1 //------------------------------------------------------------------------------
2 // <auto-generated>
3 // This code was generated by a tool.
4 // Runtime Version:4.0.30319.42000
5 //
6 // Changes to this file may cause incorrect behavior and will be lost if
7 // the code is regenerated.
8 // </auto-generated>
9 //------------------------------------------------------------------------------
10
11 namespace CompiledRazorTemplates.Dynamic {
12
13 #line 8 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
14 using System;
15
16 #line default
17 #line hidden
18
19 #line 10 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
20 using System.Collections.Generic;
21
22 #line default
23 #line hidden
24 using System.Linq;
25
26 #line 2 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
27 using Dynamicweb;
28
29 #line default
30 #line hidden
31
32 #line 13 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
33 using MedilinkWeb.Client.MedilinkData;
34
35 #line default
36 #line hidden
37
38 #line 4 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
39 using MedilinkWeb.Library.State;
40
41 #line default
42 #line hidden
43
44 #line 5 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
45 using Microsoft.Web.Administration;
46
47 #line default
48 #line hidden
49
50 #line 7 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
51 using Dynamicweb.Rendering;
52
53 #line default
54 #line hidden
55
56 #line 9 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
57 using System.Web;
58
59 #line default
60 #line hidden
61
62 #line 11 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
63 using System.IO;
64
65 #line default
66 #line hidden
67
68 #line 12 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
69 using System.Threading;
70
71 #line default
72 #line hidden
73
74
75 public class RazorEngine_528e833b471c4471b1d42c24b3098619 : Dynamicweb.Rendering.RazorTemplateBase<Dynamicweb.Rendering.RazorTemplateModel<Dynamicweb.Rendering.Template>> {
76
77 #line hidden
78
79 #line 18 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
80 public RazorEngine.Templating.TemplateWriter GetAddressLookup(string addressType, Address membersAddress)
81 {
82 #line default
83 #line hidden
84 return new RazorEngine.Templating.TemplateWriter(__razor_helper_writer => {
85
86 #line 19 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
87
88 string postcode = string.Empty;
89 string addr1 = string.Empty;
90 string addr2 = string.Empty;
91 string town = string.Empty;
92 string county = string.Empty;
93
94 if (membersAddress != null)
95 {
96 postcode = membersAddress.PostCode;
97 addr1 = membersAddress.Address1;
98 addr2 = membersAddress.Address2;
99 town = membersAddress.Town;
100 county = membersAddress.County;
101 }
102
103
104
105 #line default
106 #line hidden
107 WriteLiteralTo(__razor_helper_writer, " <script");
108
109 WriteLiteralTo(__razor_helper_writer, " type=\"text/javascript\"");
110
111 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n function ThisFindAddress(addressprefix) {\r\n var postCode " +
112 "= $(\'#\' + addressprefix + \'_PostCode\').val();\r\n FindAddress(addresspr" +
113 "efix, postCode);\r\n }\r\n\r\n </script>\r\n");
114
115
116 #line 43 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
117
118
119
120 #line default
121 #line hidden
122 WriteLiteralTo(__razor_helper_writer, " <div");
123
124 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo grouptwo-medium\"");
125
126 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
127
128 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo-content\"");
129
130 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
131
132 WriteLiteralTo(__razor_helper_writer, " class=\"field\"");
133
134 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <label");
135
136 WriteAttributeTo(__razor_helper_writer, "for", Tuple.Create(" for=\"", 1483), Tuple.Create("\"", 1532)
137
138 #line 50 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
139 , Tuple.Create(Tuple.Create("", 1489), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_PostCode", addressType)
140
141 #line default
142 #line hidden
143 , 1489), false)
144 );
145
146 WriteLiteralTo(__razor_helper_writer, ">Post Code <span");
147
148 WriteLiteralTo(__razor_helper_writer, " class=\"field-required\"");
149
150 WriteLiteralTo(__razor_helper_writer, "><strong>*</strong></span></label>\r\n <input");
151
152 WriteLiteralTo(__razor_helper_writer, " type=\"text\"");
153
154 WriteAttributeTo(__razor_helper_writer, "name", Tuple.Create(" name=\"", 1642), Tuple.Create("\"", 1692)
155
156 #line 51 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
157 , Tuple.Create(Tuple.Create("", 1649), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_PostCode", addressType)
158
159 #line default
160 #line hidden
161 , 1649), false)
162 );
163
164 WriteLiteralTo(__razor_helper_writer, " maxlength=\"9\"");
165
166 WriteLiteralTo(__razor_helper_writer, " required");
167
168 WriteAttributeTo(__razor_helper_writer, "value", Tuple.Create(" value=\"", 1716), Tuple.Create("\"", 1759)
169
170 #line 51 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
171 , Tuple.Create(Tuple.Create("", 1724), Tuple.Create<System.Object, System.Int32>(postcode != null ? postcode : ""
172
173 #line default
174 #line hidden
175 , 1724), false)
176 );
177
178 WriteLiteralTo(__razor_helper_writer, " class=\"postcodeValidation\"");
179
180 WriteAttributeTo(__razor_helper_writer, "id", Tuple.Create(" id=\"", 1787), Tuple.Create("\"", 1835)
181
182 #line 51 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
183 , Tuple.Create(Tuple.Create("", 1792), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_PostCode", addressType)
184
185 #line default
186 #line hidden
187 , 1792), false)
188 );
189
190 WriteLiteralTo(__razor_helper_writer, " />\r\n \r\n </div>\r\n\r\n </div>\r\n\r\n <div");
191
192 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo-content\"");
193
194 WriteAttributeTo(__razor_helper_writer, "id", Tuple.Create(" id=\"", 1936), Tuple.Create("\"", 1989)
195
196 #line 57 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
197 , Tuple.Create(Tuple.Create("", 1941), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_addressselect", addressType)
198
199 #line default
200 #line hidden
201 , 1941), false)
202 );
203
204 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
205
206 WriteLiteralTo(__razor_helper_writer, " id=\"loader\"");
207
208 WriteLiteralTo(__razor_helper_writer, " style=\"display:none;text-align:center\"");
209
210 WriteLiteralTo(__razor_helper_writer, ">\r\n <img");
211
212 WriteLiteralTo(__razor_helper_writer, " src=\"Files/Templates/Designs/MedilinkCore/res/img/throbbers/small.gif\"");
213
214 WriteLiteralTo(__razor_helper_writer, " style=\"margin:auto;display:block; width:25px;\"");
215
216 WriteLiteralTo(__razor_helper_writer, " />\r\n </div>\r\n\r\n ");
217
218 WriteLiteralTo(__razor_helper_writer, "\r\n\r\n </div>\r\n\r\n\r\n </div> ");
219
220 WriteLiteralTo(__razor_helper_writer, "<!-- grouptwo -->\r\n");
221
222
223 #line 69 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
224
225
226
227 #line default
228 #line hidden
229 WriteLiteralTo(__razor_helper_writer, " <div");
230
231 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo lookup-btn field\"");
232
233 WriteLiteralTo(__razor_helper_writer, ">\r\n <input");
234
235 WriteLiteralTo(__razor_helper_writer, " type=\"button\"");
236
237 WriteAttributeTo(__razor_helper_writer, "id", Tuple.Create(" id=\"", 2395), Tuple.Create("\"", 2449)
238
239 #line 71 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
240 , Tuple.Create(Tuple.Create("", 2400), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_btnFindAddress", addressType)
241
242 #line default
243 #line hidden
244 , 2400), false)
245 );
246
247 WriteLiteralTo(__razor_helper_writer, " class=\"btn green-white button\"");
248
249 WriteAttributeTo(__razor_helper_writer, "onclick", Tuple.Create(" onclick=\"", 2481), Tuple.Create("\"", 2537)
250 , Tuple.Create(Tuple.Create("", 2491), Tuple.Create("ThisFindAddress(\'", 2491), true)
251
252 #line 71 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
253 , Tuple.Create(Tuple.Create("", 2508), Tuple.Create<System.Object, System.Int32>(addressType
254
255 #line default
256 #line hidden
257 , 2508), false)
258 , Tuple.Create(Tuple.Create("", 2520), Tuple.Create("\');", 2520), true)
259 , Tuple.Create(Tuple.Create(" ", 2523), Tuple.Create("return", 2524), true)
260 , Tuple.Create(Tuple.Create(" ", 2530), Tuple.Create("false;", 2531), true)
261 );
262
263 WriteLiteralTo(__razor_helper_writer, " value=\"Lookup address\"");
264
265 WriteLiteralTo(__razor_helper_writer, "/>\r\n </div>\r\n");
266
267
268 #line 73 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
269
270
271
272 #line default
273 #line hidden
274 WriteLiteralTo(__razor_helper_writer, " <div");
275
276 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo grouptwo-medium\"");
277
278 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
279
280 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo-content\"");
281
282 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
283
284 WriteLiteralTo(__razor_helper_writer, " class=\"field\"");
285
286 WriteLiteralTo(__razor_helper_writer, ">\r\n <label");
287
288 WriteAttributeTo(__razor_helper_writer, "for", Tuple.Create(" for=\"", 2722), Tuple.Create("\"", 2771)
289
290 #line 79 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
291 , Tuple.Create(Tuple.Create("", 2728), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Address1", addressType)
292
293 #line default
294 #line hidden
295 , 2728), false)
296 );
297
298 WriteLiteralTo(__razor_helper_writer, ">Address Line 1 <span");
299
300 WriteLiteralTo(__razor_helper_writer, " class=\"field-required\"");
301
302 WriteLiteralTo(__razor_helper_writer, "><strong>*</strong></span></label>\r\n <input");
303
304 WriteLiteralTo(__razor_helper_writer, " type=\"text\"");
305
306 WriteLiteralTo(__razor_helper_writer, " required");
307
308 WriteAttributeTo(__razor_helper_writer, "name", Tuple.Create(" name=\"", 2895), Tuple.Create("\"", 2945)
309
310 #line 80 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
311 , Tuple.Create(Tuple.Create("", 2902), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Address1", addressType)
312
313 #line default
314 #line hidden
315 , 2902), false)
316 );
317
318 WriteAttributeTo(__razor_helper_writer, "value", Tuple.Create(" value=\"", 2946), Tuple.Create("\"", 2983)
319
320 #line 80 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
321 , Tuple.Create(Tuple.Create("", 2954), Tuple.Create<System.Object, System.Int32>(addr1 != null ? addr1 : ""
322
323 #line default
324 #line hidden
325 , 2954), false)
326 );
327
328 WriteAttributeTo(__razor_helper_writer, "id", Tuple.Create(" id=\"", 2984), Tuple.Create("\"", 3032)
329
330 #line 80 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
331 , Tuple.Create(Tuple.Create("", 2989), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Address1", addressType)
332
333 #line default
334 #line hidden
335 , 2989), false)
336 );
337
338 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n ");
339
340 WriteLiteralTo(__razor_helper_writer, "\r\n </div>\r\n\r\n </div>\r\n\r\n <div");
341
342 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo-content\"");
343
344 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
345
346 WriteLiteralTo(__razor_helper_writer, " class=\"field\"");
347
348 WriteLiteralTo(__razor_helper_writer, ">\r\n <label");
349
350 WriteAttributeTo(__razor_helper_writer, "for", Tuple.Create(" for=\"", 3513), Tuple.Create("\"", 3562)
351
352 #line 92 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
353 , Tuple.Create(Tuple.Create("", 3519), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Address2", addressType)
354
355 #line default
356 #line hidden
357 , 3519), false)
358 );
359
360 WriteLiteralTo(__razor_helper_writer, ">Address Line 2</label>\r\n <input");
361
362 WriteLiteralTo(__razor_helper_writer, " type=\"text\"");
363
364 WriteAttributeTo(__razor_helper_writer, "name", Tuple.Create(" name=\"", 3622), Tuple.Create("\"", 3672)
365
366 #line 93 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
367 , Tuple.Create(Tuple.Create("", 3629), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Address2", addressType)
368
369 #line default
370 #line hidden
371 , 3629), false)
372 );
373
374 WriteAttributeTo(__razor_helper_writer, "value", Tuple.Create(" value=\"", 3673), Tuple.Create("\"", 3710)
375
376 #line 93 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
377 , Tuple.Create(Tuple.Create("", 3681), Tuple.Create<System.Object, System.Int32>(addr2 != null ? addr2 : ""
378
379 #line default
380 #line hidden
381 , 3681), false)
382 );
383
384 WriteAttributeTo(__razor_helper_writer, "id", Tuple.Create(" id=\"", 3711), Tuple.Create("\"", 3759)
385
386 #line 93 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
387 , Tuple.Create(Tuple.Create("", 3716), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Address2", addressType)
388
389 #line default
390 #line hidden
391 , 3716), false)
392 );
393
394 WriteLiteralTo(__razor_helper_writer, ">\r\n </div>\r\n\r\n </div>\r\n\r\n </div> ");
395
396 WriteLiteralTo(__razor_helper_writer, "<!-- grouptwo -->\r\n");
397
398
399 #line 99 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
400
401
402
403 #line default
404 #line hidden
405 WriteLiteralTo(__razor_helper_writer, " <div");
406
407 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo grouptwo-medium\"");
408
409 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
410
411 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo-content\"");
412
413 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
414
415 WriteLiteralTo(__razor_helper_writer, " class=\"field\"");
416
417 WriteLiteralTo(__razor_helper_writer, ">\r\n <label");
418
419 WriteAttributeTo(__razor_helper_writer, "for", Tuple.Create(" for=\"", 3978), Tuple.Create("\"", 4023)
420
421 #line 105 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
422 , Tuple.Create(Tuple.Create("", 3984), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Town", addressType)
423
424 #line default
425 #line hidden
426 , 3984), false)
427 );
428
429 WriteLiteralTo(__razor_helper_writer, ">Town <span");
430
431 WriteLiteralTo(__razor_helper_writer, " class=\"field-required\"");
432
433 WriteLiteralTo(__razor_helper_writer, "><strong>*</strong></span></label>\r\n <input");
434
435 WriteLiteralTo(__razor_helper_writer, " type=\"text\"");
436
437 WriteAttributeTo(__razor_helper_writer, "name", Tuple.Create(" name=\"", 4128), Tuple.Create("\"", 4174)
438
439 #line 106 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
440 , Tuple.Create(Tuple.Create("", 4135), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Town", addressType)
441
442 #line default
443 #line hidden
444 , 4135), false)
445 );
446
447 WriteLiteralTo(__razor_helper_writer, " required");
448
449 WriteAttributeTo(__razor_helper_writer, "value", Tuple.Create(" value=\"", 4184), Tuple.Create("\"", 4219)
450
451 #line 106 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
452 , Tuple.Create(Tuple.Create("", 4192), Tuple.Create<System.Object, System.Int32>(town != null ? town : ""
453
454 #line default
455 #line hidden
456 , 4192), false)
457 );
458
459 WriteAttributeTo(__razor_helper_writer, "id", Tuple.Create(" id=\"", 4220), Tuple.Create("\"", 4264)
460
461 #line 106 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
462 , Tuple.Create(Tuple.Create("", 4225), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_Town", addressType)
463
464 #line default
465 #line hidden
466 , 4225), false)
467 );
468
469 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n ");
470
471 WriteLiteralTo(__razor_helper_writer, "\r\n </div>\r\n\r\n </div>\r\n\r\n <div");
472
473 WriteLiteralTo(__razor_helper_writer, " class=\"grouptwo-content\"");
474
