#### Encounter Detail

Add Tag
Add Referral
Tags:
Tag One Tag One
Referral:
Referral One
Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam.

# Back

##### Patient Profile

VIP

- Comment one..
- Comment one..

Edit

Name:Thomas Jones (F)

DOB:01/23/1980 (32 yrs)

Wt:40 lbs

Ht:5'5

BMI:24

P.Email:thomas@gmail.com

- P: thomas@gmail.com
- S: thomas_2@gmail.com

P.Phone:+1 (222) 333-1323

- P: +1 (222) 333-1323
- S: +1 (222) 333-1323

Race:Race:

Co-user:Parent

- Thomas Jones
- 01/23/1980 (65yrs) Father
- Edit

Address:Texas

- 2392 Cedar spring St, New york, Washington - 75555

Marital status:Single

- Payment Info:2122 +
  - Name of CC:
  - Thomas Jones
- IP Address:192.168.0.0.0

Name:

DOB: 26 years

Wt:

Ht:

BMI:

Email:

- S:
- S:
- S:

Phone:

- S:
- S:
- S:

Race:

Co-user:
Address:

- Zip Code:
- City:Kentucky
- State:Texas
- Street Number:9940 Taylor St

Marital status:

##### Consultation Detail

Date/Time:03/18/2021

Chief Complaint:Medical Practice

Visit Info:

Medical Team:Adam Knight, Monika Rana, Kavita Saha

Other Visits:
5

- 03/16/2021 - Strep Throat
- 03/16/2021 - Strep Throat
- 03/16/2021 - Strep Throat

##### Sticky Notes

Reject due to test

Created: TJ 12/12/2024

Edited: DrOshun

Reject due to test

See More

Reject due to test

Created: TJ 12/12/2024

Edited: DrOshun

Reject due to test

See More

###### Allergy

Penicillin
Sulfa drug
Peanut

###### MEDICAL CONDITION

Diabetes
Hypertension
Depression
Blood Pressure
Select Condition

###### FAMILY HISTORY

Diabetes
Hypertension
Depression
Blood Pressure

###### SOCIAL HISTORY

Smoking Daily 15-20

###### SURGICAL HISTORY

No Surgical History added

###### MEDICATION HISTORY

Azithromycin,Cefixime 500 mg x 4 tabs (2000 mg)
Doxycycline 100 mg bid for 7 days
Doxycycline 100 mg bid for 7 days
Doxycycline 100 mg bid for 7 days
Azithromycin,Cefixime 500 mg x 4 tabs (2000 mg)

1 Do you have any condition that may render you incompetent to make medical decisions?

No

2 Patient consent to prescribe an alternative medicine?

I have been informed that Rocephin Injection is the preferred treatment of gonorrhea. By continuing, I'm consenting to an oral alternative and will get an STD test in 3-4 weeks to make sure I'm cured

3 Do you have an allergy to any of these medicines Do NOT proceed if you have a penicillin or derivatives allergy?

I don't have a known allergy to a penicillin-based medicine

Preferred Rx

Valacyclovir 500 mg

Subscription: Yes/ 90-day Plan.

Home Delivery: By Ravkoo

Emergency dose: Yes

Chronic Rx

Doxycycline

100 mg PO BID for 7 days

- 01/20/2021. 09.45am. T.J

Doxycycline 100 mg bid for 10 days

Single visit: with 0 refills.

Home Delivery: By Ravkoo

Emergency dose: Yes

Chronic Rx

Doxycycline

100 mg PO BID for 7 days

- 01/20/2021. 09.45am. T.J

Lab Order

CMP, CBD, Hba1C

No additional Rx needed

See More

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Comment:

If any list all other medicines youre allergic to?

Chronic Rx

Doxycycline

100 mg PO BID for 7 days

- 01/20/2021. 09.45am. T.J

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Comment:

If any list all other medicines youre allergic to?

Chronic Rx

Doxycycline

100 mg PO BID for 7 days

- 01/20/2021. 09.45am. T.J

See Less

4 If any list all other medicines youre allergic to?

Hjj

5 What would you do if your symptoms do not resolve after this treatment?

5

I will get an STD test

6 Applicable treatment option price?

Triple Treatment (Chlamydia, Gonorrhea and Trich) Plus chlamydia and Gonorrhea Urine test (at your local LabCorp)

7 Leave a comment or feedback?

Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat.

