Tracking Details - #1209
Tracking Information
Case No: 1112
Order Date:
12/05/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Aaron Coppersmith, MD, Newtown Chiropractic
54 South Main Street
Newtown, CT 06470
Phone: 203-426-2490
• Fax: 203-426-8631
Patient: Oprah Winfrey
DOB: 12/16/1989
• SSN: ***-**-7667
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| NextDocument_20251205025748552.pdf | 2025-12-05 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/4/2025 9:57 PM |
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