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PDF Authorization for Protected Health Information (PHI) Hospital Patient Information: 508-941-7027. documentation (i.e. Call the release of information help desk at 508-830-2363 for more information. Obtain a Copy of Your Medical Record. SMG Brockton Internal Medicine - primary care, hospital ... Main Number: 508-427-3000. RAGHU R AMARAVADI M.D., NPI 1295969772 - Radiology in ... (9 days ago) Medical Records Signature Healthcare. Phone: (508) 587-4112. Brockton Neighborhood Health Center. Brockton. Patients of South Shore Hospital Welcome To Brockton Neighborhood Health Center Unfortunately, this service does not provide radiology films or copies of hospital bills. The Clerk also issues Yard Sale permits and Business Certificates. Boston, MA 02130-4817. Signature Healthcare Office of Development: 508-941-7078. There will be no charge if the records are sent directly to another health care facility to maintain continuity of care. Mon-Fri 8:30 am - 5:30 pm. TTY/TDD: 508-941-7715. Department specific information below: Administrative Administration: 617-506-2000 Admitting Office: 617-506-2170 Billing: 833-965-1616 Care Coordination Office: 617-506-4700 Human Resources: 617-506-2900 Interpreter Services: 617-506-4804 Lost and Found (Security): 617-506-2610 Media & Press: [email protected] Medical Records: 617-506-4608 Parking: 617-506-2401 We are always available to assist you, and we encourage you to contact UPMC Medical Education leadership with questions, concerns, or comments. Hospital,Address of medical records dept ,Phone Number for main hospital ,Phone Number for medical records,Medical Records Fax #,link to release form Arbor Hospital (JP),49 Robinwo. In order to receive copies of your medical record, you must submit a written, dated, and signed Medical Records Request Form, available for download on our website [pdf] or at Cape Cod Hospital and Falmouth Hospital. As a Steward Medical Group patient, our care for you goes beyond your doctor visit. 536 Washington St, Abington MA 02351. He has hospital affiliations with Northeast Hospital Corporation, Lahey Hospital . Steward Health Care, the nation's largest physician-owned and physician-led health care network, proudly recognizes Carney Hospital in being top-ranked for patient safety by the Leapfrog Group. Pediatrics. Phone. Medical Records Fax Number: 617-313-1355. Patient Hours. Our VA Brockton hospital My HealtheVet service is currently looking for long-term full-time/part-time (16 hours minimum) computer and Internet literate retiree volunteers to help our patients enroll into a free 24/7 accessible medical service portal account. Brockton Neighborhood Health Center 63 Main Street Brockton, MA 02301. If you are seeking . Patients can use their MyChart Portal to access their medical records, additional medical records can be requested by accessing a patient authorization form below. Mental health clinic: 909-825-7084 x7415. We manage and provide the medical records for most Shields MRI & PET/CT sites. Additional information Brockton Hospital . We have a hospital in the city of Brockton at 940 Belmont Street Brockton, MA 02301. 680 Centre Street . Please call the Clerk's Office at 508-580-7114 for fees. The City Clerk has custody of all birth, death, and marriage records pertaining to Brockton. Please allow five to ten days to process your request. 8:00 AM - 4:30 PM 8:00 AM - 4:30 PM 8:00 AM - 4:30 PM 8:00 AM - 4:30 PM 8:00 AM - 4:30 PM Closed Today Closed Today. Birth Certificate. Medical Records Email: healthinfo@bidmilton.org. Brockton MA 02301. Looking for Signature Healthcare Brockton Hospital in Brockton, MA? Norton 508-824-0243 option 2, Easton/Brockton 508-583-1400 option 2. Requests that come directly from physicians' offices for medical records will be expedited as needed. Birth/death certificates. 1 Pearl Street. Health (Just Now) All requests must be sent via the correct form, we cannot accept requests via email or phone .Please contact the Health Information Management Department (HIM) with questions: Hospital: 508-941-7069.Signature Medical Group: 508-894-0717. Rehab/Physical Therapy: 617-313-1143. The NPI number assigned to this provider is 1295969772. View info, ratings, reviews, specialties, education history, and more. For radiology films, call 508-828-7200 For billing questions, please contact the Steward Health Care . Please return Authorization to: Good Samaritan Hospital ATTN: HIM/ MEDICAL RECORDS 2425 SAMARITAN DR. SAN JOSE, CA 95124 Phone: 408-559-2434 Opt. Please submit your request via mail (directions below). To access language or LEP (Limited English Proficiency) services at no cost to you, call the number on your Insurance ID card or call (951) 683-6370. The Medical Records Department cannot provide copies of hospital bills. US. Request for Medical Records Portsmouth Hospital. Trident Medical Center - Patient Information. If you should have questions or need assistance filling out this form, please contact us at (207) 907-3600 or visit our Release of Information office anytime Monday through Friday from 7 a.m. to 4:30 p.m. Eastern. The NPI number assigned