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@@ -37,6 +37,9 @@
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<div class="mb-1">
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ZIP: <b>{{ $patient->mailing_address_zip }}</b>
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</div>
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+ <div class="mb-1">
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+ Special Instructions: <b>{{ $patient->mailing_address_memo }}</b>
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+ </div>
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</div>
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<div class="font-weight-bold mb-2 mt-3">Contact Info</div>
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@@ -105,6 +108,9 @@
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<div class="mb-2">
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<input type="text" class="form-control form-control-sm" name="mailingAddressZip" placeholder="ZIP" value="{{ $patient->mailing_address_zip }}">
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</div>
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+ <div class="mb-2">
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+ <textarea type="text" class="form-control form-control-sm" name="mailingAddressMemo" placeholder="ZIP">{{ $patient->mailing_address_memo }}</textarea>
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+ </div>
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<div>
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<button submit class="btn btn-sm btn-primary mr-1">Submit</button>
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