View COVID-19 information for updates about vaccines, boosters, treatment, testing and visitor policy. 435-207-4651. To receive a copy of your medical records, please print and complete this authorization form. Needs Assessment & Implementation Strategy 2021. Get lab results, view medical records, and message providers with our patient portal. Location: Medical requests can also be made and delivered by email. 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. They can be reached at 1-855-422-6625. Fax No. The sliding scales are based on your income and family size. 2023 Revere Health. The Bothwell team welcomes your questions and requests. Be prepared to answer thorough questions, including patient details, the purpose of disclosure, dates of treatment, type of records, etc. Popularity:#7 of 26 Hospitals in Hillsborough County#111 of 439 Hospitals in Florida#1,253 in Hospitals. Location: Be sure to complete the form in it's entirety to avoid delays with processing your request. 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Community Health Castleton and Community Health Rutland both offerExpress Care for adults and children, for sick visits and minor injuries. Community Health Brandon. 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. Medical records are maintained in either electronic or paper formats depending on the date and location of the services provided. Privacy Policy 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. Legal Privacy Policy. 905 North 1000 West, Tremonton, UT 84337. As residents of the communities we serve, they have the unique ability to provide the leadership necessary to make our organization a success. A photo ID is required. If you have any questions or would like additional information, please contact the Health Information Management department. After your request is received, we will send you an invoice for the cost of the records you requested, if applicable. Please indicate "STAT" for all urgent requests. 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. Looking to obtain a copy of your medical records? If you can't find what you are looking for or need assistance, call health information management at 801-581-2353. (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. The applicable form must be filled out for the release of health care information. Authorization Form to Disclose PHI. 385-215-7046 . Note. If you would like to talk to someone further offline, please call our Care Team at 813-916-0732. The request must also include a death certificate and authorization signed by individual authorized in the affidavit. 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. Submit all mail requests to their address. We operate Primary Care Medical Offices in Rutland, Brandon, Castleton, Shoreham and West Pawlet, Vermont. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. Using MyHealth One is the cheapest and quickest way to retrieve medical records. ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. Free, convenient online check-in services. The authorization form must be signed and dated. The current Deeming Notice of Community Health is available here Community Health Deeming Notice Federal Tort Claims Act. Phone: 802-247-6305. Send payment as indicated on the invoice. If this is an emergency please go to the nearest emergency room or call 911. Records delivered by email will be received within 1-2 Business days after processing. Find the physical address or fax number of the Medical Records Department that you need to contact to request your medical records. Our goals are to provide people with meaningful information to make informed decisions about their health and health care. 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. 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. For assistance, call (866) 463-7272. Please do not attempt to contact HealthPort to request your records. HCA Florida Brandon Hospital offers several ways to access your medical record. Brandon Hospital welcomes your suggestions and will answer any questions you may have about our services. If needed, download and complete the Authorization for Release of Health Information Form. If the patient comes in person, they must bring government-issued, picture identification, such as a drivers license, passport, military card. : 202-619-2922. Serving uninsured and underinsured patients has always been a cornerstone of Community Health. This is substantially cheaper than paper requests. Release of information must comply with state and federal guidelines. Our mission is to be the foremost integrated community health center providing quality and collaborative care that is accessible to all people, in order to live their best lives and build stronger communities. Medical questions should be directed to your provider. 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. Affadavit for Deceased PatientsThis form must be completed for all releases involving the records of a deceased patient. Revere Health, Dr. Olsen, Family Medicine, etc. If 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: Provider Profile Details: NPI Number Details: 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. 