truForm & EDDSON Integration Fields

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Instructions below ONLY apply to truForm with EDDSON Integration.

This document includes ALL fields that integrate between TruForm and EDDSON. If your custom form is set up correctly, items listed below will populate within your software.

Note, if you have additional fields on your form that are NOT listed below, you can manually enter them into your patient's account once integration is completed!

If you use our standard form below, the sections listed below are already integrated!

Integration Field Count: 15 total fields integrate!

 

PATIENT INFORMATION

*IF YOU ARE USING A CUSTOM FORM: Patient Name on the form must be split out into first name last name in order to integrate correctly.  [See Example]

*IF YOU ARE USING A CUSTOM FORM: Patient Address/ City/ State / Zip must be split out into its own fields in order to integrate correctly.   [See Example]
  1. First Name
  2. Last name
  3. Middle Initial
  4. Nickname
  5. Gender
  6. Date of Birth
  7. Social Security Number
  8. Email Address
  9. Home Phone
  10. Cell Phone
  1. Address Street Name
  2. Address Apt
  3. City
  4. State or Province 
  5. Zip or Postal Code
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