Questionnaire

Template Merge Fields

Template Field NameDescription
PATIENT_TITLE
PATIENT_INITIAL
PATIENT_FIRST_NAME
PATIENT_LAST_NAME
PATIENT_ADDRESSED_AS
PATIENT_SALUTATION
PATIENT_KAKnown As
PATIENT_TEMPERATURE
PATIENT_O2_SATURATION
ADDRESS_LINE_1
ADDRESS_LINE_2
ADDRESS_LINE_3
ADDRESS_LINE_4
ADDRESS_LINE_5
ADDRESS_LINE_6
PRE_APPOINTMENT_DATE
UPON_ARRIVAL_DATE
MC_FORMTEXT
MC_YES_PRE
MC_NO_PRE
MC_YES_UPON
MC_NO_UPON
TODAYS_DATE
Updated on 20th January 2021

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