Medical History Grid

Dawn Widmayer

July 11, 2023

3522 Hollister

9282080920

Lake Havasu City, 86406

Web Designer

10/23/1967  5551111212

years ago

none

none

Medical History

No

no medication

no injuries or surgeries

conditions, are none

Dawn Widmayer

July 11, 2023

3522 Hollister

9282080920

Lake Havasu City, 86406

Web Designer

10/23/1967  5551111212

years ago

none

none

Medical History

No

no medication

no injuries or surgeries

conditions, are none

Dawn Widmayer

July 11, 2023

3522 Hollister

9282080920

Lake Havasu City, 86406

Web Designer

10/23/1967  5551111212

years ago

none

none

Medical History

No

no medication

no injuries or surgeries

conditions, are none let’s see what happens when we list out a ton of things

Dawn Widmayer

July 11, 2023

3522 Hollister

,

 

Medical History

Yes

allergies listed here

list medication here

major injuries

glaucoma etx

JANE DOE

July 12, 2023

1923 MCCULLOCH BLVD

9288543555

LHC, 86403

9288543555

NA

NA

07/12/2000 

07/2022

MCDONALD

Medical History

TONS

ALL MAJOR

No

Yes

No

Yes

Yes

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

JANE DOE

July 19, 2023

1923 MCCULLOCH BLVD

9288543555

LHC, AZ

86403

07/19/2000 

Medical History

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Debra Flerchinger

August 3, 2023

3497 Palo Verde Blvd N

805-423-0767

Lake Havasu, 86404

Retired

07/18/1959  539-60-0278

06/22/2022

Eric Wolfson

January 2023

Medical History

Yes

PCN Codeine

Zyrtec multivitamins Advil

C section 1990

No

Yes

Yes

Yes

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Joseph Baklicki

August 3, 2023

866 Manor Dr.

(626) 533-7991

Lake Havasu City, 86403

Same as Above

Retired

06/08/1962  573-02-2396

30 Years

Ken Williams

(949) 333-2999

December 2022

Medical History

Yes

Celebrex

ASPIRIN 81mg Daily
CLOMID 50 mg 5X/week
ESOMEPRAZOLE 40mg Daily
TRIAMTERENE-HCTZ 37.5-25 mg Daily
ANASTROZOLE 1mg 3X/Week
CIALIS 5mg Daily
TESTOSTERONE PELLETS/IMPLANT Every 5-6 months

Broken Rt. Ankle
Rt. Shoulder Surgery
Hernia Surgery
Gall Bladder Surgery
Dupuytren’s Surgery Both Hands

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yanira Gonzalez

August 3, 2023

1450 Tanqueray Dr Apt B

7606232870

Lake Havasu City, 86404

Counter Clerk

03201993  601312290

01302022

Megan Wiese

9288546249

022021

Medical History

Yes

None

Gall Bladder Surgery 02/14/2022

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Kristopher Jacobson

2040 Polaris dr

Lake havasu city, 86403

 

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

KRIS NAPER

August 7, 2023

2464 RAINBOW AVE N

928-208-0425

LAKE HAVASU CITY, 86403

OFFICE MGR/BOOKKEEPER

07/17/1968 

03/03/2021

DR MARIE O’HAVER

Medical History

Yes

CODIENE

PREGABALIN, CELECOXIB, MULTI VITAMIN, PROBIOTIC, CRANBERRY

TOO MANY TO LIST 🙁

No

Yes

?

Yes

?

No

Yes

No

?

No

?

No

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

Yes

Yes

Yes

No

No

No

Yes

No

Yes

Yes

Yes

No

?

Yes

?

No

Yes

No

JOHN NAPER

August 8, 2023

2464 RAINBOW AVE N

928-208-0450

LAKE HAVASU CITY, 86403

09/04/1966 

DR MARIE O’HAVER

Medical History

No

NONE

NONE

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

JANE DOE

August 9, 2023

1923 MCCULLOCH BLVD

9288543555

LHC, AZ

86403

08/09/2000 

Medical History

Yes

CODEINE

ASPRIN
XANAX
TYLENOL WITH CODEINE
OMEPROZOL
TRAMADOL

KNEE
HIP
FOOT
BRAIN

GLAUCOMA
CROSSED EYES
LAZY EYE

Brandi Holder

August 10, 2023

1902 Montana Vista

614-813-5762

Lake Havasu City, 86403

Data Integrity Coordinator

09/10/1979 

October 2021

Dr. Elizabeth Smith-Tryon

928-680-4233

4/2023

Medical History

No

Vicodine, Loritab

Potassium Chloride M-KLOR

Hysterectomy
Lasik

Astigmatism

No, Yes

No, ?

No, ?

No, ?

No, Yes

Yes, ?

No, Yes

No, Yes

No, Yes

No, Yes

No, ?

No, ?

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, ?

No, Yes

No, Yes

No, Yes

No, ?

No, Yes

No, ?

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, ?

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, ?

No, Yes

Bailey O’Rourke

August 16, 2023

1981 Hubbell Drive

928-302-8747

Lake Havasu City, 86404

928-764-3700

Food Team Lead Wal-Mart

02/18/1993  589-31-8797

10/01/2020

Havasu Eye Center

Over 5 years

Medical History

Yes

N/A

N/A

N/A

No

Yes

Yes

Yes

No

Yes

No

No

No

Yes

Yes

Yes

No

No

No

No

No

No

Yes

No

No

No

Yes

No

Yes

No

Yes

No

Yes

No

No

No

Yes

No

Yes

No

Yes

No

No

No

Yes

No

Yes

Yes

No

Tracie Powers

August 16, 2023

3110 Desert Plam Dr

562-965-4821

Lake Havasu City, 86404

registrar

07/20/1984  564855194

01/01/2015

tiarra sitzer

9288542568

08/16/2023

Medical History

Yes

bactrin

monjauro, fiber, multivitamin, xyzol

tonsils

n/a

No

Yes

No

No

No

No

No

No

No

No

No

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Alexis Beebe

August 16, 2023

3370 Pocahontas Drive

Lake Havasu City, 86404

9284860794

Tosha Beebe

None

08/28/2007  765-80-6124

Last year?

You or Adam’s?

Medical History

Yes

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Tatum Beebe

August 16, 2023

3370 Pocahontas Drive

9284860794

Lake Havasu City, 86404

10/08/2009  764-11-3003

Medical History

No

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Tatum Beebe

August 16, 2023

3370 Pocahontas Drive

9284860794

Lake Havasu City, 86404

10/08/2009  764-11-3003

Medical History

No

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Jessalyn Garcia

August 16, 2023

4155 Challenger Drive

9288462740

Lake Havasu City, 86406

05/13/2005 

8/2022

Tiarra Seltzer

(928) 854-2568

8/2022

Medical History

Yes

Amoxicillin/ rash

Kelnor

NA

N/A

No

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No, ?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Allan Murray

August 17, 2023

413 Tumamoc Dr

5157078777

Lake Havasu City, 86403

5157078777

08/03/1961  575-84-6576

2022

Branchec

11/22

Medical History

No

Atorvastatin

left hip replacement

N/A

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

Patricia A Abrams

August 21, 2023

2518 Inverness Drive

7756007442

Lake Havasu, 86404

Retired

11/03/1939  207302522

12/02/2021

none yet

08/13/2021

Medical History

No

Diclofenac, Co-Q 10, Fish oil, Ocuvite, Turmeric, Vit. D,C B Advil, Zinc

Total right hip replacement 2013

was told I had slight indication of dry macular degeneration

No

?

No

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

Yes, ?

No

No

Storm Moore

August 21, 2023

2701 Bluewater Dr. Apt.1

1-928-412-0540

Lake Havasu City, 86403

Tina Malecki/Arthur Moore

11/23/2011 

Sandra Bronni

1-928-854-1800

November or December of 2022

Medical History

Yes

Amoxicillin- rash and hives develope all over body.

Cetirizine, Flovent Inhaler, Fluticasone Spray, Albuterol Inhaler.

Yes, ?

Yes

Yes

Yes

No

Yes

No

No

No

No

Yes

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

Delilah Garcia

August 21, 2023

4155 Challenger Drive

9288462740

Lake Havasu City, 86406

Yesenia Garcia

06/30/2010 

8/2022

Tiarra Sitzer

928-854-2568

6/23

Medical History

No

Na

Na

Na

Na

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Angelina Garcia

August 21, 2023

4155 Challenger Drive

9288462740

Lake Havasu City, 86406

Yesenia Garcia

01/22/2007 

8/2022

Tiarra Sitzer

(92)854-2568

1/2022

Medical History

No

Kelnor

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

JANE DOE

August 21, 2023

1923MCCULLOCH BLVD

9288543555

LHC, AZ

86403

08/21/2000 

Medical History

Yes

PEPCID
MELATONIN
ALBUTEROL
XANAX

ASPRIN
DRAMAMINE
TYLENOL MIGRAINE
COUGH SYRUP

KNEE
HIP
BRAIN
SHOULDER

CROSS EYED
LAZY EYE
PROMINENT EYES

No

No

Yes

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Scott Degner

August 21, 2023

2511 Cielo Dr

9092576639

Lake Havasu, 86403

Retired

02/08/1960  550271274

09/30/2022

Joselyn Branchick

9288541800

Medical History

Yes

Morphine products

Bayer 81mg, Glucosamine/Chondroitin, Fish Oil, Metamucil,

Colon surgery 11/23/2009. Leg & Foot surgery 10/07/2021

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Laura Degner

August 21, 2023

2511 Cielo Dr

9284123349

Lake Havasu, 86403

9288541800

Retired

09/03/1964  318681614

09/30/2022

Joselyn Branchick

9288541800

Medical History

Yes

Tetracycline

Breo, Ventolin, Losartan, Levothyroxine, Bayer 81mg, D3, C, Zinc, Allergy Pill.

Eye Surgery 3/28/2001

No

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

Cindy Egilske

August 21, 2023

986 Wigwam Dr.

7606620294

Lake Havasu City, 86406

05/18/52  571901215

2021

Dr. Persaud

9284538500

2023

Medical History

No

Sulfa

Spirnolactone, Atorvastation, Levothyroxine, 18mg aspirin, B12, Calcium, Extra Strength Tylenol

Hysterectomy, Shoulder surgery, Nissan Fundoplication, Spinal Fusion

No

Yes

?

No

Yes

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

?

No

No

No

No

No

Yes

No

No

No

No

?

Joseph Egilske

August 21, 2023

986 Wigwam Dr.

9282309726

Lake Havasu City, 86406

02/26/48  352406828

ten years

Dr. Persaud

928 453 8500

2023

Medical History

No

Amlodipine, Lisinopril, Propanolol

shoulder surgery, knee replacement, spinal surgery

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

Lisa Archibald

August 21, 2023

3290 Kiowa Bl N

7145141336

Lake Havasu City, 86404

9284530715

Senior Program Assistant

05/21/1967 

Unknown

Riverview Vision

08/19/2023

Medical History

No

Eliquis, Furosemide, Klor-Con, Kisqali, Fasoldex, Xgeva
Omeprazole, Tylenol

Currently receiving active treatment for breast cancer, SVC syndrome and stent, thoracentesis, RVATS,

Right eye droop

No

No

Yes

No

No

No

No

No

?

