Tracking Details - #1241

Tracking Information
Case No: 1112
Order Date: 12/08/2025
Due Date:
Template Packet: HIPAA Authorization Packet
Scope:
Location: Family Medicine at Smithtown, Northwell Health
9 brooksite dr
Smithtown, NY 11787
Phone: (631) 724-1331 • Fax: (631) 360-5646
Patient: Oprah Winfrey
DOB: 12/16/1989 • SSN: ***-**-7667
Family Medicine at Smithtown, Northwell Health
9 brooksite dr
Smithtown, NY 11787
Phone: (631) 724-1331 • Fax: (631) 360-5646
Oprah Winfrey
DOB: 12/16/1989 • SSN: ***-**-7667
Requested Records
Record Status
Audio Fulfilled
File Name Uploaded Date Uploaded By
NextDocument_20251208013709134.pdf 2025-12-08
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 12/7/2025 8:37 PM
Generation Dept - Printed Packet 12/8/2025 Yes 12/8/2025 1:37 AM
Received Email From Custodian see this please Yes 12/11/2025 9:56 PM
Received - All Records Received - All Records Yes 2/23/2026 6:15 PM
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