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@@ -6,7 +6,7 @@ $addressParts = implode(", ", $addressParts) . ", ";
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$addressPart2 = [];
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if (!!$patient->mailing_address_city) $addressPart2[] = $patient->mailing_address_city;
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if (!!$patient->mailing_address_state) $addressPart2[] = $patient->mailing_address_state;
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-$addressParts .= implode(", ", $addressPart2);
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+$addressPart2 = implode(", ", $addressPart2);
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$coverage = $patient->effectiveClientPrimaryCoverage;
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$payerName = null;
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@@ -27,22 +27,22 @@ if($coverage) {
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}
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?>
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<section style="padding-top: 0.1rem;">
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- <table style="width:100%;font-size:14px; margin-bottom:1rem;border:1px solid #333;border-collapse: collapse;table-layout:fixed;">
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+ <table style="width:100%;font-size:14px; margin-bottom:1rem;border-collapse: collapse;table-layout:fixed;">
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<tr>
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- <td style="vertical-align:top;border:1px solid #333;padding: 5px;">
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- <h3 style="line-height:20px;margin:0;text-transform:uppercase;">{{ $patient->displayName() }}</h3>
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- <span style="font-size:13px;line-height:20px;display:block">{{$patient->mailing_address_line1}}</span>
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- <span style="font-size:13px;line-height:20px;display:block">{{$patient->mailing_address_line2}}</span>
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+ <td style="vertical-align:top;padding: 5px;">
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+ <h4 style="line-height:20px;margin:0;text-transform:uppercase;">{{ $patient->displayName() }}</h4>
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+ <span style="font-size:13px;line-height:20px;display:block">{{$addressParts ?: ''}}</span>
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+ <span style="font-size:13px;line-height:20px;display:block">{{$addressPart2 ?: ''}}</span>
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<span style="font-size:13px;line-height:20px;display:block">Phone: {{$patient->cell_number}}</span>
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</td>
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- <td style="vertical-align:top;border:1px solid #333;padding: 5px;">
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- <h3 style="line-height:20px;margin:0;">PATIENT INFORMATION</h3>
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+ <td style="vertical-align:top;padding: 5px;">
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+ <h4 style="line-height:20px;margin:0;">PATIENT INFORMATION</h4>
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<span style="font-size:13px;line-height:20px;display:block">DOB: {{friendlier_date($patient->dob)}}</span>
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<span style="font-size:13px;line-height:20px;display:block">Age: {{$patient->age_in_years}} years old</span>
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<span style="font-size:13px;line-height:20px;display:block">Gender: {{$patient->sex}}</span>
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</td>
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- <td style="vertical-align:top;border:1px solid #333;padding: 5px;">
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- <h3 style="line-height:20px;margin:0;">INSURANCE</h3>
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+ <td style="vertical-align:top;padding: 5px;">
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+ <h4 style="line-height:20px;margin:0;">INSURANCE</h4>
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<span style="font-size:13px;line-height:20px;display:block">{{$payerName}}</span>
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<span style="font-size:13px;line-height:20px;display:block">Member ID: {{$memberID}}</span>
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<span style="font-size:13px;line-height:20px;display:block">Insurance Contact:</span>
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@@ -51,6 +51,8 @@ if($coverage) {
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</table>
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</section>
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+<hr style="margin: 0.5rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
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+
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<?php $clinical = json_decode($prescription->clinical_detail_json); ?>
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<?php if($clinical && @$clinical->items): ?>
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<div style="margin: 1rem 0; font-weight: bold;"><span style="font-size: 28px">R</span><span style="font-size: 20px">x</span></div>
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