2026 Consolidated CDA PO BOX 20911MONTGOMERYAL36120USANASTASIAGAULKEANASTASIAGAULKEAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USPrimary Care Provider7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117US
ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies
MEDICATIONSNo known Medications
PROBLEMSNo known health problems
ENCOUNTERS
EncounterPerformerLocationDate
NO CHARGE Maranda Fain Auburn Montgomery Warhawk Health Services Jan 06, 2022
7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services
PROCEDURES
ProcedureDate
CBC W/ DIFF (QUEST), [CPT-4: 6399] 01/04/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439] 01/04/2022
TDap, [CPT-4: 90715] 01/04/2022
TB test - IPPD, [CPT-4: SP86580] 01/04/2022
MMR TITER, [CPT-4: 5259] 01/04/2022
FLU SHOT NON BILLABLE TO INSURANCE , [CPT-4: FLU] 01/04/2022
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 102MontgomeryAL361178092US
MEDICAL EQUIPMENTPatient has no history of implantable devices
IMMUNIZATIONS
NameDateStatus
TDap 01/04/2022 Completed
TDapM442PGlaxoSmithKline7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117US
VITAL SIGNS
DateHeightWeightBMIBlood PressureTemperaturePulsePulse OximetryRespiratory RateInhaled Oxygen ConcentrationHead Circumference PercentageBMI PercentageWeight to Length Percentage
01/04/2022168 cm79 kg28.24121/74 mm[Hg]37 Cel75 bpm99 pct20 bpm
RESULTS
Result TypeResult ValueDate
TB Read Only Negative 01/06/2022
MEASLES AB (IGG), IMMUNE STATUS <13.50 01/05/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS 55.80 01/05/2022
RUBELLA AB (IGG), IMMUNE STATUS <0.90 01/05/2022
WHITE BLOOD CELL COUNT 7.6 01/05/2022
RED BLOOD CELL COUNT 4.22 01/05/2022
HEMOGLOBIN 13.6 01/05/2022
HEMATOCRIT 39.8 01/05/2022
MCV 94.3 01/05/2022
MCH 32.2 01/05/2022
MCHC 34.2 01/05/2022
RDW 11.7 01/05/2022
PLATELET COUNT 271 01/05/2022
MPV 10.9 01/05/2022
ABSOLUTE NEUTROPHILS 4461 01/05/2022
ABSOLUTE LYMPHOCYTES 2402 01/05/2022
ABSOLUTE MONOCYTES 600 01/05/2022
ABSOLUTE EOSINOPHILS 99 01/05/2022
ABSOLUTE BASOPHILS 38 01/05/2022
NEUTROPHILS 58.7 01/05/2022
LYMPHOCYTES 31.6 01/05/2022
MONOCYTES 7.9 01/05/2022
EOSINOPHILS 1.3 01/05/2022
BASOPHILS 0.5 01/05/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG) 420.60 01/05/2022
Negative<13.50<0.90
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