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Nurse's Page


View of Registration
Participant/Counselor
Gender
First
Last
Profile Pic
Room Number
Birthday
Diet/Allergies
Current Medications
Contacts/Glasses?
Pre-Existing Medical Condition
Major Illnesses in Last 12 Months
Last Tetanus Shot
Emergency Contact
Emergency Contact Relationship to Convo Participant
Emergency Contact Phone
Insurance Card
Insurance Carrier
Policy Carrier Name
ID #
Group #
Phone #
Emergency Medical Authorization
Liability Release
13
7
Alcia
Browne-Weston
image.jpg
324A
8/19/1975
Open
Cresta, Metoprolol
​
​
​
Hezekiah Weston
Spouse
1-268-725-2927
Nagicor
Alcia Browne-Weston
268043831
​
1-268-779-6244
Clara
Samuels
image.jpg
309B
Open
​
​
​
​
Suzanne Williams
Friend
954-817-2364
​
​
​
​
​
Hilda
Regalado
IMG-20230612-WA0021.jpg
304C
8/5/2006
Open
n/a
​
​
1/3/22
​
​
​
A UnitedHealthcare Company (UMR)
Ruben J Cieza Hernandez
44154562
76-416339
877-233-1800
Megan
Vanderbloemen
image.jpg
324C
12/14/2002
Open
n/a
​
​
3/10/14
Laurie Vanderbloemen
Mother
6082254180
Quartz
Laurie Vanderbloemen
71302930903
9001123
800-362-3310
Michelle
Flemming-Daley
image.jpg
324B
6/5/1980
Open
Amlo Dena
High Blood Pressure
​
​
Barrington Daley
Husband
(876)803-7249/417-7783
Sagicor
Michelle Flemming-Daley
0008959444-00
910000-04971
8769298920-9
Monique
Richards
1000011890.png
N/A
Open
​
​
​
​
​
​
​
​
​
​
​
​
Sylvie
Hauser
sylvie.jpg
304A
9/14/1996
Open
n/a
​
​
Up to date
​
​
​
BlueShield
Sylvia Hauser
RIR135066382001
RIR378
18668230924
6
Andrew
Walters
image.jpg
323A
Open
​
​
​
​
Leon Walters
Father
8763181263
​
​
​
​
​
Brian
Dixon
brian.jpg
303B
Open
​
​
​
​
Lynn Dixon
Spouse
(701) 388-3974
​
​
​
​
​
Clint
Baynes
image.jpg
323B
11/5/2075
Open
n/a
​
​
2022
Dr. Sacha John Charles Baynes
Spouse
18687642911
Guardian Group Insurance
Clint Baynes
​
​
​
Dan
Miller
dan.jpg
303A
4/21/1988
Open
n/a
​
​
Up to date
Elizabeth Behrend
Spouse
(920) 522-3579
​
​
​
​
​
Justin
Rabbach
IMG_2664.jpg
303C
10/12/1986
Open
​
​
​
​
Jessie Rabbach
Spouse
​
​
​
​
​
​
Riddick
Weber
riddick.jpg
323C
4/5/2065
Open
Atorvastatin
​
​
​
Jane Weber
Spouse
610 653-2229
Capital Blue Cross
Charles R Weber
YWP80252135100
00531833
800 216-9741
20
16
Aleisha
Farquharson
image.jpg
308A
Open
​
​
​
​
Carla Hastings
Parent
18763454974 OR 18765228412
​
​
​
​
​
Aniyah
Walcott
image.jpg
322B
Open
n/a
​
​
​
Shinelle Romeo-Walcott
Mother
347-922-3427
​
​
​
​
​
Avalon
Reiser
image.jpg
310B
Open
​
​
​
​
Kathleen Reiser
Mother
484 903 3857
​
​
​
​
​
Donnecia
Joseph
image.jpg
306A
1/7/2009
Open
n/a
​
​
​
Delcia Williams
Mother
12687753749
Nagico Insurances
Geo W Bennett Bryson & Co. LTD
268043822
ANGLH005/10
13058228430
Iyani
Mercer
Coda_20250703_154715.jpg
310C
8/4/2010
Open
n/a
​
​
​
Vashti Liburd
Grandparent
340-998-9238
Cigna
Innocent Liburd
U37127017 03
3327595
800-579-0613
Jhemelia
West
image.jpg
311A
Open
​
​
​
​
Aldeen Francis
Mother
(876)392-7903
​
​
​
​
​
Joanna
Genemans
image.jpg
311B
11/8/2006
Open
Vestura, Aller-tec
​
​
2018
Brenda Genemans
Mother
3013057142
BlueCross BlueShield
Jan Genemans
LAM839002628
000LAM1902474
1-800-348-6515 Ext. 12
Keshana
Bartlett
image.jpg
311C
6/14/2006
Open
n/a
Asthma
​
5/5/17
Tonya Bartlett
Parent
+1 (246) 268-5805
icbl
Kevin Hinds
020451800085
​
+1 (246) 434-6000
Leah
Turnbull
image.jpg
312A
Open
​
​
​
​
Dan Turnbull
Father
7175378282
​
​
​
​
​
Marcasia
Dixon
image.jpg
308C
5/5/2009
Open
n/a
​
​
2014
Racquel Colquhoune
Mother
(876-439-0904) or (876-884-0920)
​
​
​
​
​
Marsha
Peart
image.jpg
312B
Open
​
​
​
​
Justin Peart
Father
7865255463
​
​
​
​
​
Nylah
Whyte
image.jpg
308B
Open
​
​
​
​
​
​
​
​
​
​
​
​
Olivia
Campbell
image.jpg
312C
Open
​
​
​
​
Evette Campbell
My mom
5617291043
​
​
​
​
​
Rihanna
Roberts
image.jpg
306C
2/28/2009
Open
n/a
​
​
12/17/24
1-268-771-4020
Parent
1-268-772-3756
Medicare
​
​
​
​
Sayuri
Blake
image.jpg
322A
8/26/2009
Open
n/a
​
​
​
Kimberly Fagan
Mother
876 215 9557
​
​
​
​
​
Taniel
James
image.jpg
322C
Open
​
​
​
​
Carlene Woodbine
Youth Coordinator
646-549-1653
​
​
​
​
​
4
Christian
Wolf
image.jpg
305A
7/26/2006
Open
n/a
Frequent Bloody Noses
Pneumonia
9 Years ago
Liesl Wolf
Mother
717.799.9420
Eliance / Cingna
Liesl Wolf
EHS04938W83058
EH00094
717-560-9290
Jonathan
McPherson
image.jpg
305C
8/30/2010
Open
n/a
​
​
2017
Christine McPherson
Mother
876-371-7670
Sagicor Health
Clive McPherson
6860000278-04
46860-00001
8769298920
Miles
Clore
image.jpg
307A
3/28/2010
Open
Vyvanse 70 mg - 1 daily in the morning; Zoloft 50 mg - 1 daily at bedtime; Miralax - 1 capful in 12 oz apple juice at dinner
ADHD
Pneumonia
10/7/21
Christy Clore
Mom
336-473-1248
Aetna
David Clore
NU2AQKAJXNCK
0192685
1-833-690-1037
Naeem
Baynes
image.jpg
307C
8/25/2007
Open
n/a
​
​
2021
Clint Baynes
Parent
18687521774
Guardian Group Insurance limited
Clint Baynes
​
​
​
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