2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

BRIEF EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 08, 2020
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Oct 12, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Sep 05, 2023
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Sep 30, 20247461 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 ServicesPROCEDURESProcedure Date

Immunization Injection Administration, [CPT-4: 90471]
10/08/2020
Immunization Injection Administration, [CPT-4: 90471]
10/12/2022
Immunization Injection Administration, [CPT-4: 90471]
09/05/2023
Immunization Injection Administration, [CPT-4: 90471]
09/30/2024
Influenza virus vaccine, [CPT-4: 90686]
10/12/2022
Influenza virus vaccine, [CPT-4: 90686]
09/30/2024
Influenza virus vaccine, [CPT-4: 90686]
09/05/2023
Influenza virus vaccine, [CPT-4: 90686]
10/08/2020
COVID-19, mRNA, LNP-S, PF (Moderna), [CPT-4: 91301]
11/03/2021
COVID-19 Vaccine- Bivalent Booster- Pfizer, [CPT-4: 91312]
09/15/20227461 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 devicesIMMUNIZATIONSName Date Status

TDap
06/08/2017
Completed
COVID-19, mRNA, LNP-S, PF (Moderna)
11/03/2021
Completed
COVID-19 Vaccine- Bivalent Booster- Pfizer
09/15/2022
Completed
Influenza virus vaccine
10/12/2022
Completed
Influenza virus vaccine
09/05/2023
Completed
Influenza virus vaccine
09/30/2024
CompletedTDapU5561ABSanofi Pasteu7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19, mRNA, LNP-S, PF (Moderna)020F21AModerna US, Inc.7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USCOVID-19 Vaccine- Bivalent Booster- PfizerGH9702Pfizer, Inc7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USInfluenza virus vaccineM3R5BGlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USInfluenza virus vaccineG2ML4GlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USInfluenza virus vaccine72RF2GlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

10/08/2020 37 Cel
09/05/2023 36 Cel
09/30/2024 36 CelRESULTSLaboratory Values/Results: No Lab Result dataPLAN OF TREATMENTNo Treatment Plan Defined Goals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Encounter	Performer	Location	Date
BRIEF EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 08, 2020
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Oct 12, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Sep 05, 2023
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Sep 30, 2024

Procedure	Date
Immunization Injection Administration, [CPT-4: 90471]	10/08/2020
Immunization Injection Administration, [CPT-4: 90471]	10/12/2022
Immunization Injection Administration, [CPT-4: 90471]	09/05/2023
Immunization Injection Administration, [CPT-4: 90471]	09/30/2024
Influenza virus vaccine, [CPT-4: 90686]	10/12/2022
Influenza virus vaccine, [CPT-4: 90686]	09/30/2024
Influenza virus vaccine, [CPT-4: 90686]	09/05/2023
Influenza virus vaccine, [CPT-4: 90686]	10/08/2020
COVID-19, mRNA, LNP-S, PF (Moderna), [CPT-4: 91301]	11/03/2021
COVID-19 Vaccine- Bivalent Booster- Pfizer, [CPT-4: 91312]	09/15/2022

Name	Date	Status
TDap	06/08/2017	Completed
COVID-19, mRNA, LNP-S, PF (Moderna)	11/03/2021	Completed
COVID-19 Vaccine- Bivalent Booster- Pfizer	09/15/2022	Completed
Influenza virus vaccine	10/12/2022	Completed
Influenza virus vaccine	09/05/2023	Completed
Influenza virus vaccine	09/30/2024	Completed