475 WriteLiteralTo(__razor_helper_writer, ">\r\n\r\n <div");
476
477 WriteLiteralTo(__razor_helper_writer, " class=\"field\"");
478
479 WriteLiteralTo(__razor_helper_writer, ">\r\n <label");
480
481 WriteAttributeTo(__razor_helper_writer, "for", Tuple.Create(" for=\"", 4772), Tuple.Create("\"", 4819)
482
483 #line 118 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
484 , Tuple.Create(Tuple.Create("", 4778), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_County", addressType)
485
486 #line default
487 #line hidden
488 , 4778), false)
489 );
490
491 WriteLiteralTo(__razor_helper_writer, ">County</label>\r\n <input");
492
493 WriteLiteralTo(__razor_helper_writer, " type=\"text\"");
494
495 WriteAttributeTo(__razor_helper_writer, "name", Tuple.Create(" name=\"", 4871), Tuple.Create("\"", 4919)
496
497 #line 119 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
498 , Tuple.Create(Tuple.Create("", 4878), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_County", addressType)
499
500 #line default
501 #line hidden
502 , 4878), false)
503 );
504
505 WriteAttributeTo(__razor_helper_writer, "value", Tuple.Create(" value=\"", 4920), Tuple.Create("\"", 4959)
506
507 #line 119 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
508 , Tuple.Create(Tuple.Create("", 4928), Tuple.Create<System.Object, System.Int32>(county != null ? county : ""
509
510 #line default
511 #line hidden
512 , 4928), false)
513 );
514
515 WriteAttributeTo(__razor_helper_writer, "id", Tuple.Create(" id=\"", 4960), Tuple.Create("\"", 5006)
516
517 #line 119 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
518 , Tuple.Create(Tuple.Create("", 4965), Tuple.Create<System.Object, System.Int32>(string.Format("{0}_County", addressType)
519
520 #line default
521 #line hidden
522 , 4965), false)
523 );
524
525 WriteLiteralTo(__razor_helper_writer, ">\r\n </div>\r\n\r\n </div>\r\n\r\n </div> ");
526
527 WriteLiteralTo(__razor_helper_writer, "<!-- grouptwo -->\r\n");
528
529
530 #line 125 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
531
532
533
534
535 #line default
536 #line hidden
537 });
538
539 #line 127 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
540 }
541 #line default
542 #line hidden
543
544
545 public RazorEngine_528e833b471c4471b1d42c24b3098619() {
546 }
547
548 public override void Execute() {
549
550 #line 14 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
551
552 Layout = null;
553
554
555 #line default
556 #line hidden
557 WriteLiteral("\r\n\r\n");
558
559 WriteLiteral("\r\n\r\n");
560
561
562 #line 130 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
563
564 Dynamicweb.Frontend.PageView pageView = Dynamicweb.Frontend.PageView.Current();
565 Dynamicweb.Frontend.Page page = pageView.Page;
566 List<Dynamicweb.Content.Paragraph>
567 pageParagraphCollection = Dynamicweb.Content.Paragraph.GetParagraphsByPageID(page.ID).ToList();
568
569 Member member = new Member();
570 bool isActiveMember = false;
571 bool isNewMember = false;
572 string formStyle = string.Empty;
573 string btnStyle = string.Empty;
574 string token = string.Empty;
575 string test = string.Empty;
576
577
578 if (!string.IsNullOrEmpty(HttpContext.Current.Request.QueryString["newmember"]))
579 {
580 // Returning applicants to complete their DW Registration
581 // Test if there is a valid MembersProfileSession still available linked to their browser
582
583 member = SessionManager.MembersProfileSession;
584 Boolean.TryParse(HttpContext.Current.Request.QueryString["newmember"], out isNewMember);
585
586 if (member != null && !String.IsNullOrEmpty(member.MembershipNumber))
587 {
588 //isNewMember = true;
589 isActiveMember = true;
590 if (!isNewMember)
591 {
592 formStyle = "hide"; // set #applyStep1 display none
593 }
594 else
595 {
596 btnStyle = "hide";
597 }
598 }
599 else
600 {
601 // Use the QueryString["token"] value to try to lookup this applicant from Avante
602 token = HttpContext.Current.Request.QueryString["token"];
603 MedilinkWeb.Library.Methods.Membership.ManageMembership.GetMemberByEncryptedToken(token); // member session is set in the server side code
604
605 if (member != null && !String.IsNullOrEmpty(member.MembershipNumber))
606 {
607 member = MedilinkWeb.Library.Methods.Membership.ManageMembership.GetMembersDetails("P236434");
608 }
609
610
611
612 member = SessionManager.MembersProfileSession;
613
614 if (member != null && !String.IsNullOrEmpty(member.MembershipNumber))
615 {
616 //isNewMember = true;
617 isActiveMember = true;
618 if (!isNewMember)
619 {
620 formStyle = "hide"; // set #applyStep1 display none
621 }
622 else
623 {
624 btnStyle = "hide";
625 }
626
627 }
628 else
629 {
630 HttpContext.Current.Response.Redirect("/Register?newmember=" + isNewMember, false);
631 HttpContext.Current.ApplicationInstance.CompleteRequest();
632 }
633
634 test = member.MembershipNumber == null ? "Null Membership number - No session available!" : "Session available: " + member.MembershipNumber;
635 }
636 }
637
638 test += member.MembershipNumber == null ? "Null Membership number - No session available!" : "Session available: " + member.MembershipNumber;
639 // Use the QueryString["token"] value to try to lookup this applicant from Avante
640 token = HttpContext.Current.Request.QueryString["token"];
641
642
643 #line default
644 #line hidden
645 WriteLiteral("\r\n\r\n<script");
646
647 WriteLiteral(" src=\"/Files/Templates/Designs/MedilinkCore/scripts/FormValidation.js\"");
648
649 WriteLiteral("></script>\r\n<script");
650
651 WriteLiteral(" src=\"/Files/Templates/Designs/MedilinkCore/scripts/MyAccount.js\"");
652
653 WriteLiteral("></script>\r\n<script");
654
655 WriteLiteral(" src=\"/Files/Templates/Designs/MedilinkCore/scripts/PrescriptionSelection.js\"");
656
657 WriteLiteral("></script>\r\n\r\n<style");
658
659 WriteLiteral(" type=\"text/css\"");
660
661 WriteLiteral(">\r\n #applyStep2,\r\n #applyStep3,\r\n #applyStep4 {\r\n display: none;\r" +
662 "\n }\r\n /*#applyStep1,\r\n #applyStep2,\r\n #applyStep4 {\r\n display" +
663 ": none;\r\n }*/\r\n</style>\r\n\r\n<!--RegisterApplication.cshtml Paragraph-->\r\n<!--<" +
664 "p>Token: ");
665
666
667 #line 228 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
668 Write(token);
669
670
671 #line default
672 #line hidden
673 WriteLiteral(" || Membership Number: ");
674
675
676 #line 228 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
677 Write(test);
678
679
680 #line default
681 #line hidden
682 WriteLiteral(" <br /> Member Name: ");
683
684
685 #line 228 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
686 Write(member.FullName);
687
688
689 #line default
690 #line hidden
691 WriteLiteral(" </p>-->\r\n<div");
692
693 WriteLiteral(" class=\"generalcontent\"");
694
695 WriteLiteral(">\r\n <form");
696
697 WriteLiteral(" role=\"form\"");
698
699 WriteLiteral(" method=\"post\"");
700
701 WriteLiteral(" action=\"\"");
702
703 WriteLiteral(" id=\"applicationForm\"");
704
705 WriteLiteral(" name=\"frmManageMembership\"");
706
707 WriteLiteral(">\r\n\r\n");
708
709
710 #line 232 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
711
712
713 #line default
714 #line hidden
715
716 #line 232 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
717 if (isActiveMember)
718 {
719
720
721 #line default
722 #line hidden
723 WriteLiteral(" <div");
724
725 WriteLiteral(" class=\"major-minor\"");
726
727 WriteLiteral(" id=\"registerUserName\"");
728
729 WriteLiteral(">\r\n\r\n <div");
730
731 WriteLiteral(" class=\"majorminor-medium\"");
732
733 WriteLiteral(">\r\n\r\n <div");
734
735 WriteLiteral(" class=\"majorminor-medium\"");
736
737 WriteLiteral(">\r\n\r\n <div");
738
739 WriteLiteral(" id=\"signupDwContentPage\"");
740
741 WriteLiteral(" class=\"generalcontent\"");
742
743 WriteLiteral(">\r\n\r\n");
744
745
746 #line 242 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
747
748
749 #line default
750 #line hidden
751
752 #line 242 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
753 if (!isNewMember)
754 {
755
756
757 #line default
758 #line hidden
759
760 #line 244 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
761 Write(pageParagraphCollection.Where(m => m.Header == "Dynamicweb Signup Existing Avante Member").Select(n => n.Text).FirstOrDefault());
762
763
764 #line default
765 #line hidden
766
767 #line 244 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
768
769 }
770 else
771 {
772
773
774 #line default
775 #line hidden
776
777 #line 248 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
778 Write(pageParagraphCollection.Where(m => m.Header == "Dynamicweb Signup").Select(n => n.Text).FirstOrDefault());
779
780
781 #line default
782 #line hidden
783
784 #line 248 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
785
786 }
787
788
789 #line default
790 #line hidden
791 WriteLiteral("\r\n </div> <!-- generalcontent -->\r\n </d" +
792 "iv> <!-- majorminor-major -->\r\n </div> <!-- majorminor -->\r\n\r\n " +
793 " <fieldset>\r\n\r\n <div");
794
795 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
796
797 WriteLiteral(">\r\n\r\n <div");
798
799 WriteLiteral(" class=\"grouptwo-content\"");
800
801 WriteLiteral(">\r\n\r\n <div");
802
803 WriteLiteral(" class=\"form-group field\"");
804
805 WriteLiteral(">\r\n\r\n <label");
806
807 WriteLiteral(" for=\"LoginUsername\"");
808
809 WriteLiteral(">Username <span");
810
811 WriteLiteral(" class=\"field-required\"");
812
813 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
814
815 WriteLiteral(" type=\"text\"");
816
817 WriteLiteral(" id=\"LoginUsername\"");
818
819 WriteLiteral(" name=\"LoginUsername\"");
820
821 WriteLiteral(" value=\"\"");
822
823 WriteLiteral(" required");
824
825 WriteLiteral(" maxlength=\"50\"");
826
827 WriteLiteral(" autocomplete=\"off\"");
828
829 WriteLiteral(" />\r\n <label");
830
831 WriteLiteral(" class=\"error\"");
832
833 WriteLiteral(" id=\"errorCheckUsername\"");
834
835 WriteLiteral(" for=\"LoginUsername\"");
836
837 WriteLiteral(" style=\"display: none;\"");
838
839 WriteLiteral("></label>\r\n <i");
840
841 WriteLiteral(" class=\"small\"");
842
843 WriteLiteral(" style=\"font-size: 12px;\"");
844
845 WriteLiteral(">This will be your username for logging in</i>\r\n </div" +
846 ">\r\n\r\n <div");
847
848 WriteLiteral(" class=\"form-group field\"");
849
850 WriteLiteral(">\r\n\r\n <label");
851
852 WriteLiteral(" for=\"LoginPassword\"");
853
854 WriteLiteral(">Password <span");
855
856 WriteLiteral(" class=\"field-required\"");
857
858 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
859
860 WriteLiteral(" type=\"password\"");
861
862 WriteLiteral(" name=\"LoginPassword\"");
863
864 WriteLiteral(" id=\"LoginPassword\"");
865
866 WriteLiteral(" required");
867
868 WriteLiteral(" maxlength=\"50\"");
869
870 WriteLiteral(" value=\"\"");
871
872 WriteLiteral(" autocomplete=\"off\"");
873
874 WriteLiteral(" />\r\n <i");
875
876 WriteLiteral(" class=\"small\"");
877
878 WriteLiteral(" style=\"font-size: 12px;\"");
879
880 WriteLiteral(">Password must contain at least eight characters, at least one number and both lo" +
881 "wer and uppercase letters</i>\r\n\r\n </div>\r\n\r\n " +
882 " <div");
883
884 WriteLiteral(" class=\"form-group field\"");
885
886 WriteLiteral(">\r\n\r\n <label");
887
888 WriteLiteral(" for=\"ConfirmPassword\"");
889
890 WriteLiteral(">Confirm your Password <span");
891
892 WriteLiteral(" class=\"field-required\"");
893
894 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
895
896 WriteLiteral(" name=\"ConfirmPassword\"");
897
898 WriteLiteral(" id=\"ConfirmPassword\"");
899
900 WriteLiteral(" type=\"password\"");
901
902 WriteLiteral(" required");
903
904 WriteLiteral(" maxlength=\"50\"");
905
906 WriteLiteral(" value=\"\"");
907
908 WriteLiteral(" autocomplete=\"off\"");
909
910 WriteLiteral(">\r\n\r\n </div>\r\n\r\n </div>\r\n " +
911 " <input");
912
913 WriteLiteral(" type=\"hidden\"");
914
915 WriteLiteral(" id=\"MembershipNumber\"");
916
917 WriteLiteral(" name=\"MembershipNumber\"");
918
919 WriteAttribute("value", Tuple.Create(" value=\"", 11792), Tuple.Create("\"", 11824)
920
921 #line 285 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
922 , Tuple.Create(Tuple.Create("", 11800), Tuple.Create<System.Object, System.Int32>(member.MembershipNumber
923
924 #line default
925 #line hidden
926 , 11800), false)
927 );
928
929 WriteLiteral(" />\r\n </div> <!-- grouptwo -->\r\n\r\n </fieldset>\r" +
930 "\n\r\n\r\n <p");
931
932 WriteAttribute("class", Tuple.Create(" class=\"", 11929), Tuple.Create("\"", 11968)
933 , Tuple.Create(Tuple.Create("", 11937), Tuple.Create("btn", 11937), true)
934 , Tuple.Create(Tuple.Create(" ", 11940), Tuple.Create("blue-white", 11941), true)
935 , Tuple.Create(Tuple.Create(" ", 11951), Tuple.Create("submit", 11952), true)
936
937 #line 291 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
938 , Tuple.Create(Tuple.Create(" ", 11958), Tuple.Create<System.Object, System.Int32>(btnStyle
939
940 #line default
941 #line hidden
942 , 11959), false)
943 );
944
945 WriteLiteral("><input");
946
947 WriteLiteral(" type=\"submit\"");
948
949 WriteLiteral(" value=\"submit\"");
950
951 WriteLiteral("><span");
952
953 WriteLiteral(" class=\"errorSummary\"");
954
955 WriteLiteral(" style=\"color: rgb(193 44 50); display: none;\"");
956
957 WriteLiteral("></span></p>\r\n\r\n </div>\r\n");
958
959
960 #line 294 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
961 }
962
963
964 #line default
965 #line hidden
966 WriteLiteral("\r\n <div");
967
968 WriteAttribute("class", Tuple.Create(" class=\"", 12139), Tuple.Create("\"", 12169)
969 , Tuple.Create(Tuple.Create("", 12147), Tuple.Create("major-minor", 12147), true)
970
971 #line 296 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
972 , Tuple.Create(Tuple.Create(" ", 12158), Tuple.Create<System.Object, System.Int32>(formStyle
973
974 #line default
975 #line hidden
976 , 12159), false)
977 );
978
979 WriteLiteral(" id=\"applyStep1\"");
980
981 WriteLiteral(">\r\n\r\n");
982
983
984 #line 298 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
985
986
987 #line default
988 #line hidden
989
990 #line 298 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
991 if (!isActiveMember)
992 {
993
994
995 #line default
996 #line hidden
997 WriteLiteral(" <div");
998
999 WriteLiteral(" class=\"majorminor majorminor-medium\"");
1000
1001 WriteLiteral(">\r\n\r\n <div");
1002
1003 WriteLiteral(" class=\"majorminor-medium\"");
1004
1005 WriteLiteral(">\r\n\r\n <div");
1006
1007 WriteLiteral(" id=\"registerapplicationContentPage1\"");
1008
1009 WriteLiteral(" class=\"generalcontent\"");
1010
1011 WriteLiteral(">\r\n\r\n");
1012
1013 WriteLiteral(" ");
1014
1015
1016 #line 306 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1017 Write(pageParagraphCollection.Where(m => m.Header == "Application Form").Select(n => n.Text).FirstOrDefault());
1018
1019
1020 #line default
1021 #line hidden
1022 WriteLiteral("\r\n\r\n </div> <!-- generalcontent -->\r\n <" +
1023 "/div> <!-- majorminor-major -->\r\n </div> ");
1024
1025 WriteLiteral("<!-- majorminor -->\r\n");
1026
1027
1028 #line 311 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1029 }
1030
1031
1032 #line default
1033 #line hidden
1034 WriteLiteral("\r\n <fieldset>\r\n\r\n <div");
1035
1036 WriteLiteral(" class=\"placeholder-progress\"");
1037
1038 WriteLiteral("><img");
1039
1040 WriteLiteral(" src=\"/Files/Templates/Designs/MedilinkCore/res/img/placeholders/registration/pro" +
1041 "gress-step-1.png\"");
1042
1043 WriteLiteral(" alt=\"Registration current progress Step 1\"");
1044
1045 WriteLiteral("></div>\r\n\r\n <h3>About You</h3>\r\n\r\n <div");
1046
1047 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
1048
1049 WriteLiteral(">\r\n\r\n <div");
1050
1051 WriteLiteral(" class=\"grouptwo-content\"");
1052
1053 WriteLiteral(">\r\n\r\n <div");
1054
1055 WriteLiteral(" class=\"form-group field\"");
1056
1057 WriteLiteral(">\r\n\r\n <label");
1058
1059 WriteLiteral(" for=\"sRegisterTitle\"");