Yes

?

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

Brennan Fox

August 22, 2023

801 Pueblo Dr

9288896624

Lake Havasu City, 86406

Danita Burns

01/07/2008 

October 2022

Medical History

No

Sulfameth/Trimethoprim

No

No

No

No

No

No

No

No

No, ?

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

Craig Wenner

August 22, 2023

2750 Barbara Drive

602-999-2182

Lake Havasu City, 86404

Finance

01/18/1976  3639657010

Medical History

No

N/A

N/A

N/A

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Darlene Adams

August 22, 2023

2894 Swanee Ln Lake Havasu City Az 86403

928-733-9070

Lake Havasu City Az. 86403, 86403

Cashier at Smiths Grocery store

03-14-1964  552633863

2 or 3 years ago

Medical History

Yes

Penicillin

A cyst on my ovary

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

David Pohl

August 22, 2023

3096 McCulloch Blvd N

928-706-3172

Lake Havasu City, 86403

Store Manager

07/19/1985  520-29-3015

2021

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

taylor smith

August 23, 2023

2790 osborn dr

lake havasu city, 86406

09202000 

over 2 yrs

Medical History

No

pantroprazole for gerd

na

No

No

No, Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Shawn Zuber

August 23, 2023

401 Cibola ln

928 486 6441

Lake Havasu City, 86403

8/6/68  501 96 7827

2 yrs

Medical History

Ocrevus

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Elizabeth Zuber

August 23, 2023

401 Cibola ln

9284866512

Lake Havasu City, 86403

Utility Lead

11/11/67  501984840

2 yrs

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Shelby Picken

August 23, 2023

2340 Mandalay dr

928-706-5416

Lake Havasu, 86404

928486-9832

Courtesy clerk

10/16/2000 

? At Riverview

She retired recently

2022

Medical History

No

Escitalopram
Ariprazole
Buspar

Eye surgery 2005

Lazy eye

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

Yes

No

No

No

No

Yes

No

Kole castellucci

August 23, 2023

3501 lasser lane lake havasu city Az 86406

9288460635

Lake havasu city, 86406

Sativa castellucci

05/18/2009 

1yr ago

North country

Summer 23

Medical History

No

No

No

No

?

No

?

No

No

No

?

No

?

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

AYLIN ZAMORANO

August 23, 2023

2480 palo Verde Blvd S #104

928 4860485

Lake Havasu City, 86403

MARGARITA ROBLES

03/14/2009  765 02 7703

Dr. Oyas

928 680 1919

Medical History

No

MedroxyProgesterone Acetate

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Dave

August 28, 2023

870 Bryce Place

619-675-3352

Lake Havasu City, AZ, 86406

928-855-1129

Manager / Sales

02/26/1962  190-46-7692

3 yrs ago

Dr. Aman K. Dalal, MD

623-244-0050

April 2023

Medical History

Yes

Penicillin

Biktarvi, Losartin

2017- Havasu Regional Medical Center – Emergency visit for high blood pressure and observation

None

?

Yes

Yes

Yes

?

Yes

No

Yes

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Makenzie Hakim

August 24, 2023

3140 Kearsage Dr #130

Lake Havasu City, 86406

928-733-9507

Amberlee Fisher

Student

11/17/2016 

8/1/2023

Changizzadeh

2/1023

Medical History

No

Hydoxizine
Amoxicillin

Failed school eye exam

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Jeff Bissell

August 27, 2023

3360 El Dorado Ave N

9512557401

Lake Havasu, 86406

Nurse

05/15/1966  556021084

Last year

Sarah Smith

928-854-7540

January of this year

Medical History

No

Lisinopril/Hctz. 20/12.5 mg as
Occasional Tylenol

Gastric bypass

Cataracts

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

Yes

No

No

Yes, ?

No

No

Yes, ?

No

Yes, ?

No

No

No

Yes, ?

No

Yes, ?

Yes, ?

Yes, ?

No

No

No

No

Yes, ?

No

No

Emma Betancourt

August 28, 2023

813 McCulloch Blvd S

9282087555

Lake Havasu City, 86406

Claudia Betancourt

Admin

08/24/2016 

Medical History

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Deborah Thorn

August 29, 2023

555 beachcomber Boulevard 246

909-565-6672

Lake Havasu City, Arizona, 86403

NA

NA

Retired

05131952  561-90-6672

October 2019

Kaiser Permanente SoCal

909-427-5

Medical History

Deborah, Thorn

August 29, 2023

555 Beachcomber Boulevard 246

909-565-66

Lake, Havasu city, Arizona, 86303

909-5 65-66

NA

Retired

05/13/1952  561-90-2187

October 2018

Kaiser Permanente SoCal

909/427-.

Medical History

Deborah Thorn

August 29, 2023

Lake, Havasu city, Arizona

909-565-6672

Lake, Havasu city, Arizona, 8&

Retired

05/:;;;;; 

Medical History

Deborah, Thorn

August 29, 2023

555

,

 

Medical History

Deborah, Thorn

August 29, 2023

555 Beachcomber Boulevard 246

909-565-6672

Lake Havasu City, Arizona,

 

Medical History

Lane Smith

August 29, 2023

3621 kiowa blvd N

6822295776

Lake Havasu City, 86404

Nicole Baldwin

11/20/2012 

September 2022

Medical History

No

No

No

Yes

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Lane Smith

August 29, 2023

3621 kiowa blvd N

6822295776

Lake Havasu City, 86404

Nicole Baldwin

11/20/2012 

September 2022

Medical History

No

No

No

Yes

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Stephanie Carney

August 29, 2023

474 Cheyenne Lane

Lake Havasu City, 86403

928.

Customer Service

05/11/1980 

August 2022

Lake Havasu Eye

Medical History

Yes

Cillins & Sulfas

None

None

None

No

Yes

Yes

Yes

Yes

Yes

No

Yes

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

Yes

Yes

Yes

No

No

Yes

No

Yes

Yes

Yes

No

No

Yes

No

No

Yes

Yes

No

Michael McGregor

August 30, 2023

2254 Runabout

9283020879

Lake Havasu, 86403

CSR

02/26/1987 

Medical History

No

Lauren McGregor

August 30, 2023

2254 Runabout Dr

928-458-0540

Lake Havasu City, 86403

Program Auditor

12/19/1986 

unknown

Dr. Sosey

08/28/2023

Medical History

No

24 hour seasonal allergy needs, Labetalol 100 2x daily, Losartan 50 mg once daily.

Yes

Yes

Bree-Anne Maloy

August 30, 2023

770 Churchill Bay

928-846-2704

Lake Havasu City, 86406

05/02/1988 

Medical History

Yes

Penicillin, Kepra, Depakote, latex

double hernia age 7, wisdom teeth extraction & gum graphing, head injury 2007, shoulder surgery October 2022

pink eye conjunctivitis, dry eyes

No

No

Yes

No

No

No

No

Yes

No

No

Yes

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

?

Heather Mendez

September 5, 2023

505 Baseline Rd., Apt. 1077

Tempe, 85283

N/a

10/30/1973  624164323

7/2/2021

6/2018

Medical History

Yes

Penicillin

N/a

Right ankle surgery with hardware

N/a

No

No

No

Yes

No

Yes

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

JOHN LOPES

September 5, 2023

PO BOX 34

4804152658

BOUSE, 85325

RETIRED

11121962  551198019

YEARS

BRAUNSTIEN

9286697371

06112023

Medical History

Yes

SULFA

METFORMIN,CARDIVAN,ASPRIN,STATIN,OXYBUTAL,LISINOPRIL

HIP SURGERY,APPENDIX,STROKE

Yes

Yes

No

?

No

?

Yes

Yes

JB Peters

September 5, 2023

PO Box 3742

785-806-2405

Quartszite, AZ, 85359

N/A

Retired

11-06-1939  512-34-7479

2021

Dr Vasquez

928-668-1833

5-11-2023

Medical History

Yes

Doxycycline. Metforman , stage three kidney disease

Eliquis, Tamsulosin, Finasteride, Levothyroxine,
Insulin
Levemir 32 units,Novolog 6 units, Ozempic once a week.5
I wear a Dexcom monitor

Stage 3 Kidney Disease, Enlarged prostrate, Diabetes
Valley Fever 4-14-22, Heart valve replacement, Discitis-spine surgery, Right knee replacement 6-25-20, Carpal tunnel, Heart bypass 6-25-18, Left knee replacement 2008, Rotator cuff surgery both shoulders, Gallbladder removal 1995, Appendix removal 1965

No

No

No

?

No

?

No

No

?

?

?

?

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

?

Yes

Yes

Yes

No

Yes

No

No

No

No

Yes

No

Yes

Jennifer Gereghty

September 6, 2023

1841 Rainbow S

9287068265

Lake Havasu City, 86403

9287630256

Respiratory

03141976  571493153

3 years ago

Medical History

Yes

Percucet, dulotied, morphine

None

Tonsils, Knee, Thyroid, Third degree Burns over 43% of the body.

I Burns 3 times

No

No

No

Yes

No

Yes

No

?

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

Yes

Yes

No

Yes

No

No

No

No

No

Yes

No

Donald Johanson

September 7, 2023

1734 Rainbow Ave S

(719) 330-6651

Lake Havasu City AZ, 86403

Retired

01/16/1958  326-54-7156

2021 ?

Dr. Walter Sosey

(928) 855-8071

6/7/2023

Medical History

Yes

Nitroglycerin

Ezerimibe (10mg), Allopurinal (100mg), Metoprolol Succinate (100mg), Crestor (20mg), Aspirin (81mg)

Tonsillectomy 1967?), Kidney Stone Surgery (1980), Bypass Surgery and Aortic Valve (2010),
Pacemaker (2023)

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Cherrilee McPherson

September 18, 2023

1842 Rainbow Ave S

619-607-1328

Lake Havasu City, 86403

Retired

10/20/1949  386-50-6563

8/24/22

Haylee Younis

928-208-4611

3/27/23

Medical History

Yes

penicillin
fentanyl

see separate sheet

blocked carotid artery 2022
broken leg, inserted rods and screws 2023

drooping eyelids
eye infections

?

?

No

No

No

?

?

No, ?

No

No

No

No, ?

No

Yes

No

Yes

No

Yes

No, ?

No, ?

?

Yes

No, ?

?

?

No, ?

?

No

Yes

Yes

No

Yes

Yes

Yes

No

Yes

?

No

Yes

No

No

Nancy Moreau

September 7, 2023

3368 Silver Saddle Dr

7607907919

Lake Havasu City, 86406

9288558661

Registrar

05261969  553856017

2 years ago

North Country

9288541800

1 year ago

Medical History

Yes

penicillin and sulfa

losartan/hctz 100 mg/ 25 mg

knee surgery 10/22
full hysterectomy 2010
gallbladder 6/1992
c-section 5/92
c-section 3/88
gallbladder 6/1992
c-sec

No

Yes

Yes

No

?