8 Follow-up plan?

I have been informed to get an STD test 3-4 weeks after this treatment or sooner if my symptoms persist

Attachments

T_Form

3rd March '21

Details '21

3rd March '21

Image_123

3rd March '21

<div class=""> <p>Type here...</p> </div>
<div class=""> <p>Type here...</p> </div>
Chief complaint: Visit Type:
option1

##

General: Denies fever, chills. No c/o fatigue or malaise
HEENT:
Head: Denies headaches, vertigo, or dizziness. Denies head trauma
Eyes: Denies blurry vision, or diplopia
Ears: Denies change in hearing, tinnitus, or discharge
Nose: Denies runny nose, sneezing, and nasal congestion. Denies epistaxis
Mouth/Throat: Denies sore throat, gingival bleeding, dysphagia or tongue swelling.
Neck: Denies neck stiffness or pain
Chest: Denies cough, congestion, dyspnea, wheezing, or hemoptysis
Heart: Denies chest pains, palpitations, orthopnea.
Abdomen: Pt denies abdominal pain. Denies nausea or vomiting. no c/o diarrhea or constipation. Denies loss of appetite, dysphagia or melena.

##

Attachments:

Add
T_Form

Details '21

Image_123

##

Herpes
Ureaplasma
Gonorrhea

##

Herpes

- OJ I, hereby, acknowledge that Member Name is an active member on the plan
- OJ Member(Parent) is financially responsible for this service
- OJ i hereby authorize CC to automatically charge my credit card in the amount of xx or balance if my insurance fails to reimburse callondoc

Gonorrhea

- OJ I, hereby, acknowledge that Member Name is an active member on the plan
- OJ Member(Parent) is financially responsible for this service
- OJ i hereby authorize CC to automatically charge my credit card in the amount of xx or balance if my insurance fails to reimburse callondoc

Ureaplasma

- OJ I, hereby, acknowledge that Member Name is an active member on the plan
- OJ Member(Parent) is financially responsible for this service
- OJ i hereby authorize CC to automatically charge my credit card in the amount of xx or balance if my insurance fails to reimburse callondoc

Provider: Supervising Physician:
option1

1 Do you have any condition that may render you incompetent to make medical decisions?

No

2 Patient consent to prescribe an alternative medicine?

I have been informed that Rocephin Injection is the preferred treatment of gonorrhea. By continuing, I'm consenting to an oral alternative and will get an STD test in 3-4 weeks to make sure I'm cured

3 Do you have an allergy to any of these medicines Do NOT proceed if you have a penicillin or derivatives allergy?

I don't have a known allergy to a penicillin-based medicine

Encounter Date: 03/04/2022
Bill Date: 03/20/2022
Status:
Archived
Facility:
Visit Type:

Provider

Visit Type:
Other provider:
Billing provider:

Insurance Detail

Insurance: AmeriGroup TX
Active Member: Jonathan Homel
Member ID: 87T43143R314
Guarantor: None
Show Insurance ID Hide Insurance ID
Procedure code (CPT)
Diagnosis Codes (ICD-10)

##### Reject Visit

Select Reason
Select Reason
Action
Action
Comment

##### Notification

Patient name: Mark Hallen

Email: thomas@gmail.com

Date of Birth: 01/23/1980 (32 yrs)

Condition: Chlamydia

Comment Select Doctor
TJ
Standard
Priority
Suspend

##### Add Sticky Note

Permanent
Temporary

##### Add Comment

Outgoing Mail
Template
Template
To*
Record
Send to staff
Send as an attachment
Send as an Email
Email Subject*
Patient Name*
Date of birth*
Add Address, Phone, Email
Address:
Email
Phone
Header:
Body:
<div class=""> <p class="" style="font-size: 2rem;font-weight: 600;">To Whom It May Concern,<br/>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. <br><br> At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum.<br><br> Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet.</p> <!-- <a class="text-center" href="#"><img class="outline-none" src="images/close-outline.svg" alt="close"></a> --> </div>
Provider:
Select Provider
Generate the NPI
Apply Signature
Date*
Outgoing Mail
Template
MEDICAL IMAGING ORDER
To*
Save as Copy
Send to staff
Send as an attachment
Send as an Email
Email Subject*
Header*:
Patient Name*
Date of birth*
Add Address, Phone, Email

