2026 Consolidated CDA 1771 CONG WL DICKERSON DR.MONTGOMERYAL36109USCAMERONHURTCAMERONHURTAuburn 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 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 Jul 25, 2022
NO CHARGE Lindsey Barton Auburn Montgomery Warhawk Health Services Aug 01, 2022
NO CHARGE Robin Blackwell Auburn Montgomery Warhawk Health Services Aug 26, 2022
NO CHARGE Robin Blackwell Auburn Montgomery Warhawk Health Services May 26, 2023
7461 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 Services
PROCEDURES
ProcedureDate
CBC W/ DIFF (QUEST), [CPT-4: 6399] 07/22/2022
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439] 07/22/2022
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475] 07/22/2022
TDap, [CPT-4: 90715] 07/22/2022
Hepatitis B, [CPT-4: 90746] 08/26/2022
Hepatitis B, [CPT-4: 90746] 05/26/2023
Hepatitis B, [CPT-4: 90746] 07/25/2022
TB test - IPPD, [CPT-4: SP86580] 07/29/2022
TB test - IPPD, [CPT-4: SP86580] 07/22/2022
MMR TITER, [CPT-4: 5259] 07/22/2022
Immunization Injection Administration, [CPT-4: 90471] 05/26/2023
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 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 07/22/2022 Completed
Hepatitis B 07/25/2022 Completed
Hepatitis B 08/26/2022 Completed
Hepatitis B 05/26/2023 Completed
TDapXM2N7GlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B7B2YLGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B337TCGlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis BNT9X3GlaxoSmithKline7461 East DrMontgomeryALUSRobinBlackwellCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117US
VITAL SIGNS
DateHeightWeightBMIBlood PressureTemperaturePulsePulse OximetryRespiratory RateInhaled Oxygen ConcentrationHead Circumference PercentageBMI PercentageWeight to Length Percentage
07/22/2022180 cm109 kg33.64151/75 mm[Hg]36 Cel92 bpm99 pct16 bpm
RESULTS
Result TypeResult ValueDate
TB Read Only Negative 07/25/2022
TB Read Only Negative 08/01/2022
MEASLES AB (IGG), IMMUNE STATUS >300.00 07/26/2022
MUMPS VIRUS AB (IGG), IMMUNE STATUS 15.30 07/26/2022
RUBELLA AB (IGG), IMMUNE STATUS 7.00 07/26/2022
WHITE BLOOD CELL COUNT 9.3 07/26/2022
RED BLOOD CELL COUNT 6.92 07/26/2022
HEMOGLOBIN 16.9 07/26/2022
HEMATOCRIT 52.6 07/26/2022
MCV 76.0 07/26/2022
MCH 24.4 07/26/2022
MCHC 32.1 07/26/2022
RDW 17.4 07/26/2022
PLATELET COUNT 369 07/26/2022
MPV 9.2 07/26/2022
ABSOLUTE NEUTROPHILS 4817 07/26/2022
ABSOLUTE LYMPHOCYTES 3413 07/26/2022
ABSOLUTE MONOCYTES 651 07/26/2022
ABSOLUTE EOSINOPHILS 344 07/26/2022
ABSOLUTE BASOPHILS 74 07/26/2022
NEUTROPHILS 51.8 07/26/2022
LYMPHOCYTES 36.7 07/26/2022
MONOCYTES 7.0 07/26/2022
EOSINOPHILS 3.7 07/26/2022
BASOPHILS 0.8 07/26/2022
HEPATITIS B SURFACE AB IMMUNITY, QN <5 07/26/2022
VARICELLA ZOSTER VIRUS ANTIBODY (IGG) 505.30 07/26/2022
NegativeNegative>300.00<5
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