Tracking Details - #1156
Tracking Information
Case No: 1094
Order Date:
10/20/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: 100% Chiropractic - Decatur
1605 Church St. Suite 665
Decatur, GA 30033
Phone: (404) 343-3304
• Fax: 2122131715
Patient: Idris Elba
DOB: 03/31/1951
• SSN: ***-**-7778
Requested Records
| Record | Status |
|---|---|
| Films | Pending |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_1156_20251021163956.pdf | 2025-10-21 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 10/20/2025 11:46 AM | ||
| Generation Dept - Printed Packet | 10/23/2025 | Yes | 10/23/2025 8:49 PM |
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