2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSSubstance Reaction Severity Status
Reglan Unknown Unknown ActiveReglan

Substance	Reaction	Severity	Status
Reglan	Unknown	Unknown	Active

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Robin Blackwell
Auburn Montgomery Warhawk Health Services
Oct 19, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Oct 21, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Nov 21, 2022
NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
May 22, 20237461 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

TDap, [CPT-4: 90715]
10/19/2022
Hepatitis B, [CPT-4: 90746]
10/19/2022
Hepatitis B, [CPT-4: 90746]
11/21/2022
Hepatitis B, [CPT-4: 90746]
05/22/2023
TB test - IPPD, [CPT-4: SP86580]
10/19/2022
Immunization Injection Administration, [CPT-4: 90471]
10/19/2022
Immunization Injection Administration, [CPT-4: 90471]
05/22/2023
Immunization Injection Administration, [CPT-4: 90471]
11/21/20227461 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 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSName Date Status

TDap
10/19/2022
Completed
Hepatitis B
10/19/2022
Completed
Hepatitis B
11/21/2022
Completed
Hepatitis B
05/22/2023
CompletedTDapTR292GlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B337TCGlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B25K3MGlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis BNT9X3GlaxoSmithKline7461 East DrMontgomeryALUSLindseyBartonCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSNo Vitals Signs Selected to be DisplayedRESULTSResult Type Result Value Date

TB Read Only
Negative
10/21/2022NegativePLAN 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	Robin Blackwell	Auburn Montgomery Warhawk Health Services	Oct 19, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Oct 21, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Nov 21, 2022
NO CHARGE	Lindsey Barton	Auburn Montgomery Warhawk Health Services	May 22, 2023

Procedure	Date
TDap, [CPT-4: 90715]	10/19/2022
Hepatitis B, [CPT-4: 90746]	10/19/2022
Hepatitis B, [CPT-4: 90746]	11/21/2022
Hepatitis B, [CPT-4: 90746]	05/22/2023
TB test - IPPD, [CPT-4: SP86580]	10/19/2022
Immunization Injection Administration, [CPT-4: 90471]	10/19/2022
Immunization Injection Administration, [CPT-4: 90471]	05/22/2023
Immunization Injection Administration, [CPT-4: 90471]	11/21/2022

Name	Date	Status
TDap	10/19/2022	Completed
Hepatitis B	10/19/2022	Completed
Hepatitis B	11/21/2022	Completed
Hepatitis B	05/22/2023	Completed