Mail: PO Box . DSH-Napa: Department of State Hospitals - Napa 2100 Napa-Vallejo Highway Napa, CA 94558-6293 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Answer a few questions about your provider and where youd like to send the records. The charges for the copies you request are typically regulated by each state. Attention: CLAIMS, Phone No. HealthPort will send your records via first class U.S. mail in a 9 X 12 envelope marked confidential. The sliding scales are based on your income and family size. DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. Retrieving medical records by mail or email can be a long and confusing process. 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 See 42 CFR Part 2. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Otherwise, you may use Intermountain Healthcare. Phone number: (808) 433-6355. Authorization Form to Disclose PHI. Many patients report frustration when trying to access medical records from Brandon Regional Hospital. All Rights Reserved. Community Health Brandon, Specialty: Diabetes Management, Family Medicine Get lab results, view medical records, and message providers with our patient portal. Request a paper copy of your medical records. Fill out the Request Submission Form below and attach a completed PDF version of the Authorization for Release of Health Information Form. Lucky for you, DoNotPay created an easy-to-use product, so you can access your medical records from Brandon Regional Hospital. 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. delivered right to you - no need to go and pick them up. Copyright 2023, Intermountain Healthcare, All rights reserved. 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. Health Information Management There are many steps taken to provide copies of the medical records, and the process is labor-intensive. All charges are based on Missouri Revised Statue 191.227. Select "Medical Records Request Form". Brandon, MS 39042. Please enter your comments below, and be sure to include your telephone number and email address. This form must be completed for all releases involving the records of a deceased patient. Imaging services For the convenience of our guests, on-site parking and wifi are available. Your own name (if getting record for self), Your spouse, children, etc. The Bothwell team welcomes your questions and requests. Records delivered by mail will be shipped within 5-7 Business days after processing. Medical records requests will be filled within 30 days of your request. We are here to help you find the answers you need. Find information about your responsibilities as a patient. View map of Brandon Regional Hospital, and get driving directions from your location. Click here to download written driving directions. 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 . Note. 435-207-4651. Please indicate "STAT" for all urgent requests. Brandon Hospital welcomes your suggestions and will answer any questions you may have about our services. Or,if you prefer to do it on your own, you can follow our how-to guide below. If the patient comes in person, they must bring government-issued, picture identification, such as a drivers license, passport, military card. HealthPort abides by the allowable rates set forth by each state. Read more Tia H. Tampa, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional. Access your medical information on demand. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. 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. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. You may visit the medical record pick-up window at 7 of our hospitals or mail or fax your request. Does Not Establish a Doctor-Patient or Other Relationship. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. Be prepared to answer thorough questions, including patient details, the purpose of disclosure, dates of treatment, type of records, etc. Looking to obtain a copy of your medical records? This web inquiry page cannot be used for questions regarding these health related issues. 2023 County Office. Physicians & Hospital Requests for Medical Records Requests for medical records regarding continuation of care are sent directly to the physician at no cost. 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. 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? Login to MyChart. 813-972-2250 Shriners Hospitals for Children. Without an authorization or a court order, University of Utah Health cannot even disclose whether such records exist. Appointments. Serving uninsured and underinsured patients has always been a cornerstone of Community Health. Washington, DC 20201 Community Health Brandon. 1055 North 500 West Provo, UT 84604 MyHealth One also has an app available on Android and Apple. All rights reserved. Requests should be sent from your insurance company, attorney, or Disability Determination Service and mailed to the address below. 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. Send payment as indicated on the invoice. Intermountain Healthcare understands the importance and sensitivity of your health information. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 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 authorization form must be signed and dated. 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. Examples include requests coming directly from insurance companies or legal offices. Medical Records Fax: 801-581-2177. 5.) 813-972-2000 James A. Haley Veterans' Hospital. For questions contact the health information office. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. Otherwise, if left blank, the authorization will be valid for one year. For questions regarding obtaining medical record copies, or to obtain the status of your request call (844) 481-0278. 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. Phone: 801-581-2353 DSH-Metropolitan LA: Department of State Hospitals - Metropolitan LA 11401 South Bloomfield Avenue Norwalk, CA 90650. 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. It can take 5-7 days for requests to be processed. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. Is Not Intended Nor Should be Assumed to Guarantee a Specific Result. A valid and complete Authorization for Release of Health Information Form signed and dated by the patient is required to request medical records. Paper records may be charged up to $0.25 per page. Authorization for Release of Health Information Form. 813-745-4673 H. Lee Moffitt Cancer Center & Research Institute. to complete your request online from any device and your records will be Please contact health information if you have questions regarding the release of patient information. Authorization for Release of Health Information Form. Location: Third party advertisements support hosting, listing verification, updates, and site maintenance. We operate Primary Care Medical Offices in Rutland, Brandon, Castleton, Shoreham and West Pawlet, Vermont. Patients can request their records through MyChart. Find 6 Hospitals within 12.1 miles of Brandon Regional Hospital. 