2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

WELL VISIT NEW 18-39 YRS.
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 06, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Dec 08, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Dec 08, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 13, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Dec 15, 2022
NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Jan 11, 20237461 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 ServicesPROCEDURESProcedure Date

CBC W/ DIFF (QUEST), [CPT-4: 6399]
12/06/2022
Hepatitis B, [CPT-4: 90746]
12/08/2022
Hepatitis B, [CPT-4: 90746]
01/11/2023
TB test - IPPD, [CPT-4: SP86580]
12/13/2022
TB test - IPPD, [CPT-4: SP86580]
12/06/2022
Immunization Injection Administration, [CPT-4: 90471]
12/08/2022
Immunization Injection Administration, [CPT-4: 90471]
01/11/20237461 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

Hepatitis B
12/08/2022
Completed
Hepatitis B
01/11/2023
CompletedHepatitis B25K3MGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B25K3MGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn 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

12/06/2022 170 cm 109 kg 37.65 108/62 mm[Hg] 36 Cel 79 bpm 98 pct 16 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
12/08/2022
TB Read Only
Negative
12/15/2022
WHITE BLOOD CELL COUNT
6.8
12/07/2022
RED BLOOD CELL COUNT
4.79
12/07/2022
HEMOGLOBIN
12.4
12/07/2022
HEMATOCRIT
37.6
12/07/2022
MCV
78.5
12/07/2022
MCH
25.9
12/07/2022
MCHC
33.0
12/07/2022
RDW
16.1
12/07/2022
PLATELET COUNT
373
12/07/2022
MPV
9.1
12/07/2022
ABSOLUTE NEUTROPHILS
3203
12/07/2022
ABSOLUTE LYMPHOCYTES
2897
12/07/2022
ABSOLUTE MONOCYTES
585
12/07/2022
ABSOLUTE EOSINOPHILS
88
12/07/2022
ABSOLUTE BASOPHILS
27
12/07/2022
NEUTROPHILS
47.1
12/07/2022
LYMPHOCYTES
42.6
12/07/2022
MONOCYTES
8.6
12/07/2022
EOSINOPHILS
1.3
12/07/2022
BASOPHILS
0.4
12/07/2022NegativeNegativePLAN 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
WELL VISIT NEW 18-39 YRS.	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 06, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Dec 08, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Dec 08, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 13, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Dec 15, 2022
NO CHARGE	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Jan 11, 2023

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	12/06/2022
Hepatitis B, [CPT-4: 90746]	12/08/2022
Hepatitis B, [CPT-4: 90746]	01/11/2023
TB test - IPPD, [CPT-4: SP86580]	12/13/2022
TB test - IPPD, [CPT-4: SP86580]	12/06/2022
Immunization Injection Administration, [CPT-4: 90471]	12/08/2022
Immunization Injection Administration, [CPT-4: 90471]	01/11/2023

Name	Date	Status
Hepatitis B	12/08/2022	Completed
Hepatitis B	01/11/2023	Completed

Result Type	Result Value	Date
TB Read Only	Negative	12/08/2022
TB Read Only	Negative	12/15/2022
WHITE BLOOD CELL COUNT	6.8	12/07/2022
RED BLOOD CELL COUNT	4.79	12/07/2022
HEMOGLOBIN	12.4	12/07/2022
HEMATOCRIT	37.6	12/07/2022
MCV	78.5	12/07/2022
MCH	25.9	12/07/2022
MCHC	33.0	12/07/2022
RDW	16.1	12/07/2022
PLATELET COUNT	373	12/07/2022
MPV	9.1	12/07/2022
ABSOLUTE NEUTROPHILS	3203	12/07/2022
ABSOLUTE LYMPHOCYTES	2897	12/07/2022
ABSOLUTE MONOCYTES	585	12/07/2022
ABSOLUTE EOSINOPHILS	88	12/07/2022
ABSOLUTE BASOPHILS	27	12/07/2022
NEUTROPHILS	47.1	12/07/2022
LYMPHOCYTES	42.6	12/07/2022
MONOCYTES	8.6	12/07/2022
EOSINOPHILS	1.3	12/07/2022
BASOPHILS	0.4	12/07/2022