ORDER DETAILS

Test Name*
Diagnosis*
CPT Code
ICD 10
Order date*
Priority
Additional Note
Order Expiration Date:*

###### Imaging Facility

Facility Name*
Email*
Phone*
Fax*
Address*

Provider*
NPI
Apply Signature
Date
Outgoing Mail
Template
MEDICAL IMAGING ORDER
To*
Save as Copy
Send to staff
Send as an attachment
Send as an Email
Email Subject*
Header*:
Patient Name*
Date of birth*
Add Address, Phone, Email

LAB ORDER

Test Name*
Select Test
Test Code*
ICD 10
Order date*
Requisition number:
Billing Instructions*
Billing by Patient
Lab Order Expiration Date:
Comment

###### Lab Facility

Facility Name*
Email*
Phone*
Fax*
Address*

Provider*
NPI
Apply Signature
Date

##### Treatment Plan

Patient TP
Partner TP
<div class=""> <p class="absc">Hi Hery, <br/>After carefully reviewing your symptoms and medical health history, I was able to devise a treatment plan for you.</p> <a class="text-center" href="#"><img class="outline-none" src="images/close-outline.svg" alt="close"></a> <ul> <li>dsegh</li> </ul> </div>

###### Patient Treatment Plan

Hi Hery,
After carefully reviewing your symptoms and medical health history, I was able to devise a treatment plan for you.

###### Diagnosis:

- Herpes
- chlamydia
- Gonorrhea

###### Medical Instructions:

- Follow-up with me in one week
- Order the following lab test in one week. CBC,CMP
- Please followup with your OBGYN if your symptoms persist

###### Prescription

Azithromycin 500 mg bid for 2 days
Qty: 14
Refill: None
Azithromycin 500 mg bid for 2 days
Qty: 14
Refill: None

###### Your prescription has been sent to the address below:

Home Address:
OR
Pharmacy Address:

CVS 2222 Warren Ln, Dallas Tx 75300

###### Partner Treatment Plan

Hi Hery,
After carefully reviewing your symptoms and medical health history, I was able to devise a treatment plan for you.

###### Diagnosis:

- Herpes
- chlamydia
- Gonorrhea

###### Medical Instructions:

- Follow-up with me in one week
- Order the following lab test in one week. CBC,CMP
- Please followup with your OBGYN if your symptoms persist

###### Prescription

Azithromycin 500 mg bid for 2 days
Qty: 14
Refill: None
Azithromycin 500 mg bid for 2 days
Qty: 14
Refill: None

###### Your prescription has been sent to the address below:

Home Address:
OR
Pharmacy Address:

CVS 2222 Warren Ln, Dallas Tx 75300

##### Health Educational & Awareness

Condition based instructions/Refill instructions (no refill instruction for subscription condition)

Until your stye goes away on its own,try to:

Leave the sty alone.

Don't try to pop the stye or squeeze the ous from a stye. Doing so can cause the infection to spread.

Clean your eyelids.

Gently wash the affected eyelied with mild soap and water.

Place a warm washcloth over your closed eye.

To relieve pain, run warm water over a clean washcloth. Wring out the washcloth and place it over your closed eye. Re-wet the washcloth when it loses heat. Continue this for 5 to 10 minutes. Then gently massage the eyelid. Repeating this two to three times a day may encourage the stye to drain on its own.

Keep your eyes clean.

As disclosed, we don't complete prior authorization or any documentation required by insurance to cover the medicine.

Go without contact lenses.

Contact lenses can be contaminated with bacteria associated with a sty. If you wear contacts, try to go without them until your stye goes away.

##### Lab Requirements while taking this medication

Every three months:

- Conduct HIV blood test
- Report symptoms of STDs, acute HIV infection, and
- medication side effects
- Screen for STDs if you're sexually active or at high risk
- Assess pregnancy intent and conduct a pregnancy test (if applicable)
- Get a new 3-month prescription for PrEP

Every six months:

- Assess kidney function

### IMPORTANT:

Treatment and recommendations received on Callondoc are not intended to take the place of a regular doctor. To the extent medical treatment is provided to you, such treatment is based on the health data and information provided by you. We recommend a follow-up with a doctor or the ER for an in-person evaluation if your condition persists or worsens.

##### Learn more about [condition]

##### REVIEW THIS VISIT

Your feedback is highly valuable and important for our growth. Our growth comes from word of mouth.

