Be prepared to answer thorough questions, including patient details, the purpose of disclosure, dates of treatment, type of records, etc. Dates of Service: If you would like all dates of service, write Contact Us. 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. Here's How, How Long Do You Have to Keep Medical Records? Please do not attempt to contact HealthPort to request your records. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. HealthPort is the premier provider of health information services and solutions. 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 --. Retrieving medical records by mail or email can be a long and confusing process. Community Health Brandon, Specialty: Family Medicine If parents, adult children, or other caretakers would benefit from access to their family members records. Welcome to Kern Medical 150 Years of Serving Kern County's Health Care Needs. * 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. Find an Intermountain Medical Group clinic if you need to request medical records from a clinic rather than a hospital. Popularity:#7 of 26 Hospitals in Hillsborough County#111 of 439 Hospitals in Florida#1,253 in Hospitals. To remit payment by check, please include the bottom portion of the enclosed invoice and send to the address listed. 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. 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. 813-745-4673 H. Lee Moffitt Cancer Center & Research Institute. We also offerSliding Fee Scalesto our patients who do not have medical insurance. or state I.D.). Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. Copyright 2023, Intermountain Healthcare, All rights reserved. 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. Examples include requests coming directly from insurance companies or legal offices. There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. Information found on CountyOffice.org is strictly for informational purposes and does not construe legal, financial or medical advice. 813-972-2000 James A. Haley Veterans' Hospital. Sit back and relax while we do the work. 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. 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 (e.g., driver's license, military I.D. For assistance, call (866) 463-7272. delivered right to you - no need to go and pick them up. Copyright 2023, Intermountain Healthcare, All rights reserved. MyHealth One also has an app available on Android and Apple. After your request is received, we will send you an invoice for the cost of the records you requested, if applicable. Records delivered by mail will be shipped within 5-7 Business days after processing. Otherwise, if left blank, the authorization will be valid for one year. 330 Independence Avenue, S.W., Room 5362 The Hospital provides emergency care for injuries, sudden illnesses, and severe illnesses in Brandon. How Do I Get My Medical Records From Northwell Health? All Rights Reserved. One of our Outreach Coordinators will be happy to assist you. Otherwise click here to contact us online, or provide feedback on your recent experience. A University of Utah Health staff member will sign the form as a witness to verify that the form is complete and the signature belongs to the person making the request. Be sure to complete the form in it's entirety to avoid delays with processing your request. 1055 North 500 West Provo, UT 84604 HealthPort will send your records via first class U.S. mail in a 9 X 12 envelope marked confidential. Enter the name of the health care provider youd like to receive medical records from. Yes, you may be charged for copies of medical records in certain situations other than for continuation of care. Medical Records Fax: 801-581-2177. 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. 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. Imaging services For the convenience of our guests, on-site parking and wifi are available. Address and Phone Number for Brandon Regional Hospital, a Hospital, at Oakfield Drive, Brandon FL. Some medical records may only be available through our hospital Medical Records office. 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. 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. Submit all mail requests to their address. Proxy FormIf parents, adult children, or other caretakers would benefit from access to their family members records. All Rights Reserved. View wait times and save your place in line at an Intermountain InstaCare location near you. 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. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. Appointments. Serving uninsured and underinsured patients has always been a cornerstone of Community Health. 813-839-6341 Kindred Hospital Bay Area - Tampa. 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. You may fax this information to (601) 824-8627 or mail your request to: Request a paper copy of your medical records. 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. 813-971-6000 Florida Hospital Tampa. For more information, contact our Patient Access Center at 802-779-9169, Specialty: Behavioral Health, Clinical Social Work (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. And that's it! The sliding scales are based on your income and family size. Completed requests and forms and email them. 01/01/3000 or 10/14/2015. The mailing address for Brandon Regional Hospital is 119 Oakfield Drive, , Brandon, Florida - 33511-5779 (mailing address contact number - --). DoNotPay understands how aggravating it can be when trying to work with medical bureaucracies. 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 offer a phone directory with each of our hospital department's contact information to keep patients and visitors informed and make communication easy. Contact us at (813) 660-6000. We are here to help you find the answers you need. The charges for the copies you request are typically regulated by each state. Authorization for Release of Health Information Form. Using MyHealth One is the cheapest and quickest way to retrieve medical records. 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. CALL: 724-543-8554 Monday through Friday, 7am - 2:30 pm 4.) Bear River Valley Hospital Medical Records Department. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Nearly every clinic and the hospital has its own process and portals for retrieving medical records. Please indicate "STAT" for all urgent requests. Community Health Brandon. Medical records requests will be filled within 30 days of your request. See below for mailing and fax information. Patient Protections Against Surprise Billing, ColumnFriendlyUrl: The SystemName (classes-events) does not exist or is not a module. 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. Select "Medical Records Request 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: Please indicate "STAT" for all urgent requests. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Online request with electronic delivery: If you have any questions or would like additional information, please contact the Health Information Management department. See 42 CFR Part 2. Release of Records to Third PartyThis form is to be used for third party record requests where patient authorization is required. obsidian healing properties; did bryan adams sing the first cut is the deepest. There will be a fee for providing copies of your medical records. Purpose of Disclosure: This is somewhat flexible, but examples we get are: personal records; transfer of care; going to specialist; etc. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. 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. 2022 Community Health Centers of the Rutland Region. 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: Community Health Brandon, Specialty: Diabetes Management, Family Medicine 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. Express Care is open 7 days, 8:00am 8:00pm. HealthPort accepts Visa, MasterCard, American Express and Discover. Does Not Establish a Doctor-Patient or Other Relationship. Looking for Cox Medical Center Branson in Branson, MO? Find the physical address or fax number of the Medical Records Department that you need to contact to request your medical records. A valid and complete Authorization for Release of Health Information Form signed and dated by the patient is required to request medical records. 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. The current Deeming Notice of Community Health is available here Community Health Deeming Notice Federal Tort Claims Act. Otherwise click here to contact us online, or provide feedback on your recent experience. How to AccessYour Brandon Regional Hospital Records. 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