Notification Email Not Working

  • I am unable to receive the email after form submit.
    Here is my code

    @start
To: [item re_f_name]  <[item re_email]>
From:  [UMD Urgent Medical Care] <[email protected]>
Subject: [UMD Urgent Medical Care] Thank you for your registration.
MIME-Version: 1.0
Content-type: text/html
@message start
Dear, [item re_f_name]

Thank you for choosing UMD Urgent Medical Care.

<hr>
<div class="container" style="width:960px;margin:0 auto; font-family:Arial, Helvetica, sans-serif;font-size: 16px">
 <!--  <div style="width:960px;text-align:center; border-bottom:3px solid #c9252b;padding-bottom:10px;">
      <a href="https://www.umdcare.com/urgent-care/"><img src="https://www.umdcare.com/urgent-care/wp-content/uploads/2014/03/umd-urgent-medical-care-logo.png" width="232" height="93" align="center"/></a>
   </div> -->
   <p align="center" style="font-size:16px">Please present your insurance card and a photo ID at time of check-in</p>
   <div style="padding:20px;">
      <h2 style="font-size:22px;font-weight:bold;margin-bottom:5px;">PATIENT INFORMATION</h2>
      <div style="border:2px solid black;padding:5px 15px;">
         <p>
            Last Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_l_name]</span> First Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_f_name]</span> MI: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:175px"> [item re_m_name]</span>
         </p>
         <p>
            Social Security Number: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> </span> Date of Birth: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_dot]</span> Sex: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:86px"> [item re_sex]</span>
         </p>
         <p>
            Race: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_race]</span> Ethnicity: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_ethnicity]</span> Preferred Language: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:120px"> [item re_language]</span>
         </p>
         <p>
            Street Address: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:540px;display:inline-block;margin-right: 20px;"> [item re_address]</span> Apt: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:150px;"> [item re_suite]</span>
         </p>
         <p>
            City: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_city]</span> State: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_state]</span> Zip Code: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:220px"> [item re_zip]</span>
         </p>
         <p>
            Home Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_home_no]</span> Work Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_work_no]</span> Cell Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;"> [item re_cell_no]</span>
         </p>
         <p>
            Email: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:540px;display:inline-block;margin-right: 20px;"> [item re_email]</span> Smoker: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:182px;"> [item re_smoker]</span>
         </p>
         <p>
            Are you allergic or have you had any reaction(s) to any medications:
         </p>
         <p><span style="border-bottom: 1px solid black;padding-bottom:2px;width:100%;display:inline-block;margin-right: 20px;"> [item re_allergic]</span></p>
         <p>
            Do you have any medical issues we should be aware of?
         </p>
         <p><span style="border-bottom: 1px solid black;padding-bottom:2px;width:100%;display:inline-block;"> [item re_issue]</span></p>

         <p style="font-weight:bold;font-size:14px;">Insurance Information:</p>
         <p>Insurance Plan: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:350px;display:inline-block;margin-right: 20px;"> [item re_insurance_pan]</span> Member ID: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:290px;display:inline-block;"> [item re_member_id]</span></p>

         <p style="font-weight:bold;font-size:14px;">Person to contact in case of emergency:</p>
         <p>Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_emergency_name]</span> Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:190px;display:inline-block;margin-right: 20px;"> [item re_emergency_phone]</span> Relationship: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:207px;"> [item re_emergency_relationship]</span></p>

         <p>Patient Signature: <span style="border-bottom:1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right:20px"> </span></p>
      </div>
   </div>
</div>
<hr>

<p style="font-weight:bold;font-size:14px;">Resrvation:</p>
<p>Location:[item re_location]
   Date:[item re_reservation_date]
   Time:[item re_reservation_time]
</p>

<table width="699" height="210" border="0" cellspacing="0" cellpadding="0">
   <tr>
      <td width="267" height="76"><a href="https://www.umdcare.com/"><img src="https://www.umdcare.com/urgent-care/wp-content/uploads/2014/03/umd-urgent-medical-care-logo.png" width="267" height="76" border="0" align="absbottom" style="vertical-align:top"></a>
      </td>
   </tr>
   <tr>
      <td width="665" height="134">
         <p>
            <a href="https://urgentmedicalcareunionsquare.com/urgent-care/contact/">110 W 14TH STREET NEW YORK, NY 10011</a> |  T.212.242.4333
            <a href="https://www.umdcare.com/">www.UMDcare.com</a> | <a href="mailto:[email protected]"> [email protected]</a>

         </p>
      </td>
   </tr>
</table>
@message end
@end
@start
To: [item re_f_name]  <[item re_reservation_email]> -->
From:  [UMD Urgent Medical Care] <[email protected]>
Subject: [UMD Urgent Medical Care] Thank you for your reservation.
MIME-Version: 1.0
Content-type: text/html
@message start
Dear, [item re_f_name]

Your reservation to UMD Urgent Medical Care is confirmed.

