Brandon, VT 05733 . A copy of a legal photo ID must be included in the request. To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office. 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. Yes, you may be charged for copies of medical records in certain situations other than for continuation of care. Release of information must comply with state and federal guidelines. The Hospital provides emergency care for injuries, sudden illnesses, and severe illnesses in Brandon. Location: If the patient comes in person, they must bring government-issued, picture identification, such as a drivers license, passport, military card. Learn about how we safeguard your privacy. : 202-619-0171 Be sure to complete the form in it's entirety to avoid delays with processing your request. Access your medical information on demand. 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. : 202-619-2922. HealthPort will send your records via first class U.S. mail in a 9 X 12 envelope marked confidential. Be prepared to answer thorough questions, including patient details, the purpose of disclosure, dates of treatment, type of records, etc. Fax No. You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. 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. 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: In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. View COVID-19 information for updates about vaccines, boosters, treatment, testing and visitor policy. Phone: 801-581-2353 We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. You may visit the medical record pick-up window at 7 of our hospitals or mail or fax your request. Executive Director: Brandon Price. There will be a fee for providing copies of your medical records. 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 click here to contact us online, or provide feedback on your recent experience. Looking to obtain a copy of your medical records? 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. 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. It can take 5-7 days for requests to be processed. There will be a fee for providing copies of your medical records. Yes. 385-215-7046 . DSH-Metropolitan LA: Department of State Hospitals - Metropolitan LA 11401 South Bloomfield Avenue Norwalk, CA 90650. To remit payment by check, please include the bottom portion of the enclosed invoice and send to the address listed. Welcome to Community Health. Get lab results, view medical records, and message providers with our patient portal. 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. Retrieving medical records by mail or email can be a long and confusing process. Medical questions should be directed to your provider. The Hospital also offers support services, such as home nursing, family support, prescription services, and family support services. How to AccessYour Brandon Regional Hospital Records. Close; Community Health Your Health, . 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. The Bothwell team welcomes your questions and requests. 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. Attention: CLAIMS, Phone No. 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. Patients can request their records through MyChart. If you have a medical emergency please call 911. 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. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. To get the status of a request, call 1-800-560-3800. Review your medical records online in a safe, secure environment. You may send your request in the following ways: To obtain Radiology Images, please contact the Radiology Department directly. View wait times and save your place in line at an Intermountain InstaCare location near you. Phone number: (808) 433-6355. Our goals are to provide people with meaningful information to make informed decisions about their health and health care. Health Information Management Without an authorization or a court order, University of Utah Health cannot even disclose whether such records exist. 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. Sit back and relax while we do the work. CALL: 724-543-8554 Monday through Friday, 7am - 2:30 pm 4.) Contact Us. About Us Contact Us to complete your request online from any device and your records will be Select "Medical Records Request Form". If you can't find what you are looking for or need assistance, call health information management at 801-581-2353. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. This form must be completed for all releases involving the records of a deceased patient. DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. 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. 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 If you have questions, please contact the Health Information Department at 801-581-2704. 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. Washington, DC 20201 Answer a few questions about your provider and where youd like to send the records. Release of Records to Third PartyThis form is to be used for third party record requests where patient authorization is required. Please indicate "STAT" for all urgent requests. Read more Tia H. Tampa, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional. or state I.D.). The charges for the copies you request are typically regulated by each state. Examples include requests coming directly from insurance companies or legal offices. How Do I Get My Medical Records From Northwell Health? Trying to access your medical recordscan be a confusing and time-consuming process. We cannot accept faxes and email requests. Online request with electronic delivery: Looking for Cox Medical Center Branson in Branson, MO? HealthPort accepts Visa, MasterCard, American Express and Discover. 813-972-2000 James A. Haley Veterans' Hospital. 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. Dates of Service: If you would like all dates of service, write Note. 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 are many steps taken to provide copies of the medical records, and the process is labor-intensive. There is no fee to release records to doctors or health care facilities. Lucky for you, DoNotPay created an easy-to-use product, so you can access your medical records from Brandon Regional Hospital. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). 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 . Information on the Community Health website: Is Not Provided as Medical Advice. . 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. ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. The current location address for Brandon Regional Hospital is 119 Oakfield Dr, , Brandon, Florida and the contact number is 813-681-5551 and fax number is --. 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. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Please callone of our officesto make an appointment to find out if you qualify. 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