1060
1061 WriteLiteral(">Title <span");
1062
1063 WriteLiteral(" class=\"field-required\"");
1064
1065 WriteLiteral("><strong>*</strong></span></label>\r\n <select");
1066
1067 WriteLiteral(" name=\"Title\"");
1068
1069 WriteLiteral(" id=\"sRegisterTitle\"");
1070
1071 WriteLiteral(" required");
1072
1073 WriteLiteral(" style=\"width: 120px;\"");
1074
1075 WriteLiteral(">\r\n <option ");
1076
1077
1078 #line 327 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1079 Write(member.Title == "" ? " selected" : "");
1080
1081
1082 #line default
1083 #line hidden
1084 WriteLiteral(" value=\"\">Select</option>\r\n <option ");
1085
1086
1087 #line 328 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1088 Write(member.Title == "Mr." || member.Title == "Mr" ? " selected" : "");
1089
1090
1091 #line default
1092 #line hidden
1093 WriteLiteral(" value=\"Mr.\">Mr.</option>\r\n <option ");
1094
1095
1096 #line 329 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1097 Write(member.Title == "Mrs." || member.Title == "Mrs" ? " selected" : "");
1098
1099
1100 #line default
1101 #line hidden
1102 WriteLiteral(" value=\"Mrs.\">Mrs.</option>\r\n <option ");
1103
1104
1105 #line 330 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1106 Write(member.Title == "Miss" || member.Title == "Miss" ? " selected" : "");
1107
1108
1109 #line default
1110 #line hidden
1111 WriteLiteral(" value=\"Miss\">Miss</option>\r\n <option ");
1112
1113
1114 #line 331 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1115 Write(member.Title == "Ms." || member.Title == "Ms" ? " selected" : "");
1116
1117
1118 #line default
1119 #line hidden
1120 WriteLiteral(" value=\"Ms.\">Ms.</option>\r\n </select>\r\n\r\n " +
1121 " </div>\r\n\r\n <div");
1122
1123 WriteLiteral(" class=\"form-group field\"");
1124
1125 WriteLiteral(">\r\n\r\n <label");
1126
1127 WriteLiteral(" for=\"tbRegisterFirstName\"");
1128
1129 WriteLiteral(">First Name <span");
1130
1131 WriteLiteral(" class=\"field-required\"");
1132
1133 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
1134
1135 WriteLiteral(" name=\"FirstName\"");
1136
1137 WriteLiteral(" type=\"text\"");
1138
1139 WriteLiteral(" required");
1140
1141 WriteLiteral(" maxlength=\"50\"");
1142
1143 WriteAttribute("value", Tuple.Create(" value=\"", 14434), Tuple.Create("\"", 14493)
1144
1145 #line 339 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1146 , Tuple.Create(Tuple.Create("", 14442), Tuple.Create<System.Object, System.Int32>(member.FirstName != null ? member.FirstName : ""
1147
1148 #line default
1149 #line hidden
1150 , 14442), false)
1151 );
1152
1153 WriteLiteral(" id=\"tbRegisterFirstName\"");
1154
1155 WriteLiteral(">\r\n\r\n </div>\r\n\r\n <div");
1156
1157 WriteLiteral(" class=\"form-group field\"");
1158
1159 WriteLiteral(">\r\n\r\n <label");
1160
1161 WriteLiteral(" for=\"tbRegisterLastName\"");
1162
1163 WriteLiteral(">Last Name <span");
1164
1165 WriteLiteral(" class=\"field-required\"");
1166
1167 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
1168
1169 WriteLiteral(" name=\"LastName\"");
1170
1171 WriteLiteral(" type=\"text\"");
1172
1173 WriteLiteral(" required");
1174
1175 WriteLiteral(" maxlength=\"50\"");
1176
1177 WriteAttribute("value", Tuple.Create(" value=\"", 14836), Tuple.Create("\"", 14893)
1178
1179 #line 346 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1180 , Tuple.Create(Tuple.Create("", 14844), Tuple.Create<System.Object, System.Int32>(member.LastName != null ? member.LastName : ""
1181
1182 #line default
1183 #line hidden
1184 , 14844), false)
1185 );
1186
1187 WriteLiteral(" id=\"tbRegisterLastName\"");
1188
1189 WriteLiteral(">\r\n\r\n </div>\r\n\r\n </div>\r\n\r\n " +
1190 " <div");
1191
1192 WriteLiteral(" class=\"grouptwo-content\"");
1193
1194 WriteLiteral(">\r\n\r\n <div");
1195
1196 WriteLiteral(" class=\"form-group field\"");
1197
1198 WriteLiteral(">\r\n\r\n <label>Date of Birth<span");
1199
1200 WriteLiteral(" class=\"field-required\"");
1201
1202 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
1203
1204 WriteLiteral(" name=\"BirthDateString\"");
1205
1206 WriteLiteral(" type=\"date\"");
1207
1208 WriteLiteral(" required");
1209
1210 WriteLiteral(" id=\"BirthdateDatepicker\"");
1211
1212 WriteLiteral(" class=\"medilink-datepicker\"");
1213
1214 WriteAttribute("value", Tuple.Create(" value=\"", 15342), Tuple.Create("\"", 15483)
1215
1216 #line 357 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1217 , Tuple.Create(Tuple.Create("", 15350), Tuple.Create<System.Object, System.Int32>(member.DateOfBirth.HasValue && member.DateOfBirth.Value > DateTime.MinValue ? member.DateOfBirth.Value.ToString("yyyy-MM-dd") : ""
1218
1219 #line default
1220 #line hidden
1221 , 15350), false)
1222 );
1223
1224 WriteLiteral(" min=\"1917-01-01\"");
1225
1226 WriteLiteral(" max=\"2021-02-09\"");
1227
1228 WriteLiteral(">\r\n\r\n <p");
1229
1230 WriteLiteral(" name=\"testdateformat\"");
1231
1232 WriteLiteral(">");
1233
1234
1235 #line 359 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1236 Write(member.DateOfBirth.HasValue && member.DateOfBirth.Value > DateTime.MinValue ? member.DateOfBirth.Value.ToString("yyyy-MM-dd") : "");
1237
1238
1239 #line default
1240 #line hidden
1241 WriteLiteral("</p>\r\n <p");
1242
1243 WriteLiteral(" name=\"testdateformat\"");
1244
1245 WriteLiteral(">");
1246
1247
1248 #line 360 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1249 Write(member.DateOfBirth.HasValue && member.DateOfBirth.Value > DateTime.MinValue ? member.DateOfBirth.Value.ToLongDateString() : "");
1250
1251
1252 #line default
1253 #line hidden
1254 WriteLiteral("</p>\r\n </div>\r\n\r\n </div>\r\n\r\n " +
1255 " </div> <!-- grouptwo -->\r\n </fieldset>\r\n\r\n <div");
1256
1257 WriteLiteral(" class=\"l-content feature-divider-rule\"");
1258
1259 WriteLiteral(" style=\"margin-bottom: 32px;margin-top:0px;\"");
1260
1261 WriteLiteral("> </div>\r\n\r\n\r\n <fieldset>\r\n\r\n <h3>Contact Details<" +
1262 "/h3>\r\n\r\n");
1263
1264 WriteLiteral(" ");
1265
1266
1267 #line 375 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1268 Write(GetAddressLookup("Registered", member.RegisteredAddress));
1269
1270
1271 #line default
1272 #line hidden
1273 WriteLiteral("\r\n\r\n <div");
1274
1275 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
1276
1277 WriteLiteral(">\r\n\r\n <div");
1278
1279 WriteLiteral(" class=\"grouptwo-content\"");
1280
1281 WriteLiteral(">\r\n\r\n <div");
1282
1283 WriteLiteral(" class=\"form-group field\"");
1284
1285 WriteLiteral(">\r\n <label");
1286
1287 WriteLiteral(" for=\"register_tel_home\"");
1288
1289 WriteLiteral(">Contact Phone Number <span");
1290
1291 WriteLiteral(" class=\"field-required\"");
1292
1293 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
1294
1295 WriteLiteral(" name=\"HomePhone\"");
1296
1297 WriteLiteral(" type=\"tel\"");
1298
1299 WriteLiteral(" required");
1300
1301 WriteLiteral(" id=\"tbRegister_Tel_Home\"");
1302
1303 WriteLiteral(" class=\"phoneValidation\"");
1304
1305 WriteAttribute("value", Tuple.Create(" value=\"", 16733), Tuple.Create("\"", 16792)
1306
1307 #line 383 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1308 , Tuple.Create(Tuple.Create("", 16741), Tuple.Create<System.Object, System.Int32>(member.HomePhone != null ? member.HomePhone : ""
1309
1310 #line default
1311 #line hidden
1312 , 16741), false)
1313 );
1314
1315 WriteLiteral(" placeholder=\"This can be either your mobile or your landline\"");
1316
1317 WriteLiteral(">\r\n </div>\r\n\r\n </div>\r\n\r\n " +
1318 " <div");
1319
1320 WriteLiteral(" class=\"grouptwo-content\"");
1321
1322 WriteLiteral(">\r\n\r\n <div");
1323
1324 WriteLiteral(" class=\"form-group field\"");
1325
1326 WriteLiteral(">\r\n <label");
1327
1328 WriteLiteral(" for=\"register_tel_mobile\"");
1329
1330 WriteLiteral(">Secondary Phone Number</label>\r\n <input");
1331
1332 WriteLiteral(" name=\"MobilePhone\"");
1333
1334 WriteLiteral(" type=\"tel\"");
1335
1336 WriteLiteral(" class=\"phoneValidation\"");
1337
1338 WriteAttribute("value", Tuple.Create(" value=\"", 17213), Tuple.Create("\"", 17276)
1339
1340 #line 392 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1341 , Tuple.Create(Tuple.Create("", 17221), Tuple.Create<System.Object, System.Int32>(member.MobilePhone != null ? member.MobilePhone : ""
1342
1343 #line default
1344 #line hidden
1345 , 17221), false)
1346 );
1347
1348 WriteLiteral(" id=\"tbRegister_Tel_Mobile\"");
1349
1350 WriteLiteral(">\r\n </div>\r\n\r\n </div>\r\n\r\n " +
1351 " </div> <!-- grouptwo -->\r\n <div");
1352
1353 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
1354
1355 WriteLiteral(">\r\n <div");
1356
1357 WriteLiteral(" class=\"grouptwo-content\"");
1358
1359 WriteLiteral(">\r\n <div");
1360
1361 WriteLiteral(" class=\"form-group field\"");
1362
1363 WriteLiteral(">\r\n <label");
1364
1365 WriteLiteral(" for=\"tbRegister_EmailAddress\"");
1366
1367 WriteLiteral(">E-Mail Address <span");
1368
1369 WriteLiteral(" class=\"field-required\"");
1370
1371 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
1372
1373 WriteLiteral(" name=\"EmailAddress\"");
1374
1375 WriteLiteral(" type=\"email\"");
1376
1377 WriteLiteral(" required");
1378
1379 WriteAttribute("value", Tuple.Create(" value=\"", 17797), Tuple.Create("\"", 17862)
1380
1381 #line 402 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1382 , Tuple.Create(Tuple.Create("", 17805), Tuple.Create<System.Object, System.Int32>(member.EmailAddress != null ? member.EmailAddress : ""
1383
1384 #line default
1385 #line hidden
1386 , 17805), false)
1387 );
1388
1389 WriteLiteral(" id=\"tbRegister_EmailAddress\"");
1390
1391 WriteLiteral(">\r\n </div>\r\n </div>\r\n " +
1392 " <div");
1393
1394 WriteLiteral(" class=\"grouptwo-content\"");
1395
1396 WriteLiteral(">\r\n <div");
1397
1398 WriteLiteral(" class=\"form-group field\"");
1399
1400 WriteLiteral(">\r\n <label");
1401
1402 WriteLiteral(" for=\"tbConfirmEmail\"");
1403
1404 WriteLiteral(">Confirm your Email <span");
1405
1406 WriteLiteral(" class=\"field-required\"");
1407
1408 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
1409
1410 WriteLiteral(" name=\"tbConfirmEmail\"");
1411
1412 WriteLiteral(" type=\"email\"");
1413
1414 WriteLiteral(" required");
1415
1416 WriteAttribute("value", Tuple.Create(" value=\"", 18280), Tuple.Create("\"", 18345)
1417
1418 #line 408 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1419 , Tuple.Create(Tuple.Create("", 18288), Tuple.Create<System.Object, System.Int32>(member.EmailAddress != null ? member.EmailAddress : ""
1420
1421 #line default
1422 #line hidden
1423 , 18288), false)
1424 );
1425
1426 WriteLiteral(" id=\"tbConfirmEmail\"");
1427
1428 WriteLiteral(" autocomplete=\"off\"");
1429
1430 WriteLiteral(">\r\n </div>\r\n </div>\r\n </" +
1431 "div>\r\n </fieldset>\r\n\r\n <div");
1432
1433 WriteLiteral(" class=\"l-content feature-divider-rule\"");
1434
1435 WriteLiteral(" style=\"margin-bottom: 32px;margin-top:0px;\"");
1436
1437 WriteLiteral("> </div>\r\n\r\n <fieldset>\r\n <div");
1438
1439 WriteLiteral(" class=\"form-group field\"");
1440
1441 WriteLiteral(">\r\n <ul");
1442
1443 WriteLiteral(" id=\"chkListMarketingMethods\"");
1444
1445 WriteLiteral(" class=\"field-group\"");
1446
1447 WriteLiteral(">\r\n <li><input");
1448
1449 WriteLiteral(" name=\"MarketingMethods\"");
1450
1451 WriteLiteral(" type=\"checkbox\"");
1452
1453 WriteLiteral(" id=\"register_contact_email\"");
1454
1455 WriteLiteral(" ");
1456
1457
1458 #line 419 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1459 Write((member.MarketingMethods != null) && (member.MarketingMethods.Contains("Marketing Email")) ? "checked" : "");
1460
1461
1462 #line default
1463 #line hidden
1464 WriteLiteral(" value=\"Marketing Email\"><label");
1465
1466 WriteLiteral(" for=\"register_contact_email\"");
1467
1468 WriteLiteral(">Tick here if you would like to receive the latest news and updates from Medilink" +
1469 " by post or email.</label></li>\r\n <li><input");
1470
1471 WriteLiteral(" name=\"AcceptedTnCs\"");
1472
1473 WriteLiteral(" type=\"checkbox\"");
1474
1475 WriteLiteral(" required");
1476
1477 WriteLiteral(" id=\"chkRegister_Terms\"");
1478
1479 WriteLiteral(" ");
1480
1481
1482 #line 420 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1483 Write((member.AcceptedTnCs != null) && (member.AcceptedTnCs) ? "checked" : "");
1484
1485
1486 #line default
1487 #line hidden
1488 WriteLiteral(" style=\"float:left;\"><label");
1489
1490 WriteLiteral(" for=\"register_terms\"");
1491
1492 WriteLiteral(">I have read and accept the Medilink <a");
1493
1494 WriteLiteral(" href=\"/Legals/Legal\"");
1495
1496 WriteLiteral(" target=\"_blank\"");
1497
1498 WriteLiteral(">Terms & Conditions</a> <span");
1499
1500 WriteLiteral(" class=\"field-required\"");
1501
1502 WriteLiteral("><strong>*</strong></span></label></li>\r\n </ul>\r\n " +
1503 " </div>\r\n </fieldset>\r\n\r\n <p");
1504
1505 WriteLiteral(" class=\"btn blue-white next\"");
1506
1507 WriteLiteral("><a>Next</a> <span");
1508
1509 WriteLiteral(" class=\"errorSummary\"");
1510
1511 WriteLiteral(" style=\"color: rgb(193 44 50); display: none;\"");
1512
1513 WriteLiteral(@"></span></p>
1514
1515 <!--<input type=""image"" class=""button next""
1516 data-nosvg=""/Files/Templates/Designs/MedilinkCore/res/img/buttons/next.png"" src=""/Files/Templates/Designs/MedilinkCore/res/img/buttons/next.png""
1517 alt=""Next"" style=""border-width:0px;"">-->
1518 </div>
1519
1520 <div");
1521
1522 WriteLiteral(" class=\"major-minor\"");
1523
1524 WriteLiteral(" id=\"applyStep2\"");
1525
1526 WriteLiteral(">\r\n\r\n <div");
1527
1528 WriteLiteral(" class=\"majorminor majorminor-medium\"");
1529
1530 WriteLiteral(">\r\n\r\n <div");
1531
1532 WriteLiteral(" class=\"majorminor-medium\"");
1533
1534 WriteLiteral(">\r\n\r\n <div");
1535
1536 WriteLiteral(" id=\"registerapplicationContentPage2\"");
1537
1538 WriteLiteral(" class=\"generalcontent\"");
1539
1540 WriteLiteral(">\r\n\r\n");
1541
1542 WriteLiteral(" ");
1543
1544
1545 #line 440 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1546 Write(pageParagraphCollection.Where(m => m.Header == "Application Form Page 2").Select(n => n.Text).FirstOrDefault());
1547
1548
1549 #line default
1550 #line hidden
1551 WriteLiteral("\r\n\r\n </div> <!-- generalcontent -->\r\n </div> <!" +
1552 "-- majorminor-major -->\r\n </div> <!-- majorminor -->\r\n <di" +
1553 "v");
1554
1555 WriteLiteral(" class=\"major-major\"");
1556
1557 WriteLiteral(">\r\n\r\n <fieldset>\r\n\r\n <div");
1558
1559 WriteLiteral(" class=\"placeholder-progress\"");
1560
1561 WriteLiteral("><img");
1562
1563 WriteLiteral(" src=\"/Files/Templates/Designs/MedilinkCore/res/img/placeholders/registration/pro" +
1564 "gress-step-2.png\"");
1565
1566 WriteLiteral(" alt=\"Registration current progress Step 2\"");
1567
1568 WriteLiteral("></div>\r\n\r\n <h3>About Your GP</h3>\r\n\r\n <div" +
1569 "");
1570
1571 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
1572
1573 WriteLiteral(">\r\n\r\n <div");
1574
1575 WriteLiteral(" class=\"grouptwo-content\"");
1576
1577 WriteLiteral(">\r\n\r\n <div");
1578
1579 WriteLiteral(" class=\"form-group field\"");
1580
1581 WriteLiteral(">\r\n <label");
1582
1583 WriteLiteral(" for=\"register_gp_name\"");
1584
1585 WriteLiteral(">GP Surgery <span");
1586
1587 WriteLiteral(" class=\"field-required\"");
1588
1589 WriteLiteral("><strong>*</strong></span></label>\r\n <input");
1590
1591 WriteLiteral(" name=\"GPName\"");
1592
1593 WriteLiteral(" type=\"text\"");
1594
1595 WriteLiteral(" required");
1596
1597 WriteAttribute("value", Tuple.Create(" value=\"", 21304), Tuple.Create("\"", 21357)
1598
1599 #line 459 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1600 , Tuple.Create(Tuple.Create("", 21312), Tuple.Create<System.Object, System.Int32>(member.GPName != null ? member.GPName : ""
1601
1602 #line default
1603 #line hidden
1604 , 21312), false)
1605 );
1606
1607 WriteLiteral(" id=\"tbRegisterGp_Name\"");
