Blayk,Bonzeanne R: Acct Num: A00032204893, Med Rec Num: M000597460, Facility: TOC, Visit Date: 01/11/97
ED_UC_Documentation
--

Emergency Dept/Urgent Care Documentation, Date: 01/11/97, Doc ID: 16926758

Blayk,Bonzeanne R: Acct Num: A00034384222, Med Rec Num: M000597460, Facility: TOC, Visit Date: 06/02/98
Lab_Pathology
--

Lab Historical Data, Date: 06/02/98, Doc ID: 16926759

Blayk,Bonzeanne R: Acct Num: A00034866053, Med Rec Num: M000597460, Facility: TOC, Visit Date: 09/24/98
Lab_Pathology
--

Lab Historical Data, Date: 09/24/98, Doc ID: 16926760

Blayk,Bonzeanne R: Acct Num: A00034931055, Med Rec Num: M000597460, Facility: TOC, Visit Date: 10/08/98
Lab_Pathology
--

Lab Historical Data, Date: 10/08/98, Doc ID: 16926761

Blayk,Bonzeanne R: Acct Num: A00036508950, Med Rec Num: M000597460, Facility: TOC, Visit Date: 09/21/99
Lab_Pathology
--

Lab Historical Data, Date: 09/21/99, Doc ID: 16926762

Blayk,Bonzeanne R: Acct Num: A00037180932, Med Rec Num: M000597460, Facility: TOC, Visit Date: 02/08/00
Lab_Pathology
--

Lab Historical Data, Date: 02/08/00, Doc ID: 16926763

Blayk,Bonzeanne R: Acct Num: A00037457033, Med Rec Num: M000597460, Facility: TOC, Visit Date: 04/04/00
Lab_Pathology
--

Lab Historical Data, Date: 04/04/00, Doc ID: 16926764

Blayk,Bonzeanne R: Acct Num: A00038023867, Med Rec Num: M000597460, Facility: TOC, Visit Date: 07/24/00
Lab_Pathology
--

Lab Historical Data, Date: 07/24/00, Doc ID: 16926765

Blayk,Bonzeanne R: Acct Num: A00038713681, Med Rec Num: M000597460, Facility: TOC, Visit Date: 12/05/00
Lab_Pathology
--

Lab Historical Data, Date: 12/05/00, Doc ID: 16926766

Blayk,Bonzeanne R: Acct Num: A00039227178, Med Rec Num: M000597460, Facility: TOC, Visit Date: 03/14/01
Lab_Pathology
--

Lab Historical Data, Date: 03/14/01, Doc ID: 16926767

Blayk,Bonzeanne R: Acct Num: A00041444894, Med Rec Num: M000597460, Facility: TOC, Visit Date: 04/26/02
Lab_Pathology
--

Lab Historical Data, Date: 04/26/02, Doc ID: 16926769

Clinical_Documentation
Nursing

Nursing Plan of Care, Date: 04/26/02, Doc ID: 16926770

Nursing Admission Assessment, Date: 04/26/02, Doc ID: 16926768

Blayk,Bonzeanne R: Acct Num: A00041446428, Med Rec Num: M000597460, Facility: TOC, Visit Date: 04/27/02
Correspondence
Authorization

Authorization for Release of Information, Date: 04/27/02, Doc ID: 20757421

Authorization for Release of Information, Date: 04/27/02, Doc ID: 15455256

Discharge_Summary
--

Discharge Summary, Date: 04/27/02, Doc ID: 16926775

History___Physical
--

History & Physical, Date: 04/27/02, Doc ID: 16926776

Consult
--

Consultation Report, Date: 04/27/02, Doc ID: 16926774

Lab_Pathology
--

Lab Historical Data, Date: 04/27/02, Doc ID: 16926773

Medications
--

Pharmacy MAR Summary, Date: 04/27/02, Doc ID: 16926780

Clinical_Documentation
Nursing

Nursing Plan of Care, Date: 04/27/02, Doc ID: 16926778

Nursing Patient Notes, Date: 04/27/02, Doc ID: 16926777

Nursing Patient Audit, Date: 04/27/02, Doc ID: 16926772

Nursing Admission Assessment, Date: 04/27/02, Doc ID: 16926771

Clinical_Documentation
Vital_Signs

Vital Signs, Date: 04/27/02, Doc ID: 16926779

Blayk,Bonzeanne R: Acct Num: A00043391507, Med Rec Num: M000597460, Facility: TOC, Visit Date: 04/04/03
Correspondence
Authorization

