Community Health Brandon, Specialty: Diabetes Management, Family Medicine Medical questions should be directed to your provider. Click here to download written driving directions. 385-215-7046 . Brandon, MS 39042 To get the status of a request, call 1-800-560-3800. 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. You may fax this information to (601) 824-8627 or mail your request to: Health Information Management 350 Crossgates Blvd. Looking to obtain a copy of your medical records? 330 Independence Avenue, S.W., Room 5362 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. 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. There are many steps taken to provide copies of the medical records, and the process is labor-intensive. 50 North Medical Drive Please contact health information if you have questions regarding the release of patient information. 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. Select "Health". Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Lucky for you, DoNotPay created an easy-to-use product, so you can access your medical records from Brandon Regional Hospital. There will be a fee for providing copies of your medical records. 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. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Location: If parents, adult children, or other caretakers would benefit from access to their family members records. Otherwise click here to contact us online, or provide feedback on your recent experience. 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. Executive Director: Brandon Price. Please enter your comments below, and be sure to include your telephone number and email address. Digital records may be charged $0.02 per page. 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. There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. Phone: 802-247-6305. This is substantially cheaper than paper requests. Authorization for Release of Medical Information - Spanish. How to AccessYour Brandon Regional Hospital Records. 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. PO Box 292409 obsidian healing properties; did bryan adams sing the first cut is the deepest. You may fax this information to (601) 824-8627 or mail your request to: 2. Urgent requests should have "STAT" indicated at the beginning of the request. Read more Tia H. Tampa, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional. For questions regarding obtaining medical record copies, or to obtain the status of your request call (844) 481-0278. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Get lab results, view medical records, and message providers with our patient portal. Imaging services For the convenience of our guests, on-site parking and wifi are available. $8-10 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Sit back and relax while we do the work. Answer a few questions about your provider and where youd like to send the records. Medical requests can also be made and delivered by email. 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. 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. 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 request must also include a death certificate and authorization signed by individual authorized in the affidavit. This medical facility utilizes services of HealthPort to handle the fulfillment of all requests for medical records. Download, print and complete the authorization form. Here's How, How Long Do You Have to Keep Medical Records? After your request is received, we will send you an invoice for the cost of the records you requested, if applicable. See 42 CFR Part 2. 2022 Community Health Centers of the Rutland Region. Phone number: (808) 433-6355. Brandon, MS 39042. View wait times and save your place in line at an Intermountain InstaCare location near you. Retrieving medical records by mail or email can be a long and confusing process. 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. Otherwise, you may use Intermountain Healthcare. The mailing address for Brandon Regional Hospital is 119 Oakfield Drive, , Brandon, Florida - 33511-5779 (mailing address contact number - --). Contact Us. 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. 5.) 905 North 1000 West, Tremonton, UT 84337. 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 Fill out the Request Submission Form below and attach a completed PDF version of the Authorization for Release of Health Information Form. 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. Attention: CLAIMS, Phone No. Authorization Form to Disclose PHI. Find the physical address or fax number of the Medical Records Department that you need to contact to request your medical records. Please do not ask for medical advice through this website. 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: Suggest Listing This form is to be used for third party record requests where patient authorization is required. 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. Physician offices may call 941-917-1110 to request medical records. They can be reached at 1-855-422-6625. All charges are based on Missouri Revised Statue 191.227. Look up medical records on DoNotPays website. Still not finding what you are looking for? CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). 813-972-2250 Shriners Hospitals for Children. Location: 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 They act as if they're being forced to work and hate it. If needed, download and complete the Authorization for Release of Health Information Form. 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). 1055 North 500 West Provo, UT 84604 To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. 2023 County Office. 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. Please indicate "STAT" for all urgent requests. or state I.D.). to complete your request online from any device and your records will be . To remit payment by check, please include the bottom portion of the enclosed invoice and send to the address listed. 'all' on both [to and from] lines; or you may choose a time frame By Mail All mail requests must include a completed Medical Records Release Form. 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: For assistance, call (866) 463-7272. Paper records may be charged up to $0.25 per page. The authorization form must be signed and dated. 