##### Policies and Terms of use

##### Refund Policy

All services rendered by Callondoc are provided on a non-refundable basis once the service has been provided or prescription has been sent to the pharmacy. If you have any questions or concerns or would like to dispute or modify any part of the treatment plan, do not hesitate to email or text us in a timely manner

##### Chargeback Policy

You agree not to chargeback any credit card payment for services rendered. In the event that a customer files a chargeback or other payment dispute, they will be considered to be a violation of this agreement and may be subject to collection action. A collection fee of not less than $150, in addition to any fees that may be imposed by the outside collection agency or its legal representation

##### Paying For Prescription (Subscribers OR Subscriber)

Just like any doctor's office, our consultation fee does not include the medication. It's the patient's responsibility to pay for their medication out of pocket or with insurance at the pharmacy.
We hope that you understand and respect that we offer a service and not a physical product. Time has been spent taking care of your medical needs which is time away from other patients.

##### COVID/General Precautions

##### Postpone

By Hours
By Date
Set your Time
Select
Select Date:
Comment CMP, HbA1c, Lipid, CBC, TSH
Notify patient

##### CHRONIC MEDICATION

Custom Medication
Search Medication

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Doxycycline

##### Add Rx

Treatment Category
Select Category
Search Medication
Select Medication

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Chronic Rx

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Chronic Rx

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Chronic Rx

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Chronic Rx

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Chronic Rx

Doxycycline 100 mg PO BID for 7 days

Qty: 14 Tablets

Refill: None

Chronic Rx

Doxycycline

100 mg po bid for 7 days. Give 14 tabs with zero refills.

Doxycycline

100 mg po bid for 7 days. Give 14 tabs with zero refills.

comment

##### Subscription Tracker

Patient Information

Patient name:

Mark Hallen

Date of Birth:

01/23/1980 (32 yrs)

Email:

thomas@gmail.com

Phone:

+1 (222) 333-1323

Pharmacy Information

CVS Pharma

2392 Cedar spring St, City, State 75555

+1 (222) 333-1323

Search Medication
Selected Medication
Doxycycline Doxycycline
Written Date:
Days Supplied:
Due Date:
Lab Reminder
Comment

##### Message

Select Template
Dear Patient, Thank you for using Callondoc. The medication you're taking requires periodic lab monitoring to avoid adverse drug effects. We're prescribing a limited quantity today. Additional refill(s) will be prescribed after you get the test done You will not be charged additional lab fees. You will receive a lab referral slip via email. To avoid medication interruption, please get the test done in a timely manner. If you have access to lab reports from other doctors, please send us a copy via email: provider@callondoc.com Sincerely, Callondoc Medical Team

##### View message

Template
Select Template
Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat,

##### Schedule Labs

Patient name:

Mark Hallen

Date of Birth:

01/23/1980 (32 yrs)

Email:

thomas@gmail.com

Phone:

+1 (222) 333-1323

Comment

Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum.

##### Attach Labs

Attach Lab File Name 07/23/2021
Comment
Comment Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat
Resolve
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|  |  | Thomas Jones Thomas 2 | inbox Doctor dashboard medication functionality Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Imageimg.jpg Image +2 | 23-03-2021
|  |  | Thomas Jones Thomas 2 | Doctor dashboard medication functionality Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) | 23-03-2021
|  |  | Thomas Jones Thomas 2 | Doctor dashboard medication functionality Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) | 23-03-2021
|  |  | Thomas Jones Thomas 2 | Doctor dashboard medication functionality Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) | 23-03-2021

View all
My Inbox

|  |  | Thomas Jones Thomas 2 | inbox Doctor dashboard medication functionality Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Imageimg.jpg Image +2 | 23-03-2021
|  |  | Thomas Jones Thomas 2 | Doctor dashboard medication functionality Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) | 23-03-2021
|  |  | Thomas Jones Thomas 2 | Doctor dashboard medication functionality Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) | 23-03-2021
|  |  | Thomas Jones Thomas 2 | Doctor dashboard medication functionality Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) Doctor's Note- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg) | 23-03-2021

Back Mark as read Reply Forward

Thomas Jones

to me

Jun 7, 2021, 11:53 AM (14 hours ago)

