1. Patient Name: Title, First Name, Middle Initial, Last Name, Suffix

2. SSN: Social Security Number

3. Birth Date: Date of Birth is entered manually, and Age is automatically calculated.

4. Marital Status

5. Gender: Patient sex

6. Race: Important for meaningful use guidelines

7. Ethnicity: Important for meaningful use guidelines

8. Language: Important for meaningful use guidelines

9. Patient Address

10. Contact Information: Phone and Email

11. Primary Provider: Provider within the Clinic that is treating the patient

12. Referring Provider: External provider who referred the patient to the clinic

13. Primary Care Physician

14. Preferred Pharmacy: Default pharmacy for sending the patient's prescriptions

15. Guarantor: Person/Entity that is financially responsible for the patient's account and balance.

16. Financial Class: Indication of the patient's financial position.

17. Student Status: Indicates whether the student is an active student

18. Add Scan: Allows documents and forms to be scanned in as part of the patient's demographic profile. (The scanned document goes next to the General tab as a reference document.)