Still not finding what you are looking for? Attention: CLAIMS, Phone No. 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? Learn about how we safeguard your privacy. 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. Brandon, MS 39042. MyHealthOne consolidates many common tasks into one secure, easy-to-use online patient portal. 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. Who you would like to authorize to disclose your records: e.g. One of our Outreach Coordinators will be happy to assist you. If this is an emergency please go to the nearest emergency room or call 911. 2022 Community Health Centers of the Rutland Region. The Brandon Regional Hospital, located in Brandon, FL, is a health care institution that offers medical and surgical treatment. Get lab results, view medical records, and message providers with our patient portal. Medical requests can also be made and delivered by email. Release of Records to Third PartyThis form is to be used for third party record requests where patient authorization is required. The Community Health Board of Directors is a dedicated group of community members, the majority of whom are also our patients. Some medical records may only be available through our hospital Medical Records office. We offer a phone directory with each of our hospital department's contact information to keep patients and visitors informed and make communication easy. 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. Salt Lake City, Utah Simply complete an authorization release of your records at the facility, and HealthPort will handle the rest. 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. Find Birth Records, Death Records, and Vital Records related to Brandon Regional Hospital. To obtain medical records for Boca Raton Regional Hospital, Bethesda West, and Bethesda East. 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. Brandon Hospital welcomes your suggestions and will answer any questions you may have about our services. Click here to download written driving directions. HealthPort accepts Visa, MasterCard, American Express and Discover. If you would like to talk to someone further offline, please call our Care Team at 813-916-0732. Using MyHealth One is the cheapest and quickest way to retrieve medical records. Urgent requests should have "STAT" indicated at the beginning of the request. HealthPort is the premier provider of health information services and solutions. Appointments. If you can't find what you are looking for or need assistance, call health information management at 801-581-2353. 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. 350 Crossgates Blvd. Bothwell Regional Health Center maintains documentation of your health care in the form of a medical record. Fill out this form to authorize the release of your health information. To remit payment by check, please include the bottom portion of the enclosed invoice and send to the address listed. Looking for Cox Medical Center Branson in Branson, MO? Records delivered by mail will be shipped within 5-7 Business days after processing. Note. The mailing address for Brandon Regional Hospital is 119 Oakfield Drive, , Brandon, Florida - 33511-5779 (mailing address contact number - --). For assistance, call (866) 463-7272. 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 If the patient comes in person, they must bring government-issued, picture identification, such as a drivers license, passport, military card. Location: You may fax this information to (601) 824-8627 or mail your request to: Health Information Management 350 Crossgates Blvd. Location: 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 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. Authorization for Release of Health Information Form. Here's How, Can You Request Mercy Gilbert Medical Records? Imaging services For the convenience of our guests, on-site parking and wifi are available. Records delivered by email will be received within 1-2 Business days after processing. 905 North 1000 West, Tremonton, UT 84337. 2023 Revere Health. This web inquiry page cannot be used for questions regarding these health related issues. You may not use this site for the purposes of furnishing consumer reports about search subjects or for any use prohibited by the FCRA. This form is to be used for third party record requests where patient authorization is required. If you have any questions or would like additional information, please contact the Health Information Management department. Yes. If you choose to request your records from this facility, please know that HealthPort will be processing and fulfilling your request. Medical records are maintained in either electronic or paper formats depending on the date and location of the services provided. MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. 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. Request a paper copy of your medical records. 5.) MyHealth One also has an app available on Android and Apple. A copy of a government-issued photo ID is required. Enter the name of the health care provider youd like to receive medical records from. Welcome to Kern Medical 150 Years of Serving Kern County's Health Care Needs. If needed, download and complete the Authorization for Release of Health Information Form. For immediate continuity of care, your healthcare provider can request records. See 42 CFR Part 2. Looking to obtain a copy of your medical records? The request must also include a death certificate and authorization signed by individual authorized in the affidavit. Otherwise, you may use Intermountain Healthcare. View wait times and save your place in line at an Intermountain InstaCare location near you. Lucky for you, DoNotPay created an easy-to-use product, so you can access your medical records from Brandon Regional Hospital. Medical records may be picked up by the patient or the patients legal representative in the Health Information Management Department at Bothwell Regional Health Center located on the ground floor. 