Tracking Details - #7415

Tracking Information
Case No: 6150
Order Date: 03/02/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: Advanced Urology Center of New York C/O Vardaro & Associates, LLP (PRI)
732 Smithtown Bypass Suite 203
Smithtown, NY 11787
Phone: 631-361-9494 • Fax: 631-361-8752
Patient: John Smith
DOB: 12/25/1963 • SSN: ***-**-1234
Advanced Urology Center of New York C/O Vardaro & Associates, LLP (PRI)
732 Smithtown Bypass Suite 203
Smithtown, NY 11787
Phone: 631-361-9494 • Fax: 631-361-8752
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 2-17-04.rtf_20260302162037980.pdf 2026-03-02
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 3/2/2026 11:20 AM
Generation Dept - Printed Packet 3/2/2026 Yes 3/2/2026 4:20 PM
Created Shipping Label/Generated Tracking Number Shipping Label Created. FedEx Tracking Number: 794991618971 Yes 3/2/2026 4:21 PM
Packet printed (label + packet) Packet printed No 3/2/2026 4:21 PM
Delivered to custodian (carrier confirmed) 3/2/2026 Delivered (manual) No 3/2/2026 4:21 PM
Assigned To: 3/4/2026 Assigned To: UserNo=1006 [INITIAL] No 3/2/2026 4:21 PM
Order Closed Yes 3/10/2026 12:29 PM
Order Closed Yes 3/11/2026 3:30 PM
Loading request packet...