Placeholders can be applied when editing Forms and Consents to personalize the patient experience. Placeholders use a Variable Code that will auto-fill with patient or practice information. These will pull from your Practice Management Software or the Practice Info section in the Engagement [Modento] Settings.

Here is our Placeholder key to understand the Variable Codes that can be applied:


Variable Code

Full Name


First Name


Preferred Name




Date of Birth




Email Address


Phone Number


Guardian Name


Guardian Initials


Provider on Next Visit


Appointment Date & Time


Appointment Date


Appointment Time


Practice Name


Practice Address


Practice Email Address


Practice Phone Number


Practice Doctor


Practice All Doctors


Today’s Date


Placeholders will appear in Forms, Consents, Templates (Formatted Emails and Direct Messages), as well as Verbiage. Refer to the following articles to learn how to add and edit these:

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