| Name | Description | Type | Additional information |
|---|---|---|---|
| phone | string |
None. |
|
| string |
None. |
||
| assistantReferral | string |
None. |
|
| assistantType | string |
None. |
|
| assistantTypeOther | string |
None. |
|
| hearingImpiared | boolean |
None. |
|
| type | string |
None. |
|
| date | string |
None. |
|
| time | string |
None. |
|
| name | string |
None. |
|
| company | string |
None. |
|
| homePhone | string |
None. |