Tracking Details - #1183

Tracking Information
Case No: 1102
Order Date: 11/14/2025
Due Date: 11/14/2025
Template Packet: HIPAA Authorization Packet
Scope:
Location: Amjad M. Ali, M.D., CHPP Infectious Disease at Smithtown
48 Rte 25A Ste. 308
Smithtown, NY 11787
Patient: Scarlett Johansson
DOB: 12/04/1963 • SSN: ***-**-4450
Amjad M. Ali, M.D., CHPP Infectious Disease at Smithtown
48 Rte 25A Ste. 308
Smithtown, NY 11787
Scarlett Johansson
DOB: 12/04/1963 • SSN: ***-**-4450
Requested Records
Record Status
Cell Phone Records Fulfilled
File Name Uploaded Date Uploaded By
Recupera Purchase Order_20251114163512058.pdf 2025-11-14
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 11/14/2025 11:35 AM
Generation Dept - Printed Packet 11/14/2025 Yes 11/14/2025 4:35 PM
Emailed Request to Custodian Emailed Request Packet to joeperri89@gmail.com (RequestNo 3194) Yes 11/14/2025 7:23 PM
Received Email From Custodian test email please see attached Yes 11/19/2025 3:44 AM
Received - All Records Received - All Records Yes 11/19/2025 3:44 AM
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