Template Merge Fields
| Template Field Name | Description |
| PATIENT_ID | |
| PATIENT_TITLE | |
| PATIENT_INITIAL | |
| PATIENT_FIRST_NAME | |
| PATIENT_LAST_NAME | |
| PATIENT_ADDRESSED_AS | |
| PATIENT_SALUTATION | |
| PATIENT_KA | Known As |
| ADDRESS_LINE_1 | |
| ADDRESS_LINE_2 | |
| ADDRESS_LINE_3 | |
| ADDRESS_LINE_4 | |
| ADDRESS_LINE_5 | |
| ADDRESS_LINE_6 | |
| CREATED_ON | |
| STATUS | |
| TITLE | |
| DESCRIPTION | |
| TOTAL_COST | |
| APP_DESCRIPTION | |
| APP_DATE | |
| APP_DURATION | |
| APP_STARTTIME | |
| APP_ITEM_DESCIPTION | |
| APP_ITEM_FEE | |
| APP_ITEM_SUBTOTAL | |
| APP_ITEM_QTY | |
| APP_ITEM_SITE | |
| APP_MAXIMUM_INTERVAL | |
| APP_MINIMUM_INTERVAL | |
| APP_PROVIDER_NAME | |
| APP_TITLE | |
| PLAN_ITEM_DESCIPTION | |
| PLAN_ITEM_FEE | |
| PLAN_ITEM_QTY | |
| PLAN_ITEM_SITE | |
| PLAN_ITEM_SUBTOTAL | |
| TODAYS_DATE |