Tracking Details - #7410

Tracking Information
Case No: 6150
Order Date: 03/02/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: New Beginnings Associates, Inc
363 Route 111 Suite 103
Smithtown, NY 11787
Phone: (631) 265-3133
Patient: John Smith
DOB: 12/25/1963 • SSN: ***-**-1234
New Beginnings Associates, Inc
363 Route 111 Suite 103
Smithtown, NY 11787
Phone: (631) 265-3133
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_20260302110103.pdf 2026-03-02
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 3/2/2026 11:01 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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