Clinical Summary
Generated: December 9, 2025
Patient Information
Address:
123 Main Street
Anywhere, ME 04444
Email:
noahtest@ocfm.com
Primary Care:
Leigh Forbush, DO
NPI:
1790725497
Problem List / Medical History
-
I10
Essential (primary) hypertension
-
K21.0
Gastroesophageal reflux disease (GERD)
-
M54.5
Low back pain
Surgical History
-
Appendectomy
1995
-
Right knee arthroscopy
2018
Family History
-
Father:
Hypertension, Type 2 Diabetes, deceased age 72 (MI)
-
Mother:
Alive, age 78, Osteoarthritis
-
Siblings:
Brother with hyperlipidemia
Current Medications
| Medication |
Sig |
Start Date |
| Simvastatin 20 mg tablet |
1 tablet by mouth daily |
11/01/2021 |
| Bactrim DS 800-160 mg tablet |
1 tablet by mouth twice daily |
12/01/2025 |
| Omeprazole 20 mg capsule |
1 capsule by mouth daily before breakfast |
03/15/2023 |
Allergies
Penicillins
— Rash, hives
Sulfa drugs
— Anaphylaxis
Immunizations
-
Influenza (Flu)
10/15/2024
-
COVID-19 (Pfizer-BioNTech)
09/20/2024
-
Tdap
06/12/2020
Leigh Forbush, DO
NPI: 1790725497
Electronically signed by Leigh Forbush, DO on 12/09/2025 4:33 PM EST