diff --git a/src/Components/Helper/AddNewTable.tsx b/src/Components/Helper/AddNewTable.tsx
index d9dc0cc..d7df8aa 100644
--- a/src/Components/Helper/AddNewTable.tsx
+++ b/src/Components/Helper/AddNewTable.tsx
@@ -55,7 +55,7 @@ const DataTable: React.FC= () => {
return (
<>
- Please enter the details below:
+ If yes, Please enter the details below:
diff --git a/src/Components/PatientForm/FamilyFormSection2.tsx b/src/Components/PatientForm/FamilyFormSection2.tsx
index abefeeb..8804bfe 100644
--- a/src/Components/PatientForm/FamilyFormSection2.tsx
+++ b/src/Components/PatientForm/FamilyFormSection2.tsx
@@ -89,6 +89,7 @@ export default function FamilyFormSection(){
-
+
Family history and health status:
-
+
How do you sleep?
-
+
Do you use a pillow?
-
+
Do you wear orthotics or arch support?
-
- Date of last gynecological and brest exam?
+
+ Date of last gynecological and brest exam?
-
+
{
@@ -130,11 +130,11 @@ export default function OtherDetails8(){
-
+ {/*
For X-Ray purposes:
-
+ */}
-
+
Possible pregnancy?
-
+
Date of last menstrual cycle?
-
+
{
diff --git a/src/Components/PatientForm/PastTreatment5.tsx b/src/Components/PatientForm/PastTreatment5.tsx
index 10f93fe..4268ffc 100644
--- a/src/Components/PatientForm/PastTreatment5.tsx
+++ b/src/Components/PatientForm/PastTreatment5.tsx
@@ -233,6 +233,10 @@ export default function PastTreatment5(){
+
+
+
+
Please list current supplements or drugs you may be taking:
-
-
-
-
-
diff --git a/src/Components/PatientForm/PersonalSection1.tsx b/src/Components/PatientForm/PersonalSection1.tsx
index 87b2686..0df9c11 100644
--- a/src/Components/PatientForm/PersonalSection1.tsx
+++ b/src/Components/PatientForm/PersonalSection1.tsx
@@ -25,14 +25,14 @@ interface Patient {
fullName: yup.string().required("Full name is required"),
homePhone: yup.string().matches(/^\d{10}$/, "Home phone must be 10 digits"),
cellPhone: yup.string().required("Phone number is required").matches(/^\d{10}$/, "Cell phone must be 10 digits"),
- email: yup.string().email("Invalid email format").required("Email is required"),
+ email: yup.string().required("Email is required"),
age: yup.number().positive().integer("Age must be a positive integer").required("Age is required"),
dateOfBirth: yup.date().required("Date of birth is required"),
socialSecurityNumber: yup.string().matches(/^\d{9}$/, "Social security number must be 9 digits"),
mailingAddress: yup.string().required("Mailing address is required"),
city: yup.string().required("City is required"),
state: yup.string().required("State is required"),
- zipCode: yup.string().matches(/^\d{5}$/, "Zip code must be 6 digits").required("Zip code is required")
+ zipCode: yup.string().matches(/^\d{6}$/, "Zip code must be 6 digits").required("Zip code is required")
});
export default function PersonalSection(){
@@ -78,6 +78,7 @@ export default function PersonalSection(){
});
const handleChange = (event: React.ChangeEvent) => {
+ console.log("dsfsdfsdf",event.target.value)
const { name, value } = event.target;
setPatient((prevPatient) => ({
...prevPatient,
@@ -120,7 +121,7 @@ export default function PersonalSection(){
@@ -212,8 +212,8 @@ export default function PersonalSection(){
value={formik.values.state}
onChange={formik.handleChange}
onBlur={formik.handleBlur}
- error={formik.touched.state && Boolean(formik.errors.state)}
- helperText={formik.touched.state && formik.errors.state}
+ // error={formik.touched.state && Boolean(formik.errors.state)}
+ // helperText={formik.touched.state && formik.errors.state}
/>
diff --git a/src/Components/PatientForm/RecreationalHobbiesSection7.tsx b/src/Components/PatientForm/RecreationalHobbiesSection7.tsx
index 1ada2c0..2a860fd 100644
--- a/src/Components/PatientForm/RecreationalHobbiesSection7.tsx
+++ b/src/Components/PatientForm/RecreationalHobbiesSection7.tsx
@@ -47,7 +47,7 @@ export default function RecreationalHobbiesSection7(){
<>
-
+
Recreational Activities/Hobbies:
-
+
Do you excercise?
-
+
Use tobacco?
-
+
Consume alcohol?
-
+
Have a healthy diet?
-
+
Get adequate sleep?
-
+
Is Work/School stressful to you?
-
+
Family life stressful to you?
-
+
Use recreational drugs?