Patient Name
Matthew Moore
MRN
MRN53722
Status
Fulfilled
Requesting From
Suburban Health
Requested Date
2/28/2023
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Matthew Moore, 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
Is it possible to get a copy of the records sent to my email as well?
We've updated your address. We'll ensure the records are sent to the correct location.
Thank you for the update! When do you think it will be completed?
We've received your consent form. The records should be transferred shortly.
Hi, I'm just checking on the status of my record transfer. Any updates?
We've initiated the request with your previous provider and are awaiting their response.
Just confirming my new address is on file for the transfer.
We've received your consent form. The records should be transferred shortly.