Configuring the enrollment request form

  • Versão de lançamento: Australia
  • Atualizado 12 de mar. de 2026
  • 1 min. de leitura
  • You can configure an enrollment request form to enable patients or practitioners to enroll into Patient Support Services programs offered by a healthcare organization.

    Importante:

    Starting with the Yokohama release, Patient Support Services is being prepared for future deprecation. It will be hidden and no longer activated on new instances but will continue to be supported.

    For details, see the Deprecation Process [KB0867184] article in the Now Support knowledge base.

    As a healthcare provider, you can use an enrollment application form to enable patients or practitioners to submit enrollment requests.

    By default, the Patient Support Services application includes a sample Enrollment Request Form [enrollment_request_form] page that you can use as a reference to configure an enrollment form. The Enrollment Request Form [enrollment_request_form] page includes the Form [form] service portal widget that instead includes the PatientServicePortalUtils script include.

    The PatientServicePortalUtils script include associates the enrollment request form fields with the application tables. The script include provides a default implementation. You can create your own implementation and associate it with the PatientServicePortalUtils script include. For more information, see Script includes.

    As a user with the admin role, you can configure an enrollment application form and associate the form fields with application tables using the PatientServicePortalUtils script include. The script include provides a default implementation and is available within the Patient Support Services application. You can create your own implementation and associate it with the PatientServicePortalUtils script include. For more information, see Script includes.