Tracking Details - #7460

Tracking Information
Case No: 6160
Order Date: 03/26/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: 1-Park Avenue Ambulatory Medical PC
1045 Park Ave
New York, NY 10028
Phone: 973-419-0200 • Fax: 973-419-0223
Patient: Sofia Hernandez
DOB: —
1-Park Avenue Ambulatory Medical PC
1045 Park Ave
New York, NY 10028
Phone: 973-419-0200 • Fax: 973-419-0223
Current packet matches the recommended template: New York HIPAA Authorization Packet.
Sofia Hernandez
DOB: —
Requested Records
Record Status
Billing Pending
File Name Uploaded Date Uploaded By
Recupera_OnePager_20260326162914471.pdf 2026-03-26
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 3/26/2026 12:29 PM
Generation Dept - Printed Packet 3/26/2026 Yes 3/26/2026 4:29 PM
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