2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

mupirocin 2 % topical ointment, [RxNorm: 103570]
04/28/2025
APPLY A SMALL AMOUNT TO THE AFFECTED AREA BY TOPICAL ROUTE 3 TIMES PER DAY
Active
triamcinolone acetonide 0.1 % topical cream, [RxNorm: 1014318]
04/28/2025
APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY
Active
Macrobid 100 mg capsule, [RxNorm: 539712]
08/22/2024
TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD
Active
omeprazole 40 mg capsule,delayed release, [RxNorm: 201200]
06/10/2026
TAKE 1 CAPSULE (40 MG) BY ORAL ROUTE ONCE DAILY BEFORE A MEAL
Active
fluoxetine 20 mg capsule, [RxNorm: 104849]
12/18/2024
TAKE 1 CAPSULE BY MOUTH ONCE DAILY
Active
valacyclovir 1 gram tablet, [RxNorm: 212448]
04/14/2026
TAKE 1 TABLET (1,000 MG) BY ORAL ROUTE EVERY 12 HOURS
Active
Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]
03/03/2025
TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS
Active
Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]
03/03/2025
TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 4 HOURS as needed for cough/congestion
Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]
06/10/2026
TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS
Active
Aviane 0.1 mg-20 mcg tablet, [RxNorm: 750268]
06/10/2026

Active
omeprazole 40 mg capsule,delayed release, [RxNorm: 201200]
07/02/2026

Active
fluoxetine 40 mg capsule, [RxNorm: 261287]
04/14/2026
1 tab daily
Active
Wellbutrin XL 300 mg 24 hr tablet, extended release, [RxNorm: 993564]
04/14/2026
1 tab daily
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

INTERMEDIATE NEW PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Aug 22, 2024
INTERMEDIATE EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Dec 18, 2024
INTERMEDIATE EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Mar 03, 2025
INTERMEDIATE EST PT
Lindsey Barton
Auburn Montgomery Warhawk Health Services
Apr 28, 2025
NO CHARGE
Hayley Guthrie
Auburn Montgomery Warhawk Health Services
Sep 29, 2025
LIMITED EST PT
Breena Till
Auburn Montgomery Warhawk Health Services
Apr 14, 2026
INTERMEDIATE EST PT
Breena Till
Auburn Montgomery Warhawk Health Services
Jun 10, 2026
INTERMEDIATE EST PT
Breena Till
Auburn Montgomery Warhawk Health Services
Jul 02, 20267461 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 Services7461 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

UA, [CPT-4: 81003]
08/22/2024
UA, [CPT-4: 81003]
06/10/2026
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]
08/22/2024
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]
03/03/2025
Rocephin 1G, [CPT-4: J0696]
03/03/2025
Dexamethasone 4mg/ml, [CPT-4: J1100]
03/03/2025
Depo-Medrol 40mg/ml, [CPT-4: J1030]
03/03/2025
Immunization Injection Administration, [CPT-4: 90471]
09/29/2025
Influenza virus vaccine, [CPT-4: 90686]
09/29/20257461 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

Influenza virus vaccine
09/29/2025
CompletedInfluenza virus vaccine2CA5MGlaxoSmithKline7461 East DrMontgomeryALUSBreenaTillCRNPAuburn 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

08/22/2024 166 cm 111 kg 40.14 150/84 mm[Hg] 37 Cel 93 bpm 99 pct 19 bpm
12/18/2024 163 cm 111 kg 42.15 132/86 mm[Hg] 36 Cel 93 bpm 99 pct 16 bpm
03/03/2025 164 cm 104 kg 38.8 149/102 mm[Hg] 37 Cel 99 bpm 99 pct 18 bpm
04/28/2025 163 cm 99 kg 37.41 128/81 mm[Hg] 37 Cel 98 pct 12 bpm
09/29/2025 37 Cel
04/14/2026 163 cm 88 kg 33.38 148/100 mm[Hg] 37 Cel 90 bpm 98 pct 17 bpm
06/10/2026 163 cm 94 kg 35.75 150/97 mm[Hg] 37 Cel 96 bpm 99 pct 17 bpm
07/02/2026 163 cm 96 kg 36.5 138/94 mm[Hg] 37 Cel 97 bpm 98 pct 16 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
08/22/2024
Leukocytes-Urine
Negative
06/10/2026
Urobilinogen-Urine
Negative
08/22/2024
Urobilinogen-Urine
Negative
06/10/2026
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/22/2024
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/10/2026
pH of Urine by Test strip
5 [pH]
08/22/2024
pH of Urine by Test strip
5 [pH]
06/10/2026
Blood-Urine
Positive
08/22/2024
Blood-Urine
Negative
06/10/2026
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/22/2024
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/10/2026
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
08/22/2024
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
06/10/2026
Cesium-Urine
yes
08/22/2024
Specific Gravity of Urine by Test strip
1.020
08/22/2024
Specific Gravity of Urine by Test strip
1.015
06/10/2026
Bilirubin-Urine
Negative
08/22/2024
Bilirubin-Urine
Negative
06/10/2026
Nitrites-Urine
Negative
08/22/2024
Nitrites-Urine
Negative
06/10/2026
Appearance of Urine
clear
08/22/2024
Appearance of Urine
clear 
06/10/2026
Color of Urine
yellow
08/22/2024
Color of Urine
pale yellow
06/10/2026
SOURCE:
URINE
08/24/2024
STATUS:
FINAL
08/24/2024
RESULT:
Mixed genital flora isolated. These superficial bacteria are not indicative of a urinary tract infection. No further organism identification is warranted on this specimen. If clinically indicated, recollect clean-catch, mid-stream urine and transfer immediately to Urine Culture Transport Tube.
08/24/2024NegativeNegativeNegativeNegativeNegativeNegativePositiveNegativeNegativeNegativeNegativeNegativeyesNegativeNegativeNegativeNegativeclearclear yellowpale yellowURINEFINALMixed genital flora isolated. These superficial bacteria are not indicative of a urinary tract infection. No further organism identification is warranted on this specimen. If clinically indicated, recollect clean-catch, mid-stream urine and transfer immediately to Urine Culture Transport Tube.TREATMENT PLANName Type Date