Authorization for Release of Information, Date: 04/04/03, Doc ID: 14253063

Demographics
--

Facesheet, Date: 04/04/03, Doc ID: 8908066

Advance_Directives
--

Health Care Proxy, Date: 04/04/03, Doc ID: 8908067

ED_UC_Documentation
--

Ambulance Record, Date: 04/04/03, Doc ID: 8908075

Emergency Dept/Urgent Care Documentation, Date: 04/04/03, Doc ID: 8908064

Progress_Notes
--

Progress Notes, Date: 04/04/03, Doc ID: 8908065

Lab_Pathology
--

Lab Historical Data, Date: 04/04/03, Doc ID: 16926784

Imaging
--

Imaging Studies, Date: 04/04/03, Doc ID: 8908076

Radiology Report, Date: 04/04/03, Doc ID: 16926783

Consents
--

General Consent, Date: 04/04/03, Doc ID: 8908062

Procedure/Treatment/Legal Consent, Date: 04/04/03, Doc ID: 8908072

Procedure/Treatment/Legal Consent, Date: 04/04/03, Doc ID: 8908071

Procedure/Treatment/Legal Consent, Date: 04/04/03, Doc ID: 8908070

Procedure/Treatment/Legal Consent, Date: 04/04/03, Doc ID: 8908069

Procedure/Treatment/Legal Consent, Date: 04/04/03, Doc ID: 8908068

Medications
--

Pharmacy MAR Summary, Date: 04/04/03, Doc ID: 16926786

Clinical_Documentation
Nursing

Mental Health Unit Record, Date: 04/04/03, Doc ID: 8908073

Nursing Assessment, Date: 04/04/03, Doc ID: 8908063

Nursing Plan of Care, Date: 04/04/03, Doc ID: 16926785

Nursing Admission Assessment, Date: 04/04/03, Doc ID: 16926782

Miscellanous
--

Miscellaneous, Date: 04/04/03, Doc ID: 8908074

Blayk,Bonzeanne R: Acct Num: A00054854286, Med Rec Num: M000597460, Facility: TOC, Visit Date: 01/24/08
Lab_Pathology
--

Lab Historical Data, Date: 01/24/08, Doc ID: 16926787

Blayk,Bonzeanne R: Acct Num: A00055216667, Med Rec Num: M000597460, Facility: TOC, Visit Date: 03/18/08
Correspondence
Authorization

Authorization for Release of Information, Date: 03/18/08, Doc ID: 8908078

Imaging
--

Radiology Report, Date: 03/18/08, Doc ID: 16926788

Consents
--

General Consent, Date: 03/18/08, Doc ID: 8908077

Blayk,Bonzeanne R: Acct Num: A00055245880, Med Rec Num: M000597460, Facility: TOC, Visit Date: 03/20/08
Lab_Pathology
--

Lab Historical Data, Date: 03/20/08, Doc ID: 16926789

Physician_Orders
--

Provider Orders, Date: 03/20/08, Doc ID: 8908079

Blayk,Bonzeanne R: Acct Num: A00056186752, Med Rec Num: M000597460, Facility: TOC, Visit Date: 08/06/08
Imaging
--

Radiology Report, Date: 08/06/08, Doc ID: 16926790

Consents
--

General Consent, Date: 08/06/08, Doc ID: 8908080

Physician_Orders
--

Provider Orders, Date: 08/06/08, Doc ID: 8908081

Blayk,Bonzeanne R: Acct Num: A00060601572, Med Rec Num: M000597460, Facility: TOC, Visit Date: 04/28/10
Demographics
--

Facesheet, Date: 04/28/10, Doc ID: 8908086

Patient Identification, Date: 04/28/10, Doc ID: 8908090

Insurance Card-Old, Date: 04/28/10, Doc ID: 8908089

Discharge_Transfer
Discharge_Instructions

Discharge Instructions, Date: 04/28/10, Doc ID: 8908085

ED_UC_Documentation
--

Emergency Dept/Urgent Care Documentation, Date: 04/28/10, Doc ID: 8908092

Consents
--

General Consent, Date: 04/28/10, Doc ID: 8908084

Physician_Orders
--

Medication Reconciliation, Date: 04/28/10, Doc ID: 8908088

Medications
--

Prescription, Date: 04/28/10, Doc ID: 8908091

Clinical_Documentation
Nursing

Clinical Documentation, Date: 04/28/10, Doc ID: 8908087

Blayk,Bonzeanne R: Acct Num: A00062883764, Med Rec Num: M000597460, Facility: TOC, Visit Date: 03/24/11
Demographics
--

Patient Identification, Date: 03/24/11, Doc ID: 8908095

Insurance Card-Old, Date: 03/24/11, Doc ID: 8908094

Imaging
--

Ultrasound Report, Date: 03/24/11, Doc ID: 16926791

Consents
--

General Consent, Date: 03/24/11, Doc ID: 8908093

Physician_Orders
--

Outpatient Order, Date: 03/24/11, Doc ID: 8908096

Blayk,Bonzeanne R: Acct Num: A00062888250, Med Rec Num: M000597460, Facility: TOC, Visit Date: 04/11/11
Demographics
--

Insurance Card-Old, Date: 04/11/11, Doc ID: 8908106

Discharge_Transfer
Discharge_Instructions

Discharge Instructions, Date: 04/11/11, Doc ID: 8908099

History___Physical
--

History & Physical, Date: 04/11/11, Doc ID: 8908105

Lab_Pathology
--

Pathology Historical Data, Date: 04/11/11, Doc ID: 16926794

Consents
--

General Consent, Date: 04/11/11, Doc ID: 8908097

Procedure/Treatment/Legal Consent, Date: 04/11/11, Doc ID: 8908098

Surgical_Procedures
Anesthesia

Moderate Sedation Record, Date: 04/11/11, Doc ID: 8908101

Surgical_Procedures
Universal_Protocol

Universal Protocol Checklist, Date: 04/11/11, Doc ID: 8908104

Ancillary_Department
Endoscopy

Endoscopy Record, Date: 04/11/11, Doc ID: 8908100

Physician_Orders
--

Medication Reconciliation, Date: 04/11/11, Doc ID: 8908103

Provider Orders, Date: 04/11/11, Doc ID: 8908102

Medications
--

Pharmacy MAR Summary, Date: 04/11/11, Doc ID: 16926793

CONVERSION-OLD_RECORDS
--

MISC Reports, Date: 04/11/11, Doc ID: 16926792

Blayk,Bonzeanne R: Acct Num: A00063350292, Med Rec Num: M000597460, Facility: TOC, Visit Date: 05/23/11
Correspondence
Authorization