If you have any question, please make sure to call us at 212.242.4333 to confirm your reservation.
<p style="font-weight:bold;font-size:14px;">Resrvation Details:</p>
<p>Location:[item re_location]
   Date:[item re_reservation_date]
   Time:[item re_reservation_time]
</p>

<table width="699" height="210" border="0" cellspacing="0" cellpadding="0">
   <tr>
      <td width="267" height="76"><a href="https://www.umdcare.com/"><img src="https://www.umdcare.com/urgent-care/wp-content/uploads/2014/03/umd-urgent-medical-care-logo.png" width="267" height="76" border="0" align="absbottom" style="vertical-align:top"></a>
      </td>
   </tr>
   <tr>
      <td width="665" height="134">
         <p>
            <a href="https://urgentmedicalcareunionsquare.com/urgent-care/contact/">110 W 14TH STREET NEW YORK, NY 10011</a> |  T.212.242.4333
            <a href="https://www.umdcare.com/">www.UMDcare.com</a> | <a href="mailto:[email protected]"> [email protected]</a>

         </p>
      </td>
   </tr>
</table>
@message end
@end
@start
To: [email protected]
From: [item re_f_name]  [item re_l_name] <[item re_email]>
Bcc: <[email protected]>
Subject: [UMD Urgent Medical Care] [item re_f_name] Online Registration
MIME-Version: 1.0
Content-type: text/html
@message start
<p style="font-weight:bold;font-size:14px;">Resrvation:</p>
<p>Location:[item re_location]
   Date:[item re_reservation_date]
   Time:[item re_reservation_time]
</p>

<div class="container" style="width:960px;margin:0 auto; font-family:Arial, Helvetica, sans-serif;font-size: 16px">
  <!--  <div style="width:960px;text-align:center; border-bottom:3px solid #c9252b;padding-bottom:10px;">
      <a href="https://www.umdcare.com/urgent-care/"><img src="https://www.umdcare.com/urgent-care/wp-content/uploads/2014/03/umd-urgent-medical-care-logo.png" width="232" height="93" align="center"/></a>
   </div> -->
   <p align="center" style="font-size:16px">Please present your insurance card and a photo ID at time of check-in</p>
   <div style="padding:20px;">
      <h2 style="font-size:22px;font-weight:bold;margin-bottom:5px;">PATIENT INFORMATION</h2>
      <div style="border:2px solid black;padding:5px 15px;">
         <p>
            Last Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_l_name]</span> First Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_f_name]</span> MI: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:175px"> [item re_m_name]</span>
         </p>
         <p>
            Social Security Number: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> </span> Date of Birth: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_dot]</span> Sex: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:86px"> [item re_sex]</span>
         </p>
         <p>
            Race: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_race]</span> Ethnicity: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_ethnicity]</span> Preferred Language: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:120px"> [item re_language]</span>
         </p>
         <p>
            Street Address: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:540px;display:inline-block;margin-right: 20px;"> [item re_address]</span> Apt: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:150px;"> [item re_suite]</span>
         </p>
         <p>
            City: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_city]</span> State: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_state]</span> Zip Code: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:220px"> [item re_zip]</span>
         </p>
         <p>
            Home Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_home_no]</span> Work Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_work_no]</span> Cell Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;"> [item re_cell_no]</span>
         </p>
         <p>
            Email: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:540px;display:inline-block;margin-right: 20px;"> [item re_email]</span> Smoker: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:182px;"> [item re_smoker]</span>
         </p>
         <p>
            Are you allergic or have you had any reaction(s) to any medications:
         </p>
         <p><span style="border-bottom: 1px solid black;padding-bottom:2px;width:100%;display:inline-block;margin-right: 20px;"> [item re_allergic]</span></p>
         <p>
            Do you have any medical issues we should be aware of?
         </p>
         <p><span style="border-bottom: 1px solid black;padding-bottom:2px;width:100%;display:inline-block;"> [item re_issue]</span></p>

         <p style="font-weight:bold;font-size:14px;">Insurance Information:</p>
         <p>Insurance Plan: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:350px;display:inline-block;margin-right: 20px;"> [item re_insurance_pan]</span> Member ID: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:290px;display:inline-block;"> [item re_member_id]</span></p>

         <p style="font-weight:bold;font-size:14px;">Person to contact in case of emergency:</p>
         <p>Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_emergency_name]</span> Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:190px;display:inline-block;margin-right: 20px;"> [item re_emergency_phone]</span> Relationship: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:207px;"> [item re_emergency_relationship]</span></p>

         <p>Patient Signature: <span style="border-bottom:1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right:20px"> </span></p>
      </div>
   </div>
</div>
@message end
@end

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