REFERRAL
 East Montgomery Imaging Center-CT abdomen w/wo
July 09, 2026
REFERRAL
 East Montgomery Imaging Center-CT abdomen w/wo
July 09, 2026
REFERRAL
Capital City Gastroenterology  Capital City 
July 09, 2026
REFERRAL
Capital City Gastroenterology  Capital City 
July 09, 2026
REFERRAL
Capital City Gastroenterology  Capital City 
July 09, 2026
REFERRAL
UAB Multi Specialty Clinic  Gastroenterology Department
July 02, 2026
REFERRAL
UAB Multi Specialty Clinic  Gastroenterology Department
July 02, 2026
REFERRAL
 East Montgomery Imaging Center
July 02, 2026
REFERRAL
 East Montgomery Imaging Center
July 02, 2026
REFERRAL
Capital City Gastroenterology  Capital City 
July 09, 2026
REFERRAL
Capital City Gastroenterology  Capital City 
July 09, 2026
REFERRAL
Capital City Gastroenterology  Capital City 
July 09, 2026 East Montgomery Imaging Center-CT abdomen w/wo East Montgomery Imaging Center-CT abdomen w/woCapital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City UAB Multi Specialty Clinic  Gastroenterology DepartmentUAB Multi Specialty Clinic  Gastroenterology Department East Montgomery Imaging Center East Montgomery Imaging CenterCapital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City 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

Medication	Start Date	Directions	Status
mupirocin 2 % topical ointment, [RxNorm: 103570]	04/28/2025	APPLY A SMALL AMOUNT TO THE AFFECTED AREA BY TOPICAL ROUTE 3 TIMES PER DAY	Active
triamcinolone acetonide 0.1 % topical cream, [RxNorm: 1014318]	04/28/2025	APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY	Active
Macrobid 100 mg capsule, [RxNorm: 539712]	08/22/2024	TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD	Active
omeprazole 40 mg capsule,delayed release, [RxNorm: 201200]	06/10/2026	TAKE 1 CAPSULE (40 MG) BY ORAL ROUTE ONCE DAILY BEFORE A MEAL	Active
fluoxetine 20 mg capsule, [RxNorm: 104849]	12/18/2024	TAKE 1 CAPSULE BY MOUTH ONCE DAILY	Active
valacyclovir 1 gram tablet, [RxNorm: 212448]	04/14/2026	TAKE 1 TABLET (1,000 MG) BY ORAL ROUTE EVERY 12 HOURS	Active
Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]	03/03/2025	TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS	Active
Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup, [RxNorm: 1358993]	03/03/2025	TAKE 10 MILLILITERS BY ORAL ROUTE EVERY 4 HOURS as needed for cough/congestion	Active
Medrol (Pak) 4 mg tablets in a dose pack, [RxNorm: 834023]	06/10/2026	TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS	Active
Aviane 0.1 mg-20 mcg tablet, [RxNorm: 750268]	06/10/2026		Active
omeprazole 40 mg capsule,delayed release, [RxNorm: 201200]	07/02/2026		Active
fluoxetine 40 mg capsule, [RxNorm: 261287]	04/14/2026	1 tab daily	Active
Wellbutrin XL 300 mg 24 hr tablet, extended release, [RxNorm: 993564]	04/14/2026	1 tab daily	Active