Authorization for Release of Information, Date: 05/23/11, Doc ID: 5485253

Authorization for Release of Information, Date: 05/23/11, Doc ID: 27021806

Authorization for Release of Information, Date: 05/23/11, Doc ID: 8908107

Demographics
--

Patient Identification, Date: 05/23/11, Doc ID: 6112951

Advance_Directives
--

Health Care Proxy, Date: 04/03/13, Doc ID: 6321724

Lab_Pathology
--

Lab Historical Data, Date: 05/23/11, Doc ID: 16926795

Physician_Orders
--

Provider Orders, Date: 05/23/11, Doc ID: 8908108

Miscellanous
--

Miscellaneous, Date: 05/23/11, Doc ID: 21015613

Blayk,Bonzeanne R: Acct Num: A00082793308, Med Rec Num: M000597460, Facility: TOC, Visit Date: 12/25/16
Correspondence
--

Legal Documents, Date: 12/25/16, Doc ID: 29259902

Letter, Date: 12/25/16, Doc ID: 29259903

Correspondence
Authorization

Authorization for Release of Information, Date: 12/25/16, Doc ID: 29259900

Correspondence
Insurance

Insurance Information, Date: 12/25/16, Doc ID: 29259898

Demographics
--

Facesheet, Date: 12/25/16, Doc ID: 28804571

Facesheet, Date: 12/25/16, Doc ID: 28807441

Facesheet, Date: 12/25/16, Doc ID: 28804507

Facesheet, Date: 12/24/16, Doc ID: 28804462

Patient Identification, Date: 12/25/16, Doc ID: 28852430

Attestation
--

Attestation Form, Date: 12/25/16, Doc ID: 28807447

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 28804460

Health Care Proxy, Date: 04/03/13, Doc ID: 28804459

Discharge_Summary
--

Discharge Summary, Date: 02/10/17, Doc ID: 29248445

Discharge_Transfer
Discharge_Instructions

Discharge Instructions, Date: 12/25/16, Doc ID: 29259895

Discharge Packet - Inpatient, Date: 02/10/17, Doc ID: 18711

History___Physical
--

History & Physical, Date: 12/25/16, Doc ID: 28805642

Inpatient Admission Workup, Date: 12/25/16, Doc ID: 29259897

Admission Note, Date: 12/25/16, Doc ID: 28805523

ED_UC_Documentation
--

Ambulance Record, Date: 12/25/16, Doc ID: 28807443

ED Patient Audit, Date: 12/24/16, Doc ID: 27397

ED Provider Report, Date: 12/24/16, Doc ID: 28804483

Progress_Notes
--

Progress Notes, Date: 02/09/17, Doc ID: 29235617

Progress Notes, Date: 02/08/17, Doc ID: 29226112

Progress Notes, Date: 02/08/17, Doc ID: 29225667

Progress Notes, Date: 02/07/17, Doc ID: 29209095

Progress Notes, Date: 02/06/17, Doc ID: 29196551

Progress Notes, Date: 02/03/17, Doc ID: 29180383

Progress Notes, Date: 02/02/17, Doc ID: 29165205

Progress Notes, Date: 02/01/17, Doc ID: 29157675

Progress Notes, Date: 01/31/17, Doc ID: 29141617

Progress Notes, Date: 01/30/17, Doc ID: 29127564

Progress Notes, Date: 01/27/17, Doc ID: 29108875

Progress Notes, Date: 01/26/17, Doc ID: 29092870

Progress Notes, Date: 01/25/17, Doc ID: 29081265

Progress Notes, Date: 01/24/17, Doc ID: 29070483

Progress Notes, Date: 01/23/17, Doc ID: 29058817

Progress Notes, Date: 01/23/17, Doc ID: 29055940

Progress Notes, Date: 01/20/17, Doc ID: 29037054

Progress Notes, Date: 01/19/17, Doc ID: 29024637

Progress Notes, Date: 01/19/17, Doc ID: 29024005