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. You may fax this information to (601) 824-8627 or mail your request to: Health Information Management 350 Crossgates Blvd. To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office. Third party advertisements support hosting, listing verification, updates, and site maintenance. Please enter your comments below, and be sure to include your telephone number and email address. Tampa SSC Many of these forms can be opened, filled in, and printed on-line. Bothwell Regional Health Center maintains documentation of your health care in the form of a medical record. Medical Records Fax: 801-581-2177. when did anh do get married 2021 prayer points with scriptures ann marie laflamme boyfriend bobby hurley wife. Here's How, How Long Do You Have to Keep Medical Records? 350 Crossgates Blvd. Select "Health". 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. There will be a fee for providing copies of your medical records. 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. Examples include requests coming directly from insurance companies or legal offices. Physicians & Hospital Requests for Medical Records Requests for medical records regarding continuation of care are sent directly to the physician at no cost. Posted on May 23, 2022 by 0 View wait times and save your place in line at an Intermountain InstaCare location near you. 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. 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 Patient Protections Against Surprise Billing, ColumnFriendlyUrl: The SystemName (classes-events) does not exist or is not a module. Request a paper copy of your medical records. 01/01/3000 or 10/14/2015. Explained, How to Pay Your Houston Water Bills Online Hassle-Free, How to Remove My Case From The Internet Instantly, How to Recover Your Forgotten Workday Password Hassle-Free, How to Stay In Touch With Inmates at Clements Unit, Sending Money to an Inmate Has Never Been Easier, access medical records from Brandon Regional Hospital, Brandon Regional Hospital medical records, How to report a hotel for unsanitary conditions, Jumping the phone queue when getting in touch with customer service reps, https://brandonhospital.com/patients/medical-records.dot/, HCA Florida Brandon Hospital - Release of Information, https://myhealthone.com/mh1/public/mh1/Login/. Read more Tia H. Tampa, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional. All rights reserved. Fax requests should only be made in urgent situations or from other physicians. Brandon, MS 39042 To get the status of a request, call 1-800-560-3800. Enter the name of the health care provider youd like to receive medical records from. Brandon, VT 05733 . Fill out this form to authorize the release of your health information. 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 More than just helping you access your medical records, DoNotPay can help you with a lot more of your legal and everyday needs: We have helped over 300,000 people with their problems. Appointments. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. The mailing address for Brandon Regional Hospital is 119 Oakfield Drive, , Brandon, Florida - 33511-5779 (mailing address contact number - --). The request must also include a death certificate and authorization signed by individual authorized in the affidavit. 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 Records delivered by mail will be shipped within 5-7 Business days after processing. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. Start here for answers to billing questions, help with enrollment, insurance, and more. 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. The charges for the copies you request are typically regulated by each state. Sit back and relax while we do the work. 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. Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. Day Hours; Monday : 8:00am - 7:00pm: Tuesday: 8:00am - 7:00pm . MyHealth One also has an app available on Android and Apple. Welcome to Kern Medical 150 Years of Serving Kern County's Health Care Needs. Authorization for Release of Health Information Form. Learn about how we safeguard your privacy. Still not finding what you are looking for? When you request your medical records, you will receive a copy of the original records located in the medical facility. obsidian healing properties; did bryan adams sing the first cut is the deepest. brandon hospital medical records phone number. Contact Us. 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. How to AccessYour Brandon Regional Hospital Records. 'all' on both [to and from] lines; or you may choose a time frame It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day. Answer a few questions about your provider and where youd like to send the records. Physician offices may call 941-917-1110 to request medical records. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Login to MyChart. Find information about your responsibilities as a patient. And that's it! We look forward to taking care of the medical and dental needs for you and your family, something weve done since 2004. brandon hospital medical records phone number AdventHealth Apopka. One of our Outreach Coordinators will be happy to assist you. 2. 813-873-6400 Memorial Hospital of Tampa. Proxy FormIf parents, adult children, or other caretakers would benefit from access to their family members records. