Email Consent Form

Contents

    Template Merge Fields

    Template Field NameDescription
    PATIENT_ID
    PATIENT_FIRST_NAME
    PATIENT_INITIAL
    PATIENT_LAST_NAME
    PATIENT_TITLE
    PATIENT_ADDRESSED_AS
    PATIENT_SALUTATION
    PATIENT_KAKnown As
    ADDRESS_LINE_1
    ADDRESS_LINE_2
    ADDRESS_LINE_3
    ADDRESS_LINE_4
    ADDRESS_LINE_5
    ADDRESS_LINE_6
    PROVIDER_TITLE
    PROVIDER_FIRST_NAME
    PROVIDER_INITIAL
    PROVIDER_LAST_NAME
    APPOINTMENT_DATE
    TODAYS_DATE
    Updated on 20th January 2021