Tracking Details - #7409

Tracking Information
Case No: 6150
Order Date: 03/02/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: Cecily Anto, MD
521 NY-111, Suite 306
Hauppauge, NY 11788
Phone: (631) 724-4455 • Fax: (631) 724-4490
Patient: John Smith
DOB: 12/25/1963 • SSN: ***-**-1234
Cecily Anto, MD
521 NY-111, Suite 306
Hauppauge, NY 11788
Phone: (631) 724-4455 • Fax: (631) 724-4490
Current packet matches the recommended template: New York HIPAA Authorization Packet.
John Smith
DOB: 12/25/1963 • SSN: ***-**-1234
Requested Records
Record Status
Billing Pending
Films Pending
Medical Pending
File Name Uploaded Date Uploaded By
HIPAA_Authorization_6150_20260302105927.pdf 2026-03-02
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 3/2/2026 10:59 AM
Generation Dept - Printed Packet 3/2/2026 Yes 3/2/2026 4:11 PM
Order Closed Yes 3/10/2026 12:29 PM
Order Closed Yes 3/11/2026 3:30 PM
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