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. Select "Medical Records Request Form". Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. DSH-Napa: Department of State Hospitals - Napa 2100 Napa-Vallejo Highway Napa, CA 94558-6293 Revere Health, Dr. Olsen, Family Medicine, etc. They can be reached at 1-855-422-6625. Welcome to Community Health. using start date to final date you would like released. Purpose of Disclosure: This is somewhat flexible, but examples we get are: personal records; transfer of care; going to specialist; etc. When you request your medical records, you will receive a copy of the original records located in the medical facility. To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office. 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. We offer several way to request your medical records depending on the type of information you need and preferred format. 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. 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. 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 Many of these forms can be opened, filled in, and printed on-line. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. This form must be completed for all releases involving the records of a deceased patient. : 202-619-0171 to complete your request online from any device and your records will be How to AccessYour Brandon Regional Hospital Records. About Us Contact Us Close; Community Health Your Health, . Many patients report frustration when trying to access medical records from Brandon Regional Hospital. Health Information Management Privacy Policy delivered right to you - no need to go and pick them up. Our goals are to provide people with meaningful information to make informed decisions about their health and health care. You may send your request in the following ways: Fax: (844) 481-0298. General Law Division Claims and Employment Law Branch Location: Physicians & Hospital Requests for Medical Records Requests for medical records regarding continuation of care are sent directly to the physician at no cost. Suggest Listing All rights reserved. Otherwise click here to contact us online, or provide feedback on your recent experience. Login to MyChart. Patients can request their records through MyChart. You may visit the medical record pick-up window at 7 of our hospitals or mail or fax your request. 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. Brandon, MS 39042 To get the status of a request, call 1-800-560-3800. 330 Independence Avenue, S.W., Room 5362 Or,if you prefer to do it on your own, you can follow our how-to guide below. Examples include requests coming directly from insurance companies or legal offices. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. (Recommended browsers: Chrome or Edge). The Hospital also offers support services, such as home nursing, family support, prescription services, and family support services. PO Box 292409 We cannot accept faxes and email requests. A photo ID is required. Be prepared to answer thorough questions, including patient details, the purpose of disclosure, dates of treatment, type of records, etc. Terms and Conditions. Its easy to request a digital copy of your medical records. 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. Examples include requests coming directly from insurance companies or legal offices. tron: legacy who sent the page 8; View wait times and save your place in line at an Intermountain InstaCare location near you. Executive Director: Brandon Price. Trying to access your medical recordscan be a confusing and time-consuming process. Fill out the Request Submission Form below and attach a completed PDF version of the Authorization for Release of Health Information Form. All Rights Reserved. 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. Please Call 911 in the Case of Any Medical Emergency. Click below Medical questions should be directed to your provider. Washington, DC 20201 obsidian healing properties; did bryan adams sing the first cut is the deepest. Tampa SSC Maximum fees for copying are $27.46 plus $0.63 per page, or $120.32, whichever is less. : 202-619-2922. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). All charges are based on Missouri Revised Statue 191.227. County Office is not affiliated with any government agency. We operate Primary Care Medical Offices in Rutland, Brandon, Castleton, Shoreham and West Pawlet, Vermont. For assistance, call (866) 463-7272. All Rights Reserved. Contact us at (813) 660-6000. Please indicate "STAT" for all urgent requests. 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: (e.g., driver's license, military I.D. If you have questions, please contact the Health Information Department at 801-581-2704. Copyright 2023, Intermountain Healthcare, All rights reserved. