2026 Consolidated CDA 2012 HOME PARK TRLPRATTVILLEAL36066USANGELICAKINGANGELICAKINGAuburn 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 07, 2022
NO CHARGE Maranda Fain Auburn Montgomery Warhawk Health Services Jan 10, 2022
7461 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] 01/06/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439] 01/06/2022
TDap, [CPT-4: 90715] 01/06/2022
TB test - IPPD, [CPT-4: SP86580] 01/07/2022
TB test - IPPD, [CPT-4: SP86580] 01/06/2022
HEPATITIS B SURFACE ANTIGEN W/REFL CONFIRM, [CPT-4: 498] 01/06/2022
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 01/06/2022 Completed
TDapM442PGlaxoSmithKline7461 East DrMontgomeryALUSMarandaFainCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117US
VITAL SIGNS
DateHeightWeightBMIBlood PressureTemperaturePulsePulse OximetryRespiratory RateInhaled Oxygen ConcentrationHead Circumference PercentageBMI PercentageWeight to Length Percentage
01/06/2022163 cm119 kg45.14142/98 mm[Hg]37 Cel81 bpm99 pct16 bpm
RESULTS
Result TypeResult ValueDate
TB Read Only Negative 01/10/2022
HEPATITIS B SURFACE ANTIGEN NON-REACTIVE 01/10/2022
WHITE BLOOD CELL COUNT 3.8 01/07/2022
RED BLOOD CELL COUNT 4.02 01/07/2022
HEMOGLOBIN 12.7 01/07/2022
HEMATOCRIT 38.9 01/07/2022
MCV 96.8 01/07/2022
MCH 31.6 01/07/2022
MCHC 32.6 01/07/2022
RDW 13.1 01/07/2022
PLATELET COUNT 349 01/07/2022
MPV 10.0 01/07/2022
ABSOLUTE NEUTROPHILS 1573 01/07/2022
ABSOLUTE LYMPHOCYTES 1813 01/07/2022
ABSOLUTE MONOCYTES 323 01/07/2022
ABSOLUTE EOSINOPHILS 61 01/07/2022
ABSOLUTE BASOPHILS 30 01/07/2022
NEUTROPHILS 41.4 01/07/2022
LYMPHOCYTES 47.7 01/07/2022
MONOCYTES 8.5 01/07/2022
EOSINOPHILS 1.6 01/07/2022
BASOPHILS 0.8 01/07/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG) 1287.00 01/07/2022
NegativeNON-REACTIVE
TREATMENT PLAN
NameTypeDate
SmokingCessation Smoking Cessation January 06, 2022
NutritionCounsel Nutrition Counseling January 06, 2022
PhysicalActivityCounsel Physical Activity Counsel January 06, 2022
Smoking CessationNutrition CounselingPhysical Activity Counsel
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