Tracking Details - #7431

Tracking Information
Case No: 6151
Order Date: 03/14/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: Mount Sinai Hospital
Attn: Medical Records 1468 Madison Avenue
New York, NY 10029
Phone: 212-241-6500 • Fax: 212-534-3685
Patient: Johnathon Doe
DOB: 01/01/1990
Mount Sinai Hospital
Attn: Medical Records 1468 Madison Avenue
New York, NY 10029
Phone: 212-241-6500 • Fax: 212-534-3685
Current packet matches the recommended template: New York HIPAA Authorization Packet.
Johnathon Doe
DOB: 01/01/1990
Requested Records
Record Status
Billing Pending
Films Pending
Medical Pending
File Name Uploaded Date Uploaded By
HIPAA_Authorization_7431_p2_20260314013201.pdf 2026-03-14
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 3/14/2026 1:32 AM
Generation Dept - Printed Packet 3/14/2026 Yes 3/14/2026 5:32 AM
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