Yes

No

Yes

No

Yes

No

No

No

No

No

No

No

No

Yes

No

No

No

Yes

No

No

Yes

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

Kaitlyn Miller

2450 Camino Ln

Lake Havasu City, 86403

A&A electronics personnel

12/27/1992 

3 years ago

Blondena Miley

April 2023

Medical History

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Linda Neff

September 7, 2023

3245 Silversmith Drive

7602388237

Lake Havasu City, 86406

N/A

Retired

04/10/1952  563-90-1156

2021

Costco

Unknown

2022

Medical History

No

Amlodipine 5mg
Atorvastatin 10mg
Lisinopril 20 mg
Bisoprolo and Hydrochlorothiazide 10/6.25 mg
Supplements:
Magnesium Citrate 625 mg
Potassium + iodine 99mg/225mcg
Tumeric with Ginger
Zinc 50 mg
B-50
CoQ10 100mg
Probiotic
Noni
D-3 5000 IU
Nattokinase 200 mg
Melatonin 5 mg
Milk Thistle 700 mg
Astaxanthin 12 mg
NAC 600 mg
Quercetin 475 mg
Glutathione 500 mg

Tuberculosis 1953
Tonsillectomy 1959
Child birth 1970
Lumpectomy benign breast 1973
Hysterectomy 1994
Dental implant #5 2005
Freeze benign cyst breast 2009
Extraction #2 tooth, loose and starting to abscess 02/2021

Nono

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

?

No

No

Yes

No

No

No

No

No

No

No

Kaitlyn Miller

2450 Camino Ln

Lake Havasu City, 86403

A&A electronics personnel

12/27/1992 

3 years ago

Blondena Miley

April 2023

Medical History

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Katherine McCarty

September 11, 2023

544 Knobhill D

7074106892

Lake Havasu, 86403

Retired

06/11/1951  235-84-7777

?

Your. office

1month

Medical History

No

Breast cancer, hip surgery, knee replacement, appendix,

Cataracts, droopy eyelids

?

?

?

?

?

?

?

?

?

?

?

Yes

Alondra Alvarado

September 11, 2023

4155 Challenger Drive

9288462740

Lake Havasu City, 86406

Student

01/15/2003 

1 year ago

Tiarra Sitzer

6 months ago

Medical History

Yes

Azithromycin

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Jeffrey Martini

September 11, 2023

2770 Papeete Dr.

7026771616

Lake Havasu City, 86404

7026771616

Consultant

12-28-1955 

12-15-2020

Smith/Tryon

4-2023

Medical History

Yes

penicillin and sulfur based

metoprolol Plavix atorvastatin aspirin insulin

heart stints pacemaker

Yes

No

Yes

No

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No, ?

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No, ?

Yes

Yes

Yes

No, ?

Yes

Yes

Yes

Yes

Yes

Yes

No, ?

Yes

No

John Mascorro

September 11, 2023

3140 Kearsage Dr #113

9283024011

Lake Havasu City, 86406

9287642928

Christi Schweigert

Portfolio Manager

09/08/04  765448688

Ashley Powell

9288541800

Medical History

No

Claritin

No

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Ashley Wilson

September 11, 2023

3140 Kearsage Dr #113

9283024011

Lake Havasu City, 86406

9287642928

Christi Schweigert

Portfolio Manager

12/07/12  497554087

North Country Healthcare

9288541800

06/2023

Medical History

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Tina Inghram

September 11, 2023

2216 Sandwood Dr #G102

928-302-6912

Lake Havasu, 86403

GM

02/22/1965  556411947

2021

Medical History

No

No

Yes

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

kaydence wolterman

September 11, 2023

3005 Gatewood Dr

928-846-0454

Lake Havasu City, 86404

Vanessa Wolterman

student

12/13/2007 

unknown

Dr. Denise Sartori

928-854-0094

9/7/23

Medical History

No

none

12/2021 back surgery for scoliosis. T3-L4

none

No

No

Yes

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

Yes

No

Tina Scott

September 11, 2023

3636 Jamaica Blvd. S

928-846-9280

Lake Havasu City, 86406

9286803232

Business Owner

03/18/1969  562737661

2020

Dr. Burgener

2022

Medical History

Yes

Penicillin

No, ?

Yes

No

Yes

No

Yes

No

Yes

No

No

Yes

No

No

Yes

No

Yes

No

Yes

No

Yes

No

No

No

Yes

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

Joseph Beebe

September 13, 2023

3784 Buoy ln

928-230-6034

Lake Havasu, 86406

7022369672

Operations Supervisor

04/27/78  600964992

July 21

Veterans Administration

5057100

June 23

Medical History

No

Hernia repair x2

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

Lora Kubishta

September 13, 2023

414 Hagen Way

9282080568

Lake Havasu City, 86406

Retired

10/31/1948  557 72 2287

Medical History

No

cataracts

No

Yes

No

Yes

No

Yes

No

Yes

No

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

Yes

No

Larry Reeves

September 13, 2023

4270 Comstock dr

928-208-5997

Lake Havasu, 86406

Retired

07-18-1952  566-88-2478

2021

Riverview

April

Medical History

No

Lisinopril Metformin Januvia

Appendix ,Gall Bladder

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Shelby McGregor

September 14, 2023

2254 Runabout Dr

,

 

Medical History

No

Phoenix Larrison

September 15, 2023

2385 havasupai blvd.

5748356003

lake havasu city, 86403

5748356003

Abigail Larrison

12/10/2016 

last year

last year

Medical History

No

dental surgery

No

No

No

No

No

No

No

No

No

No

Yes

No

?

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Terry Francoise

September 15, 2023

2450 Jacob Row

760-434-4444

Lake Havasu, 86404

05/18/1946 

5 at Kaiser 2 at VA Toni Coleman primary

Sept 10 – Sept 13 4 exams

Medical History

No

Elliquis, Metropolo, Hadrazaline, Lipitor, Isosorbide, Amiodaroney, diuretic bumex. Just recently taken off Jardiance, Lisinopril, and amlodipine and 81mg aspirin.

Pulmonary Edema, Heart bypass quad

Recent retinal photographed, No neuropathy stated

No

?

No

?

No

?

No

?

No

?

?

No

No

No

No

No

No

No

?

No

No

No

Yes

No

Yes

No

?

No

?

No

?

No

No

?

No

No

No

No

Yes

?

No

Laura Cabral

September 18, 2023

2391, Shorewood Dr

9513152990

Lake Havasu City, 86403

Retired

01/25/1964 

2022

Dr McDonald

928-208-4611

Oct 2022

Medical History

No

Prilosec

No

Yes

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

Yes

?

David Cabral

September 18, 2023

2391 Shorewood Drive

951-445-1458

Lake Havasu, 86403

Retired

03-20-1964 

2022

Harrison McDonald

928-208-4611

10-2022

Medical History

No

Paroxetine

None

No

Yes

No

Yes

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

William ( Fred ) Snyder

September 18, 2023

3143 mescalero Dr. LHC AZ 86404

562-743-3203

Lake Havasu City, 86404

Retired

07/21/1950 

05-17-2017

Long Beach, VA

08-16-2023

Medical History

No

Leflunomide 20mg
Allopurinol 100mg

None

No

No

No

No

No

?

No

No

No

No

?

No

No

?

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

?

No

No

No

?

No

No

No

No

No

No

No

Michael de Grasse

1799 Willow Av

Lake Havasu City, 86403

retired

3-9-48  548747283

2017

unk

8-31-23

Medical History

No

Ibuprofen, anti-inflamatory

Spinal decompression; left ankle joint replacement

Fuzzy vision, both near and far, as of late.

No

?

Yes

Yes

No

No

No

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

?

No

No

Yes

No

Darren Bond

September 18, 2023

945 Molly Gibson Dr

8054333952

Lake Havasu City, 86406

Manager

11/10/1966  XXX XX 9020

September 2022

2 weeks ago

Medical History

Yes

amoxicillin

Partial right knee replacement
Left side hernia

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Steven LeProhon

September 19, 2023

3290 Kiowa Bl N

9285755039

Lake Havasu City, 86404

01111955 

Unknown

Medical History

Yes

Eliquis

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Taegan Harmon

September 18, 2023

1940 Ash Dr.

928-412-1206

Lake Havasu City, 86403

928-412-1206 gpas #

Jim & Marcia Vlcek

Retired USNavy

10-03-1955  288-56-6137

Never

Dr. Colleen savage

928-854-1800

Sept 16,2023

Medical History

No

Sertraline HCL50 MG tabs – 1 a day at night by mouth. Sinus tabs sinus nose spray
Melatonin 2.5 mg gummies 1 @ bedtime. Inhaler
Magnesium 200mg 2 @ bedtime

4 heart surgeries 08/2011 Cath Balloon. 10/2011 Cath Balloon again. 02/2012 open heart, cut value &
Patched VSD

No

Yes

No

?

No

No

No

?

?

No

?

No

Yes

No

?

No

?

No

No

No

No

No, ?

No

No, ?

No

No

No

No

No

No

No

No

Yes, ?

No

No

No

No

No

No

No

No

No

Yes, ?

No

No

Elise

September 19, 2023

2257 Jacob Row

402-314-7131

Lake Havasu City, 86404

Kirsten Kahla

NTT Data Services

06/01/2015 

N/A

Medical History

No

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Kennya Gonzalez

September 19, 2023

3109 Maracaibo Dr

9287067998

Lake Havasu City, 86404

PreSchool Teacher

10/04/2001 

August 2022

Ashley Powell

9288541800

July 2023

Medical History

No

N/a

N/a

Lazy eye

Yes

Yes

No

No

No

No

No

No

No

No

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Joe Sandoval

September 20, 2023

2741 Southwind ave

949-403-9971

Lake Havasu City, 86406

Retired

03/29/1972  xxx-xxx-5659

2 years

N/A

5 yrs

Medical History

No

No

?

No

?

No

?

No

?

No

No

?

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

?