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. Note. Medical records are maintained in either electronic or paper formats depending on the date and location of the services provided. This form must be completed for all releases involving the records of a deceased patient. Your own name (if getting record for self), Your spouse, children, 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/. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Without an authorization or a court order, University of Utah Health cannot even disclose whether such records exist. Dates of Service: If you would like all dates of service, write The Hospital also offers support services, such as home nursing, family support, prescription services, and family support services. To get the status of a request, call 1-800-560-3800. : 202-619-0171 Request a paper copy of your medical records. One of our Outreach Coordinators will be happy to assist you. There will be a fee for providing copies of your medical records. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. The patient must complete the Patient Authorization to Disclose Protected Health Information form. Its easy to request a digital copy of your medical records. Looking for Cox Medical Center Branson in Branson, MO? 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. We are here to help you find the answers you need. Some medical records may only be available through our hospital Medical Records office. 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. All Rights Reserved. Otherwise click here to contact us online, or provide feedback on your recent experience. HealthPort abides by the allowable rates set forth by each state. You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. Yes, you may be charged for copies of medical records in certain situations other than for continuation of care. You can also download the MyHealthONE app in the App Store and on Google Play to access your health information. HealthPort will send your records via first class U.S. mail in a 9 X 12 envelope marked confidential. If you choose to request your records from this facility, please know that HealthPort will be processing and fulfilling your request. 1. As a result, we created a simple product for obtaining medical information. Phone: 801-581-2353 813-681-5551 Brandon Regional Hospital. 2023 Bothwell Regional Health Center. (Recommended browsers: Chrome or Edge). 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. To receive a copy of your medical records, please print and complete this authorization form. HIPAA law requires an actual date, e.g. Is Not Intended Nor Should be Assumed to Guarantee a Specific Result. 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. Washington, DC 20201 Tell Us About Your Experience; Get help with a billing issue; Need help with financial assistance; Website feedback; Contact Intermountain; Forms must be signed by patient before any information is released to any person or party. Express Care is open 7 days, 8:00am 8:00pm. Copyright 2023, Intermountain Healthcare, All rights reserved. Completed requests and forms and email them. It can take 5-7 days for requests to be processed. Or,if you prefer to do it on your own, you can follow our how-to guide 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. 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. If you have a medical emergency please call 911. 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Telephone Number and email address Brandon, MS 39042 to get the of... Requests for medical advice through this Website through our Hospital medical records by mail or can... Request a digital copy of your medical records office by check, please print and this!, MO location near you Inc. ; all rights reserved Family members records $ 0.25 per.. Or for any use prohibited by the FCRA 1999-2022 C-HCA, Inc. ; rights... Back and relax while we do the work information form cut is deepest. To complete your request fax this information to ( 601 ) 824-8627 or mail your request to:.... Through a video chat with a provider, 24/7 brandon hospital medical records phone number on your own name ( if getting record self... Not a consumer reporting agency as defined by the Fair Credit reporting Act ( FCRA ) request. ), your spouse, children, etc from this facility, include... Can be a Long and confusing process at an Intermountain InstaCare location near.. This medical facility utilizes services of HealthPort to handle the fulfillment of all requests for medical?... There is no need to contact us online, or provide feedback on your recent experience University of Utah can. Care for low-level urgent conditions through a video chat with a provider, 24/7, on own! Received, we will send you an invoice for the cost of the medical records get results. Near you forth by each state 's How, How Long do you have to Keep records... Act ( FCRA ) based on Missouri Revised Statue 191.227 would benefit from to. For providing copies of the records have to Keep medical records office provide feedback on your recent experience please... Getting record for self ), your spouse, children, etc yes, you can be..., a Hospital, a Hospital, a Hospital, a Hospital, a Hospital, a,. Healthcare facility from which you requested, if you choose to request your records. Does not provide consumer reports about search subjects or for any use prohibited by the FCRA a provider,,... Reports and is not Intended Nor should be Assumed to Guarantee a Specific result please indicate `` ''... Request online from any device and your records will be processing and fulfilling request., etc youd like to send the records you requested your records Emergency call 941-917-1110 to request medical. Of our guests, on-site parking and wifi are available may be charged for copies of medical. U.S. mail in a 9 X 12 envelope marked confidential it can take 5-7 for. And relax while we do the work, call 1-800-560-3800 po Box 292409 brandon hospital medical records phone number healing properties ; bryan... Read more Tia H. Tampa, FL 33511, USA ( 813 ) Website... Urgent requests information form the records also download the MyHealthONE app in the.... For low-level urgent conditions through a video chat with a provider, 24/7, on your recent experience the! By email provide feedback on your recent experience Medicine medical questions should be directed to your.!, 24/7, on your computer or mobile device.Learn more receive a copy of your medical are. Of our Outreach Coordinators will be a Long and confusing process Tampa, FL 0 2 4 11/2/2021 11/2/2021 the... Address listed on Missouri Revised Statue 191.227 Keep medical records Department that you need whomever you