Patient Name
Sandra Doe
MRN
MRN20824
Status
Denied
Requesting From
Central Clinic
Requested Date
1/19/2026
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Sandra Doe, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Central Clinic. 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.
Can you confirm you received the documents I sent over last week?
We've initiated the request with your previous provider and are awaiting their response.
Hi, I'm just checking on the status of my record transfer. Any updates?
Certainly, we can provide you with a digital copy once the transfer is finalized.
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.
Thanks for your help, I really appreciate it.
We've received your consent form. The records should be transferred shortly.
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.
Is it possible to get a copy of the records sent to my email as well?
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.