Encounter	Performer	Location	Date
INTERMEDIATE NEW PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Aug 22, 2024
INTERMEDIATE EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Dec 18, 2024
INTERMEDIATE EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Mar 03, 2025
INTERMEDIATE EST PT	Lindsey Barton	Auburn Montgomery Warhawk Health Services	Apr 28, 2025
NO CHARGE	Hayley Guthrie	Auburn Montgomery Warhawk Health Services	Sep 29, 2025
LIMITED EST PT	Breena Till	Auburn Montgomery Warhawk Health Services	Apr 14, 2026
INTERMEDIATE EST PT	Breena Till	Auburn Montgomery Warhawk Health Services	Jun 10, 2026
INTERMEDIATE EST PT	Breena Till	Auburn Montgomery Warhawk Health Services	Jul 02, 2026

Procedure	Date
UA, [CPT-4: 81003]	08/22/2024
UA, [CPT-4: 81003]	06/10/2026
CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395]	08/22/2024
THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372]	03/03/2025
Rocephin 1G, [CPT-4: J0696]	03/03/2025
Dexamethasone 4mg/ml, [CPT-4: J1100]	03/03/2025
Depo-Medrol 40mg/ml, [CPT-4: J1030]	03/03/2025
Immunization Injection Administration, [CPT-4: 90471]	09/29/2025
Influenza virus vaccine, [CPT-4: 90686]	09/29/2025

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
08/22/2024	166 cm	111 kg	40.14	150/84 mm[Hg]	37 Cel	93 bpm	99 pct	19 bpm
12/18/2024	163 cm	111 kg	42.15	132/86 mm[Hg]	36 Cel	93 bpm	99 pct	16 bpm
03/03/2025	164 cm	104 kg	38.8	149/102 mm[Hg]	37 Cel	99 bpm	99 pct	18 bpm
04/28/2025	163 cm	99 kg	37.41	128/81 mm[Hg]	37 Cel	98 pct	12 bpm
09/29/2025	37 Cel
04/14/2026	163 cm	88 kg	33.38	148/100 mm[Hg]	37 Cel	90 bpm	98 pct	17 bpm
06/10/2026	163 cm	94 kg	35.75	150/97 mm[Hg]	37 Cel	96 bpm	99 pct	17 bpm
07/02/2026	163 cm	96 kg	36.5	138/94 mm[Hg]	37 Cel	97 bpm	98 pct	16 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Negative	08/22/2024
Leukocytes-Urine	Negative	06/10/2026
Urobilinogen-Urine	Negative	08/22/2024
Urobilinogen-Urine	Negative	06/10/2026
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/22/2024
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/10/2026
pH of Urine by Test strip	5 [pH]	08/22/2024
pH of Urine by Test strip	5 [pH]	06/10/2026
Blood-Urine	Positive	08/22/2024
Blood-Urine	Negative	06/10/2026
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/22/2024
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/10/2026
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	08/22/2024
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	06/10/2026
Cesium-Urine	yes	08/22/2024
Specific Gravity of Urine by Test strip	1.020	08/22/2024
Specific Gravity of Urine by Test strip	1.015	06/10/2026
Bilirubin-Urine	Negative	08/22/2024
Bilirubin-Urine	Negative	06/10/2026
Nitrites-Urine	Negative	08/22/2024
Nitrites-Urine	Negative	06/10/2026
Appearance of Urine	clear	08/22/2024
Appearance of Urine	clear	06/10/2026
Color of Urine	yellow	08/22/2024
Color of Urine	pale yellow	06/10/2026
SOURCE:	URINE	08/24/2024
STATUS:	FINAL	08/24/2024
RESULT:	Mixed genital flora isolated. These superficial bacteria are not indicative of a urinary tract infection. No further organism identification is warranted on this specimen. If clinically indicated, recollect clean-catch, mid-stream urine and transfer immediately to Urine Culture Transport Tube.	08/24/2024

Name	Type	Date
REFERRAL	East Montgomery Imaging Center-CT abdomen w/wo	July 09, 2026
REFERRAL	East Montgomery Imaging Center-CT abdomen w/wo	July 09, 2026
REFERRAL	Capital City Gastroenterology Capital City	July 09, 2026
REFERRAL	Capital City Gastroenterology Capital City	July 09, 2026
REFERRAL	Capital City Gastroenterology Capital City	July 09, 2026
REFERRAL	UAB Multi Specialty Clinic Gastroenterology Department	July 02, 2026
REFERRAL	UAB Multi Specialty Clinic Gastroenterology Department	July 02, 2026
REFERRAL	East Montgomery Imaging Center	July 02, 2026
REFERRAL	East Montgomery Imaging Center	July 02, 2026
REFERRAL	Capital City Gastroenterology Capital City	July 09, 2026
REFERRAL	Capital City Gastroenterology Capital City	July 09, 2026
REFERRAL	Capital City Gastroenterology Capital City	July 09, 2026