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HomeMy WebLinkAbout00-07551 -. ~ ~', , -' 1--,' ",., ,-~'-" 0.: ",""-,'-"-,';; --~---"'I'~-,,- ;"" --~-,,' <-. ,.,__.to- -,- ;" .c."'. ~,_,:".;';;:;J;i ~';";-,i' ",'k-,,:" '-',; ',' ::1:' . ,. ';-:':;:'1 , " t. GARRY L HOCKLEY, a minor, by and: IN THE COURT OF COMMON PLEAS through his Parent and Guardian, : CUMBERLAND COUNTY, PENNSYLVANIA SHERRI HOCKLEY, Petitioners Vs. : NO. tJ-o- 7SJ I ~ EAST PENNSBORO YOUTH ATHLETIC LEAGUE, INC., Respondent ORDER AND NOW, this day of , 1998, it is hereby Ordered that a Hearing on the foregoing Petition for Leave to Compromise Minor's Action shall be held on the day of , 2000 at o'clock _.m. in Court Room No. at the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania. BY THE COURT: J. 'H"', ",'I' 0_' I'".,",~".;- I ,.",,-,.1 .,:,,' " ;, ''';~, . '- ',L'"',>'~~; ..",,_c", ;,~, ,'_,,;;;.',{,:, -<J-"-;,'~.' ",,;_ , -~ , , , . GARRY L. HOCKLEY, a minor, by and: IN THE COURT OF COMMON PLEAS through his Parent and Guardian, : CUMBERLAND COUNTY, PENNSYLVANIA SHERR I HOCKLEY, Petitioners Vs. '1$SI 6;;J 'i~ : NO. ()1) - EAST PENNSBORO YOUTH ATHLETIC LEAGUE; INC., Respondent ORDER OF COURT AND NOW, this ~ day of Ochi>v ,2000, upon consideration of the foregoing Petition, IT IS HEREBY ORDERED that: 1 . The above parties may compromise the action set forth in the Petition to Approve Minor's Compromise for the principal sum of $15,000.00. 2. Sherri Hockley, as natural parent and guardian of Garry L. Hockley, Jr., minor, is authorized to pay the following counsel fees and other costs from the amount to which said minor is entitled to receive in this action: a. $3,750.00 to W. Scott Henning, Esq./Handler, Henning & Rosenberg as reasonable attorney's fees; b. $231.07 to Handler, Henning & Rosenberg as reasonable expenses; c. $27.00 to Quantum Imaging; d. $2,700 to Ira J. Heller, D.D.S. for estimated orthodontic expenses; and e,;. . '=~--~ -ii- -,-~.....--,,~~- -"~' , "A ~ 'i ,-, ,,""- , " . ~~~f1i--O' . "',;J~~'^""'" " ,"'~ ";.;.",,,~,' C 'v1NV^lASNN3d AlNn08 CG~:8J8~n8 S8:11 iiV 0813000 AbV10NOH1U0:1 3H.L :10 ..,,,. '-If' rl--I j :h.Ji:J~"r,-,:J b .. ~ "'~.-- ~,. .~, , " , '--""I\",-,"-c..",t,i"":';~;';,','_~'~".'-v;':;i;"""_h_'_."';",;0,.6,..': ," '.-:"''''0'; .'", ';'_'-. , ) , . c. Direct payment of the net funds in the amount of $8,291.93 from the lump sum payment into an interest bearing', federally insured Certificate of Deposit or savings account with Petitioner, Sherri Hockley named as guardian for the benefit of Garry L. Hockley, Jr., minor. The account is to be marked "Not to be withdrawn without Court Order of a Court of competent jurisdiction until minor Petitioner reaches his/her majority". BY THE COURT J ~~J 10:30 -00 RK.s . ,,-.. .', "-, ,,,,,-,,-'~*""~'_C,__~" ",',-, __,I __"",,-_'1 '--'~- ,'''~-'I--'' --<-"'I,"~- . ,-,;;~-_','~, : ''''"" '''''-'-__O'~;;"'.;S,o;,__,;;;-",__";;'';;<'-''-;'>\H,;:o",, "___.._" 'e'.:i_"J ,) , . GARRY L. HOCKLEY, a minor, by and: IN THE COURT OF COMMON PLEAS through his Parent and Guardian, : CUMBERLAND COUNTY, PENNSYLVANIA SHERRI HOCKLEY, Petitioners Vs. (t(J - '7.$ S I C-..;;.J I ~ : NO. EAST PENNSBORO YOUTH ATHLETIC LEAGUE, INC., Respondent PETITION FOR LEAVE TO COMPROMISE MINOR'S ACTION Pursuant to Pennsylvania Rule of Civil Procedure No. 2039, Sherri Hockley, the natural parent and guardian of minor, Garry L. Hockley, Jr., by and through their attorney, W. Scott Henning, Esq., HANDLER, HENNING & ROSENBERG, petition this Honorable Court to enter an Order permitting settlement and compromise of this action and, in support, aver: 1. Petitioner, Sherri Hockley is the natural parent and guardian of minor, Garry L. Hockley, Jr., currently age fourteen (14) years old, whose date of birth June 7, 1 986. 2. Petitioner resides with her minor child at 915 Magnolia Court, Enola, Cumberland County, Pennsylvania. 3. Respondent is East Pennsboro Youth Athletic League, Inc. with an address of P.O. Box 41, Enola, PA 17025. ! ~ ,~, , w, , " . -" - , . -~"'^e'" ,,', 1::- J.~,_",,~ ~ I_w,,_.- I"""~, " ~ ,;,>",~_:_-,~", ~",,,,,,,~ "-'" ;,""',.-,.-z,;,.~ ',{ .<'~',,, ..-'., 4. On or about May 18, 1998, Garry L. Hockley, Jr. was riding his bike at Sheaffer's Park when he was caused to have a serious bicycle accident after riding his bicycle off a three foot drop-off separating the ball field and the parking lot that was not clearly visible or marked. 5. As a result of this incident Garry L. Hockley suffered a closed head injury, severe contusions, lacerations and abrasions to his face area, as well as lacerations to the inside of his mouth and a tooth that was knocked out and another tooth that was chipped. Garry was immediately taken to the Holy Spirit Emergency Room and was treated and released for his injuries. Garry was experiencing episodes of dizziness and passing out and was taken back to the Holy Spirit Emergency Room one day following the incident. Garry was subsequently seen by his family dentist and orthodontist for follow-up care regarding the injuries to his teeth. [A copy of the medical records and billing statements from Holy Spirit Hospital, Dr. Kravitz and Dr. Heller pertaining to Garry's treatment are attached hereto as Exhibit n A n .J 6. Respondent has offered the Petitioners a settlement in the amount of $15,000.00, as full and final settlement of the claim against the Respondent. 7. Petitioners propose to accept the settlement proposal from Respondent thereby releasing Respondent from any all claims, suits, and other actions arising from the injuries in the present case. 8. W. Scott Henning, Esq., of HANDLER, HENNING & ROSENBERG. has been the attorney for the minor in this action and he requests the reasonable counsel fees of $3,750.00 for services rendered pursuant to a Power of Attorney and 2 ,. Contingent Fee Agreement signed by Petitioners, plus costs and expenses of $231 .07. The aforesaid figure of $3,750.00 is calculated upon a contingency fee of 25%. (A copy of said Agreement and billing summary are attached hereto, made a part hereof and marked, "Exhibit B".) 9. Petitioner believes that this Compromise is in the best interests of minor, Garry L. Hockley, Jr: WHEREFORE. Petitioner requests this Honorable Court to: a. Approve the Compromise above-stated; b. Authorize the payment of fees in the amount of $3,750.00 and costs in the amount of $231.07 from the funds due the minor; c. Authorize the payment of an outstanding medical bill to Quantum Imaging in the amount of $27.00 from the funds due the minor; d. Authorize the payment of $2,700.00 Ira J. Heller, D.D.S. for the payment of estimated costs of orthodontic work for the treatment of Garry Hockley, Jr.; and d. Direct payment of the net funds in the amount of $8,291.93 from the lump sum payment into an interest bearing, federally insured Certificate of Deposit or interest bearing, federally insured savings account with Petitioner, Sherri Hockley named as guardians for the benefit of Garry 3 , "I~"~ - . ". -"",- " " ,,;0'0 ",,' " ".'F !C- ~- ~ , "'..,'4.,.-_,. ,:-r "<..: , "<"~'.,',-,--~ j-,n",~ '"',,~, '"-' "~;r,~",, . .,~' =L -- .~ L. Hockley, Jr., minor. The account is to be marked "Not to be withdrawn until minor Petitioner reaches his/her majority or without the Court Order of a Court of competent jurisdiction" . Attorneys for ,etitioner Sherri Hockley on behalf of her minor child, Garry L. Hockley, Jr. 4 ~^- ",,' ,-,<,-,._-,--,--"., ''I" ~",~',' '__'" -',," - "".^,',""''''''_I~~_~', -~ <;'" "<' ,.,;. < "',< : ".V ,',,", "{;/~,.,:",<<,,"~,-<--,,,~, ::,<,~'c- ;_""'; ~".~_': 'I I I I . VERIFICATION I verify that the statements made in the foregoing Petition for Leave To Compromise Minor's Action are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S. ~4904 relating to unsworn falsification to authorities. / Date r; - cl ~ -(l) " " CONTINGENT FEE AGREEMENT KNOW ALL MEN BY THESE PRESENTS, that I, Sherri Hockley, Parent and Guardian of minor child, Garry L. Hockley, Jr., do hereby retain HANDLER AND WIENER, of Harrisburg, Pennsylvania, as my attorneys in this matter to represent me and to process, negotiate, arbitrate a settlement or to institute for me in my name, any legal proceedings or actions that, in their judgment are necessary, against East Pennsboro Township, or against anyone else as a result of injuries or damages sustained by Garry L. Hockley in an incident that occurred on 05/18/98. I agree not to settle, negotiate or adjust the above claim or any proceedings based thereon without the written consent of my said attorneys. - NOW, THEREFORE, in conSIderation of the services so to be rendered by Handler & Wiener, I hereby covenant, promise and agree to pay them for their professional services rendered, THIRTY.THREE AND ONE-THIRD PERCENT (33 T!3%)of whatever sum is recovered as a result of settlement without suit; or FORTY PERCENT (40%) in the event of arbitration, mediation or if suit is filed. I will reimburse Handler & Wiener for any necessary expenses and costs advanced on my behalf in pursuing my claim. Counsel reserves the right to withdraw if, after complete investigation, they determine that there is no merit to the claim. I ACKNOWLEDGE that I have read, approved and understood the above Contingent Fee Agreement and I acknowledge having received a copy of the same. The terms set forth are accepted. ' IN WITNESS WHEREOF, I have hereunto set my hand and seal this 19th day of August, 1998. (S_EAL) errj ackley, Parent and Guardian of L. Hockley Jr., minor child ~ '" EXHIBIT -A " " HANDLER, HENNING & ROSENBERG September 21, 2000 Billed through 09/21/00 GARRY L HOCKLEY JR Bill number 203350-00000-002 WSH OISBURSEMENTS 08/26/98 09!1 0198 11/19/98 09/21/99 01/10/00 07/06/00 09/21/00 09/21/00 09/21/00 09/21/00 09/21/00 BILLING SUMMARY Arthur A Kravitz MD HospitaL Correspondence Corp A8CO IRA J HELLER IRA J HELLER Book Binding Costs Proth of Cumberland County Document Reproduction Document Reproduction Postage Costs Postage Costs 25.00 35.00 10.00 20.00 45.00 2.00 45.50 3.00 26.60 9.42 9.55 Total disbursements for this matter $ 231.07 . * billing timekeeper W. Scott Henning * date of last biLL * date of Last reminder * last bilL through date * bill type code $-4 * action to be * O=hoLd entire biLL * 1=a/r reminder * 2=bill exps, hold fees taken 3=summary fees and exp 4=bitl fees and exp 5=summary fees/detail e * * current * 30 days * 60 days * 90 days * 120 days . .00 .00 .00 .00 .00 * billing frequency A-12 * last payment * bitling realization . . o % * * * matter 00000 . . . 6619 08/26/98 . 5571 09/10/98 . 5345 11/19/98 . 6983 09/21/99 . 6983 01/10100 . BIND 07/06/00 . 1CUM 09/21/00 * COpy sunvnary * ISI summary * POS sunmary * POST summary . 25.00 35.00 10.00 20.00 45.00 2.00 45.50 3.00 26.60 9.42 9.55 . * 231.07 . . * . . 1CUM 45.50 . 5345 10.00 . 5571 35.00 * 6619 25.00 . 6983 65.00 . 