Progress Notes, Date: 01/18/17, Doc ID: 29012922

Progress Notes, Date: 01/17/17, Doc ID: 29004030

Progress Notes, Date: 01/17/17, Doc ID: 29003328

Progress Notes, Date: 01/16/17, Doc ID: 28995157

Progress Notes, Date: 01/13/17, Doc ID: 28975991

Progress Notes, Date: 01/12/17, Doc ID: 28960602

Progress Notes, Date: 01/11/17, Doc ID: 28951688

Progress Notes, Date: 01/10/17, Doc ID: 28937853

Progress Notes, Date: 01/09/17, Doc ID: 28926389

Progress Notes, Date: 01/06/17, Doc ID: 28907387

Progress Notes, Date: 01/05/17, Doc ID: 28898599

Progress Notes, Date: 01/04/17, Doc ID: 28886971

Progress Notes, Date: 01/03/17, Doc ID: 28875446

Progress Notes, Date: 01/02/17, Doc ID: 28862870

Progress Notes, Date: 01/01/17, Doc ID: 28856234

Progress Notes, Date: 12/31/16, Doc ID: 28854233

Progress Notes, Date: 12/30/16, Doc ID: 28848194

Progress Notes, Date: 12/30/16, Doc ID: 28847273

Progress Notes, Date: 12/29/16, Doc ID: 28836265

Progress Notes, Date: 12/29/16, Doc ID: 28833568

Progress Notes, Date: 12/28/16, Doc ID: 28825189

Progress Notes, Date: 12/27/16, Doc ID: 28818586

Lab_Pathology
--

LAB Discharge Summary, Date: 12/24/16, Doc ID: 28804485

Consents
--

General Consent, Date: 12/25/16, Doc ID: 28807446

Procedure/Treatment/Legal Consent, Date: 12/25/16, Doc ID: 29259901

Valuables Release, Date: 12/25/16, Doc ID: 28807445

Patient Portal Consent, Date: 12/25/16, Doc ID: 29259899

Physician_Orders
--

Medication Reconciliation, Date: 12/25/16, Doc ID: 29364247

Provider Orders, Date: 12/25/16, Doc ID: 28804572

Patient Order Summary, Date: 12/24/16, Doc ID: 11857

Medications
--

Pharmacy MAR Summary, Date: 12/25/16, Doc ID: 28804597

Pharmacy Discharge Summary, Date: 12/25/16, Doc ID: 28804598

Clinical_Documentation
Nursing

Clinical Documentation, Date: 12/25/16, Doc ID: 28807444

Nursing Assessment, Date: 12/25/16, Doc ID: 28807442

Plan of Care, Date: 12/25/16, Doc ID: 29259896

Clinical_Documentation
--

PCS Discharge Summary, Date: 12/24/16, Doc ID: 39923

Other_Facility
--

Other Facility Information, Date: 12/25/16, Doc ID: 29259906

Patient_Health_Summary
Patient_Health_Summary

Patient Health Summary, Date: 02/10/17, Doc ID: 16434

Blayk,Bonzeanne R: Acct Num: A00088103734, Med Rec Num: M000597460, Facility: TOC, Visit Date: 08/03/18
Demographics
--

Facesheet, Date: 08/03/18, Doc ID: 34689941

Patient Identification, Date: 08/03/18, Doc ID: 34689937

Insurance Card, Date: 08/03/18, Doc ID: 34689949

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 34689936

Health Care Proxy, Date: 04/03/13, Doc ID: 34689935

Lab_Pathology
--

LAB Discharge Summary, Date: 08/03/18, Doc ID: 34690230

Consents
--

General Consent, Date: 08/03/18, Doc ID: 34689970

Patient Portal Consent, Date: 08/03/18, Doc ID: 34689938

Physician_Orders
--

Patient Order Summary, Date: 08/03/18, Doc ID: 40763

Outpatient Order, Date: 08/03/18, Doc ID: 34689946

Blayk,Bonzeanne R: Acct Num: A00088518428, Med Rec Num: M000597460, Facility: TOC, Visit Date: 09/19/18
Correspondence
--

