2026 Consolidated CDA 2012 BERRY CHASE PLACEMONTGOMERYAL36117USAUMTESTAUMTESTAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USPrimary Care Provider7461 East DrMontgomeryALUSCarolStewartNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117US
ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies
MEDICATIONS
MedicationStart DateDirectionsStatus
amoxicillin 500 mg capsule, [RxNorm: 103869] 06/01/2017 TAKE 1 CAPSULE (500 MG) BY ORAL ROUTE EVERY 12 HOURS Active
fluoxetine 40 mg capsule, [RxNorm: 261287] 10/28/2019 1 po qd Active
Macrobid 100 mg capsule, [RxNorm: 539712] 10/28/2019 TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD Active
pravastatin 20 mg tablet, [RxNorm: 904469] 05/11/2017 qd Active
PROBLEMSNo known health problems
ENCOUNTERS
EncounterPerformerLocationDate
INTERMEDIATE EST PT Carol Stewart Auburn Montgomery Warhawk Health Services May 11, 2017
NO CHARGE Amy Morris Auburn Montgomery Warhawk Health Services May 16, 2017
LIMITED NEW PT Carol Stewart Auburn Montgomery Warhawk Health Services Jun 30, 2017
BRIEF EST PT Melodye Harvey Auburn Montgomery Warhawk Health Services Oct 10, 2017
INTERMEDIATE EST PT Carol Stewart Auburn Montgomery Warhawk Health Services Oct 24, 2019
NO CHARGE Lindsey Barton Auburn Montgomery Warhawk Health Services May 27, 2020
BRIEF EST PT Lindsey Barton Auburn Montgomery Warhawk Health Services Jul 28, 2020
NO CHARGE Lindsey Barton Auburn Montgomery Warhawk Health Services Jul 07, 2023
7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services
PROCEDURES
ProcedureDate
TSH (QUEST), [CPT-4: 899] 05/11/2017
STREP A, [LOINC: 18481-2] 11/28/2018
UA, [CPT-4: 81003] 10/28/2019
INFLUENZA Rapid Test, [CPT-4: 87804] 11/28/2018
ABSCESS I & D , [CPT-4: 10060] 05/27/2020
GC AND CHLAMYDIA COLLECTION, [CPT-4: 87801] 07/07/2023
CEFTRIAXONE 250MG, [CPT-4: CEFT25] 11/28/2018
KUB XRAY, [CPT-4: 74450] 11/28/2018
HEMOGLOBIN A1c, [CPT-4: 496] 03/31/2021
Abbott Cholestech LDX, [CPT-4: 82465] 02/28/2023
Visby STI Testing (CT/NG/TV), [CPT-4: 87801-QW] 07/07/2023
7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US
MEDICAL EQUIPMENTPatient has no history of implantable devices
IMMUNIZATIONSNo immunization historyVaccination
VITAL SIGNS
DateHeightWeightBMIBlood PressureTemperaturePulsePulse OximetryRespiratory RateInhaled Oxygen ConcentrationHead Circumference PercentageBMI PercentageWeight to Length Percentage
10/24/2019173 cm64 kg21.43108/70 mm[Hg]37 Cel76 bpm
RESULTS
Result TypeResult ValueDate
Leukocytes-Urine Positive 10/28/2019
Urobilinogen-Urine Negative 10/28/2019
Protein [Mass/Volume] in Urine by Test strip Positive mg/dL 10/28/2019
pH of Urine by Test strip 7 [pH] 10/28/2019
Blood-Urine Positive 10/28/2019
Ketones [Mass/Volume] in Urine by Test strip Negative mg/dL 10/28/2019
Glucose [Mass/Volume] in Urine by Test strip Negative mg/dL 10/28/2019
Specific Gravity of Urine by Test strip 1.010 10/28/2019
Bilirubin-Urine Negative 10/28/2019
Nitrites-Urine Positive 10/28/2019
Appearance of Urine cloudy 10/28/2019
Color of Urine yellow 10/28/2019
TB Read Only Negative 06/07/2018
PositiveNegativePositivePositiveNegativeNegativeNegativePositivecloudyyellowNegative
TREATMENT PLAN
NameTypeDate
Follow-Up Follow-up in 1 week May 11, 2017
Prescription TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD October 28, 2019
REFERRAL Central Alabama Ear, Nose, and Throat Associates VAUGHN, WALLACE May 18, 2017
REFERRAL Central Alabama Ear, Nose, and Throat Associates VAUGHN, WALLACE May 11, 2017
Follow-up in 1 weekTAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOODCentral Alabama Ear, Nose, and Throat Associates VAUGHN, WALLACE Central Alabama Ear, Nose, and Throat Associates VAUGHN, WALLACE
Goals SectionNo goal information
Health Concerns SectionNo Known Health Concerns on
INSTRUCTIONS
Clinical Instructions/Patient Decision Aids
ASSESSMENT OF PHYSICAL STATUS: Well developed/well nourished and appeared consistent with age at last visit. Clinical Instructions 05/11/2017
Aspirin regimin. Clinical Instructions 05/11/2017
Exercise. WALK 3 X WEEK Clinical Instructions 05/11/2017
Check fasting BS daily and a 2 hour post prandial twice weekly. Bring log to next appointment. Clinical Instructions 11/28/2018
ASSESSMENT OF COGNITIVE STATUS: Patient does not suffer from any cognitive limitations that could impair self-management. Clinical Instructions 11/28/2018
ASSESSMENT OF PHYSICAL STATUS: Well developed/well nourished and appeared consistent with age at last visit. Aspirin regimin.Exercise. WALK 3 X WEEKCheck fasting BS daily and a 2 hour post prandial twice weekly. Bring log to next appointment.ASSESSMENT OF COGNITIVE STATUS: Patient does not suffer from any cognitive limitations that could impair self-management.
SOCIAL HISTORY
Social History ElementDescriptionEffective Date
Smoking Status Current Some Day Smoker, [SNOMED-CT: 230059006], 1 packs per day 20170511
Birth Sex"Female""19580903"
FUNCTIONAL STATUSNo information
MENTAL STATUSNo information