Patient Name
Amy Hernandez
MRN
MRN19656
Status
Fulfilled
Requesting From
Suburban Health
Requested Date
5/17/2025
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Amy Hernandez, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Suburban Health. We require the last 24 months of clinical notes, lab results, and imaging reports to ensure a safe and effective transition to our practice.
Please expedite this request as the patient has an upcoming appointment for medication management. The signed patient consent form is attached to the electronic request sent via the health information exchange (HIE).
Deductibles
Out-of-Pocket Max
Just confirming my new address is on file for the transfer.
The transfer is complete. The records are now available for your specialist.
Just confirming my new address is on file for the transfer.
We've initiated the request with your previous provider and are awaiting their response.
Thank you for the update! When do you think it will be completed?