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Engagement: Forms and Consents Placeholder Key
Engagement: Forms and Consents Placeholder Key

Learn about the available placeholders that can be used in forms and consents throughout Engagement

Erika Gardner avatar
Written by Erika Gardner
Updated this week

Placeholders can be added to forms and consents when editing 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 Engagement Settings.

Placeholder Key

Review the Placeholder key below to understand the Variable Codes that can be applied:

Placeholder

Variable Code

Full Name

{{patient_name}}

First Name

{{patient_first_name}}

Preferred Name

{{patient_preferred_name}}

Initials

{{patient_initials}}

Date of Birth

{{patient_dob}}

Address

{{patient_address}}

Email Address

{{patient_email}}

Phone Number

{{patient_phone}}

Guardian Name

{{patient_guardian_name}}

Guardian Initials

{{patient_guardian_initials}}

Provider on Next Visit

{{patient_next_provider}}

Appointment Date & Time

{{patient_appointment_date_time}}

Appointment Date

{{patient_appointment_date}}

Appointment Time

{{patient_appointment_time}}

Practice Name

{{practice_name}}

Practice Address

{{practice_address}}

Practice Email Address

{{practice_email}}

Practice Phone Number

{{practice_phone}}

Practice Doctor

{{practice_doctor}}

Practice All Doctors

{{practice_all_doctors}}

Today’s Date

{{today_date}}

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