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HOLAND_CLAIM_FILE_p319
📄 HOLAND_CLAIM_FILE | p.319
📝 Extracted Text (OCR)
Mar 12, 2026 11:58 To: +16042339777 Page: 13/46 From: Foremed Medical Clinic Fax: 16043985614

Documentation for MARK THOMAS HOLAND

Meds well tolerated
compliant x2 per month
no s/e reported

he does not feel he needs prophylactic propranolol right now

Pian agreed refill
r/v prn

[Faxed to Ultracare Kent Guardian Pharmacy Fax#: 604-522-3402, 19-Jan-2023 03:34 PM]
TEVA-SUMATRIPTAN DF 25 MG 25mg once for migraine. If initial dose was partially effective or headache recurs, may
repeat dose after >2 hours. Maximum dose: 100 mg per dose 200 mg per 24 hours Refill Qty:16 TABLET Repeats:0

[Signed on 19-Jan-2023 15:35 by Gbogboade Ademiluyi 68199]

-[06-Jun-2028 : refill]

Called patient
known hx of migraines x2 epsiodes per month

Needs refills of sumatriptan
works well

Meds well tolerated
compliant uses pn

no s/é reported

imp migraine sufferer

Pian agreed refill

declines prophylactic betablocker

[Faxed to Ultracare Kent Guardian Pharmacy Fax#: 604-522-3402, 06-Jun-2023 03:01 PM]

TEVA-SUMATRIPTAN DF 25 MG 25mg once for migraine. If initial dose was partially effective or headache recurs, may
repeat dose after >2 hours. Maximum dose: 100 mg per dose 200 mg per 24 hours Refili Qty:16 TABLET Repeats:0

[Signed on 06-Jun-2023 15:02 by Gbogboade Ademiluyi 68199]
-[05-Sep-2023 : rx refill]

Page 4 of 16
Created by: OSCAR The open-source EMR www.oscarcanada.org 2026-03-12

PAGE 13/46 * RCVD AT 3/12/2026 11:59:36 AM [Pacific Daylight Time] * SVR:FAXP21/12 * DNIS:9777 * CSID:16043985614 * ANI:6043985614 * DURATION (mi