No

No

Robert

September 20, 2023

3140 Kearsage Dr. #203

928 412-6993

Lake Havasu City, 86406

Retired

4/30/58  096-54-0170

Medical History

No

Atorvastatin, Levothyroxine, Pioglitazone, Furosemide, Allopurinol, Metoprolol, Lisinopril, Advil

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Kate

September 20, 2023

3151 Tom Tom Dr.

14807081966

Lake Havasu City, 86406

Detention officer

8-25-1986  606058811

5 years

Unknown

Medical History

Yes

Ibuprofen

Aspirin, zofran, Tylenol

Breast augmentation

Yes

Yes

Yes

No

Yes

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

Yes

No

No

Yes

No

No

Deena McGee

September 20, 2023

1035 Paiute place

9282083633

Lake Havasu City, 86406

03/29/1994  614-88-7609

10 years

Cathy Hoover

9/20/23

Medical History

No

Prenatals, magnesium, vitamin D

Child birth twice

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

Betty Digiorgio

September 20, 2023

3383 palm tree drive

9727430157

Lake havasu city, 86404

06241945  573641252

2020

DR Milly Blondez

072023

Medical History

No

knee surgery foot surgery

none

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

stefan digiorgio

September 20, 2023

3383 palm tree drive

9727430157

Lake havasu city, 86404

01121945 

2020

Dr Milley Blondez

072023

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Michele Godfrey

September 20, 2023

335 Foxpoint Ln

Lake Havasu City, 86406

5625567761

Security Guard

08/16/1961  566985817

1/2020

More MD

+1 (928) 208-4598

09/95/2023

Medical History

No

Meloxicam 15mg x1
Saxenda 3ml x1
Losartan 1.2mgx1
Atorvastian 20mg x1

L& R wrist fracture w/ surgery
Septic Knee joints/ surgery
Knee replacement
3 orthopedic surgery rt knee
Tubel ligagtion
R Achilles tendon reattachment

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Nicholas carmona

September 20, 2023

3575 lost Dutchman dr #101

9282300358

Lake Havasu City, 86406

 

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Jessica Brown

September 21, 2023

2522 Cielo Dr

4802671774

Lake Havasu City, 86403

06/26/1987 

2022

Medical History

No

No

Yes

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

?

No

No

No

No

No

Yes

No

Yes

No

No

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

Yes

No

Gary R Smith

September 21, 2023

3795 Osage Drive

928-505-4709

LHC, 86406

Retired

09/24/1941  563-56-2824

2020

Dr. Noronha

928-6804233

08/2023

Medical History

No

Will bring copy of all meds 10-02-2023

Stomach surgery; hip replacement; shoulder replacement; broken wrist

N/A

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

Logan Wetzel

September 22, 2023

2730 Squall King Court

9512333058

Lake Havasu City, 86404

 

None

8/28/2023

Medical History

No

Melatonin, multivitamins, biotrue lubricant eye drops

Facial tumor removable surgery

Chalazion

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

Yes

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

Mona L Case

September 22, 2023

2600 Tanglewood Drive

928-566-7369

LHC, 86403

Underwriter Asst.

03/11/1959 

3/2018

Dr. Tibbetts

928-680-4233

12/1/2022

Medical History

No

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Philip A. Orr

September 23, 2023

3400 Bluegrass Drive

9287064743

Lake Havasu City, 86406

N/A

N/A

N/A

08/30/1964  378809199

September 2022

Unknown

9284288810

March 2023

Medical History

No

See attached list

See attached list

N/A

No

No

Yes

Yes

Yes

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

Yes

Yes

Yes

Yes

Yes

No

No

No

No

Yes

Yes

No

Edward Martin

September 25, 2023

2294 Palo Verde Blvd. North

9284867606

Lake Havasu City, 86404

9284867606

Retired Business Owner

06/05/1965  452497639

September 2022

Haylee Younis

9282084611

July 2023

Medical History

Yes

Keflex – causes minor rash on occasion

Allegra, Sudafed, Ibuprofen, Baby Aspirin, Xanax, Azelastine HCI eye drops

Knee surgery – right knee

none

No

Yes

No

Yes

No

Yes

No

Yes

?

?

?

Yes

?

No

No

No

No

No

Yes

No

?

No

Yes

?

Yes

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

Kim Newman

September 25, 2023

1963 Cliffrose Dr

9288897215

Lake Havasu City, 86403

9287642973

Office

11/15/1962  562-98-1799

2021?

Sandra Ulner

No longer in town

2021?

Medical History

No

Vitamins

Parotidectomy.

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

Yes

No

No

?

No

Yes

Yes

Yes

Kathleen Bryson

September 25, 2023

3373 Bluegrass Dr

406-498-2807

Lake Havasu City, 86406

n/a

retired

03-31-1950 

2020

Dr Kristy Whelan

928-680-4233

April 2023

Medical History

Yes

Penecillian, sulpha & Suprax

Warfarin, verapamil, spironolactone, Celecoxib, Rosuvastatin, Levothyroxine
Vit C, Vit E, Magnesium, co-q-10, EPA

6 weeks of radiation to my mouth in 2022 for cancer (Mucoepidermoid Carcinoma), Surgery to remove a questionable lesion on the right side of my face Feb 2023, Sentinel lymph node biopsy (1999) after excision of Melanoma 1999, hysterectomy 1993.
Pancreatitus 2012, DVT 1999.

Blepharitis

Yes

No

Yes

?

Yes

No

Yes

No

No

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

Yes

Yes

?

Yes

Yes, ?

No

Yes, ?

Yes

Yes

No

Yes

Yes

No

No

Yes

Yes

Diane Felter

September 25, 2023

3025 Daytona Avenue

858-220-1126

LHC, 86403

05/30/1968  550-79-3607

2022

2022

Medical History

Yes

Flagal, Percocet, dose pack steroids

Zoloft, Nexium

C-section, tummy tuck, breast augmentation

Lazy eye

No

?

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

?

No

No

No

No

No

?

No

?

No

No

No

No

No

No

No

No

No

No

Cynthia Cyster

September 26, 2023

621 W Riverside Drive 176

316-619-5248

Parker, 85344

Na

Bartender

99/15/1963  504-72-5391

Dec 2021

Parker Walk in Clinic

(928) 256-4110

July 2023

Medical History

Yes

Cocaine derivatives – codiene, lidocaine, procaine
Also Z-Pak

Multi, b complex, calcium,magnesium and zinc, leutine and zeaxanthin, bromelain, Tagamet, loratadine, balance of Nature Fruits and Veggies

Broken leg, broken arm, LASIK, live birth

Na

No

Yes

No

Yes

Yes

No

No

Yes

No

No

Yes

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Madelyn urieta

September 26, 2023

3677 Hiawatha Drive

9512032588

Lake Havasu City, 86404

Jeannine Taylor

SAHM

04/04/1994  607805161

1 1/2years ago

Dr Kristy Whelan

9286804233

December 2022

Medical History

No

No e

None

None

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Alicia Orth

September 19, 2023

814 Lakeland Dr

(928) 412-4418

Lake Havasu City, 86403

2/18/1989 

Medical History

No

Allergy meds: Zyrtec, benadryl, flovent inhaler, and albuteral inhaler

No

Yes

Yes

Yes

Yes

Yes

No

Yes

No

No

Yes

Yes

Yes

Yes

No

No

No

No

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

No

No

Yes

Yes

Yes

No

No

No

No

Yes

No

Yes

No

Emily Orth

September 26, 2023

814 Lakeland Dr.

(928) 412-4418

Lake Havasu City, 86403

Alicia Orth

02/18/1989 

Medical History

No

No

Yes

Yes

Yes

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

William Orth

814 Lakeland Dr.

(928) 412-4418

Lake Havasu City, 86403

Alicia Orth

02/18/1989 

Medical History

No

No

Yes

No

No

No

?

No

Yes

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Kayla stutler

September 26, 2023

780 Pueblo Dr.

9282085573

Lake Havasu City, 86406

928-505-3372

Registered Nurse

03/27/90  626549300

Over 1yr ago

Kristy Whelan

928-680-4233

Over a year ago

Medical History

Yes

Cephalosporin drugs cause anaphylaxis

Lamotrigine 200mg daily
Amphetamine-Dextroamphetamine 15mg daily
Adzenys XR-ODT 15.7mg daily
Quetiapine fumarate XR 50mg daily
Vraylar (cariprazine) 1.5mg Q3days

Hysterectomy
Abdominoplasty
Reduction mammoplasty
Tonsillectomy & appendectomy
Blockage of right ureter leading to nephrostomy x3mo also causing urosepsis each with hospitalization

None

No

Yes

Yes

Yes

Yes

No

No

Yes

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

Yes

No

Yes

No

No

Yes

Yes

No

Yes

No

No

No

No

No

No

No

Jeff Pawlowicz

September 27, 2023

2992 Kiowa Blvd. S.

218 590-6893

Lake Havasu City, 86403

Retired

11/19/1956  470724999

March 2023

Massad

928 854-0094

March 2023

Medical History

No

Simvastatin 40Mg, Lisinopril 20Mg, Glipizide 10Mg, Stiolto 2.5Mg, Methimazole 10Mg and Insulin .1Ml

1991 Stiches to head

None

No

No

No

Yes

No

?

No

Yes

No

Yes

No

Yes

Yes

?

No

?

No

No

No

?

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

Yes

No

Yes

Madelyn urieta

September 26, 2023

3677 Hiawatha Drive

9512032588

Lake Havasu City, 86404

Jeannine Taylor

SAHM

04/04/1994  607805161

1 1/2years ago

Dr Kristy Whelan

9286804233

December 2022

Medical History

No

No e

None

None

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Melanie Baker

September 27, 2023

3576 Tarpon Drive

928-733-9561

Lake Havasu City, 86406

928-505-6913

IT Technician

08/15/1972  502-02-6887

05-15-2022

Medical History

No

Lexapro, Glucosamine Chondroitin, Vit E, Vit D, Collagen, MCT oil

Dislocated ankle, broke tibia/fibia. Surgery April 7, 2023. Currently in PT

I have drooping eyelids, esp. the right eye which does affect my vision.

Yes

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

Yes

No

No

Yes

No

No

No

No

No

Yes

No

Madelyn urieta

September 26, 2023

3677 Hiawatha Drive

9512032588

Lake Havasu City, 86404

Jeannine Taylor

SAHM

04/04/1994  607805161

1 1/2years ago

Dr Kristy Whelan

9286804233

December 2022

Medical History

No

No e

None

None

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Nancy Lynn Thompson

September 27, 2023

3333 Silver Arrow Dr

714-425-4705

LHC, 86406

714-846-4411

Dental Insurance Admin

09/16/1954  573-94-0684

2022

Blondie Miley, NP

928-855-4224

08/24/23

Medical History

Yes

Codeine/ Nausea
Cipro/ Vomiting

Advil 200mg x 2 prn pain
Simvastatin 20 mg 1 x day pm at bedtime
Raloxifene HCI 60mg 1 x day

2015 Complete Hysterectomy
2016 Left Knee Replacement

n/a

No

No

Yes, ?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

?

Mary Jo Romero

September 27, 2023

1616 Willow Ave

9286809277

Lake Havasu City, 86403

07/10/1947  549745168

?

Dr. Woo

9284533330

Aug 2023

Medical History

No

levothyroxine sodium 50mcg Amino Acid 200 mg Ambien (occasionally) 5mg
Losartan Potassium 50mg baby Aspirin
Gabapentin 600 mg

breast lumpectomy Carotid Artery surgery
Knee replacement vocal cord injections

No

Yes

Yes, ?

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

?

Cynthia Anderson

September 28, 2023

611 Pueblo Dr

Lake Havasu City, 86406

Retired RN

08/07/1956  564949999

2020

DR Massad

928 8540094

08/19/2023

Medical History

No

levothyroxine, celexa, celebrex, gabapenton

ORIF left ankle, right shoulder repair, chronic lower back pain

No

Yes

No

Yes

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

?

