---
sourceDocument: Yokohama Healthcare and Life Sciences
sourceDocumentLink: https://servicenow-prod.fluidtopics.net/r/yokohama/healthcare-life-sciences

 Release :

    - yokohama

ft:locale :

    - en-US

ft:publication_title :

    - Yokohama Healthcare and Life Sciences

ft:clusterId :

    - hcls

bundleId :

    - hcls

workflow :

    - Customer and Industry


---

# Configuring the enrollment request form

# Configuring the enrollment request form {#ariaid-title1}

Release version: Yokohama  
Updated January 30, 2025  
![](https://www.servicenow.com/docs/portal-asset/ico-clock) 1 minute to read  
You can configure an enrollment request form to enable patients or practitioners to
enroll into Patient Support Services programs offered by a healthcare
organization.  
Important:  
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 \[KB0867184\]](https://support.servicenow.com/kb_view.do?sysparm_article=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.

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](https://www.servicenow.com/docs/access?context=c_ScriptIncludes&version=yokohama&pubname=yokohama-api-reference&ft:locale=en-US).