[{"ID":8,"Name":"Data configuration","SortOrder":-10,"Title":"Data configuration","Type":"DataConfig","Children":[{"ID":18,"Name":"Username","SortOrder":-2,"Title":"Username","InputType":"TextBox","Label":"Username","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":19,"Name":"Password","SortOrder":0,"Title":"Password","InputType":"Password","Label":"Password","RequiredMessage":"This is a required field","CustomMessage":"8 characters, an uppercase character and a symbol","CustomValidation":"{\"Name\":\"password\",\"EditorLabel\":\"Novo password\",\"ValidateType\":null,\"Props\":[{\"Item1\":\"min\",\"Item2\":\"8\"},{\"Item1\":\"nonalphamin\",\"Item2\":\"1\"},{\"Item1\":\"regex\",\"Item2\":\".*[A-Z].*\"}]}","Type":"DataField","Children":[]},{"ID":23,"Name":"Email","SortOrder":10,"Title":"Email","InputType":"TextBox","ParentID":8,"Label":"Email address","CustomValidation":"{\"Name\":\"email\",\"EditorLabel\":\"Email\",\"ValidateType\":\"rule\",\"Props\":[]}","RequiredMessage":"This is a required field","CustomMessage":"Please enter a valid email","Type":"DataField","Children":[]},{"ID":54,"Name":"FirstName","SortOrder":30,"Title":"FirstName","InputType":"TextBox","Label":"Patient first name","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":55,"Name":"LastName","SortOrder":40,"Title":"LastName","InputType":"TextBox","Label":"Patient last name","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":57,"Name":"Gender","SortOrder":60,"Title":"Gender","InputType":"DropDownList","Label":"Gender","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[{"ID":58,"Name":"58","SortOrder":-10,"Title":"Male","Label":"Male","Type":"DataFieldOption","Children":[]},{"ID":59,"Name":"59","SortOrder":-5,"Title":"Female","Label":"Female","Type":"DataFieldOption","Children":[]},{"ID":60,"Name":"60","SortOrder":0,"Title":"Prefer not to say","Label":"Prefer not to say","Type":"DataFieldOption","Children":[]}]},{"ID":61,"Name":"TimeOnTreatment","SortOrder":70,"Title":"TimeOnTreatment","InputType":"ButtonGroup","Label":"Time on treatment","ParentID":8,"Type":"DataField","Children":[{"ID":62,"Name":"62","SortOrder":-10,"Title":"Not yet started","Label":"Not yet started","Type":"DataFieldOption","Children":[]},{"ID":94,"Name":"94","SortOrder":-5,"Title":"Less than 4 months","Label":"Less than 4 months","Type":"DataFieldOption","Children":[]},{"ID":95,"Name":"95","SortOrder":-2,"Title":"4 to 12 months","Label":"4 to 12 months","Type":"DataFieldOption","Children":[]},{"ID":836,"Name":"836","SortOrder":0,"Title":"More than 12 months","Label":"More than 12 months","Type":"DataFieldOption","Children":[]}]},{"ID":63,"Name":"Pharmacies","SortOrder":80,"Title":"Pharmacies","InputType":"DropDownList","Label":"Pharmacy address","ParentID":8,"Type":"DataField","Children":[{"ID":108,"Name":"108","SortOrder":0,"Title":"DataFieldOption","Label":"","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":66,"Name":"Address","SortOrder":90,"Title":"Address","InputType":"TextBox","Label":"Address","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":67,"Name":"Suburb","SortOrder":100,"Title":"Suburb","InputType":"TextBox","Label":"Suburb","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":68,"Name":"State","SortOrder":110,"Title":"State","InputType":"DropDownList","Label":"State","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[{"ID":96,"Name":"96","SortOrder":-10,"Title":"NSW","Label":"NSW","Config":"","Type":"DataFieldOption","Children":[]},{"ID":97,"Name":"97","SortOrder":-5,"Title":"VIC","Label":"VIC","Config":"","Type":"DataFieldOption","Children":[]},{"ID":98,"Name":"98","SortOrder":-2,"Title":"SA","Label":"SA","Config":"","Type":"DataFieldOption","Children":[]},{"ID":99,"Name":"99","SortOrder":0,"Title":"ACT","Label":"ACT","Config":"","Type":"DataFieldOption","Children":[]},{"ID":100,"Name":"100","SortOrder":10,"Title":"QLD","Label":"QLD","Config":"","Type":"DataFieldOption","Children":[]},{"ID":101,"Name":"101","SortOrder":20,"Title":"NT","Label":"NT","Config":"","Type":"DataFieldOption","Children":[]},{"ID":102,"Name":"102","SortOrder":30,"Title":"TAS","Label":"TAS","Config":"","Type":"DataFieldOption","Children":[]},{"ID":103,"Name":"103","SortOrder":40,"Title":"WA","Label":"WA","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":69,"Name":"Postcode","SortOrder":120,"Title":"Postcode","InputType":"TextBox","Label":"Postcode","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":70,"Name":"ConfirmPassword","SortOrder":130,"Title":"ConfirmPassword","InputType":"Password","Label":"Confirm your password","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":76,"Name":"DaytimePhone","SortOrder":140,"Title":"DaytimePhone","Label":"Your preferred phone number","InputType":"TextBox","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":104,"Name":"WantsInfoKit","SortOrder":150,"Title":"WantsInfoKit","InputType":"ButtonGroup","Label":"It contains a range of useful resources that can help you with your treatment.","ParentID":8,"Type":"DataField","Children":[{"ID":105,"Name":"105","SortOrder":-10,"Title":"Yes","Label":"Yes","Config":"","Type":"DataFieldOption","Children":[]},{"ID":106,"Name":"106","SortOrder":0,"Title":"No","Label":"No","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":123,"Name":"DateOfBirth","SortOrder":160,"Title":"DateOfBirth","Label":"Date of birth","RequiredMessage":"This is a required field","ParentID":8,"InputType":"Date","Type":"DataField","Children":[]},{"ID":124,"Name":"Indication","SortOrder":170,"Title":"Indication","InputType":"ButtonGroup","Label":"I am taking a Novo Nordisk medication for the following condition:","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[{"ID":154,"Name":"154","SortOrder":-10,"Title":"Type1Diabetes","Label":"Type 1 Diabetes","Type":"DataFieldOption","Children":[]},{"ID":892,"Name":"892","SortOrder":-5,"Title":"Type2Diabetes","Label":"Type 2 Diabetes","Type":"DataFieldOption","Children":[]},{"ID":1531,"Name":"1531","SortOrder":0,"Title":"GrowthHormoneDisorder","Label":"Growth Hormone Disorder","Type":"DataFieldOption","Children":[]}]},{"ID":165,"Name":"Treatment","SortOrder":180,"Title":"Treatment","InputType":"RadioButton","RequiredMessage":"Please select your medicine","ParentID":8,"Label":"Patient's therapy","Type":"DataField","Children":[{"ID":841,"Name":"841","SortOrder":-20,"Title":"Fiasp","Label":"Fiasp® (insulin aspart (rys))","Type":"DataFieldOption","Children":[]},{"ID":166,"Name":"166","SortOrder":-10,"Title":"NovoMix 30","Label":"NovoMix® 30 (insulin aspart)","Type":"DataFieldOption","Children":[]},{"ID":838,"Name":"838","SortOrder":-7,"Title":"NovoRapid","Label":"NovoRapid® (insulin aspart)","Type":"DataFieldOption","Children":[]},{"ID":839,"Name":"839","SortOrder":6,"Title":"Levemir","Label":"Levemir® (insulin detemir (rys))","Type":"DataFieldOption","Children":[]},{"ID":840,"Name":"840","SortOrder":10,"Title":"Ryzodeg","Label":"Ryzodeg® 70/30 (70% insulin degludec (rys) and 30% insulin aspart (rys))","Type":"DataFieldOption","Children":[]},{"ID":1532,"Name":"1532","SortOrder":22,"Title":"Norditropin","Label":"Norditropin® FlexPro® (somatropin)","Type":"DataFieldOption","Children":[]},{"ID":874,"Name":"874","SortOrder":43,"Title":"Invalid","Label":"I can’t find my