No

No

No

No

No

Yes

No

Yes

No

No

No

Yes

No

Yes

No

Yes

No

Yes

Yes

No

?

No

No

Yes

Yes

Yes

KELLY

September 28, 2023

1923 MCCULLOCH BLVD

9288543555

LAKE HAVASU CITY, 86403

07/20/1970 

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Mark DeWitt

September 29, 2023

2285 Ajo Dr

909-434-4608

Lake Havasu City, 86403

Retired

08/16/1962  545334461

4 years

Shawn O’Haver

928-412-8808

1 month

Medical History

No

Lisinopril 40 daily hydrochlorothiazide 25 daily

Yes

?

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Dave Postier

October 16, 2023

3266 Star Dr.

714-299-2344

LHC, AZ

Sr. Network Engineer

12-16-1957 

2 years ago

Shawn O’Haver

928-412-8808

July 2023

Medical History

Yes

Penicillin

Low dose Aspirin; Omeprazole DR 40mg; Tadalafil; Duloxetine 30mg

n/a

n/a

No

Yes

No

Yes

No

No

No

No

No

No

No

Yes

No

Yes

No

Yes

No

No

Yes

No

No

No

Yes

Yes

No

No

No

No

No

No

?

No

Yes

No

Yes

No

No

No

No

?

No

No

Catherine Hulsey

October 2, 2023

2460 Smoketree Ave N

719-221-3159

Lake Havasu, 86403

Retired

12:18/1953 

6/2022

Davidson

1/2023

Medical History

Yes

Penicillin

Topiramate, bone health blend, red yeast rice, vit d, B total

Total hysterectomy

Catherine Hulsey

October 2, 2023

2460 Smoketree Ave N

719-221-3159

Lake Havasu, 86403

Retired

12/18/1953 

6/2022

Davidson

1/2022

Medical History

Yes

Penicillin

Topiramate, Bone Health blend (calcium), vit D, red yeast rice, B Total, butalbital

Hysterectomy

No

Yes

Yes

No

Yes

No

No

Yes

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

?

No

Yes

Yes

No

Daniel Martinez

October 2, 2023

2955 Palisades Dr.

9283021135

Lake Havasu, 86404

Pipe layer

03/08/1989  619405097

Medical History

Yes

Sulfa

N/A

Stigmatisim

No

Yes

No

Yes

?

?

No

?

Yes

No

Yes

?

?

No

?

No

?

No

?

No

Yes

No

Yes

?

?

No

?

Yes

?

No

No

?

?

?

?

?

?

Yes

?

No

?

No

?

?

?

Daralyn Springer

October 2, 2023

2751 Amigo Drive

714-642-4328

Lake Havasu City, 86404

Retired

08-08-1960  567-33-3581

08/2022

Loida Arquiza, FNP-BC

928-733-6287

09/2023

Medical History

No

Estradiol 0.05 MG, Omeprazole 20mg, Topiramate 50 mg (twice day), Atorvastatin 20mg, Baclofen 10 mg,
Meloxicam 15mg, Senna Plus, One a Day Vitamin, Vitamin D, Sumatriptan 50 mg. (as needed)

March 2012 Wide Excision (Melanoma Right shoulder), March 2014 Partial Hysterectomy, August 2014 Hospitalized 5 days on iv antibiotics for Diverticulitis/rupture, Sept. 2020 Left Knee Replacement

?

Yes

No

Yes

Yes

No

?

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

Yes

?

No

No

No

Yes

No

No

No

No

?

Ashleigh Harris

October 3, 2023

2907 Mica dr

6614888118

Lake Havasu City, 86404

Retired Army National Guard

04/23/1988  604623654

Lake Havasu Primary Care

9284530777

07/20/2023

Medical History

Yes

Penicillin and Sulfa

Breast explant 2023

Traumatic Brain Injury

No

Yes

Yes

Yes

No

No

Yes

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

William Blohm

October 3, 2023

3181 Longview Drive

760-250-0904

Lake Havasu City, 86406

Security

08/13/1966  572510938

10/2022

VA

928-505-7100

11/2022

Medical History

No

Omeprazole

Hernia surgery
Back surgery

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Megan

October 3, 2023

44230 Ironwood St

4805802486

Bouse, 85325

Crystal Lopes

11/18/2002  764 26 1216

Andrea Hoff

Medical History

No

Omn

No

Yes

Yes

Yes

Yes

No

No

No

No

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

Yes

No

Yes

Yes

Yes

Yes

No

No

No

No

Yes

No

No

Crystal Lopes

October 3, 2023

P.O. Box 34

4804152658

Bouse, 85325

9286697385

Lab assistant

06101970  600461926

2 years

Hoff andrea

9286692225

May 2023

Medical History

Yes

Codine

Metformin,fluoxetine,metoprolol,Claritin,omneprazol,excedrin,ibuprofen,

Gaul bladder,tonsils,broken feet

No

Yes

Yes

Yes

Yes

No

Yes

No

Yes

Yes

Yes

No

Yes

No

No

Yes

No

Yes

Yes

No

No

Yes

No

Yes

No

Yes

Yes

Yes

No

Yes

No

No

No

Yes

Yes

Yes

Yes

No

No

No

No

Yes

Yes

No

Dawn Widmayer

October 4, 2023

1930 Mesquite Ave

9282080920

LHC, 86403

Web Designer

10-23-67  123-23-4567

01-01-2020

Dr Burgener

01-01-2020

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Christi Schweigert

October 4, 2023

3140 Kearsage Dr

9283024011

Lake Havasu City, 86406

9287642928

Portfolio Manager

05/07/1983  600050368

Ashley Powell

9288541800

Medical History

No

Vitamin D

Cancer – Retinoblastoma. (2) C-Sections

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

Yes

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

?

JANE

22 OAK

8543555

LHC, AZ

 

Medical History

No

Yes

LORAINE

ANYWHERE

LHC,

 

Medical History

?

NANNETTE

1923

,

 

Medical History

No

LAURIE

HERE AND THERE

,

 

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Wyatt Dorantes

October 4, 2023

635 Sand Dab Dr

7145928436

Lake Havasu City, 86404

Breandyn Spears (mother)

2/12/16 

2 years

Can’t remember, California Dr

2 weeks ago

Medical History

No

Montelukast, advair, zyrtec

None

No

Yes

No

Yes

No

No

Yes

No

No

?

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Aarilynn Goins

October 4, 2023

2760 Arcadia Dr, B

9284865311

Lake Havasu City, 86404

Alexandria Escobedo

Medical assistant/phlebotomist

12/21/2012 

2022

Riverview eye center (Mountain View)

+1 (928) 718-1009

2022

Medical History

No

Tylenol, Naproxen, Zofran

0

No

?

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Kristin Karlen

October 4, 2023

185 Mescal Loop

928.302.9302

Lake Havasu City, 86403

Teacher

09/06/1974  601389866

3/2021

Riverview

10/02/2023

Medical History

No

Lantus, Humalog, Buproprian, Gabapentin, Lisinopril, Simvastatin

No

No

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

Yes

No

No

Yes

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Ethan Goins

October 4, 2023

2760 Arcadia Dr, B

Lake Havasu City, 86404

9284865311

Alexandria Escobedo

Medical assistant/phlebotomist

05/18/2015 

2022

Riverview Medical (Mountain View)

+1 (928) 718-1009

2022

Medical History

No

0

(2) myringotomy, tonsillectomy, adenoidectomy

0

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Penelope Escoebdo

October 4, 2023

2760 Arcadia Dr, B

9284865311

Lake Havasu City, 86404

Alexandria Escobedo

Medical assistant/phlebotomist

05/22/2017 

2022

Riverview eye center (Mountain View)

+1 (928) 718-1009

2022

Medical History

No

0

0

0

No

Yes

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Jupiter McCluskey

October 4, 2023

242 coral dr

9282085310

Lake havasu city, 86403

Angela McCluskey

8/8/19 

N/a

Medical History

Wyatt Dorantes

October 4, 2023

635 Sand Dab Dr

7145928436

Lake Havasu City, 86404

Breandyn Spears (mother)

2/12/16 

2 years

Can’t remember, California Dr

2 weeks ago

Medical History

No

Montelukast, advair, zyrtec

None

No

Yes

No

Yes

No

No

Yes

No

No

?

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Steven Bryson

October 5, 2023

3373 Bluegrass Dr

406/490-1331

Lake Havasu City, 86406

n/a

n/a

retired

06/15/1952 

7/2021

Harrison McDonald, MD

928-208-4611

April 2023

Medical History

No

Atorvastatin
Amlodipine
Vit C, Vit B-12, Pepcid AC

knee surgery, crushed foot

I was told I have cataracts forming now

Yes

Yes

Yes

Yes

christopher gonzalez

October 23, 2023

2911 , Inca Drive

6502480374

Lake Havasu, 86406

6502480374

Maintenance mechanic

06/26/1965  553637073

2022

Department of Veterans Affairs

650 493-5000

Medical History

Yes

Penicillin

Losartan Atorvastatin amlodipine Labetalol loperamide omeprazole bupropion buspirone trazodone gabapentin, vitamin D3 iron B12

Bilateral ACL reconstruction, right knee replacement, right shoulder

Yes

Yes

Kimberly Schopen

October 6, 2023

3032 Jamaica Blvd S

928-706-0804

Lake havasu city, 86406

Retired

08/14/1957  388-60-6557

2020

Blondie Miley

928-855-4224

10/2022

Medical History

No

Progesterone, advil, flonase

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Timothy M Curtis

October 9, 2023

1300 Garvey Drive

816-332-1351 / 816-262-4283

Lake Havasu City, 86404

816-262-4283

Retail Associate @ Lowe’s

10/19/1961  492-50-3470

May 2019

Kasey Cox

(928) 680-4233

12/2022

Medical History

No

multi-vitamin; Atorvastatin (cholesterol)

1983 car wreck w/ broken ankle required plates/screws; 1984 oral surgery for wisdom teeth; colonoscopy 2018 & 2012

worn glasses since 2nd grade; once or twice something in eye requiring eye drops for infection; est. 2004 Lasik surgery on both eyes (one eye up close vision & one eye distance)

No

Yes

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

Yes

No

Yes

No

No

Yes

No

No

No

No

Dawn

October 11, 2023

123 main street

,

 

Medical History

Yes

Yes

Yes

Austin Schmitz

October 11, 2023

2482 S Cisco Dr

7155606774

Lake Havasu City, 86403

Lorie Schmitz

Retired

 

September 2022

Dr . P. Changizzadeh

9288540094

10/10/2023

Medical History

No

Citalopram
Buspirone
Guanfacine
Melatonin

Crossed eyes

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

Yes

No

Yes

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

Alice Schmitz

October 11, 2023

2482 S Cisco Dr

7155606774

Lake Havasu City, 86403

Lorie Schmitz

Retired

 

September

Dr. P. Changizzadeh

928 8540094

April 2023

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Tommie Kennedy

October 13, 2023

2778 Anita Ave

701 320 5747

Lake Havasu City, 86404

Retired

09/16/1953  502 74 5873

September of 2023

Dr Andrew Rodenburg

701 222 4900

June 2023

Medical History

No

Metropol, lansoprazol, vitamin D, Duloxetine, Epi pen, loratadine, sumatriptan,Tylenol pm

Gall bladder removed, left and right shoulder rotary cuff repair,

Catarcts

Tommie Kennedy

October 13, 2023

2778 Anita Ave

7013205747

Lake Havasu City, 86404

Retired

09/16/1953  502745873

September 2023

Dr Rodenburg

7012224900

June 2023

Medical History

No

Metropolis, vitamin D, duloxetine, lansaprozole, sumatriptan, Tylenol pm, Epi pen, loratadine

Gall bladder removal, right and left shoulder rotary cuff repair, cataracts removed

Cataracts

No

?

