Patient Name
Chris Roberts
MRN
MRN22588
Status
Denied
Requesting From
City Medical Center
Requested Date
1/19/2026
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Chris Roberts, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by City Medical Center. 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 have an appointment with the new specialist next month, so I'm hoping to have the records by then.
You're welcome. We're happy to help facilitate this process for you.
Can you confirm you received the documents I sent over last week?
We've received your consent form. The records should be transferred shortly.
Just confirming my new address is on file for the transfer.