Sharon Perry

 BRAVE HEALTH INC 1951 NW 7th Avenue, Suite 300
 OWENS, Shannon (id #92964, dob: 1989/28/06) 
 Encounter Date: 2016/17/09
 Patient 
 Name 
 OWENS, SHANNON (46yo, F)  
 Appt. Date/Time 
 2015/10/07
 DOB 
1989/28/06
 Service Dept. 
 Florida Eastern 
 Provider 
 ANNA LOSITO, LMFT 
 Insurance 
 Med Primary: HUMANA  
 Insurance # H06333xx 
 Med Mental Health: CARELON BEHAVIORAL HEALTH MEDICAID 
 Insurance # : H06333xx 
 Prescription: check now 
 Chief Complaint 
 MediCAID Assessment 
 Vitals 
 Vitals are not configured. 
 Allergies 
 None recorded. 
 Medications 
 Diazopam and cymbalta 60mg 2ce daily
 Vaccines 
 None recorded. 
 Problems 
 Reviewed Problems 
 Multiple sclerosis - Onset: 2016/05/04 
 Generalized anxiety disorder - Onset:2016/05/04 
 Major depressive disorder - Onset: 2016/05/04  
 Family History 
 Discussed Family History 
 Social History 
 Reviewed Social History 
 Brave Social History 
 Primary Residence-Current: Other
 Patient Lives With: Roommate 
 Relationship Status: Separated 
 Sexual Orientation: Heterosexual 
 Current Family Description: I have 1 son, 17 years old lives with his father 
 Major Familial Events: yes
 Any family history of physical health?: mother has Narcissistic, Pscyzo-affective disorder 
 DCFS Involvement: Previous Involvement Case No Longer Active  
 Developmental History: All developmental milestones met at appropriate age 
 Hobbies: love to cook 
 Brave Employment 
 Education Level/Academic History: Bachelor
 Employed Currently: Unemployed 
 Employment History is consistent: No 
 Adequate Financial Resources: No 
 Brave Substance Abuse 
 Current or past history of Substance Use? : No 
 Alcohol Use: No 
 Tobacco Use: No
