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How to use or fill out Request for Medical Staff Application (Pre-application) - tgh with DocHub
- Click ‘Get Form’ to open the Request for Medical Staff Application in our editor.
- Begin by entering today’s date at the top of the form. Fill in your full name, including any relevant titles (MD, DO, etc.), and your Social Security Number.
- Complete your office address details, including suite number, city, state, and zip code. Don’t forget to provide your office telephone and fax numbers along with your email address.
- Next, fill out your residence address and contact information. Indicate where you would like the application mailed by checking either 'Office' or 'Residence'.
- Provide details about your medical group affiliation and residency completion year. Indicate if you are board certified and include relevant years.
- Answer questions regarding your Florida medical license status and any other hospitals you are currently affiliated with. Be thorough to avoid processing delays.
- Finally, ensure all required documents are attached before submitting the application along with the $50 pre-application fee.
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How do I file a complaint with Tampa General Hospital?
Please submit a complaint via the Patient Concerns Complaints form below or call 813-844-7249. We will follow up on your matter thoroughly. The Patient Relations office is open Monday through Friday from 8:30 a.m. to 6 p.m. We are closed during the holidays and on weekends.
What is the legal name for Tampa General Hospital?
Terms such as we or our refer to Florida Health Sciences Center, Inc. d/b/a Tampa General Hospital.
How long does a hospital keep medical records in Florida?
0:04 0:28 Once youve logged. In select request records complete the requester. Information and the type ofMoreOnce youve logged. In select request records complete the requester. Information and the type of record.
How to request medical records from Tampa General Hospital?
To request medical records, please call 813-844-7533. Calls will be answered Monday through Friday between 9 a.m. and 4:30 p.m.
How long do hospitals have to retain medical records?
Hospitals in California must keep adult patient records for seven years after the last discharge date.
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What is the phone number for Tampa General Hospital billing?
For questions about your Tampa General Hospital bill, please email mybill@tgh.org or call Patient Financial Services at 813-844-7291, Monday - Friday, 9 a.m. - 4 p.m. MyChart users can also submit billing questions via their MyChart account by clicking Billing and then See Account Detail where users will see an
