Emily Barton

 
 Emily Barton 
 MRN: 5482483 
 Preferred Pharmacy (continued) 
 Referral (continued) 
 Order 
 MRI ARTH SHOULDER W/ CONTRAST RIGHT [676335615] 
 Electronically signed by: Dennis S Frerichs, PA-C on 08/03/2024 0489 
 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 03/11/2017
 Screening Form 
 General Information 
 Patient name: Emily Barton
 MRN: 5482483 
 DATE OF BIRTH: 14/05/1989
 Mobile: 548-948-4489 
 Sex Assigned at Birth: Male 
 MC ROCKWOOD MAIN CLINIC Emily Barton
 - SPOKANE 
 MRN: 5602313, DATE OF BIRTH: 14/05/1989, Sex: M 
 400 East 5th Ave 
 visiting date: 26/08/2022
 Spokane WA 99202-1334 
 Page 89 
 Printed by 414221 at 7/17/23 9:40 AM