1608
1609 WriteLiteral(">\r\n </div>\r\n </div>\r\n\r\n " +
1610 " </div> <!-- grouptwo -->\r\n </fieldset>\r\n\r\n " +
1611 " <div");
1612
1613 WriteLiteral(" class=\"l-content feature-divider-rule\"");
1614
1615 WriteLiteral(" style=\"margin-bottom: 32px;margin-top:0px;\"");
1616
1617 WriteLiteral("> </div>\r\n\r\n <fieldset>\r\n\r\n <h3>GP Contact" +
1618 " Details</h3>\r\n\r\n");
1619
1620 WriteLiteral(" ");
1621
1622
1623 #line 472 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1624 Write(GetAddressLookup("GP", member.GPAddress));
1625
1626
1627 #line default
1628 #line hidden
1629 WriteLiteral("\r\n\r\n <div");
1630
1631 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
1632
1633 WriteLiteral(">\r\n\r\n <div");
1634
1635 WriteLiteral(" class=\"grouptwo-content\"");
1636
1637 WriteLiteral(">\r\n\r\n <div");
1638
1639 WriteLiteral(" class=\"form-group field\"");
1640
1641 WriteLiteral(">\r\n <label");
1642
1643 WriteLiteral(" for=\"tbRegisterGp_tel\"");
1644
1645 WriteLiteral(">Telephone <span");
1646
1647 WriteLiteral(" class=\"field-required\"");
1648
1649 WriteLiteral("></span></label>\r\n <input");
1650
1651 WriteLiteral(" name=\"GPPhone\"");
1652
1653 WriteLiteral(" type=\"tel\"");
1654
1655 WriteLiteral(" id=\"tbRegisterGp_tel\"");
1656
1657 WriteLiteral(" class=\"phoneValidation\"");
1658
1659 WriteAttribute("value", Tuple.Create(" value=\"", 22205), Tuple.Create("\"", 22260)
1660
1661 #line 480 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1662 , Tuple.Create(Tuple.Create("", 22213), Tuple.Create<System.Object, System.Int32>(member.GPPhone != null ? member.GPPhone : ""
1663
1664 #line default
1665 #line hidden
1666 , 22213), false)
1667 );
1668
1669 WriteLiteral(" placeholder=\"Please include dialling code\"");
1670
1671 WriteLiteral(">\r\n </div>\r\n\r\n </div>\r\n\r\n " +
1672 " <div");
1673
1674 WriteLiteral(" class=\"grouptwo-content\"");
1675
1676 WriteLiteral(">\r\n\r\n <div");
1677
1678 WriteLiteral(" class=\"form-group field\"");
1679
1680 WriteLiteral(">\r\n\r\n <label");
1681
1682 WriteLiteral(" for=\"tbRegisterGp_fax\"");
1683
1684 WriteLiteral(">Fax</label>\r\n <input");
1685
1686 WriteLiteral(" name=\"GPFax\"");
1687
1688 WriteLiteral(" type=\"tel\"");
1689
1690 WriteLiteral(" id=\"tbRegisterGp_fax\"");
1691
1692 WriteAttribute("value", Tuple.Create(" value=\"", 22658), Tuple.Create("\"", 22709)
1693
1694 #line 490 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1695 , Tuple.Create(Tuple.Create("", 22666), Tuple.Create<System.Object, System.Int32>(member.GPFax != null ? member.GPFax : ""
1696
1697 #line default
1698 #line hidden
1699 , 22666), false)
1700 );
1701
1702 WriteLiteral(" placeholder=\"Please include dialling code\"");
1703
1704 WriteLiteral(">\r\n\r\n </div>\r\n\r\n </div>\r\n\r\n " +
1705 " </div> <!-- grouptwo -->\r\n </fieldset>\r\n\r\n " +
1706 " <div");
1707
1708 WriteLiteral(" class=\"l-content feature-divider-rule\"");
1709
1710 WriteLiteral(" style=\"margin-bottom: 32px;margin-top:0px;\"");
1711
1712 WriteLiteral("> </div>\r\n\r\n <fieldset>\r\n\r\n <h3>Please sel" +
1713 "ect the type of appliances you may need</h3>\r\n\r\n <div");
1714
1715 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
1716
1717 WriteLiteral(">\r\n\r\n <div");
1718
1719 WriteLiteral(" class=\"grouptwo-content\"");
1720
1721 WriteLiteral(">\r\n\r\n <div");
1722
1723 WriteLiteral(" class=\"form-group field\"");
1724
1725 WriteLiteral(">\r\n");
1726
1727
1728 #line 510 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1729
1730
1731 #line default
1732 #line hidden
1733
1734 #line 510 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1735
1736 string spData = member.SurgicalProcedureID != null ? string.Join(",", member.SurgicalProcedureID) : "No Data";
1737
1738
1739 #line default
1740 #line hidden
1741 WriteLiteral("\r\n ");
1742
1743 WriteLiteral("\r\n\r\n <label>Surgical Procedures<span");
1744
1745 WriteLiteral(" class=\"field-required\"");
1746
1747 WriteLiteral("> <strong>*</strong></span></label>\r\n\r\n <ul");
1748
1749 WriteLiteral(" style=\"list-style-type: none;\"");
1750
1751 WriteLiteral(" required");
1752
1753 WriteLiteral(" id=\"SurgicalProcedureID\"");
1754
1755 WriteLiteral(">\r\n <li><input");
1756
1757 WriteLiteral(" type=\"checkbox\"");
1758
1759 WriteLiteral(" name=\"SurgicalProcedures\"");
1760
1761 WriteLiteral(" ");
1762
1763
1764 #line 518 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1765 Write((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("1") ? "checked" : "");
1766
1767
1768 #line default
1769 #line hidden
1770 WriteLiteral(" value=\"1\"> Colostomy</li>\r\n <li><input");
1771
1772 WriteLiteral(" type=\"checkbox\"");
1773
1774 WriteLiteral(" name=\"SurgicalProcedures\"");
1775
1776 WriteLiteral(" ");
1777
1778
1779 #line 519 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1780 Write((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("2") ? "checked" : "");
1781
1782
1783 #line default
1784 #line hidden
1785 WriteLiteral(" value=\"2\"> Ileostomy</li>\r\n <li><input");
1786
1787 WriteLiteral(" type=\"checkbox\"");
1788
1789 WriteLiteral(" name=\"SurgicalProcedures\"");
1790
1791 WriteLiteral(" ");
1792
1793
1794 #line 520 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1795 Write((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("3") ? "checked" : "");
1796
1797
1798 #line default
1799 #line hidden
1800 WriteLiteral(" value=\"3\"> Urostomy</li>\r\n <li><input");
1801
1802 WriteLiteral(" type=\"checkbox\"");
1803
1804 WriteLiteral(" name=\"SurgicalProcedures\"");
1805
1806 WriteLiteral(" ");
1807
1808
1809 #line 521 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1810 Write((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("7") ? "checked" : "");
1811
1812
1813 #line default
1814 #line hidden
1815 WriteLiteral(" value=\"7\"> Internal Pouch</li>\r\n <li><input");
1816
1817 WriteLiteral(" type=\"checkbox\"");
1818
1819 WriteLiteral(" name=\"SurgicalProcedures\"");
1820
1821 WriteLiteral(" ");
1822
1823
1824 #line 522 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1825 Write((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("4") ? "checked" : "");
1826
1827
1828 #line default
1829 #line hidden
1830 WriteLiteral(" value=\"4\"> Incontinence</li>\r\n <li><input");
1831
1832 WriteLiteral(" type=\"checkbox\"");
1833
1834 WriteLiteral(" name=\"SurgicalProcedures\"");
1835
1836 WriteLiteral(" ");
1837
1838
1839 #line 523 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1840 Write((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("N") ? "checked" : "");
1841
1842
1843 #line default
1844 #line hidden
1845 WriteLiteral(" value=\"N\"> Nephrostomy</li>\r\n <li><input");
1846
1847 WriteLiteral(" type=\"checkbox\"");
1848
1849 WriteLiteral(" id=\"surgicalProcedureOther\"");
1850
1851 WriteLiteral(" name=\"SurgicalProcedures\"");
1852
1853 WriteLiteral(" ");
1854
1855
1856 #line 524 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1857 Write((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("O") ? "checked" : "");
1858
1859
1860 #line default
1861 #line hidden
1862 WriteLiteral(" value=\"O\"> Other</li>\r\n <li><input");
1863
1864 WriteLiteral(" type=\"checkbox\"");
1865
1866 WriteLiteral(" name=\"SurgicalProcedures\"");
1867
1868 WriteLiteral(" ");
1869
1870
1871 #line 525 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1872 Write((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("Unknown") ? "checked" : "");
1873
1874
1875 #line default
1876 #line hidden
1877 WriteLiteral(" value=\"Unknown\"> I don\'t know</li>\r\n\r\n </ul>\r\n " +
1878 " \r\n <div");
1879
1880 WriteLiteral(" id=\"OtherSurgicalProcedure\"");
1881
1882 WriteLiteral(" style=\"display:none\"");
1883
1884 WriteLiteral(">\r\n <label");
1885
1886 WriteLiteral(" for=\"selRegister_OtherSurgicalProcedure\"");
1887
1888 WriteLiteral(">Other</label>\r\n <input");
1889
1890 WriteLiteral(" name=\"SurgicalProcedureOther\"");
1891
1892 WriteLiteral(" type=\"text\"");
1893
1894 WriteLiteral(" value=\"\"");
1895
1896 WriteLiteral(" id=\"selRegister_OtherSurgicalProcedure\"");
1897
1898 WriteLiteral(">\r\n </div>\r\n\r\n </div>\r\n" +
1899 "\r\n </div>\r\n\r\n <div");
1900
1901 WriteLiteral(" class=\"grouptwo-content\"");
1902
1903 WriteLiteral(">\r\n\r\n <div");
1904
1905 WriteLiteral(" class=\"form-group field\"");
1906
1907 WriteLiteral(">\r\n\r\n <label>Date of Surgery</label>\r\n " +
1908 " <input");
1909
1910 WriteLiteral(" name=\"SurgicalProcedureDateString\"");
1911
1912 WriteLiteral(" type=\"date\"");
1913
1914 WriteLiteral(" id=\"SurgeryDatepicker\"");
1915
1916 WriteLiteral(" class=\"medilink-datepicker\"");
1917
1918 WriteAttribute("value", Tuple.Create(" value=\"", 26477), Tuple.Create("\"", 26648)
1919
1920 #line 543 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1921 , Tuple.Create(Tuple.Create("", 26485), Tuple.Create<System.Object, System.Int32>(member.SurgicalProcedureDate.HasValue && member.SurgicalProcedureDate.Value > DateTime.MinValue ? member.SurgicalProcedureDate.Value.ToString("yyyy-MM-dd") : ""
1922
1923 #line default
1924 #line hidden
1925 , 26485), false)
1926 );
1927
1928 WriteLiteral(" min=\"1917-01-01\"");
1929
1930 WriteLiteral(" max=\"2021-02-09\"");
1931
1932 WriteLiteral(">\r\n\r\n <p");
1933
1934 WriteLiteral(" name=\"testdateformat\"");
1935
1936 WriteLiteral(">");
1937
1938
1939 #line 545 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1940 Write(member.SurgicalProcedureDate.HasValue && member.SurgicalProcedureDate.Value > DateTime.MinValue ? member.SurgicalProcedureDate.Value.ToString("dd-MM-yyyy") : "");
1941
1942
1943 #line default
1944 #line hidden
1945 WriteLiteral("</p>\r\n <p");
1946
1947 WriteLiteral(" name=\"testdateformat\"");
1948
1949 WriteLiteral(">");
1950
1951
1952 #line 546 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
1953 Write(member.SurgicalProcedureDate.HasValue && member.SurgicalProcedureDate.Value > DateTime.MinValue ? member.SurgicalProcedureDate.Value.ToLongDateString() : "");
1954
1955
1956 #line default
1957 #line hidden
1958 WriteLiteral("</p>\r\n\r\n\r\n </div>\r\n\r\n </div>\r\n\r" +
1959 "\n </div> <!-- grouptwo -->\r\n </fieldset>\r\n\r\n " +
1960 " </div>\r\n\r\n\r\n <p");
1961
1962 WriteLiteral(" class=\"btn blue-white previous\"");
1963
1964 WriteLiteral("><a>Previous</a></p>\r\n <p");
1965
1966 WriteLiteral(" class=\"btn blue-white next\"");
1967
1968 WriteLiteral("><a>Next</a><span");
1969
1970 WriteLiteral(" class=\"errorSummary\"");
1971
1972 WriteLiteral(" style=\"color: rgb(193 44 50); display: none;\"");
1973
1974 WriteLiteral("></span></p>\r\n\r\n </div>\r\n\r\n\r\n <div");
1975
1976 WriteLiteral(" class=\"major-minor\"");
1977
1978 WriteLiteral(" id=\"applyStep3\"");
1979
1980 WriteLiteral(">\r\n\r\n <div");
1981
1982 WriteLiteral(" class=\"majorminor majorminor-medium\"");
1983
1984 WriteLiteral(">\r\n\r\n <div");
1985
1986 WriteLiteral(" class=\"majorminor-medium\"");
1987
1988 WriteLiteral(">\r\n\r\n <div");
1989
1990 WriteLiteral(" id=\"registerapplicationContentPage3\"");
1991
1992 WriteLiteral(" class=\"generalcontent\"");
1993
1994 WriteLiteral(">\r\n\r\n");
1995
1996 WriteLiteral(" ");
1997
1998
1999 #line 573 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2000 Write(pageParagraphCollection.Where(m => m.Header == "Application Form Page 3").Select(n => n.Text).FirstOrDefault());
2001
2002
2003 #line default
2004 #line hidden
2005 WriteLiteral("\r\n\r\n </div> <!-- generalcontent -->\r\n </div> <!" +
2006 "-- majorminor-major -->\r\n </div> <!-- majorminor -->\r\n <di" +
2007 "v");
2008
2009 WriteLiteral(" class=\"placeholder-progress\"");
2010
2011 WriteLiteral("><img");
2012
2013 WriteLiteral(" src=\"/Files/Templates/Designs/MedilinkCore/res/img/placeholders/registration/pro" +
2014 "gress-step-3.png\"");
2015
2016 WriteLiteral(" alt=\"Registration current progress Step 3\"");
2017
2018 WriteLiteral("></div>\r\n\r\n <div");
2019
2020 WriteLiteral(" class=\"major-major\"");
2021
2022 WriteLiteral(">\r\n\r\n <fieldset>\r\n\r\n <h3>About Your Prescriptio" +
2023 "n</h3>\r\n\r\n <div");
2024
2025 WriteLiteral(" id=\"membersPrescriptionDetails\"");
2026
2027 WriteLiteral(">\r\n\r\n <p>Please provide us with some information about you" +
2028 "r NHS prescription and how you would like your prescription collected.</p>\r\n\r\n " +
2029 " </div>\r\n\r\n <div");
2030
2031 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
2032
2033 WriteLiteral(">\r\n\r\n <div");
2034
2035 WriteLiteral(" class=\"form-group field\"");
2036
2037 WriteLiteral(">\r\n\r\n <ul");
2038
2039 WriteLiteral(" class=\"field-group group-two grouptwo-small\"");
2040
2041 WriteLiteral(" id=\"ulResidentCountry\"");
2042
2043 WriteLiteral(">\r\n\r\n <li");
2044
2045 WriteLiteral(" class=\"\"");
2046
2047 WriteLiteral("><input");
2048
2049 WriteLiteral(" id=\"chkRegisteredEngland\"");
2050
2051 WriteLiteral(" name=\"residentCountry\"");
2052
2053 WriteLiteral(" onclick=\"showHidePrescriptionElements(\'prescriptionEngland\', this.value);\"");
2054
2055 WriteLiteral(" checked");
2056
2057 WriteLiteral(" value=\"England\"");
2058
2059 WriteLiteral(" type=\"radio\"");
2060
2061 WriteLiteral("><label");
2062
2063 WriteLiteral(" for=\"chkRegisteredEngland\"");
2064
2065 WriteLiteral(">I live in England</label></li>\r\n\r\n <li");
2066
2067 WriteLiteral(" class=\"\"");
2068
2069 WriteLiteral("><input");
2070
2071 WriteLiteral(" id=\"chkRegisteredScotland\"");
2072
2073 WriteLiteral(" name=\"residentCountry\"");
2074
2075 WriteLiteral(" onclick=\"showHidePrescriptionElements(\'prescriptionScotland\', this.value);\"");
2076
2077 WriteLiteral(" value=\"Scotland\"");
2078
2079 WriteLiteral(" type=\"radio\"");
2080
2081 WriteLiteral("><label");
2082
2083 WriteLiteral(" for=\"chkRegisteredScotland\"");
2084
2085 WriteLiteral(">I live in Scotland</label></li>\r\n\r\n <li");
2086
2087 WriteLiteral(" class=\"\"");
2088
2089 WriteLiteral("><input");
2090
2091 WriteLiteral(" id=\"chkRegisteredWales\"");
2092
2093 WriteLiteral(" name=\"residentCountry\"");
2094
2095 WriteLiteral(" onclick=\"showHidePrescriptionElements(\'prescriptionWales\', this.value);\"");
2096
2097 WriteLiteral(" value=\"Wales\"");
2098
2099 WriteLiteral(" type=\"radio\"");
2100
2101 WriteLiteral("><label");
2102
2103 WriteLiteral(" for=\"chkRegisteredWales\"");
2104
2105 WriteLiteral(">I live in Wales</label></li>\r\n\r\n </ul>\r\n\r\n " +
2106 " ");
2107
2108 WriteLiteral("\r\n <input");
2109
2110 WriteLiteral(" type=\"hidden\"");
2111
2112 WriteLiteral(" name=\"hdnIsValidMember\"");
2113
2114 WriteLiteral(" id=\"hdnIsValidMember\"");
2115
2116 WriteAttribute("value", Tuple.Create(" value=\"", 30047), Tuple.Create("\"", 30081)
2117
2118 #line 607 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2119 , Tuple.Create(Tuple.Create("", 30055), Tuple.Create<System.Object, System.Int32>(isActiveMember.ToString()
2120
2121 #line default
2122 #line hidden
2123 , 30055), false)
2124 );
2125
2126 WriteLiteral(">\r\n <input");
2127
2128 WriteLiteral(" type=\"hidden\"");
2129
2130 WriteLiteral(" name=\"RegisteredCountry\"");
2131
2132 WriteLiteral(" id=\"hdnRegisteredCountry\"");
2133
2134 WriteAttribute("value", Tuple.Create(" value=\"", 30184), Tuple.Create("\"", 30218)
2135
2136 #line 608 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2137 , Tuple.Create(Tuple.Create("", 30192), Tuple.Create<System.Object, System.Int32>(member.Country.ToString()
2138
2139 #line default
2140 #line hidden
2141 , 30192), false)
2142 );
2143
2144 WriteLiteral(">\r\n <input");
2145
2146 WriteLiteral(" type=\"hidden\"");
2147
2148 WriteLiteral(" name=\"NHSNumber\"");
2149
2150 WriteLiteral(" id=\"hdnNHSNumber\"");
2151
2152 WriteAttribute("value", Tuple.Create(" value=\"", 30305), Tuple.Create("\"", 30330)
2153
2154 #line 609 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2155 , Tuple.Create(Tuple.Create("", 30313), Tuple.Create<System.Object, System.Int32>(member.NHSNumber
2156
2157 #line default