No

No

?

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

Kayla McCreary

October 15, 2023

150 Lakemaster Lane

2535836622

Lake Havasu City, 86404

Room Technician

11/20/1997  534392497

2020

Ashley Powell

9288541800

2021

Medical History

No

None

Tonsillectomy

None

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Renee Leyva

October 16, 2023

3765 Amberjack Bay E

9092761967

Lake Havasu City, 86406

Crystal Shultz

Admin Asst

11/12/2006  603610044

Parnian Changizzadeh

9288540094

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Kayla McCreary

October 15, 2023

150 Lakemaster Lane

2535836622

Lake Havasu City, 86404

Room Technician

11/20/1997  534392497

2020

Ashley Powell

9288541800

2021

Medical History

No

None

Tonsillectomy

None

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Kylee Sanders

October 16, 2023

3424 Oro Grande Blvd A103

9287329381

Lake havasu city, 86406

A&A electronics

08/05/1999  600918271

2009

Medical History

No

I have plastic surgery on my face. I have a metal plate by my right temple

No

No

Yes

?

Yes

No

No

No

No

No

Yes

No

Yes

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No, Yes

No

Yes, ?

No

No

No

No

?

Yes, ?

No, Yes

Kaylee Meza

October 16, 2023

3140 Kearsage Dr #D249

9282308708

Lake Havasu City, 86406

Alia Miller

Supervisor

12/02/2005 

Colleen Savage

Medical History

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Jayleen Miller

October 16, 2023

3140 Kearsage Dr #D219

9288897347

Lake Havasu City, 86406

Alia Miller

Supervisor

08/2/2011 

Colleen Savage

Medical History

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Kylee Sanders

October 16, 2023

3424 Oro Grande Blvd A103

9287329381

Lake havasu city, 86406

A&A electronics

08/05/1999  600918271

2009

Medical History

No

I have plastic surgery on my face. I have a metal plate by my right temple

No

No

Yes

?

Yes

No

No

No

No

No

Yes

No

Yes

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No, Yes

No

Yes, ?

No

No

No

No

?

Yes, ?

No, Yes

Victoria Palmer

October 17, 2023

PO Box 2880

9284121006

Lake Havasu City, 86405

Retired

07/03/1958  557273194

Tiarra Sitzer

9288542568

April 2023

Medical History

No

Will Bring in List

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

Tatum Urieta

October 17, 2023

3677 Hiawatha Drive

9512032588

Lake Havasu City, 86404

Jeannine Taylor

SAHM

04/04/1994  607805161

None

Kristy Whelan

9286804233

December 2022

Medical History

No

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Dorine Hubbard

October 17, 2023

2470 Lema Dr

928 230 9108

Lake Havasu City, 86406

928 505 6020

Teacher

03/02/1964  543 96 5741

2021

Dr Persaud

928 855 8185

2021

Medical History

No

rizatriptan, metoprolol, topiramate, lisinopril

n/a

n/a

No

No

Yes

No

Yes

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Tracey Langley

October 18, 2023

1680 Linda Dr

9496836862

Lake Havasu Coty, 86403

HR

02/12/1966  571535363

2020

Havasu eye center

3/2023

Medical History

No

Hysterectomy
Colon resection
Lung resection
Breast implants

No

Yes

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Randal Peery

October 25, 2023

3889 Kiowa Blvd S

9092600718

Lake Havasu City, 86404

Retired

12/22/1952  557945778

October 2022

Dr Adams

9286801144

September 2023

Medical History

No

Diltiazem, Invokana, Lantus, Levothyroxine, Losartan, Metformin, Ozempic, Pioglitazone, Rosuvastatin

appendix

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

Faith Peery

October 25, 2023

3889 Kiowa Blvd S

9094554884

Lake Havasu City, 86404

Media Assistant

06/02/1955  557949645

October 2022

Dr Adams

9286801144

May 30, 2023

Medical History

No

Travoprost drops, Dorzal/Timol Drops

partial hystorectomy

glaucoma, cataracts

No

Yes

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

JANE

October 19, 2023

123 AIR

,

10/19/2000 

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

JANE

October 19, 2023

1234 AIR

,

10/19/2000 

Medical History

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

JANE

October 19, 2023

12345 AIR

,

10/19/2000 

Medical History

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

?

Juan Castro

October 20, 2023

2560 Palisades Dr

9284869808

Lake Havasu City, 86403

09/07/1999 

About a year ago

Dr. Ong-Veloso

More than 3 years

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

Yes

No

Sheryl Horner

October 21, 2023

2110 Sahara Dr unit L102

5209347041

Lake Havasu City, 86403

RN

12/13/1959  287684886

2021

Walmart in Tucson

Feb 2022

Medical History

No

Hotz, Atorvastatin

Tonsillectomy, Tubal

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Cyrus Nickel

October 23, 2023

3249 Largo Ln

928/486-0160

LHC, 86406

928/855-3377

Mark Nickel

Maintenance

9/14/09 

1+ years ago

Oyas

Medical History

No

Broken arm ×2, Broken nose, concussion

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Mason Abdon

October 23, 2023

2730 Bluewater Drive Unit #102

9283028190

Lake Havasu City, 86403

Rachel Gray

N/a

05/20/2016 

N/a

Dr. Oyas

928-680-1919

10/11/23

Medical History

Yes

Childrens daily vitamins

N/a

N/a

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Doris Wilson

October 23, 2023

2320 Havasupia Blvd

928-230-2618

Lake Havasu City, 86403

N/A

Retired

7,-29-62  527-75-7617

?

Taria Spitzer

07-23

Medical History

?

Trazone 150 mg, gabapentin 800mg, tratazine 4mg, atorvasratn 10mg, melocam 15mg, lisnopral 25mg, omeprazole 20mg. Some times ibuprofen 800mg,

None

Macula degeration
Cataracts

Yes

Yes

Yes

Yes

?

No

?

Yes

?

Yes

Yes, ?

Yes

Yes

No

No

No

No

Yes

Yes

No

No

No

Yes

?

No

Yes

?

Yes

?

?

?

No

Yes

Yes

?

No

No

No

No

?

Yes

No

Ben Eason

October 23, 2023

2455 Palo Verde Blvd. North

928 486-2280

Lake Havasu City, 86404

N/A

Retired

05/30/1944  546567889

10/22?

Dr.McDonald

928 208-4611

07/06/2023

Medical History

No

Juniva

Cancer (2), Left Knee Replacement, Gall Bladder Removal and Hernia Repairs

Cataracts?

No

No, ?

No

No, ?

No

No, ?

No

No, ?

No, Yes

No, Yes

No, ?

No, ?

No, ?

No, Yes

No, ?

No, Yes

No, ?

No, Yes

No, Yes

No, ?

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

Yes, ?

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, Yes

No, ?

No, ?

No

No, Yes

No, ?

No, Yes

No, ?

No, Yes

No, Yes

No, ?

No, ?

No, Yes

Gail

October 24, 2023

1918 E. Savannah Drive

760-815-1626

Lake Havasu, 86404

Retired

05-21-40 

11-28-22

Blondie Miley

928-855-4224

8-21-23

Medical History

No

Provided Separately.

Both Hips Replaced.

N/A

No

Yes

No

No

No

?

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

Yes

No

Yes

Yes

No

No

Yes

Yes

No

No

No

Yes

Yes

Yes

?

No

No

Yes

No

No

No

Yes

Yes

Yes

No

Erin Obermeyer

October 23, 2023

3270 Silver Saddle Drive

9094961421

Lake Havasu City, 86406

Server

05/17/1984  567791245

none

Mountain View Medical

928-733-6291

09/11/2023

Medical History

No

Iron

tubal litigation 1.2009
Gastric bypass 4.2017

N/A

No

Yes

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

Yes

No

Yes

No

Yes

No

Yes

No

No

No

No

No

No

Yes

No

No

No

No

No

No

Yes

No

Dawn Boyd

October 24, 2023

2970 Yuma Dr.

9282304806

Lake Havasu City, 86406

Quality Control Specialist

06/18/1981  554674430

1 year ago

TBD

April 2022 med Oct 2023 OBGYN

Medical History

No

Tylenol or Aspirin as needed (maybe once every 2 months) Vitamins, MCT.

Gallbladder removal, 2 c-sections, 1 natural birth

n/a

No

Yes

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

William Boyd

October 24, 2023

2970 Yuma Dr.

9282304806

Lake Havasu City, 86406

9282304806

Dawn Boyd

Quality

06/26/2007  765783520

School exam 2023

Dr. Mark Lessner

9284593512

May 2023

Medical History

No

Vitamins

N/a

n/a

No

?

No

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Alexander Boyd

October 24, 2023

2970 Yuma Dr.

9282304806

Lake Havasu City, 86406

9282304806

Dawn Boyd

Quality

07/18/2014  496513055

1 year ago

Dr. Mark Lessner

9284593512

May 2023

Medical History

No

Vitamins

n/a

n/a

No

?

No

Yes

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Emily Boyd

October 24, 2023

2970 Yuma Dr.

9282304806

Lake Havasu City, 86406

9282304806

Dawn Boyd

Quality

04/17/2017  011976545

sports physical

Mark Lessener

9284593512

May 2023

Medical History

No

N/a

N/a

N/a

Jared Fox

October 25, 2023

2052 Rainbow Ave N.

928-230-8533

Lake Havasu City, 86403

Amanda Privett

Student

12/30/2009  715-65-3155

Dr. Oyas

928-680-1919

8/1/2023

Medical History

No

None

N/A

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Mike Companion

October 26, 2023

2525 Bayou Ln

7044530597

Lake Havasu City, 86403

02111976  560517210

Medical History

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Rebbeca Cole

October 31, 2023

2679 Stingray lane

714/496/9631

Lake Havasu City, 86493

Retired

10/03/1857  585 89 7287

2007

Bridget Conley

938 855 8071

07/2023

Medical History

Yes

Codeine, SOB and rash

Hydrochlorothiaze 12.5 MG qd, atrovastatin 10 MG qd Losartan potassium 100 MG qd Spiriva 2 puffs qd

Hysterectomy, bilateral mastectomy with chemo

Drooping eyelids

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

Yes

Yes

No

No

Yes

No

No

No

Yes

No

No

No

No

Yes

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Jennifer Keller

October 30, 2023

6655 Avienda Desierto Verde

9512038442

Lake Havasu City, 86406

9097901331

President

01/08/1972  623-32-9627

2/2022

Mohammed Nassar

909-793-0323

2/2023

Medical History

Yes

Estradiol 0.1 patch

Hysterectomy,

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

?

