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
Jan 14, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jan 28, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jan 31, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Mar 04, 20227461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

CBC W/ DIFF (QUEST), [CPT-4: 6399]
01/11/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
03/04/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
03/04/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
01/11/2022
TB test - IPPD, [CPT-4: SP86580]
01/28/2022
TB test - IPPD, [CPT-4: SP86580]
01/11/2022
MMR TITER, [CPT-4: 5259]
03/04/20227461 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 devicesIMMUNIZATIONSNo immunization historyVaccinationVITAL 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 156 cm 103 kg 42.21 137/96 mm[Hg] 36 Cel 85 bpm 98 pct 16 bpmRESULTSResult Type Result Value Date

TB Read Only
Negative
01/14/2022
TB Read Only
Negative
01/31/2022
MEASLES AB (IGG), IMMUNE STATUS
146.00
03/07/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS
67.90
03/07/2022
RUBELLA AB (IGG), IMMUNE STATUS
3.84
03/07/2022
HEPATITIS B SURFACE AB IMMUNITY, QN
<5
03/07/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
270.80
03/07/2022
WHITE BLOOD CELL COUNT
9.8
01/12/2022
RED BLOOD CELL COUNT
4.81
01/12/2022
HEMOGLOBIN
12.6
01/12/2022
HEMATOCRIT
38.9
01/12/2022
MCV
80.9
01/12/2022
MCH
26.2
01/12/2022
MCHC
32.4
01/12/2022
RDW
14.2
01/12/2022
PLATELET COUNT
337
01/12/2022
MPV
13.0
01/12/2022
ABSOLUTE NEUTROPHILS
5263
01/12/2022
ABSOLUTE LYMPHOCYTES
3832
01/12/2022
ABSOLUTE MONOCYTES
568
01/12/2022
ABSOLUTE EOSINOPHILS
98
01/12/2022
ABSOLUTE BASOPHILS
39
01/12/2022
NEUTROPHILS
53.7
01/12/2022
LYMPHOCYTES
39.1
01/12/2022
MONOCYTES
5.8
01/12/2022
EOSINOPHILS
1.0
01/12/2022
BASOPHILS
0.4
01/12/2022NegativeNegative<5PLAN 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	Jan 14, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jan 28, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jan 31, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Mar 04, 2022

Procedure	Date
CBC W/ DIFF (QUEST), [CPT-4: 6399]	01/11/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	03/04/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	03/04/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	01/11/2022
TB test - IPPD, [CPT-4: SP86580]	01/28/2022
TB test - IPPD, [CPT-4: SP86580]	01/11/2022
MMR TITER, [CPT-4: 5259]	03/04/2022

Result Type	Result Value	Date
TB Read Only	Negative	01/14/2022
TB Read Only	Negative	01/31/2022
MEASLES AB (IGG), IMMUNE STATUS	146.00	03/07/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS	67.90	03/07/2022
RUBELLA AB (IGG), IMMUNE STATUS	3.84	03/07/2022
HEPATITIS B SURFACE AB IMMUNITY, QN	<5	03/07/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	270.80	03/07/2022
WHITE BLOOD CELL COUNT	9.8	01/12/2022
RED BLOOD CELL COUNT	4.81	01/12/2022
HEMOGLOBIN	12.6	01/12/2022
HEMATOCRIT	38.9	01/12/2022
MCV	80.9	01/12/2022
MCH	26.2	01/12/2022
MCHC	32.4	01/12/2022
RDW	14.2	01/12/2022
PLATELET COUNT	337	01/12/2022
MPV	13.0	01/12/2022
ABSOLUTE NEUTROPHILS	5263	01/12/2022
ABSOLUTE LYMPHOCYTES	3832	01/12/2022
ABSOLUTE MONOCYTES	568	01/12/2022
ABSOLUTE EOSINOPHILS	98	01/12/2022
ABSOLUTE BASOPHILS	39	01/12/2022
NEUTROPHILS	53.7	01/12/2022
LYMPHOCYTES	39.1	01/12/2022
MONOCYTES	5.8	01/12/2022
EOSINOPHILS	1.0	01/12/2022
BASOPHILS	0.4	01/12/2022