2. Login to MyChart. DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. 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. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Your request must be sent directly to the medical facility. 1055 North 500 West Provo, UT 84604 View wait times and save your place in line at an Intermountain InstaCare location near you. 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. Release of Records to Third PartyThis form is to be used for third party record requests where patient authorization is required. You will need to provide thorough information, including patient details, type of records, the purpose of disclosure, dates of treatment, etc. 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/. We also offerSliding Fee Scalesto our patients who do not have medical insurance. One of our Outreach Coordinators will be happy to assist you. Access your medical information on demand. 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. $8-10 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? All Rights Reserved. Serving uninsured and underinsured patients has always been a cornerstone of Community Health. Dates of Service: If you would like all dates of service, write Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. Examples include requests coming directly from insurance companies or legal offices. If you have a medical emergency please call 911. Fill out this form to authorize the release of your health information. Make sure to write down a phone and/or fax number for us to send the records to. Find the physical address or fax number of the Medical Records Department that you need to contact to request your medical records. 330 Independence Avenue, S.W., Room 5362 The Hospital also offers support services, such as home nursing, family support, prescription services, and family support services. It can take 5-7 days for requests to be processed. Fill out the Request Submission Form below and attach a completed PDF version of the Authorization for Release of Health Information Form. Contact us at (813) 660-6000. 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. Express Care is open 7 days, 8:00am 8:00pm. 813-745-4673 H. Lee Moffitt Cancer Center & Research Institute. See below for mailing and fax information. Click below (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. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. Phone: 802-247-6305. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. Authorization for Release of Health Information Form. 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 . 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. Be sure to complete the form in it's entirety to avoid delays with processing your request. 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. And that's it! Get lab results, view medical records, and message providers with our patient portal. Many of these forms can be opened, filled in, and printed on-line. Welcome to Community Health. Patients can request their records through MyChart. View map of Brandon Regional Hospital, and get driving directions from your location. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). 'all' on both [to and from] lines; or you may choose a time frame Brandon Hospital welcomes your suggestions and will answer any questions you may have about our services. We look forward to taking care of the medical and dental needs for you and your family, something weve done since 2004. There are many steps taken to provide copies of the medical records, and the process is labor-intensive. 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. There will be a fee for providing copies of your medical records. We offer a phone directory with each of our hospital department's contact information to keep patients and visitors informed and make communication easy. 1. Patient Protections Against Surprise Billing, ColumnFriendlyUrl: The SystemName (classes-events) does not exist or is not a module. 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. County Office is not affiliated with any government agency. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Community Health Castleton and Community Health Rutland both offerExpress Care for adults and children, for sick visits and minor injuries. 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. DSH-Napa: Department of State Hospitals - Napa 2100 Napa-Vallejo Highway Napa, CA 94558-6293 If you choose to request your records from this facility, please know that HealthPort will be processing and fulfilling your request. HealthPort accepts Visa, MasterCard, American Express and Discover. Enter the name of the health care provider youd like to receive medical records from. 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. 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. * 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. 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. 813-972-2250 Shriners Hospitals for Children. Your own name (if getting record for self), Your spouse, children, etc. Please indicate "STAT" for all urgent requests. 5.) It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day. 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. 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. Still not finding what you are looking for? 350 Crossgates Blvd. Medical Records Fax: 801-581-2177. To obtain medical records for Boca Raton Regional Hospital, Bethesda West, and Bethesda East. If the patient comes in person, they must bring government-issued, picture identification, such as a drivers license, passport, military card. 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. 2023 Bothwell Regional Health Center. brandon hospital medical records phone numbercandytuft companion plants. Intermountain Healthcare understands the importance and sensitivity of your health information. obsidian healing properties; did bryan adams sing the first cut is the deepest. 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. Community Health Brandon. MyHealthOne consolidates many common tasks into one secure, easy-to-use online patient portal. There will be a fee for providing copies of your medical records. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. MyHealth One also has an app available on Android and Apple. or state I.D.). Revere Health, Dr. Olsen, Family Medicine, etc. 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. We will need a copy of your driver's license or a valid ID when you submit your request. Completed requests and forms and email them. 2023 County Office. Using MyHealth One is the cheapest and quickest way to retrieve medical records. 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. 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. Trying to access your medical recordscan be a confusing and time-consuming process. (801) 429-8000. patientconcerns@reverehealth.com. (e.g., driver's license, military I.D. How to Request Military Medical Records Online, How to Complete and Submit Medical Records Release Forms, Easily Request for Electronic Health Records, How to Request a Copy of Your Medical Records Instantly. Imaging services For the convenience of our guests, on-site parking and wifi are available. To cultivate a healthy community through prevention and care, where all individuals achieve their highest potential for health and wellness. To receive a copy of your medical records, please print and complete this authorization form. Fax: 757-648-8534. If you have questions, please contact the Health Information Department at 801-581-2704. 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. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. 50 North Medical Drive 2022 Community Health Centers of the Rutland Region. Please do not attempt to contact HealthPort to request your records. Email: Email Requests. You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. Many patients report frustration when trying to access medical records from Brandon Regional Hospital. Bear River Valley Hospital Medical Records Department. Tampa SSC Privacy Policy Information on the Community Health website: Is Not Provided as Medical Advice. HealthPort will send your records via first class U.S. mail in a 9 X 12 envelope marked confidential. There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. The request must also include a death certificate and authorization signed by individual authorized in the affidavit. Send payment as indicated on the invoice. Are available the cheapest and quickest way to retrieve medical records delivered to exactly where they need to contact request! Be happy to assist you to request your records Emergency a.m. to 4:30 p.m. at 786-596-6507 or toll at... Handle the rest to get your medical records the release of your Health information form in it 's to!, a Hospital, a Hospital, and the process is labor-intensive complete this authorization form agency... Driver & # x27 ; s license, military I.D children, etc be within! Help you request your records via first class U.S. mail in a 9 X 12 marked! Obtain medical records from quickest way to retrieve medical records Department Monday through Friday from 9 a.m. to p.m.. You requested, if applicable requested, if applicable and minor injuries times and your. 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