2158 #line hidden
2159 , 30313), false)
2160 );
2161
2162 WriteLiteral(">\r\n <input");
2163
2164 WriteLiteral(" type=\"hidden\"");
2165
2166 WriteLiteral(" name=\"hdnPrescriptionStatus\"");
2167
2168 WriteLiteral(" id=\"hdnPrescriptionStatus\"");
2169
2170 WriteAttribute("value", Tuple.Create(" value=\"", 30438), Tuple.Create("\"", 30472)
2171
2172 #line 610 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2173 , Tuple.Create(Tuple.Create("", 30446), Tuple.Create<System.Object, System.Int32>(member.PrescriptionStatus
2174
2175 #line default
2176 #line hidden
2177 , 30446), false)
2178 );
2179
2180 WriteLiteral(">\r\n <input");
2181
2182 WriteLiteral(" type=\"hidden\"");
2183
2184 WriteLiteral(" name=\"hdnExemptionCertificateId\"");
2185
2186 WriteLiteral(" id=\"hdnExemptionCertificateId\"");
2187
2188 WriteAttribute("value", Tuple.Create(" value=\"", 30588), Tuple.Create("\"", 30619)
2189
2190 #line 611 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2191 , Tuple.Create(Tuple.Create("", 30596), Tuple.Create<System.Object, System.Int32>(member.ExemptionCertId
2192
2193 #line default
2194 #line hidden
2195 , 30596), false)
2196 );
2197
2198 WriteLiteral(">\r\n <input");
2199
2200 WriteLiteral(" type=\"hidden\"");
2201
2202 WriteLiteral(" name=\"hdnExemptionCertificateNumber\"");
2203
2204 WriteLiteral(" id=\"hdnExemptionCertificateNumber\"");
2205
2206 WriteAttribute("value", Tuple.Create(" value=\"", 30743), Tuple.Create("\"", 30778)
2207
2208 #line 612 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2209 , Tuple.Create(Tuple.Create("", 30751), Tuple.Create<System.Object, System.Int32>(member.ExemptionCertNumber
2210
2211 #line default
2212 #line hidden
2213 , 30751), false)
2214 );
2215
2216 WriteLiteral(">\r\n <input");
2217
2218 WriteLiteral(" type=\"hidden\"");
2219
2220 WriteLiteral(" name=\"hdnExemptionCertificateExpires\"");
2221
2222 WriteLiteral(" id=\"hdnExemptionCertificateExpires\"");
2223
2224 WriteAttribute("value", Tuple.Create(" value=\"", 30904), Tuple.Create("\"", 31071)
2225
2226 #line 613 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2227 , Tuple.Create(Tuple.Create("", 30912), Tuple.Create<System.Object, System.Int32>(member.ExemptionCertExpires.HasValue && member.ExemptionCertExpires.Value >DateTime.MinValue ? member.ExemptionCertExpires.Value.ToString("yyyy-MM-dd") : ""
2228
2229 #line default
2230 #line hidden
2231 , 30912), false)
2232 );
2233
2234 WriteLiteral(">\r\n <input");
2235
2236 WriteLiteral(" type=\"hidden\"");
2237
2238 WriteLiteral(" name=\"NewMemberApplication\"");
2239
2240 WriteLiteral(" id=\"hdnIsNewMember\"");
2241
2242 WriteAttribute("value", Tuple.Create(" value=\"", 31171), Tuple.Create("\"", 31214)
2243
2244 #line 614 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2245 , Tuple.Create(Tuple.Create("", 31179), Tuple.Create<System.Object, System.Int32>(isActiveMember? "false" : "true"
2246
2247 #line default
2248 #line hidden
2249 , 31179), false)
2250 );
2251
2252 WriteLiteral(">\r\n\r\n\r\n </div>\r\n\r\n <div");
2253
2254 WriteLiteral(" id=\"prescriptionEngland\"");
2255
2256 WriteLiteral(" class=\"prescriptionGroup\"");
2257
2258 WriteLiteral(" style=\"\"");
2259
2260 WriteLiteral(">\r\n\r\n <h1>England</h1>\r\n\r\n " +
2261 "<div");
2262
2263 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
2264
2265 WriteLiteral(">\r\n\r\n <div");
2266
2267 WriteLiteral(" class=\"grouptwo-content\"");
2268
2269 WriteLiteral(">\r\n\r\n <div");
2270
2271 WriteLiteral(" class=\"form-group field\"");
2272
2273 WriteLiteral(">\r\n <label");
2274
2275 WriteLiteral(" for=\"tbRegister_NhsNo_England\"");
2276
2277 WriteLiteral(">National Health Service number <strong>*</strong></label>\r\n " +
2278 " <input");
2279
2280 WriteLiteral(" type=\"text\"");
2281
2282 WriteLiteral(" maxlength=\"10\"");
2283
2284 WriteLiteral(" name=\"tbRegister_NhsNo_England\"");
2285
2286 WriteLiteral(" required");
2287
2288 WriteLiteral(" value=\"\"");
2289
2290 WriteLiteral(" id=\"tbRegister_NhsNo_England\"");
2291
2292 WriteLiteral(" onkeyup=\"CheckNhsNumberIsValid(this.value, \'England\')\"");
2293
2294 WriteLiteral(">\r\n\r\n <span");
2295
2296 WriteLiteral(" id=\"NhsNrValidAdvice_England\"");
2297
2298 WriteLiteral(" style=\"display: none;\"");
2299
2300 WriteLiteral(">\r\n <label");
2301
2302 WriteLiteral(" for=\"tbRegister_NhsNo_England\"");
2303
2304 WriteLiteral(">(Your NHS number should be made up of 10 digits)</label>\r\n " +
2305 " </span>\r\n\r\n\r\n <div");
2306
2307 WriteLiteral(" class=\"help is-help-closed\"");
2308
2309 WriteLiteral(@">
2310 <p>Everyone registered with the NHS in England and Wales has their own unique number. You will be given your NHS Number in writing when you register with a GP practice. Your NHS Number helps healthcare staff to find your health records. Each NHS Number is made up of 10 digits shown in a 3-3-4 format (e.g. 123-456-7890).</p>
2311 </div>
2312
2313 </div>
2314
2315 </div>
2316
2317 <div");
2318
2319 WriteLiteral(" class=\"grouptwo-content\"");
2320
2321 WriteLiteral(">\r\n\r\n <div");
2322
2323 WriteLiteral(" class=\"form-group field\"");
2324
2325 WriteLiteral(">\r\n <label");
2326
2327 WriteLiteral(" for=\"selRegisterPrescriptionStatus_England\"");
2328
2329 WriteLiteral(">Select your Exemption Status <strong>*</strong></label>\r\n " +
2330 " <select");
2331
2332 WriteLiteral(" name=\"selRegisterPrescriptionStatus_England\"");
2333
2334 WriteLiteral(" required");
2335
2336 WriteLiteral(" id=\"selRegisterPrescriptionStatus_England\"");
2337
2338 WriteLiteral(" style=\"width:420px;\"");
2339
2340 WriteLiteral(">\r\n <option");
2341
2342 WriteLiteral(" value=\"99\"");
2343
2344 WriteLiteral(" ");
2345
2346
2347 #line 649 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2348 Write(member.ExemptionCertId == 99 ? "selected" : "");
2349
2350
2351 #line default
2352 #line hidden
2353 WriteLiteral(">Select an option</option>\r\n <option");
2354
2355 WriteLiteral(" value=\"0\"");
2356
2357 WriteLiteral(" ");
2358
2359
2360 #line 650 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2361 Write(member.ExemptionCertId == 0 ? "selected" : "");
2362
2363
2364 #line default
2365 #line hidden
2366 WriteLiteral(">I pay for my Prescriptions</option>\r\n " +
2367 " <option");
2368
2369 WriteLiteral(" value=\"1\"");
2370
2371 WriteLiteral(" ");
2372
2373
2374 #line 651 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2375 Write(member.ExemptionCertId == 1 ? "selected" : "");
2376
2377
2378 #line default
2379 #line hidden
2380 WriteLiteral(">I\'m under 16 years of age (A)</option>\r\n " +
2381 " <option");
2382
2383 WriteLiteral(" value=\"2\"");
2384
2385 WriteLiteral(" ");
2386
2387
2388 #line 652 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2389 Write(member.ExemptionCertId == 2 ? "selected" : "");
2390
2391
2392 #line default
2393 #line hidden
2394 WriteLiteral(">In full time education and aged between 16 and 18 years (B)</option>\r\n " +
2395 " <option");
2396
2397 WriteLiteral(" value=\"3\"");
2398
2399 WriteLiteral(" ");
2400
2401
2402 #line 653 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2403 Write(member.ExemptionCertId == 3 ? "selected" : "");
2404
2405
2406 #line default
2407 #line hidden
2408 WriteLiteral(">I\'m over 60 years of age (C)</option>\r\n " +
2409 " <option");
2410
2411 WriteLiteral(" value=\"4\"");
2412
2413 WriteLiteral(" ");
2414
2415
2416 #line 654 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2417 Write(member.ExemptionCertId == 4 ? "selected" : "");
2418
2419
2420 #line default
2421 #line hidden
2422 WriteLiteral(">I have a valid Maternity Exemption certificate (D)</option>\r\n " +
2423 " <option");
2424
2425 WriteLiteral(" value=\"5\"");
2426
2427 WriteLiteral(" ");
2428
2429
2430 #line 655 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2431 Write(member.ExemptionCertId == 5 ? "selected" : "");
2432
2433
2434 #line default
2435 #line hidden
2436 WriteLiteral(">I have a valid Medical Exemption certificate (E)</option>\r\n " +
2437 " <option");
2438
2439 WriteLiteral(" value=\"6\"");
2440
2441 WriteLiteral(" ");
2442
2443
2444 #line 656 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2445 Write(member.ExemptionCertId == 6 ? "selected" : "");
2446
2447
2448 #line default
2449 #line hidden
2450 WriteLiteral(">I have a valid prescription pre-payment certificate (F)</option>\r\n " +
2451 " <option");
2452
2453 WriteLiteral(" value=\"7\"");
2454
2455 WriteLiteral(" ");
2456
2457
2458 #line 657 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2459 Write(member.ExemptionCertId == 7 ? "selected" : "");
2460
2461
2462 #line default
2463 #line hidden
2464 WriteLiteral(">I have a valid War Pension certificate (G)</option>\r\n " +
2465 " <option");
2466
2467 WriteLiteral(" value=\"8\"");
2468
2469 WriteLiteral(" ");
2470
2471
2472 #line 658 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2473 Write(member.ExemptionCertId == 8 ? "selected" : "");
2474
2475
2476 #line default
2477 #line hidden
2478 WriteLiteral(">I\'m named on a current HC2 charges certificate (L)</option>\r\n " +
2479 " <option");
2480
2481 WriteLiteral(" value=\"9\"");
2482
2483 WriteLiteral(" ");
2484
2485
2486 #line 659 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2487 Write(member.ExemptionCertId == 9 ? "selected" : "");
2488
2489
2490 #line default
2491 #line hidden
2492 WriteLiteral(">I get Income Support or income-related Employment and Support Allowance (H)</opt" +
2493 "ion>\r\n <option");
2494
2495 WriteLiteral(" value=\"10\"");
2496
2497 WriteLiteral(" ");
2498
2499
2500 #line 660 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2501 Write(member.ExemptionCertId == 10 ? "selected" : "");
2502
2503
2504 #line default
2505 #line hidden
2506 WriteLiteral(">I get Universal Credit (U)</option>\r\n " +
2507 " <option");
2508
2509 WriteLiteral(" value=\"11\"");
2510
2511 WriteLiteral(" ");
2512
2513
2514 #line 661 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2515 Write(member.ExemptionCertId == 11 ? "selected" : "");
2516
2517
2518 #line default
2519 #line hidden
2520 WriteLiteral(">I get income-based Jobseeker\'s Allowance (K)</option>\r\n " +
2521 " <option");
2522
2523 WriteLiteral(" value=\"12\"");
2524
2525 WriteLiteral(" ");
2526
2527
2528 #line 662 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2529 Write(member.ExemptionCertId == 12 ? "selected" : "");
2530
2531
2532 #line default
2533 #line hidden
2534 WriteLiteral(">I\'m entitled to, or named on, a valid NHS Tax Credit Exemption Certificate (M)</" +
2535 "option>\r\n <option");
2536
2537 WriteLiteral(" value=\"13\"");
2538
2539 WriteLiteral(" ");
2540
2541
2542 #line 663 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2543 Write(member.ExemptionCertId == 13 ? "selected" : "");
2544
2545
2546 #line default
2547 #line hidden
2548 WriteLiteral(@">I have a partner who gets Pension Credit guarantee credit (PCGC) (S)</option>
2549 </select>
2550
2551 </div>
2552
2553 </div>
2554
2555 <div");
2556
2557 WriteLiteral(" class=\"grouptwo-content\"");
2558
2559 WriteLiteral(">\r\n\r\n <div");
2560
2561 WriteLiteral(" class=\"field exemptioncertnumber\"");
2562
2563 WriteLiteral(" id=\"exemptionCertNr_England\"");
2564
2565 WriteLiteral(" style=\"display:none\"");
2566
2567 WriteLiteral(">\r\n\r\n <label");
2568
2569 WriteLiteral(" for=\"txtExemptionCertNumber\"");
2570
2571 WriteLiteral(">Enter your Exemption Certificate Number</label>\r\n " +
2572 " <input");
2573
2574 WriteLiteral(" id=\"txtExemptionCertNumberEngland\"");
2575
2576 WriteLiteral(" name=\"txtExemptionCertNumber\"");
2577
2578 WriteLiteral(" type=\"text\"");
2579
2580 WriteAttribute("value", Tuple.Create(" value=\"", 36397), Tuple.Create("\"", 36432)
2581
2582 #line 675 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2583 , Tuple.Create(Tuple.Create("", 36405), Tuple.Create<System.Object, System.Int32>(member.ExemptionCertNumber
2584
2585 #line default
2586 #line hidden
2587 , 36405), false)
2588 );
2589
2590 WriteLiteral(" onblur=\"SetExemptionCertNumber(this.value)\"");
2591
2592 WriteLiteral(">\r\n\r\n </div>\r\n\r\n " +
2593 " </div>\r\n\r\n <div");
2594
2595 WriteLiteral(" class=\"grouptwo-content\"");
2596
2597 WriteLiteral(">\r\n\r\n <div");
2598
2599 WriteLiteral(" class=\"field exemptioncertnumber\"");
2600
2601 WriteLiteral(" id=\"exemptionCertNr_Expires_England\"");
2602
2603 WriteLiteral(" style=\"display:none\"");
2604
2605 WriteLiteral(">\r\n\r\n <label");
2606
2607 WriteLiteral(" for=\"txtExemptionCertExpires\"");
2608
2609 WriteLiteral(">Certificate Expiry Date</label>\r\n\r\n <inpu" +
2610 "t");
2611
2612 WriteLiteral(" id=\"txtExemptionCertExpires\"");
2613
2614 WriteLiteral(" name=\"txtExemptionCertExpires\"");
2615
2616 WriteLiteral(" type=\"date\"");
2617
2618 WriteLiteral(" class=\"medilink-datepicker\"");
2619
2620 WriteLiteral("\r\n onblur=\"SetExemptionCertExpires(" +
2621 "this.value)\"");
2622
2623 WriteAttribute("value", Tuple.Create("\r\n value=\"", 37124), Tuple.Create("\"", 37283)
2624
2625 #line 689 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2626 , Tuple.Create(Tuple.Create("", 37180), Tuple.Create<System.Object, System.Int32>(member.ExemptionCertExpires.HasValue ? member.ExemptionCertExpires.Value.ToString("yyyy-MM-dd") : ""
2627
2628 #line default
2629 #line hidden
2630 , 37180), false)
2631 );
2632
2633 WriteLiteral(" min=\"1917-01-01\"");
2634
2635 WriteLiteral(" max=\"2021-02-09\"");
2636
2637 WriteLiteral(">\r\n ");
2638
2639 WriteLiteral("\r\n ");
2640
2641 WriteLiteral("\r\n\r\n ");
2642
2643 WriteLiteral("\r\n\r\n </div>\r\n\r\n " +
2644 " </div>\r\n\r\n </div> <!-- grouptwo -->\r\n " +
2645 " </div>\r\n\r\n\r\n <div");
2646
2647 WriteLiteral(" id=\"prescriptionScotland\"");
2648
2649 WriteLiteral(" class=\"prescriptionGroup\"");
2650
2651 WriteLiteral(" style=\"display:none\"");
2652
2653 WriteLiteral(">\r\n\r\n <h1>Scotland</h1>\r\n\r\n " +
2654 " <div");
2655
2656 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
2657
2658 WriteLiteral(">\r\n\r\n <div");
2659
2660 WriteLiteral(" class=\"grouptwo-content\"");
2661
2662 WriteLiteral(">\r\n\r\n <div");
2663
2664 WriteLiteral(" class=\"form-group field\"");
2665
2666 WriteLiteral(">\r\n <label");
2667
2668 WriteLiteral(" for=\"tbRegister_NhsNo_Scotland\"");
2669
2670 WriteLiteral(">Community Health Index (CHI) Number <strong>*</strong></label>\r\n " +
2671 " <input");
2672
2673 WriteLiteral(" type=\"text\"");
2674
2675 WriteLiteral(" name=\"tbRegister_NhsNo_Scotland\"");
2676
2677 WriteLiteral(" required");
2678
2679 WriteLiteral(" maxlength=\"10\"");
2680
2681 WriteLiteral(" id=\"tbRegister_NhsNo_Scotland\"");
2682
2683 WriteLiteral(" value=\"\"");
2684
2685 WriteLiteral(" onkeyup=\"CheckNhsNumberIsValid(this.value, \'Scotland\')\"");
2686
2687 WriteLiteral(">\r\n\r\n\r\n <span");
2688
2689 WriteLiteral(" id=\"NhsNrValidAdvice_Scotland\"");
2690
2691 WriteLiteral(" style=\"display: none;\"");
2692
2693 WriteLiteral(">\r\n <label");
2694
2695 WriteLiteral(" for=\"tbRegister_NhsNo_Scotland\"");
2696
2697 WriteLiteral(">(Your NHS number should be made up of 10 digits)</label>\r\n " +
2698 " </span>\r\n\r\n\r\n <div");
2699
2700 WriteLiteral(" class=\"help is-help-closed\"");
2701
2702 WriteLiteral(@">
2703 <p>Everyone registered with the NHS in Scotland has their own unique CHI number. You will be given your CHI Number in writing when you register with a GP practice. Your CHI Number helps healthcare staff to find your health records. Each CHI Number is made up of 10 digits shown in a 3-3-4 format (e.g. 123-456-7890).</p>
2704 </div>
2705
2706 </div>
2707
2708 </div>
2709
2710 </div> <!-- grouptwo -->
2711 </div>
2712
2713
2714 <div");
2715
2716 WriteLiteral(" id=\"prescriptionWales\"");
2717
2718 WriteLiteral(" class=\"prescriptionGroup\"");
2719
2720 WriteLiteral(" style=\"display:none\"");
2721
2722 WriteLiteral(">\r\n\r\n <h1>Wales</h1>\r\n\r\n <d" +
2723 "iv");
2724
2725 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
2726