product.","Type":"DataFieldOption","Children":[]}]},{"ID":229,"Name":"PatientConsentProvided","SortOrder":200,"Title":"PatientConsentProvided","InputType":"Checkbox","Label":"I consent to the handling of my personal information as set out above.","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[]},{"ID":237,"Name":"Timezone","SortOrder":210,"Title":"Timezone","InputType":"DropDownList","Label":"Your timezone","ParentID":8,"RequiredMessage":"This is a required field","Type":"DataField","Children":[{"ID":238,"Name":"238","SortOrder":-10,"Title":"AUS Eastern Standard Time","Label":"AUS Eastern Standard Time- Canberra, Melbourne, Sydney","Config":"","Type":"DataFieldOption","Children":[]},{"ID":239,"Name":"239","SortOrder":-5,"Title":"E. Australia Standard Time","Label":"E. Australia Standard Time- Brisbane","Config":"","Type":"DataFieldOption","Children":[]},{"ID":240,"Name":"240","SortOrder":-2,"Title":"Cen. Australia Standard Time","Label":"Cen. Australia Standard Time - Adelaide","Config":"","Type":"DataFieldOption","Children":[]},{"ID":241,"Name":"241","SortOrder":0,"Title":"W. Australia Standard Time","Label":"W. Australia Standard Time- Perth","Config":"","Type":"DataFieldOption","Children":[]},{"ID":242,"Name":"242","SortOrder":10,"Title":"Tasmania Standard Time","Label":"Tasmania Standard Time","Config":"","Type":"DataFieldOption","Children":[]},{"ID":243,"Name":"243","SortOrder":20,"Title":"West Pacific Standard Time","Label":"West Pacific Standard Time - Guam, Port Moresby","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":244,"Name":"PatientAvailabilityDays","SortOrder":220,"Title":"PatientAvailabilityDays","Label":"Preferred day of the week for call:","InputType":"CheckBoxList","ParentID":8,"RequiredMessage":"This is a required field","Type":"DataField","Children":[{"ID":245,"Name":"245","SortOrder":-10,"Title":"Monday","Label":"Monday","Config":"","Type":"DataFieldOption","Children":[]},{"ID":246,"Name":"246","SortOrder":-5,"Title":"Tuesday","Label":"Tuesday","Config":"","Type":"DataFieldOption","Children":[]},{"ID":247,"Name":"247","SortOrder":-2,"Title":"Wednesday","Label":"Wednesday","Config":"","Type":"DataFieldOption","Children":[]},{"ID":248,"Name":"248","SortOrder":0,"Title":"Thursday","Label":"Thursday","Config":"","Type":"DataFieldOption","Children":[]},{"ID":249,"Name":"249","SortOrder":10,"Title":"Friday","Label":"Friday","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":251,"Name":"BestTimeToCall","SortOrder":230,"Title":"BestTimeToCall","Label":"Preferred time for call:","InputType":"DropDownList","ParentID":8,"RequiredMessage":"This is a required field","Type":"DataField","Children":[{"ID":252,"Name":"252","SortOrder":-10,"Title":"Morning","Label":"Morning","Config":"","Type":"DataFieldOption","Children":[]},{"ID":253,"Name":"253","SortOrder":-5,"Title":"Afternoon","Label":"Afternoon","Config":"","Type":"DataFieldOption","Children":[]},{"ID":254,"Name":"254","SortOrder":0,"Title":"Anytime ","Label":"Any Time ","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":342,"Name":"ConfirmPatientHasHadFirstInjection","SortOrder":240,"Title":"ConfirmPatientHasHadFirstInjection","InputType":"Checkbox","Label":"I confirm that I have had my first Saxenda dose.","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":343,"Name":"PreferredReminder","SortOrder":250,"Title":"PreferredReminder","Label":"How would you like to receive your reminders?","RequiredMessage":"This is a required field","InputType":"DropDownList","ParentID":8,"Type":"DataField","Children":[{"ID":344,"Name":"344","SortOrder":-10,"Title":"Email","Label":"Email only","Config":"","Type":"DataFieldOption","Children":[]},{"ID":345,"Name":"345","SortOrder":-5,"Title":"SMS","Label":"SMS only","Config":"","Type":"DataFieldOption","Children":[]},{"ID":346,"Name":"346","SortOrder":0,"Title":"Both","Label":"Both Email & SMS","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":347,"Name":"NextInjectionDate","SortOrder":260,"Title":"NextInjectionDate","InputType":"Date","Label":"Next date for Saxenda injection","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":363,"Name":"NextScriptCollectionDate","SortOrder":290,"Title":"NextScriptCollectionDate","InputType":"Date","Label":"Next date for script collection","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":499,"Name":"OldPassword","SortOrder":300,"Title":"OldPassword","InputType":"Password","Label":"Current password","Type":"DataField","Children":[]},{"ID":652,"Name":"PreferredDayOfWeekForTraining","SortOrder":310,"Title":"PreferredDayOfWeekForTraining","InputType":"CheckBoxList","Label":"Preferred day of week for training","ParentID":8,"RequiredMessage":"This is a required field","Type":"DataField","Children":[{"ID":653,"Name":"653","SortOrder":-10,"Title":"Monday","Label":"Monday","Type":"DataFieldOption","Children":[]},{"ID":654,"Name":"654","SortOrder":-5,"Title":"Tuesday","Label":"Tuesday","Type":"DataFieldOption","Children":[]},{"ID":655,"Name":"655","SortOrder":-2,"Title":"Wednesday","Label":"Wednesday","Type":"DataFieldOption","Children":[]},{"ID":656,"Name":"656","SortOrder":0,"Title":"Thursday","Label":"Thursday","Type":"DataFieldOption","Children":[]},{"ID":657,"Name":"657","SortOrder":10,"Title":"Friday","Label":"Friday","Config":"","Type":"DataFieldOption","Children":[]},{"ID":658,"Name":"658","SortOrder":20,"Title":"Weekend","Label":"Weekend","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":659,"Name":"PreferredTimeForTraining","SortOrder":320,"Title":"PreferredTimeForTraining","InputType":"DropDownList","Label":"What is the best time of day for the education session?","ParentID":8,"RequiredMessage":"This is a required field","Type":"DataField","Children":[{"ID":660,"Name":"660","SortOrder":-10,"Title":"Morning","Label":"Morning","Config":"","Type":"DataFieldOption","Children":[]},{"ID":661,"Name":"661","SortOrder":-5,"Title":"Afternoon","Label":"Afternoon","Config":"","Type":"DataFieldOption","Children":[]},{"ID":662,"Name":"662","SortOrder":0,"Title":"Evening","Label":"Evening","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":684,"Name":"HasReceivedPrescription","SortOrder":330,"Title":"HasReceivedPrescription","ParentID":8,"Label":"Before we can organise a time for your training you will need to have your script. Have you received your Saxenda script?","RequiredMessage":"This is a required field","InputType":"RadioButton","Type":"DataField","Children":[{"ID":685,"Name":"685","SortOrder":-10,"Title":"Yes","Label":"Yes","Config":"","Type":"DataFieldOption","Children":[]},{"ID":686,"Name":"686","SortOrder":0,"Title":"No","Label":"Not yet","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":687,"Name":"HadFirstInjection","SortOrder":340,"Title":"HadFirstInjection","InputType":"RadioButton","Label":"Have you started your Saxenda treatment?","ParentID":8,"RequiredMessage":"This is a required field","Type":"DataField","Children":[{"ID":688,"Name":"688","SortOrder":-10,"Title":"Yes","Label":"Yes","Config":"","Type":"DataFieldOption","Children":[]},{"ID":689,"Name":"689","SortOrder":0,"Title":"No","Label":"No","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":691,"Name":"ComfortableWithPhoneSupport","SortOrder":360,"Title":"ComfortableWithPhoneSupport","InputType":"RadioButton","Label":"Are you comfortable to start with a Telehealth consult?

