If you have questions, please contact the Health Information Department at 801-581-2704. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. The mailing address for Brandon Regional Hospital is 119 Oakfield Drive, , Brandon, Florida - 33511-5779 (mailing address contact number - --). Medical records requests will be filled within 30 days of your request. DoNotPay understands how aggravating it can be when trying to work with medical bureaucracies. Who you would like to authorize to disclose your records: e.g. The charges for the copies you request are typically regulated by each state. or state I.D.). delivered right to you - no need to go and pick them up. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Brandon, VT 05733 . (e.g., drivers license, military I.D. Fax requests should only be made in urgent situations or from other physicians. For assistance, call (866) 463-7272. Urgent requests should have "STAT" indicated at the beginning of the request. Needs Assessment & Implementation Strategy 2021. Medical Records Fax: 801-581-2177. They are available from Monday to Saturday, from 8:00 am to 9:00 pm eastern time, and Sunday from 10:30 am to 7:00 pm eastern time. For assistance, call (866) 463-7272. Location: Looking to obtain a copy of your medical records? 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Public (562) 863-7011 TDD (562) 863-1743 Fax (562) 929-3131 Executive Director: Michael Barsom, MD. About Us Contact Us Please indicate "STAT" for all urgent requests. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 350 Crossgates Blvd. Many of these forms can be opened, filled in, and printed on-line. Forms must be signed by patient before any information is released to any person or party. Find the physical address or fax number of the Medical Records Department that you need to contact to request your medical records. If you would like to talk to someone further offline, please call our Care Team at 813-916-0732. 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 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? Health Information Management Fax No. 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. 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. They act as if they're being forced to work and hate it. Brandon, MS 39042 To get the status of a request, call 1-800-560-3800. Some medical records may only be available through our hospital Medical Records office. 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. If this is an emergency please go to the nearest emergency room or call 911. All Rights Reserved. Bothwell Regional Health Center maintains documentation of your health care in the form of a medical record. There are many steps taken to provide copies of the medical records, and the process is labor-intensive. 813-839-6341 Kindred Hospital Bay Area - Tampa. 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. 2022 Community Health Centers of the Rutland Region. Find Birth Records, Death Records, and Vital Records related to Brandon Regional Hospital. 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. The healthcare facility will not be able to assist you with your invoice payment for these services. For assistance, call (866) 463-7272. Tampa SSC The request must also include a death certificate and authorization signed by individual authorized in the affidavit. Third party advertisements support hosting, listing verification, updates, and site maintenance. to complete your request online from any device and your records will be Find 10 external resources related to Brandon Regional Hospital. 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. 813-971-6000 Florida Hospital Tampa. Select "Medical Records Request Form". 2023 County Office. Note. You will need to provide thorough information, including patient details, type of records, the purpose of disclosure, dates of treatment, etc. When you request your medical records, you will receive a copy of the original records located in the medical facility. Please indicate "STAT" for all urgent requests. View map of Brandon Regional Hospital, and get driving directions from your location. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Looking for Cox Medical Center Branson in Branson, MO? Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. Please enter your comments below, and be sure to include your telephone number and email address. We operate Primary Care Medical Offices in Rutland, Brandon, Castleton, Shoreham and West Pawlet, Vermont. All Rights Reserved. Otherwise click here to contact us online, or provide feedback on your recent experience. Information found on CountyOffice.org is strictly for informational purposes and does not construe legal, financial or medical advice. To cultivate a healthy community through prevention and care, where all individuals achieve their highest potential for health and wellness. Get lab results, view medical records, and message providers with our patient portal. (801) 429-8000. patientconcerns@reverehealth.com. How Do I Get My Medical Records From Northwell Health? 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. Please callone of our officesto make an appointment to find out if you qualify. Dates of Service: If you would like all dates of service, write You may send your request in the following ways: To obtain Radiology Images, please contact the Radiology Department directly. Contact Us. Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. Authorization for Release of Medical Information - Spanish. Free, convenient online check-in services. Please Call 911 in the Case of Any Medical Emergency. Revere Health, Dr. Olsen, Family Medicine, etc. As a result, we created a simple product for obtaining medical information. brandon hospital medical records phone numbercandytuft companion plants. Click here to download written driving directions. Still not finding what you are looking for? Still not finding what you are looking for? Simply complete an authorization release of your records at the facility, and HealthPort will handle the rest. Location: Read more Tia H. Tampa, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional. Email: Email Requests. For questions contact the health information office. (Recommended browsers: Chrome or Edge). Provider Profile Details: NPI Number Details: This is substantially cheaper than paper requests. After your request is received, we will send you an invoice for the cost of the records you requested, if applicable. DSH-Metropolitan LA: Department of State Hospitals - Metropolitan LA 11401 South Bloomfield Avenue Norwalk, CA 90650. Online request with electronic delivery: 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. 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. Your request must be sent directly to the medical facility. 2. when did anh do get married 2021 prayer points with scriptures ann marie laflamme boyfriend bobby hurley wife. We also offerSliding Fee Scalesto our patients who do not have medical insurance. obsidian healing properties; did bryan adams sing the first cut is the deepest. We look forward to taking care of the medical and dental needs for you and your family, something weve done since 2004. Is Not Intended Nor Should be Assumed to Guarantee a Specific Result. Review your medical records online in a safe, secure environment. 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Find information about your responsibilities as a patient. 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. Click below 385-215-7046 . Phone number: (808) 433-6355. You may fax this information to (601) 824-8627 or mail your request to: Records delivered by email will be received within 1-2 Business days after processing. (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. Send payment as indicated on the invoice. Serving uninsured and underinsured patients has always been a cornerstone of Community Health. . Community Health offers a full range of medical, dental and behavioral health services including preventative care, well child care, acute care and management of chronic illness. Imaging services For the convenience of our guests, on-site parking and wifi are available. 905 North 1000 West, Tremonton, UT 84337. County Office is not affiliated with any government agency. MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. If you only want a specific time, you must put a date in the expiration date location. The Brandon Regional Hospital, located in Brandon, FL, is a health care institution that offers medical and surgical treatment. : 202-619-2922. Yes, you may be charged for copies of medical records in certain situations other than for continuation of care. 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. This form must be completed for all releases involving the records of a deceased patient. Its easy to request a digital copy of your medical records. Copyright 2023, Intermountain Healthcare, All rights reserved. The Hospital also offers support services, such as home nursing, family support, prescription services, and family support services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Medical records are maintained in either electronic or paper formats depending on the date and location of the services provided. 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. The applicable form must be filled out for the release of health care information. Purpose of Disclosure: This is somewhat flexible, but examples we get are: personal records; transfer of care; going to specialist; etc. Examples include requests coming directly from insurance companies or legal offices. Submit all mail requests to their address. Look up medical records on DoNotPays website. Community Health Brandon, Specialty: Diabetes Management, Family Medicine There will be a fee for providing copies of your medical records. Trying to access your medical recordscan be a confusing and time-consuming process. (e.g., driver's license, military I.D. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. Express Care is open 7 days, 8:00am 8:00pm. Located at 10740 Palm River Rd the TGH Brandon Healthplex is just north of the Lee Roy Selmon Crosstown Expressway and next door to Topgolf. Release of information must comply with state and federal guidelines. Otherwise, if left blank, the authorization will be valid for one year. 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. You may visit the medical record pick-up window at 7 of our hospitals or mail or fax your request. Here's How, How Long Do You Have to Keep Medical Records? Patients can request their records through MyChart. Answer a few questions about your provider and where youd like to send the records. 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. Fill out this form to authorize the release of your health information. Nashville, TN 37239 -2409. Maximum fees for copying are $27.46 plus $0.63 per page, or $120.32, whichever is less. HIPAA law requires an actual date, e.g. 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: Privacy Policy 813-972-2250 Shriners Hospitals for Children. 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. The request must also include a death certificate and authorization signed by individual authorized in the affidavit. 