No

Yes

Yes

No

Brock Kessler

October 30, 2023

6655 Avienda Desierto Verde

9282305802

Lake Havasu City, 86406

President

02/11/1975  546896068

2022

Dr. Sosey

9288558071

March 2023

Medical History

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

Yes

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Robyn Bush

October 31, 2023

1280 Tanqueray Dr. #102

425 443 2504

Lake Havasu City, 86404

08/31/1980 

2017

North Country Health Care (Ashley Powell

928-854-1800

10/25/2023

Medical History

Yes

penicillin

none

four C-sections
Spinal removal
shoulder surgery

blurry eyes
watery eyes

Yes

Yes

Yes

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

Yes, ?

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

Casandra Sanchez

November 3, 2023

2720 Honeybear Dr

928-889-1486

Lake Havasu City, 86404

Admin Assistant

01/15/1992  620-52-6098

Really long time ago

Medical History

Yes

Something in Meloxicam and something in ear drops

I’m on the depo shot, take a multivitamin (trying to daily), Tylenol on a rare occasion, and I smoke weed

Some kind of eye surgery for lazy eye when I was a child
DNC

lazy eye

?

No

No

No

No

No

No

No

No

No

No

No

?

No

No

?

No

?

No

No

No

No

No

?

No

No

No

?

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Kerri Ellithorpe

November 6, 2023

3106 McCulloch Blvd N

928-727-8592

Lake Havasu, 86403

Office Manager

02-05-70  562-06-6100

This year?

Dr. Blondena, Miley

928-453-3761

This year

Medical History

No

Lisinopril 40mg once a day. Humara 40mg pen ever 2 weeks

No

Yes

No

Yes

No

No

Yes

No

Yes

Yes

Yes

Yes

No

No

Yes

No

No

No

No

Yes

No

Yes

Yes

Yes

No

Yes

No

No

No

No

No

Yes

Yes

No

Yes

Yes

Yes

No

No

No

Yes

No

Yes

No

Charles Blackmore

November 7, 2023

P.O. Box 789

802-324-9138

Conway, 03818

N/A

retired

12/26/1960  023-50-2690

10/16/2019

Dr. Elizabeth Landell

802-847-7400

10/4/2022

Medical History

No

hydroxyurea (for polycythemia vera)
amlodipine (blood pressure)

none

none

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Tiffiany Tomera

November 7, 2023

3226 Chemehuevi Blvd

818-714-5252

Lake Havasu, 86406

8187145252

CEO

05/22/1985  554933880

n/a

n/a

n/a

n/a

Medical History

Yes

gabapentin

Multi vitamin and B12 pills

5 herniated discs from car accidents in the past.

n/a

Yes

Yes

No

No

No

No

No

No

No

Yes

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Ivan Vazquez

November 7, 2023

2924 Osborn drive unit 102

9285667004

Lake havasu city, 86406

Automotive service technician

02/28/1995 

2021

NA

Medical History

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Kendra kletschka

November 8, 2023

2295 cosnina dr

6122451355

Lake havasu city, 86403

 

Medical History

No

No

No

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Adalyn kletschka

November 8, 2023

2295 Cosnina dr

6122451355

Lake havasu city, 86403

 

Kasey cox

Few years ago

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Kimberley Messerli

November 8, 2023

3162 Hunt Court

760-899-6482

Lake Havasu City, 86404

02/10/1970  551-08-6607

8/2022

Don’t remember

02/2023

Medical History

No

Synthroid

Partial hysterectomy, Appendectomy

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

?

Dorothy Wilson

November 10, 2023

2781 Osborn Dr

Lake Havasu City, 86406

09/18/1931  550-42-1928

Dr Angelo Ong-Veloso

928-453-8500

Medical History

No

Will bring with list of meds

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

DEANNE MILONE

November 10, 2023

3593 KIOWA BLVD NORTH

315-681-3086

LAKE HAVASU, 86404

928-854-5368

MEDICAL ASSISTANT

01/15/1978  565657170

2021

DR.ADAMS

2022

Medical History

No

MULTI VITAMINS

NONE

NONE

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Vera Pena

November 20, 2023

5181 Mesa Dr. PO Box 1442

9709039590

Topock, 86436

Retired

1/10/1946 

Morgan Beckwith

928-768-7113

11/1/2023

Medical History

No

Losartin
Amlodopine

N/A

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Paul Blackard

November 13, 2023

2950 Kiowa Blvd N Unit B102

7609121690

Lake Havasu City, 86404

Na

Na

Retired

09/12/1958  550-37-0038

2021

Tiarra Sitzer

928-854-2568

09/2023

Medical History

No

Atenolol 50mg
Lisinopril 20mg

None

None

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Vian alamillo

November 14, 2023

3315 yaqui drive

9287338078

Lake havasu city, 86406

Muyein corona

NA

07/04/2012 

Medical History

No

NA

NA

NA

No

Yes

No

Yes

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Olivia Corona

November 14, 2023

3315 yaqui drive

9287338078

LHC, 86406

Muyein corona

NA

09/04/17 

About a year

Medical History

No

NA

NA

NA

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Ella Corona

November 14, 2023

3315 yaqui drive

9287338078

LHC, 86406

Muyein corona

NA

08/07/2018 

About a year ago

Medical History

No

NA

NA

NA

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Angel Pecotkain

November 14, 2023

2971 starline drive

9287330174

Lake Havasu city, 86403

GM Manager

02/06/1968  553795345

Na

Na

2021

Medical History

Yes

Codeine and penicillin

Ibuprofen

Two orthoscopic knee surgeries, and a donor ACL

None

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Maria

November 15, 2023

2060 mimosa dr

6028320971

Lake havasu, 86403

11/25/86  600897046

4/2020 maybe 2021

Stephanie woo

9286801144

Medical History

No

None

None

I have pellucid marginal degeneration keratoconus

Yes

No

No

No

No

No

No

No

?

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

?

No

Yes

No

No

No

No

No

Yes

Yes

No

Gary Heckman

November 15, 2023

PO Box 312

503-805-3320

Yucca, 86438

Retired

11/13/1953  533-48-0714

05/18/2023

McDonald

05/18/2023

Medical History

Yes

Hydrocodone

Losartan K and Hydrochlorthiazide

Gastrotomy, Fx Lt Cancellous, Eosinophilic Esophagitis

Retinal Dz

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

Yes

No

No

Patrick Talmadge

November 16, 2023

2770 Ann Ct.

831-359-5221

Lake Havasu City, AZ

Retired

12/18/1948  295-46-1709

1 year ago

Dr. Arevalo

Sept 2023

Medical History

Yes

Prednesone

Knee replacement 2016

No

No

No

Yes

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

Yes

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Brenda sandez

November 16, 2023

2060 mimosa dr

6027431903

Lake havasu, 86403

01/11/82  600901954

2020

Medical History

No

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Julie Aguilar

November 19, 2023

3515 Saratoga Ave

3035898150

LAKE HAVASU CITY, 86406

Retired RN

03/11/1953 

Summer 2022

none

Medical History

No

Biotin

none

No

No

No

No

No

No

No

No

No

No

Yes

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

christine kendrick

November 20, 2023

2951 , Indian Springs Drive

Lake Havasu City, 86406

8183782803

retired

07/12/1952 

3 years

shawn o’haver

928-412-8808

2023

Medical History

Yes

codeine and any derivative
not allergic just sensitive

valacyclovir, glimepiride, nitrofurantion,
escitalopram, gabapentin, 81 ml aspirin
calcium + D3, multi vitamin, probiotics
fiber gummy

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

Andrew Kendrick

November 20, 2023

2951 , Indian Springs Drive

Lake Havasu City, 86406

818-269-5892

machinist

 

Medical History

Andrew Kendrick

November 20, 2023

2951 , Indian Springs Drive

Lake Havasu City, 86406

machinist

12/16/67 

shawn O’Haver

928-412-8808

2023

Medical History

No

Yes

Yes

Yes

Yes

No

Yes

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Arturo M Gonzalez

November 21, 2023

300 N Palm Dr #14

760-391-8383

Blythe, 92225

760-921-3000 x6805

M&SS1 Warehouse

10/19/1971 

8/2020

Medical History

Yes

Metphormin, Valtsar

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Sean Baker

November 21, 2023

3576 Tarpon Drive

928-230-5503

Lake Havasu, 86406

Technology

06-03-1973  520886502

08/01/2021

Tibbetts

06/15/2023

Medical History

No

Advair, Claritin and Meloxicam

none

none

No

Yes

No

Yes

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

Yes

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Martin Cabrera

November 27, 2023

2935 Indian Springs dr

9282166055

Lake havasu, 86406

04/18/1996  601-59-3992

Last year

Medical History

No

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Steven cheney

November 22, 2023

3020 talley dr

928 4867156

Lake havasu city, 86404

Concrete owber

03181960  066583463

2023

Mcdonald

10/23

Medical History

Yes

Pcn

Lipitor

Bone infection 2005 appy 1970 embolism stroke 2005 bil cataracts right eye yag

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

David Corona

November 23, 2023

3315 Yaqui dr.

9287338567

LHC, 86406

9287338567

APS

01/07/1983  565-85-3022

8+ yrs.

N/A

N/A

3 mos.

Medical History

No

Aleve

Rt. Eye Enucleation 01/2018

Rt. Eye ruptured globe 12/2017

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

?

?

No

?

No

No

No

No

No

No

No

Mitchell Geriminsky

November 27, 2023

1990 McCulloch Blvd. N. D1127

9512880953

Lake Havasu City, 86403

N/A

Retired Law Enforcement

10/25/1953  562906637

2021

Harrison McDonald

9282084611

10/16/2023

Medical History

No

Tramidol 100mg, Reybelses 7mg, Lexipro 20mg, Tylonal 500mg, Ibeprofin 800mg

Back, Knees

Cataracts, drooping eye lids

Yes

No

No

No

No

No

No

No

No

No

Yes

Yes

Yes

No

No

No

No

No

Yes

Yes

No

No

No

No

No

No

?

No

?

No

No

No

?

