Tracking Details - #3323

Tracking Information
Case No: 3129
Order Date: 01/30/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: 1 Health & Wellness, Inc.
1931 W. MLK Jr Blvd. Suite D
Tampa, FL 33607
Phone: (813) 252-9240 • Fax: 813-252-7556
Patient: Hugh Jackman
DOB: 11/11/1950 • SSN: ***-**-4516
1 Health & Wellness, Inc.
1931 W. MLK Jr Blvd. Suite D
Tampa, FL 33607
Phone: (813) 252-9240 • Fax: 813-252-7556
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
Medical Pending
File Name Uploaded Date Uploaded By
No documents found.
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 1/30/2026 1:51 PM
Loading request packet...