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What fields are available in the form builder?

If you want to create and customize your form, it is easy with our user-friendly and intuitive HIPAA compliant form builder. Implement personalized branding, images, text, and more.

IMPORTANT: 

You can customize the wording of these questions.


By default, we ask the following questions:

•Patient Name
•Patient Email
•Patient Phone Number
•Appointment information (service, date and time preference)

More options available:

•Map Address
•Website URL
•Yes/No and Multiple-Choice Question
•File Upload
•Signature