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Patient Details
First Name:
{{Patient.firstName}}
Last Name:
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Mobile Number:
{{mobilePhone}}
Date of Birth:
{{Patient.dateOfBirth}}
Email:
{{Patient.email}}
Gender:
{{patientGender}}
Appointment Details
Type:
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Provider:
{{practitioner}}
Date & Time:
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Location:
{{selectedlocationName}} {{location.locationAddress}}

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Appointment Summary
APPOINTMENT REQUEST RECEIVED!
Thank you, {{requestDetails.inquiryDetail.demographic.firstName}} {{requestDetails.inquiryDetail.demographic.familyName}}!
Please expect a request response from one of our team members to confirm your request within 1 business day.
Appointment Type:
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Preferred Date:
{{requestFormatedDateOnly}}
{{requestDetails.inquiryDetail.client.clientName}}

Appointment Summary

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We are having a problem scheduling your appointment right now. Please call our office so that we may better assist you!
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