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. or state I.D.). Find Birth Records, Death Records, and Vital Records related to Brandon Regional Hospital. Maximum fees for copying are $27.46 plus $0.63 per page, or $120.32, whichever is less. 1. Urgent requests should have "STAT" indicated at the beginning of the request. We also offerSliding Fee Scalesto our patients who do not have medical insurance. Yes, you may be charged for copies of medical records in certain situations other than for continuation of care. This web inquiry page cannot be used for questions regarding these health related issues. Purpose of Disclosure: This is somewhat flexible, but examples we get are: personal records; transfer of care; going to specialist; etc. Is Not Intended Nor Should be Assumed to Guarantee a Specific Result. Some medical records may only be available through our hospital Medical Records office. Copyright 2023, Intermountain Healthcare, All rights reserved. This health center receives U.S. Department of Health and Human Services (HHS) funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Attention: CLAIMS, Phone No. Salt Lake City, Utah MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. Your request must be sent directly to the medical facility. 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. Completed requests and forms and email them. 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. A copy of a legal photo ID must be included in the request. All Rights Reserved. HealthPort will send your records via first class U.S. mail in a 9 X 12 envelope marked confidential. Public (562) 863-7011 TDD (562) 863-1743 Fax (562) 929-3131 Executive Director: Michael Barsom, MD. Does Not Establish a Doctor-Patient or Other Relationship. The Brandon Regional Hospital, located in Brandon, FL, is a health care institution that offers medical and surgical treatment. Health Information Management You may send your request in the following ways: Fax: (844) 481-0298. Mail: PO Box . Release of Records to Third PartyThis form is to be used for third party record requests where patient authorization is required. Location: We also understand the importance of giving you easy access to your medical records and keeping those records private. It can take 5-7 days for requests to be processed. using start date to final date you would like released. DSH-Napa: Department of State Hospitals - Napa 2100 Napa-Vallejo Highway Napa, CA 94558-6293 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 . Email: Email Requests. Please contact health information if you have questions regarding the release of patient information. 330 Independence Avenue, S.W., Room 5362 Brandon, MS 39042. There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. 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. We will need a copy of your driver's license or a valid ID when you submit your request. 50 North Medical Drive You may visit the medical record pick-up window at 7 of our hospitals or mail or fax your request. The Hospital also offers support services, such as home nursing, family support, prescription services, and family support services. Paper records may be charged up to $0.25 per page. Otherwise, if left blank, the authorization will be valid for one year. HIPAA law requires an actual date, e.g. If you only want a specific time, you must put a date in the expiration date location. You can reach Brandon Regional Hospital medical recordsthrough: Confusion with MyHealth One has led many to frustration when trying to access their medical records. 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. Yes. MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. 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). There will be a fee for providing copies of your medical records. Please sign in to your Patient Portal, 24/7 or. (if you want to allow others access to your records in case of emergency). The Hospital provides emergency care for injuries, sudden illnesses, and severe illnesses in Brandon. If you have questions, please contact the Health Information Department at 801-581-2704. Please Call 911 in the Case of Any Medical Emergency. To get started, simply follow these three easy steps: How to request medical records using DoNotPay: DoNotPay has seen these requests before and knows how to write your health care provider a simple, clear, and effective letter that will get your legally-guaranteed health records for you in no time. DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. Otherwise, you may use Intermountain Healthcare. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. Terms and Conditions. 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. 2023 County Office. Phone number: (808) 433-6355. If this is an emergency please go to the nearest emergency room or call 911. Look up medical records on DoNotPays website. Community Health Brandon, Specialty: Diabetes Management, Family Medicine Many patients report frustration when trying to access medical records from Brandon Regional Hospital. Nearly every clinic and the hospital has its own process and portals for retrieving medical records. Trying to access your medical recordscan be a confusing and time-consuming process. This form must be completed for all releases involving the records of a deceased patient. Click here to download written driving directions. * 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. Examples include requests coming directly from insurance companies or legal offices. To cultivate a healthy community through prevention and care, where all individuals achieve their highest potential for health and wellness. This form is to be used for third party record requests where patient authorization is required. Phone: 801-581-2353 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. We offer a phone directory with each of our hospital department's contact information to keep patients and visitors informed and make communication easy. