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@@ -17,9 +17,11 @@
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redir="/patients/view/{{$patient->uid}}/notes/view/[data]"
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class="mcp-theme-1">
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<input type="hidden" name="clientUid" value="{{$patient->uid}}">
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- <input type="hidden" name="effectiveDateEST" value="{{date("Y-m-d")}}">
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- <input type="hidden" name="effectiveTime" value="{{date("h:i")}}">
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<input type="hidden" name="title" id="note-create-title" value="">
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+ <div class="form-group mb-2">
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+ <label for="" class="text-secondary text-sm mb-1">Effective Date *</label>
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+ <input name="effectiveDateEST" class="form-control" value="{{date("Y-m-d")}}">
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+ </div>
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<div class="form-group mb-2">
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<label for="" class="text-secondary text-sm mb-1">Pro *</label>
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<select name="hcpProUid" class="form-control" provider-search required data-pro-uid="{{$pro->is_hcp ? $pro->uid : ''}}">
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@@ -72,10 +74,14 @@
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@if($pro->isDefaultNA())
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<input type="hidden" name="naProUid" value="{{$pro->uid}}">
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@endif
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- <input type="hidden" name="effectiveDate" value="{{date("Y-m-d")}}">
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- <input type="hidden" name="effectiveTime" value="{{date("h:i")}}">
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+
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<input type="hidden" class="form-control form-control-sm" placeholder="title"
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name="title" id="note-create-title" value="{{count($proVisitTemplates) === 1 ? $proVisitTemplates->first()->title : 'Note'}}">
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+
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+ <div class="form-group mb-2">
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+ <label for="" class="text-secondary text-sm mb-1">Effective Date *</label>
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+ <input type="date" name="effectiveDate" class="form-control" value="{{date("Y-m-d")}}">
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+ </div>
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<div class="form-group">
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<label for="" class="text-secondary text-sm mb-1">HCP Pro *</label>
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<select name="hcpProUid" class="form-control" provider-search required data-pro-uid="{{$pro->is_hcp ? $pro->uid : ''}}">
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