2026 Consolidated CDA 59 LAKEWOOD TRACEWETUMPKAAL36093USRILEYRAYBORNRILEYRAYBORNEAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USPrimary Care Provider7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117US
ALLERGIES AND ADVERSE REACTIONS
SubstanceReactionSeverityStatus
PenicillinsUnknownUnknownActive
Sulfa (Sulfonamide Antibiotics)UnknownUnknownActive
CephalosporinsUnknownUnknownActive
PenicillinsSulfa (Sulfonamide Antibiotics)Cephalosporins
MEDICATIONS
MedicationStart DateDirectionsStatus
azelastine 137 mcg (0.1 %) nasal spray, [RxNorm: 1797871] 07/15/2022 Active
levocetirizine 5 mg tablet, [RxNorm: 855174] 07/15/2022 10mg daily Active
famotidine 20 mg tablet, [RxNorm: 1091399] 07/15/2022 daily Active
Singulair 10 mg tablet, [RxNorm: 153892] 07/15/2022 daily Active
Strattera 60 mg capsule, [RxNorm: 352321] 07/15/2022 daily Active
minocycline 75 mg tablet, [RxNorm: 404528] 07/15/2022 daily Active
PROBLEMSNo known health problems
ENCOUNTERS
EncounterPerformerLocationDate
NO CHARGE Lindsey Barton Auburn Montgomery Warhawk Health Services Jul 18, 2022
NO CHARGE Lindsey Barton Auburn Montgomery Warhawk Health Services Aug 02, 2022
NO CHARGE Robin Blackwell Auburn Montgomery Warhawk Health Services Aug 04, 2022
7461 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
CBC W/ DIFF (QUEST), [CPT-4: 6399] 07/15/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439] 07/15/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475] 07/15/2022
TB test - IPPD, [CPT-4: SP86580] 08/02/2022
TB test - IPPD, [CPT-4: SP86580] 07/15/2022
CBC, [CPT-4: 85025] 07/15/2022
MMR TITER, [CPT-4: 5259] 07/15/2022
TB SKIN TEST (2-STEP), [CPT-4: TB2] 08/02/2022
Visual Acuity, [CPT-4: 99173] 07/15/2022
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 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
07/15/2022165 cm73 kg26.62113/72 mm[Hg]37 Cel68 bpm98 pct16 bpm
RESULTS
Result TypeResult ValueDate
TB Read Only Negative 07/18/2022
TB Read Only Negative 08/04/2022
LeftUncorrected-Vision 20 07/15/2022
RightUncorrected-Vision 20 07/15/2022
MEASLES AB (IGG), IMMUNE STATUS 83.20 07/18/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS 26.10 07/18/2022
RUBELLA AB (IGG), IMMUNE STATUS 2.94 07/18/2022
HEPATITIS B SURFACE AB IMMUNITY, QN <5 07/18/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG) <135.00 07/18/2022
WHITE BLOOD CELL COUNT 3.6 07/16/2022
RED BLOOD CELL COUNT 4.90 07/16/2022
HEMOGLOBIN 14.5 07/16/2022
HEMATOCRIT 43.9 07/16/2022
MCV 89.6 07/16/2022
MCH 29.6 07/16/2022
MCHC 33.0 07/16/2022
RDW 13.0 07/16/2022
PLATELET COUNT 223 07/16/2022
MPV 11.3 07/16/2022
ABSOLUTE NEUTROPHILS 1732 07/16/2022
ABSOLUTE LYMPHOCYTES 1444 07/16/2022
ABSOLUTE MONOCYTES 346 07/16/2022
ABSOLUTE EOSINOPHILS 50 07/16/2022
ABSOLUTE BASOPHILS 29 07/16/2022
NEUTROPHILS 48.1 07/16/2022
LYMPHOCYTES 40.1 07/16/2022
MONOCYTES 9.6 07/16/2022
EOSINOPHILS 1.4 07/16/2022
BASOPHILS 0.8 07/16/2022
NegativeNegative<5<135.00
PLAN OF TREATMENTNo Treatment Plan Defined
Goals SectionNo goal information
Health Concerns SectionNo Known Health Concerns on
INSTRUCTIONSNo Known Instructions/Patient Education
SOCIAL HISTORYNo Social History Selected to be Displayed
FUNCTIONAL STATUSNo information
MENTAL STATUSNo information