Henry Swanson

 
 Henry Swanson 
 MRN: 5462463 
 Preferred Pharmacy (continued) 
 Referral (continued) 
 Order 
 MRI ARTH SHOULDER W/ CONTRAST RIGHT [676335615] 
 Electronically signed by: Dennis S Frerichs, PA-C on 2014 Aug 13 0469 
 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 2017 Jul 20
 Screening Form 
 General Information 
 patient: Henry Swanson
 MRN: 5462463 
 dob: 1987 Jan 16
 Mobile: 546-946-4469 
 Sex Assigned at Birth: Male 
 MC ROCKWOOD MAIN CLINIC Henry Swanson
 - SPOKANE 
 MRN: 5602313, dob: 1987 Jan 16, Sex: M 
 400 East 5th Ave 
 Visit: 2017 Jul 26
 Spokane WA 99202-1334 
 Page 89 
 Printed by 414221 at 7/17/23 9:40 AM