Clinical Console/Leo Rodriguez - Patient Chart

Leo Rodriguez - Patient Chart

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Leo Rodriguez

active

DOB: 4/14/2022 • Gender: Male • ID: pat_leo_01

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)
F80.892024-03-12

Other developmental disorders of speech and language (Gestalt Language Processor)

Provider: Dr. Katherine Wood, Developmental Pediatrician

F822024-03-12

Specific developmental disorder of motor function (Somatodyspraxia & Sensory Modulation)

Provider: Dr. Katherine Wood, Developmental Pediatrician

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

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

Active Lead
Emergency & Guardian InfoFamily Portal

Guardian: Elena Rodriguez (Mother)

Phone: (555) 876-5432

Location: Lexington Clinic Sensory Gym

Parent Live Schedule (Google Calendar)
Add to Google Cal

Live feed auto-syncs sessions to parent's mobile phone calendar.