Tracking Details - #7438

Tracking Information
Case No: 6152
Order Date: 03/16/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: Cast & Crew
2300 West Empire Avenue
Burbank, CA 91504
Phone: (818) 860-7756
Patient: Eric Johnson
DOB: —
Cast & Crew
2300 West Empire Avenue
Burbank, CA 91504
Phone: (818) 860-7756
Current packet matches the recommended template: New York HIPAA Authorization Packet.
Eric Johnson
DOB: —
Requested Records
Record Status
Billing Pending
Films Pending
Medical Pending
File Name Uploaded Date Uploaded By
hipaa_fillable_20260316180111464.pdf 2026-03-16
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 3/16/2026 2:01 PM
Generation Dept - Printed Packet 3/16/2026 Yes 3/16/2026 6:01 PM
Fax sent 3/16/2026 Fax sent [RC:] Yes 3/16/2026 6:06 PM
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