Tracking Details - #71

Tracking Information
Case No: 50
Order Date: 10/29/2024
Due Date: 09/13/2025
Template Packet: HIPAA Authorization Packet
Scope:
Location: New York Sports and Joints
451 Main Street
New Rochelle, MA 1080
Phone: None • Fax: None
Patient: Margot Robbie
DOB: 02/24/1963 • SSN: ***-**-9278
New York Sports and Joints
451 Main Street
New Rochelle, MA 1080
Phone: None • Fax: None
Margot Robbie
DOB: 02/24/1963 • SSN: ***-**-9278
Requested Records
Record Status
Gym Membership Fulfilled
File Name Uploaded Date Uploaded By
HIPAA_Authorization_71_20251025171418.pdf 2025-10-25
Notice_of_Production_Tracking71_20250731231246.pdf 2025-07-31
Fax_Cover_Sheet_Tracking71_20250731230612.pdf 2025-07-31
HIPAA_Authorization_Tracking71_20250731225316.pdf 2025-07-31
HIPAA_Authorization_Tracking71_20250731225210.pdf 2025-07-31
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 7/30/2025 2:29 PM
Assigned To: 10/5/2025 Assigned To: UserNo=1006 No 10/3/2025 4:19 AM
Generation Dept - Printed Packet 10/25/2025 Yes 10/25/2025 9:14 PM
Called Facility sw jhgkjh Yes 11/28/2025 6:56 PM
Received - All Records Received - Records Yes 2/24/2026 3:52 PM
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