Tracking Details - #7435

Tracking Information
Case No: 6151
Order Date: 03/14/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: NYU Langone
301 East 17th Street, 2nd Floor
New York, NY 10003
Patient: Johnathon Doe
DOB: 01/01/1990
NYU Langone
301 East 17th Street, 2nd Floor
New York, NY 10003
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_7435_p3_20260314130456.pdf 2026-03-14
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 3/14/2026 1:04 PM
Generation Dept - Printed Packet 3/14/2026 Yes 3/14/2026 5:05 PM
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