Input Field Names
See Sheet Input Field.
Input Fields are Sheet Field Types where patients input information when filling out forms. Most fields are self-explanatory. Fields that need additional detail have a description noted. The available input fields vary by sheet type.
|Input Text Field Name
|Available for Consents. Input tooth number (e.g., extraction consent)
|Available for Consents, Patient Forms, Medical Histories, Lab Slips, Exam Sheets
Input miscellaneous notes.
|Patient birthdate. Date format typically follows the format of where the practice is located (e.g., US vs Canada).
|Available for Patient Forms and Medical Histories. Emergency contact name.
|Available for Patient Forms and Medical Histories. Emergency contact phone number.
|Available for Patient Forms. Patient preferred name
|Available for Patient Forms. Where patient was referred from.
|Requires two character state abbreviation (e.g., OR, WA, CA). Cannot be used in conjunction with StateNoAbbreviation on the same sheet.
|Does not require two character state abbreviation. Cannot be used in conjunction with State on the same sheet.
|Available for Medical Histories. Input medications. Up to 20 allowed on a sheet.
|Available for Lab Slips. Input lab instructions.
|Available for Exam Sheets. Input patient's grade in school.
|Available for Exam Sheets. Input patient's race or ethnicity.
|Available for Exam Sheets.
|Available for Exam Sheets. Input additional comments about patient's health.