Legal Documents, Date: 09/19/18, Doc ID: 35190873

MISCELLANEOUS CORRESPONDENCE, Date: 03/31/19, Doc ID: 24226

MISCELLANEOUS CORRESPONDENCE, Date: 03/14/19, Doc ID: 52123

MISCELLANEOUS CORRESPONDENCE, Date: 01/24/19, Doc ID: 22229

Correspondence
Authorization

Authorization for Release of Information, Date: 09/19/18, Doc ID: 41583325

Authorization for Release of Information, Date: 09/19/18, Doc ID: 35349196

Authorization for Release of Information, Date: 09/19/18, Doc ID: 35229925

Authorization for Release of Information, Date: 09/19/18, Doc ID: 35190870

Demographics
--

Facesheet, Date: 09/19/18, Doc ID: 35166284

Facesheet, Date: 09/19/18, Doc ID: 35229916

Facesheet, Date: 09/19/18, Doc ID: 35165012

Patient Identification, Date: 09/19/18, Doc ID: 35165003

Attestation
--

Attestation Form, Date: 09/19/18, Doc ID: 35190875

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 35165002

Health Care Proxy, Date: 04/03/13, Doc ID: 35165001

Discharge_Transfer
Discharge_Instructions

Discharge Instructions, Date: 09/19/18, Doc ID: 35229920

SBAR Handoff Tool, Date: 09/19/18, Doc ID: 35229917

Discharge Packet - Inpatient, Date: 09/22/18, Doc ID: 17284

Discharge_Transfer
--

Transfer Summary, Date: 09/22/18, Doc ID: 35202980

History___Physical
--

History & Physical, Date: 09/19/18, Doc ID: 35169999

ED_UC_Documentation
--

Ambulance Record, Date: 09/19/18, Doc ID: 35170945

ED Patient Audit, Date: 09/19/18, Doc ID: 18591

ED Provider Report, Date: 09/19/18, Doc ID: 35165910

ED Provider Report, Date: 09/19/18, Doc ID: 35165025

Progress_Notes
--

Progress Notes, Date: 09/25/18, Doc ID: 35235109

Progress Notes, Date: 09/24/18, Doc ID: 35219348

Progress Notes, Date: 09/23/18, Doc ID: 35208613

Progress Notes, Date: 09/23/18, Doc ID: 35207863

Progress Notes, Date: 09/22/18, Doc ID: 35204427

Progress Notes, Date: 09/21/18, Doc ID: 35201235

Progress Notes, Date: 09/21/18, Doc ID: 35195685

Progress Notes, Date: 09/21/18, Doc ID: 35195163

Progress Notes, Date: 09/19/18, Doc ID: 35178080

Progress Notes, Date: 09/19/18, Doc ID: 35229918

Consult
--

Consultation Report, Date: 09/24/18, Doc ID: 35220972

Consultation Report, Date: 09/24/18, Doc ID: 35209738

Consultation Report, Date: 09/19/18, Doc ID: 35178322

Consultation Report, Date: 09/19/18, Doc ID: 35173284

Lab_Pathology
--

LAB Discharge Summary, Date: 09/19/18, Doc ID: 35165075

Imaging
--

Imaging Studies, Date: 09/25/18, Doc ID: 35234203

Imaging Studies, Date: 09/20/18, Doc ID: 35181418

Imaging Studies, Date: 09/19/18, Doc ID: 35177124

Imaging Studies, Date: 09/19/18, Doc ID: 35175924

Imaging Studies, Date: 09/19/18, Doc ID: 35171186

Imaging Studies, Date: 09/19/18, Doc ID: 35165874

Imaging Studies, Date: 09/19/18, Doc ID: 35165457

Imaging Studies, Date: 09/19/18, Doc ID: 35165379

Imaging Studies, Date: 09/19/18, Doc ID: 35165314

Cardiac_Testing
--

ECG, Date: 09/19/18, Doc ID: 35349195

ECG, Date: 09/19/18, Doc ID: 35190868

ECG, Date: 09/19/18, Doc ID: 35178524

ECG, Date: 09/19/18, Doc ID: 35165048

Telemetry Monitoring, Date: 09/19/18, Doc ID: 35229927

Consents
--

General Consent, Date: 09/19/18, Doc ID: 35190869

Procedure/Treatment/Legal Consent, Date: 09/19/18, Doc ID: 35190874

Valuables Release, Date: 09/19/18, Doc ID: 35190871

Patient Portal Consent, Date: 09/19/18, Doc ID: 35165004

Surgical_Procedures
Anesthesia

Anes Eval/Preop Eval, Date: 09/19/18, Doc ID: 35229921

Surgical_Procedures
Procedure

Operative Report, Date: 09/20/18, Doc ID: 35181566

Operative Record, Date: 09/26/18, Doc ID: 35245018

Photo, Date: 09/19/18, Doc ID: 35229928

Surgical_Procedures
Universal_Protocol

Universal Protocol Checklist, Date: 09/19/18, Doc ID: 35229922

Physician_Orders
--

Provider Orders, Date: 09/19/18, Doc ID: 35166290

Patient Order Summary, Date: 09/19/18, Doc ID: 42629

Medications
--

Pharmacy MAR Summary, Date: 09/19/18, Doc ID: 35165015

Pharmacy Discharge Summary, Date: 09/19/18, Doc ID: 35165016

Clinical_Documentation
Nursing

1:1 Continuous Observation, Date: 09/19/18, Doc ID: 35190872

Clinical Documentation, Date: 09/19/18, Doc ID: 35229924

Clinical_Documentation
--

PCS Discharge Summary, Date: 09/19/18, Doc ID: 16652

Miscellanous
--

Miscellaneous, Date: 09/19/18, Doc ID: 35229926

Blayk,Bonzeanne R: Acct Num: A00088571823, Med Rec Num: M000597460, Facility: TOC, Visit Date: 09/24/18
Correspondence
--