8INO 2.00 . COpy 3.00 . ISI 26.60 * POS 9.42 . POST 9.55 . Total Disbursements $ 231.07 * 231.07 --~~-------- * TOTAL CHARGES FOR THIS BILL $ 231. 07 . 231.07 i\;A!'.r:~:; ~ :...:-;[;Di:\i.:'-~=;;; : dJ:R-i;"o;uAi-C:;: ,::>:r>j_CYI::'::'~ : A:;:ii);;E.S:; ~ C::-~t)h:C;-j :: CCij'-i!"!l.::j\;".-~ i\~ r::; \'"1 E: ~ :~:'iDH83~3;: f\;~i"'~E: ~'- p, n rl I;' ~:.~:::' :~; ~ '~=d"::;: T :f:rF~ f. :';-;-",',,\:[: ;:)~:;: ~ ;::~~:.:;=:::::~ r)f~; A[h'1IT OXi CCif';r'r...A I :\l-j:: ." ,""'" -' '.' ..:.., ~ ,~,-~ .' t~f" ~ l" ~ l-iGC;':::L.t=~y , ;':1f..;;'<RY , ;f-\' 'il1. 5 rAC~N(;L Z A IJF: (j,S/(i7;' :;.';:.'~:;b .(~OE::~ :3Tt:DF:::i'l.: ..t ':"'~~OT::::!;l~At\; .,;' , " .,' -.' .:" ,_ , ' '., -_'_ "M ,_, , ' - ....~~, . \. '-' . .:::>~i~7'::;'~, ;,,_, "C '( "'\'.',.','...- ,."'.).,, ,. 'ifjJjJ' _ ~~"","-l.:"'l ".~ "'Cr(?i . ,:'<It . .. -,- ',..... ...,..,.. . ,... 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T:-~:=;/""~ ,;,~~~REG J . ~ icIQ" .. f' . " ADM. DATE: 5/19/98 CC Head injury and passing out. HPI This ll-year-old boy was involved in a bicycle accidentlast night. He rode his bicycle off of a three foot ledge, was apparently knocked out at the time, and had injuries to his left face. He was seen here and examined last night. He had x-rays of his face which showed no fracture. He was discharged with instructions. He also knocked a tooth out and was to see his dentist today. He saw the dentist today but several times during the day, he would just fall asleep with no apparent reason. His mother sent him in to brush his teeth before going to the dentist. She didn't hear him fall but she went into the bathroom and he was asleep on the floor. Several times in the dentist's chair, he would just suddenly fall asleep. He says that he has pain in the left side of his face and in his tooth and somewhat of a headache. When he walks, he feels somewhat dizzy and slightly unsteady on his feet. He has had no nausea or vomiting. His visiou is uormal. His mother says that when he is awake, he is coherent, talks normally, walks normally except for being unsteady at times. He denies pain anywhere other than his face and his head. Nurses notes reviewed. PHYSICAL EXAMINATION VITAL SIGNS Temperature 99.3; pulse 77; respirations 16; blood pressnre 106/54. GENERAL He has marked swelling with abrasions of the left side of his face. Pupils are equal and reactive. Extraocular muscles intact. He has great difficulty opening his mouth or moving the left side of his mouth because of the facial abrasions and tbe injury to the left side of bis face. NECK Supple and nontender. HEART The heart rhythm is regular without murmur. LUNGS Clear. ABDOMEN Soft and nontender. Page 1 HOLY SPIJllT HOSPITAL Camp Hill, PA 17011 NAME: HOCKLEY, GARRY MR#: 191000 ROOM #: ECU DR.: Spurrier, EMERGENCY ROOM REPORT ""--"-', I; I I ,--. ;'--, .. '~ .~" !" :.. ',"'- .~ .,- ~ 'It' ' " " PELVIC Nontender. EXTREMITIES Symmetric. Full range of motion and nontender. NEUROLOGIC Finger to nose is normal; reflexes are normaL He is alert and oriented. CT scan of his brain without contrast shows no abnormality. After return from the X.ray Department, I had him ambulate in the hall and he ambulated without any staggering gait or difficulty walking. DIAGNOSIS 1. 2. Concussion with brief loss of consciousness. Post concussion dizziness and disequilibrium. I discussed the situation with the mother. He win be discharged to home with our head injury instruction sheel. She will keep him home from school for the next two days and watch him carefully. He will use ice to his face, wash it well, and put antibiotic ointmeut on aud follow-up either here or with his physician if he is not better in 2 to 3 days. ? ~I i)llf'i (U~~~,,~V David J. Spurrier, M.D. DS/sz D: 05/19/1998 T: OS/20/1998 5958 Page 2 HOLY SPIlUT HOSPITAL Camp Hill, PA 17011 NAME: HOCKLEY, GARRY MR#: 191000 ROOM #: ECU DR.: Spurrier, EMERGENCY ROOM REPORT PT NAI'lE: PT LOC: DIAGNOSIS: ~.J AF ,. 'I "',,11-- STAT RESULTS FOR HOCKLEY ,GARRY L JR ECU ROUT 14:01 05/19/98 SERVICES NUM. SEX M FRO~1 JNQ,ERPRITFl RAD PT 12004941 ADM DATE: ATTN DR: AGE 11 05/19/98 ED GROUP ORDER ORDER DATE/TIME 05/19/98 12:28 SERVICE DESCRIPTION CT BRAIN \'10 CO 1 OCCR 1 RESULT TEXT COMMEN~S: A CT SClU~ OF THE BRAIN WAS PERFORMED WITH THE STANDARD P~~ES OF REFERENCE. THERE IS NO SHIFT OF THE MIDLINE STRUCTURES. THE VENTRICLES ARE WITHIN NORMAL LIMITS IN SIZE. THERE IS NO EVIDENCE OF AN INTRACEREBRAL COLLECTION OR INTRACEREBRAL HEMORRHAGE. CONCLUSION: NEGATIVE CT SCAN OF THE BRAIN. ~ ~'lDl Q6 - ~~MD.lD.O. Date- ~I Results reviewed by '.'-,,,,,. I};; 6LvH8HH x x . ,. t"'. ,. - > ; , '. HOLY . SPIRIT HCS?IT.~ ff . DEPARTMENT OF RADIOLQGJ ~~D DIAGNOSTIC I~~GING Cfu~ HILL; PENNSYLVANIA 17011 (717) 763-2600 PATIENT: HCCKL.i:..r, GARRY L JR MR: 191000 SOC SEC, 200-70-9346 ORn DR., ED GROUP f PT TYPE: E ADM DATE 05/19/1998 12,04PM LOCATION ECU DICTATION DATE, 5/19/98 12,51 PM TRANSCRIPTION DATE 05/19/1998 01,56PM ARRIVAL DATE: HOSP SERVICE, ECD EXAMINATION: CT BRAIN SCAN, UNE1'IHANCED COMMENTS: A CT scan of the brain was performed with the standard planes of reference. There is no shift of the midline structures. The ventricles are within normal limits in size. There is no evidence of an intracerebral collection or intracerebral hemorrhage. CONCLUSION, Negative CT scan of the brain. .~ tJaPiY 1. 0- r.., q1 . p~/,~ / ./ " Ij\.. pcu ~ DICTATED BY, DATE OF EXAM, W. B. Miller, Jr., ~~D^/mek 05/19/1998 ~V V . initial Lab & X-Ray Orders: Labs I Urine Specimens [ ] Acetaminophen [] ESR [ ] Alcohol ] Glucose ] ,l\myiase/Lipase ] HCGS ] APTT ] Liver ] Blood CLJltures Profile 1 cae ] Lytes ] CKMB ] PTP ] CPRG ] Renal 1 CRP1 Profile ] Digoxin ] Quinidine ] Diiantin ] SalicylatG Radiology [ ] AbdlOb~tr, Series [ ] Ankle A L I j Clavicle R L [ ] Carv, S~ine Lateral [ ] CelV. SPine Routine [ ] Chest ~tn. / Port I TPA []Elbow A L [ ] Facial ] Femur A L ] Finger R L ] Foot A L ] Forearm R L ] Hand A L ] Hip A L 1 Humerl.lS R L ] Knee R L ] Other: Special Procedures: Ultrasound: [~scan of [ ] va Scan [ ] Other: ] Abdomen ] Duplex Doppler ] Gallbla.dder [ ] Pelvic Cultures ] Beta Strep AG (Culture ] Cervical ] Chlamydia ] GC Cwlture Billing Classllication: ( ] Levell ( 1 Follow up []Levelll [leasel [XLevellll I ] Level IV [ ] level V Holy Spirit Hospital Camp Hill, PA Emergency Care Unit Physician Order Sheet 206-ECU REV, 8/96 JD,BA,MD C-iA.:F CO?Y .. I ~ - " ] Serum Acetone ] Theophylline ] Thyroid Profile ] Tox Screen ] TPA Labs ] Type & Cross _# of units ] Type & Screen ] U/A ] Urine C & s J Workman's Camp Drug Screen lOther ] KUB ] US Spine ] Mandible ] Nasal ] Orbit R ] Pelvis ] Pyelogram lVP ] Ribs R ] Shoulder R 1 Skull ] Sternum ] T/Spine JTibl Fib R I Toe R lWrist R L L L L L L Timf'dCRT/lnt &-~ Time CAT nt. i jSpU1umC&S ]StooIC&S ] Stool 0 &' P ] Stool C. Difficile jWoundC&S [)<t Accident [ ] Medical [ ] Medical Non-Emergency ,,~ .. J_ . ., T' ~ _4:.ry ;-~,-: ;me,:....een; :lVl-'---' Cardiac I ] Monitor [ ] EKG paged at [ ] 02 LJMin. [ ] 02 Saturation , , ,~, A "'W:;; '~,'''' ., Respiratory ] A8G's paged at ] Peak Flows Before/After Resp. Tx. ] Respiratory Tx. Medications f iV's f Additionai Orders Time I IV: NSSf D5WI LRf D5/.45NSI OS.9NS infuse at cc/hour. [ ] Obtain old records. o !JJ o--r-- 'DateJTime/lnt. ,1 LI ~L-H) Y\wf'v1~v--. 0u7 c Q U;~ G '\- ~I;,Q..' Signature: Signature: Signature: Signature: ~1 ,J). ) J(f) ;S) '9 Ie!?;, t I Initial Initials: Initials: Initiais: Signature: Date: ..., -; --,' '-, 't? 1 '1 i -:: J:) f -;;~ Y L J .~, :-> 1 ) 7J 2 :_;, -J; _ i -i':"j'}b713 \..oc , ~ PJfJ(J(J_CC;j_ R.N. R.N. R,N. R.N. MO/OO ~ -::) , J; "I -'" 't.( . t"..,' ,i,&"r" ..;.,'---' . /' ,,~ ,('0; -'J -/r-o/ -'j . /7. - ",,,,., -,J/I ; !.~/JjAJ.u Vi J AI'/ ,; , <r-'- 4,' ,~ Po ...rr-, ' FMD: ' iI /-l L ~J-V' . u Mode of Arrival: [l,"j"Ambuiatory [ ] BLS [ ] ALS [ ] rvledical Command TRIAGE I CHIEF COMPLAINT: .i u~, I~ '''IT'AL -R'AG".L /. d ',/ d'<f ~ : _' ~ ~; ., '~ { , A,,~'''''''_ ; f /1..'-1)./7: /Yl, ...........~! ~ J'./V'y.. _( ul ~~v ~ ~('l--i!P . I pr . Place injury occurred: [ ] Hom~ [ ] Indusiry [ ] Recreation [ 1 Other lnformation obtained from: ~Patient ~jjY/S.O. _Records _EMT/Paramedic Extremity Evaluation: Triaged to radiology for: ,I -1 J"-.//./ \I t . ,. Date: Name: 'Age: h' (! //~'//,:..? ! -' -, Inage ! Ime: I/'';::- ').../ Time to Exam Room: i ::L.i1 (j Log-in Time: 1- ( II ~ f-',Ir;,/~u/-~ ;-r- # // -, (.J. ...-.:::L-f:_I'J :.?'t.':-'!.-L-\/c..b:.2::t'- Deformity Skin Color Intervention: Yes / No Pink / Cyanotic I Mottled Skin Temp "!\farm / Cool Pain (1-10) Distal Pulses Present! Absent Destination: f--:tE"CU [ ] EDF Paresthesia Present / Absent Time: /) , j SignatureV:::- - 1..1 ''"'d ,.-"J (J B/P:~~' Pulse OX.: , ASSESSMENT I Temp: 7'93 Pulse: Allergies/Reactions: Latex - Yes Last Tetanus: LMP: Weight:_scalelestimate (if pertinent) Visual Acuity: 0.0. o.s. O.U. _Corrective lenses Subjective: q-rv0-0,,_ tJ52 /MO -A!PoAod} j.,,,i2n~J i,)n t1k .L/)o~ 1'~"'~"';"9 e-0J k-/,( <:>-/;-) J.i.:-. -?' ,n ^, 1 /.",.., T. '/?r, <-+-;;'-k,~ ;( " i. ~ --""-,,,"I/o ~ ~/V^CcA-<.< ,w /(/,'7/,/" ~ '" ~~ -:1, -::j. -+-r ' ~. pi-, , ~ / ~ .i. '-'~;I". /l. /J /J ( ~ ., ^ "d.- 7fT ~I/ Objective: m~z- (IA...n : -. - / , , {.J Prehospital Treatment: ~ Medication/Dose/Freauencv .a- Last Dose MedicationlDose/Freauencv Last Dose Past Medical/Surgical History: .-cJi Has patient had exposure to measles, chickenpox or TB in past month? ~Are there advance d\rectiveS?~ Is copy available? ~ NURSING DIAGNOSIS EXPECTED OUTCOMES _ Cardiac Output, alteration in _Improvement in cardiac output demonstrated by improved v.s, and diagnostic tests. _ Comfort, alteration in _ Decrease or reHef of discomfort _ Fluid volume, alteration in _Improvement in fluid vol. demonstrated by decrease in symptoms of fluid vol. imbalance _ Jmpaired gas exchange _Improved gas exchange demonstrated by improved oxygenation and vital signs .' _ Potential/Actual infection _ Decrease in symptoms indicating infection or potential for infection _ Knowledge Deficit _Improved knowledge demonstrated by verbalization / return demonstration Assessment completed at / f!;;k' Data obtained by: by c'YJ R.N. M.A Admission Called: Report Calle Disposition: Discharged: [ ] Admission [ ] Observation [ ] Old Records Sent Admitted to at Hrs, Transferred to at by " e [~AMA [ LOR at , ~~aGtorY'-f...,t1~pr~~ ! Critical [ ] Deceased to morgue at ,/'7,';,,( H-e;scharge Instructions 7'?J 13'isch,;;ge R.N.' ,,.. tJ. ""7/":,.--/,11'-'~ / / " 1 at It ~-S- Holy Spirit Hospital /1:t Camp Hill, PA ECU Nursing Assessment , 1 ; , , , ~ > , '. . " '\ '- .) -,') , 201-ECU 5/97 6th Rev, JD, MD, SR ': :U <",'): {'}' CriA;~T CO?Y , i II ,~~\ikn Date: . 5/'1-9/<: Time: ii; J . (6 , , i. . ('S/) !, .,-,.,,"'~t' :. t. ..~~-- 1 i ",'" ".''''