Our Telehealth nurse consults are conducted over the phone or video call to guide you through your injection.","ParentID":8,"RequiredMessage":"This is a required field","Type":"DataField","Children":[{"ID":692,"Name":"692","SortOrder":-10,"Title":"Yes","Label":"Yes","Type":"DataFieldOption","Children":[]},{"ID":693,"Name":"693","SortOrder":0,"Title":"No","Label":"No","Type":"DataFieldOption","Children":[]}]},{"ID":776,"Name":"Specialists","SortOrder":370,"Title":"Specialists","RequiredMessage":"This is a required field","InputType":"DropDownList","Label":"Please enter your specialist details","ParentID":8,"Type":"DataField","Children":[{"ID":779,"Name":"779","SortOrder":0,"Title":"DataFieldOption","Label":"","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":837,"Name":"DrugLookup","SortOrder":380,"Title":"DrugLookup","InputType":"TextBox","Label":"Please type in the first three (3) letters of your Novo Nordisk treatment below:","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":846,"Name":"TreatmentConfirmation","SortOrder":400,"Title":"TreatmentConfirmation","InputType":"Checkbox","Label":"I confirm that I have been prescribed a Novo Nordisk medication by my healthcare professional in accordance with its approved Australian Product Information.*","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":847,"Name":"CarerParentNominated","SortOrder":410,"Title":"CarerParentNominated","Label":"I nominate a carer, or I am the parent of a child under the age of 18 years","InputType":"Checkbox","Type":"DataField","Children":[]},{"ID":848,"Name":"CarerFirstName","SortOrder":420,"Title":"CarerFirstName","InputType":"TextBox","Label":"Carer first name","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[]},{"ID":849,"Name":"CarerLastName","SortOrder":430,"Title":"CarerLastName","RequiredMessage":"This is a required field","InputType":"TextBox","Label":"Carer last name","Type":"DataField","Children":[]},{"ID":873,"Name":"ProductBarcode","SortOrder":440,"Title":"ProductBarcode","InputType":"Number","Label":"Please type in the last four (4) digits of your Novo Nordisk product barcode:","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":882,"Name":"CDESelection","SortOrder":450,"Title":"CDESelection","InputType":"RadioButton","Label":"Select the CDE","ParentID":8,"Type":"DataField","Children":[{"ID":883,"Name":"883","SortOrder":0,"Title":"neil.pepper@zuse.com.au","Label":"Neil Pepper","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":885,"Name":"TreatmentConfidenceLevel","SortOrder":460,"Title":"TreatmentConfidenceLevel","InputType":"ButtonGroup","Label":"Tell us how confident you feel in managing your treatment at the moment by selecting a face below:","ParentID":8,"Type":"DataField","Children":[{"ID":945,"Name":"945","SortOrder":-10,"Title":"VeryConcerned","Label":"Very concerned","Config":"Image:https://cdn.partizanhealth.com/novo/novocare-portal/Images/Emoji-Very-Concerned.svg","Type":"DataFieldOption","Children":[]},{"ID":946,"Name":"946","SortOrder":-5,"Title":"Concerned","Label":"Concerned","Type":"DataFieldOption","Children":[]},{"ID":947,"Name":"947","SortOrder":-2,"Title":"NotSure","Label":"Not sure","Type":"DataFieldOption","Children":[]},{"ID":948,"Name":"948","SortOrder":0,"Title":"SomeWhatConfident","Label":"Somewhat confident","Type":"DataFieldOption","Children":[]},{"ID":949,"Name":"949","SortOrder":10,"Title":"VeryConfident","Label":"Very confident","Config":"Image:https://cdn.partizanhealth.com/novo/novocare-portal/Images/Emoji-Very-Confident.svg","Type":"DataFieldOption","Children":[]}]},{"ID":894,"Name":"CarerRelationship","SortOrder":470,"Title":"CarerRelationship","InputType":"DropDownList","Label":"Carer relationship to patient","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[{"ID":895,"Name":"895","SortOrder":-10,"Title":"Mother","Label":"Mother","Type":"DataFieldOption","Children":[]},{"ID":896,"Name":"896","SortOrder":-5,"Title":"Father","Label":"Father","Config":"","Type":"DataFieldOption","Children":[]},{"ID":897,"Name":"897","SortOrder":-2,"Title":"Carer","Label":"Carer","Config":"","Type":"DataFieldOption","Children":[]},{"ID":898,"Name":"898","SortOrder":0,"Title":"Guardian","Label":"Guardian","Config":"","Type":"DataFieldOption","Children":[]},{"ID":899,"Name":"899","SortOrder":10,"Title":"Relative","Label":"Relative","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":905,"Name":"StillOnNovoTreatment","SortOrder":480,"Title":"StillOnNovoTreatment","InputType":"ButtonGroup","Label":"Are you still taking ?","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[{"ID":906,"Name":"906","SortOrder":-10,"Title":"Yes","Label":"Yes","Type":"DataFieldOption","Children":[]},{"ID":907,"Name":"907","SortOrder":-5,"Title":"Switch","Label":"No, I'm taking another Novo Nordisk treatment.","Type":"DataFieldOption","Children":[]},{"ID":964,"Name":"964","SortOrder":0,"Title":"No","Label":"No, I'm no longer taking a Novo Nordisk treatment.","Type":"DataFieldOption","Children":[]}]},{"ID":965,"Name":"PrescriberType","SortOrder":500,"Title":"PrescriberType","InputType":"DropDownList","Label":"Business or professional type","ParentID":8,"RequiredMessage":"This is a required field","Type":"DataField","Children":[{"ID":966,"Name":"966","SortOrder":-10,"Title":"Endocrinologist","Label":"Endocrinologist","Type":"DataFieldOption","Children":[]},{"ID":967,"Name":"967","SortOrder":-5,"Title":"General practitioner","Label":"General practitioner","Type":"DataFieldOption","Children":[]},{"ID":969,"Name":"969","SortOrder":0,"Title":"Nurse practitioner","Label":"Nurse practitioner","Type":"DataFieldOption","Children":[]},{"ID":970,"Name":"970","SortOrder":10,"Title":"Registered Nurse","Label":"Registered Nurse","Type":"DataFieldOption","Children":[]},{"ID":1168,"Name":"1168","SortOrder":20,"Title":"Credentialled Diabetes Educator","Label":"Credentialled Diabetes Educator","Type":"DataFieldOption","Children":[]},{"ID":1536,"Name":"1536","SortOrder":30,"Title":"Paediatric Endocrinologist","Label":"Paediatric Endocrinologist","Type":"DataFieldOption","Children":[]},{"ID":1537,"Name":"1537","SortOrder":40,"Title":"Endocrine nurse","Label":"Endocrine nurse","Type":"DataFieldOption","Children":[]},{"ID":1696,"Name":"1696","SortOrder":50,"Title":"Pharmacist","Label":"Pharmacist","Type":"DataFieldOption","Children":[]}]},{"ID":971,"Name":"PrescriberPostcode","SortOrder":510,"Title":"PrescriberPostcode","InputType":"Number","Label":"Business or practice postcode","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":972,"Name":"PrescriberFirstName","SortOrder":520,"Title":"PrescriberFirstName","InputType":"TextBox","Label":"Your first name","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":973,"Name":"PrescriberLastName","SortOrder":530,"Title":"PrescriberLastName","InputType":"TextBox","Label":"Your last name","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":974,"Name":"PrescriberEmail","SortOrder":540,"Title":"PrescriberEmail","InputType":"TextBox","Label":"Your email address (if you would like to receive the patient education outcome report)","CustomValidation":"{\"Name\":\"email\",\"EditorLabel\":\"Email\",\"ValidateType\":\"rule\",\"Props\":[]}","CustomMessage":"Please enter a valid email","Type":"DataField","Children":[]},{"ID":975,"Name":"PrescriberReceivedPatientConsent","SortOrder":550,"Title":"PrescriberReceivedPatientConsent","InputType":"Checkbox","Label":"I confirm that the patient consents to the handling of their personal information as set out above.","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":976,"Name":"PrescriberConfirmOnTreatment","SortOrder":560,"Title":"PrescriberConfirmOnTreatment","InputType":"Checkbox","Label":"I confirm this patient has been prescribed a Novo Nordisk medication in accordance with its approved Australian Product Information.","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[]},{"ID":977,"Name":"PrescriberConsentReceiveCommunication","SortOrder":570,"Title":"PrescriberConsentReceiveCommunication","InputType":"Checkbox","Label":"I consent to receive updates about my patient’s progress and broader communications from Novo Nordisk. I understand that my personal information will be handled in accordance with Novo Nordisk’s Privacy Policy as outlined above and I may withdraw my consent at any time.","Type":"DataField","Children":[]},{"ID":978,"Name":"MobilePhone","SortOrder":580,"Title":"MobilePhone","InputType":"TextBox","Label":"Patient mobile number","RequiredMessage":"This is a required field","CustomValidation":"{\"Name\":\"ausmobile\",\"EditorLabel\":\"Aus mobile number\",\"ValidateType\":null,\"Props\":[{\"Item1\":\"min\",\"Item2\":\"10\"},{\"Item1\":\"regex\",\"Item2\":\"^((61|\\\\+61)?\\\\s?)04[0-9]{2}\\\\s?([0-9]{3}\\\\s?[0-9]{3}|[0-9]{2}\\\\s?[0-9]{2}\\\\s?[0-9]{2})$\"}]}","CustomMessage":"Please enter a valid mobile number","Type":"DataField","Children":[]},{"ID":986,"Name":"PrescriberPracticeName","SortOrder":590,"Title":"PrescriberPracticeName","InputType":"TextBox","Label":"Business or practice name","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":987,"Name":"TimeOnSaxenda","SortOrder":600,"Title":"TimeOnSaxenda","InputType":"ButtonGroup","Label":"Time on therapy for patient","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[{"ID":988,"Name":"988","SortOrder":-10,"Title":"Not yet started","Label":"Not yet started","Config":"","Type":"DataFieldOption","Children":[]},{"ID":989,"Name":"989","SortOrder":-5,"Title":"0-3 months","Label":"0-3 months","Config":"","Type":"DataFieldOption","Children":[]},{"ID":990,"Name":"990","SortOrder":-2,"Title":"4-6 months","Label":"4-6 months","Config":"","Type":"DataFieldOption","Children":[]},{"ID":991,"Name":"991","SortOrder":0,"Title":"7-9 months","Label":"7-9 months","Config":"","Type":"DataFieldOption","Children":[]},{"ID":992,"Name":"992","SortOrder":10,"Title":"10+ months","Label":"10+ months","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":1011,"Name":"PreferredDateForTraining","SortOrder":610,"Title":"PreferredDateForTraining","InputType":"Date","Label":"Set the preferred date on which you would like the education session","RequiredMessage":"This is a required field","Type":"DataField","Children":[]},{"ID":1111,"Name":"PreferredCDESessionType","SortOrder":620,"Title":"PreferredCDESessionType","InputType":"DropDownList","Label":"Preferred type of education session","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[{"ID":1113,"Name":"1113","SortOrder":-5,"Title":"In-clinic","Label":"In-clinic","Type":"DataFieldOption","Children":[]},{"ID":1114,"Name":"1114","SortOrder":0,"Title":"Virtual","Label":"Virtual","Type":"DataFieldOption","Children":[]}]},{"ID":1152,"Name":"IndicationText","SortOrder":630,"Title":"IndicationText","InputType":"TextBox","Label":"I am taking a Novo Nordisk medication for the following condition:","Type":"DataField","Children":[]},{"ID":1153,"Name":"TreatmentText","SortOrder":640,"Title":"TreatmentText","InputType":"TextBox","Label":"Patient's therapy*

