Forensic Accountability Report: December 26, 2023 HHS OCR Transaction No. CU-24-556884 – Signed Complainant Consent Form Submitted Same Day with Explicit “NOT my Medical Records” Notation and ADA Reasonable Accommodations Request (Single Consolidated Email Thread + Complaint Number in All Correspondences) Due to Brain Injury – Full Thread and Signed Form Preserved

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David Medeiros Returns Signed OCR Consent Form on the Same Day Received for Transaction CU-24-556884, Explicitly Withholds Authorization for Release of Medical Records, and Requests Reasonable Accommodations for Brain Injury (All Future Communications in a Single Consolidated Email Thread and Complaint Number Included in Every Message) – Read Receipts Confirm OCR Opened the Response – Complete Public Record