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Fields Available in the Physician/Staff/Facility Directory Database Form
Field TitleOptions
Directory TitlePhysician; Staff; Facility; Other; New Keyword
Supplemental TitleSpecialty Title or User-Defined Content
DescriptionSpecialty Text or User-Defined Content
Photograph(s)Photographs or User-Defined Content
First Name or FacilityPerson’s first name (physician dir.) or facility name (facility dir.)
Middle Name or InitialUsed for Physician/Staff Directory only
Last NameUsed for Physician/Staff Directory only
TitleUsed for Physician/Staff Directory only
FacilityUsed for Physician/Staff Directory only
AddressPhysician/Staff/Facility Street Address
City, State  ZipPhysician/Staff/Facility/Other City, State  Zip Code
PhonePhysician/Staff/Facility/Other Phone Number
FaxPhysician/Staff/Facility/Other Fax Number
Email / OtherFor email address or miscellaneous information.
Medical EducationUsed for Physician Directory only
InternshipUsed for Physician Directory only
ResidencyUsed for Physician Directory only
FellowshipUsed for Physician Directory only
Board CertificationUsed for Physician Directory only
Board EligibleUsed for Physician Directory only
FellowUsed for Physician Directory only
User Defined Title 1User can define title and text for these fields
User Defined Title 2User can define title and text for these fields
User Defined Title 3User can define title and text for these fields
User Defined Title 4User can define title and text for these fields
Other Office LocationsUser can enter additional office locations and schedules here
Link to Maps PageUser can choose to automatically link to the Web map page

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.

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