Sha256: 10cfb6928d5542390208f6629ce13b887bf490361ede02b3c690d62ff9a21ffb
Contents?: true
Size: 1019 Bytes
Versions: 137
Compression:
Stored size: 1019 Bytes
Contents
= render "renalware/shared/errors", model: @primary_care_physician
.large-6.columns
= simple_form_for @primary_care_physician, html: { autocomplete: "off" } do |f|
= f.input :name, placeholder: "e.g. SMITH J"
= f.input :telephone
= f.input :code
= f.input :practitioner_type, collection: ["GP", "Other"]
= label_tag "patients_primary_care_physician[practice_ids]", "Practices"
= select_tag "patients_primary_care_physician[practice_ids]",
practices_options_for_select(f.object),
{ include_hidden: false, multiple: true }
hr
a#address-form-toggle href="#address-form" class="button tiny" Alternative address
.row
.large-12.columns
fieldset#address-form style="display:none"
= f.simple_fields_for @alternative_address do |a|
= a.input :id, as: :hidden
= render "renalware/addresses/form", a: a
= f.button :submit
span= " or "
= link_to "cancel", patients_primary_care_physicians_path
Version data entries
137 entries across 137 versions & 1 rubygems