Richard Gonzalez

 
 Richard Gonzalez 
 MRN: 5572573 
 Preferred Pharmacy (continued) 
 Referral (continued) 
 Order 
 MRI ARTH SHOULDER W/ CONTRAST RIGHT [676335615] 
 signature: Dennis S Frerichs, PA-C on October 06, 2015 0579 
 Status: Completed 
 This order may be acted on in another encounter. 
 Ordering user: Dennis S Frerichs, PA-C 02/22/23 0949 
 Authorized by: Dennis S Frerichs, PA-C 
 Ordered during: Office Visit on July 03, 2015
 Screening Form 
 General Information 
 patient name: Richard Gonzalez
 MRN: 5572573 
 birthdate: January 08, 1998
 Mobile: 557-957-4579 
 Sex Assigned at Birth: Male 
 MC ROCKWOOD MAIN CLINIC Richard Gonzalez
 - SPOKANE 
 MRN: 5602313, birthdate: January 08, 1998, Sex: M 
 400 East 5th Ave 
 visit: September 18, 2014
 Spokane WA 99202-1334 
 Page 89 
 Printed by 414221 at 7/17/23 9:40 AM