Tracking Details - #1212
Tracking Information
Case No: 1112
Order Date:
12/05/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Planned Parenthood - Smithtown Health Center
70 Maple Avenue
Smithtown, NY 11787
Phone: (631) 361-7526
• Fax: 631-361-7678
Patient: Oprah Winfrey
DOB: 12/16/1989
• SSN: ***-**-7667
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| NextDocument_20251205032126986.pdf | 2025-12-05 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/4/2025 10:21 PM |
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