bug fix
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@ -224,7 +224,7 @@ export default function FamilyFormSection(){
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variant="outlined"
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variant="outlined"
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label="Phone" type="tel"
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label="Phone" type="tel"
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className='collapsable-form-style'
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className='collapsable-form-style'
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name='phone'
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name='spousePhone'
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onChange={formik.handleChange}
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onChange={formik.handleChange}
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value={formik.values.spousePhone}
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value={formik.values.spousePhone}
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onBlur={formik.handleBlur}
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onBlur={formik.handleBlur}
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@ -62,7 +62,7 @@ export default function MedicalHistoryForm(){
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<TextField
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<TextField
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variant="outlined"
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variant="outlined"
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label="Family physician"
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label="Family physician"
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name='familyphysician'
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name='physicianname'
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onChange={formik.handleChange}
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onChange={formik.handleChange}
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value={formik.values.physicianname}
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value={formik.values.physicianname}
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onBlur={formik.handleBlur}
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onBlur={formik.handleBlur}
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@ -72,7 +72,7 @@ export default function MedicalHistoryForm(){
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<TextField
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<TextField
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variant="outlined"
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variant="outlined"
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label="City"
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label="City"
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name='city'
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name='physiciancity'
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onChange={formik.handleChange}
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onChange={formik.handleChange}
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value={formik.values.physiciancity}
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value={formik.values.physiciancity}
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onBlur={formik.handleBlur}
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onBlur={formik.handleBlur}
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@ -82,7 +82,7 @@ export default function MedicalHistoryForm(){
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<TextField
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<TextField
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variant="outlined"
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variant="outlined"
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label="State"
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label="State"
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name='state'
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name='physicianstate'
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onChange={formik.handleChange}
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onChange={formik.handleChange}
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value={formik.values.physicianstate}
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value={formik.values.physicianstate}
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onBlur={formik.handleBlur}
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onBlur={formik.handleBlur}
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@ -93,7 +93,7 @@ export default function MedicalHistoryForm(){
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variant="outlined"
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variant="outlined"
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label="Phone"
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label="Phone"
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type="tel"
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type="tel"
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name='phone'
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name='physicianphone'
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onChange={formik.handleChange}
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onChange={formik.handleChange}
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value={formik.values.physicianphone}
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value={formik.values.physicianphone}
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onBlur={formik.handleBlur}
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onBlur={formik.handleBlur}
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@ -55,7 +55,7 @@ export default function PainAnalysisSection4(){
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<TextField
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<TextField
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variant="outlined"
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variant="outlined"
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label="How did your Chief complaint start?(ex-fell on ice)"
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label="How did your Chief complaint start?(ex-fell on ice)"
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name='familyphysician'
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name='chiefComplaint'
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onChange={formik.handleChange}
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onChange={formik.handleChange}
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value={formik.values.chiefComplaint}
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value={formik.values.chiefComplaint}
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onBlur={formik.handleBlur}
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onBlur={formik.handleBlur}
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@ -260,9 +260,9 @@ export default function PainAnalysisSection4(){
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<TextField
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<TextField
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variant="outlined"
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variant="outlined"
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label="What is your goal from treatment?(ex-play golf without pain)"
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label="What is your goal from treatment?(ex-play golf without pain)"
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name='familyphysician'
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name='treatmentGoal'
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onChange={formik.handleChange}
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onChange={formik.handleChange}
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value={formik.values.chiefComplaint}
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value={formik.values.treatmentGoal}
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onBlur={formik.handleBlur}
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onBlur={formik.handleBlur}
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/>
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/>
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</Grid>
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</Grid>
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