to this provider is 1063654564. Brockton, MA 02301 . Medical Records (Health Information Management) (408) 559-2434. (508) 897-6040. Patients have the right to review or, for a fee, receive copies of their medical records. Main Hospital Phone Number: 562.904.5000. It is a general medical and surgical facility. To receive a copy of your medical records: Please complete and sign an Authorization to Release Protected Health Information form. Compliance Helpline: 631-376-3065 Laboratory (Outpatient Services): 631-376-3173 Women's Imaging Center: 631-376-4440 Pastoral/Spiritual Care: 631-376-4103 Medical Education (Graduate): 631-376-4163 Volunteer Services: 631-376-4121 MySite Patient Portal Support Phone Number: 617-313-1278. DoctorFinder: 800-488-5959. Jerry L. Pettis Memorial Veterans' Hospital. Open 24/7. Good Samaritan Medical Center (Brockton, MA - 1.1 miles) Va Medical Center - Brockton Division (Brockton, MA - 3.0 miles) New England Sinai Hospital (Stoughton, MA - 3.2 miles) Signature Healthcare Brockton Hospital (Brockton, MA - 4.7 miles) DoctorFinder: 800-488-5959. 305 Broadway , Taunton MA 02780. Individuals may contact Broughton Hospital management (828-433-2324) regarding any concerns about patient care and safety in the hospital. Brockton Hospital Ma Medical Records. Directions. Trident Medical Center - Admitting/Registration. Ask your doctor for a records release form or have the doctor's office download and print the form for you to complete and sign. 11201 Benton Street. Our Emergency Department is one of the largest and busiest in Massachusetts, treating more than 62,000 patients per year. For after hours, to reach your physician's office directly please dial the number below: 508-222-3960 for Bradford Germain, MD. We are a 68-bed hospital providing treatment for depression , bipolar disorder , substance abuse & addiction , and other mental health disorders . Electronic Medical Records. Medical Records Mailing Address: 199 Reedsdale Road, Milton, MA 02186, Attn: Medical Records. The Signature Healthcare Brockton Hospital Emergency Department offers the community a trusted and reliable place to turn 24 hours a day, seven days a week. (843) 847-4000. She has hospital affiliations with Community Regional Medical Center, Riverside University Health System . 149 Slade's Ferry Blvd, Somerset MA 02726. Whether you need to refill a prescription, review laboratory results, contact your doctor's office, or pay a bill, we want to make being in touch with us as easy as possible. We ask that all patients come alone to their appointments if possible. Medical doctor records for Jean Lee include four resumes and five licences. 235 N. Pearl St. Brockton, MA 02301. a copy of the medical power of attorney, court order for Executor of Estate, or court order for guardianship. Medical Records Request Medical Records via Patient Gateway, or through fax, mail or phone. Brockton Neighborhood Health Center is a multicultural organization that collaborates with community agencies and residents to provide high quality comprehensive health care that is responsive to community health needs and is linguistically, culturally and financially accessible. COVID-19 Testing At Tristan Medical we are taking measures to ensure the safety of our patients and staff. Good Samaritan Medical Center 235 North Pearl St., Brockton, MA 02301 Norwood. We have extensive cleaning procedures in place and are limiting patients in our waiting rooms. Health (Just Now) The completed hospital authorization form can be faxed to 508-427-2209 or 508-427-2291. # 3 | Fax: 408-559-2611 Hearing Impaired TDD-TTY: 562.861.3130 Physician Requests. Find 6 Hospitals within 5.7 miles of Kindred Hospital Northeast - Stoughton. ATTENTION: We are not accepting in-person requests for medical records. UMass Memorial Medical Center > Patients & Visitors > Patient Resources > Medical Records Request Medical Record Requests Effective Thursday, March 19, 2020, any requests for or inquiries about patient medical records should be directed to the Health Information Management Department at 508-334-5700 or email medctrmr@umassmemorial.org . 508-222-2086 for Shazia Latif, MD. Read Less. Patients can use Mass General Brigham Patient Gateway to access their medical records and request additional records, or they may fax an authorization form to the Mass General Brigham Release of Information team at 617-726-3661.. 825 Washington Street, Suite 310. Patient Relations . Main phone: 617-232-9500. 63 Main Street. In addition to safeguarding the quality of our residency and fellowship programs, we want to ensure and enhance the educational experience of our residents and fellows. Hours of Operation Mon - Fri: 6:00am - 11:30pm Sat: 6:00am - 6:00pm Sun: 8:00am - 4:30pm 1-800-258-4674 Services: 1.5T MRI, 1.5T Open MRI, Prostate MRI . If you have any questions regarding your health information, please feel free to contact the Good Samaritan Medical Center's Health Information Department at 561.650.6281. If you have questions regarding your request please contact our Release of Information Specialist at: 781-261-4417. 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