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Click here to download written driving directions. Information on the Community Health website: Is Not Provided as Medical Advice. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 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. The facility you are sending your records to (new physician, The VA hospital, etc.). Health Information Management Phone number: (808) 433-6355. Please callone of our officesto make an appointment to find out if you qualify. Does Not Establish a Doctor-Patient or Other Relationship. To remit payment by phone, please contact a payment representative at 1-800-464-0035 and make sure you have your enclosed invoice handy as well as a major credit card listed above. The authorization form must be signed and dated. 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. Please contact health information if you have questions regarding the release of patient information. Please do not attempt to contact HealthPort to request your records. Copyright 2023, Intermountain Healthcare, All rights reserved. There is no need to go to or contact the healthcare facility from which you requested your records in order to make payment. Access your medical information on demand. The Community Health Board of Directors is a dedicated group of community members, the majority of whom are also our patients. Examples include requests coming directly from insurance companies or legal offices. This medical facility utilizes services of HealthPort to handle the fulfillment of all requests for medical records. 50 North Medical Drive As residents of the communities we serve, they have the unique ability to provide the leadership necessary to make our organization a success. If needed, download and complete the Authorization for Release of Health Information Form. Otherwise, if left blank, the authorization will be valid for one year. 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Enter the name of the health care provider youd like to receive medical records from. Serving uninsured and underinsured patients has always been a cornerstone of Community Health. View wait times and save your place in line at an Intermountain InstaCare location near you. By Mail All mail requests must include a completed Medical Records Release Form. Fill out the Request Submission Form below and attach a completed PDF version of the Authorization for Release of Health Information Form. HealthPort will send your records via first class U.S. mail in a 9 X 12 envelope marked confidential. You may send your request in the following ways: Fax: (844) 481-0298. 2. Without an authorization or a court order, University of Utah Health cannot even disclose whether such records exist. Nashville, TN 37239 -2409. Find the physical address or fax number of the Medical Records Department that you need to contact to request your medical records. shop and compare all types of health insurance plans for free! 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. Please enter your comments below, and be sure to include your telephone number and email address. 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. All Rights Reserved. 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? About Us Contact Us (Recommended browsers: Chrome or Edge). 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: Online request with electronic delivery: Your own name (if getting record for self), Your spouse, children, etc. The current Deeming Notice of Community Health is available here Community Health Deeming Notice Federal Tort Claims Act. View COVID-19 information for updates about vaccines, boosters, treatment, testing and visitor policy. Select "Medical Records Request Form". Copyright 2023, Intermountain Healthcare, All rights reserved. Location: Please Call 911 in the Case of Any Medical Emergency. Accountable Care Organizations (OneCare Vermont), Needs Assessment & Implementation Strategy, Alzheimers Support Group At Community Health Meets Jan. 10 in Rutland, Its November Time to Get Educated About Diabetes at Community Health, Community Health Awarded for Quality Care, Alzheimers Support Is on the Way at Community Health, Community Health Deeming Notice Federal Tort Claims Act. Otherwise click here to contact us online, or provide feedback on your recent experience. This is substantially cheaper than paper requests. If you only want a specific time, you must put a date in the expiration date location. Retrieving medical records by mail or email can be a long and confusing process. Forms must be signed by patient before any information is released to any person or party. The request must also include a death certificate and authorization signed by individual authorized in the affidavit. Attorney Requests for Medical Records SMHCS only accepts subpoenas via hand-served or certified mail. DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. 350 Crossgates Blvd. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. We offer several way to request your medical records depending on the type of information you need and preferred format. (e.g., drivers license, military I.D. The applicable form must be filled out for the release of health care information. For immediate continuity of care, your healthcare provider can request records. Welcome to Community Health. Proxy FormIf parents, adult children, or other caretakers would benefit from access to their family members records. Attention: CLAIMS, Phone No. 2023 County Office. You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. Examples include requests coming directly from insurance companies or legal offices. Third party advertisements support hosting, listing verification, updates, and site maintenance. Executive Director: Brandon Price. 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/. Many patients report frustration when trying to access medical records from Brandon Regional Hospital. . Otherwise, you may use Intermountain Healthcare. Location: Community Health Brandon, Specialty: Diabetes Management, Family Medicine For assistance, call (866) 463-7272. 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. The healthcare facility will not be able to assist you with your invoice payment for these services. Brandon, MS 39042 To get the status of a request, call 1-800-560-3800. Fill out this form to authorize the release of your health information. You may visit the medical record pick-up window at 7 of our hospitals or mail or fax your request. To get the status of a request, call 1-800-560-3800. Make sure to write down a phone and/or fax number for us to send the records to. 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. Authorization for Release of Health Information Form. 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. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. 1055 North 500 West Provo, UT 84604 Find 6 Hospitals within 12.1 miles of Brandon Regional Hospital. Medical Records Fax: 801-581-2177. Mail: PO Box . All rights reserved. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Answer a few questions about your provider and where youd like to send the records. 330 Independence Avenue, S.W., Room 5362 Authorization Form to Disclose PHI. or state I.D.). HCA Florida Brandon Hospital offers several ways to access your medical record. Here's How, How Long Do You Have to Keep Medical Records? 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. Contact Us. Nearly every clinic and the hospital has its own process and portals for retrieving medical records. Physicians & Hospital Requests for Medical Records Requests for medical records regarding continuation of care are sent directly to the physician at no cost. Some medical records are restricted from MyHealth One and can only be accessed as paper records. If this is an emergency please go to the nearest emergency room or call 911. Find an Intermountain Medical Group clinic if you need to request medical records from a clinic rather than a hospital. If you have any questions or would like additional information, please contact the Health Information Management department. 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