responsive all sections
This commit is contained in:
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@ -101,7 +101,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '></Grid>
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<Grid item xs={4} className='collapsable-form-style '></Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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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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@ -119,7 +125,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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<TextField
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// required
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// required
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variant="outlined"
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variant="outlined"
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@ -137,7 +149,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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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="Hours/Week"
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label="Hours/Week"
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@ -155,7 +173,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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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="Employer"
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label="Employer"
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@ -171,7 +195,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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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="Business Phone"
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label="Business Phone"
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@ -189,13 +219,24 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '></Grid>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '></Grid>
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<Grid item xs={12} className='collapsable-form-style '>
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<Grid item xs={12} className='collapsable-form-style '>
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<FormLabel sx={{fontWeight:600}}>Spouse's Information:</FormLabel>
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<FormLabel sx={{fontWeight:600}}>Spouse's Information:</FormLabel>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style '>
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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="Spouse's Name"
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label="Spouse's Name"
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@ -211,7 +252,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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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="Spouse's Employer"
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label="Spouse's Employer"
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@ -227,7 +274,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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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="Business Phone"
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label="Business Phone"
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@ -250,7 +303,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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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="Emergency Contact"
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label="Emergency Contact"
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@ -266,7 +325,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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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="Relationship"
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label="Relationship"
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@ -282,7 +347,12 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style '>
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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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type="number"
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type="number"
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@ -76,7 +76,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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</Grid>
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</Grid>
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<Grid container direction="row">
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<Grid container direction="row">
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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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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@ -91,7 +97,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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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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@ -106,7 +118,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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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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@ -121,7 +139,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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disabled={type=='display'}
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disabled={type=='display'}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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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="Phone"
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label="Phone"
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@ -138,14 +162,30 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'></Grid>
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<Grid item
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<Grid item xs={4} className='collapsable-form-style'></Grid>
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style'></Grid>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style'></Grid>
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<Grid item xs={12} className='collapsable-form-style '>
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<Grid item xs={12} className='collapsable-form-style '>
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<FormLabel sx={{fontWeight:600}}>Chiropractor Information:</FormLabel>
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<FormLabel sx={{fontWeight:600}}>Chiropractor Information:</FormLabel>
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</Grid>
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</Grid>
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<Grid item xs={4} sx={{paddingLeft:"14px",marginTop:2}} className='collapsable-form-style-radioButtons'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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sx={{paddingLeft:"14px",marginTop:2}} className='collapsable-form-style-radioButtons'>
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<FormControl>
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<FormControl>
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<FormLabel>Previous Chiropractic Care:</FormLabel>
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<FormLabel>Previous Chiropractic Care:</FormLabel>
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<RadioGroup
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<RadioGroup
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@ -166,7 +206,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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</FormControl>
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</FormControl>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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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="Chiropractor's Name"
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label="Chiropractor's Name"
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@ -182,7 +228,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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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/State"
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label="City/State"
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@ -121,7 +121,12 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style-form7'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style-form7'>
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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="If yes, when?"
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label="If yes, when?"
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@ -135,7 +140,12 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
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}}
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}}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style-form7'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style-form7'>
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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="Was treatment provided?If yes, by whom?"
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label="Was treatment provided?If yes, by whom?"
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@ -150,7 +160,12 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
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}}
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}}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style-form7'>
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<Grid item
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xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style-form7'>
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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="Outcome?"
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label="Outcome?"
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@ -287,7 +302,11 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
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type={type}/>
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type={type}/>
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</Grid>
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</Grid>
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<Grid item xs={6} className='collapsable-form-style-multiline'>
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<Grid item xs={2}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style-multiline'>
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<FormLabel>Please list current supplements or drugs you may be taking:</FormLabel>