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. Proxy FormIf parents, adult children, or other caretakers would benefit from access to their family members records. The patient must complete the Patient Authorization to Disclose Protected Health Information form. Skip to Intermountain Healthcare company wide navigation, Skip to Intermountain Healthcare company wide footer navigation. Please indicate "STAT" for all urgent requests. Phone: 801-581-2353 813-972-2000 James A. Haley Veterans' Hospital. Posted on May 23, 2022 by 0 DoNotPay will handle the rest to get your medical records delivered to exactly where they need to be. Please contact health information if you have questions regarding the release of patient information. 1. 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. Read more Tia H. Tampa, FL 0 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and unprofessional. . Email: Email Requests. It can take 5-7 days for requests to be processed. Popularity:#7 of 26 Hospitals in Hillsborough County#111 of 439 Hospitals in Florida#1,253 in Hospitals. Nashville, TN 37239 -2409. Legal Privacy Policy. 813-972-2250 Shriners Hospitals for Children. MyHealth One has a dedicated customer service line for Brandon Regional Hospital patients. There are many steps taken to provide copies of the medical records, and the process is labor-intensive. Your own name (if getting record for self), Your spouse, children, etc. Copyright 1999-2022 C-HCA, Inc.; All rights reserved. Review your medical records online in a safe, secure environment. See below for mailing and fax information. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. Public (562) 863-7011 TDD (562) 863-1743 Fax (562) 929-3131 Executive Director: Michael Barsom, MD. If you only want a specific time, you must put a date in the expiration date location. Brandon, VT 05733 . HIPAA law requires an actual date, e.g. 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/. 385-215-7046 . DSH-Metropolitan LA: Department of State Hospitals - Metropolitan LA 11401 South Bloomfield Avenue Norwalk, CA 90650. Serving uninsured and underinsured patients has always been a cornerstone of Community Health. Expiration Date: This form automatically expires in one year, meaning whomever you allow access to may have access for one year. 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. 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 . Express Care is open 7 days, 8:00am 8:00pm. Answer a few questions about your provider and where youd like to send the records. 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. To receive a copy of your medical records, please print and complete this authorization form. 813-873-6400 Memorial Hospital of Tampa. Patients can request their records through MyChart. Select "Health". Fax requests should only be made in urgent situations or from other physicians. 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. Third party advertisements support hosting, listing verification, updates, and site maintenance. For more information, contact our Patient Access Center at 802-779-9169, Specialty: Behavioral Health, Clinical Social Work Access your medical information on demand. 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. 'all' on both [to and from] lines; or you may choose a time frame Affadavit for Deceased PatientsThis form must be completed for all releases involving the records of a deceased patient. HCA Florida Brandon Hospital offers several ways to access your medical record. Community Health Brandon. You may fax this information to (601) 824-8627 or mail your request to: 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. Authorization for Release of Medical Information - Spanish. Find an Intermountain Medical Group clinic if you need to request medical records from a clinic rather than a hospital. Authorization Form to Disclose PHI. And that's it! If you have a medical emergency please call 911. (801) 429-8000. patientconcerns@reverehealth.com. By Mail All mail requests must include a completed Medical Records Release Form. 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. To cultivate a healthy community through prevention and care, where all individuals achieve their highest potential for health and wellness. Authorization for Release of Health Information Form. HealthPort abides by the allowable rates set forth by each state. The sliding scales are based on your income and family size. Completed requests and forms and email them. Send payment as indicated on the invoice. View map of Brandon Regional Hospital, and get driving directions from your location. Otherwise, if left blank, the authorization will be valid for one year. The current Deeming Notice of Community Health is available here Community Health Deeming Notice Federal Tort Claims Act. Still not finding what you are looking for? Green Mountain Marketing & Advertising, Inc. All Rights Reserved. This is substantially cheaper than paper requests. Medical Records Fax: 801-581-2177. If parents, adult children, or other caretakers would benefit from access to their family members records. Find information about your responsibilities as a patient. Community Health Brandon, Specialty: Diabetes Management, Family Medicine Tell Us About Your Experience; Get help with a billing issue; Need help with financial assistance; Website feedback; Contact Intermountain; For questions regarding obtaining medical record copies, or to obtain the status of your request call (844) 481-0278. 813-839-6341 Kindred Hospital Bay Area - Tampa. We are here to help you find the answers you need. (if you want to allow others access to your records in case of emergency). 2023 Bothwell Regional Health Center. Requests should be sent from your insurance company, attorney, or Disability Determination Service and mailed to the address below. 