Legal Documents, Date: 09/24/18, Doc ID: 35475830

Correspondence
Authorization

Authorization for Release of Information, Date: 09/24/18, Doc ID: 35475826

Authorization for Release of Information, Date: 09/24/18, Doc ID: 35475824

Demographics
--

Facesheet, Date: 09/24/18, Doc ID: 35224798

Facesheet, Date: 09/24/18, Doc ID: 35475819

Patient Identification, Date: 09/24/18, Doc ID: 35224794

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 35224793

Health Care Proxy, Date: 04/03/13, Doc ID: 35224792

Discharge_Summary
--

Discharge Summary, Date: 10/15/18, Doc ID: 35466382

Discharge_Transfer
Discharge_Instructions

Discharge Instructions, Date: 09/24/18, Doc ID: 35475822

Discharge Instructions, Date: 09/24/18, Doc ID: 35475820

Discharge Packet - Inpatient, Date: 10/15/18, Doc ID: 09800

History___Physical
--

History & Physical, Date: 09/24/18, Doc ID: 35233004

Inpatient Admission Workup, Date: 09/24/18, Doc ID: 35475823

Progress_Notes
--

Progress Notes, Date: 10/12/18, Doc ID: 35436311

Progress Notes, Date: 10/10/18, Doc ID: 35409449

Progress Notes, Date: 10/10/18, Doc ID: 35406445

Progress Notes, Date: 10/08/18, Doc ID: 35380204

Progress Notes, Date: 10/08/18, Doc ID: 35378369

Progress Notes, Date: 10/05/18, Doc ID: 35362096

Progress Notes, Date: 10/03/18, Doc ID: 35329085

Progress Notes, Date: 10/01/18, Doc ID: 35305904

Progress Notes, Date: 09/28/18, Doc ID: 35277992

Progress Notes, Date: 09/27/18, Doc ID: 35259686

Progress Notes, Date: 09/26/18, Doc ID: 35249301

Progress Notes, Date: 09/25/18, Doc ID: 35232509

Lab_Pathology
--

LAB Discharge Summary, Date: 09/28/18, Doc ID: 35273344

Imaging
--

Imaging Studies, Date: 10/06/18, Doc ID: 35366781

Consents
--

General Consent, Date: 09/24/18, Doc ID: 35475825

Animal Pet Consent, Date: 09/24/18, Doc ID: 35475828

Procedure/Treatment/Legal Consent, Date: 09/24/18, Doc ID: 35475829

Valuables Release, Date: 09/24/18, Doc ID: 35475832

Patient Portal Consent, Date: 09/24/18, Doc ID: 35224795

Physician_Orders
--

Provider Orders, Date: 09/24/18, Doc ID: 35588572

Provider Orders, Date: 09/24/18, Doc ID: 35475831

Patient Order Summary, Date: 09/25/18, Doc ID: 13770

Medications
--

Pharmacy MAR Summary, Date: 09/25/18, Doc ID: 35231445

Pharmacy Discharge Summary, Date: 09/25/18, Doc ID: 35231446

Clinical_Documentation
Nursing

Mental Health Unit Record, Date: 09/24/18, Doc ID: 35475827

Plan of Care, Date: 09/24/18, Doc ID: 35475821

Clinical_Documentation
--

PCS Discharge Summary, Date: 09/24/18, Doc ID: 30110

Blayk,Bonzeanne R: Acct Num: A00088954623, Med Rec Num: M000597460, Facility: TOC, Visit Date: 11/01/18
Demographics
--

Facesheet, Date: 11/01/18, Doc ID: 35660418

Patient Identification, Date: 11/01/18, Doc ID: 35660390

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 35660389

Health Care Proxy, Date: 04/03/13, Doc ID: 35660388

Imaging
--

Imaging Studies, Date: 11/01/18, Doc ID: 35661020

Consents
--

General Consent, Date: 11/01/18, Doc ID: 35660447

Patient Portal Consent, Date: 11/01/18, Doc ID: 35660391

Physician_Orders
--

Patient Order Summary, Date: 11/01/18, Doc ID: 42292

Outpatient Order, Date: 11/01/18, Doc ID: 35660420

Blayk,Bonzeanne R: Acct Num: A00089017792, Med Rec Num: M000597460, Facility: TOC, Visit Date: 11/15/18
Correspondence
Authorization

Authorization for Release of Information, Date: 11/15/18, Doc ID: 12944

Demographics
--

Facesheet, Date: 11/15/18, Doc ID: 35816178

Patient Identification, Date: 11/15/18, Doc ID: 35731747

Insurance Card, Date: 11/15/18, Doc ID: 35816181

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 35731746

Health Care Proxy, Date: 04/03/13, Doc ID: 35731745

Imaging
--

Imaging Studies, Date: 11/15/18, Doc ID: 35819266

Consents
--

General Consent, Date: 11/15/18, Doc ID: 35816186

HealtheConnections Consent, Date: 11/15/18, Doc ID: 35816184

Patient Portal Consent, Date: 11/15/18, Doc ID: 35731748

Physician_Orders
--

Provider Orders, Date: 11/15/18, Doc ID: 35764609

Patient Order Summary, Date: 11/15/18, Doc ID: 40112

Outpatient Order, Date: 11/15/18, Doc ID: 35816211

Clinical_Documentation
--

PCS Discharge Summary, Date: 11/12/18, Doc ID: 067-1

Blayk,Bonzeanne R: Acct Num: A00089439863, Med Rec Num: M000597460, Facility: TOC, Visit Date: 12/26/18
Demographics
--

Facesheet, Date: 12/26/18, Doc ID: 36226408

Patient Identification, Date: 12/26/18, Doc ID: 36226403

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 36226402

Health Care Proxy, Date: 04/03/13, Doc ID: 36226401

Imaging
--

Imaging Studies, Date: 12/26/18, Doc ID: 36226649

Consents
--

General Consent, Date: 12/26/18, Doc ID: 36226444

HealtheConnections Consent, Date: 11/15/18, Doc ID: 36226405

Patient Portal Consent, Date: 12/26/18, Doc ID: 36226404

Physician_Orders
--

Patient Order Summary, Date: 12/26/18, Doc ID: 49535

Outpatient Order, Date: 12/26/18, Doc ID: 36226437

Blayk,Bonzeanne R: Acct Num: A00090515206, Med Rec Num: M000597460, Facility: TOC, Visit Date: 04/18/19
Demographics
--

Facesheet, Date: 04/18/19, Doc ID: 37490145

Patient Identification, Date: 04/18/19, Doc ID: 37490138

Insurance Card, Date: 04/18/19, Doc ID: 37490156

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 37490137

Health Care Proxy, Date: 04/03/13, Doc ID: 37490136

Lab_Pathology
--

LAB Discharge Summary, Date: 04/18/19, Doc ID: 37491916

Consents
--

General Consent, Date: 04/18/19, Doc ID: 37490189

HealtheConnections Consent, Date: 11/15/18, Doc ID: 37490140

Patient Portal Consent, Date: 04/18/19, Doc ID: 37490139

Physician_Orders
--

Patient Order Summary, Date: 04/18/19, Doc ID: 48522

Outpatient Order, Date: 04/18/19, Doc ID: 37490149

Blayk,Bonzeanne R: Acct Num: A00091772335, Med Rec Num: M000597460, Facility: TOC, Visit Date: 08/26/19
Demographics
--