2727 WriteLiteral(">\r\n\r\n <div");
2728
2729 WriteLiteral(" class=\"grouptwo-content\"");
2730
2731 WriteLiteral(">\r\n\r\n <div");
2732
2733 WriteLiteral(" class=\"form-group field\"");
2734
2735 WriteLiteral(">\r\n <label");
2736
2737 WriteLiteral(" for=\"tbRegister_NhsNo_Wales\"");
2738
2739 WriteLiteral(">National Health Service Number <strong>*</strong></label>\r\n " +
2740 " <input");
2741
2742 WriteLiteral(" type=\"text\"");
2743
2744 WriteLiteral(" name=\"tbRegister_NhsNo_Wales\"");
2745
2746 WriteLiteral(" required");
2747
2748 WriteLiteral(" maxlength=\"10\"");
2749
2750 WriteLiteral(" id=\"tbRegister_NhsNo_Wales\"");
2751
2752 WriteLiteral(" value=\"\"");
2753
2754 WriteLiteral(" onkeyup=\"CheckNhsNumberIsValid(this.value, \'Wales\')\"");
2755
2756 WriteLiteral(">\r\n\r\n <span");
2757
2758 WriteLiteral(" id=\"NhsNrValidAdvice_Wales\"");
2759
2760 WriteLiteral(" style=\"display: none;\"");
2761
2762 WriteLiteral(">\r\n <label");
2763
2764 WriteLiteral(" for=\"tbRegister_NhsNo_Wales\"");
2765
2766 WriteLiteral(">(Your NHS number should be made up of 10 digits)</label>\r\n " +
2767 " </span>\r\n\r\n <div");
2768
2769 WriteLiteral(" class=\"help is-help-closed\"");
2770
2771 WriteLiteral(@">
2772 <p>Everyone registered with the NHS in England & Wales has their own unique NHS number. You will be given your NHS Number in writing when you register with a GP practice. Your NHS Number helps healthcare staff to find your health records. Each NHS Number is made up of 10 digits shown in a 3-3-4 format (e.g. 123-456-7890).</p>
2773 </div>
2774
2775 </div>
2776
2777 </div>
2778
2779 </div>
2780
2781 </div>
2782
2783 </div>
2784
2785 </fieldset>
2786
2787 ");
2788
2789 WriteLiteral("\r\n <fieldset");
2790
2791 WriteLiteral(" id=\"EPSFieldset\"");
2792
2793 WriteLiteral(" style=\"display: block;\"");
2794
2795 WriteLiteral(">\r\n\r\n <div");
2796
2797 WriteLiteral(" class=\"l-content feature-divider-rule\"");
2798
2799 WriteLiteral(" style=\"margin-bottom: 32px; margin-top: 0px;\"");
2800
2801 WriteLiteral("> </div>\r\n\r\n <div");
2802
2803 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
2804
2805 WriteLiteral(">\r\n\r\n <div");
2806
2807 WriteLiteral(" class=\"grouptwo-content\"");
2808
2809 WriteLiteral(">\r\n\r\n <div");
2810
2811 WriteLiteral(" class=\"form-group field\"");
2812
2813 WriteLiteral(@">
2814
2815 <h2>Electronic Prescription Service</h2>
2816 <p>At Medilink, we are fully-trained to manage the receipt and dispensing of electronically transmitted prescriptions for stoma and continence supplies. We can see many benefits for all involved, from GP Prescribers to the patients.</p>
2817 </div>
2818
2819 </div>
2820
2821 <div");
2822
2823 WriteLiteral(" class=\"grouptwo-content\"");
2824
2825 WriteLiteral(">\r\n\r\n <div");
2826
2827 WriteLiteral(" class=\"form-group field\"");
2828
2829 WriteLiteral(">\r\n\r\n <ul");
2830
2831 WriteLiteral(" class=\"field-group\"");
2832
2833 WriteLiteral(">\r\n <li><input");
2834
2835 WriteLiteral(" name=\"EPS\"");
2836
2837 WriteLiteral(" type=\"checkbox\"");
2838
2839 WriteLiteral(" id=\"tbRegister_EPS\"");
2840
2841 WriteLiteral(" ");
2842
2843
2844 #line 789 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2845 Write((member.EPS != null) && (member.EPS) ? "checked" : "");
2846
2847
2848 #line default
2849 #line hidden
2850 WriteLiteral("><label");
2851
2852 WriteLiteral(" for=\"tbRegister_EPS\"");
2853
2854 WriteLiteral(">I would like to learn more information about EPS nomination</label></li>\r\n " +
2855 " </ul>\r\n\r\n <div>\r\n " +
2856 " <img");
2857
2858 WriteLiteral(" src=\"Files/Images/Site Content/eps.jpg\"");
2859
2860 WriteLiteral(" style=\"width: auto; padding-bottom: 16px;\"");
2861
2862 WriteLiteral(">\r\n <p");
2863
2864 WriteLiteral(" class=\"btn green-white button download\"");
2865
2866 WriteLiteral("><a");
2867
2868 WriteLiteral(" href=\"/Files/Files/Downloads/EPS Leaflet/17983 Medilink EPS Leaflet.pdf\"");
2869
2870 WriteLiteral(" download=\"Electronic Prescription Service.pdf\"");
2871
2872 WriteLiteral(">Download EPS Leaflet</a></p>\r\n </div>\r\n\r\n " +
2873 " </div>\r\n\r\n </div>\r\n\r\n " +
2874 " </div>\r\n\r\n </fieldset>\r\n\r\n <div");
2875
2876 WriteLiteral(" class=\"l-content feature-divider-rule\"");
2877
2878 WriteLiteral(" style=\"margin-bottom: 32px;margin-top:0px;\"");
2879
2880 WriteLiteral("> </div>\r\n\r\n <fieldset>\r\n\r\n <div");
2881
2882 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
2883
2884 WriteLiteral(">\r\n\r\n <div");
2885
2886 WriteLiteral(" class=\"grouptwo-content\"");
2887
2888 WriteLiteral(">\r\n\r\n <div");
2889
2890 WriteLiteral(" class=\"form-group field\"");
2891
2892 WriteLiteral(@">
2893
2894 <h2>Contact Information</h2>
2895 <p>Please select how you would like your local Medilink Dispensing Care Centre to communicate with you regarding your orders.</p>
2896
2897 </div>
2898
2899 </div>
2900
2901 <div");
2902
2903 WriteLiteral(" class=\"grouptwo-content\"");
2904
2905 WriteLiteral(">\r\n\r\n <div");
2906
2907 WriteLiteral(" class=\"form-group field\"");
2908
2909 WriteLiteral(">\r\n\r\n <ul");
2910
2911 WriteLiteral(" class=\"field-group\"");
2912
2913 WriteLiteral(">\r\n <li><input");
2914
2915 WriteLiteral(" name=\"StatusAlertSMS\"");
2916
2917 WriteLiteral(" type=\"checkbox\"");
2918
2919 WriteLiteral(" id=\"tbStatusAlertsSMS\"");
2920
2921 WriteLiteral("><label");
2922
2923 WriteLiteral(" for=\"tbStatusAlertsSMS\"");
2924
2925 WriteLiteral(">I would like to be contacted by text message (SMS).</label></li>\r\n " +
2926 " <li><input");
2927
2928 WriteLiteral(" name=\"StatusAlertEmail\"");
2929
2930 WriteLiteral(" type=\"checkbox\"");
2931
2932 WriteLiteral(" id=\"tbStatusAlertsEmail\"");
2933
2934 WriteLiteral("><label");
2935
2936 WriteLiteral(" for=\"tbStatusAlertsEmail\"");
2937
2938 WriteLiteral(">I would like to be contacted via email.</label></li>\r\n " +
2939 " </ul>\r\n\r\n </div>\r\n\r\n </d" +
2940 "iv>\r\n\r\n </div>\r\n\r\n </fieldset>\r\n\r\n " +
2941 " <div");
2942
2943 WriteLiteral(" class=\"l-content feature-divider-rule\"");
2944
2945 WriteLiteral(" style=\"margin-bottom: 32px;margin-top:0px;\"");
2946
2947 WriteLiteral("> </div>\r\n\r\n <fieldset>\r\n\r\n <div");
2948
2949 WriteLiteral(" class=\"grouptwo grouptwo-medium\"");
2950
2951 WriteLiteral(">\r\n ");
2952
2953 WriteLiteral("\r\n\r\n <div");
2954
2955 WriteLiteral(" class=\"form-group field\"");
2956
2957 WriteLiteral(">\r\n\r\n <h3>Who would you like to request your prescript" +
2958 "ion?</h3>\r\n <ul");
2959
2960 WriteLiteral(" id=\"rdoListPrescription\"");
2961
2962 WriteLiteral(" class=\"field-group\"");
2963
2964 WriteLiteral(">\r\n <li><input");
2965
2966 WriteLiteral(" value=\"Patient\"");
2967
2968 WriteLiteral(" name=\"OrderCollectionOption\"");
2969
2970 WriteLiteral(" type=\"radio\"");
2971
2972 WriteLiteral(" ");
2973
2974
2975 #line 857 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2976 Write((member.OrderCollectionOption != null) && (member.OrderCollectionOption == "Patient") ? "checked" : "");
2977
2978
2979 #line default
2980 #line hidden
2981 WriteLiteral(" id=\"register_gp_prescription_future_patient\"><label");
2982
2983 WriteLiteral(" for=\"register_gp_prescription_future_patient\"");
2984
2985 WriteLiteral(">I will request it myself and ask the GP to send it to Medilink</label></li>\r\n " +
2986 " <li><input");
2987
2988 WriteLiteral(" value=\"Medilink\"");
2989
2990 WriteLiteral(" name=\"OrderCollectionOption\"");
2991
2992 WriteLiteral(" type=\"radio\"");
2993
2994 WriteLiteral(" ");
2995
2996
2997 #line 858 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
2998 Write((member.OrderCollectionOption != null) && (member.OrderCollectionOption == "Medilink") ? "checked" : "");
2999
3000
3001 #line default
3002 #line hidden
3003 WriteLiteral(" id=\"register_gp_prescription_future_medilink\"><label");
3004
3005 WriteLiteral(" for=\"register_gp_prescription_future_medilink\"");
3006
3007 WriteLiteral(@">I want Medilink to contact my GP and request the prescription on my behalf</label></li>
3008 </ul>
3009 </div>
3010
3011 </div>
3012
3013 </fieldset>
3014
3015 </div>
3016
3017 <p");
3018
3019 WriteLiteral(" class=\"btn blue-white previous\"");
3020
3021 WriteLiteral("><a>Previous</a></p>\r\n <p");
3022
3023 WriteLiteral(" class=\"btn blue-white next submit\"");
3024
3025 WriteLiteral("><input");
3026
3027 WriteLiteral(" type=\"submit\"");
3028
3029 WriteLiteral(" value=\"Submit\"");
3030
3031 WriteLiteral("></p>\r\n\r\n <div");
3032
3033 WriteLiteral(" id=\"submitProgress\"");
3034
3035 WriteLiteral("></div>\r\n\r\n </div>\r\n\r\n\r\n <div");
3036
3037 WriteLiteral(" class=\"major-minor\"");
3038
3039 WriteLiteral(" id=\"applyStep4\"");
3040
3041 WriteLiteral(">\r\n\r\n <div");
3042
3043 WriteLiteral(" class=\"majorminor majorminor-medium\"");
3044
3045 WriteLiteral(">\r\n\r\n <div");
3046
3047 WriteLiteral(" class=\"majorminor-medium\"");
3048
3049 WriteLiteral(">\r\n\r\n <div");
3050
3051 WriteLiteral(" id=\"registerapplicationContentPage4\"");
3052
3053 WriteLiteral(" class=\"generalcontent\"");
3054
3055 WriteLiteral(">\r\n\r\n");
3056
3057 WriteLiteral(" ");
3058
3059
3060 #line 884 "C:\SaltsWebsites\Medilink\MedilinkUpgradeTests\MedilinkUpgrade02\Files\Templates\Designs\Paragraph\RegisterApplication.cshtml"
3061 Write(pageParagraphCollection.Where(m => m.Header == "Application Form Thank You").Select(n => n.Text).FirstOrDefault());
3062
3063
3064 #line default
3065 #line hidden
3066 WriteLiteral("\r\n\r\n </div> <!-- generalcontent -->\r\n </div> <!" +
3067 "-- majorminor-major -->\r\n </div> <!-- majorminor -->\r\n\r\n </div" +
3068 ">\r\n\r\n </form>\r\n</div>\r\n\r\n\r\n<script");
3069
3070 WriteLiteral(" type=\"text/javascript\"");
3071
3072 WriteLiteral(" src=\"/Files/Templates/Designs/MedilinkCore/scripts/ApplicationForm.js\"");
3073
3074 WriteLiteral("></script>\r\n\r\n");
3075
3076 }
3077 }
3078 }
3079
1 @inherits Dynamicweb.Rendering.RazorTemplateBase<Dynamicweb.Rendering.RazorTemplateModel<Dynamicweb.Rendering.Template>>
2 @using Dynamicweb;
3 @using MedilinkWeb.Client.MedilinkData
4 @using MedilinkWeb.Library.State
5 @using Microsoft.Web.Administration
6 @inherits Dynamicweb.Rendering.RazorTemplateBase<Dynamicweb.Rendering.RazorTemplateModel<Dynamicweb.Rendering.Template>>
7 @using Dynamicweb.Rendering;
8 @using System;
9 @using System.Web;
10 @using System.Collections.Generic;
11 @using System.IO;
12 @using System.Threading;
13 @using MedilinkWeb.Client.MedilinkData
14 @{
15 Layout = null;
16 }
17
18 @helper GetAddressLookup(string addressType, Address membersAddress)
19 {
20 string postcode = string.Empty;
21 string addr1 = string.Empty;
22 string addr2 = string.Empty;
23 string town = string.Empty;
24 string county = string.Empty;
25
26 if (membersAddress != null)
27 {
28 postcode = membersAddress.PostCode;
29 addr1 = membersAddress.Address1;
30 addr2 = membersAddress.Address2;
31 town = membersAddress.Town;
32 county = membersAddress.County;
33 }
34
35 <script type="text/javascript">
36
37 function ThisFindAddress(addressprefix) {
38 var postCode = $('#' + addressprefix + '_PostCode').val();
39 FindAddress(addressprefix, postCode);
40 }
41
42 </script>
43
44 <div class="grouptwo grouptwo-medium">
45
46 <div class="grouptwo-content">
47
48 <div class="field">
49
50 <label for="@string.Format("{0}_PostCode", addressType)">Post Code <span class="field-required"><strong>*</strong></span></label>
51 <input type="text" name="@string.Format("{0}_PostCode", addressType)" maxlength="9" required value="@(postcode != null ? postcode : "")" class="postcodeValidation" id="@string.Format("{0}_PostCode", addressType)" />
52
53 </div>
54
55 </div>
56
57 <div class="grouptwo-content" id="@string.Format("{0}_addressselect", addressType)">
58
59 <div id="loader" style="display:none;text-align:center">
60 <img src="Files/Templates/Designs/MedilinkCore/res/img/throbbers/small.gif" style="margin:auto;display:block; width:25px;" />
61 </div>
62
63 @*<%--Ajax Content--%>*@
64
65 </div>
66
67
68 </div> <!-- grouptwo -->
69
70 <div class="grouptwo lookup-btn field">
71 <input type="button" id="@string.Format("{0}_btnFindAddress", addressType)" class="btn green-white button" onclick="ThisFindAddress('@addressType'); return false;" value="Lookup address"/>
72 </div>
73
74 <div class="grouptwo grouptwo-medium">
75
76 <div class="grouptwo-content">
77
78 <div class="field">
79 <label for="@string.Format("{0}_Address1", addressType)">Address Line 1 <span class="field-required"><strong>*</strong></span></label>
80 <input type="text" required name="@string.Format("{0}_Address1", addressType)" value="@(addr1 != null ? addr1 : "")" id="@string.Format("{0}_Address1", addressType)">
81
82 @*<asp:RequiredFieldValidator runat="server" ControlToValidate="address1" CssClass="error" Display="Dynamic">
83 <asp:Label ID="lblAddress1Validation" runat="server" AssociatedControlID="address1" CssClass="error">Please complete the Address</asp:Label>
84 </asp:RequiredFieldValidator>*@
85 </div>
86
87 </div>
88
89 <div class="grouptwo-content">
90
91 <div class="field">
92 <label for="@string.Format("{0}_Address2", addressType)">Address Line 2</label>
93 <input type="text" name="@string.Format("{0}_Address2", addressType)" value="@(addr2 != null ? addr2 : "")" id="@string.Format("{0}_Address2", addressType)">
94 </div>
95
96 </div>
97
98 </div> <!-- grouptwo -->
99
100 <div class="grouptwo grouptwo-medium">
101
102 <div class="grouptwo-content">
103
104 <div class="field">
105 <label for="@string.Format("{0}_Town", addressType)">Town <span class="field-required"><strong>*</strong></span></label>
106 <input type="text" name="@string.Format("{0}_Town", addressType)" required value="@(town != null ? town : "")" id="@string.Format("{0}_Town", addressType)">
107
108 @*<asp:RequiredFieldValidator runat="server" ControlToValidate="town" CssClass="error" Display="Dynamic">
109 <asp:Label ID="lblAddress2Validation" runat="server" AssociatedControlID="@string.Format("{0}_Town", addressType)" CssClass="error">Please complete the Address</asp:Label>
110 </asp:RequiredFieldValidator>*@
111 </div>
112
113 </div>
114
115 <div class="grouptwo-content">
116
117 <div class="field">
118 <label for="@string.Format("{0}_County", addressType)">County</label>
119 <input type="text" name="@string.Format("{0}_County", addressType)" value="@(county != null ? county : "")" id="@string.Format("{0}_County", addressType)">
120 </div>
121
122 </div>
123
124 </div> <!-- grouptwo -->
125
126
127 }
128
129
130 @{
131 Dynamicweb.Frontend.PageView pageView = Dynamicweb.Frontend.PageView.Current();
132 Dynamicweb.Frontend.Page page = pageView.Page;
133 List<Dynamicweb.Content.Paragraph>
134 pageParagraphCollection = Dynamicweb.Content.Paragraph.GetParagraphsByPageID(page.ID).ToList();
135
136 Member member = new Member();
137 bool isActiveMember = false;
138 bool isNewMember = false;
139 string formStyle = string.Empty;
140 string btnStyle = string.Empty;
141 string token = string.Empty;
142 string test = string.Empty;
143
144
145 if (!string.IsNullOrEmpty(HttpContext.Current.Request.QueryString["newmember"]))
146 {
147 // Returning applicants to complete their DW Registration
148 // Test if there is a valid MembersProfileSession still available linked to their browser
149
150 member = SessionManager.MembersProfileSession;
151 Boolean.TryParse(HttpContext.Current.Request.QueryString["newmember"], out isNewMember);
152
153 if (member != null && !String.IsNullOrEmpty(member.MembershipNumber))
154 {
155 //isNewMember = true;
156 isActiveMember = true;
157 if (!isNewMember)
158 {
159 formStyle = "hide"; // set #applyStep1 display none
160 }
161 else
162 {
163 btnStyle = "hide";
164 }
165 }
166 else
167 {
168 // Use the QueryString["token"] value to try to lookup this applicant from Avante
169 token = HttpContext.Current.Request.QueryString["token"];
170 MedilinkWeb.Library.Methods.Membership.ManageMembership.GetMemberByEncryptedToken(token); // member session is set in the server side code
