Tracking Details - #3316

Tracking Information
Case No: 3129
Order Date: 01/29/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: 2 Feel Good Physical Therapy
95-08 Queens Blvd
Rego Park, NY 11374
Phone: 347-866-3491 • Fax: 718-275-0681
Patient: Hugh Jackman
DOB: 11/11/1950 • SSN: ***-**-4516
2 Feel Good Physical Therapy
95-08 Queens Blvd
Rego Park, NY 11374
Phone: 347-866-3491 • Fax: 718-275-0681
Current packet matches the recommended template: New York HIPAA Authorization Packet.
Hugh Jackman
DOB: 11/11/1950 • SSN: ***-**-4516
Requested Records
Record Status
Billing Pending
Films Pending
File Name Uploaded Date Uploaded By
No documents found.
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 1/29/2026 11:57 PM
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