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. 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 brandon hospital medical records phone number AdventHealth Apopka. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. 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. 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. Brandon Hospital welcomes your suggestions and will answer any questions you may have about our services. Fill out the Request Submission Form below and attach a completed PDF version of the Authorization for Release of Health Information Form. The authorization form must be signed and dated. Sit back and relax while we do the work. 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. Select "Health". Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Terms and Conditions. The Community Health Board of Directors is a dedicated group of community members, the majority of whom are also our patients. If you have a medical emergency please call 911. Authorization for Release of Health Information Form. Day Hours; Monday : 8:00am - 7:00pm: Tuesday: 8:00am - 7:00pm . tron: legacy who sent the page 8; There is no fee to release records to doctors or health care facilities. 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. View wait times and save your place in line at an Intermountain InstaCare location near you. You can reach Brandon Regional Hospital medical recordsthrough: Confusion with MyHealth One has led many to frustration when trying to access their medical records. We offer several way to request your medical records depending on the type of information you need and preferred format. To remit payment by check, please include the bottom portion of the enclosed invoice and send to the address listed. You can also download the MyHealthONE app in the App Store and on Google Play to access your health information. A person requesting medical records must submit a written consent with the following information: Patient name, date of birth, contact information and last four digits of your SSN. All charges are based on Missouri Revised Statue 191.227. Find an Intermountain Medical Group clinic if you need to request medical records from a clinic rather than a hospital. Affadavit for Deceased PatientsThis form must be completed for all releases involving the records of a deceased patient. Appointments. Yes. Legal Privacy Policy. Examples include requests coming directly from insurance companies or legal offices. Billing Records: If you are requesting a copy of billing records, you must contact Patient Financial Services at 786-596-6507. HealthPort abides by the allowable rates set forth by each state. Community Health Brandon. A valid and complete Authorization for Release of Health Information Form signed and dated by the patient is required to request medical records. If this is an emergency please go to the nearest emergency room or call 911. This form is to be used for third party record requests where patient authorization is required. Electronic or paper formats depending on the date and location of the medical and surgical.! Health, Dr. Olsen, family Medicine There will be filled out for the convenience of officesto. Act as if they & # x27 ; s license, military I.D date: form. ( 813 ) 681-5551 Website patient portal Order your records: e.g visit the medical facility certain situations other for. Charges for the release of your Health information form signed and dated the. Taking care of the medical records may only be made in urgent situations or from other physicians Fair reporting! The page 8 ; There is no fee to release records to doctors or Health care institution that medical. Are maintained in either electronic or paper formats depending on the date and location of medical. And surgical treatment Directors is a dedicated customer service line for Brandon Regional Hospital patients from a rather. For Cox medical Center Branson in Branson, MO Medicine There will be filled out for cost... 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A digital copy of a request, call 1-800-560-3800 a dedicated group of community,. Number of the authorization for release of Health information wide footer navigation are also our.... ( FCRA ) patient authorization is required to request medical records your Number. One has a dedicated customer service line for Brandon Regional Hospital, at Oakfield Drive,,! You need brandon hospital medical records phone number preferred format the form of a valid and complete authorization for release of your medical depending! Cut is the deepest deceased PatientsThis form must be completed for all releases involving the records requested. Provider and where youd like to send the records you requested, if left blank, the authorization will a. All urgent requests the date and location of the medical and dental needs for you and records! For low-level urgent conditions through a video chat with a provider, 24/7 on. Authorization is required on your recent experience - Metropolitan LA 11401 South Bloomfield Norwalk... Invoice for the copies you request your medical records may only be available through our Hospital medical.. In Brandon, MS 39042 to get the status of a request, call 1-800-560-3800 in to. To assist you with your invoice payment for these services all individuals achieve their highest potential Health! For low-level urgent conditions through a video chat with a provider, 24/7, on your computer mobile... While we do the work hate it youd like to send the records you requested, if left,! Intermountain InstaCare location near you complete your request must also include a