","ParentID":8,"Type":"DataField","Children":[{"ID":1711,"Name":"1711","SortOrder":0,"Title":"DataFieldOption","Label":"","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":1169,"Name":"PrescriberState","SortOrder":650,"Title":"PrescriberState","InputType":"DropDownList","Label":"Business or practice state","RequiredMessage":"This is a required field","ParentID":8,"Type":"DataField","Children":[{"ID":1170,"Name":"1170","SortOrder":-10,"Title":"NSW","Label":"NSW","Config":"","Type":"DataFieldOption","Children":[]},{"ID":1171,"Name":"1171","SortOrder":-5,"Title":"VIC","Label":"VIC","Config":"","Type":"DataFieldOption","Children":[]},{"ID":1172,"Name":"1172","SortOrder":-2,"Title":"QLD","Label":"QLD","Config":"","Type":"DataFieldOption","Children":[]},{"ID":1173,"Name":"1173","SortOrder":0,"Title":"ACT","Label":"ACT","Config":"","Type":"DataFieldOption","Children":[]},{"ID":1174,"Name":"1174","SortOrder":10,"Title":"SA","Label":"SA","Config":"","Type":"DataFieldOption","Children":[]},{"ID":1175,"Name":"1175","SortOrder":20,"Title":"NT","Label":"NT","Config":"","Type":"DataFieldOption","Children":[]},{"ID":1176,"Name":"1176","SortOrder":30,"Title":"WA","Label":"WA","Config":"","Type":"DataFieldOption","Children":[]},{"ID":1177,"Name":"1177","SortOrder":40,"Title":"TAS","Label":"TAS","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":1743,"Name":"NeedleType","SortOrder":670,"Title":"NeedleType","InputType":"ButtonGroup","ParentID":8,"Label":"Needle type","Type":"DataField","Children":[{"ID":1744,"Name":"1744","SortOrder":-10,"Title":"4mm NovoFine Needles","Label":"4mm NovoFine Needles","Config":"","Type":"DataFieldOption","Children":[]},{"ID":1745,"Name":"1745","SortOrder":0,"Title":"6mm NovoFine Needles","Label":"6mm NovoFine Needles","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":1746,"Name":"OrderStarterKit","SortOrder":680,"Title":"OrderStarterKit","InputType":"ButtonGroup","ParentID":8,"Label":"Order starter kit","Type":"DataField","Children":[{"ID":1751,"Name":"1751","SortOrder":0,"Title":"New Patient Starter Kit","Label":"New Patient Starter Kit","Config":"","Type":"DataFieldOption","Children":[]}]},{"ID":1747,"Name":"OrderSharpsBin","SortOrder":690,"Title":"OrderSharpsBin","InputType":"ButtonGroup","ParentID":8,"Label":"Order sharps bin","Type":"DataField","Children":[{"ID":1752,"Name":"1752","SortOrder":0,"Title":"Sharps bin","Label":"Sharps bin","Config":"","Type":"DataFieldOption","Children":[]}]}]},{"ID":20,"Name":"Services","SortOrder":-5,"Title":"Services","Type":"ServiceWarehouse","Children":[{"ID":71,"Name":"EnrolService","SortOrder":-10,"Title":"EnrolService","MainTitle":"
Enrol as a patient","ParentID":20,"ApiTypeID":"Website Enrolment","SubmitButtonLabel":"Enrol now","Type":"EnrolService","Children":[{"ID":161,"Name":"treatment","SortOrder":-20,"Title":"Treatment","Header":"","Type":"FormFieldSet","Children":[{"ID":163,"Name":"163","SortOrder":-30,"Title":"Indication","DataField":"Indication","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":858,"Name":"858","SortOrder":-25,"Title":"ProductBarcode","DataField":"ProductBarcode","Type":"FormFieldPart","Children":[]},{"ID":875,"Name":"875","SortOrder":0,"Title":"Treatment","DataField":"Treatment","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]}]},{"ID":72,"Name":"main-fields","SortOrder":-10,"Title":"Main Fields","Header":"

