Clinical Console/Charlotte Evans - Patient Chart

Charlotte Evans - Patient Chart

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C

Charlotte Evans

active

DOB: 8/14/2022 • Gender: Female • ID: pat_charlotte_06

Chart Session

Insurance Prior-Authorization Expiration Tracker

Carrier: SC Healthy Connections Medicaid • Auth #: AUTH-SC-89210-P

Expiring in 21 Days
Valid: Nov 1, 2025 – Oct 15, 2026Initiate Renewal Request →
Primary Diagnoses (ICD-10)
F80.892024-02-01

Gestalt Language Processor - Stage 2 (Mitigations & Trimming)

Provider: Joy in the Journey

F84.02024-01-20

Autism Spectrum Profile with Sensory Hypersensitivity

Provider: USC School of Medicine Pediatrics

Interprofessional Care Team
Primary SLP

Suzanne Gould, BA Early Childhood Education, MCD, CCC-SLP

88% Match
Primary OT

Allison "Alli" Bagley, MSOT, OTR/L

94% Match
Case Manager

Marley Costin, BA, SLP-A, MA, CCC-SLP, AAC Specialist

Active Lead
Emergency & Guardian InfoFamily Portal

Guardian: David Evans (Father)

Phone: (803) 555-0214

Location: Lexington Clinic Sensory Gym

Parent Live Schedule (Google Calendar)
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Live feed auto-syncs sessions to parent's mobile phone calendar.