2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Jan 08, 2024
NO CHARGE
Joyce Williford
Auburn Montgomery Warhawk Health Services
Jan 11, 20247461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health ServicesPROCEDURESProcedure Date

VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]
01/08/2024
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]
01/08/2024
TDap, [CPT-4: 90715]
01/08/2024
Hepatitis B, [CPT-4: 90746]
01/11/2024
MMR TITER, [CPT-4: 5259]
01/08/2024
Immunization Injection Administration, [CPT-4: 90471]
01/11/2024
Immunization Injection Administration, [CPT-4: 90471]
01/08/2024
Influenza virus vaccine, [CPT-4: 90686]
01/08/2024
addtl immunization administration, [CPT-4: 90472]
01/08/20247461 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 devicesIMMUNIZATIONSName Date Status

TDap
01/08/2024
Completed
Influenza virus vaccine
01/08/2024
Completed
Hepatitis B
01/11/2024
CompletedTDapP5SR5GlaxoSmithKline7461 East DrMontgomeryALUSJoyceWillifordCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USInfluenza virus vaccineG2ML4GlaxoSmithKline7461 East DrMontgomeryALUSJoyceWillifordCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis BXS27BGlaxoSmithKline7461 East DrMontgomeryALUSJoyceWillifordCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

01/08/2024 37 CelRESULTSResult Type Result Value Date

MEASLES AB (IGG), IMMUNE STATUS
223.00
01/09/2024
MUMPS VIRUS AB (IGG), IMMUNE STATUS
111.00
01/09/2024
RUBELLA AB (IGG), IMMUNE STATUS
2.81
01/09/2024
HEPATITIS B SURFACE AB IMMUNITY, QN
9
01/09/2024
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)
493.00
01/09/2024PLAN 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	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Jan 08, 2024
NO CHARGE	Joyce Williford	Auburn Montgomery Warhawk Health Services	Jan 11, 2024

Procedure	Date
VARICELLA-ZOSTER VIRUS AB (IgG) (QUEST), [CPT-4: 4439]	01/08/2024
HEP B Surface Antibody, QUANTITATIVE (QUEST), [CPT-4: 8475]	01/08/2024
TDap, [CPT-4: 90715]	01/08/2024
Hepatitis B, [CPT-4: 90746]	01/11/2024
MMR TITER, [CPT-4: 5259]	01/08/2024
Immunization Injection Administration, [CPT-4: 90471]	01/11/2024
Immunization Injection Administration, [CPT-4: 90471]	01/08/2024
Influenza virus vaccine, [CPT-4: 90686]	01/08/2024
addtl immunization administration, [CPT-4: 90472]	01/08/2024

Name	Date	Status
TDap	01/08/2024	Completed
Influenza virus vaccine	01/08/2024	Completed
Hepatitis B	01/11/2024	Completed

Result Type	Result Value	Date
MEASLES AB (IGG), IMMUNE STATUS	223.00	01/09/2024
MUMPS VIRUS AB (IGG), IMMUNE STATUS	111.00	01/09/2024
RUBELLA AB (IGG), IMMUNE STATUS	2.81	01/09/2024
HEPATITIS B SURFACE AB IMMUNITY, QN	9	01/09/2024
VARICELLA ZOSTER VIRUS ANTIBODY (IGG)	493.00	01/09/2024