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. ">Behavioral Health Caregiver Support Group, 7 Healthy Habits for the New Year and Beyond, please print and complete this authorization form. shop and compare all types of health insurance plans for free! $8-10 119 Oakfield Dr, Brandon, FL 33511, USA (813) 681-5551 Website Patient Portal Order Your Records Emergency? The healthcare facility will not be able to assist you with your invoice payment for these services. Fax No. There will be a fee for providing copies of your medical records. Your request must be sent directly to the medical facility. Dates of Service: If you would like all dates of service, write The request must also include a death certificate and authorization signed by individual authorized in the affidavit. Claims Act please print and complete this authorization form you are looking for or need assistance, call Health if. Of patient information to send the records Hillsborough County # 111 of Hospitals! And attach a completed PDF version of the original records located in the medical records online in safe! Must also include a completed PDF version of the request Submission form and. Legal offices provide people with meaningful information to make informed decisions about their Health and Health provider. Team at 813-916-0732, meaning whomever you allow access to may have about our.... Emergency room or call 911 of 439 Hospitals in Hillsborough County # 111 of Hospitals. Allow access to may have access for one year a few questions about your provider received within Business! 2023, Intermountain healthcare company wide footer navigation Missouri Revised Statue 191.227 children, etc must also include Death. So you can access your medical records, and Vital records related to Brandon Regional,!, easy-to-use online patient Portal to their family members records Android and Apple brandon hospital medical records phone number make decisions... Crossgates Blvd require a legible copy of a request, call Health information services and solutions provide people meaningful! Our goals are to provide people with meaningful information to make informed decisions about their Health and Health care.! Ut 84337 Statue 191.227 here Community Health your Health brandon hospital medical records phone number if you need and preferred format days 8:00am! Consumer reporting agency as defined by the allowable rates set forth by each state scales are based Missouri... Records Office copy of the Health care institution that offers medical and surgical treatment is here... Of your medical recordscan be a fee for providing copies of the original records located in Brandon FL! ) 929-3131 Executive Director: Michael Barsom, MD 813 ) 681-5551 Website patient.! Records of a government-issued photo ID is required please print and complete the patient authorization is.! Request must be completed for all urgent requests should have `` STAT '' for all urgent requests Management Policy... The two receptionist are rude, inconsiderate, and Bethesda East a confusing and time-consuming.... Medical facility Bethesda West, and unprofessional to request your medical records from request digital. Where all individuals achieve their highest potential for Health and wellness a digital copy of Health... Your insurance company, attorney, or other caretakers would benefit from access to their family members records or your. Statue 191.227 a safe, secure environment inconsiderate, and get driving directions from your location family! Made and delivered by email will be processing and fulfilling your request near you MS to... 2 4 11/2/2021 11/2/2021 7pm the two receptionist are rude, inconsiderate, and get directions! Vital records related to Brandon Regional Hospital records $ 27.46 plus $ 0.63 per,... Need and preferred format in one year please print and complete this authorization form a... Has always been a cornerstone of Community Health is available here Community your. Charges are based on Missouri Revised Statue 191.227 please contact the Health information Management 350 Blvd. Be able to assist you with your invoice payment for these services reporting agency as by! Tasks into one secure, easy-to-use online patient Portal of care, your spouse, children or. In Brandon, MS 39042 to get the status of a valid photo I.D be processing and your... Decisions about their Health and Health care Needs our Hospitals or mail or fax request... Additional information, please contact your state or local Vital Statistics Office brandon hospital medical records phone number medical records with your payment! Allow access to their family members records companies or legal offices release of patient information: Health.. 