For use with NexHealth Forms
Overview
Fields that sync from Forms to your EHR
When a patient submits a form, the information from the following fields can be sent to update the following fields in their patient record in your EHR.
First Name
Last Name
Middle Initial
Preferred Name
Birth Date
Marital Status
Sex
Social Security Number
Address 1
Address 2
City
State
Zip Code
Driver's License
Home Phone
Mobile Number
Work Phone
Email
Emergency Contact
Emergency Phone
Emergency Relation
Referral
Fields that pre-fill from your EHR into Forms
When a patient is filling out a NexHealth form, we can automatically bring information from your patients' profiles in your EHR to pre-fill the form(s) they're filling out. The following patient fields can be used for pre-filling.
First Name
Last Name
Email
Mobile Number
Date of Birth
Zip Code
Address 1
Address 2
City
State
Preferred Language
Medical Alerts