2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Claritin 10 mg tablet, [RxNorm: 206805]
12/16/2021
daily
Active
Celexa 10 mg tablet, [RxNorm: 284591]
12/16/2021
daily
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Jan 04, 20227461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

CBC W/ DIFF (QUEST), [CPT-4: 6399]
12/16/2021
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
12/16/2021
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
12/16/2021
TDap, [CPT-4: 90715]
12/16/2021
Hepatitis B, [CPT-4: 90746]
01/04/2022
TB test - IPPD, [CPT-4: SP86580]
12/16/2021
MMR TITER, [CPT-4: 5259]
12/16/2021
FLU SHOT NON BILLABLE TO INSURANCE , [CPT-4: FLU]
12/16/20217461 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
12/16/2021
Completed
Hepatitis B
01/04/2022
CompletedTDapM442PGlaxoSmithKline7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B7XY23GlaxoSmithKline7461 East DrMontgomeryALUSMarandaFainCRNPAuburn 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

12/16/2021 152 cm 66 kg 28.37 128/91 mm[Hg] 36 Cel 83 bpm 100 pct 16 bpmRESULTSResult Type Result Value Date

MEASLES AB (IGG), IMMUNE STATUS
>300.00
12/17/2021
MUMPS VIRUS AB (IGG), IMMUNE STATUS
180.00
12/17/2021
RUBELLA AB (IGG), IMMUNE STATUS
9.20
12/17/2021
WHITE BLOOD CELL COUNT
6.3
12/17/2021
RED BLOOD CELL COUNT
4.92
12/17/2021
HEMOGLOBIN
12.6
12/17/2021
HEMATOCRIT
39.2
12/17/2021
MCV
79.7
12/17/2021
MCH
25.6
12/17/2021
MCHC
32.1
12/17/2021
RDW
13.3
12/17/2021
PLATELET COUNT
319
12/17/2021
MPV
11.1
12/17/2021
ABSOLUTE NEUTROPHILS
3900
12/17/2021
ABSOLUTE LYMPHOCYTES
1562
12/17/2021
ABSOLUTE MONOCYTES
485
12/17/2021
ABSOLUTE EOSINOPHILS
284
12/17/2021
ABSOLUTE BASOPHILS
69
12/17/2021
NEUTROPHILS
61.9
12/17/2021
LYMPHOCYTES
24.8
12/17/2021
MONOCYTES
7.7
12/17/2021
EOSINOPHILS
4.5
12/17/2021
BASOPHILS
1.1
12/17/2021
HEPATITIS B SURFACE AB IMMUNITY, QN
5
12/17/2021
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
1241.00
12/17/2021>300.00TREATMENT PLANName Type Date

SmokingCessation
Smoking Cessation
December 16, 2021
NutritionCounsel
Nutrition Counseling
December 16, 2021
PhysicalActivityCounsel
Physical Activity Counsel
December 16, 2021Smoking CessationNutrition CounselingPhysical Activity CounselGoals 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

Medication	Start Date	Directions	Status
Claritin 10 mg tablet, [RxNorm: 206805]	12/16/2021	daily	Active
Celexa 10 mg tablet, [RxNorm: 284591]	12/16/2021	daily	Active

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	12/16/2021
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	12/16/2021
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	12/16/2021
TDap, [CPT-4: 90715]	12/16/2021
Hepatitis B, [CPT-4: 90746]	01/04/2022
TB test - IPPD, [CPT-4: SP86580]	12/16/2021
MMR TITER, [CPT-4: 5259]	12/16/2021
FLU SHOT NON BILLABLE TO INSURANCE , [CPT-4: FLU]	12/16/2021

Result Type	Result Value	Date
MEASLES AB (IGG), IMMUNE STATUS	>300.00	12/17/2021
MUMPS VIRUS AB (IGG), IMMUNE STATUS	180.00	12/17/2021
RUBELLA AB (IGG), IMMUNE STATUS	9.20	12/17/2021
WHITE BLOOD CELL COUNT	6.3	12/17/2021
RED BLOOD CELL COUNT	4.92	12/17/2021
HEMOGLOBIN	12.6	12/17/2021
HEMATOCRIT	39.2	12/17/2021
MCV	79.7	12/17/2021
MCH	25.6	12/17/2021
MCHC	32.1	12/17/2021
RDW	13.3	12/17/2021
PLATELET COUNT	319	12/17/2021
MPV	11.1	12/17/2021
ABSOLUTE NEUTROPHILS	3900	12/17/2021
ABSOLUTE LYMPHOCYTES	1562	12/17/2021
ABSOLUTE MONOCYTES	485	12/17/2021
ABSOLUTE EOSINOPHILS	284	12/17/2021
ABSOLUTE BASOPHILS	69	12/17/2021
NEUTROPHILS	61.9	12/17/2021
LYMPHOCYTES	24.8	12/17/2021
MONOCYTES	7.7	12/17/2021
EOSINOPHILS	4.5	12/17/2021
BASOPHILS	1.1	12/17/2021
HEPATITIS B SURFACE AB IMMUNITY, QN	5	12/17/2021
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	1241.00	12/17/2021

Name	Type	Date
SmokingCessation	Smoking Cessation	December 16, 2021
NutritionCounsel	Nutrition Counseling	December 16, 2021
PhysicalActivityCounsel	Physical Activity Counsel	December 16, 2021