- i j '__",-- I ..",,"""_.c " Assessment: iyy;/f Vital Signs Monitor Physician Assessment 02 Saturation Lung Assessment Visual Acuity Diagnostics: EKG Labs PCXR/Por1. C-Spine Sent to Radiology Returned from Radiology Procedures: Respiratory Treatment Ice Foley Insertion NG Insertion Wound Care SplintlOCUSling/Crutches Miscellaneous: , , i I ,- I' i .-"'-"'"" I : i _ "'"' ......-- l ~:;.",'-'"-i i I 1-' . , I , I ',,-_~--; I , ; ~. I t /' i __ ~~--- ! ~ _";01-r\ 'i '-,,<'~- I ~~,- , - Pain Scale (0-10) Level of Consciousness Siderails Intake & Output Patient Education Info I I__.._~- I I i i I .~_.-' ~-,' .. , i ~,"..""-"'.. -- , ~-,----~ ~ ~ :'i 11 ~ '.1f ~ ........-~,...'--- ----~---- , , I i Other: i _-.- Initials: Time:. . _. ,2//, ,', A r"" ... .'" --:;, ", . - A"~ ,-;~.'; (Jf) ....,. __A I\--..... ~.I , I!I A _., IJ j, ,_ L.A. J h .J --;.-~r:I;;'{. _~ 'A.. () rtl(;j/~- _. ~r,LL f, ~,;I,.. /--::. A uH.._ ,'I // ___ _.--'- -,-- .-- \ ;; . ~ c S ~ IV Therapy Date Time Amount Solution Catheter Site Rate Rare Control Condition Alf!-'.!!~I~!tt Initials ), ~ I I ! -- ,- Signature: Signature: Condition Codes:: a-No lnflamaticn ,-Edema ~~ control: Initial: Initial: Initial: Initial: Signature: ' ~h Signature;6'Q 11-I~I/u!~R;:.J 3.Pain 4.Hardnec~ j.AVI 2_StatMaster 2A-Erythema 2S-Ecchymosis 5-Warrnth ---~-- Holy Spirit Hospital Camp Hill, PA Emergency Patient Documentation ',~ ' I ':) \ ~~ 'J -J E ")0:1" , , J > ~ \ h -; :. 2 "' 205 ECU Revised 5/96 JD, BR, MD , CHART COPY " ,,- ..::., :.. 1. ~~ ; _<> ,<.,.,-',"I"-+"'~'~.wo~~.",--,,,,,,,-~. :-. ~ .-, E.CU. (717) 763-2316 '. ' E..DJ:"'. I: ~ :""" ~' ~ ^ '~. """" ~~"' 'lih. '-.' ,',_'c,":' InS"('lIARGE~ISTRU CTION3 . (717) 763-2461' .' "", _,' - "C ':--"- ,- ,., I1C cxamlnati,on und treu.lm~-DtyoiJ have received ill the Emer~e~~y. re Unit (ECU) 11a:~ been rell _..,.. an emergency basis olliy, ;;ld -~~e not intenJ.od to be u suh;;iil~t~:for~or'an e'1'fort to provide lmplete medical care, if you develop new problems or complicatIOns contact your physIClltn or the EilJ-'1rgency C:\re Unit. FOLLOW 'THE !NSTRUCTIONS CHECKED BELOW. d..,-'-.j Follow these instructions if they differ from the patient information sheet. FOLLOW UP CARE o Retum to ECU I FHC on for a recheck, )8' See your physician or specialist if not better in Z - 3: days. Return to ECU if unable to do so. o See family I company physician / FHC on _for o Recheck 0 Suture removal o Pick up your x-rays from the Radiology Dept. on the 2nd -floor before going to doctor's office. (Call 763-2696 before arrivaL) o Your blood pressure was . Please get it rechecked by your family doctor, o Test reports I E,D. record given to patient. o CBC 0 CPRO 0 Renal Pro. 0 Glue, o EKG 0 X-Ray Copy 0 Records Copy Chart ADDITIO STRUCTI N f Offwor~j! From:':>!}"! to '52-1 o Return to work on 0 Light 0 Regular duty. o Limitation: o No gym or sport for _days. Z~ o See Workmen's Compensation shee( V -)'")":,! ~" Signatures: 'IA1.A./---- M.D,/D.O. /j ~% "VI JtJ, )r.A...e A:.A'..y-RN. !,/ {----/ PECIFIC INSTRUCTIONS: VOUND CARE ] Return for suture removalln. I days.:1.' ] Chancre dressi.nz /AJf/w''-,~ Ln-fr~~ L'i((f and a;ply Ar-.,s,l..o)h( tt,'l(r tiM~a day until ] Tetanus/diphtheria booster given. S&v" !.ut>I /.-I^. V PRAINS/BRUISES J Elevate injured part above heart for_days, ] Ace 0 Sling 0 Splint 0 Crutches for_days J Apply: i/fIce 0 Heat 0 Alternate ice and heat for ;.-zb-~inutes '----- t mimes a day until symotom free, ] Wear cervical c~llar for~days. . IIEDICATlON lNSTRUCmO~ U r - J Take~aspirin( Tyle~hl br AdVil}:~ery-1-hours,r{J;, { ] ~ake the following (B..L(:.-Y&'dicili.e,....- i~ 2. 1 3. 4, Your regular medicines except ] Do'not drive or operate any machinery while. taking )THER i, HOL~:{ Spn~,j,.T i:HJSP!1'AL ~ ,0 ic , ~ ~ , o Other ~ , , II r ! ~ , ~ ! " , t i ~ f j: ; I i , , i l , I n ! , J I Dateb-/ 1-'7~ :>ATIENT INFORMATION: Patient infonnation sheets contain important information to review and keep. ] Abdominal pain ] Alcohol abuse ] Allergic reaction JAsthma J Back pain J Bites-HumanJAnimalJInsect J Burn J Chest pain J Conjunctivitis ] COPD o Corneal abrasion/foreign body o Croup/bronchitis o Crutch walking o Diarrhea and Vomiting I Ped. Vomiting o Drug/Alcohol abuse/addiction o Febrile convulsion o Fever / Ped. Fever o Flu o Fracture o Headache fhe interpretation of your x-ray is a preliminary report, The films will- bg'reviewed by a radiologist and lOll or your doctor will be informed if there is a change in diagnosis, 1 hereby acknowledge receipt of here mstrucUons and eqUlprne.nt and understand th.em I understand that I have had emergency treatment Jnly and thaN may be released before all of my medical problems are known or treated, I will arrange :or follow up care as I have been instructed. X Head injury 0 PIDND o Hypertension 0 Rash o Immunizations/tetanus 0 Seizure o Kidney stones 0 Sore throat o Laceration 0 Sprains and strains o Neck strain 0 Threatened miscarriage o Nosebleed 0 Toothache o Otitis media 0 URI and colds o Pediatric head injury 0 UTI and pyelonephritis o Pecif~atnc URl 0 Other T /<'" /1 l-tI'ATIENTCljE ESUND~~~ ,/ ,{/':.:/C;f -/ / '-.::::b ~/'i///{/ , SIGNATURE - ~ '/t/ ./ /'> Patlent or R~~f)l~lble Person HOLY SPIRIT HOSPITAL EMERGENCY CARE UNIT 503 NORTH 21ST STREET CAMP HILL, PA 17011-2288 (717) 763-2316 : ) Vanitha Abraham. M.D. 038840L ( ) Robert Hynick. D.O. OS 004400-L ( ) David Spurrier. M,D. 023502-E : ),Thomas Aldous-, M.D. 017075E ( ) Richard Luley, M.D. 029960-E ( ) Alan Teplis, M,D, 0300 - : ) 'Salvatore Alfano, M.D, 025502E ( ) Phillip Maguire, M.D. D15063-E ( ) Elaine Thallner .. 0573OD-L : ) Ramesh Arora. M.D. 016727o/~ ( ) Lawrence Paul, M.D. O)9-~-L , ",' , ( ) David Zi~rman. M.D, 00f636-E ; ) Glen Daughtry. D,O, osqo~m6E \! ,,( ) Frank"prOC,OP"i,O'11-, ,K", ",.,,00,,030, 3643-E, ' _,', ,;.",-l"",).'",;/ / ,.(1 : )]OnDubin.D.0./>J699IL ( )RanjanaSh~.~.031/65-E.;\:., V DATE , /,,,,/,;;:,,,'[' ., , ""~;,'i, A~:: \. IX ~.r'" /, . / ,;C \ / (I~i~!~~!~~~>q :l,'{ (}'; ~,,"::::;': ~ 'm~uru ~":' ~~"". """'L- [N ORDER FOR A BRAND Nll-.ME PRODUcrTO BE DISPENSED. THE PRESCRIBER MUST HAND WRITE "BRAND NECESSARY" OR "BRAND MEDICALLY'NECESSARY"]}I THE SPACE BELOW. 'J LABEL o SUBSTITUTION PERMISSIBLE 178(6/97) 1 Y]'14S'H MR HOrv, ry"ilRRY l ",,;I.\"'!:. . , C., ,<)\'0 HGNGll. 'E'~OL~ O'o/07/ISSb C < ' . ') "\ rl _ 7. C) - 71..1 ~ tI ig\UUV JR c feu p \ \ 7025 728-0503 f. D GRC'JP . , '"l \ 0 ~ . :< .<~'" ~:.\:~ 'T.:;:~~ ~ '-2~~'-~:; :;f'~~-~' ..' ',-, '<' -.' ADMIT DP:L80018 ~TTND DR: 180018 REFER DR: ADMIT [IX,: 'I:::OMPl..AINT: BICYCLl:;. ACCIDI-'NT AMB BRT IN BY: COI"1MENT: NAj'1F~:,: "- ADORE'S::;; : BIRTHDATE: EMPLCIYf':R: ADDR,ESS: CHURCH: COMME1\lT:: NAME: ~DDRE:3S; : NAME: ADDRE::S:3: -- H I 1.;~~iE~)j~;:~L~~I~i,r AI{' ,l 1'1H #. ') 1 \)O~:) .. ,.' '.',_.- ," ':Mt::-:- it .b,; > __ _, J~ATIENJ , . - -'1"'. '-''.1 'C'A'." V'L" "j'" rt~_~~.S,l~..;.-) " l.,j, ' ,!:::_K,:.'._-,: ,,,, t:'\ 91 5, ,!"1AGNOl~IA DR Of:. / 071 1 91;:16, AGE: UNEMf"LOYED I Nf'"pHMATI ON SS #~ ~OO-70-9:346 /ENOLA IPA/17025 PH ~: .11 SEX: M MS= S 8ACE~ 1 OCCUPAT I ON: ~~jTUDEl'JT I I 717-72:3-956:3 C;;::::iJ: 04 l (1';:::'5 " Ph 'i~:;: I PROTESTANT AMB= i::.i"il:,RGF:NCY CONTACT INFORMATION HOC,'::LE,!: ,,,;HEPi,( I L R"'L TO PT: 1'1 ' WOI'(I< F'H '*; 915 1"1{~GNCiLIA DR IENOLA IPA/17025 PH jj: 7 i. '7-1;,57'-..~~6:;:7 71 7-728-9::-:;,~?;::] HOCKLEY ,GARRY \":EL TO F'T: / I PH #: WORl-< :;:'\'1 # ~ , i CA:3E INFORMATION RI='O SOIJFCi:::,: EO PATIENT TYPE: HC):7":;i=' SJ:::RV= F.:CU FINANCIAL CL~=,ri I::' VISIT CLINIC COO~: ECU ROUT ICO-9 liX: ED G,ROUP J, ,., , c~=ci~g'Jr'1 r10 c:, BRT IN BY: MOTHER ACC I DENT I NFCiRMA TI ON iolieI:E{Il.t1E: 0:5/1'0:,'981,;7::30 ACC'IND:b - ,JOB f'IELATED: ill DESCRIPTION: BICYCLF ACCIDENT , "' "'" '" , ." , ..-.' .. " .. - - ~,~ "! I\lAME: AJ:)QRl:'5S: . ,,' EMPLOYER: ADDRES:;:; : PLAN LOCATION: 0 ",}f'iERR I_HOt;:I<LEY 915 MAI3NI)L) A [I,R LCL i"IANAGsljENT ,",.. , 1 00 ,JOY A C I RI~:LI:: GUARANTOR INFORMATION PT HEL TO OGAR: 0 /PA/17025 F'H #: '717-721=1-9:=,1;::' , " .. .~. ~ CONTACT NAi"IE: IHARRH,BURC~ /PA/17112 f"H #: 717-6~;7-2637 lNSURANCE HJFOR,i"IAT WN -"'.;. cpa POL I CY .# REL PC VFY CARD PRECERT/AUTH '* .;:.,;:. #: IFNOLA W::;;URANCF CO ,,' S;UBSCRfBER"" )t ' - "'"'' "". . GROUP # :='RECERT PHO,,,=: i* N ',y IN:;:;UR. ADDRESS: N ~~ 254,00 E 820. J ;:: 84J.1,i.f ^:;( I NSUi'( , ADDRESS: :3; - " ,,' '" JNSUR.ADORESS: 4 I N:::;UR. ADDRF:::3:;:. " CARD AVAILABLE, FORI"1 GIVf'J\I COMMENTS: HC24 ~MD, PT HAS } NSURANCE, NO TO COMPLETE AND MAIL BAC~ PATIENT NAi"1E~ RECi X ::;TERED BY: HOCKLEY ,GARRY L ,jR ~ FHMIB EDITED BY:___~____ PT#: /I/q 12002~O~, _~R~:.19~?:~O IJATE ~ /::/J-j-::__" i7_Nu UJ- LIUl,i.,IIV1Ei\) I 71:06 05/]8/98 ~RGM i._A237E~I~~GS~ fl" I, ,I . ~ I ~' . ~,-. '. t--'" .~. . c. ADM. DATE: 5/18/98 CC Bicycle accident. HPI Garry is an ll-year-old boy who was riding his bicycle and fel! off. It is not clear from the history whether he ran into a wal! or simply fell onto the ground. He does not remember details of the accident. There may have beeu a brief period of loss of consciousness but at the present time, he denies headache, nausea, or vomiting. His mother says his last tetanus shot Was within the last two years. Nurse's notes reviewed. PHYSICAL EXAl'VIINATION Well-developed preteen, somewhat lethargic but easily arousable. HEAD There are no scalp lacerations. There is negative Battle sign. There is no tenderness of the skull. EYES Extraocnlar movements intact. Pupils equal, round, reactive to light. There is a superficial laceration just below the left eyebrow. This is approximately 1.5 em long. There is no active bleeding. There is mild ecchymosis and periorbital swelling about the left eye. FACE There are multiple abrasions with some tenderness of the left cheek. There is a superficial laceration of the left cheek just to the side of the left nares. ENT Tympanic membranes are clear. There is blood in the external auditory canal. Nose is nontender. The patient is having mucous discharge from the left nose but there is no bloody disc barge. MOUTH There is multiple superficial lacerations inside the left lower lip, a few also inside the left upper lip with some obvious dirt and debris. None of these lacerations crossed the vermilion border. The left upper medial and lateral incisors are slightly loose. The left upper canine tooth is absent secondary to this accident. Mother is fairly certain that this is a deciduous tooth. There is also a chipped tooth of the left upper first bicuspid. There is only slight ooze from the alveolar ridge. NECK Supple, nontender with good range of motion. BACK There is no spinal tenderness. There is no posterior rib tenderness. LUNGS Clear to auscultation. HEART Regular rate and rhythm without murmurs. CHEST WALL Tender to the left lower ribs anteriorly. Page 1 HOLY SPIlUT HOSPITAL Camp HiI/, PA 17011 NAME: HOCKLEY, GARRY MR#: 191000 ROOM#: ECU DR.: Teplis, EMERGENCYROOM REPORT ,.~',.;"',','. .;,:j, ;,;,,";,_:..':,;,,-';..,~.. .._c I; ,~l L,"- I :,;-':, .,:. ;',;",!,~ ,'J'.;,~, :",...