Tracking Details - #116

Tracking Information
Case No: 76
Order Date: 08/14/2025
Due Date:
Template Packet: HIPAA Authorization Packet
Scope:
Location: St. Catherine of Siena Medical Center
Attn: Pulmonary Dept 50 Rt 25 A
Smithtown, NY 11787
Phone: None • Fax: None
Patient: Robert Downey Jr.
DOB: 04/06/1985 • SSN: ***-**-0628
St. Catherine of Siena Medical Center
Attn: Pulmonary Dept 50 Rt 25 A
Smithtown, NY 11787
Phone: None • Fax: None
Recommended for this case: New York HIPAA Authorization Packet via PacketTemplateDefault (LegacyDefault).
Robert Downey Jr.
DOB: 04/06/1985 • SSN: ***-**-0628
Requested Records
Record Status
Billing Fulfilled
Films Fulfilled
Medical Fulfilled
File Name Uploaded Date Uploaded By
HIPAA_Authorization_116_20250814192656.pdf 2025-08-14
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 8/14/2025 7:26 PM
Generation Dept - Printed Packet 8/14/2025 Yes 8/21/2025 7:37 PM
Generation Dept - Printed Packet 8/26/2025 Yes 8/26/2025 2:04 AM
Generation Dept - Printed Packet 9/2/2025 Yes 9/2/2025 6:07 PM
Sent - Fax to Custodian 9/8/2025 Sent Fax to none@concordsends.com. File=D:\RecuperaRSFiles\CaseFiles\76\RequestPackets\Tracking_116_RequestPacket.02.pdf No 9/8/2025 3:40 PM
Fax delivery confirmed 11/21/2025 Fax delivered (manual) No 11/21/2025 6:44 PM
Assigned To: 11/23/2025 Assigned To: UserNo=1006 [INITIAL] No 11/21/2025 6:44 PM
Received - All Records Received - Records Yes 2/17/2026 3:14 AM
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