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. Using MyHealth One is the cheapest and quickest way to retrieve medical records. If you would like to talk to someone further offline, please call our Care Team at 813-916-0732. Medical records are maintained in either electronic or paper formats depending on the date and location of the services provided. 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 Featuring a monthly dose of information and inspiration for living well. View wait times and save your place in line at an Intermountain InstaCare location near you. DoNotPay understands how aggravating it can be when trying to work with medical bureaucracies. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. Enter the name of the health care provider youd like to receive medical records from. It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day. or state I.D.). 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. 2023 Bothwell Regional Health Center. Review your medical records online in a safe, secure environment. Physician offices may call 941-917-1110 to request medical records. For more information, contact our Patient Access Center at 802-779-9169, Specialty: Behavioral Health, Clinical Social Work obsidian healing properties; did bryan adams sing the first cut is the deepest. For assistance, call (866) 463-7272. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Email: Email Requests. 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. The Community Health Board of Directors is a dedicated group of community members, the majority of whom are also our patients. 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. Yes. 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. $8-10 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Please do not attempt to contact HealthPort to request your records. Brandon, VT 05733 . 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. shop and compare all types of health insurance plans for free! Release of Records to Third PartyThis form is to be used for third party record requests where patient authorization is required. It also offers laboratory and diagnostic services, scheduled surgeries, labor and delivery services, recovery services, and inpatient treatment. The patient must complete the Patient Authorization to Disclose Protected Health Information form. Who you would like to authorize to disclose your records: e.g. Find 10 external resources related to Brandon Regional Hospital. : 202-619-0171 To obtain medical records for Boca Raton Regional Hospital, Bethesda West, and Bethesda East. If you have a medical emergency please call 911. (801) 429-8000. patientconcerns@reverehealth.com. There will be a fee for providing copies of your medical records. The current Deeming Notice of Community Health is available here Community Health Deeming Notice Federal Tort Claims Act. For assistance, call (866) 463-7272. Some medical records are restricted from MyHealth One and can only be accessed as paper records. 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. Release of information must comply with state and federal guidelines. Submit all mail requests to their address. 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. Its easy to request a digital copy of your medical records. Click below 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. You may send your request in the following ways: Fax: (844) 481-0298. Copyright 2023, Intermountain Healthcare, All rights reserved. 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/. Yes, you may be charged for copies of medical records in certain situations other than for continuation of care. Information found on CountyOffice.org is strictly for informational purposes and does not construe legal, financial or medical advice. Fax: 757-648-8534. Look up medical records on DoNotPays website. How to AccessYour Brandon Regional Hospital Records. There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. Simply complete an authorization release of your records at the facility, and HealthPort will handle the rest. There will be a fee for providing copies of your medical records. There is no fee to release records to doctors or health care facilities. Authorization for Release of Medical Information - Spanish. Medical requests can also be made and delivered by email. Welcome to Kern Medical 150 Years of Serving Kern County's Health Care Needs. Be sure to complete the form in it's entirety to avoid delays with processing your request. Still not finding what you are looking for? If this is an emergency please go to the nearest emergency room or call 911. Provider Profile Details: NPI Number Details: Bothwell Regional Health Center maintains documentation of your health care in the form of a medical record. Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. We also understand the importance of giving you easy access to your medical records and keeping those records private. Contact Us. You can also download the MyHealthONE app in the App Store and on Google Play to access your health information. Otherwise click here to contact us online, or provide feedback on your recent experience. 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. brandon hospital medical records phone number. View wait times and save your place in line at an Intermountain InstaCare location near you. Information on the Community Health website: Is Not Provided as Medical Advice. Community Health Castleton and Community Health Rutland both offerExpress Care for adults and children, for sick visits and minor injuries. Your request must be sent directly to the medical facility. 813-681-5551 Brandon Regional Hospital. or state I.D.). The Brandon Regional Hospital, located in Brandon, FL, is a health care institution that offers medical and surgical treatment. Find Birth Records, Death Records, and Vital Records related to Brandon Regional Hospital. Close; Community Health Your Health, . ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. If you only want a specific time, you must put a date in the expiration date location. Bear River Valley Hospital Medical Records Department. If needed, download and complete the Authorization for Release of Health Information Form. Please callone of our officesto make an appointment to find out if you qualify. 350 Crossgates Blvd. Green Mountain Marketing & Advertising, Inc. 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. 2022 Community Health Centers of the Rutland Region. Welcome to Community Health. tron: legacy who sent the page 8; Learn about how we safeguard your privacy. Dates of Service: If you would like all dates of service, write As a result, we created a simple product for obtaining medical information. using start date to final date you would like released. If you have any questions or would like additional information, please contact the Health Information Management department.
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