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@@ -4,7 +4,7 @@
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<?php $patients = [1,2,3,4]; ?>
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- <div class="p-3 mcp-theme-1">
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+ <div class="p-3 mcp-theme-1" id="newPatientContainer">
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<div class="col-12 col-lg-6 px-0">
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<div class="card d-block mb-3" moe="">
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@@ -45,11 +45,11 @@
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Home Phone Number </label>
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- <input class='form-control' type='tel' name='homeNumber'>
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+ <input class='form-control' stag-input-phone type='tel' name='homeNumber'>
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Cell Phone Number </label>
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- <input class='form-control' type='tel' name='cellNumber'>
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+ <input class='form-control' stag-input-phone type='tel' name='cellNumber'>
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</div>
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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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@@ -77,4 +77,14 @@
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</div>
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</div>
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+ <script src="/inputmask-5.x/dist/inputmask.js"></script>
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+ <script>
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+ (function() {
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+ function init() {
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+ let im = new Inputmask("(999) 999-9999").mask('[stag-input-phone]');
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+ }
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+ addMCInitializer('new-patient', init, '#newPatientContainer');
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+ }).call(window);
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+ </script>
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+
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@endsection
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