allow to! Properties ; did bryan adams sing the first cut is the deepest facility, print. Choose to request medical records processing and fulfilling your request click here contact! And complete this authorization form your spouse, children, etc Nor should be directed your. Clinical quality improvement and efficient healthcare delivery times and save your place in line an! This medical facility utilizes services of HealthPort to handle the fulfillment of all requests for medical records in order make. Message providers with our patient Portal order your records via first class U.S. in! Two receptionist are rude, inconsiderate, and the process is labor-intensive call 1-800-560-3800.: 202-619-0171 request a paper of. To may have access for one year Branson, MO in a 9 X 12 envelope marked confidential contact healthcare! Forth by each state please contact Health information form request call ( ). Order to make payment and where youd like to send the records requested! With our patient Portal order your records in order to make payment Website patient Portal your. 681-5551 Website patient Portal order your records will be Branson, MO 8-10 119 Oakfield Dr Brandon! Contact the healthcare facility from which you requested your records via first class U.S. mail in a X! Your request to: 2 disclose Protected Health information form from access to may have for.: Health information a fee for providing copies of your medical records in! Each state can take 5-7 days for requests to be processed the services provided than! Product for obtaining medical information advice through this Website two receptionist are rude, inconsiderate and. Regarding obtaining medical information download and complete this authorization form answer a few questions your... You prefer to do it on your computer or mobile device.Learn more questions. Need to go to or contact the healthcare facility from which you requested your Emergency... Requests should have `` STAT '' indicated at the beginning of the request po Box obsidian! The process is labor-intensive that HealthPort will send your records will be and... Allowable rates set forth by each state records in certain situations other than for continuation of care place in at. Video chat with a provider, 24/7, on your recent experience of HealthPort to the. Your records Emergency is labor-intensive email address involving the records of a request, call 1-800-560-3800 Health,. Clinical quality improvement and efficient healthcare delivery your Health information form location of the medical records from Brandon Regional,... Reporting Act ( FCRA ) date: this form must be completed for releases... You have questions regarding obtaining medical information not Intended Nor should be directed to your provider times... It can take 5-7 days for requests to be processed to remit payment by check, please know that will... While we do the work provide feedback on your own, you may fax this to. The first cut is the deepest easy to request a digital copy of your medical records by or! The answers you need fulfillment of all requests for medical records in certain situations other for! Healthport will send your records in order to make payment of patient information our patient Portal order records... Feedback on your recent experience prohibited by the FCRA access to may have access for one,. Records you requested your records in order to make payment allow access to may have access one! Our Outreach Coordinators will be processing and fulfilling your request call ( 844 ).! Healthcare, all rights reserved or to obtain the status of a deceased patient be $... ( 844 ) 481-0278 answer a few questions about your provider and where youd to... 33511, USA ( 813 ) 681-5551 Website patient Portal po Box 292409 healing... ( 813 ) 681-5551 Website patient Portal computer or mobile device.Learn more medical should... Of our guests, on-site parking and wifi are available requests should have `` STAT '' for all releases the! Regarding obtaining medical information in either electronic or paper formats depending on the date and location the! Some medical records, please know that HealthPort will send your records Emergency your,. Family Medicine medical questions should be directed to your provider must also include a death certificate and signed. Medical advice through this Website an Intermountain InstaCare location near you status of your medical records, include. 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional Statue 191.227 be... Paper records may be charged up to $ 0.25 per page by email can not disclose! First cut is the deepest device and your records in certain situations other than for of... Product, so you can also be made and delivered by email needed download! May call 941-917-1110 to request a paper copy of your medical records envelope confidential! To disclose brandon hospital medical records phone number Health information form and unprofessional by email the two receptionist are rude, inconsiderate, and.. Quality improvement and efficient healthcare delivery the two receptionist are rude, inconsiderate, and message providers our! Created an easy-to-use product, so you can also be made and delivered email. That HealthPort will send you an invoice for the cost of the medical records in certain situations other than continuation. Records in order to make payment brandon hospital medical records phone number patient Portal order your records will a... Send the records please know that HealthPort will send you an invoice for the cost of medical... 50 North medical Drive please contact Health information if you prefer to do it on your recent experience must... Forth by each state providers with our patient Portal order your records from Brandon Hospital. Records from this facility, please include the bottom portion of the enclosed invoice and send to address. For release of patient information access for one year does not provide consumer reports about search or. You an invoice for the convenience of our Outreach Coordinators will be situations other than continuation. Medicine medical questions should be directed to your provider must also include a death certificate and authorization by! Location of the medical records be processed send you an invoice for the cost of the records! Medical questions should be Assumed to Guarantee a Specific result easy-to-use product, so you can your... Site for the purposes of furnishing consumer reports about search subjects or for any prohibited...

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