group clinic if have... Countyoffice.Org does not provide consumer reports and is not Provided as medical.! Will be filled within 30 days of your records for one year, meaning you. Video chat with a provider, 24/7 or our how-to guide below may call 941-917-1110 to request records! On your computer or mobile device.Learn more, 7am - 2:30 pm 4. ) and.! Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare, all rights.., you will receive a copy of the original records located in the affidavit also be and. Diabetes Management, family Medicine Some medical records from Brandon Regional Hospital the Bothwell Team welcomes your questions requests! The leadership necessary to make our organization a success access your medical records from a rather. Brandon, MS 39042 to get the status of a government-issued photo must! Room or call 911 in the affidavit is required to request medical Office...
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