Facesheet, Date: 08/26/19, Doc ID: 39011674

Patient Identification, Date: 08/26/19, Doc ID: 39011658

Insurance Information - Miscellaneous, Date: 08/26/19, Doc ID: 39012500

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 39011657

Health Care Proxy, Date: 04/03/13, Doc ID: 39011656

Imaging
--

Imaging Studies, Date: 08/26/19, Doc ID: 39011988

Consents
--

General Consent, Date: 08/26/19, Doc ID: 39011696

HealtheConnections Consent, Date: 11/15/18, Doc ID: 39011660

Patient Portal Consent, Date: 08/26/19, Doc ID: 39011659

Physician_Orders
--

Patient Order Summary, Date: 08/26/19, Doc ID: 39067

Outpatient Order, Date: 08/26/19, Doc ID: 39011679

Blayk,Bonzeanne R: Acct Num: A00093202703, Med Rec Num: M000597460, Facility: TOC, Visit Date: 01/17/20
Demographics
--

Facesheet, Date: 01/17/20, Doc ID: 40721243

Patient Identification, Date: 01/17/20, Doc ID: 40721237

Advance_Directives
--

Health Care Proxy, Date: 06/10/13, Doc ID: 40721236

Health Care Proxy, Date: 04/03/13, Doc ID: 40721235

Lab_Pathology
--

LAB Discharge Summary, Date: 01/17/20, Doc ID: 40721540

Consents
--

HealtheConnections Consent, Date: 11/15/18, Doc ID: 40721239

Patient Portal Consent, Date: 01/17/20, Doc ID: 40721238

Physician_Orders
--

Patient Order Summary, Date: 01/17/20, Doc ID: 11658

Outpatient Order, Date: 01/17/20, Doc ID: 40721247

Blayk,Bonzeanne R: Acct Num: A00101014728, Med Rec Num: M000597460, Facility: TOC, Visit Date: 07/17/20
Demographics
--

Facesheet, Date: 07/17/20, Doc ID: 03059

Discharge_Transfer
--

Patient Abstract, Date: 07/21/20, Doc ID: 008-1

Attestation Statement, Date: 07/21/20, Doc ID: 008-1

Lab_Pathology
--

LAB Discharge Summary, Date: 07/17/20, Doc ID: 41909088

Physician_Orders
--

Patient Order Summary, Date: 07/17/20, Doc ID: 44821

Outpatient Order, Date: 07/17/20, Doc ID: 42593

Blayk,Bonzeanne R: Acct Num: A00101088953, Med Rec Num: M000597460, Facility: TOC, Visit Date: 07/22/20
Demographics
--

Facesheet, Date: 07/22/20, Doc ID: 30005

Discharge_Transfer
--

Patient Abstract, Date: 07/27/20, Doc ID: 44588

Attestation Statement, Date: 07/27/20, Doc ID: 588-1

Lab_Pathology
--

LAB Discharge Summary, Date: 07/22/20, Doc ID: 41919936

Physician_Orders
--

Patient Order Summary, Date: 07/22/20, Doc ID: 33217

Outpatient Order, Date: 07/22/20, Doc ID: 08541

Outpatient Order, Date: 07/22/20, Doc ID: 41606

Blayk,Bonzeanne R: Acct Num: A00109287987, Med Rec Num: M000597460, Facility: TOC, Visit Date: 12/15/20
Demographics
--

Facesheet, Date: 12/15/20, Doc ID: 477-1

Discharge_Transfer
--

Patient Abstract, Date: 12/17/20, Doc ID: 34795

Attestation Statement, Date: 12/17/20, Doc ID: 795-1

Lab_Pathology
--

LAB Discharge Summary, Date: 12/15/20, Doc ID: 42834311

Physician_Orders
--

Patient Order Summary, Date: 12/15/20, Doc ID: 37091

Outpatient Order, Date: 12/15/20, Doc ID: 25572

Outpatient Order, Date: 12/15/20, Doc ID: 41300

Blayk,Bonzeanne R: Acct Num: A00111252540, Med Rec Num: M000597460, Facility: TOC, Visit Date: 01/25/21
Demographics
--

Facesheet, Date: 03/16/21, Doc ID: 12819

Lab_Pathology
--

LAB Discharge Summary, Date: 01/25/21, Doc ID: 43059913

Physician_Orders
--

Patient Order Summary, Date: 01/25/21, Doc ID: 43936

Blayk,Bonzeanne R: Acct Num: A00109611111, Med Rec Num: M000597460, Facility: TOC, Visit Date: 01/28/21
Demographics
--

