| Name | Description | Type | Additional information |
|---|---|---|---|
| HospitalName | string |
None. |
|
| HospitalCityName | string |
None. |
|
| HospitalStateProvID | string |
None. |
|
| HospitalCountryID | string |
None. |
|
| ParentsEmailAddress | string |
None. |
|
| ParentsPhoneNumber | string |
None. |
|
| HospitalPhoneNumber | string |
None. |