Please provide the following details:

\n","Type":"FormFieldSet","Children":[{"ID":83,"Name":"83","SortOrder":-20,"Title":"TimeOnTreatment","DataField":"TimeOnTreatment","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":74,"Name":"74","SortOrder":-10,"Title":"FirstName","ColumnWidth":6,"DataField":"FirstName","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":75,"Name":"75","SortOrder":-5,"Title":"LastName","ColumnWidth":6,"DataField":"LastName","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":78,"Name":"78","SortOrder":-2,"Title":"Email","DataField":"Email","RequiredMessage":"This is a required field","ColumnWidth":6,"Type":"FormFieldPart","Children":[]},{"ID":843,"Name":"843","SortOrder":0,"Title":"DateOfBirth","ColumnWidth":6,"DataField":"DateOfBirth","Type":"FormFieldPart","Children":[]},{"ID":844,"Name":"844","SortOrder":10,"Title":"Password","ColumnWidth":6,"DataField":"Password","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":845,"Name":"845","SortOrder":20,"Title":"ConfirmPassword","ColumnWidth":6,"DataField":"ConfirmPassword","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":850,"Name":"850","SortOrder":30,"Title":"CarerParentNominated","DataField":"CarerParentNominated","ParentID":72,"ToggleFields":"CarerRelationship,CarerFirstName,CarerLastName","ToggleValues":"on","Type":"FormFieldPart","Children":[]},{"ID":900,"Name":"900","SortOrder":33,"Title":"CarerRelationship","DataField":"CarerRelationship","Type":"FormFieldPart","Children":[]},{"ID":852,"Name":"852","SortOrder":35,"Title":"CarerFirstName","ColumnWidth":6,"DataField":"CarerFirstName","Type":"FormFieldPart","Children":[]},{"ID":851,"Name":"851","SortOrder":40,"Title":"CarerLastName","ColumnWidth":6,"HideLabel":false,"DataField":"CarerLastName","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":853,"Name":"853","SortOrder":50,"Title":"TreatmentConfirmation","DataField":"TreatmentConfirmation","Header":"

Novo Nordisk Pharmaceuticals Pty Ltd (Novo Nordisk) owns and operates the NovoCare^® Patient Support Program (NovoCare^®). By enrolling in NovoCare^® Novo Nordisk will collect personal information about the patient. This personal information will be used for the purpose of providing NovoCare^® education, and shared, where required, with an individual's relevant healthcare professionals, as well as third party service providers appointed by Novo Nordisk to support NovoCare^®.\nPersonal information will be handled in accordance with Novo Nordisk’s Privacy Policy (Privacy Policy), found here. The Privacy Policy contains details as to how an individual may request access to their personal information, and how to make a privacy related complaint. An individual can withdraw their consent relating to the handling of their personal information by contacting Novo Nordisk’s Privacy Officer at privacyofficeroceania@novonordisk.com

\n","RequiredMessage":"Please confirm","Type":"FormFieldPart","Children":[]},{"ID":854,"Name":"854","SortOrder":60,"Title":"PatientConsentProvided","DataField":"PatientConsentProvided","RequiredMessage":"Please confirm","Type":"FormFieldPart","Children":[]}]}]},{"ID":194,"Name":"TreatmentConfirmation","SortOrder":-5,"Title":"TreatmentConfirmation","ApiTypeID":"Task-26101","ServiceBody":"

Treatment confirmation

\n","ParentID":20,"ServiceSuccessMsg":"

You’re no longer being prescribed Saxenda (risankizumab)

Thank you for letting us know that you are no longer being prescribed Saxenda

The NovoCare patient support program is only available to patients who are currently taking Saxenda. As you are no longer taking Saxenda, we will deactivate your NovoCare account.

If you selected “No” in error, please contact one of our Care Coordinators on 1800 222 843 who will be able to further assist you with reactivation of our services.

\n","Type":"BookingService","Children":[{"ID":195,"Name":"195","SortOrder":0,"Title":"StillOnNovoTreatment","DataField":"StillOnNovoTreatment","Type":"FormFieldPart","Children":[]}]},{"ID":824,"Name":"ResetPassword","SortOrder":70,"Title":"ResetPassword","MainTitle":"","SubmitButtonLabel":"Save","ServiceBody":"

Reset your password

Please create a new password below.

\n","ServiceSuccessMsg":"

Your new password has been set. We'll now ask you to log in with your new password.

\n","ParentID":20,"Type":"BookingService","Children":[{"ID":825,"Name":"825","SortOrder":-10,"Title":"Password","DataField":"Password","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":826,"Name":"826","SortOrder":0,"Title":"ConfirmPassword","DataField":"ConfirmPassword","RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]}]},{"ID":876,"Name":"RequestCDEConsultation","SortOrder":80,"Title":"RequestCDEConsultation","MainTitle":"Request an education session with one of our Credentialled Diabetes Educators (CDE) ","ServiceCancelMsg":"

Cancel CDE request

To cancel your Credentialled Diabetes Educator session please call or text your confirmed CDE. The details of your selected CDE is in your confirmation email.

\n","ServiceSuccessMsg":"

Requested education session with one of our Credentialled Diabetes Educators (CDE)

You have successfully requested treatment support with a CDE.

The CDE will be in touch with you to confirm the booking and provide session details.

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n

You have requested:
Preferred date	14/12/2022
Preferred time of day	Afternoon
Preferred type of education session	Face-to-face/Virtual
Preferred CDE	Amanda Gailbriath

Please note that we may not be able to conduct the education session on your preferred day or time. Your CDE will endevour to find another day and time that suits you.

\n","SubmitButtonLabel":"Book now","ParentID":20,"ApiTypeID":"Task-26091","Type":"BookingService","Children":[{"ID":877,"Name":"patientdetails","SortOrder":-10,"Title":"PatientDetails","Header":"

Complete the form below to request personlised treatment support from one of our Credentialled Diabetes Educators (CDE).

Your CDE education session

As part of the program, you are provided with an education session with one of our specialist Credentialled Diabetes Educators.\nA CDE is a health professional who is an expert in diabetes education and weight management. They support people in self-managing their treatments.

\n","Type":"FormFieldSet","Children":[{"ID":878,"Name":"878","SortOrder":-10,"Title":"DaytimePhone","DataField":"DaytimePhone","Type":"FormFieldPart","Children":[]},{"ID":880,"Name":"880","SortOrder":0,"Title":"State","ColumnWidth":6,"DataField":"State","Type":"FormFieldPart","Children":[]}]},{"ID":881,"Name":"cdeselection","SortOrder":-5,"Title":"CDESelection","Header":"

The CDEs closest to you are shown below. In-clinic education sessions are scheduled at the CDE’s place of practice. Virtual sessions are also offered.

Filter by language or session type to easily select the CDE best suited to you.

\n","Type":"FormFieldSet","Children":[]},{"ID":886,"Name":"consultationdatetime","SortOrder":0,"Title":"ConsultationDateTime","Header":"

Thank you for selecting your preferred CDE. Almost there…

Your CDE education

Once you click “Book now”, your preferred CDE will be in touch with you within five (5) business days to confirm your booking. A confirmation email will be sent once your CDE has confirmed your session details. Please refer to this email for your CDE details if you need to make any changes.

\n","Type":"FormFieldSet","Children":[{"ID":887,"Name":"887","SortOrder":-10,"Title":"TreatmentConfidenceLevel","DataField":"TreatmentConfidenceLevel","Type":"FormFieldPart","Children":[]},{"ID":1115,"Name":"1115","SortOrder":-7,"Title":"PreferredCDESessionType","DataField":"PreferredCDESessionType","Type":"FormFieldPart","Children":[]},{"ID":888,"Name":"888","SortOrder":-5,"Title":"PreferredDateForTraining","DataField":"PreferredDateForTraining","Type":"FormFieldPart","Children":[]},{"ID":889,"Name":"889","SortOrder":-2,"Title":"PreferredTimeForTraining","DataField":"PreferredTimeForTraining","Type":"FormFieldPart","Children":[]}]}]},{"ID":939,"Name":"HCPReferral","SortOrder":90,"Title":"HCPReferral","ParentID":20,"ApiTypeID":"Website Referral","ServiceBody":"

Refer a patient to

\n","SubmitButtonLabel":"Next","Type":"EnrolService","Children":[{"ID":940,"Name":"patient-details","SortOrder":-10,"Title":"Patient Details","Header":"

Enter patient details

\n","Type":"FormFieldSet","Children":[{"ID":951,"Name":"951","SortOrder":-5,"Title":"Indication","DataField":"Indication","AltLabel":"Patient is taking a Novo Nordisk medication for the following condition:","Type":"FormFieldPart","Children":[]},{"ID":952,"Name":"952","SortOrder":-2,"Title":"Treatment","DataField":"Treatment","Type":"FormFieldPart","Children":[]},{"ID":953,"Name":"953","SortOrder":0,"Title":"TimeOnTreatment","DataField":"TimeOnTreatment","AltLabel":"Time on therapy for patient","ParentID":940,"RequiredMessage":"This is a required field","Type":"FormFieldPart","Children":[]},{"ID":954,"Name":"954","SortOrder":10,"Title":"FirstName","ColumnWidth":6,"DataField":"FirstName","ParentID":940,"RequiredMessage":"Please enter","Type":"FormFieldPart","Children":[]},{"ID":955,"Name":"955","SortOrder":20,"Title":"LastName","ColumnWidth":6,"DataField":"LastName","RequiredMessage":"Please enter","Type":"FormFieldPart","Children":[]},{"ID":956,"Name":"956","SortOrder":30,"Title":"DateOfBirth","DataField":"DateOfBirth","RequiredMessage":"Please enter","AltLabel":"Patient date of birth","Type":"FormFieldPart","Children":[]},{"ID":957,"Name":"957","SortOrder":40,"Title":"MobilePhone","ColumnWidth":6,"HideLabel":false,"DataField":"MobilePhone","RequiredMessage":"Please enter","Type":"FormFieldPart","Children":[]},{"ID":958,"Name":"958","SortOrder":50,"Title":"Email","ColumnWidth":6,"DataField":"Email","RequiredMessage":"Please enter","AltLabel":"Patient email address","Type":"FormFieldPart","Children":[]},{"ID":950,"Name":"950","SortOrder":60,"Title":"TreatmentConfidenceLevel","DataField":"TreatmentConfidenceLevel","AltLabel":"Tell us how confident your patient feels in managing their treatment by selecting a face below:","Type":"FormFieldPart","Children":[]},{"ID":979,"Name":"979","SortOrder":70,"Title":"CarerParentNominated","DataField":"CarerParentNominated","ToggleFields":"CarerLastName, CarerFirstName,CarerRelationship","ToggleValues":"on","AltLabel":"This patient is under 18 or has nominated a carer to be contacted on their behalf","Type":"FormFieldPart","Children":[]},{"ID":982,"Name":"982","SortOrder":90,"Title":"CarerRelationship","DataField":"CarerRelationship","Type":"FormFieldPart","Children":[]},{"ID":983,"Name":"983","SortOrder":100,"Title":"CarerFirstName","ColumnWidth":6,"DataField":"CarerFirstName","Type":"FormFieldPart","Children":[]},{"ID":984,"Name":"984","SortOrder":110,"Title":"CarerLastName","ColumnWidth":6,"DataField":"CarerLastName","Type":"FormFieldPart","Children":[]},{"ID":981,"Name":"981","SortOrder":120,"Title":"PrescriberType","ColumnWidth":6,"DataField":"PrescriberType","RequiredMessage":"Please enter","ParentID":940,"ToggleFields":"PrescriberEmail","ToggleValues":"Endocrinologist,General practitioner,Nurse practitioner,Registered Nurse,Credentialled Diabetes Educator,Paediatric Endocrinologist,Endocrine nurse","AltLabel":"Enter some details about you, the referrer","Type":"FormFieldPart","Children":[]},{"ID":985,"Name":"985","SortOrder":130,"Title":"PrescriberState","ColumnWidth":6,"DataField":"PrescriberState","RequiredMessage":"Please enter","Type":"FormFieldPart","Children":[]},{"ID":994,"Name":"994","SortOrder":140,"Title":"PrescriberPracticeName","DataField":"PrescriberPracticeName","RequiredMessage":"Please enter","Type":"FormFieldPart","Children":[]},{"ID":995,"Name":"995","SortOrder":150,"Title":"PrescriberFirstName","ColumnWidth":6,"DataField":"PrescriberFirstName","RequiredMessage":"Please enter","Type":"FormFieldPart","Children":[]},{"ID":996,"Name":"996","SortOrder":160,"Title":"PrescriberLastName","ColumnWidth":6,"DataField":"PrescriberLastName","RequiredMessage":"Please enter","Type":"FormFieldPart","Children":[]},{"ID":997,"Name":"997","SortOrder":170,"Title":"PrescriberEmail","DataField":"PrescriberEmail","Type":"FormFieldPart","Children":[]},{"ID":1002,"Name":"1002","SortOrder":175,"Title":"PrescriberReceivedPatientConsent","DataField":"PrescriberReceivedPatientConsent","Header":"\n

Novo Nordisk Pharmaceuticals Pty Ltd (Novo Nordisk) owns and operates the NovoCare^® Patient Support Program (NovoCare^®). By enrolling a patient in NovoCare^® Novo Nordisk will collect personal information about you and the patient. This personal information will be used for the purpose of providing NovoCare^® education. If the patient elects their health care professional to enrol them in NovoCare^® their personal information will be shared with their relevant healthcare professionals, as well as third party service providers appointed by Novo Nordisk to support NovoCare^®.\nPersonal information will be handled in accordance with Novo Nordisk’s Privacy Policy (Privacy Policy), found here. The Privacy Policy contains details as to how an individual may request access to their personal information, and how to make a privacy related complaint. An individual can withdraw their consent relating to the handling of their personal information by contacting Novo Nordisk’s Privacy Officer at privacyofficeroceania@novonordisk.com

\n","Type":"FormFieldPart","Children":[]},{"ID":1000,"Name":"1000","SortOrder":180,"Title":"PrescriberConfirmOnTreatment","DataField":"PrescriberConfirmOnTreatment","Type":"FormFieldPart","Children":[]},{"ID":1001,"Name":"1001","SortOrder":190,"Title":"PrescriberConsentReceiveCommunication","DataField":"PrescriberConsentReceiveCommunication","Header":"

Upon receiving this patient referral, the NovoCare^® Support Team will send an email to your patient to complete the enrolment process.

\n","Type":"FormFieldPart","Children":[]}]}]},{"ID":961,"Name":"TreatmentSwitch","SortOrder":100,"Title":"TreatmentSwitch","SubmitButtonLabel":"Continue","ApiTypeID":"Task-26011","ServiceSuccessMsg":"

You have successfully switched treatment type

You will now have access to your current treatment information. If you require additional Credentialled Diabetes Educator (CDE) support for your new treatment type, please contact your referring healthcare professional.

Go to the homepage by clicking the “Get Started” button below.

