Patient Name
Deborah Gonzalez
MRN
MRN55401
Status
Denied
Requesting From
General Hospital
Requested Date
12/7/2025
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Deborah Gonzalez, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by General Hospital. 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).
Denial Reason
The request was denied due to an invalid or expired patient consent form. Please obtain a new consent form from the patient and resubmit the request.
Deductibles
Out-of-Pocket Max
Notes
Coverage terminated on 12/31/2023. Please check for new insurance.
I've uploaded the consent form you requested. Please let me know if you need anything else.
We've updated your address. We'll ensure the records are sent to the correct location.
I've uploaded the consent form you requested. Please let me know if you need anything else.
The transfer is complete. The records are now available for your specialist.
I have an appointment with the new specialist next month, so I'm hoping to have the records by then.