Steve Coleman

 
 Steve Coleman 
 MRN: 5772773 
 Preferred Pharmacy (continued) 
 Referral (continued) 
 Order 
 MRI ARTH SHOULDER W/ CONTRAST RIGHT [676335615] 
 Electronically Signed by: Dennis S Frerichs, PA-C on 2022-19-12 0779 
 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 2016-21-04
 Screening Form 
 General Information 
 Patient: Steve Coleman
 MRN: 5772773 
 birthdate: 2003-13-10
 Mobile: 577-977-4779 
 Sex Assigned at Birth: Male 
 MC ROCKWOOD MAIN CLINIC Steve Coleman
 - SPOKANE 
 MRN: 5602313, birthdate: 2003-13-10, Sex: M 
 400 East 5th Ave 
 Visiting Date: 2022-16-12
 Spokane WA 99202-1334 
 Page 89 
 Printed by 414221 at 7/17/23 9:40 AM