Home Contact Site Map

About Us

News Library

Deparments & Services

Physician Directory

Careers

Net Nursery

Calendar

Maps & Plans

Affiliates Directory

Volunteers

Wellness & Special Services

Stock Patient Greetings

Custom Patient Greetings

Contact a Patient

WebLinks

On-Line Form Examples

Our Gallery

   
Fields Available in the Net Nursery Database Form
Field TitleOptions
PhotographSingle or Multiple Photographs
GenderIt’s a Boy!, It’s a Girl!, or User Defined Keyword
Baby’s First NameAlpha/Numeric Text
Baby’s Middle Name or InitialAlpha/Numeric Text
Baby’s Last Name or InitialAlpha/Numeric Text (the hospital may not want to use last names for security)
Birth DateDate
Time of BirthTime
Length: InchesAlpha/Numeric Text
Weight: Pounds & OuncesAlpha/Numeric Text & Alpha/Numeric Text
Additional Title 01Alpha/Numeric Text - Field for User Defined Title and Text
Additional Title 03Alpha/Numeric Text - Field for User Defined Title and Text
Additional Title 03Alpha/Numeric Text - Field for User Defined Title and Text
Mother’s Name (First Name Only)Alpha/Numeric Text
Father’s Name (First Name Only)Alpha/Numeric Text
Parent’s Email/OtherAlpha/Numeric Text
PasswordIf optional password feature is selected
Confirm PasswordIf optional password feature is selected

Please Note: Fields that are not used are automatically hidden from view. If the form doesn’t meet a facility’s needs, form modifications will be considered.

The optional password protection offered by this document type only provides minimum protection against viewing by the general public. Someone intent on seeing the information contained in this document could easily breach the password protection provided by this level of security. This document type is only recommended for non-confidential information that is intended for employees or specific customers, but that would not compromise the facility in any way if the general public managed to access the document.

Demonstration Hospital | 105 Continental Place | Brentwood, TN 37027-5014 | Phone: 800-233-1470