Tracking Details - #1186
Tracking Information
Case No: 1104
Order Date:
11/15/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Elma Pisano, Smithtown Psychotherapy, LCSW, LLP
285 Middle Country Road, Suite LL5
Smithtown, NY 11787
Phone: (631) 714-2011
• Fax: 631-656-6855
Patient: Taylor Swift
DOB: 12/25/2000
• SSN: ***-**-8420
Requested Records
| Record | Status |
|---|---|
| Attendance Records | Fulfilled |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| Juan Ochoa - Medical and Hospital Authorizations - Seguro v Seguro_20251115025512032.pdf | 2025-11-15 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 11/14/2025 9:55 PM | ||
| Generation Dept - Printed Packet | 11/19/2025 | Yes | 11/19/2025 2:53 AM | |
| Created Shipping Label/Generated Tracking Number | Shipping Label Created. FedEx Tracking Number: 794955349150 | No | 11/21/2025 6:43 PM | |
| Created Shipping Label/Generated Tracking Number | Shipping Label Created. FedEx Tracking Number: 794955349210 | No | 11/21/2025 6:43 PM | |
| Delivered to custodian (carrier confirmed) | 11/21/2025 | Delivered (manual) | No | 11/21/2025 6:43 PM |
| Assigned To: | 11/23/2025 | Assigned To: UserNo=1005 [INITIAL] | No | 11/21/2025 6:43 PM |
| Received - All Records | Received - All Records | Yes | 11/24/2025 4:31 AM |
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