Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-07-07 Encounter: Spruce text message (post in-person visit follow-up) CC: Follow-up after 18-month well-child visit regarding delayed independent walking and referral for physical therapy. HPI: Thomas was seen for his 18-month well-child check on approximately 2026-07-07. At that visit, a concern regarding delayed independent walking was discussed, and a referral to physical therapy was made. Post-visit, the parent also noted that a Hib vaccine administered on December 8th was not appearing in the state registry, and inquired about next vaccine recommendations. Assessment: Independent walking delay warranted a PT referral. The missing Hib vaccination record was identified as a registry documentation issue, not an actual missed dose. MMR was confirmed as the next recommended vaccine. Plan: PT referral placed with three clinic options provided (Minnetonka Therapy, Sora Therapy, St. David's). Dr. Hobbs noted the Hib vaccine text record from 12/8 and committed to adding it to the state registry and investigating the discrepancy. MMR recommended as next vaccine. No prescription sent. Key clinical quotes: "I see the text for 12/8 between us, I'm very curious why it's not in the state registry. I'll add it and msg them to back trace it." "Still MMR" Source: Spruce conversation t_2GDBR8BFPUO00