2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Nov 01, 2021
NO CHARGE
Maranda Fain
Auburn Montgomery Warhawk Health Services
Nov 03, 20217461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

TB test - IPPD, [CPT-4: SP86580]
11/01/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
01/11/20227461 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

MMR
04/13/2021
Completed
MMR
05/05/2021
Completed
TDap
06/14/2021
CompletedMMR7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMR7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USTDap7461 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

01/11/2022 173 cm 68 kg 22.74 143/88 mm[Hg] 37 Cel 82 bpm 98 pct 18 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
11/03/2021NegativePLAN 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
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Nov 01, 2021
NO CHARGE	Maranda Fain	Auburn Montgomery Warhawk Health Services	Nov 03, 2021

Procedure	Date
TB test - IPPD, [CPT-4: SP86580]	11/01/2021
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	01/11/2022

Name	Date	Status
MMR	04/13/2021	Completed
MMR	05/05/2021	Completed
TDap	06/14/2021	Completed