>,,_':;i-<_'I'.'~",~'.~.;" '>" ._ ,~'.' -' ." ., ~. ':\, '"''-It.,, ;-,,,' :':~'.~~. ",.'" ",:,;,~".~>. -"-;-~"- '-, -,. :.;.<..';,..,,::.'~ ." '" :.~", ','.;-'1. ;'-~ , , ... ;--._ ,~;'.:',:fk':Z"~ ';~,,"':';--":" ',,,,:,~':~ ,~. ,..";i:, ',' _~';:<,_,,';.', ",-- ,,,,,', -,'" '.',",,-_.,".~-~~,~',,- " .~ ~' ABDOMEN Soft, nontender. EXTREMITIES Pelvic rock is stable. He moves all extremities with purpose. There is no tenderness of the extremities. X-rays show no evidence of fractured ribs. There is no fluid in his maxillary sinus, no evidence of facial fractures. MEDICAL DECISION MAKlNG While in the Emergency Room, the patient's mouth was rinsed with 1/2 strength peroxide and his wounds were cleansed with Betadine and antibiotic ointment was applied. The patient's parents have been advised to take him to see a dentist tomorrow morning. DIAGNOSIS 1. 2. Facial contusion and lacerations. Closed head injury. DISPOSITION AND PLAN The patient will be discharged home in the care of his parents. He should apply ice to his face tonight to limit the swelling. His facial wounds should be cleansed with soap and water and or peroxide daily and Neosporin applied two or three times a day until the wounds are dry. Mouth should be rinsed three to four times a day with 1/2 strength peroxide. He should avoid salty or spicy foods and should follow up with his family doctor tomorrow. ~~b Alan Teplis, M.D. AT/sd D: 05/18/1998 T: OS/20/1998 5785 Page 2 HOLY SPIRIT HOSPITAL Camp Hill, PA 17011 NAME: HOCKLEY, GARRY MR#: 191000 ROOM #: ECU DR.: Teplis, EMERGENCY ROOM REPORT " ..L. I~ .' '*W -'11iII ('Wi, /) f' r}~ '-V", V-J ~ Chief Complaint" . tr . C'. . " " , ! HPI , , , Meds: , , AllerQies: Past Historv: - ' " , Diallnostic Results - , C,' -, ," EKG- ' ", ' " " , , Family History: X-RAY-ReDort Der Radioloaist/ECU Physician Social History: " r /,.,- '-'-- ' " /V ~c; ( VV(i V ROS: Constitutional Neuro/Psvch ( " ", Eyes MuscuJosketaJ LAB- Ears. Nose, Mouth. Throat Intequmentary Neck , Endocrine Cardiac Hematoiooic/Lymphatic Respiratorv Immunoloaic GI Ail Others Neq GU Unable to Obtain Phvsical Exam: I Consult ConstitutionaUGeneral Contacted @: . Head Eyes Progress Note/Medical Decision MakinglRe-examlProcedures ( ) Old Records From Reviewed Ears, Nose, Mouth, Throat Neck Back Cardiac Lungs Chest , Abdomen //1 L 1.~ --I' GU L/ j C-I V\ I '- , Extremities Clinical Impression: ( !v\r I' Skin 1) ~ c/fJ. (c:r------ jO--- " ;~ ,', ' ' C\7\<ud~':t Neuro/psych DiSPOSitiOnQ-;.~/.I2...d !O OJ 1., Hematoiogic/l ymphalicilmmunologic/Other }JIG , , I Signalure:~O-=~~~ I ) i <- Ttl T--'< 0" I nf/1^ F t-- ~ /1/'-"'2.'/\' :8 /' HOLY SPIRIT HOSPITAL , -'<", C, " - , I" ~ ~ -, " .. v ,,1 t CAMP HILL, PA , , ' '\ J (~ Y , , c , ECU PHYSICIAN ASSESSMENT ':1 : " I' "-') ~CU ' ,~ , l702:S - , - ' ' .' - EGU-211 Rev 8/97 (em) - , , j, " Rev II 8/97 (sa) - , .....~rsjng ).oi6t~s Reviewed Ci-iART COpy 'c . e. PT NA."'lE: PT LOC: CLINIC VISIT: RESULT ID: PRINT RESU1TS HOCKLEY ,GARRY L JR HOSP SRV: ECU ECU ROUT 051998114808 FOR RAD C 12:26 05/19/98 FROM LE38JRRPRiN~L SERVICES PT NO: SEl<: ATN DR: ADM DATE: 12002606 M AGE: TEPLIS ALAi\[ C 05/18/98 11 MD SERVICE DESCRIPTION: ORDER NO: 2 UNILAT LFT RIBS OCCR NO: 1 COLLECTION D/T: 05/18/98 00:00 COMMENTS: LEFT RIBS: I DO NOT APPRECIATE AN ACUTE FRACTURE DEFORMITY. I DO NOT APPRECIATE ANY PERIOSTEAL ABNOfu~~ITY. CHEST: THE CARDIAC, HILAR AND MEDIASTINAL CONTOURS ARE NORMAL. THE LUNG FIELDS ARE FREE OF INFILTRATES. THERE IS NO PNEUMOTHORAX OR EFFUSION IDENTIFIED. CONCLUSION: \ FACIAL BONES: THE VISUALIZED MARGINS OF THE ORBITS APPEAR NORMAL. I DO NOT APPRECIATE AN ACUTE FRACTURE DEFORMITY. THERE IS NO EVIDENCE OF HEMOSINUS. NO OTHER ACUTE FOCAL .7\BNORMALITIES ARE SEEN. CONCLUSION: NO ACUTE FRACTURE DEFORMITY APPRECIATED. ,~ , J "-, .I ,. ,[, 1- -~ 1-'..' >" .""" . " .. .r' . HOLY SP~RIT HOSPITAL DEPARTMEMT'OF RADIOLOGY AND DIAGNOSTIC CA~~ HILL, PENNSYLVANIA 17011 (717) 763-2600 ( . IMAGING PATIENT: HOCl<LEY, GARRY L JR MR: 191000 sac SEC: 200-70-9346 ORD OIL: ED GROUP, PT TYPE: E ADM DATE 05/18/1998 09:06PM LOCJl,TION ECU DICTATION DATE: 5/19/98 11:12am TRANSCRIPTION DATE 05/19/1998 05:14PM ARRIVAL DATE: HOSP SERVICE: ECU EXAMINATION: LEFT RIBS SERIES (3V), CHEST (IV), FACIAL BONES SERIES (8V) COMMENTS: LEFT RIBS: I do not appreciate an acute fracture deformity. I do not appreciate any periosteal abnormality. CHEST: lung fields identified. The cardiac, hilar and are free of infiltrates. mediastinal contours are normal. The There is no pneumothorax or effusion CONCLUSION: The chest is within normal limits. FACIAL BONES: The visualized margins of the do not appreciate an acute fracture deformity. hemosinus. No other acute focal abnormalities are orbits There seen. appear normal. I is no evidence of CONCLUSION: No acute fracture deformity appreciated. DICTATED BY: DATE OF EXAM: A.S. JAGANNATH, M.D.~r , 05/18/1998 i cr-----' / 0-:::r~tL.-urru 'CO/hi. C:V ",' y- r, ;-% 6/,3cC l(jA-/ . ,f[ Initial Lab & X-Ray Orders: Labs I Urine Specimens [ ] AcetaminoPhen ] ESR ] Serum Acetone [ ] Alcohol ] Glucose ] Theophylline [ ] Amylase/Lipase ] HCGS ] Thyroid Profile I IAPTT ] Liver ] Tox Screen [ ] Blood CultlJres Profile ] TPA Labs [ ICSC ] Lyles ] Type & Cross _# of units I ]CKMB I PTP 1 Type & Screen [ ICPRO ] Renal IU/A [ ] CRP1 Profile ] Urine C & S [ ] Digoxin ] Quinidine ] Workman's Camp Drug Screen [ ] Oilantin ] Salicylate lOther Radiology [ ] Abd/Obstr. Series ]KUS [ ] Ankle R L ] US Spine [ ] Clavicle R L 1 Mandible [ ] Carv, Spine Lateral 1 Nasal [ ] Cerv, Spine Routine 10rbi! R L [ ] Chest Atn. I Port I TPA [ ] Pelvis [ ] Elbow R L ~ram IVP. ,___ ~ ' Ibs_ . R:.CO, [ ] Femur R L [ ] Shoulder R L [ ] Finger R L [ I Skull [ ] Foot R L [ ] Sternum [ ] Forearm R L [ J T/Spine [ ] Hand R L [ pib / Fib R L [ ] Hip R L [ }Toe R L [ ] Humerus R L [ ] Wrist R L I ] Knee R L Time./CRT/I#/ Jt CjfY [ lOther: Special ProCedures: Ultrasound: ] Abdomen ] Duplex Doppler ] Gallbladder [ ] Pelvic Cultures ] CT Scan of ] va Scan lOther: Time/CRT/lnt. ] Beta Strep AG / Culture ] Cervical ] Chlamydia ] GC Cultllre ] Sputum C & S ] Stool C &8 ]StooIO&P ] Stool C. Difficile JWoundC&S Billing Classification: [ ] Level] [ ] Follow up [ ] Level II [ ] Case I (>I:levellll [ ] Level IV ! ] Level V C><t Accident [ ] Medical [ ] Medical Non-Emergency . ( . 2-- / r;;" Time Seen: "I Z n Cardiac [ ] Monitor [ ] EKG paged at [ I 02 UMin. [ ] 02 Saturation Respiratory [ ] ABG's paged at [ ] Peak Flows Before/After Rasp. Tx. [ ] RespiratoryTx. Medications I IV's I Additional Orders Time DatefTime/lnt. IV: NSSI D5WI LRI D5/.45NSI D5.9NS Infuse at cc/hour. [ ] Obtain old records. ;11c WFil 1_-" 'r- v"'tA. vi./ ?j v'UI/'-- Ho 'v€-- =--ef ~ --.-, Initials: """ Signature: Initials: 0'f- Signatur Initials: Signature: Initials: Signature: Signature:~~~o Date: S / 55= . r R.N. R.N. R.N, R.N. Holy Spirit Hospital Camp Hill, PA Emergency Care Unit Physician Order Sheet 20S-ECU REV. 8196 JD,BR,MD CHART COpy 1 ,-J :-1 ,--1 ,) if ,:) C _~ L t y C; ) ~ !, ': ; :~) '1 ~{ . ~ l 'I R Y L > ell A C '-? 1'1\000 J , E ECU L ' ,- \ 7025 ),' '_~ 7 I J ,} '3 ') ? ! : - 7 -) - 9 3 4 ') 723-(,')S3 E!) ';., i) 'F '~- .::, / I :1. I -:) '1 li!ll~; .". ,( . ( . Date' ,5"ij'6';k'~';" /11 ' . -'./9.' ,,' i ""7' '-7 , Name: ;cfiY~, ~ '-;:L i-"'!v t/~J-- ; FMD: !::f(l ~ t,L,. / /' (/ j Mode of Arrival: E:-11\mbulato i] BLS [ ] ALS [ ] Medical Command 11RI1l;GE;: CHIEF COMPLAINT: tt.C INITIAL TRIAGE: '"' ".Jie:' /7: Age: , / !!1'? Log-in lime: Triage Time: Time to Exam Room: Place injury occurred: ,[ j Home [ ] Industry [ j Recreation [ ] Other Information obtained from: _Patient _Family/S.O. _Records Extremity Evaluation: Triaged to radiology for: Deformity Yes I No Skin Temp Warm I Cool Skin Color, Pink I Cyanotic I Mottled Pain (1-10) ~EMTJParamedic Distal Pulses Present I Absent Destination: Present I Absent Time: Signature: B/P/.1.' [~EDF Paresthesia Intervention: ~SES'SMEN~. Temp: Pulse: / /)3 Allergies/Reactions: latex - Yes I No Respirations: ! Pulse Ox.: q 7flJ /1 I<2A LMP: O.S. I '" Last Dose Medication/Dose/Fre uenc Last Dose Past Medical/Surgical History: ; I I Has patient had exposure to measles, chickenpox orTS in past month? ~Are there advance djrectiv~'o-- \s copy available?_ NURSING DIAGNOSIS EXPECTED O\JTCOMES Cardiac Output, alteration inl1 (\..r.::-. n LQ c... _improvement in cardiac output demonstrated by improved v.s. and diagnostic tests, Comfort, alteration in ~~ _ Decrease or relief of discomfort Fluid volume, alteration in _Improvement in fluid voL demonstrated by decrease in symptoms of fluid vol. imbalance Impaired gas exchange _Improved gas exchange demonstrated by improved oxygenation and vital signs Potentiall Actual infection _ Decrease in symptoms indicating infection or potential for infection Knowledge Deficit Improved knowl d monstrated by verbalization I return demonstration Assessment completed at Data obtained by: by R.N. M.A Admission Called: Report Called: Disposition: Discharged: [ ] Admission [ ] Observation Admitted to at ome[ JAMAI JORat ischarge Instructions [ J Old Records Sent Hrs, Transferred to at by ft4:Satisfactory [ ] 1m ve ] Critical [ ] Deceased to. morgue at Discharge R.N. a . Holy Spirit Hospital Camp Hill, PA ECU Nursing Assessment ._i '---, ~'~ ~ ,; --\ R '( L ,,~ L ! :\ 1'11000 E i'"... "1:- Y J ": "i ECU J' 702'5 201-ECU 5/97 6th Rev. JD, MO, SR ,/ '! ,', 72 S - " .~, 3 -~ '.' - ':) '3 4- :) (r' 1.... CHART COrY ,/,"j'i Dal~:5t8 .. Ass~ent: ~ Vital Signs MOfiitor Physician Assessment 02 Saturation Lung Assessment Visual Acuity Diagnostics; EKG Labs , PCXR/Port. C-Splne Sent to Radiology Returned from Radiology Procedures: Respiratory Treatment lee Foley Insertion NG. Insertion Wound Care SplinUOCLlSllnglCrulches Miscellaneous: Pain Scale (0.10) Level of Consciousness Siderails Intake & Output Pa.tient Education Jnfo Other: ,j J i,ULi~~~~ - - ~ ~ -', '~ ~ !:irt " .. " . .. . Time: i '"'j 'j"::, ...--- I i "'--vir' '1 , Time:. Inilials: :2//)<". ("1-,,1 ':;; ~ )h) _ '~"); . '. , ~ /> 7 :." CJ l!.[n4"(: .;1" --vu~...l! k ,,_ ~ ~ - --~ ~ () , ,~\. ~ hP-,..i' c:\., '" "'" ',- ,", 'F;-'. ',~~ ,~.,1."-,.~n~__pl...,L'2 "v<:),~.'-,.~ \...Q-=-"::,~<::>=.",-,-..::l .~ ~. ~-,. ~_;;. _ -...\),,-~ c, 0 _'- -,. L5'-........""'-"--~0~d.\. fiT) ~""74-"'c:.;' ;,.;, \'C'S.\..,\_", ~.1)..' ...",\ Q),,<;.. ...::....-... -,. ^-",,,.,,",~,,, ~,;,\. 0.& ed! <JiJ c....1I iJlJ(p c. <VV'> , ~ '+-/1 ::=; -.....&" <', :ry d :b u..l.d. '^ ' Mt!,-' b~n D" I ,/.. \- r .' ,,.-+,,,,0,li\\lJ\-nif"," ....'-;/( NT~rn~ R~ Holy Spirit Hospilal Camp Hill, PA Emergency Patient Documenlalion Date Time Inilial: ----- nA/I ~J( Initial: Initial: Initial: Amount Solution Catheter Site Control Condition Attempts Initials Rate Signature'::-" IYi D [) =0 \' "i"-.A v,",,,,, V.' r Signal' _~V\ ( Signature: l' Rate Condition Codes: a-No Inflarnation 3.Pain Control: - u ''41Hl'(lI(\Bss E JS:Warmth .t~Edema~ '] " .) : C . !.2A'Erythenii: '" L ~ \ I' "2B-Ecchy.rrlos\s ,. 