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@@ -26,7 +26,7 @@
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<input type="hidden" name="_success" value="{{route('my_clients-index')}}">
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<input type="hidden" name="_success" value="{{route('my_clients-index')}}">
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<input type="hidden" name="_return" value="{{route('my_clients-add_new')}}">
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<input type="hidden" name="_return" value="{{route('my_clients-add_new')}}">
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Team</label>
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+<label class='control-label'>Team </label>
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<select class='form-control' name='teamUid' value='{{ old('teamUid') ? old('teamUid') : '' }}' >
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<select class='form-control' name='teamUid' value='{{ old('teamUid') ? old('teamUid') : '' }}' >
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<option value=''>-- Select --</option>
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<option value=''>-- Select --</option>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('team')->get(); ?>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('team')->get(); ?>
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@@ -36,7 +36,7 @@
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</select>
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</select>
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Mcp Pro</label>
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+<label class='control-label'>Mcp Pro </label>
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<select class='form-control' name='mcpProUid' value='{{ old('mcpProUid') ? old('mcpProUid') : '' }}' >
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<select class='form-control' name='mcpProUid' value='{{ old('mcpProUid') ? old('mcpProUid') : '' }}' >
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<option value=''>-- Select --</option>
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<option value=''>-- Select --</option>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('pro')->get(); ?>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('pro')->get(); ?>
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@@ -46,7 +46,7 @@
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</select>
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</select>
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Ally Pro</label>
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+<label class='control-label'>Ally Pro </label>
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<select class='form-control' name='allyProUid' value='{{ old('allyProUid') ? old('allyProUid') : '' }}' >
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<select class='form-control' name='allyProUid' value='{{ old('allyProUid') ? old('allyProUid') : '' }}' >
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<option value=''>-- Select --</option>
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<option value=''>-- Select --</option>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('pro')->get(); ?>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('pro')->get(); ?>
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@@ -56,35 +56,35 @@
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</select>
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</select>
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Name Display</label>
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+<label class='control-label'>Name Display </label>
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<input class='form-control' type='text' name='nameDisplay' value='{{ old('nameDisplay') ? old('nameDisplay') : '' }}' >
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<input class='form-control' type='text' name='nameDisplay' value='{{ old('nameDisplay') ? old('nameDisplay') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Name Prefix</label>
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+<label class='control-label'>Name Prefix </label>
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<input class='form-control' type='text' name='namePrefix' value='{{ old('namePrefix') ? old('namePrefix') : '' }}' >
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<input class='form-control' type='text' name='namePrefix' value='{{ old('namePrefix') ? old('namePrefix') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Name First</label>
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+<label class='control-label'>Name First </label>
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<input class='form-control' type='text' name='nameFirst' value='{{ old('nameFirst') ? old('nameFirst') : '' }}' >
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<input class='form-control' type='text' name='nameFirst' value='{{ old('nameFirst') ? old('nameFirst') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Name Middle</label>
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+<label class='control-label'>Name Middle </label>
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<input class='form-control' type='text' name='nameMiddle' value='{{ old('nameMiddle') ? old('nameMiddle') : '' }}' >
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<input class='form-control' type='text' name='nameMiddle' value='{{ old('nameMiddle') ? old('nameMiddle') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Name Last</label>
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+<label class='control-label'>Name Last </label>
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<input class='form-control' type='text' name='nameLast' value='{{ old('nameLast') ? old('nameLast') : '' }}' >
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<input class='form-control' type='text' name='nameLast' value='{{ old('nameLast') ? old('nameLast') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Name Suffix</label>
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+<label class='control-label'>Name Suffix </label>
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<input class='form-control' type='text' name='nameSuffix' value='{{ old('nameSuffix') ? old('nameSuffix') : '' }}' >
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<input class='form-control' type='text' name='nameSuffix' value='{{ old('nameSuffix') ? old('nameSuffix') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Name Credential</label>
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+<label class='control-label'>Name Credential </label>
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<input class='form-control' type='text' name='nameCredential' value='{{ old('nameCredential') ? old('nameCredential') : '' }}' >
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<input class='form-control' type='text' name='nameCredential' value='{{ old('nameCredential') ? old('nameCredential') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Gender</label>
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+<label class='control-label'>Gender </label>
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<select class='form-control' name='gender' value='{{ old('gender') ? old('gender') : '' }}' >
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<select class='form-control' name='gender' value='{{ old('gender') ? old('gender') : '' }}' >
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<option value=''>-- Select --</option>
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<option value=''>-- Select --</option>
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<option <?= 'M' === (old('gender') ? old('gender') : '') ? 'selected' : '' ?> value='M'>M</option>
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<option <?= 'M' === (old('gender') ? old('gender') : '') ? 'selected' : '' ?> value='M'>M</option>
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@@ -92,19 +92,19 @@
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</select>
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</select>
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Date Of Birth</label>
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+<label class='control-label'>Date Of Birth </label>
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<input class='form-control' type='date' name='dateOfBirth' value='{{ old('dateOfBirth') ? old('dateOfBirth') : '' }}' >
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<input class='form-control' type='date' name='dateOfBirth' value='{{ old('dateOfBirth') ? old('dateOfBirth') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Cell Number</label>
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+<label class='control-label'>Cell Number </label>
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<input class='form-control' type='tel' name='cellNumber' value='{{ old('cellNumber') ? old('cellNumber') : '' }}' >
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<input class='form-control' type='tel' name='cellNumber' value='{{ old('cellNumber') ? old('cellNumber') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Email Address</label>
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+<label class='control-label'>Email Address </label>
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<input class='form-control' type='email' name='emailAddress' value='{{ old('emailAddress') ? old('emailAddress') : '' }}' >
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<input class='form-control' type='email' name='emailAddress' value='{{ old('emailAddress') ? old('emailAddress') : '' }}' >
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</div>
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</div>
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<div class='form-group mb-3'>
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<div class='form-group mb-3'>
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-<label class='control-label'>Medicare Number</label>
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+<label class='control-label'>Medicare Number </label>
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<input class='form-control' type='text' name='medicareNumber' value='{{ old('medicareNumber') ? old('medicareNumber') : '' }}' >
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<input class='form-control' type='text' name='medicareNumber' value='{{ old('medicareNumber') ? old('medicareNumber') : '' }}' >
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</div>
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</div>
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<div class="form-group mb-3 d-flex justify-content-center">
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<div class="form-group mb-3 d-flex justify-content-center">
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