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

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