1 AVI 2-StatMaster Signature: ECtJ -1t~ I 1 ;rtit/2i!t,: . -I-'l! f1> ";,,,3 f'J!L~ ' ! i ' i --~ I 205 ECU Revised 5/96 JD, BR, MD CHART COPY , ,-.,,-;.,.,-, : -'::,:::,;~;g;":~!:,.:::.",,,~"'!Al J (-/17~,"':'/~O"'~~~~lf'" Lv,,'. ;fiC'\'"\Ai\.0~'h"L('i;j;';;' .._", _ h'e-c.'. "'" ~ -~ u iH7H) 763-2461'~i B, rhe eX<lmination o.nd treatment have-received in the Emergenc~' ax::.. L1ml (ECU) have been rcnJ~1td'l'ln.1n emer.;enc'l brms only. ruld are Pot lrltcnded to "e <l sl.1b~tit or oln e'fdrt 1O provide :ompJete medlC:ll care If you del/elop new problems or comphcatJOns c~ntm;t Yq,!-r iWYS1Clilll or the Emergency C.lre Umt FOLLOW THE lNSTRUCnONS C[-!EcKED BELOW . SPECIFIC INSTRUCTIONS: Follow these im;tructions if they differ frorp the patient- information sheet. WOUND CARE, , W 'FOtJ.:\)W UP CARE o Return for su~ure- re~v,al i"n~ !' _(I d~ys.:[. (~ -;--;r~", )J.?'IA.'tK'J! ,"~ 0 Return to-Eel! ~ FRe on . .. for a r~check, .Change dre9;SlTIgr_ ,1-'<. U/...-v\/V',\..--J ;';'1 _ /\~..-'~_ ("\ I,__~ f i! 0 See your physIcIan or speCialIst If not better Ill_days. and apply JV-,")~rn,t./ It.".-., times a day until lYY'...J. ',../ ,I '/p Return to ECD if unable to do so. D Tetanus/diphtneria 'booster given, / D See family / company physician / FHC on _for D Recheck D Suture removal _~ck up your x-rays from the Ra~pt:Orr-1he 2nd tloor - before going to doctor's office,.(~1763-269vtore anival.) D Your blood pressure was :::7iea.seget it rechecked by your family doctor. D Test reports / E.D. record given to patient. D CBC D CPRO D Renal Pro. [j Gluc. D Other D EKG 0 X-Ray CopyD Records Copy Chart ADDITIONAL INSTRUCTI?N 0110 '10' Off work I school, Pro~' itS to'! ""' '. , . I D Return to work on .1 0 Light" 0 Regular duty. D Limitation: o No gym or sport for _days, o See Workmen's Compensation sheet. /'7"! ~/ ~, / (J ~ ~ (/ ~ ___~.~~.;:t:2.. ~V _A ,,/) Signatures: -"'--i, (--.:.:.-- ,/ ~~ -" / ',-" 1,.'-;'-' , '----" 1 / ' OTHER S -'2Q. /221/' t'1 r- "To v-..S::JVI/Tj fA-/" Date, t;~ I?> '17~. iL, ~, Sfv- I l~v"J,q '! -e. -'3 ~ c( h-----.~.J / !(JY / SPRAIl'lSIBRUISES J Elevate injured part above; heart for _days, DAce D Sling 0 Splint 0 Crutches for_days o Apply: ?c:i'}c!,\ D Heat I 9 A)1eruate ice and heat for " '''-' ~mmutes::t:::JcLtlmes a day until symptom free, o Wear cervical collar for ~days, MEDICATION INSTRUCTIONS U ake_~Tylenol or Advil every~hours. D Take the following (9,.T.e. ) medicines f:v L/;i/C' 1. 1 2. 3. './\ 4. Your regular medicines except o Do not drive or operate any_madtinery while taking PATIENT INFORMATION: o Abdominal pain o Alcohol abuse o Allergic reaction o Asthma a Back pain o Bites-HurnanlAnimalJInsect OBum o Chest pain a-Conjunctivitis o COPD o Corneal abrasion/foreign body o Crouplbronchitis o Crutch walking o Diarrhea and Vomiting / Ped, Vomiting o Drug/Alcohol abuse/addiction o Febrile convulsion a Fever / Ped. Fever o Flu o Fracture o Headache --'...;; ~~--" -'liter ~ / ' '~D.iD.O. \S'J /0' 'We-; ~ . \~ r-y'l , , f r~'Gld (]V o PID/VD o Rash o Seizure o Sore throat o Sprains and strains o Threatened miscarriage o Toothache o DRI and colds R.N. c- '-1 ' , ..J d'!y l~ '.. V"( ""'::',(/iC",-_/ h"filCJ ,/ / I '.I"'~ , The interpretation of your x-ray is a. preliminary report The films will be reviewed by a radiologist and you or your doctor will be infonned if there is a change in diagnosis, 1 hereby acknowledge receipt of these mstructlons and eqUIpment and understand them. 1 understand that r have had emergency treatment only and that I may be released bef()[e all of my medical problems life known or treated, I will arrange for follow up care as I have been in;;tructed. atient or Responsible Person HOLY SPIRIT HOSPITAL EMERGENCY CARE UNIT 503 NORTH 21ST STREET CAMP HILL, PA 17011.2288 (717) 763-2316 ( ) Vanitha Abraham, M.D. 038840L ( ) Robert Hynick, D.O. OS 004400-L ( ) Thomas Aldous. M.D. 017075E ( ) Richard Luley, M.D. 029960-E ( ) Salvatore Alfano, M,D, 025502E (,) Phillip Maguire, M.D, OlS063-E ( ) RameshArora, M.D. 016727E ( ) Lawrence Paul, M,D, 039524-L ( ) Glen Daughtry, D.O. OS006776E X () Prank Procopio, M.D. 003643-E ( ) Jon Dubin. D.O. OS 00699lL ( ) Ranjana Sharma,M'J:l' DATE X fY SIGNATURE / ( ) David Spurrier, M,D. 023502-E ( ( ) Alan Teplis. M.D. 030018-E ( ) Elaine Thallner, M.D. 057303-L ( ) David Zimmerman, M.D. 005636-.-E , .D./D.O. IN ORDER FOR A BRAND NAME PRODUCT TO BE DISPENSED, THE PRESCRIBER MUST HAND WRITE "BRAND NECESSARY" OR "BRAND MEDICALLY NECESSARY" IN THE SPACE BELOW. l78(6/97) o SUBSTI'TIITION PERMISSIBLE o LABEL DEM REFILL ~~ 1 n,-..,--.,,: .--', J. ')' I' J' 'J i\, HOCKLEY .:ARRY L q]S '4\::;'1'-!OllA D~ - .0,,' J " , J~ E '.! 0 L a feu PA 17025 728-9563 ED GROUP Ob/07/1'i!36 201-7J-g34b ~;fu:"" 10/03./0(;; 1.1: 33 1:t7176525004 IRA J HELLER DDS 1ai00l IRA J. HELLER. D,D.S. PRAClICE" UMTT15.0 T"O OnTHOootmes October 5, 2000 To whom lllJ1l.Y concern: In w: OIlttY Hoddey, Jr., Age 14 .d~ 1'1:. Crdl~d Dr. Apt; A-7 C......~UiUlOP~.W 11Q11 ql5 TYlO3V10\iO bvil.t. ty10lo.. {b. ,,006 Subject: Proposed orthodontic ClI!<: Garry was exmnined at this off'lJ)e on October 2, 2000. He was noted to have 4 cowplcte pc:r1lWIClnt dentition which is marked by significant dental crowding of his upper and' loww front teeth. TTeatment to carr<<t ilie dental crowding will requite the p~l!lent of fixed orthodontic appliances ("btaces'') on Garry's upper and lower teeth. Four p=nnanent side teeth (two from each jaw) will need to he nmovedduring the initial Btage ofOarry's care in oroer to provide sufficient space so as to permit the UIlaQwdina; of the ~rnainiIIi teeth. Active treatment duratioll fur Garry's care has been tentatively estimated at twenty-rour to twenty-six months in lensth. The cost of Garry's tJ;eatmeIll $3500.00, includes the oost of llll orthodontic servicea but ~ Qllt illol1lde MY costa incUITed fot ora! surgical services needed to remove his teeth. This cost alSQ doea not cover the cost of eJl:cessively da1naged appliances due tQ 1\ flIi!ure to foU<;rw norinal <lietarY restrictions when wearing orthodontic devices. We have propolled that payment for Garry's col!t ofttes1men1 be anapged as follows: ....Initial monthly payments (2) at $250.00 each (total of$500.00). ....Twenty-two oomecutive monthly paymen\$ oUIOO.OO each (total of$2200.00). .. ..TbI; remaining balance oftlle cost of care ($800,00) has been estima~ to CODlli! from. hill insurance plan. Cedlr 01" MaW, ,j06 Carli,1e 1I000d. Camp Hill, PA 17011- (717) 1~3,"04 401 N. Hawks Rd., H.TrllI:lUr~, p~ 17109' (717) &a2'245e or 783-1104 10/05/00 ll:H 'l!'7176525004 lll~ J IlELLI1R DDS '. IRA J. HELLER. D.D.S. PPA(jTIC1!. UMll'l!() TO ORTHODONTICS All oftbese figImls ere SlJbject 10 revision depeodelll on iDswance company actions or in. actions. except rot the overall cost of=e 0($3500,00. Please feel free to contact the office, $bould you require Wly further information, Questions te&Drd~ the cost of care should be directed to Mrs. Johnson at 763-lI05, Mondays 1hNullh Thursdays. Ira J. Hell.et, D.D.S. gm C.o., Cliff ".u, 11<>6 C.~.... Ro.d. Camp HIli, PA 17011. (717)7es.110' 4(J1 N, HouCkl> Rd., H8ffl-50urg. PA 17109 ~ (717) 6S2-24M Of 763-'1<J4 ;(I/j ','. '4] 002 -, - P. I , ~ 1 JAN 1 9 2000 IRA J. HELLER, D.D.S. PRACTICE LIMITED TO ORTHODONTICS January 17, 2000 Handler, Henning & Rosenberg 319 Market Street PO Box 1177 Harrisburg, PA 17101 Attn: W. Scott Henning, Esq. In re: Ga:nwL Hockle,yl Jr. Dear Mr. Henning, Garry Hockley, Jr. was initially examined on July 15, 1996. At that time his mother was informed that he had a developing malocclusion which would eventually require comprehensive corrective orthodontic care. However, at that time, Garry's dentition was too immature to initiate his projected treatment. Accordingly, Mrs. Hockley was advised to bring Garry back to the office for further evaluation during February of 1997. The latter visit was not kept by the patient. Garry was subsequently re-examined on July 29, 1999, at which visit Mrs. Hockley was again advised of the need for treatment. It was further recommended that treatment be initiated at that time, as Garry's dentition had sufficiently matured so as to permit treatment. Measurements taken at this visit (July 1999) were comparable to those made of the patient at his July 1996 office visit. Mrs. Hockley did advise me that Garry had a bicycle accident, striking his upper front teeth, in the period of time between his two visits. While the injury sustained by the patient could complicate any orthodontic care, the accident did not, in my opinion and to a reasonable degree of scientific certainty, create the need for such treatment. Garry's malocclusion is largely hereditary in its origin and it pre-existed the date of his accident. There is, however, the increased possibility of the need for endodontic care (root canal treatment) to the injured teeth, should Garry be treated. This could complicate any orthodontic care and is the only pertinent sequelae to the patient which could conceivably arise from his bicycle accident. $ii1z/# / /fi J Ira 1. Heller, D.D.S. gm Cedar Cliff Mall, 1106 Carlisle Road, Camp Hill, PA 17011' (717) 763-1104 401 N. Houcks Rd., Harrisburg. PA 17109' (717) 652-2456 or 763-1104 C>'~.,ffli L .J.lL<.-f.L iii ~ /J .;(. '~ o.!:?!::fft. Yl1,ldM 2- 'a'lIii..- t:b:JL, .<-1.. c..d.P.-"'b ,"", A' 7>< -L ~:;, E _"%_ '71~ ~g /~ ~ < 7 """y .d: I (c. ,c. G- 'I ~ ...u L 4 & -~ I::-Ln ~ ..J..Q. ~ ../J..U . ~ (..S ..J::.. OrA -"_ ,.,,/ /'4, .L-IIt.-{. N. r ^ i1.1lL B~5 ,y --:..:::u::LazL..L .L. (! 71 Jt II ~ ~-c.2.3. >~0L 2-. ~ L ~ 2... >,-, ._~- .... 1.. 7l1jjjJJl 'I !. ..i .-:.0\ .L.\ L~ J, ~ ,1, ._1, . ,~ '1:_:j , , ., f { J1Jc.. U{.l L--- ...- rlJ lrl.1.---2- t/lr-"G...:..::.::...:~ ~ L ;,)P; "'H ..J.LL.k "..... c.c..' .4L ?-,~ :!.LI ~dL ~ IlJ_ "AlA , 1ll.:..L Lk ~ w-1:Q frt .L // ---: l.m.m.. i'L' I I I I I I I I , I " il I I I I I I I I , i I I I i I ;1 I I I , i I I - .L L 1 kJ.... " ~/i.A1 ..:2~ "2- ~ IL' - ~ ~ L' f'f.idfJ~- 1A.i.L!J. 1li'~ \ // v" \".1 . #---" '6.. oHI\ ~ ( ttf1/. - (J.$. ..fJ.J.. OW. . I ~ . / / - I I , J t_. ~'-.--,,' ,,;,,_, ~'-' c' ";"""'';'':11 qops b'i --",) ~,L t: .~ ~ '-~., CHILD PATIENT HISTORY & TREATMENT CONSENT FORM patient's name: GArn/ -HOc.J::fe \..{ ~}R. Name and address of perso~(s) responsible for the payment for any services which may be rendered to this patient: Name: ~rri j-1oct..I-C'-J Address: qJ5 En cia ?,A J70eJ S The questioos direct.1y bel" ate asked due to the many instanceS of parental separation and dual insurance coverage. Mother's name: 5hrJ-n' /-40C-JC.1C;..J Father's name: Employer: I.e.L (Y)cnoCje(Y)("'Al!