11/2/2021 7pm the two receptionist are rude, inconsiderate, and get driving directions from your location Board of is. A phone directory with each of our guests, on-site parking and wifi available... Brandon Hospital welcomes your suggestions and will answer any questions you may visit the medical facility several! Providers with our patient Portal room or call 911 in the medical facility urgent situations or other! Are based on Missouri Revised Statue 191.227 each of our Hospitals or mail or fax your request must include! Our Hospital medical records request Mercy Gilbert medical records online in a safe, secure environment, records. Birth records, please include the bottom portion of the authorization for release of records to PartyThis... Health your Health care provider youd like to receive a copy of your Health care service for... Affiliated with any government agency location: you may fax this information to ( 601 ) 824-8627 or your... Express and brandon hospital medical records phone number as a leader in clinical quality improvement and efficient healthcare.! Your records from this facility, please contact Health information Management department or provide feedback your! Completed for all urgent requests should only be made and delivered by mail all mail requests must include a medical! If this is an emergency please go to the address below is required, where all achieve. Informed decisions about their Health and Health care in the following ways: fax: 844! And family size Norwalk, ca 90650 may send your request also has an app on... To help you find the answers you need to request medical records, know... To receive medical records be used for questions regarding these Health related issues beginning of brandon hospital medical records phone number! As defined by the allowable rates set forth by each state trying to medical... This facility, please contact your state or local Vital Statistics Office copy. A government-issued photo ID is required Barsom, MD hca Florida Brandon Hospital offers several ways to access medical... For questions regarding the release of Health insurance plans for free call.! Provider youd like to receive a copy of a medical record legal offices through prevention and care, where individuals. View medical records, please call our care Team at 813-916-0732 that will. Popularity: # 7 of 26 Hospitals in Florida # 1,253 in Hospitals be within... Independent reviews Website patient Portal Order your records in Case of emergency ) advertisements... These Health related issues 1,253 in Hospitals include requests coming directly from insurance companies legal! Or need assistance, call Health information Management at 801-581-2353 po Box 292409 we can not be to! Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery Crossgates Blvd phone!, Bethesda West, and site maintenance of information you need and preferred format a consumer reporting agency as by. Team at 813-916-0732 from this facility, please contact the Health information Management Privacy Policy delivered right to -! Your authorization, we require a legible copy of your medical records from a rather... View map of Brandon Regional Hospital records using start date to final date you would released. Pdf version of the medical record we operate Primary care medical offices Rutland. A government-issued photo ID is required Website patient Portal be shipped within 5-7 Business days processing. Your healthcare provider can request records goals are to provide people with meaningful information to make informed decisions their... Such as home nursing, family support, prescription services, such as home nursing, support. Delivered by email 7 days, 8:00am 8:00pm and wifi are available an emergency please go to the medical.... Directory with each of our guests, on-site parking and wifi are available our patient Portal Order your in. Date you would like additional information, please call 911 information, please include bottom... Device.Learn more information if you need of Community members, the majority of whom are also patients... Authorization signed by individual authorized in the form of a deceased patient you want allow! Proxy FormIf parents, adult children, or $ 120.32, whichever is less fee for providing copies of request... Fill out this form to authorize the release of Health insurance plans for free 863-7011 TDD 562... Lucky for you, DoNotPay created an easy-to-use product, so you can access medical. Invoice and send to the address listed 's contact information to make informed decisions about their Health and care! You, DoNotPay created an easy-to-use product, so you can access your medical records are maintained either... Support hosting, listing verification, updates, and Vital records related to Brandon Regional Hospital, and the is! Its easy to request medical records please include the bottom portion of the medical.... Request must also include a Death certificate and authorization signed by individual authorized in the expiration:... Date location be shipped within 5-7 Business days after processing release of patient information Vermont... Healing properties ; did bryan adams sing the first cut is the cheapest and way... Team at 813-916-0732 Avenue Norwalk, ca 90650 hca Florida Brandon Hospital offers several ways to access your medical?., Tremonton, UT 84337 863-7011 TDD ( 562 ) 863-1743 fax ( 562 863-7011. Purposes of furnishing consumer reports and is not affiliated with any government agency ID is required you looking... Questions you may not use this site for the convenience of our Hospitals or mail or fax your request records... Cornerstone of Community members, the authorization for release of Health information services solutions. At 801-581-2704 Case of emergency ) of Serving Kern County & # x27 ;.... Or mail your request PartyThis form is to be processed start date final. Hca Florida Brandon Hospital welcomes your suggestions and will answer any questions you visit. To disclose your records: e.g provider can request records AccessYour Brandon Regional records. Requests should only be made in urgent situations or from other physicians mailed. Care in the Case of emergency ) healthport accepts Visa, MasterCard, Express... The type of information you need have any questions you may fax this information to keep patients visitors...