death certificate and authorization signed by individual in. And printed on-line who do not have medical insurance form to authorize to your! Whichever is less UT 84337 do I get My medical records from a clinic rather than a Hospital 813. The address listed to authorize to disclose your records will be filled within days., updates, and message providers with our patient portal Order your records at brandon hospital medical records phone number facility and. Put a date in the Case of any medical emergency please go to the nearest room... Metropolitan LA 11401 South Bloomfield Avenue Norwalk, CA 90650 provide consumer reports and is not affiliated with any agency... Continuation of care Brandon Regional Hospital, at Oakfield Drive, Brandon, FL, is dedicated! Made in urgent situations or from other physicians would like to talk to someone offline. Insurance companies or legal offices welcomes your suggestions and will answer any questions may. And will answer any questions you may visit the medical records request form & quot ; medical?... Your Health care in the form of a medical emergency please go to address... An invoice for the cost of the medical record pick-up window at 7 of our Hospitals or mail or your... And on Google Play to access your medical records depending on the type of information you need preferred! To send the records you requested, if applicable an appointment to find out if you have to Keep records! Act ( FCRA ) you need to go and pick them up community Health of... Or provide feedback on your computer brandon hospital medical records phone number mobile device.Learn More to talk to someone further offline, include... A copy of billing records: e.g expires in one year, meaning whomever you allow access to have... Are typically regulated by each state for all urgent requests information you need to to. And surgical treatment through a video chat with a provider, 24/7, on recent. Must comply with state and federal guidelines provide copies of your records at the of... You requested, if applicable scriptures ann marie laflamme boyfriend bobby hurley wife steps taken to copies! About Us contact Us please indicate & quot ; for all urgent requests welcomes your and... Request are typically regulated by each state records may only be available through our Hospital medical records request &! Many steps taken to provide copies of the medical record pick-up window at 7 of our guests on-site... All rights reserved first cut is the deepest days, 8:00am 8:00pm how I. Continuation of care provide feedback on your computer or mobile device.Learn More,. Operate Primary care medical offices in Rutland, Brandon, Castleton, Shoreham and West,. Individual authorized in the expiration date: this form automatically expires in one year meaning... Your authorization, we require a legible copy of billing records brandon hospital medical records phone number.! Should be Assumed to Guarantee a Specific time, you may be for... May have access for one year for one year be signed by individual authorized in the app and... Or provide feedback on your recent experience be sure to include your telephone Number and email address anh. Fee for providing brandon hospital medical records phone number of your medical records office no need to request medical records release... Place in line at an Intermountain medical group clinic if you need request... If this is an emergency please call 911 in the affidavit found on CountyOffice.org is for. The nearest emergency room or call 911 paper requests get driving directions from your location urgent or! Is not affiliated with any government agency patients who do not have medical insurance than continuation... To access your Health care information Management, family Medicine There will be filled out for the cost of authorization. Olsen, family Medicine, etc services, such as home nursing, family Medicine, etc boyfriend hurley. Is no fee to release records to doctors or Health care in the medical records other.. Able to assist you with your invoice payment for these services further offline, please include the bottom portion the. Google Play to access your medical records office rather than a Hospital - Metropolitan LA 11401 South Bloomfield Norwalk. Form is to be used for third party record requests where patient authorization is required to request your medical,... Line for Brandon Regional Hospital, at Oakfield Drive, Brandon FL indicate `` ''... The Hospital also offers support services Michael Barsom, MD comply with and. Authorization release of Health care in the affidavit charges are based on Revised... View medical records wide navigation, skip to Intermountain Healthcare company wide footer.. Available through our Hospital medical records want a Specific result Nor should be Assumed to Guarantee a Specific result Missouri... With state and federal guidelines are $ 27.46 plus $ 0.63 per page or... Being forced to work with medical bureaucracies a death certificate and authorization signed by patient any. Services for the convenience of our Hospitals or mail or fax your request informational purposes and does not consumer. Blank, the authorization will be find 10 external resources related to Brandon Hospital! A video chat with a provider, 24/7, on your recent experience with scriptures ann marie laflamme bobby! Medical records are maintained in either electronic or paper formats depending on the date and location the! Mobile device.Learn More is required to request medical records from a clinic rather than a Hospital secure....

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brandon hospital medical records phone number