171
172 if (member != null && !String.IsNullOrEmpty(member.MembershipNumber))
173 {
174 member = MedilinkWeb.Library.Methods.Membership.ManageMembership.GetMembersDetails("P236434");
175 }
176
177
178
179 member = SessionManager.MembersProfileSession;
180
181 if (member != null && !String.IsNullOrEmpty(member.MembershipNumber))
182 {
183 //isNewMember = true;
184 isActiveMember = true;
185 if (!isNewMember)
186 {
187 formStyle = "hide"; // set #applyStep1 display none
188 }
189 else
190 {
191 btnStyle = "hide";
192 }
193
194 }
195 else
196 {
197 HttpContext.Current.Response.Redirect("/Register?newmember=" + isNewMember, false);
198 HttpContext.Current.ApplicationInstance.CompleteRequest();
199 }
200
201 test = member.MembershipNumber == null ? "Null Membership number - No session available!" : "Session available: " + member.MembershipNumber;
202 }
203 }
204
205 test += member.MembershipNumber == null ? "Null Membership number - No session available!" : "Session available: " + member.MembershipNumber;
206 // Use the QueryString["token"] value to try to lookup this applicant from Avante
207 token = HttpContext.Current.Request.QueryString["token"];
208 }
209
210 <script src="/Files/Templates/Designs/MedilinkCore/scripts/FormValidation.js"></script>
211 <script src="/Files/Templates/Designs/MedilinkCore/scripts/MyAccount.js"></script>
212 <script src="/Files/Templates/Designs/MedilinkCore/scripts/PrescriptionSelection.js"></script>
213
214 <style type="text/css">
215 #applyStep2,
216 #applyStep3,
217 #applyStep4 {
218 display: none;
219 }
220 /*#applyStep1,
221 #applyStep2,
222 #applyStep4 {
223 display: none;
224 }*/
225 </style>
226
227 <!--RegisterApplication.cshtml Paragraph-->
228 <!--<p>Token: @token || Membership Number: @test <br /> Member Name: @member.FullName </p>-->
229 <div class="generalcontent">
230 <form role="form" method="post" action="" id="applicationForm" name="frmManageMembership">
231
232 @if (isActiveMember)
233 {
234 <div class="major-minor" id="registerUserName">
235
236 <div class="majorminor-medium">
237
238 <div class="majorminor-medium">
239
240 <div id="signupDwContentPage" class="generalcontent">
241
242 @if (!isNewMember)
243 {
244 @pageParagraphCollection.Where(m => m.Header == "Dynamicweb Signup Existing Avante Member").Select(n => n.Text).FirstOrDefault()
245 }
246 else
247 {
248 @pageParagraphCollection.Where(m => m.Header == "Dynamicweb Signup").Select(n => n.Text).FirstOrDefault()
249 }
250
251 </div> <!-- generalcontent -->
252 </div> <!-- majorminor-major -->
253 </div> <!-- majorminor -->
254
255 <fieldset>
256
257 <div class="grouptwo grouptwo-medium">
258
259 <div class="grouptwo-content">
260
261 <div class="form-group field">
262
263 <label for="LoginUsername">Username <span class="field-required"><strong>*</strong></span></label>
264 <input type="text" id="LoginUsername" name="LoginUsername" value="" required maxlength="50" autocomplete="off" />
265 <label class="error" id="errorCheckUsername" for="LoginUsername" style="display: none;"></label>
266 <i class="small" style="font-size: 12px;">This will be your username for logging in</i>
267 </div>
268
269 <div class="form-group field">
270
271 <label for="LoginPassword">Password <span class="field-required"><strong>*</strong></span></label>
272 <input type="password" name="LoginPassword" id="LoginPassword" required maxlength="50" value="" autocomplete="off" />
273 <i class="small" style="font-size: 12px;">Password must contain at least eight characters, at least one number and both lower and uppercase letters</i>
274
275 </div>
276
277 <div class="form-group field">
278
279 <label for="ConfirmPassword">Confirm your Password <span class="field-required"><strong>*</strong></span></label>
280 <input name="ConfirmPassword" id="ConfirmPassword" type="password" required maxlength="50" value="" autocomplete="off">
281
282 </div>
283
284 </div>
285 <input type="hidden" id="MembershipNumber" name="MembershipNumber" value="@member.MembershipNumber" />
286 </div> <!-- grouptwo -->
287
288 </fieldset>
289
290
291 <p class="btn blue-white submit @btnStyle"><input type="submit" value="submit"><span class="errorSummary" style="color: rgb(193 44 50); display: none;"></span></p>
292
293 </div>
294 }
295
296 <div class="major-minor @formStyle" id="applyStep1">
297
298 @if (!isActiveMember)
299 {
300 <div class="majorminor majorminor-medium">
301
302 <div class="majorminor-medium">
303
304 <div id="registerapplicationContentPage1" class="generalcontent">
305
306 @pageParagraphCollection.Where(m => m.Header == "Application Form").Select(n => n.Text).FirstOrDefault()
307
308 </div> <!-- generalcontent -->
309 </div> <!-- majorminor-major -->
310 </div> <!-- majorminor -->
311 }
312
313 <fieldset>
314
315 <div class="placeholder-progress"><img src="/Files/Templates/Designs/MedilinkCore/res/img/placeholders/registration/progress-step-1.png" alt="Registration current progress Step 1"></div>
316
317 <h3>About You</h3>
318
319 <div class="grouptwo grouptwo-medium">
320
321 <div class="grouptwo-content">
322
323 <div class="form-group field">
324
325 <label for="sRegisterTitle">Title <span class="field-required"><strong>*</strong></span></label>
326 <select name="Title" id="sRegisterTitle" required style="width: 120px;">
327 <option @(member.Title == "" ? " selected" : "") value="">Select</option>
328 <option @(member.Title == "Mr." || member.Title == "Mr" ? " selected" : "") value="Mr.">Mr.</option>
329 <option @(member.Title == "Mrs." || member.Title == "Mrs" ? " selected" : "") value="Mrs.">Mrs.</option>
330 <option @(member.Title == "Miss" || member.Title == "Miss" ? " selected" : "") value="Miss">Miss</option>
331 <option @(member.Title == "Ms." || member.Title == "Ms" ? " selected" : "") value="Ms.">Ms.</option>
332 </select>
333
334 </div>
335
336 <div class="form-group field">
337
338 <label for="tbRegisterFirstName">First Name <span class="field-required"><strong>*</strong></span></label>
339 <input name="FirstName" type="text" required maxlength="50" value="@(member.FirstName != null ? member.FirstName : "")" id="tbRegisterFirstName">
340
341 </div>
342
343 <div class="form-group field">
344
345 <label for="tbRegisterLastName">Last Name <span class="field-required"><strong>*</strong></span></label>
346 <input name="LastName" type="text" required maxlength="50" value="@(member.LastName != null ? member.LastName : "")" id="tbRegisterLastName">
347
348 </div>
349
350 </div>
351
352 <div class="grouptwo-content">
353
354 <div class="form-group field">
355
356 <label>Date of Birth<span class="field-required"><strong>*</strong></span></label>
357 <input name="BirthDateString" type="date" required id="BirthdateDatepicker" class="medilink-datepicker" value="@(member.DateOfBirth.HasValue && member.DateOfBirth.Value > DateTime.MinValue ? member.DateOfBirth.Value.ToString("yyyy-MM-dd") : "")" min="1917-01-01" max="2021-02-09">
358
359 <p name="testdateformat">@(member.DateOfBirth.HasValue && member.DateOfBirth.Value > DateTime.MinValue ? member.DateOfBirth.Value.ToString("yyyy-MM-dd") : "")</p>
360 <p name="testdateformat">@(member.DateOfBirth.HasValue && member.DateOfBirth.Value > DateTime.MinValue ? member.DateOfBirth.Value.ToLongDateString() : "")</p>
361 </div>
362
363 </div>
364
365 </div> <!-- grouptwo -->
366 </fieldset>
367
368 <div class="l-content feature-divider-rule" style="margin-bottom: 32px;margin-top:0px;"> </div>
369
370
371 <fieldset>
372
373 <h3>Contact Details</h3>
374
375 @GetAddressLookup("Registered", member.RegisteredAddress)
376
377 <div class="grouptwo grouptwo-medium">
378
379 <div class="grouptwo-content">
380
381 <div class="form-group field">
382 <label for="register_tel_home">Contact Phone Number <span class="field-required"><strong>*</strong></span></label>
383 <input name="HomePhone" type="tel" required id="tbRegister_Tel_Home" class="phoneValidation" value="@(member.HomePhone != null ? member.HomePhone : "")" placeholder="This can be either your mobile or your landline">
384 </div>
385
386 </div>
387
388 <div class="grouptwo-content">
389
390 <div class="form-group field">
391 <label for="register_tel_mobile">Secondary Phone Number</label>
392 <input name="MobilePhone" type="tel" class="phoneValidation" value="@(member.MobilePhone != null ? member.MobilePhone : "")" id="tbRegister_Tel_Mobile">
393 </div>
394
395 </div>
396
397 </div> <!-- grouptwo -->
398 <div class="grouptwo grouptwo-medium">
399 <div class="grouptwo-content">
400 <div class="form-group field">
401 <label for="tbRegister_EmailAddress">E-Mail Address <span class="field-required"><strong>*</strong></span></label>
402 <input name="EmailAddress" type="email" required value="@(member.EmailAddress != null ? member.EmailAddress : "")" id="tbRegister_EmailAddress">
403 </div>
404 </div>
405 <div class="grouptwo-content">
406 <div class="form-group field">
407 <label for="tbConfirmEmail">Confirm your Email <span class="field-required"><strong>*</strong></span></label>
408 <input name="tbConfirmEmail" type="email" required value="@(member.EmailAddress != null ? member.EmailAddress : "")" id="tbConfirmEmail" autocomplete="off">
409 </div>
410 </div>
411 </div>
412 </fieldset>
413
414 <div class="l-content feature-divider-rule" style="margin-bottom: 32px;margin-top:0px;"> </div>
415
416 <fieldset>
417 <div class="form-group field">
418 <ul id="chkListMarketingMethods" class="field-group">
419 <li><input name="MarketingMethods" type="checkbox" id="register_contact_email" @((member.MarketingMethods != null) && (member.MarketingMethods.Contains("Marketing Email")) ? "checked" : "") value="Marketing Email"><label for="register_contact_email">Tick here if you would like to receive the latest news and updates from Medilink by post or email.</label></li>
420 <li><input name="AcceptedTnCs" type="checkbox" required id="chkRegister_Terms" @((member.AcceptedTnCs != null) && (member.AcceptedTnCs) ? "checked" : "") style="float:left;"><label for="register_terms">I have read and accept the Medilink <a href="/Legals/Legal" target="_blank">Terms & Conditions</a> <span class="field-required"><strong>*</strong></span></label></li>
421 </ul>
422 </div>
423 </fieldset>
424
425 <p class="btn blue-white next"><a>Next</a> <span class="errorSummary" style="color: rgb(193 44 50); display: none;"></span></p>
426
427 <!--<input type="image" class="button next"
428 data-nosvg="/Files/Templates/Designs/MedilinkCore/res/img/buttons/next.png" src="/Files/Templates/Designs/MedilinkCore/res/img/buttons/next.png"
429 alt="Next" style="border-width:0px;">-->
430 </div>
431
432 <div class="major-minor" id="applyStep2">
433
434 <div class="majorminor majorminor-medium">
435
436 <div class="majorminor-medium">
437
438 <div id="registerapplicationContentPage2" class="generalcontent">
439
440 @pageParagraphCollection.Where(m => m.Header == "Application Form Page 2").Select(n => n.Text).FirstOrDefault()
441
442 </div> <!-- generalcontent -->
443 </div> <!-- majorminor-major -->
444 </div> <!-- majorminor -->
445 <div class="major-major">
446
447 <fieldset>
448
449 <div class="placeholder-progress"><img src="/Files/Templates/Designs/MedilinkCore/res/img/placeholders/registration/progress-step-2.png" alt="Registration current progress Step 2"></div>
450
451 <h3>About Your GP</h3>
452
453 <div class="grouptwo grouptwo-medium">
454
455 <div class="grouptwo-content">
456
457 <div class="form-group field">
458 <label for="register_gp_name">GP Surgery <span class="field-required"><strong>*</strong></span></label>
459 <input name="GPName" type="text" required value="@(member.GPName != null ? member.GPName : "")" id="tbRegisterGp_Name">
460 </div>
461 </div>
462
463 </div> <!-- grouptwo -->
464 </fieldset>
465
466 <div class="l-content feature-divider-rule" style="margin-bottom: 32px;margin-top:0px;"> </div>
467
468 <fieldset>
469
470 <h3>GP Contact Details</h3>
471
472 @GetAddressLookup("GP", member.GPAddress)
473
474 <div class="grouptwo grouptwo-medium">
475
476 <div class="grouptwo-content">
477
478 <div class="form-group field">
479 <label for="tbRegisterGp_tel">Telephone <span class="field-required"></span></label>
480 <input name="GPPhone" type="tel" id="tbRegisterGp_tel" class="phoneValidation" value="@(member.GPPhone != null ? member.GPPhone : "")" placeholder="Please include dialling code">
481 </div>
482
483 </div>
484
485 <div class="grouptwo-content">
486
487 <div class="form-group field">
488
489 <label for="tbRegisterGp_fax">Fax</label>
490 <input name="GPFax" type="tel" id="tbRegisterGp_fax" value="@(member.GPFax != null ? member.GPFax : "")" placeholder="Please include dialling code">
491
492 </div>
493
494 </div>
495
496 </div> <!-- grouptwo -->
497 </fieldset>
498
499 <div class="l-content feature-divider-rule" style="margin-bottom: 32px;margin-top:0px;"> </div>
500
501 <fieldset>
502
503 <h3>Please select the type of appliances you may need</h3>
504
505 <div class="grouptwo grouptwo-medium">
506
507 <div class="grouptwo-content">
508
509 <div class="form-group field">
510 @{
511 string spData = member.SurgicalProcedureID != null ? string.Join(",", member.SurgicalProcedureID) : "No Data";
512 }
513 @*<p>Surgical Procedure Data: @spData</p>*@
514
515 <label>Surgical Procedures<span class="field-required"> <strong>*</strong></span></label>
516
517 <ul style="list-style-type: none;" required id="SurgicalProcedureID">
518 <li><input type="checkbox" name="SurgicalProcedures" @((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("1") ? "checked" : "") value="1"> Colostomy</li>
519 <li><input type="checkbox" name="SurgicalProcedures" @((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("2") ? "checked" : "") value="2"> Ileostomy</li>
520 <li><input type="checkbox" name="SurgicalProcedures" @((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("3") ? "checked" : "") value="3"> Urostomy</li>
521 <li><input type="checkbox" name="SurgicalProcedures" @((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("7") ? "checked" : "") value="7"> Internal Pouch</li>
522 <li><input type="checkbox" name="SurgicalProcedures" @((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("4") ? "checked" : "") value="4"> Incontinence</li>
523 <li><input type="checkbox" name="SurgicalProcedures" @((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("N") ? "checked" : "") value="N"> Nephrostomy</li>
524 <li><input type="checkbox" id="surgicalProcedureOther" name="SurgicalProcedures" @((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("O") ? "checked" : "") value="O"> Other</li>
525 <li><input type="checkbox" name="SurgicalProcedures" @((member.SurgicalProcedureID != null) && (member.SurgicalProcedureID).Contains("Unknown") ? "checked" : "") value="Unknown"> I don't know</li>
526
527 </ul>
528
529 <div id="OtherSurgicalProcedure" style="display:none">
530 <label for="selRegister_OtherSurgicalProcedure">Other</label>
531 <input name="SurgicalProcedureOther" type="text" value="" id="selRegister_OtherSurgicalProcedure">
532 </div>
533
534 </div>
535
536 </div>
537
538 <div class="grouptwo-content">
539
540 <div class="form-group field">
541
542 <label>Date of Surgery</label>
543 <input name="SurgicalProcedureDateString" type="date" id="SurgeryDatepicker" class="medilink-datepicker" value="@(member.SurgicalProcedureDate.HasValue && member.SurgicalProcedureDate.Value > DateTime.MinValue ? member.SurgicalProcedureDate.Value.ToString("yyyy-MM-dd") : "")" min="1917-01-01" max="2021-02-09">
544
545 <p name="testdateformat">@(member.SurgicalProcedureDate.HasValue && member.SurgicalProcedureDate.Value > DateTime.MinValue ? member.SurgicalProcedureDate.Value.ToString("dd-MM-yyyy") : "")</p>
546 <p name="testdateformat">@(member.SurgicalProcedureDate.HasValue && member.SurgicalProcedureDate.Value > DateTime.MinValue ? member.SurgicalProcedureDate.Value.ToLongDateString() : "")</p>
547
548
549 </div>
550
551 </div>
552
553 </div> <!-- grouptwo -->