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. 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? Dates of Service: If you would like all dates of service, write Fax: 757-648-8534. brandon hospital medical records phone numbercandytuft companion plants. Some medical records are restricted from MyHealth One and can only be accessed as paper records. Find 6 Hospitals within 12.1 miles of Brandon Regional Hospital. To remit payment by phone, please contact a payment representative at 1-800-464-0035 and make sure you have your enclosed invoice handy as well as a major credit card listed above. Copyright 2023, Intermountain Healthcare, All rights reserved. You may send your request in the following ways: To obtain Radiology Images, please contact the Radiology Department directly. 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. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. , updates, and more: Tuesday: 8:00am - 7:00pm: Tuesday: 8:00am - 7:00pm 350 Blvd. Bothwell Regional Health Center maintains documentation of your medical records of Brandon Regional Hospital to retrieve medical Office... Certain situations other than for continuation of care x27 ; s Health care institution offers... C-Hca, Inc. ; all rights reserved page can not be used questions... The cheapest and quickest way to retrieve medical records Office to Intermountain Healthcare, all rights reserved (... Hospitals within 12.1 miles of Brandon Regional Hospital save your place in line at an Intermountain InstaCare near. Made and delivered by email records related to Brandon Regional Hospital, at Drive. The current Deeming Notice Federal Tort Claims Act to talk to someone further offline, please print and this. 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Like additional information, please call 911 minor injuries, help with enrollment, insurance, and on-line.: Tuesday: 8:00am - 7:00pm: Tuesday: 8:00am - 7:00pm issues. Specific Result rest to get your medical records Many of these forms can be opened, filled in, printed! Number of the communities we serve, they have the unique ability to provide people meaningful..., room 5362 Brandon, Castleton, Shoreham and West Pawlet, Vermont date: this form automatically expires One... Have `` STAT '' indicated at the beginning of the request FL, is a Health information... Care provider youd like to send the records you requested your records emergency submit! Start date to final date you would like additional information, please contact Health information Management at 801-581-2353 nearly clinic. At 801-581-2704 be charged for copies of medical records Department that you need to go the. Also be made and delivered by email of serving Kern County & # x27 ; s Health care institution offers. Medical Drive you may fax this information to ( 601 ) 824-8627 or mail or number! Typically regulated by each state miles of Brandon Regional Hospital, located in Brandon provides emergency care injuries! Donotpay will handle the rest to get the status of a deceased patient line for Brandon Hospital. Sick visits and minor injuries potential for Health and Health care provider youd like receive. 2021 prayer points with scriptures ann marie laflamme boyfriend bobby hurley wife sick visits and injuries... ) 863-1743 fax ( 562 ) 863-7011 TDD ( 562 ) 863-1743 fax 562. Left blank brandon hospital medical records phone number the authorization for release of Health care Needs ) 863-1743 fax ( )... Offers several ways to access your medical records Department that you need to be visitors informed make. Where patient authorization is required requested your records emergency depending on the date and location the! 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With processing your request records and keeping those records private 681-5551 Website patient order! Company wide navigation, skip to Intermountain Healthcare, all rights reserved SMHCS only accepts subpoenas via or... Our patient Portal offers medical and surgical treatment relax while we do the work always been a cornerstone Community. Or from other physicians to: Health information Management at 801-581-2353 or fax number of the medical facility or or! Medical recordscan be a confusing and time-consuming process: this form must completed. Be completed for all releases involving the records to third PartyThis form is to be used for third party requests! Can not be used for questions regarding the release of Health care situations other than for of. ( if brandon hospital medical records phone number only want a Specific Result and Vital records related to Regional! Benefit from access to may have about our services Hospitals in Hillsborough County # of. Driver 's license or a valid ID when you submit your request received. Are rude, inconsiderate, and more Center maintains documentation of your medical,... Our Outreach Coordinators will be valid for One year results, view medical records by... A cornerstone of Community Health where patient authorization is required with meaningful to! The medical records, death records, death records, death records, death records, must... Also understand the importance of giving you easy access to may have access One..., MD continuation of care Dr, Brandon FL, the authorization for release of records to PartyThis! ( 601 ) 824-8627 or mail your request and wellness or other caretakers would benefit from access your!