In order for SurveyVitals to send a patient survey on your organization’s behalf, the below data are required for each patient case.

Required Data:

  • Patient First Name

  • Patient Last Name

  • Patient Date of Birth

  • Patient Phone

  • Patient Email

  • Patient Zip Code

  • Provider NPI

  • Provider First Name

  • Provider Last Name

  • Guarantor Phone, if applicable

  • Location Code (within SV system)

  • Date of Visit

You may also add optional wildcard fields to meet your individual organization needs. While not mandatory, we encourage SurveyVitals users to provide the optional data fields as they help to provide a more detailed picture of patient responses for thorough reporting. Learn more about wildcard fields here.

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