2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSNo known MedicationsPROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date

NO CHARGE
Hayley Guthrie
Auburn Montgomery Warhawk Health Services
Nov 05, 2025
NO CHARGE
Hayley Guthrie
Auburn Montgomery Warhawk Health Services
Nov 12, 2025
NO CHARGE
Breena Till
Auburn Montgomery Warhawk Health Services
Dec 15, 20257461 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]
11/05/2025
Hepatitis B, [CPT-4: 90746]
11/12/2025
Hepatitis B, [CPT-4: 90746]
12/15/2025
MMR, [CPT-4: 90707]
12/15/2025
Immunization Injection Administration, [CPT-4: 90471]
11/05/2025
Hepatitis B Surf Ab Quant, [SNOMED CT: 006530]
11/05/2025
Measles/Mumps/Rubella Immunity, [SNOMED CT: 058495]
11/05/2025
Varicella-Zoster V Ab  IgG, [SNOMED CT: 096206]
11/05/2025
Immunization administration (1 vaccine), [CPT-4: 90471]
11/12/20257461 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

MMR
03/15/2004
Completed
MMR
02/05/2008
Completed
TDap
11/05/2025
Completed
Hepatitis B
11/12/2025
Completed
Hepatitis B
12/15/2025
Completed
MMR
12/15/2025
CompletedMMR7461 East DrMontgomeryALUSBreenaTillCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMR7461 East DrMontgomeryALUSBreenaTillCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USTDapPD324GlaxoSmithKline7461 East DrMontgomeryALUSBreenaTillCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis BT5D73GlaxoSmithKline7461 East DrMontgomeryALUSBreenaTillCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USHepatitis B9K34MGlaxoSmithKline7461 East DrMontgomeryALUSBreenaTillCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USMMRY011484Merck Co., Inc.7461 East DrMontgomeryALUSBreenaTillCRNPAuburn Montgomery Student Health Services7461 East DrMontgomeryAL36117USVITAL SIGNSNo Vitals Signs Selected to be DisplayedRESULTSResult Type Result Value Date

RUBELLA ANTIBODIES, IGG
2.34
11/06/2025
MEASLES ANTIBODIES, IGG
95.2
11/06/2025
MUMPS ABS, IGG
<9.0
11/06/2025
HEPATITIS B SURF AB QUANT
<3.5
11/06/2025
VARICELLA ZOSTER IGG
Non Reactive
11/06/2025<9.0<3.5Non ReactivePLAN 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	Hayley Guthrie	Auburn Montgomery Warhawk Health Services	Nov 05, 2025
NO CHARGE	Hayley Guthrie	Auburn Montgomery Warhawk Health Services	Nov 12, 2025
NO CHARGE	Breena Till	Auburn Montgomery Warhawk Health Services	Dec 15, 2025

Procedure	Date
TDap, [CPT-4: 90715]	11/05/2025
Hepatitis B, [CPT-4: 90746]	11/12/2025
Hepatitis B, [CPT-4: 90746]	12/15/2025
MMR, [CPT-4: 90707]	12/15/2025
Immunization Injection Administration, [CPT-4: 90471]	11/05/2025
Hepatitis B Surf Ab Quant, [SNOMED CT: 006530]	11/05/2025
Measles/Mumps/Rubella Immunity, [SNOMED CT: 058495]	11/05/2025
Varicella-Zoster V Ab IgG, [SNOMED CT: 096206]	11/05/2025
Immunization administration (1 vaccine), [CPT-4: 90471]	11/12/2025

Name	Date	Status
MMR	03/15/2004	Completed
MMR	02/05/2008	Completed
TDap	11/05/2025	Completed
Hepatitis B	11/12/2025	Completed
Hepatitis B	12/15/2025	Completed
MMR	12/15/2025	Completed

Result Type	Result Value	Date
RUBELLA ANTIBODIES, IGG	2.34	11/06/2025
MEASLES ANTIBODIES, IGG	95.2	11/06/2025
MUMPS ABS, IGG	<9.0	11/06/2025
HEPATITIS B SURF AB QUANT	<3.5	11/06/2025
VARICELLA ZOSTER IGG	Non Reactive	11/06/2025