diff --git a/src/Components/PatientForm/FamilyFormSection2.tsx b/src/Components/PatientForm/FamilyFormSection2.tsx
index efa2a14..abefeeb 100644
--- a/src/Components/PatientForm/FamilyFormSection2.tsx
+++ b/src/Components/PatientForm/FamilyFormSection2.tsx
@@ -224,7 +224,7 @@ export default function FamilyFormSection(){
                      variant="outlined" 
                      label="Phone" type="tel" 
                      className='collapsable-form-style'
-                     name='phone'
+                     name='spousePhone'
                      onChange={formik.handleChange}
                      value={formik.values.spousePhone}
                      onBlur={formik.handleBlur}
diff --git a/src/Components/PatientForm/MedicalHistorySection3.tsx b/src/Components/PatientForm/MedicalHistorySection3.tsx
index 367e42a..97a0828 100644
--- a/src/Components/PatientForm/MedicalHistorySection3.tsx
+++ b/src/Components/PatientForm/MedicalHistorySection3.tsx
@@ -62,7 +62,7 @@ export default function MedicalHistoryForm(){
                 <TextField 
                 variant="outlined"
                 label="Family physician" 
-                name='familyphysician'
+                name='physicianname'
                 onChange={formik.handleChange}
                 value={formik.values.physicianname}
                 onBlur={formik.handleBlur}
@@ -72,7 +72,7 @@ export default function MedicalHistoryForm(){
                 <TextField 
                 variant="outlined"
                 label="City" 
-                name='city'
+                name='physiciancity'
                 onChange={formik.handleChange}
                 value={formik.values.physiciancity}
                 onBlur={formik.handleBlur}
@@ -82,7 +82,7 @@ export default function MedicalHistoryForm(){
                  <TextField 
                  variant="outlined"
                  label="State" 
-                 name='state'
+                 name='physicianstate'
                  onChange={formik.handleChange}
                  value={formik.values.physicianstate}
                  onBlur={formik.handleBlur}
@@ -93,7 +93,7 @@ export default function MedicalHistoryForm(){
                 variant="outlined"
                 label="Phone" 
                 type="tel" 
-                name='phone'
+                name='physicianphone'
                 onChange={formik.handleChange}
                 value={formik.values.physicianphone}
                 onBlur={formik.handleBlur}
diff --git a/src/Components/PatientForm/PainAnalysisSection4.tsx b/src/Components/PatientForm/PainAnalysisSection4.tsx
index b441cda..9341226 100644
--- a/src/Components/PatientForm/PainAnalysisSection4.tsx
+++ b/src/Components/PatientForm/PainAnalysisSection4.tsx
@@ -55,7 +55,7 @@ export default function PainAnalysisSection4(){
                 <TextField 
                 variant="outlined"
                 label="How did your Chief complaint start?(ex-fell on ice)" 
-                name='familyphysician'
+                name='chiefComplaint'
                 onChange={formik.handleChange}
                 value={formik.values.chiefComplaint}
                 onBlur={formik.handleBlur}
@@ -260,9 +260,9 @@ export default function PainAnalysisSection4(){
                 <TextField 
                 variant="outlined"
                 label="What is your goal from treatment?(ex-play golf without pain)" 
-                name='familyphysician'
+                name='treatmentGoal'
                 onChange={formik.handleChange}
-                value={formik.values.chiefComplaint}
+                value={formik.values.treatmentGoal}
                 onBlur={formik.handleBlur}
                 />
             </Grid>