- Current Status<%= status %>
<% if (appointmentRequestDetailCode.length > 0) {%>
- Detail Code<%= appointmentRequestDetailCode[0].detailCode.providerMessage %>
<% } %>
<% if(appointmentDate != null && appointmentDate != ""){ %>
- Appointment Date<%= appointmentDate %> <%= appointmentTime %>
<% } %>
- Full Name<%= patient.firstName %> <%= patient.lastName %>
- Date of Birth<%= patient.dateOfBirth %>
- SSN<%= patient.ssn %>
- Last Activity<%= formatDateToDays(lastUpdatedDate) + ' ' + formatTime(lastUpdatedDate) %>
- Request Submitted<%= formatDateToDays(createdDate) + ' ' + formatTime(createdDate) %>
Request Details
- Facility<%= facility.name %>
- Type of Care<%= appointmentType %>
- Provider<%= providerName + (providerOption == undefined ? '' : '
' + providerOption) %>
- Type of Visit<%= visitType %>
- Purpose of Visit<%= purposeOfVisit %>
<%
if (purposeOfVisit == 'Other') {
%>
- Other Purpose of Visit<%= otherPurposeOfVisit %>
<%
}
%>
Request Date/Time
- Preferred<%= optionDate1 %> <%= optionTime1 %>
- Second Choice<%= optionDate2 %> <%= optionTime2 %>
- Third Choice<%= optionDate3 %> <%= optionTime3 %>
Patient Contact
- Email<%= email %>
- Phone<%= phoneNumber %>
- Best Time(s) To Call<% _.each(bestTimetoCall, function(i) { %><%= i %>
<% }); %>
- Text Messaging Allowed<%= (textMessagingAllowed) ? "Yes" : "No" %>
- Text Messaging Phone Number<%= textMessagingPhoneNumber %>