554 </fieldset>
555
556 </div>
557
558
559 <p class="btn blue-white previous"><a>Previous</a></p>
560 <p class="btn blue-white next"><a>Next</a><span class="errorSummary" style="color: rgb(193 44 50); display: none;"></span></p>
561
562 </div>
563
564
565 <div class="major-minor" id="applyStep3">
566
567 <div class="majorminor majorminor-medium">
568
569 <div class="majorminor-medium">
570
571 <div id="registerapplicationContentPage3" class="generalcontent">
572
573 @pageParagraphCollection.Where(m => m.Header == "Application Form Page 3").Select(n => n.Text).FirstOrDefault()
574
575 </div> <!-- generalcontent -->
576 </div> <!-- majorminor-major -->
577 </div> <!-- majorminor -->
578 <div class="placeholder-progress"><img src="/Files/Templates/Designs/MedilinkCore/res/img/placeholders/registration/progress-step-3.png" alt="Registration current progress Step 3"></div>
579
580 <div class="major-major">
581
582 <fieldset>
583
584 <h3>About Your Prescription</h3>
585
586 <div id="membersPrescriptionDetails">
587
588 <p>Please provide us with some information about your NHS prescription and how you would like your prescription collected.</p>
589
590 </div>
591
592 <div class="grouptwo grouptwo-medium">
593
594 <div class="form-group field">
595
596 <ul class="field-group group-two grouptwo-small" id="ulResidentCountry">
597
598 <li class=""><input id="chkRegisteredEngland" name="residentCountry" onclick="showHidePrescriptionElements('prescriptionEngland', this.value);" checked value="England" type="radio"><label for="chkRegisteredEngland">I live in England</label></li>
599
600 <li class=""><input id="chkRegisteredScotland" name="residentCountry" onclick="showHidePrescriptionElements('prescriptionScotland', this.value);" value="Scotland" type="radio"><label for="chkRegisteredScotland">I live in Scotland</label></li>
601
602 <li class=""><input id="chkRegisteredWales" name="residentCountry" onclick="showHidePrescriptionElements('prescriptionWales', this.value);" value="Wales" type="radio"><label for="chkRegisteredWales">I live in Wales</label></li>
603
604 </ul>
605
606 @*<p>Country: @member.Country || NI Number: @member.NHSNumber || Exemption Status: @member.PrescriptionStatus || IsNewMember: @isNewMember || Membership Number: @member.MembershipNumber</p>*@
607 <input type="hidden" name="hdnIsValidMember" id="hdnIsValidMember" value="@isActiveMember.ToString()">
608 <input type="hidden" name="RegisteredCountry" id="hdnRegisteredCountry" value="@member.Country.ToString()">
609 <input type="hidden" name="NHSNumber" id="hdnNHSNumber" value="@member.NHSNumber">
610 <input type="hidden" name="hdnPrescriptionStatus" id="hdnPrescriptionStatus" value="@member.PrescriptionStatus">
611 <input type="hidden" name="hdnExemptionCertificateId" id="hdnExemptionCertificateId" value="@member.ExemptionCertId">
612 <input type="hidden" name="hdnExemptionCertificateNumber" id="hdnExemptionCertificateNumber" value="@member.ExemptionCertNumber">
613 <input type="hidden" name="hdnExemptionCertificateExpires" id="hdnExemptionCertificateExpires" value="@(member.ExemptionCertExpires.HasValue && member.ExemptionCertExpires.Value >DateTime.MinValue ? member.ExemptionCertExpires.Value.ToString("yyyy-MM-dd") : "")">
614 <input type="hidden" name="NewMemberApplication" id="hdnIsNewMember" value="@(isActiveMember? "false" : "true")">
615
616
617 </div>
618
619 <div id="prescriptionEngland" class="prescriptionGroup" style="">
620
621 <h1>England</h1>
622
623 <div class="grouptwo grouptwo-medium">
624
625 <div class="grouptwo-content">
626
627 <div class="form-group field">
628 <label for="tbRegister_NhsNo_England">National Health Service number <strong>*</strong></label>
629 <input type="text" maxlength="10" name="tbRegister_NhsNo_England" required value="" id="tbRegister_NhsNo_England" onkeyup="CheckNhsNumberIsValid(this.value, 'England')">
630
631 <span id="NhsNrValidAdvice_England" style="display: none;">
632 <label for="tbRegister_NhsNo_England">(Your NHS number should be made up of 10 digits)</label>
633 </span>
634
635
636 <div class="help is-help-closed">
637 <p>Everyone registered with the NHS in England and Wales has their own unique number. You will be given your NHS Number in writing when you register with a GP practice. Your NHS Number helps healthcare staff to find your health records. Each NHS Number is made up of 10 digits shown in a 3-3-4 format (e.g. 123-456-7890).</p>
638 </div>
639
640 </div>
641
642 </div>
643
644 <div class="grouptwo-content">
645
646 <div class="form-group field">
647 <label for="selRegisterPrescriptionStatus_England">Select your Exemption Status <strong>*</strong></label>
648 <select name="selRegisterPrescriptionStatus_England" required id="selRegisterPrescriptionStatus_England" style="width:420px;">
649 <option value="99" @(member.ExemptionCertId == 99 ? "selected" : "")>Select an option</option>
650 <option value="0" @(member.ExemptionCertId == 0 ? "selected" : "")>I pay for my Prescriptions</option>
651 <option value="1" @(member.ExemptionCertId == 1 ? "selected" : "")>I'm under 16 years of age (A)</option>
652 <option value="2" @(member.ExemptionCertId == 2 ? "selected" : "")>In full time education and aged between 16 and 18 years (B)</option>
653 <option value="3" @(member.ExemptionCertId == 3 ? "selected" : "")>I'm over 60 years of age (C)</option>
654 <option value="4" @(member.ExemptionCertId == 4 ? "selected" : "")>I have a valid Maternity Exemption certificate (D)</option>
655 <option value="5" @(member.ExemptionCertId == 5 ? "selected" : "")>I have a valid Medical Exemption certificate (E)</option>
656 <option value="6" @(member.ExemptionCertId == 6 ? "selected" : "")>I have a valid prescription pre-payment certificate (F)</option>
657 <option value="7" @(member.ExemptionCertId == 7 ? "selected" : "")>I have a valid War Pension certificate (G)</option>
658 <option value="8" @(member.ExemptionCertId == 8 ? "selected" : "")>I'm named on a current HC2 charges certificate (L)</option>
659 <option value="9" @(member.ExemptionCertId == 9 ? "selected" : "")>I get Income Support or income-related Employment and Support Allowance (H)</option>
660 <option value="10" @(member.ExemptionCertId == 10 ? "selected" : "")>I get Universal Credit (U)</option>
661 <option value="11" @(member.ExemptionCertId == 11 ? "selected" : "")>I get income-based Jobseeker's Allowance (K)</option>
662 <option value="12" @(member.ExemptionCertId == 12 ? "selected" : "")>I'm entitled to, or named on, a valid NHS Tax Credit Exemption Certificate (M)</option>
663 <option value="13" @(member.ExemptionCertId == 13 ? "selected" : "")>I have a partner who gets Pension Credit guarantee credit (PCGC) (S)</option>
664 </select>
665
666 </div>
667
668 </div>
669
670 <div class="grouptwo-content">
671
672 <div class="field exemptioncertnumber" id="exemptionCertNr_England" style="display:none">
673
674 <label for="txtExemptionCertNumber">Enter your Exemption Certificate Number</label>
675 <input id="txtExemptionCertNumberEngland" name="txtExemptionCertNumber" type="text" value="@member.ExemptionCertNumber" onblur="SetExemptionCertNumber(this.value)">
676
677 </div>
678
679 </div>
680
681 <div class="grouptwo-content">
682
683 <div class="field exemptioncertnumber" id="exemptionCertNr_Expires_England" style="display:none">
684
685 <label for="txtExemptionCertExpires">Certificate Expiry Date</label>
686
687 <input id="txtExemptionCertExpires" name="txtExemptionCertExpires" type="date" class="medilink-datepicker"
688 onblur="SetExemptionCertExpires(this.value)"
689 value="@(member.ExemptionCertExpires.HasValue ? member.ExemptionCertExpires.Value.ToString("yyyy-MM-dd") : "")" min="1917-01-01" max="2021-02-09">
690 @*KOD*@
691 @*<input name="BirthDateStringss" type="date" required id="BirthdateDatepicker" class="medilink-datepicker"
692 value="@(member.DateOfBirth.HasValue ? member.DateOfBirth.Value.ToString("yyyy-MM-dd") : "")" min="1917-01-01" max="2021-02-09">*@
693
694 @*<input name="SurgicalProcedureDateString" type="date" id="SurgeryDatepicker" class="medilink-datepicker"
695 value="@(member.SurgicalProcedureDate.HasValue ? member.SurgicalProcedureDate.Value.ToString("yyyy-MM-dd") : "")" min="1917-01-01" max="2021-02-09">*@
696
697 </div>
698
699 </div>
700
701 </div> <!-- grouptwo -->
702 </div>
703
704
705 <div id="prescriptionScotland" class="prescriptionGroup" style="display:none">
706
707 <h1>Scotland</h1>
708
709 <div class="grouptwo grouptwo-medium">
710
711 <div class="grouptwo-content">
712
713 <div class="form-group field">
714 <label for="tbRegister_NhsNo_Scotland">Community Health Index (CHI) Number <strong>*</strong></label>
715 <input type="text" name="tbRegister_NhsNo_Scotland" required maxlength="10" id="tbRegister_NhsNo_Scotland" value="" onkeyup="CheckNhsNumberIsValid(this.value, 'Scotland')">
716
717
718 <span id="NhsNrValidAdvice_Scotland" style="display: none;">
719 <label for="tbRegister_NhsNo_Scotland">(Your NHS number should be made up of 10 digits)</label>
720 </span>
721
722
723 <div class="help is-help-closed">
724 <p>Everyone registered with the NHS in Scotland has their own unique CHI number. You will be given your CHI Number in writing when you register with a GP practice. Your CHI Number helps healthcare staff to find your health records. Each CHI Number is made up of 10 digits shown in a 3-3-4 format (e.g. 123-456-7890).</p>
725 </div>
726
727 </div>
728
729 </div>
730
731 </div> <!-- grouptwo -->
732 </div>
733
734
735 <div id="prescriptionWales" class="prescriptionGroup" style="display:none">
736
737 <h1>Wales</h1>
738
739 <div class="grouptwo grouptwo-medium">
740
741 <div class="grouptwo-content">
742
743 <div class="form-group field">
744 <label for="tbRegister_NhsNo_Wales">National Health Service Number <strong>*</strong></label>
745 <input type="text" name="tbRegister_NhsNo_Wales" required maxlength="10" id="tbRegister_NhsNo_Wales" value="" onkeyup="CheckNhsNumberIsValid(this.value, 'Wales')">
746
747 <span id="NhsNrValidAdvice_Wales" style="display: none;">
748 <label for="tbRegister_NhsNo_Wales">(Your NHS number should be made up of 10 digits)</label>
749 </span>
750
751 <div class="help is-help-closed">
752 <p>Everyone registered with the NHS in England & Wales has their own unique NHS number. You will be given your NHS Number in writing when you register with a GP practice. Your NHS Number helps healthcare staff to find your health records. Each NHS Number is made up of 10 digits shown in a 3-3-4 format (e.g. 123-456-7890).</p>
753 </div>
754
755 </div>
756
757 </div>
758
759 </div>
760
761 </div>
762
763 </div>
764
765 </fieldset>
766
767 @* KOD <fieldset id="EPSFieldset" style="display: none;">*@
768 <fieldset id="EPSFieldset" style="display: block;">
769
770 <div class="l-content feature-divider-rule" style="margin-bottom: 32px; margin-top: 0px;"> </div>
771
772 <div class="grouptwo grouptwo-medium">
773
774 <div class="grouptwo-content">
775
776 <div class="form-group field">
777
778 <h2>Electronic Prescription Service</h2>
779 <p>At Medilink, we are fully-trained to manage the receipt and dispensing of electronically transmitted prescriptions for stoma and continence supplies. We can see many benefits for all involved, from GP Prescribers to the patients.</p>
780 </div>
781
782 </div>
783
784 <div class="grouptwo-content">
785
786 <div class="form-group field">
787
788 <ul class="field-group">
789 <li><input name="EPS" type="checkbox" id="tbRegister_EPS" @((member.EPS != null) && (member.EPS) ? "checked" : "")><label for="tbRegister_EPS">I would like to learn more information about EPS nomination</label></li>
790 </ul>
791
792 <div>
793 <img src="Files/Images/Site Content/eps.jpg" style="width: auto; padding-bottom: 16px;">
794 <p class="btn green-white button download"><a href="/Files/Files/Downloads/EPS Leaflet/17983 Medilink EPS Leaflet.pdf" download="Electronic Prescription Service.pdf">Download EPS Leaflet</a></p>
795 </div>
796
797 </div>
798
799 </div>
800
801 </div>
802
803 </fieldset>
804
805 <div class="l-content feature-divider-rule" style="margin-bottom: 32px;margin-top:0px;"> </div>
806
807 <fieldset>
808
809 <div class="grouptwo grouptwo-medium">
810
811 <div class="grouptwo-content">
812
813 <div class="form-group field">
814
815 <h2>Contact Information</h2>
816 <p>Please select how you would like your local Medilink Dispensing Care Centre to communicate with you regarding your orders.</p>
817
818 </div>
819
820 </div>
821
822 <div class="grouptwo-content">
823
824 <div class="form-group field">
825
826 <ul class="field-group">
827 <li><input name="StatusAlertSMS" type="checkbox" id="tbStatusAlertsSMS"><label for="tbStatusAlertsSMS">I would like to be contacted by text message (SMS).</label></li>
828 <li><input name="StatusAlertEmail" type="checkbox" id="tbStatusAlertsEmail"><label for="tbStatusAlertsEmail">I would like to be contacted via email.</label></li>
829 </ul>
830
831 </div>
832
833 </div>
834
835 </div>
836
837 </fieldset>
838
839 <div class="l-content feature-divider-rule" style="margin-bottom: 32px;margin-top:0px;"> </div>
840
841 <fieldset>
842
843 <div class="grouptwo grouptwo-medium">
844 @*<h3>Who would you like to request your prescription?</h3>
845 <div class="form-group field">
846 <h3>Who would you like to collect the prescription for the first order?</h3>
847 <ul id="rdoListPrescriptionFirst" class="field-group">
848 <li><input value="Patient" name="FirstOrderCollectionOption" type="radio" @((member.FirstOrderCollectionOption != null) && (member.FirstOrderCollectionOption == "Patient") ? "checked" : "") id="register_gp_prescription_first_patient"><label for="register_gp_prescription_first_patient">Patient collection <small>(moving forward, a freepost envelope will be included with each order)</small></label></li>
849 <li><input value="Medilink" name="FirstOrderCollectionOption" type="radio" @((member.FirstOrderCollectionOption != null) && (member.FirstOrderCollectionOption == "Medilink") ? "checked" : "") id="register_gp_prescription_first_medilink"><label for="register_gp_prescription_first_medilink">Medilink <small>(we will call the GP and request it for you)</small></label></li>
850 </ul>
851 </div>*@
852
853 <div class="form-group field">
854
855 <h3>Who would you like to request your prescription?</h3>
856 <ul id="rdoListPrescription" class="field-group">
857 <li><input value="Patient" name="OrderCollectionOption" type="radio" @((member.OrderCollectionOption != null) && (member.OrderCollectionOption == "Patient") ? "checked" : "") id="register_gp_prescription_future_patient"><label for="register_gp_prescription_future_patient">I will request it myself and ask the GP to send it to Medilink</label></li>
858 <li><input value="Medilink" name="OrderCollectionOption" type="radio" @((member.OrderCollectionOption != null) && (member.OrderCollectionOption == "Medilink") ? "checked" : "") id="register_gp_prescription_future_medilink"><label for="register_gp_prescription_future_medilink">I want Medilink to contact my GP and request the prescription on my behalf</label></li>
859 </ul>
860 </div>
861
862 </div>
863
864 </fieldset>
865
866 </div>
867
868 <p class="btn blue-white previous"><a>Previous</a></p>
869 <p class="btn blue-white next submit"><input type="submit" value="Submit"></p>
870
871 <div id="submitProgress"></div>
872
873 </div>
874
875
876 <div class="major-minor" id="applyStep4">
877
878 <div class="majorminor majorminor-medium">
879
880 <div class="majorminor-medium">
881
882 <div id="registerapplicationContentPage4" class="generalcontent">
883
884 @pageParagraphCollection.Where(m => m.Header == "Application Form Thank You").Select(n => n.Text).FirstOrDefault()
885
886 </div> <!-- generalcontent -->
887 </div> <!-- majorminor-major -->
888 </div> <!-- majorminor -->
889
890 </div>
891
892 </form>
893 </div>
894
895
896 <script type="text/javascript" src="/Files/Templates/Designs/MedilinkCore/scripts/ApplicationForm.js"></script>
897
898
