Clinical Console/Samuel Brooks - Patient Chart

Samuel Brooks - Patient Chart

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S

Samuel Brooks

active

DOB: 11/25/2019 • Gender: Male • ID: pat_samuel_05

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)
F822023-04-10

Specific developmental disorder of motor function (Somatodyspraxia & Bilateral Coordination)

Provider: Palmetto Pediatric Neurology

F80.22023-05-15

Mixed Receptive-Expressive Language Disorder

Provider: Joy in the Journey

Interprofessional Care Team
Primary SLP

Olivia Phillips, CCC-SLP

95% Match
Primary OT

Emily Layton, MSOT, OTR/L

86% Match
Case Manager

Emily Layton, MSOT, OTR/L

Active Lead
Emergency & Guardian InfoFamily Portal

Guardian: Jessica Brooks (Mother)

Phone: (803) 555-0213

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.