NOTE: For a refresher on using the Form Builder, read our article on Creating an IPad Form With The Form Builder.
This field collects address and contact information for patients.
The available options for this field are:
|Question||The label for the street address line 1 (displayed online only).|
|Answer is required||The patient(s) must include this information to complete the form.|
|Read Only||The field only displays information and does not collect it.|
|Has Border||Applies a simple border around this field.|
UNCHECKED: Existing patient address information stored in your PMS is displayed.
CHECKED: Makes the fields empty each time the form is loaded.
Use Empty for New Patient forms, as you do not already have address information to display.
|Add Phone||Adds a field for a phone number.|
|Add Email, Mobile Phone||Adds a field for an email address and a mobile phone number.|
|Add Work Phone||Adds a field for a work phone number.|
|Add 'Same Address for Entire Family' Checkbox||Adds a checkbox where the patient can indicate if the same address should be applied to all family members. For use with Family Mode only.|
NOTE: You can only use one Patient Address field per form.
In addition, you have the option to add an "I checked all that apply" checkbox to the bottom of the form.
The animation below shows you how to add this form field to your form: