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57 lines
1.4 KiB
HTML
57 lines
1.4 KiB
HTML
{% extends "page_base.html" %}
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{% load static %}
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{% load pipeline %}
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{% load crispy_forms_tags %}
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{% block title %}Patient Intake Form{% endblock %}
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{% block css %}
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<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.0-alpha3/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-KK94CHFLLe+nY2dmCWGMq91rCGa5gtU4mk92HdvYe+M/SXH301p5ILy+dN9+nJOZ" crossorigin="anonymous">
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{{ wizard.form.media }}
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{% stylesheet 'intake' %}
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{% endblock %}
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{% block body %}
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<form action="" method="post">
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<img src="{% static 'images/emblem.png' %}">
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<h1><span>Surgical History</span></h1>
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{{ wizard.management_form }}
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{% if wizard.form.forms %}
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<h3 class="text-decoration-none">Please list any surgeries you've had.</h3>
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{{ wizard.form.management_form|crispy }}
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{% for form in wizard.form.forms %}
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<div class="surgeries-form">
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{% crispy form %}
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</div>
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{% endfor %}
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</div>
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{% else %}
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{% crispy wizard.form %}
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{% endif %}
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{% csrf_token %}
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{% include 'portal/progress_row.html' %}
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</form>
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{% endblock %}
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{% block js %}
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<script src="{% static 'js/jquery.min.js' %}"></script>
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<script src="{% static 'js/formset.js' %}"></script>
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<script>
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$(function() {
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$('form .surgeries-form').formset({
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addText: 'Add Surgery',
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deleteText: `<span class='btn btn-outline-danger'>×</span>`,
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addCssClass: 'btn btn-outline-success my-3'
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});
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})
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</script>
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{% endblock %} |