TRACY A BERG, MD PS • 417 1 W EXPO PARKWAY, POST FALLS ID 8 38 54-7 322

JOHNSON, RICHARD L (id #753, do b: 01/16/1969)

TRACY A BERG, MD PS
4171 W EXPO PARKWAY
POST FALLS, ID 83854-7322
Phone: (208) 262-3823, Fax: (208) 262-9959

Date: 11/10/2015

Dear Richard Johnson,

The following is a summary of your visit today. If you have any questions, please contact our office.

Sincerely,

Electronically Signed by: TRACY A. BERG, MD

Patient Care Summary for Richard L Johnson

Most Recent Encount er

11/10/2015 Tracy Ann Berg: 4171 W Expo Parkway, Post Falls, ID 83854- 7322, Ph. tel:+1- 208- 2623823

Reason f or Visit
None recorded.

Assessment and Plan

None recorded.

Discussion Note: None recorded.

Patient educational handouts: No information available.

Plan of Care
Re m inde rs Pro vide r
Appointments Post Op on or around 11/17/2015 Tracy Ann Berg, MD

Lab None recorded.

Referral None recorded.

Procedures None recorded.

Surgeries None recorded.

Imaging None recorded.

Current Medicat ions
Your medical record indicates you are on the following medicine. If this list is not consistent with the medications you are
currently taking, or if you are taking additional over-the-counter medicines, please inform your provider.
Nam e Pre scribe d Dat e St art Dat e
alpraz olam 0.25 mg tablet

fluoxetine 20 mg capsule

gentamicin 0.3 % eye drops

hydrochlorothiaz ide 12.5 mg tablet

lisinopril 20 mg tablet

ranitidine 300 mg tablet

tramadol

Medicat ions Administ ered

None recorded.

Vit als
None recorded.

Lab Result s
None recorded.

Allergies
Please review your allergy list for accuracy. Contact your provider if this list needs to be updated.
Nam e Re act io n Se ve rit y Onse t
NKDA
Notes: Had a reaction to a pain med one time but does not remember what it was

Problems
Nam e St at us Onse t Dat e So urce
Bilateral Inguinal Hernia Active Encounter

Procedures
None recorded.

Vaccine List
Here is a copy of your most up-to-date vaccination list.

None recorded.

Smoking St at us
Smoking Status Former Smoker

Past Encount ers

11/10/2015
Tracy Ann Berg, MD: 4171 W Expo Parkway, Post Falls, ID 83854- 7322, Ph. (208) 262- 3823

11/03/2015
Bilateral Inguinal Hernia
Tracy Ann Berg, MD: 16201 E. Indiana Ave Ste 3100, Spokane, WA 99216- 1051, Ph. (509) 891- 8904
 Demographics
Sex: Male Ethnicity: Not Hispanic or Latino
DOB: 01/16/1969 Race: White
Preferred language: English Marital status: Married

Contact: 3431 W Ridge Lane, Post Falls, ID 83854, Ph. tel:+1- 208- 7774747

Care Team Members

Primary Care Provider
Dr. ben Moss 924 S Pines, Spokane Valley, WA 99206, Ph. tel:+1- 509- 4340313

Note: Patients are solely responsible for maintaining the privacy and security of all information printed from the
Patient Portal.