\n","ServiceBody":"

Treatment switch

\n","ParentID":20,"Type":"BookingService","Children":[{"ID":962,"Name":"962","SortOrder":-10,"Title":"ProductBarcode","DataField":"ProductBarcode","Type":"FormFieldPart","Children":[]},{"ID":963,"Name":"963","SortOrder":0,"Title":"Treatment","DataField":"Treatment","Type":"FormFieldPart","Children":[]}]},{"ID":1096,"Name":"HCPEnrolmentCompletion","SortOrder":110,"Title":"HCPEnrolmentCompletion","MainTitle":"
Complete your enrolment","ParentID":20,"ApiTypeID":"Task-26571","SubmitButtonLabel":"Submit","Type":"BookingService","Children":[{"ID":1128,"Name":"1128","SortOrder":13,"Title":"IndicationText","DataField":"IndicationText","Readonly":true,"ColumnWidth":6,"ParentID":1096,"Type":"FormFieldPart","Children":[]},{"ID":1130,"Name":"1130","SortOrder":23,"Title":"TreatmentText","DataField":"TreatmentText","Readonly":true,"ColumnWidth":6,"Type":"FormFieldPart","Children":[]},{"ID":1098,"Name":"1098","SortOrder":24,"Title":"TimeOnTreatment","DataField":"TimeOnTreatment","Type":"FormFieldPart","Children":[]},{"ID":1131,"Name":"1131","SortOrder":33,"Title":"FirstName","ColumnWidth":6,"DataField":"FirstName","Readonly":true,"Type":"FormFieldPart","Children":[]},{"ID":1132,"Name":"1132","SortOrder":43,"Title":"LastName","ColumnWidth":6,"DataField":"LastName","Readonly":true,"Type":"FormFieldPart","Children":[]},{"ID":1133,"Name":"1133","SortOrder":53,"Title":"Email","ColumnWidth":6,"DataField":"Email","Readonly":true,"Type":"FormFieldPart","Children":[]},{"ID":1134,"Name":"1134","SortOrder":63,"Title":"DateOfBirth","ColumnWidth":6,"DataField":"DateOfBirth","Readonly":true,"Type":"FormFieldPart","Children":[]},{"ID":1125,"Name":"1125","SortOrder":64,"Title":"MobilePhone","DataField":"MobilePhone","Type":"FormFieldPart","Children":[]},{"ID":1100,"Name":"1100","SortOrder":73,"Title":"Password","ColumnWidth":6,"DataField":"Password","Type":"FormFieldPart","Children":[]},{"ID":1101,"Name":"1101","SortOrder":83,"Title":"ConfirmPassword","ColumnWidth":6,"DataField":"ConfirmPassword","Type":"FormFieldPart","Children":[]},{"ID":1135,"Name":"1135","SortOrder":93,"Title":"CarerParentNominated","DataField":"CarerParentNominated","Readonly":true,"ParentID":1096,"ToggleFields":"CarerLastName, CarerFirstName","ToggleValues":"on","Type":"FormFieldPart","Children":[]},{"ID":1136,"Name":"1136","SortOrder":103,"Title":"CarerFirstName","ColumnWidth":6,"DataField":"CarerFirstName","Type":"FormFieldPart","Children":[]},{"ID":1137,"Name":"1137","SortOrder":113,"Title":"CarerLastName","ColumnWidth":6,"DataField":"CarerLastName","Type":"FormFieldPart","Children":[]},{"ID":1102,"Name":"1102","SortOrder":123,"Title":"PatientConsentProvided","DataField":"PatientConsentProvided","Header":"

Test test Novo Nordisk Pharmaceuticals Pty Ltd (Novo Nordisk) owns and operates the NovoCare^® Patient Support Program (NovoCare^®). By enrolling a patient in NovoCare^® Novo Nordisk will collect personal information about you and the patient. This personal information will be used for the purpose of providing NovoCare^® education. If the patient elects their health care professional to enrol them in NovoCare^® their personal information will be shared with their relevant healthcare professionals, as well as third party service providers appointed by Novo Nordisk to support NovoCare^®.\nPersonal information will be handled in accordance with Novo Nordisk’s Privacy Policy (Privacy Policy), found here. The Privacy Policy contains details as to how an individual may request access to their personal information, and how to make a privacy related complaint. An individual can withdraw their consent relating to the handling of their personal information by contacting Novo Nordisk’s Privacy Officer at privacyofficeroceania@novonordisk.com

\n","Type":"FormFieldPart","Children":[]}]},{"ID":1521,"Name":"RequestNurseConsultation","SortOrder":180,"Title":"RequestNurseConsultation","MainTitle":"Request an education session with one of our qualified nurses. ","ServiceCancelMsg":"

Cancel nurse request

To cancel your nurse session please call or text your confirmed nurse. The details of your selected nurse is in your confirmation email.

\n","ServiceSuccessMsg":"

Requested education session with one of our qualified nurses

You have successfully requested device support with a nurse.

The nurse will be in touch with you to confirm the booking and provide session details.

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n

You have requested:
Primary contact number	1234567890 l
Primary contact email	jackJaones@bigpond.com.au
State & Postcode	NSW 2022
Preferred date	14/12/2023
Preferred time of day	Afternoon

Please note that we may not be able to conduct the education session on your preferred day or time. Your nurse will endeavour to find another day and time that suits you.

\n","SubmitButtonLabel":"Book now","ParentID":11,"ApiTypeID":"Task-39321","Type":"BookingService","Children":[{"ID":1522,"Name":"patientdetails","SortOrder":-10,"Title":"PatientDetails","Header":"

Complete the form below to request device support from one of our qualified nurses.

Your nurse education session

As part of the program, you are provided with an education session with one of our qualified nurses.

\nOur nurses are experts in growth hormone device education.

\n","Type":"FormFieldSet","Children":[{"ID":1523,"Name":"1523","SortOrder":-10,"Title":"DaytimePhone","DataField":"DaytimePhone","Header":"","ColumnWidth":12,"HideLabel":false,"AltLabel":"","Readonly":false,"ToggleFields":"","ToggleValues":"","RequiredMessage":"","Type":"FormFieldPart","Children":[]},{"ID":1533,"Name":"1533","SortOrder":-7,"Title":"Postcode","ColumnWidth":6,"DataField":"Postcode","Type":"FormFieldPart","Children":[]},{"ID":1524,"Name":"1524","SortOrder":-5,"Title":"State","ColumnWidth":6,"DataField":"State","Header":"","HideLabel":false,"AltLabel":"","Readonly":false,"ToggleFields":"","ToggleValues":"","RequiredMessage":"","Type":"FormFieldPart","Children":[]}]},{"ID":1526,"Name":"consultationdatetime","SortOrder":0,"Title":"ConsultationDateTime","Header":"

Your nurse education session

As part of the program, you are provided with an education session with one of our qualified nurses.\nOur nurses are experts in growth hormone device education.