- Employer: Social Security#: lq5 (tJ-.f. it? ( I '? Social Security #: Phone(work): it,sr) -0)(P3'1 Phone (work): Phone(home): 1a g CJ~:fi/lllll!!ll!lfl Phone (home): Name of person who suggested need for an Orthodontic examination Dr J!e/fVrf2 DI/U pct2lde/7t Physician's name: Dentist's name: / (, - J' L //7; / &r- If you have an insurance plan(s) which covers orthodontic services, please list the insurer or union benefit plan below: Policy number & Plan or Group number: Medical History: l.Is the patient currently under a physician's care? 2.Does the patient have or has the patient had any of the following; Check off any that applies to the patient. Rheumatic fever Arthritis Glandular disturbance Allergies Diabetes Hepatitis Epilepsy liver problems Heart murmur Fractures of the jaws Tonsil Problems TuberculO5is Organ transplant Kidney problems Low blood pressure Other problems: Is the p~tient presentl~ taking any medications? N? If so, w~t? " 3.Maturatlon status: Patient's age: /3 Date of bmh: (j}')' YltJ Female patients:Has the patient started her monthly penod? _Yes _No: If yes, at what age? At what age did older sister or mother start? These answers provide an indication of the amount of facial growth that can be expected. 4.Mother's height: ,/) / Father's height 5' 9 Older sister's Older brother's ht. S.Male patient's: Has the patient's voice changed as yet?Yes or6) _ 6.Male or female patients: Has the patient outgrown a pair of shoes recently? Ie 5 _ Has the patient's height chan~~cL~oticeably recently? IV () 7.Has the patient ,~d anything about wearing braces? /UU Is the patient ~rned about hisfher appearance?.-&' Have other members of the family had orthodontic care?~ or NO; Has the patient had previous orthodQntic care?@or No; Has the patient had speech therapy? Yes or ~How does the patient do in school? Gcod Has the patient had psychologic guidance or counseling?@ or NO (All replies will be kept confidential-Please read & sign the back of this form) NO I ,'- d~' " , ' --..;;;..,,! 1NFORMA_~ON REGARDING ORTHODO"fIC THERA!'Y TO OUR PATIENTS: AS A RULE, EXCELLENT ORTIIODONTIC RESULTS CAN BE ACHIEVED WITH INFORMED AND COOPERATIVE PATIENTS. TIlUS, TIffi FOllOWING INFORMATION IS ROUTINELY SUPPLIED TO ANYONE CONSIDERING ORTIIODONTIC TREATMENT IN OUR OFFICE. WHll..E RECOGNIZING TIffi BENEFITS OF A PLEASING SMILE AND HEALTHY TEETII, YOU SHOULD ALSO BE AWAJlli TIlAT ORTHODONTIC TREATMENT, LIKE ANY TREATMENT OF TIffi BODY HAS COME INHERENT RISKS AND LIMITATIONS. TIffiSE AJlli SELDOM ENOUGH TO CONTRAINDICATE TREATMENT BUT SHOUlD BE CONSIDERED IN MAKING TIffi DECISION TO WEAR ORTIIODONTIC APPUANCES (BRACES). PLEASE FEEL FREE TO ASK ANY QUESTIONS ABOUT TIllS INFORMATION AT YOUR OFFICE VISIT. DECALCIFICATION (permanent markings), decay, or gum disease can occur if patients do not brosh their teeth properly and thoroughly during the treatment period. Exoellent oral hygiene and plaque removal must be performed on a daily basis. The use of dental floss is recommended. You will be shoM, and advised on proper oral hygiene techniques, if active orthodontic therapy is decided upon. RELAPSE: Teeth have a tendency to rebound or partially return to their original position after orthodontic treatment. 1bis is called relapse. This can occur due to the fact that there is no direct connection between the root of a tooth and the surrounding bone. Additionally, some minor tooth movement can occur due to nonnal pressures and forces that exist in the mouth. Tbe most common area for relapse following orthodontic care to occur is the lower front teeth. After braces are removed, retainers are placed and will need to be worn for an additional period of time in order to minim;,e or to eliminate the possibility of relapse. Full patient cooperation in the wearing of retainers is vital. We always sum treatment with the goal of making the treatment correction as ideal as possible within limitations posed by patient treatment factors such as growth, cooperation, and the difficulty inherent in the original treatment problem.When retention is discontinued. some relatively minor relapse will srill be possible. If the patient desires, rlXed or long-tenn retainers can be placed in onler to eliminale even lhese minor relapse problems. A fixed retainer does however, require addilional consislenl allenlion to proper oral hygiene. A NON-VITAL OR DEAD TOOTH is a possibility. A tooth that has been previously traumatized from a deep filling or even a minor blow can "die" over a long period of time with or without orthodontic treatment An undetected non-vital tooth may become symptomatic during orthodontic movement, requiring root canal or endodontic therapy. ROOT RESORPTION: In some cases, the rool ends of the teeth become shortened during treatment. Ths is called rool resorption. Under healthy circumstances the shortened roots do not shorten the usefulness of the affected teeth. However, in the event of gum disease in later life, the root resorption could reduce the longevity of the effected teeth. It should be noted that not all root resotption arises from orthodontic therapy. Trauma, impaction, endocrine (hormonal) or glandular disorders, or causes of a currently unknown nature, can also cause root resorption or rool shortening. TMJ: There is a risk that problems may occur in the temporomandibular joints (IMJ). Although this is rare, it is a possibility. Tooth alignment or bile correction can often improve tooth-related causes of TMJ pain bul not in all cases. Tension, grinding of the teeth, or clenching of the tecth, appear to playa role in the frequency and severity of joinl pains and joint problems. In moving the teeth to new positions, the jaws may be uncomfortable for a while. GROWTH: Occasionally, a person who has grown normally and in average proportiollS may not continue to do so. If growth becomes disproportionate, the jaw relationships can be adversely effected and the original treatment objectives may have to be compromised to the point thaI an ideal treatment result becomes impossible to achieve. Skeletal growth dishannony is a biological process beyond the orthodontist's control but is usually treatable by the addition of surgical treatment LENGTH QF TREATMENT: The tolal time for treatment can be delayed beyond our original estimate. Lack of facial growth, poor elastic wear or headgear (nighl brace) cooperation, broken appliances, poor oral cleanliness, and missed appointments are all important factors which will lengthen treatment time and affect the quality of the treatment result HEADGEAR (NIGHT BRACE) Instructions must be followed carefully, A headgear is nota toy. A headgear that is pulled outward while the elastic force is attached to it, can snap hack and poke into the face or into the eyes. Be sore to release the elastic force before removing the headgear from the teeth. If the patienl needs to wear a headgear, we will provide detailed wearing Instructions. Not all patients need a headgear and very few patients need to wear a headgear all the way through treatment Adull patients rarely require headgear use. UNUSUAL OCCURRENCES:Swallowing an appliance, chipping a tooth,dislodging a fIlling, an abs=,may occur - but are rare. TREATMENT RESULTS:A good treatmenl result requires cooper.tion from everyone - mysc:lf, my staff, and the patient We attempt to infonn the patient ahead of time of the possibility of complications as well as a reasonable expectation of the treatment results. If you decide to proceed wilh treatment, please note that the treatment fee is for the perfonnance of the orthodontic care and is nol dependent upon the treatment outcome. No responsible physician or dentist guarantees a treatment result. We do, however, guarantee to do our best for our patlenls~ to honestly and fairly provide our services. I have read the above information, have understanding of its contents, and do realize the risks and limitations of treatment Signature Dale 1. ~iJ~99 I" .,~.l Ie -J, . - , ;. ..; ";,,,,~~ \ y'\ . '71;) ,. . .~ C ~. , -.- '- INITIAL EXAMINATION AND CONSULTATION - ADUL t/~'Il~.Q) patient'sNam~_~~~ ~~_ -CaseNumbON7f4-~u~ofBirtn .G.u/n parentName(lfChlld)~~ r ~ Phon~ rn!).(g.f'7~c2it::,1_ (B./37-.5 3'17 Person Repson~ih]~ fn? Ar.count- /"f,.Il"" -", Address~ ~ <1"3'2 ~~ I6c ' r 7-- c. -H- /7011 , , Chief Complaint o . /.:J,,' n - ~ '_ "..J.J_,.!.,~,......, =,.' ~,~, '. Referred by ((name(s)~ ~~(J~ U' Has patient had previous orthodontic examination? Do you feel that the patient/parent is shopping? By whom? Only wants a consult? EXISTING CONDITIONS - DENTAL EXAMINATION C; .E. \l c.. .1 r- '2- C4? tf70 Prior RCT? Periodontic Status: Teeth Present ~ 11. <:"7_ ~ & rv C- ')..,-.2. ~ ~ Chipped Teeth? Maturation status: C.A r. 'I Cooperation estimate Parent comments: W.A. H.A Dental midlines Nto Facial IAto Facial A .. I _/ ,/ Occlusion Type: CQ-:a::- ill ~ .1=- '~ I X-Bite: Conrib. Med. Hist. Facial growth direction: Vertical Functional problems: _ Tonque thrust ~ ~-'~ ;;; t/:2-nt ~ ;RELlMINARY TREATME PLAN/DISPOSITION: Height Data Requested Active TX: PI1 o.L.o L< Arch Length: N: - ?mM IA: -- .,/mPt ~~: f&r~ Horizontal Mouth breather High tongue posture CHG IHHG ,,<on ''5 Plan ofc e: ) Special Problems: Est. Tx. Time Retention plan Fiberotomy: at 3-4 week intervals Frenectomy Fixed retainers: COST OF CARE (not including extracting teeth or any surgery): Courtesy and why: Initial Down Payment: I: d - --",,',,"' ,~ ," j~:; , . , " CHILD PATIENT HISTORY & TREATMENT CONSENT FORM Patient's name: ~I/J!2U ' DCI:: It. vI ' Name and address of person(s) re ponsible for the payment for any services which may be rendered to this patient: Name: GfUZf?Lj l-IoctJeL( Address: C ~ 3-5()~ InF Fl. (lQrn bl{l// I!-enn/cl:c The questicns d~y below o. re. osked due to the many instances of parental paration and dUal~, . ce coverage. Mother's name: ...j'he yr / Father's name: ~R-/.Z-LI Employer: Vi) / 002 Kh 0/ I CI.n i 5.. Employer: PR.m Social Security#: /'?5hC/ &7/ R Social Security #: /8'i ~7-8 7uSh Phone(work): &5-'7.c?&.3 7 Phone (work): 5d=;? !P 798300(0 Phone(home): 737-...53 V '7 Phone (home): ' Name of person who suggested ne d for an Orthodontic examination and for what reason: Physician's name: / ~ //7/ I lOin. Dentist's name: C' 'Clf? 'k-- If you have ~ insuran, pli!n(s) which CS\.vers, orthodontic services, please list the insurer or union benefit plan below: S, .L::e If-a 0en-f Q / Policy number & Plan or Group number:l8</38/l:;Q5(' CA.e611f Cilz 988t!9A- Medical History: 1.Is the patient currently under a physician's care? ;1J 0 2.Does the Plltient have or has the patient had any of the following; Check off any that applies to the patient Rheumatic fever Arthritis Glandular disturbance Allergies Diabetes Hepatitis Epilepsy liver problems Heart murmur Fractures of the jaws Tonsil Problems Tuberculosis Organ transplant Kidney problems Low blood pressure ,Other problems: Is the patient presently taking any medications? NO If so, what? 3,Maturation status: Patient's age: 9' Date of birth: 6 - -'}- 86 Female patients:Has the patient started her monthly period? _Yes _No: If yes, at what age? At what age did older sister or mother start? These answers provide an indication of the amount of facial growth that can be expected. 