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Forms and Consents Placeholder Key

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

Updated over a week ago

Forms are part of the Engagement module. If you are interested in learning more, CLICK HERE to request a demo!

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 Dental Intelligence 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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