Samuel Ellis
 
 
 Samuel Ellis DOB: 1996 January 06 (53 yo M) Acc No. CR842859 
 2023 April 21, 9:09 AM 
  Samuel Ellis DOB: 1996 January 06 (53 yo M) Acc No. CR842859  DOS: 2020 February 17 
 Savani, Rajendra 
 JAX 
 53 Y old Male, DOB: 1996 January 06 
 Account Number: CR842859 
 SPINE&PAIN 
 1329 SOARING FLIGHT WAY, JACKSONVILLE, FL-32225-6828 
 CENTERS 
 Insurance: BCBS OF NORTH CAROLINA Payer ID: 59201 
 PCP: Unknown Referring: Referred Self 
 Appointment Facility: JAX SPINE & PAIN CENTERS 
 2020 February 17 
 Follow Up: Courtney Delaparte, APRN 
 Reason for Appointment 
 Current Medications 
 1. Neck pain 
 Taking 
 2. Low back pain 
 Tylenol 325 MG Tablet 1 tablet as 
 needed Orally every 4 hrs 
 History of Present Illness 
 Medication List reviewed and reconciled 
 HPI Neck: 
 with the patient 
 Respiratory: 
 Shortness of breath denies. 
 Vital Signs 
 Wheezing denies. 
 Pain scale: 8, Ht: 65 in, Wt: 185 lbs, BMI: 30.78 Index, Temp: 97.8 F, HR: 
 Cardiovascular: 
 63 /min, BP: 140/87 mm Hg, Oxygen sat %: 98 %. 
 Chest pain denies. 
 Palpitations denies. 
 Examination 
 Gastrointestinal: 
 General Exam: 
 Blood in Urine denies. Blood in 
 Constitutional no apparent distress, , well developed, well nourished. 
 stool denies. Change in bowel 
 Orientation alert oriented to time, oriented to place, , oriented to person. 
 Progress Note: Courtney Delaparte, APRN 2014 April 25 
 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) 
 Samuel Ellis DOB: 1996 January 06 (53 yo M) Acc No. CR842859 
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