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<FormLabel>Please list current supplements or drugs you may be taking:</FormLabel>
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<TextField
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<TextField
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multiline
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multiline
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@ -136,7 +136,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
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</FormControl>
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</FormControl>
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</Grid>
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</Grid>
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<Grid item xs={6} className='collapsable-form-style-radioButtons'>
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<Grid item xs={2}
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xl={3}
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// lg={4}
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md={6}
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sm={12} className='collapsable-form-style-radioButtons'>
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<FormControl>
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<FormControl>
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<FormLabel>Do you excercise?</FormLabel>
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<FormLabel>Do you excercise?</FormLabel>
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<RadioGroup
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<RadioGroup
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@ -156,7 +160,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
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</FormControl>
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</FormControl>
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</Grid>
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</Grid>
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<Grid item xs={6} className='collapsable-form-style-form7'>
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<Grid item xs={2}
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xl={3}
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// lg={4}
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md={6}
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sm={12} className='collapsable-form-style-form7'>
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<TextField
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<TextField
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disabled={patient.excercise!=='Yes'||type=='display'}
|
disabled={patient.excercise!=='Yes'||type=='display'}
|
||||||
variant="outlined"
|
variant="outlined"
|
||||||
@ -172,7 +180,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
/>
|
/>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Use tobacco?</FormLabel>
|
<FormLabel>Use tobacco?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -192,7 +204,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-form7'>
|
||||||
<TextField
|
<TextField
|
||||||
disabled={patient.tobacco!=='Yes'||type=='display'}
|
disabled={patient.tobacco!=='Yes'||type=='display'}
|
||||||
value={type=='display'?patientDataDiplay.tobaccoExplanation:patient.tobaccoExplanation}
|
value={type=='display'?patientDataDiplay.tobaccoExplanation:patient.tobaccoExplanation}
|
||||||
@ -208,7 +224,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
/>
|
/>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Consume alcohol?</FormLabel>
|
<FormLabel>Consume alcohol?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -228,7 +248,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-form7'>
|
||||||
<TextField
|
<TextField
|
||||||
disabled={patient.alcohol!=='Yes'||type=='display'}
|
disabled={patient.alcohol!=='Yes'||type=='display'}
|
||||||
value={type=='display'?patientDataDiplay.alcoholExplanation:patient.alcoholExplanation}
|
value={type=='display'?patientDataDiplay.alcoholExplanation:patient.alcoholExplanation}
|
||||||
@ -244,7 +268,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
/>
|
/>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Have a healthy diet?</FormLabel>
|
<FormLabel>Have a healthy diet?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -264,7 +292,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-form7'>
|
||||||
<TextField
|
<TextField
|
||||||
disabled={patient.healthyDiet!=='No'||type=='display'}
|
disabled={patient.healthyDiet!=='No'||type=='display'}
|
||||||
value={type=='display'?patientDataDiplay.healthyDietExplanation:patient.healthyDietExplanation}
|
value={type=='display'?patientDataDiplay.healthyDietExplanation:patient.healthyDietExplanation}
|
||||||
@ -280,7 +312,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
/>
|
/>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Get adequate sleep?</FormLabel>
|
<FormLabel>Get adequate sleep?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -300,7 +336,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-form7'>
|
||||||
<TextField
|
<TextField
|
||||||
disabled={patient.sleep!=='No'||type=='display'}
|
disabled={patient.sleep!=='No'||type=='display'}
|
||||||
value={type=='display'?patientDataDiplay.sleepExplanation:patient.sleepExplanation}
|
value={type=='display'?patientDataDiplay.sleepExplanation:patient.sleepExplanation}
|
||||||
@ -316,7 +356,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
/>
|
/>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Is Work/School stressful to you?</FormLabel>
|
<FormLabel>Is Work/School stressful to you?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -336,7 +380,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-form7'>
|
||||||
<TextField
|
<TextField
|
||||||
disabled={patient.workSchool!=='Yes'||type=='display'}
|
disabled={patient.workSchool!=='Yes'||type=='display'}
|
||||||
value={type=='display'?patientDataDiplay.workSchool:patient.workSchool}
|
value={type=='display'?patientDataDiplay.workSchool:patient.workSchool}
|
||||||
@ -352,7 +400,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
/>
|
/>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Family life stressful to you?</FormLabel>
|
<FormLabel>Family life stressful to you?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -372,7 +424,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-form7'>
|
||||||
<TextField
|
<TextField
|
||||||
disabled={patient.familyLife!=='Yes'||type=='display'}
|
disabled={patient.familyLife!=='Yes'||type=='display'}
|
||||||
value={type=='display'?patientDataDiplay.familyLifeExplanation:patient.familyLifeExplanation}
|
value={type=='display'?patientDataDiplay.familyLifeExplanation:patient.familyLifeExplanation}
|
||||||
@ -388,7 +444,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
/>
|
/>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Use recreational drugs?</FormLabel>
|
<FormLabel>Use recreational drugs?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -408,7 +468,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
|||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
// lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-form7'>
|
||||||
<TextField
|
<TextField
|
||||||
disabled={patient.drugs!=='Yes'||type=='display'}
|
disabled={patient.drugs!=='Yes'||type=='display'}
|
||||||
value={type=='display'?patientDataDiplay.drugsExplanation:patient.drugsExplanation}
|
value={type=='display'?patientDataDiplay.drugsExplanation:patient.drugsExplanation}
|
||||||
|
|||||||
@ -93,7 +93,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
<FormLabel sx={{fontWeight:600}}>Please choose body areas or systems where you may have problems:</FormLabel>
|
<FormLabel sx={{fontWeight:600}}>Please choose body areas or systems where you may have problems:</FormLabel>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid container direction="row">
|
<Grid container direction="row">
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Eyes</FormLabel>
|
<FormLabel>Eyes</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -112,7 +116,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Intestines/Bowls</FormLabel>
|
<FormLabel>Intestines/Bowls</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -131,7 +139,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Joints/Bones</FormLabel>
|
<FormLabel>Joints/Bones</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -150,7 +162,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Allergies</FormLabel>
|
<FormLabel>Allergies</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -169,7 +185,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Ears, Nose, Mouth, Throat</FormLabel>
|
<FormLabel>Ears, Nose, Mouth, Throat</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -188,7 +208,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Urinary</FormLabel>
|
<FormLabel>Urinary</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -207,7 +231,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Skin</FormLabel>
|
<FormLabel>Skin</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -226,7 +254,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Psychological/Emotional</FormLabel>
|
<FormLabel>Psychological/Emotional</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -245,7 +277,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Heart</FormLabel>
|
<FormLabel>Heart</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -264,7 +300,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Muscles</FormLabel>
|
<FormLabel>Muscles</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -283,7 +323,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Internal Organs</FormLabel>
|
<FormLabel>Internal Organs</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -302,7 +346,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Gynecological menstrual/Brest</FormLabel>
|
<FormLabel>Gynecological menstrual/Brest</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -322,7 +370,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Lungs/Breathing</FormLabel>
|
<FormLabel>Lungs/Breathing</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -341,7 +393,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Nerves</FormLabel>
|
<FormLabel>Nerves</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -360,7 +416,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Blood</FormLabel>
|
<FormLabel>Blood</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
@ -379,7 +439,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
|||||||
</RadioGroup>
|
</RadioGroup>
|
||||||
</FormControl>
|
</FormControl>
|
||||||
</Grid>
|
</Grid>
|
||||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={2}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Prostate/Testicular/Penile</FormLabel>
|
<FormLabel>Prostate/Testicular/Penile</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
|
|||||||
Loading…
x
Reference in New Issue
Block a user