Template Merge Fields
| Template Field Name | Description |
| PATIENT_ADDRESS_LINE_1 | |
| PATIENT_ADDRESS_LINE_2 | |
| PATIENT_ADDRESS_LINE_3 | |
| PATIENT_ADDRESS_LINE_4 | |
| PATIENT_ADDRESS_LINE_5 | |
| PATIENT_ADDRESS_LINE_6 | |
| PATIENT_FIRST_NAME | |
| PATIENT_INITIAL | |
| PATIENT_LAST_NAME | |
| PATIENT_TITLE | |
| PATIENT_ID | |
| PATIENT_ADDRESSED_AS | |
| PATIENT_SALUTATION | |
| PATIENT_KA | Known As |
| PATIENT_HOME_TELEPHONE | |
| PATIENT_WORK_TELEPHONE | |
| PATIENT_MOBILE | |
| PATIENT_EMAIL | |
| PATIENT_DOB | |
| REFERRER_ADDRESS_LINE_1 | |
| REFERRER_ADDRESS_LINE_2 | |
| REFERRER_ADDRESS_LINE_3 | |
| REFERRER_ADDRESS_LINE_4 | |
| REFERRER_ADDRESS_LINE_5 | |
| REFERRER_ADDRESS_LINE_6 | |
| REFERRER_FIRST_NAME | |
| REFERRER_INITIAL | |
| REFERRER_LAST_NAME | |
| REFERRER_TITLE | |
| TODAYS_DATE |