4,Mother's height: .5' / Father's height .5 / 9' OIder~er's /) Ice Older brother's ht /) /6- 5,Male patient's: Has the patient's voice changed as yet?Yes or~ 6.Male or female patients: Has the patient outgrown a pair of shoes recently? f es Has the patient's height chan~rd noticeably recently? jlJCJ 7,Has the pat\ep.t said anything about wearing braces? yes Is the patient co~rned about hisfher appearance?VC5Have other members of the family had orthodontic care?~or NO; Has the patient had previous orthodontic care? Yes or ~Has the patient had speech therapy? Yes or ~ow does the patient do in school? Gcx::::> d Has the patient had psychologic guidance or counseling?Yes or @)AlI replies will be kept confidential-Please read & sign the back of this form) _-"='I1lII...-........,.....iIliw&I ,~ ~-, ,Ii I - , . - ~-" ,~ ~" - (-~:-::; . ,rORMATION REGARDING ORTIIODONTIC TIIERAPY TO OUR PATIENTS: AS A RULE, EXCEU.ENT ORTIlODONTIC RESULTS CAN BE ACHIEVED WITH INFORMED AND COOPERATIVE PATIENTS. TIIUS, 11IE FOllOWING INFORMATION IS ROUTINELY SUPPLIED TO ANYONE CONSIDERlNG OR1HODONTIC 1REA TMENT IN OUR OFFICE. WHlLERECOONlZING 11IE BENEFITS OF A PLEASING SMILE AND HEALTHY TEETII, YOU SHOULD ALSO BE AWARE TIfAT OR1HODONTIC 1REATMENT, LIKE ANY TREAlMENT OF 11IE BODY HAS COME INHERENT RISKS AND LIMITATIONS. 11IESE ARE SELDOM ENOUGH TO CONTRAINDICATE TREATMENT BUT SHOULD BE CONSIDERED IN MAKING TIlE DECISION TO WEAR OR1HODONTIC APPLIANCES (BRACES). PLEASE FEEL FREE TO ASK ANY QUESTIONS ABOUT TIllS INFORMATION AT YOUR OFFICE VISIT. DECALCIFICA nON (permanent markings), decay, or gum disease can occur if patients do not brush their teeth properly and thoroughly during the treatment period. Excellent oral hygiene and plaque removal must be performed on a dally hasis. The use of dentall10ss is recommended. You will be shown and advised on proper oral hygiene techniques, if active orthodontic therapy is decided upon. RELAPSE: Teeth have a tendency to rebound or partiallv return to their original position after orthodontic treatment. This is called relapse. This can occur due to the fact that there is no direct connection between the root of a tooth and the surrounding bone. Additionally, some minor tooth movement can occur due to no~l pressures and forces that exist in the mouth. 1be most common area for relapse following orthodontic care to occur is the lower front teeth. After braces are removed, retainers are placed and will need to be worn for an additional period of time in order to minimize or to eliminate the possihility of relapse. Full patient cooperation in the wearing of retainers is vital. We always start treatment with the goal of making the treatment correction as ideal as possible within limitJitions posed by patient treatment factors such as growth, cooperation, and the difficulty inherent in the original treatment problem.When retention is discontinued, some relatively minor relapse will still be possible. If tbe patient desires, fixed or long-tenn retainers can be placed in order to elintinate even tbese minor relapse problems. A fixed retainer does bowever, require additional consIstent attention to proper oral bygiene. A NON-VITAL OR DEAD TOOTH is a possibility. A tooth that has been previously traumatized from a deep filling or even a minor blow can "die" over a long period of time with or without orthodontic treatmenL An undetected non-vital tooth may become symptomatic during orthodontic movemen~ requiring root canal or endodontic therapy. ROOT RESORPTION: In some cases, the root enda of the teeth become shortened during treatment. This is called root resorption. Under healthy circUlnstanccs the shortened roots do not shorten the usefulness of the affected teeth. However, in the event of gum disease in later life, the root resorption could reduce the longevity of the effected teeth. It should be noted that not all root resorption arises from orthodontic therapy. Trauma, impaction, endocrine (hormonal) or glandular disorders, or causes of a currently unknown nature, can also cause root resorption or root shortening. TMJ: There is a risk that problems may occur in the Iemporomandibular joints (TMJ). Althougb this is rare, it is a possibility. Tooth alignment or bile correction can often improve tooth.related causes of 1M] pain but not in all cases. Tension, grinding of the teeth, or clenching of the teeth, appear to playa role in the frequency and severity of joint pains and joint problems. In moving the teeth to new positions, the jaws may be uncomfortable for a while. GROWTH: Occasionally, a person who has grown normally and in average proportions may not continue to do so. If growth becomes disproportionate, the jaw relationships can be adversely effected and the original treatment objectives may have to be compromiscd to the point that an ideal treatment result becomes impossible to achieve. Skeletal growth disharmony is a biological process beyond the orthodontist's control but is usually treatable by the addition of surgical treatment. LENGTH OF TREATMENT: The total time for treatment can be delayed beyond our original estimate. Lack of facial growth, poor elastic wear or headgear (night brace) cooperation, broken appliances, poor oral cleanliness, and missed appointments are all important factorn which will lengthen treatment time and affect the qnality of the treatment result. HEADGEAR (NIGHT BRACE) instructions must be followed carefully, A headgear is nota toy. A headgear that is pulled outward while the elastic force is attached to i~ can snap hack and poke into the faco or into the eyes. Be sure to release the elastic force before removing the headgear from the teeth. If the patient needs to wear a headgear, we will provide detailed wearing instructions. Not all patients need a headgear and very few patients need to wear a headgear all the way through treatmenL Adult patients rarely require headgear use. UNUSUAL OCCURRENCES:Swallowing an appliance, chipping a tooth,dislodging a f1lling, an abscess,may occur - but are rare. TREATMENT RESULTS:A good treatment result requires cooperation from everyone - myself, my staff, and the patienL We attempt to inform the patient ahead of time of the possibility of complications as well as a reasonable expectation of the treatment results. If you decide to proceed with treatment, please note that the treatment fee is for tbe perfonDanee of tbe ortbodontic eaR and is not dependent upon the treatment outen . N re lISible physician or dentist guarantees II treatment result. We do, bowever, guarantee to do our best for OIlr pill !s" bonestly and fairly provide our services. I have read the above information,. . tanding of its contents, and do ize the risks and limitatiOllB of treatmenL /, ~~t_~-..._~ L_ I ..J,,=,w' _I . -~ .~ ~~. ~ ATTENDING DENTIST'S STATE"~NT Carrier name @ Check One Dentist's pre-treatment estimate 10.B~2my 11. Group name TRICARE - Family Member Dental Plan 12, Is patient covered by Dental plan name another dental plan? :J ... ................,........,....,......"..,..,.....g.y~.~....~~.......,......_....-.-...,........ InsiBCj"j":-g 7bSZno ...~ma.'anCraddras~fcarri!3'r...'.--..................,...... ....... .Le /10. .!)e i1 f-a I I hereby authorize payment of my group insurance benefits, otherwise payable to me, to the denlisllisted bel d0;78-9 (fl d-~ -96 or) Date entlst name L J. HELLER, D. D. S. 21. Is treatment result of occupational illness or injury? 22. Js treatment result ol auto acciden\1 23. Other accident? 24. Are any services covered by another plan? 25. If prosthesis, Is this Initial placement? o es Date yes, enter bne desenptian and dates 14. Mailing address P. O. Box 174 Cily;Si.,.;,ip ,,- '" , ""CedaYCHff-Mall- Camp Hill, PA 17()(J)1 -0 t1 f 15, Dentist sac, see, or T.J.N. 16, Dentist license no, 17. Dentist phone no. x X X (If no, reason for replacement) 26. Date of prior placement 23 2183068 18. First visit date current series n a 2 28 96 20, Radiographs and! How or documentation Many? 27, Is treatment for enclosed? orthodontics? 26. Examination and treatment plan-list in order from Tooth No, 1 through Tooth No. 32 . Use charting system shown. TOOTH DESCRIPTION OF SERVICES DATE SERVICE PROCEDURE NO. OR SURFACE (INCLUDING X.RAYS, PROPHYlAXIS, MATERIALS USED.ETC.) PERFORMED CODE c lmER M DAY Y Appliance insertion date To!allength of treatment "-'"' ;;<' ldentif{m_hlsjn9~t~h 0< -,;',with"X:' :':~;;,>, FEE CHARGED AMOUNT PNO Initial orthodontic visit 2 28 96 D8900 $30.00 ~; ~rson who kno.,...;ng'IY files a statement of claim containing any misrepres.entation or any false, !ncomplet~, .misleading information or conceals for the purpose of misleading, information concerning any facl malena! thereto, may. b~ gUilty of a cnmmal act under state a~d!or lederal law and may also be subject to c\..,,\\ penalties, \ hel'l?lby certify that the procedures as IndIcated. by date hal/e been completed, 3-4-96 AMOUNT PAID TOTAL FEE CHARGED $30.00 Si nature Dentist Dale . Both signatures are required by the FMDP contract or processing will be delayed. I 557812195 b.-- .Ie,'., J _ t, . ,,-.'" .~~, ,. SuPPLEMENTAL OR TREATMENT NUTES " Card No. :::::;...... ,I, -? tt,fi 1-11' f 0.,,4 1>. :r,;.) Address " Name Date C;-S~9f P/7> b ~I r')ve-rle/!- /),~..c,~ , , J 1/ , , - , , llam l,a3/S4SYCOMl!ll-800,356-6141 ,~ ~I 1-, ", ! ,- 1 " ~ .:.-., J ,,-- "-'~ '; (rL \ , . " , ) . ~~;-;;\ I'\/I\u':-~"p~& ;~~Jt -+r^Z-'~v~~V' 'bf'\[;-fL L rf(\IJL ~~ sh.c>J\.rl} ~p.t ~"'\)V\.- I' .~ L. '~ '"' JIttill / l~" Date 1,.-:- (J ,. -:) , f<. D" \:..io."h. , SU, eJiclc LEMENTAL OR TREATMENT NO. ..::5 Cant Np. ,I , ;< Address Co, e.-n . '^--, . f--' ~( u; I.,;? l ~, . tt:.:x" z 2d ) f} PI ~'Tn f;;./3 '6 2. I/~ rA--vc to ,-, ,~_.l c/ 1-31 q '1'/ t", c..~ - 1- ,.,/' ~ Oft " _ ' '1/ i\.Q.. ~~ ;),c. C)l+h, C'c..lo "-..1 ) " '--{---,.=-- ~r <- (.J('./~, ~ ./ ":,:he J~/]--' ~~ !))k I i"- ") '_, I, "'" "~'o~; " SUPPLEMENTAL OR TREATMENT NOTES Card, No;, ::::;. -. Name Date Address ILam 1 .03194 SYCQM$l,SOO'356-8141 " .. Date: 03/30/2000 [ Patient Name: DATE 12/13/1996 12/13/1996 12/13/1996 02/10/1997 0311811997 04/09/1997 05106/1997 06/10/1997 03/24/1998 04/20/1998 07/25/1998 09/18/1998 09/18/1998 1112411998 09/18/1998 0212211999 04/0511999 04/0511999 04/0511999 06114/1999 10/0511999 10/0811999 1111611999 1211811999 1211311996 1211311996 1211311996 1211311996 08101/1997 08/0111997 08/01/1997 0811911997 02106/1998 02/06/1998 02/06/1998 05/19/1998 03/01/1999 03101/1999 04/05/1999 04/0511999 04/0511999 10/08/1999 Sherri L. Hockley PATIENT NAME PROVIDER Sherri L. 3 Sherri L. 1 Sherri L. 3 Sherri L, Sherr; L Sherri L. Sherr! L Sherri L, Sherri L. Sherri L Sherri L. Sherri L. 3 Sherri L 3 Sherr; L Sherri L 3 Sherri L, Sherri L. Sherri L. 1 Sherri L. 3 Sherri L Sherri L. 0 Sherri L 3 Sherri L. Sherri L. J. R. (Gary L.) 3 J. R. (Gary L.) 1 J. R. (Gary L.) 3 J. R. (Gary L) 3 J. R. (Gary L.) 3 J. R. (Gary L.) 1 J,R.