Doctor's Note
- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)
- Doxycycline 100 mg bid for 7 days
+Add (To trigger doctor's note functionality)
Edit icon (to edit content)
Transmit (icon)
Sincerely,
TJ Oshun Chief Operating Officer
Office Phone: 214-305-2717
www.callondoc.com

Reply Forward
Quick Selection:
Schedule Message
30

Thomas Jones

to me
Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)

Jun 7, 2021, 11:53 AM (14 hours ago)

Doctor's Note
- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)
- Doxycycline 100 mg bid for 7 days
+Add (To trigger doctor's note functionality)
Edit icon (to edit content)
Transmit (icon)
Sincerely,
TJ Oshun Chief Operating Officer
Office Phone: 214-305-2717
www.callondoc.com

Reply Forward
Quick Selection:
Schedule Message

candidateReport.pdf

350kb

candidateReport.pdf

350kb

Thomas Jones

to me
Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)

Jun 7, 2021, 11:53 AM (14 hours ago)

Doctor's Note
- Azithromycin and Cefixime and MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)
- Doxycycline 100 mg bid for 7 days
+Add (To trigger doctor's note functionality)
Edit icon (to edit content)
Transmit (icon)
Sincerely,
TJ Oshun Chief Operating Officer
Office Phone: 214-305-2717
www.callondoc.com

Reply Forward
Quick Selection:
Schedule Message

##### Visit Detail

Reason: Do you have any condition that may render you incompetent to make medical decisions?

Ordered Prescription

- Azithromycin & Cefixime & MetroNIDAZOLE 500 mg x 4 tabs (2000 mg)

  - 01/20/2021. 09.45am. T.J

- Mucinex DM 30 mg-600 mg tablet, every 12 hrs. Give 30 tabs

  - 01/20/2021. 09.45am. T.J

1 Do you have any condition that may render you incompetent to make medical decisions?

No

2 Patient consent to prescribe an alternative medicine?

I have been informed that Rocephin Injection is the preferred treatment of gonorrhea. By continuing, I'm consenting to an oral alternative and will get an STD test in 3-4 weeks to make sure I'm cured

3 Do you have an allergy to any of these medicines Do NOT proceed if you have a penicillin or derivatives allergy?

I don't have a known allergy to a penicillin-based medicine

4 If any list all other medicines youre allergic to?

Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea.

5 What would you do if your symptoms do not resolve after this treatment?

I will get an STD test

6 Applicable treatment option price?

Triple Treatment (Chlamydia, Gonorrhea and Trich) Plus chlamydia and Gonorrhea Urine test (at your local LabCorp)

7 Leave a comment or feedback?

Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat.

8 Follow-up plan?

I have been informed to get an STD test 3-4 weeks after this treatment or sooner if my symptoms persist

Visit Note

Lorem ipsum dolor sit amet consectetur adipisicing elit. Corporis vitae odio excepturi nihil beatae qui laudantium molestias cum. Esse, nihil voluptatum error inventore perspiciatis rem nulla harum nemo. Praesentium, rerum?

Notification Board

Type | Subject | Auth0r | Created | Due Date
--- | --- | --- | --- | ---
Notes | Lorem ipsum dolor sit amet.Lorem ipsum dolor sit amet. | Dr. Darshan | 03-23-2021 06:30 | 03-23-2021
Notes | Lorem ipsum dolor sit amet.Lorem ipsum dolor sit amet. | Dr. Darshan | 03-23-2021 06:30 | 03-23-2021
Subscription | Lorem ipsum dolor sit amet.Lorem ipsum dolor sit amet. | Dr. Darshan | 03-23-2021 06:30 | 03-23-2021

Chief complaint: Medical Practice
Visit Type: Bonnie Wright

Subjective

General: Denies fever, chills. No c/o fatigue or malaise
HEENT: Head: Denies headaches, vertigo, or dizziness. Denies head trauma
Eyes: Denies blurry vision, or diplopia
Ears: Denies change in hearing, tinnitus, or discharge
Nose: Denies runny nose, sneezing, and nasal congestion. Denies epistaxis
Mouth/Throat: Denies sore throat, gingival bleeding, dysphagia or tongue swelling.
Neck: Denies neck stiffness or pain
Chest: Denies cough, congestion, dyspnea, wheezing, or hemoptysis
Heart: Denies chest pains, palpitations, orthopnea.
Abdomen: Pt denies abdominal pain. Denies nausea or vomiting. no c/o diarrhea or constipation. Denies loss of appetite, dysphagia or melena.