\n","Type":"FormFieldSet","Children":[{"ID":1527,"Name":"1527","SortOrder":-10,"Title":"TreatmentConfidenceLevel","DataField":"TreatmentConfidenceLevel","Header":"","ColumnWidth":12,"HideLabel":false,"AltLabel":"","Readonly":false,"ToggleFields":"","ToggleValues":"","RequiredMessage":"","Type":"FormFieldPart","Children":[]},{"ID":1529,"Name":"1529","SortOrder":-5,"Title":"PreferredDateForTraining","DataField":"PreferredDateForTraining","Header":"","ColumnWidth":12,"HideLabel":false,"AltLabel":"Select the prefrred date on which you would like the education session","Readonly":false,"ToggleFields":"","ToggleValues":"","RequiredMessage":"","Type":"FormFieldPart","Children":[]},{"ID":1530,"Name":"1530","SortOrder":-2,"Title":"PreferredTimeForTraining","DataField":"PreferredTimeForTraining","Header":"","ColumnWidth":12,"HideLabel":false,"AltLabel":"Select the best time of day for the education session","Readonly":false,"ToggleFields":"","ToggleValues":"","RequiredMessage":"","Type":"FormFieldPart","Children":[]}]}]},{"ID":1733,"Name":"OrderNeedlesSharps","SortOrder":190,"Title":"OrderNeedlesSharps","MainTitle":"Order your needles and sharps ","SubmitButtonLabel":"Submit","Type":"BookingService","Children":[{"ID":1734,"Name":"1734","SortOrder":-10,"Title":"Treatment","DataField":"Treatment","Readonly":true,"Type":"FormFieldPart","Children":[]},{"ID":1735,"Name":"1735","SortOrder":-5,"Title":"FirstName","ColumnWidth":6,"HideLabel":false,"Readonly":true,"DataField":"FirstName","Type":"FormFieldPart","Children":[]},{"ID":1736,"Name":"1736","SortOrder":-2,"Title":"LastName","ColumnWidth":6,"DataField":"LastName","Readonly":true,"Type":"FormFieldPart","Children":[]},{"ID":1738,"Name":"1738","SortOrder":0,"Title":"Address","AltLabel":"Ship to address","DataField":"Address","Type":"FormFieldPart","Children":[]},{"ID":1739,"Name":"1739","SortOrder":10,"Title":"Suburb","ColumnWidth":4,"HideLabel":false,"Readonly":false,"DataField":"Suburb","Type":"FormFieldPart","Children":[]},{"ID":1740,"Name":"1740","SortOrder":20,"Title":"Postcode","ColumnWidth":4,"DataField":"Postcode","Type":"FormFieldPart","Children":[]},{"ID":1741,"Name":"1741","SortOrder":30,"Title":"State","ColumnWidth":4,"DataField":"State","Type":"FormFieldPart","Children":[]},{"ID":1742,"Name":"1742","SortOrder":40,"Title":"DaytimePhone","AltLabel":"Your preferred contact number","DataField":"DaytimePhone","Type":"FormFieldPart","Children":[]},{"ID":1748,"Name":"1748","SortOrder":50,"Title":"OrderStarterKit","ColumnWidth":2,"HideLabel":false,"Readonly":false,"DataField":"OrderStarterKit","AltLabel":"Add to order:","Type":"FormFieldPart","Children":[]},{"ID":1749,"Name":"1749","SortOrder":60,"Title":"NeedleType","ColumnWidth":4,"DataField":"NeedleType","Type":"FormFieldPart","Children":[]},{"ID":1750,"Name":"1750","SortOrder":70,"Title":"OrderSharpsBin","ColumnWidth":3,"DataField":"OrderSharpsBin","Type":"FormFieldPart","Children":[]}]}]},{"ID":21,"Name":"Shared parts","SortOrder":-2,"Title":"Shared parts","ParentID":4,"Type":"SharedParts","Children":[{"ID":22,"Name":"22","SortOrder":-10,"Title":"LoginForm","Header":"

\nPatient Login

\n","EnrolCallToAction":"

Don't have login details? Enrol now

\n","ResetHeader":"

Forgotten password?

\n","ResetPassText":"

Enter your email address below and we will send you a link to reset your password.

\n","ResetCallToAction":"

Continue

\n","Type":"LoginForm","Children":[]},{"ID":522,"Name":"jumbo-nav","SortOrder":0,"Title":"SliderContainer","Metadata":"blue","Type":"SliderContainer","Children":[{"ID":523,"Name":"523","SortOrder":-10,"Title":"ContentBlock","Image":"https://cdn.partizanhealth.com/skyrizi/Icons/Icon%20Learn%20About%20Saxenda.svg","Metadata":"blue","Content":"

Learn how to use Saxenda

Learn about the Saxenda dosage and how often you need to inject.

\n","ContentCol2":"

$\"Learn$

\n","Type":"ContentBlock","Children":[]},{"ID":524,"Name":"524","SortOrder":-5,"Title":"ContentBlock","Content":"

Get self-injection support

If you need additional help with self-injection, you can book a complimentary injection training with one of our NovoCare Nurses.

\n","Image":"https://cdn.partizanhealth.com/skyrizi/Icons/Icon self-injection.svg","Metadata":"purple","ContentCol2":"

$\"Self-injection$

\n","Type":"ContentBlock","Children":[]},{"ID":526,"Name":"526","SortOrder":-2,"Title":"ContentBlock","Image":"https://cdn.partizanhealth.com/skyrizi/Icons/Icon reminders.svg","Content":"

Set & manage reminders

We can help you set up SMS and/or email reminders for taking your medication or your appointments. We can also send SMART prescription reminders that will only alert you if you have forgotten to collect your prescription.

\n","Metadata":"green","ContentCol2":"

$\"\"$

\n","Type":"ContentBlock","Children":[]},{"ID":698,"Name":"698","SortOrder":0,"Title":"ContentBlock","Content":"

Order sharps containers

NovoCare offers free replacements of sharps containers to make it easier for you to dispose of your used Saxenda injections.

\n","ContentCol2":"

$\"\"$

\n","Image":"https://cdn.partizanhealth.com/skyrizi/Icons/Icon sharps.svg","Type":"ContentBlock","Children":[]},{"ID":699,"Name":"699","SortOrder":10,"Title":"ContentBlock","Image":"https://cdn.partizanhealth.com/skyrizi/Icons/Icon Travel.svg","Content":"

Order travel tools

NovoCare offers two travel solutions for carrying and storing Saxenda. Find out about NovoNordisk's travel solutions here.

\n","ContentCol2":"

$\"Travel$

\n","Type":"ContentBlock","Children":[]},{"ID":702,"Name":"702","SortOrder":20,"Title":"ContentBlock","Image":"https://cdn.partizanhealth.com/skyrizi/Icons/Icon health-coach.svg","Content":"

Book a health coach call

The NovoCare Health Coaching team can provide information to help you lead a healthier lifestyle with some easy-to-follow, realistic steps combined with your Saxenda treatment.

\n","ContentCol2":"

$\"Book$

\n","Type":"ContentBlock","Children":[]}]}]},{"ID":1697,"Name":"System messages","SortOrder":0,"Title":"System messages","Type":"SystemMessages","Children":[{"ID":1698,"Name":"barcodevalidation-heading","SortOrder":-10,"Title":"BarcodeValidation_Heading","Message":"Invalid Barcode","Type":"SystemMessage","Children":[]},{"ID":1699,"Name":"barcodevalidation-body","SortOrder":-5,"Title":"BarcodeValidation_Body","Message":"Currently the condition you have selected is not approved to be used with the treatment you have entered.

If you have any questions about a Novo Nordisk medicine please contact Novo Nordisk Medical Information on 1800 668 626 or aunrccc@novonordisk.com

","ParentID":1697,"Type":"SystemMessage","Children":[]},{"ID":1700,"Name":"agevalidation-heading","SortOrder":-2,"Title":"AgeValidation_Heading","Message":"Age validation","Type":"SystemMessage","Children":[]},{"ID":1701,"Name":"agevalidation-body","SortOrder":0,"Title":"AgeValidation_Body","Message":"Currently {Treatment}^® is only available to patients {AgeFrom} {years} of age and above.

If you have any questions about a Novo Nordisk medicine please contact Novo Nordisk Medication Information on 1800 668 626 or aunrccc@novonordisk.com

For more information, please refer to the Therapeutic Indications found here here here.

AU23SX00115 October 2023","ParentID":1697,"Type":"SystemMessage","Children":[]},{"ID":1702,"Name":"agevalidation-body-invaliddob","SortOrder":10,"Title":"AgeValidation_Body_InvalidDOB","Message":"Please enter a valid date of birth and in the correct format dd/mm/yyyy","Type":"SystemMessage","Children":[]},{"ID":1709,"Name":"agevalidation-body-hcp","SortOrder":20,"Title":"AgeValidation_Body_HCP","Message":"Currently {Treatment}^® is only available to patients {AgeFrom} {years} of age and above.

If you have any questions about a Novo Nordisk medicine please contact Novo Nordisk Medication Information on 1800 668 626 or aunrccc@novonordisk.com

For more information, please refer to the Therapeutic Indications found here here here.

AU23SX00115 October 2023","ParentID":1697,"Type":"SystemMessage","Children":[]}]}]

Please provide the following details:

Treatment confirmation

You’re no longer being prescribed Saxenda (risankizumab)

Reset your password

Cancel CDE request

Requested education session with one of our Credentialled Diabetes Educators (CDE)

Your CDE education session

Your CDE education

Refer a patient to

Consent:

You have successfully switched treatment type

Treatment switch

Cancel nurse request

Requested education session with one of our qualified nurses

Your nurse education session

Your nurse education session

Forgotten password?

Welcome to patient referral portal