(GaryL) 3 J, R. (Gary L) J. R. (Gary L.) 3 J. R. (Gary L.) 1 J. R. (Gary L) 3 J. R. (Gary L) 3 J. R. (Gary L,) 3 J. R. (Gary L) J. R. (Gary L,) 1 J. R. (Gary L.) 3 J. R. (Gary L) 3 J. R. (Gary L.) 3 ...L~ . I " HISTORY REPORT Drs. Kravitz & Miller DMD TRANSACTION DESCRIPTION 00272 Bitewings-two films 01110 Prophyiaxis-adult 00110 Initial Oral Examination, Deleted - DO NOT USE ..Use 015 Check Payment Check Payment Check Payment Check Payment Check Payment Check Payment Check Payment Check Payment 00272 Bitewings-two films 00220 intraoral-periapical-first fiim Check Payment 02161 Amai9am-four surfaces, permanent Check Payment Check Payment 01110 Prophylaxis-adult 00120 Periodic oral evaluation Check Payment Balance Refund 09997 Missed Appointment Fee Check Payment Check Payment 00272 Bitewings-two films 01120 Prophylaxis-child 01203 Topical application of fluoride (prophylaxis not included)-c 00110 Initial Oral Examination, Deleted - DO NOT USE...Use 015 00120 Periodic oral evaluation 01120 Prophylaxis-child 01203 Topical application of fluoride (prophylaxis not included)-c Check Payment 00120 Periodic oral evaluation 01120 Prophylaxis-child 01203 Topical application of fluoride (prophylaxis not included)-c 00140 Limited oral evaluation- emergency exam problem focused 00140 Limited oral evaluation- emergency exam problem focused Cash Payment 01120 Prophylaxis-child 01203 Topical application of fluoride (prophylaxis not included)-c 00120 Periodic oral evaluation 09997 Missed Appointment Fee . '~ , Page: DEBIT 14,00 39.00 23.00 18.00 12.00 85.00 42.00 22.00 4.00 25.00 14,00 17,00 12,00 23,00 17.00 17.00 12,00 22,00 25.00 17.00 25.00 20.00 25.00 17.00 22.00 25.00 Total Debit $ Total Credit: $ Balance: $ ;" .-til ",""' CREDIT 50,00 24,00 30,00 25,00 13.00 34.00 30.00 25.00 50.00 65.00 68,00 64.00 25.00 25.00 46.00 20,00 594.00 -594.00 0.00 ..... ,'.., tl,.2.uen1::utTI ft"Isgin and Therapeutic:: .A..s$cciot:::es, In<=_ Th.. Me"ll'eO' Corpor"tlon 01 m.. A,2; FH"fZMAN Assoc''''os. ,,,(:, $. R.-><lkl'<>9Y AUo.::\alOS 01 Yo".,. p.c. ~...O"lJmtlDcn",RD..o.SUI1"'2 YO""'p", '''~ (BOOI52!}.7e2~ .1'1,,767,'13" . Fw. ,7'71 7e-o,"~:I ~u~"u~IMl~[j0Ju . I "'U "'I .,,~ P6/22/98 .. ~ "......,"'.._~'. _..,=..\"'..:..'101'.10'(..., '. PB3248- ~/SP ::J~ I $ ~J!:;ji:~J PATIENT IGUAI=tANTOR HO , ~y L JR 9~5 MAGNOLIA DR ENOLA, PA ~7025 :'. " .~., , !"11 j '. ,'.' .-. HOCKLEY, G!\.RRYL JR '':''1' 25~79280 ".J' "',1, ' . r' .~ ~ . " ,.,l.tl.. _~. ' ,I. /" AMOUNT PAID $ ---el -=~ctl= ae..T.1l..Bli~_QBJ;IO~ ,WI):1j YOUR REMITTANCE. A A:'" :...., .' 70:3.5026 ,'3,1.03;2&;' a:La:nc..' ;fojrWard 3l~': l<!I::;..-t: ACIAL BO~CO~L IBS' vr;rrL~12v:~(.',.i?A CHES .', . '-., 'h'" " .t. '?I.'!,( CD . ;?:~C;.:~}::;;T:'~,{~' ~w~~ N:m t1Q9' '. 1..-''''4''- ' ~.h')~~ :~;dtf', ,,; ,',' '".",~" ,'.. , I" . ni-~' .. q, '....1 ,., .,., 'II!!;,'" ,il- ~: :11'" .",1 I(" 05/1.8/98 05/1.8/98 54.0' 58.0 :. ::r~t~:~7:f1'~~r:~,~:,.~ "" ", ~,. 'I',h' _.~-, "" < .. ~ -I ,:.d.,' .\:' L I .~,. ,~' ,t " :l~2.00 I.OCA"T'ION cooes o -O""ICE. 0'" .G1~I"PAT,,,,'.T "'C;>l;o"''rAL ~I<; -$K1l.t,.F.:D NIJRSe FAC IH'IN""T1EN'r HOSPITAL lL 'INDEf"ENC>ENT LAB I'lH _NUF'lSING HOME E"l .EMERGENC'~ ROOM P .P..."'I'lMAc;:V ,~~?, 00 tis is a statement for serv2ces provided by antum _~maging & Therapeutic Assoc. ':lase contact us with yO'1..:l.r itlsurance inro:qnat:ion pay the ba~ance ~n full, Thank you. \ ; \ i. I ! - I~~ , HOLY SPIRIT HOSPITAL , . TEL '717-763-2932 4,. ~ Hel TYP~ OF alLI. OATe' OF ,.~~v, 91tl I;., _,I ,- ~" ,-." Jan 11,99 5:52 No.002 P.OS . ,~ ", , HOLY SPIRIT HOSPITAL 503 N 21ST ST' CAI'IP lULL, PA 717 76J-2t 41 FEX. 23-15te747 rlU\1Q not! ~ e I RTH-DA TE 1I0SP, NO. 06/07/86 9-00 D^~ 01' !'JIlL HIS. Q E OCKLf:Y ,"UAR PH: p"'fIENT NAME .PATII:Ni' NUM6C:R Y L Sit 717-728-9563 1200260 ADMISSION DATE DISCHARGE OATI; 05/18/98 05/19/98 OM$ OUT PATIENT '. C.O,B. INSURANCS COMPANY NA.Me ()FlOW' NUMA(.\ POl.1CY NUMIiER - GUAFlAHYOR SHERi'll HOCKLEY 1 HEALTH CENTRAL 195646716 NAoMI! 915 MAGNOLIA DR 'NO ENOl-A,PA 17025 AtlCR'e"SS TI::I'1..1S ALAN C MD PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. 7~ ~ I CAtl:: 'OS7EO I SS'RVICE coDe TOTAl.. CHARGES DESCRIPTION Of HOSPiTAl.. SEFlV1CES )ETA L OF CURRENT CHARGES, PA'MENTS ANt vIa ICE PACK LGE 011412166' 5.75 ;/18 UNILI\T I.FT RIBS0136101145 171,00 il18 FACIAL aONES 01:3610230~ t51.00 ;/1a Ell VISIT LEVEL 0117103011 197.00 IALM CE FORWARD 11.11'1/11 Rl' OF CIJRRENT CHARGES MIS SUPPLIES 270 DX X-RAY 320 EMERGENCY ROOM 450 5.7S 322.00 197. 00 :U9-' OTAL of CURR. CHARGES 524.75 GUAI RELATIONSHIP: ACC DATE: OS/ta/9S DIAjNOSI$: o SEX: TIlE' TYPE' 0 854.00 !\MOUNT OF I $ PAYMENT . asy, eOvE:MOE EaT, COVI!"AGI;: E$f. COV!;lR;\GE eST, CC)VERAoe; INS. Co. NO,! tNS. CO. NO,1 INS. CO, ~O.::J INS. CO. NO,4 PATIf.N'r AMOUNT ADJUSTMENTS 5.75 171.00 151.00 t 97.00 524.15 524.7 5.75 :322.00 191.00 524.75 GUAR NO: 7:;H PI1 PlACE' 0 EMPl REL: N f!OEAAllDl!NT. NO, 23.15127~1 PAYI1ENT IN FULL IS EXle;CTED WI'HIN 30 04Y5. TOT II L S p~T1GNT NUMBER -T 120026061 524.75 AEPEA AI.L. QUESTIONS TO THE aUSINESS OFFICE (717) 763-2138. 1049.50 ' 524.1 ~LEASE SEND PAYMENT TO: HOLY SPIRIT HOSPITAL I ,....." "..............,1 ....~,....... ~...nr,...... ~P(~~.r~qN..:'~ ,f.~ ~~I'~T_ ~[!..LH'!Stt-!A:y, .Elf. ~~(;f':~?~f\~;9t:, ~~ WOLY SPI~IT HOSPITPL lilL;(l( l(bJ-L~vL DATE OF (l'llL DATf 01' PRfV, !JILL h~_Y SPIRIT HOSPITAL !i03 N elST 8T CfIl'll' HILL, I'll 717 763-eHl FEl. 23-1512747 (Q?JID 17 0 I I . ~_'rlJ IHRiH-U"1 TE "OS~, NO, 06/07/86 ...Ii OISOHAnGE'CATE DAYS 0,0,6, INSURANCE COMPANY NAME (If'lOLI!'NI,JMIlIiFl POLICY NUMaER '. I1f,lARAUTO/'l SHliRRl 1I0CKLF.Y 1 HEALTH CENTllAL 1'15646718 NAME "S I1AGNOLIA Oft ,"0 ENOLA,"" noes. AUORfi:iS SpURRIER DAVID 1'10 PLEASE RETURN HilS PORTION WITH YOUR PAYMENT. 7~ ~ I ^~,RUJ'JN~' I $ '}A'IE )STEO t)[SCRI1-'110N OF liOSPIlAL SeRVICES I SERVICIO GOPIi TOl'AL CHAf-lGES l:ST, COVEiAAC:lE ~~T, COVEMG~ 'f:ST. COVEl'W1E I:ST, OOV~R:AGE INS, co, NO.1 INS, co. NO.2 INS, CO, NO.3 INS, CO, NO.4 f>AlIENT AMOUNT !nAlI. OF CURRENT CHARGES" pA'\II'IENTS ANt 119 ICE PACK SI'IL 011412167' $.75 119 CT BRAIN WO CONO'3613610~ 7eS.00 119 EO VISIT L~VF.L 0117103011 t97.00 AOJUSTI'IENTS 5.7$ res.oo I'H.OO ALA~Ct FORWARD 0.00 I.IM"/ RY 01' CURRENT CHARGES M/9 SUPPLIES e70 OT SCAN 350 EI'IERGENCY ROOM 450 5.75 125.00 197.00 5.75 125.00 197.00 J8'-1orAL OFCIIRR. CHARGt::S '27.'15 ge7.75 HAGNosrs: 959.01 PAYl1f:Hl' IS DUE UPON RE CEIPT OF THIS 8TA' El'll"NT. YOU "'1'1'1' SIISI'UTTHIS FCRM "0 YOUR INSURANCE CARf IER FOR REIMBURSEMENT. f'EOOAAl,. 'VENT. NO. l/3-,S1214?, :.....lL'" A '- J PATIENT NVMt!!:;R 1\ '2r.TS 927.79 ~O~f~il~~LOW~g'ONS TO THE PI.EASEi SEND PAYM~NT TO; rr1Tl7&3~i3e, HOl'( SPIRIT HOSPITAL 01-'1' SPlRlT HOS"rT./\L /HIP ~IH.'-. F'I< 503 NORTH 21 S1" STREET CAMP HILL, PA 1701H~<!8B I PAY THlS MIOUNT (1.00 hDOIT"lONP.!. PATI5Nl' BILLING MAY Pf:;. NeC*8SA1~v FOR ANy C;HAf-'I~fJJs NOT f10STEO Wi--liN d/'ll! 91~\.WAS PRE.J>'t-lED ~~~~A',!~,&~~rol"Wll'''<:'N"~" i~tl"M".~NIi<I6'.I'lN8: . ., . . .. , flM~ ? "_ T=_ ~', ~I . ~I, ,-~ "~- , M.l HOLY SP I R IT HOSP ITAL HeI II A lyPEOF {)ATE OF PilL !>A'IEOF alLL t'HEV. BILL O\./TP. .C-..,.4 Q C; PATIEN'f ME H CKLEY GARRY L JR TEl :717-763-2932 ]an 11.99 5:52 No.002 P.06 hvLV SPIRIT HOSPITAL 503 N 21ST ST CAMP HILL, PA 717763-2141 FEI # 23-1518747 11011 lHRTH-DATE o ~7lr'n'9 6 ~Q HOSt>, NO, 9-00. 1,l.()20459 ADMISSION I;)ATIi PISCHARGE D^TF. DAYS PATIENT NUM9E:!'i J)$122198 C.O.B. INSlIRANOE C2.~r'.~NY NAMF. GROUP NUMflHI Pot-lOY NUMm]~ GtJArt~NTOR SHERRI HOCKLEY 1 HEALTH CENTRAL 195646718 NI\MJ: ~15 MAGNOLIA OR ,"0 ENOLA,PA 17025 .M'3{lm;:~s. SHARMA RAJANA MO "".1 - j '1,,~ n I AMOUNT OF [$ PLEASE RETURN THIS PORTION WITH YOUR PAYMENT, f~ ~ ",YMENT DAT!;i D~eC!'lIPTION OF I Sfl-lVlOE 'rOTAL ESL COVeRAGE 1;5T, COVERACl!: EST. COVE'RAag ~ST. COVi:tW3E PA1lENT 'oST~l) HOS~l At SERVICr<S CODE CHARG!'S INS, CO. NO.1 INS, co., NO.2 INS, CO. No,;! INS, CO, NO,4 AMOUNl - lETAIL OF CURRENT CHARGES, PA' MENTS ANt AOJUSTM~ NTS ;/28 OV LEVEL II EST0118100081 41.00 41.00 IALA~ CE FORI.lARD 0.00 >UMM~ RY OF CURRENT CHARGES CLan c S10 41.00 41 .00 ;US-' OTAL OF CURRo CHARGES 41.00 41.00 DIAG NOSIS: 9<:0 PAYMENT IS DUE UPON RE CEIPT OF THIS STA' EMENT. VOU MAY SUBMIT THIS Fe RM TO YOUR INSURANCE CARF IER FOR REIMBURSEMENT. FEUli-I'lAL lD~NT, NO. i!.3.1S12'147 T o T A L S 41.00 41 .00 p,ll.TIEN1 NUMBER I f:\EFEA. ALL OUESTIONS TO THE PLEASE SEND PAYMENT TO: I pAY BUSINESS OFFICe; 'THIS AMOUNT 0.00 'aOa0459 I (7\7) 763-2\38. HOLY SPIRIT HOSPITAL. IONAl PATIENT I3ll.1.lNG MAY llt: NEOCE.99AHY FOR ANY HOLY SPIRI'T HOSPITAL r^MP I"TI I "'^ t "~ to 503 NORTH 21ST STREET CAMP Hill. PA 17Ql1-2288 0e~nOl:s NOT POSTED WHeN THli> alll WAS rnt;PARf;'O 01'1 If INSURANCE OAtlr1I!::~S DO N01 PAY "NY PART OF TH~ AMOUNTS SHOWN \JNDfH--1 ESTIMATt'D INSUMNOt\ r'....,'rnll(;f' ,., .. ~ ., HOLY SPIRIT HOSPITAL TEl :717-763-2932 " " ~ HCI # A hvLY SPIRIT HOSPITAL lYPE or: DATE Ol'tl/l.l I)A1EOF 503 N 21ST ST BILl.. fAEV. BILL CAMP HILL, I'A 717 .763-a141 OUTF'. FEI 1I e3-1S127'l7 -<,"'~ Q \; flA1IENl ME P....TIENT NUMflEJl HOCKLEY GARRY L JR 12020459 11 J an 11,99 5:52 No.O~2 1'.00 . · rDlB 17011 ~ BIRTH-DATE HOS'.NO. 0l;1"~ ,/'66 <)-00, ^OMISSION OA~ tJISOHARGE D^TF. DAYS OS/2a1"98 ~ C,Q.B, INSUFWlCE COt:!!'ANY NAMf. t;I'lOUP NUMIIH! PO~lCY NUMOIiR aUAr1Il,NfOR SHERRI HOCKLEY 1 HEALTH CENTRAL 19S64~7'8 N^Mt. 915 MAGNOLIA OR ,"0 ENOLA,PA 170e:S At)O.c:US SHARMA RAJANA MO ".,/ - j -?A' I AMOUNT OF I $ PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. I~ "yO<<- PAYMr,NT O^Te )OSTED D~aCRIPTION OF HOSPll AL se:RVlC~S I Sl-'tlVlOE COCE 'iOTAL CHMGGl> ~sr. COVJ:;A^GF, INS. CO, NO,' EST, COVERAGe INS. co, N().2 EST. COV~RAGf; INS. CO. NO.$ tf;T, COVERAGE lNS, co, NO,4 f-'A1IENT AMOUNT )ETAIL OF CURRENT CHARGES, PA~MENTS ANt ADJUSTMENTS ;/e:e OV LEV!;:L T.I EST01181000S1 41.00 41.00 lALA~ CE FOR\MRD 0.00 )UMM~ RY OF CURRENT CHARGES CLINIC 510 41.00 41.00 ;U6-' OTAL OF CURR. CHARGES 41.00 41.00 DIMNOSIS: geo PAYMENT IS DUE UPON RECEIPT OF THIS STA~EMENT. YOU MAY SUBMIT THlS FeRN TO YOUR INSURANCE CAR~IER FOR RElMBURSEMENT. FEU!fPlAL IO!2NT. NO. 2').tSl~7<l7 TOT A L S PATI!:"'" NUMBER J 1 eoa0459 I 41.00 41.0Q REFER All QUESTiONS TO THE BUSINESS OFF1C~ (717) 7e3'?13B. PLEASE SEND PAYMENT TO: HOLY SPIRIT HOSPITAL 503 NORTH 21ST STREET CAMP HILL, PA.17011-2288 I PAY THIS AMOUNT 0.00 HOLY SPIRIT HOSPITAL ri\MPHTII Pf:, ADDIlIONAL PATIENT Elll I 11'JG- MAY at: NECli98AI-lY FOR ANY CHARGF.S NOT POSTED WHtN THI(i 11.11 \. WAS rnEOPAR(,D 0'" jf INSURANCE CARHIERS DQ NO' PAY ^NY PAAT Or THl; AMOUNTS SHOWN UNOf.R eSlIMATI:O INSLJI'lANCC r.r",rnM",..