Objective

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Attachments:

T_Form

Details '21

Image_123

Assesment

Herpes
Ureaplasma
Gonorrhea

Plan

Herpes

- OJ I, hereby, acknowledge that Member Name is an active member on the plan
- OJ Member(Parent) is financially responsible for this service
- OJ i hereby authorize CC to automatically charge my credit card in the amount of xx or balance if my insurance fails to reimburse callondoc

Gonorrhea

- OJ I, hereby, acknowledge that Member Name is an active member on the plan
- OJ Member(Parent) is financially responsible for this service
- OJ i hereby authorize CC to automatically charge my credit card in the amount of xx or balance if my insurance fails to reimburse callondoc

Ureaplasma

- OJ I, hereby, acknowledge that Member Name is an active member on the plan
- OJ Member(Parent) is financially responsible for this service
- OJ i hereby authorize CC to automatically charge my credit card in the amount of xx or balance if my insurance fails to reimburse callondoc

1 Do you have any condition that may render you incompetent to make medical decisions?

No

2 Patient consent to prescribe an alternative medicine?

I have been informed that Rocephin Injection is the preferred treatment of gonorrhea. By continuing, I'm consenting to an oral alternative and will get an STD test in 3-4 weeks to make sure I'm cured

3 Do you have an allergy to any of these medicines Do NOT proceed if you have a penicillin or derivatives allergy?

I don't have a known allergy to a penicillin-based medicine

Encounter Date: 03/04/2022
Bill Date: 03/20/2022

Status:

Archived
Facility: Callondoc Medical Clinic
Visit Type: Tony James

Provider

Rendering provider: James James (NPI: 42323423232)
Other provider: Daniel Rover (NPI: 34323423232)
Billing provider: Tony James (NPI: 767323423232)

Insurance Detail

Insurance: AmeriGroup TX
Active Member: Jonathan Homel
Member ID: 87T43143R314
Guarantor: None

Procedure code (CPT)

99213: OFFICE OR OTHER OUTPATIENT VISIT 30-39 MINUTES

Diagnosis Codes (ICD-10)

R73.03: PREDIABETES 430.20: DIABETES

###### Warning!

You have an unread email associated with this encounter. Please resolve this issue before closing out this visit

###### Please verify pending
refills

No refill needed Refill sent

##### Call Schedule Message

Select Doctor
TJ
Message

###### Subscription Alert

Please set a subscription tracker before closing the chart

##### View Template

<html> <head> <style> body{ margin: 0; color: #34394D; font-family: "Roboto", sans-serif; } table{ width: 100%; border: 0 !important; } td{ padding: 20px; font-size: 15px; border: 0 !important; } table tr:nth-child(2n) td { background-color: #E8F7F8; } table tr:nth-child(4n) td { background-color: #FFF3E9; } td p{ font-size: 15px; font-weight: 700; margin: 0 0 10px 0; } ul{ padding-left: 10px; margin-bottom: 0; } ul li{ list-style: none; display: flex; align-items: baseline; } ul li img{ margin-right: 10px; } ul li:not(:last-child){ margin-bottom: 10px; } @media (min-width: 1800px){ td, td p{ font-size: 18px; } } </style> </head> <body> <table> <tr> <td>Hi Hery, <br> After carefully reviewing your symptoms and medical health history, I was able to devise a treatment plan for you.</td> </tr> <tr> <td> <p>HTN:</p> <ul> <li><img src="images/Icon ionic-md-send-blue.svg" alt=""> We recommend daily check, quarterly labs (based on selected freq), annual PCP</li> </ul> </td> </tr> <tr> <td> <p>DM:</p> <ul> <li><img src="images/Icon ionic-md-send-Black.svg" alt=""> Check you BG daily and Hba1c every 3- 6 months</li> </ul> </td> </tr> <tr> <td> <p>LABS:</p> <ul> <li><img src="images/Icon ionic-md-send-Orange.svg" alt=""> We're sending you to labs. No additional fee needed Because of the medication you take, we need you to order this test to conti to refill your Rx.</li> </ul> </td> </tr> </table> </body> </html>

##### Check Up

Medical Condition
CMP, HTN
Send Date
Freq
1
Monthly
Date:

04/20/2021 and Every 3 months

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##### Order Lab

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CMP, HTN
Due date:
Billing
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