Facesheet, Date: 01/29/21, Doc ID: 35668

Facesheet, Date: 01/28/21, Doc ID: 27943

Facesheet, Date: 01/22/21, Doc ID: 57344

Patient Identification, Date: 01/28/21, Doc ID: 36798

Insurance Card, Date: 01/28/21, Doc ID: 58574

Discharge_Transfer
Discharge_Instructions

Discharge Instructions, Date: 01/28/21, Doc ID: 21246

Discharge_Transfer
--

Patient Abstract, Date: 02/02/21, Doc ID: 57504

Attestation Statement, Date: 02/02/21, Doc ID: 504-1

History___Physical
--

History & Physical, Date: 01/28/21, Doc ID: 21246

Lab_Pathology
--

Pathology Data, Date: 01/29/21, Doc ID: 43095186

Cardiac_Testing
--

Telemetry Monitoring, Date: 01/28/21, Doc ID: 21278

Consents
--

General Consent, Date: 01/28/21, Doc ID: 15761

Procedure/Treatment/Legal Consent, Date: 01/28/21, Doc ID: 21293

Valuables Release, Date: 01/28/21, Doc ID: 21262

Surgical_Procedures
Anesthesia

Moderate Sedation Record, Date: 02/01/21, Doc ID: 32682

Surgical_Procedures
Procedure

Procedure Note, Date: 01/29/21, Doc ID: 43093539

Surgical_Procedures
Universal_Protocol

Universal Protocol Checklist, Date: 01/28/21, Doc ID: 21309

Ancillary_Department
Endoscopy

Endoscopy Record, Date: 01/28/21, Doc ID: 21309

Physician_Orders
--

Medication Reconciliation, Date: 01/28/21, Doc ID: 21324

Patient Order Summary, Date: 01/22/21, Doc ID: 02724

Outpatient Order, Date: 01/29/21, Doc ID: 44741

Medications
--

Pharmacy MAR Summary, Date: 01/28/21, Doc ID: 43084844

Pharmacy Discharge Summary, Date: 01/28/21, Doc ID: 43084845

Clinical_Documentation
Nursing

Clinical Documentation, Date: 01/28/21, Doc ID: 21293

Clinical_Documentation
--

PCS Discharge Summary, Date: 01/27/21, Doc ID: 35617

Other_Facility
--

Other Facility Information, Date: 01/28/21, Doc ID: 21340

Blayk,Bonzeanne R: Acct Num: A00122466261, Med Rec Num: M000597460, Facility: TOC, Visit Date: 07/27/21
Demographics
--

Facesheet, Date: 07/27/21, Doc ID: 46654

Patient Identification, Date: 07/27/21, Doc ID: 06879

Insurance Card, Date: 07/27/21, Doc ID: 31269

Discharge_Transfer
--

Patient Abstract, Date: 08/06/21, Doc ID: 37581

Attestation Statement, Date: 08/06/21, Doc ID: 581-1

Lab_Pathology
--

LAB Discharge Summary, Date: 07/27/21, Doc ID: 44362610

Consents
--

General Consent, Date: 07/27/21, Doc ID: 00030

Physician_Orders
--

Patient Order Summary, Date: 07/27/21, Doc ID: 38299

Outpatient Order, Date: 07/27/21, Doc ID: 31239

Blayk,Bonzeanne R: Acct Num: A00125804039, Med Rec Num: M000597460, Facility: TOC, Visit Date: 10/05/21
Demographics
--

Facesheet, Date: 10/05/21, Doc ID: 47971

Patient Identification, Date: 10/05/21, Doc ID: 12578

Discharge_Transfer
--

Patient Abstract, Date: 10/13/21, Doc ID: 818-1

Attestation Statement, Date: 10/13/21, Doc ID: 11834

Lab_Pathology
--

LAB Discharge Summary, Date: 10/05/21, Doc ID: 44741833

Physician_Orders
--

Patient Order Summary, Date: 10/05/21, Doc ID: 551-1

Outpatient Order, Date: 10/05/21, Doc ID: 00288

Outpatient Order, Date: 10/05/21, Doc ID: 43214

Blayk,Bonzeanne R: Acct Num: A00131752255, Med Rec Num: M000597460, Facility: TOC, Visit Date: 02/07/22
Demographics
--

Facesheet, Date: 02/07/22, Doc ID: 639-1

Patient Identification, Date: 02/07/22, Doc ID: 38518

Discharge_Transfer
--

Patient Abstract, Date: 02/09/22, Doc ID: 26674

Attestation Statement, Date: 02/09/22, Doc ID: 674-1

Lab_Pathology
--

LAB Discharge Summary, Date: 02/07/22, Doc ID: 45432835

Consents
--

General Consent, Date: 02/07/22, Doc ID: 28454

Physician_Orders
--

Patient Order Summary, Date: 02/07/22, Doc ID: 24047

Outpatient Order, Date: 02/07/22, Doc ID: 48664

Blayk,Bonzeanne R: Acct Num: A00132381690, Med Rec Num: M000597460, Facility: TOC, Visit Date: 03/01/22
Demographics
--

Facesheet, Date: 02/23/22, Doc ID: 57617

Patient Identification, Date: 03/01/22, Doc ID: 22294

Physician_Orders
--

Outpatient Order, Date: 02/23/22, Doc ID: 49758

Blayk,Bonzeanne R: Acct Num: A00135688513, Med Rec Num: M000597460, Facility: TOC, Visit Date: 09/21/22
Demographics
--

Facesheet, Date: 09/21/22, Doc ID: 51172

Patient Identification, Date: 09/21/22, Doc ID: 08238

Discharge_Transfer
--

Patient Abstract, Date: 09/28/22, Doc ID: 39678

Attestation Statement, Date: 09/28/22, Doc ID: 678-1

Lab_Pathology
--

LAB Discharge Summary, Date: 09/21/22, Doc ID: 45998643

Consents
--

General Consent, Date: 09/21/22, Doc ID: 20100

Physician_Orders
--

Provider Orders, Date: 09/21/22, Doc ID: 00038

Patient Order Summary, Date: 09/21/22, Doc ID: 35821

Clinical_Documentation
--

PCS Discharge Summary, Date: 09/21/22, Doc ID: 46140