Yes

Yes

Yes

No

Yes

No

No

No

No

No

No

No

Susan Hodawanus

November 24, 2023

7822 N. Rice Drive

928-208-7142

Lake Havasu City, 86404

Shift Quality Control

12/03/1965  4067

Dr. Sidiqi

10/23

Medical History

Yes

Sulfa

Levothyroxine 25mcg
Folic Acid 1MG
Vitamin B1 100 MG
Lisinopril 10MG

Tonsillectomy 1978

None

No

Yes

No

Yes

No

Yes

No

Yes

No

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

No, Yes

No

No, Yes

No

Yes

No

No

No

No

No

Yes

Yes

No

Yes

No

No

No

No

Yes

Yes

No

Martin Cabrera

November 27, 2023

2935 Indian Springs dr

9282166055

Lake havasu, 86406

04/18/1996  601-59-3992

Last year

Medical History

No

None

None

None

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Karl Hodawanus

November 24, 2023

7822 N. Rice Drive

928-486-7312

Lake Havasu City, 86404

Self employed

07/13/1964 

over 2 years

Dr. Sediqi

12/23

Medical History

No

Lisinopril 40 MG
Levothyroxine 125MCG

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

No

Yes

Yes

Yes

No

Yes

No

Yes

No

No

No

No

No

Yes

Yes

No

Yes

No

No

Yes

No

No

Yes

No

Kari Ames

November 27, 2023

3416 Palo Verde Blvd. N.

(720) 250-7277

Lake Havasu City, 86404

(928) 855-3051

06/04/1956  545-02-5898

2022

FPS Medical

(928) 453-1970

not sure

Medical History

Yes

Morphine

Carvedilol 6.25 mg twice a day, entresto 24 mg once a day, 81 aspirin once a day

No

No

No

No

?

No

No

No

No

Yes

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No, ?

No

Dante Erebara

November 27, 2023

2935 Indian Springs dr

9313372073

Lake Havasu City, 86406

9288551191

Finance

01/12/1991  188-72-3206

11/15/2017

Medical History

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Molly Port

November 27, 2023

870 Pueblo Dr

928-486-5234

Lake Havasu City, 86406

01/11/75 

1 year ago

Ashley Desmarais

928-733-6291

Medical History

No

None

Right Ankle – screws and plates put in.

None

No

No

Yes

No

Yes

No

No

?

?

No

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

Barbara Green

November 27, 2023

821 Talley Lane

928-208-5423

Lake Havasu City, 86404

928-505-6900

Admin Assistant

10/06/1961 

11/21/22

Medical History

No

Vitamin D

No

Yes

Yes

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

Yes

No

No

No

No

No

Yes

No

Daniel McDonald

November 27, 2023

1141 yavapai way

9282086849

Lake havasu city, 86406

12/03/1987 

Medical History

No

Escatalopram

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Molly Port

November 27, 2023

870 Pueblo Dr

928-486-5234

Lake Havasu City, 86406

01/11/75 

1 year ago

Ashley Desmarais

928-733-6291

Medical History

No

None

Right Ankle – screws and plates put in.

None

No

No

Yes

No

Yes

No

No

?

?

No

?

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

Bryan Coville

November 28, 2023

121 Mescal Loop

805-469-0267

Lake Havasu City, 86403

President

06/06/1957  559-70-2340

December 2021

Mcdonald

(928) 208-4611

June 2023

Medical History

No

Olmesartan Medoxomil 40 MG Tab
Rosuvastatin Calcium 5 MG Tab
Testosterone 1.62% Gel Pump
Tadalafil 5 MG Tablet
Amlodipine Besylate 10 MG Tab

Knee Replacement – both Knee
prostatectomy

No

No

No

No

No

No

No

No

No

No

Yes

No

No

Yes

No

No

No

Yes

No

Yes

No

No

No

No, ?

No

Yes

Yes

Yes

?

Yes

No

Yes

No

Yes

No

Yes

No

No, ?

No

Yes

No

Yes

No

Yes

No

Monica Montiel

November 28, 2023

512 , McCulloch Blvd S

Lake Havasu City, 86406

Medical Assistant

12/22/1980 

2022

Loida Arquiza

(951) 415-4673

10/2023

Medical History

Yes

Penicillin, morphine

Omeprazole 40 mg 1 po qd
Align probiotic 1 po qd
IBguard 2 po tid
Tramadol hcl 50 mg 1-2 po bid for abdominal pain

Yes

No

Yes

No

Yes

Yes

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

Yes

Yes

No

Yes

No

No

Yes

No

No

No

No

No

No

Yes

No

Yes

No

No

No

Anorah waddington

November 28, 2023

2285 shorewood dr A

9282316839

Lake havasu city, 86403

Syepris nelson

Mother

09/20/2018 

Dr Denise Satori

Medical History

Yes

Penicillin

Glaucoma runs in family both grandma legally blind on mothers side. One was diagnosed at 7yrs old. Stigma issues run on dad side of family

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Eleanor Steinle

November 29, 2023

2170 Burke Dr lake havasu

17146191817

Lake Havasu city, 86406

8/21/29  Na

Na

Dr Wynn

Na

Na

Medical History

No

Amlodapine
Synthroid
Palaix
Vitamin d/b/ areds

Na

Glaucoma
Cataracts
Macular degeneration

No

Yes

?

No

?

No

No

?

Yes

No

Yes

?

Yes

No

?

No

?

No

Yes

No

No

No

Yes

No

No

?

No

?

No

?

No

Yes

No

?

Yes

No, ?

Yes

?

No

?

No

Yes

Yes

No

David

November 29, 2023

2091 Quartzite Pl

9282101663

Lake Havasu city, 86404

9284184011

Driver

08/24/1967  600121227

2019

Riverview

Riverview

2023

Medical History

Yes

Composine

Livothyroxine, aspirin, fish oil, Crestol, carvadolol.

Eye surgery, stents

No

?

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

Yes

No

No

No

No

Yes

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

Thomas Panagos

November 29, 2023

1880 Sentinel Dr. Unit A

3109448406

Lake Havasu City, 86404

3108448406

Retired

06/18/1947  553 74 1474

2yr

Dr. Levy

928 855 4224

1 month ago

Medical History

No

Will bring list

Lasix, Bleporplasty upper and lower, triple bipass heart ,

drooping eyelid

Yes

No

No

No

No

No

No

?

?

No

No

No

No

No

No

?

?

No

?

No

No

?

?

No

No

No

No

No

No

No

No

No

No

?

?

No

No

William H Cohrt

November 29, 2023

171 Comanche Lane

9289786979

Lake Havasu City, AZ, 86403

none

retired

06/18/1941  565527793

11/2023

Doctor McDonald

928 208 4611

06/2022

Medical History

No

Amlodlpine 2.5 mg
Crestor 5 mg
Levothyroxine 25 mg
Tamsulosin Hcl 0.4mg

none

AMD right eye
Cataract both eyes

William H Cohrt

November 29, 2023

171 Comanche Lane

9289786979

Lake Havasu City, AZ, 86403

none

retired

06/18/1941  565527793

11/2023

Doctor McDonald

928 208 4611

06/2022

Medical History

No

Amlodlpine 2.5 mg
Crestor 5 mg
Levothyroxine 25 mg
Tamsulosin Hcl 0.4mg

none

AMD right eye
Cataract both eyes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes, ?

No

No

No

No

?

No

No

Yes

No

No

No

No

Yes

No

No

CHRISTIAN I. BRISENO

November 29, 2023

700 S ARROWHEAD AVE

6026634346

PARKER, 85344-5200

9286691239

TRACEY QUILLEN

COLLECTIONS SPECIALIST

02/06/2008  765-86-9644

DR. BESTY BERKOVICH

928-669-2137

OCTOBER 30, 2023

Medical History

Yes

SULFA

MONTELUKAST, CETERIZINE, ALBUTEROL INHALER, SINGULAIR

N/A

N/A

No

Yes

No

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Cade Kessler

November 30, 2023

6655 Avienda Desierto Verde

9284866281

Lake Havasu City, 86406

Plumber

05/14/2003 

Dr. Sossy

Medical History

No

Knee replacement with miniscus tear
Broken ankles, had screws and plates put in and taken out

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Ali Cabrera

November 30, 2023

3155 Rustler Dr

928.706.3921

Lake Havasu City, 86404

Graphic Artist

7/11/79  609-01-4208

Dr. Shawn O’Haver

928.412.8808

Medical History

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Mark Graves

December 4, 2023

2005 Mimosa Dr.

5096717154

Lake Havasu City, 86403

Retired

03031952 

Medical History

No

Amlodipine

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Margo Lopez

December 5, 2023

3531 Winston Dr.

(928)566-5405

Lake Havasu City, 86406

(928)566-5405

07/07/1983  585-47-1095

Jennifer King

(270)832-5930

08/25/2023

Medical History

No

Phentermine 15mg

2 C-Sections 8/2006 and 8/2020
Cholecystectomy 1/2021
Appendectomy 10/2022

N/A

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Zoila Baurle

December 5, 2023

3003 Ranchero Dr

9288460017

Lake Havasu, 86406

Licensed Nurses aide

02/05/1977  613684951

2018

North country healthcare

9288541800

2022

Medical History

Yes

Dilating, amoxicillin

None

Cataract surgery-2008

Cataracts

Yes, ?

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

No

No

No

Yes

No

No

No

No

Yes

No

No

?

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

No

Yes

No

No

Yes

Yes

No

Michael Pung

December 6, 2023

1880 Montana Vista

6122059378

Lake Havasu City, 86403

Retired

01/29/1963  502761756

December 2022

Steven Massad

February 2023

Medical History

No

Rosuvastatin 40mg
Exetimibe 10 mg
Bisoprolol 5mg

No

Yes

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

Yes

No

?

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

Debora Pung

December 6, 2023

1880 Montana Vista

651-402-9051

Lake Havasu City, 86403

Retired

05-17-1967  479-02-8679

Dec 2022

Dr. Smith-Tryon

Oct 2023

Medical History

Yes

Penicillin

Qvar, albuterol, Flonase, Claritin

None

None

No

Yes

No

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Debora Pung

December 6, 2023

1880 Montana Vista

651-402-9051

Lake Havasu City, 86403

Retired

05-17-1967  479-02-8679

Dec 2022

Dr. Smith-Tryon

Oct 2023

Medical History

Yes

Penicillin

Qvar, albuterol, Flonase, Claritin

None

None

No

Yes

No

No

No

Yes

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

Kimberly Corbin

3703 Bluegrass Dr

715.338.2328

Lake Havasu City, 86403

928.854.8732

Administration

11.16.1959  531746972

11.2022

Kasey Cox

928.680.4233

07.2023

Medical History

Yes

Sulfa products

Centrum Silver for women, Calcium, Doxycycline Hyclate, Atorvastatin, Vitamin D2

Gall Bladder Removed

None

No

Yes

No

No

No

No

No

No

No

No

No

Yes

No

No

No

No

No

No

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Paul G McCartney

December 7, 2023

2351 McCulloch Blvd N Apt 5

9284866944

Lake Havasu City, 86403

N/A

N/A

07/10/1967  057543347

2015

Amelia Arevalo

9285057100

12/6/2023

Medical History

Yes

Zoloft, triggers a manic episode.

Depakote 1500 mg/ day.

No

No

?

No

?

No

No

No

?

No

No

No

No

No

?

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

?

No

erik

December 8, 2023

3394 cinnamon dr

9284121511

lake havasu city, 86406

02/20/1970  568456040

unknown

Medical History

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No