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Viewing 15 replies - 61 through 75 (of 99 total)
  • Thread Starter manigopal

    (@manigopal)

    only on selecting this,

    No, please only transfer the prescriptions listed below:

    it should show but it is been displayed..always

    Thread Starter manigopal

    (@manigopal)

    Thread Starter manigopal

    (@manigopal)

    <h2 class=”short”>Patient Information</h2>

    <div class=”row”>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”first-name”>First Name *</label>
    [text* first-name id:first-name class:form-control]
    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”last-name”>Last Name *</label>
    [text* last-name id:last-name class:form-control]
    </div>
    </div>
    <div class=”col-lg-6″>
    <label for=”birth-date”>Birth Date *</label>
    [date* your-date min:1950-01-01 max:2018-12-31 step:7 class:required “2013-04-01″]
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”contact-email”>Your Email Address *</label>
    [email* your-email id:contact-email class:form-control]
    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”contact-home-phone”>Home Phone *</label>
    [text* home-phone id:contact-home-phone class:form-control]
    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”contact-mobile-phone”>Mobile Phone *</label>
    [text* mobile-phone id:mobile-phone class:form-control]
    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”contact-address”>Address *</label>
    [text* contact-address id:contact-address class:form-control]
    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”contact-city-town”>City or Town*</label>
    [text* contact-city-town id:contact-city-town class:form-control]
    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”contact-province”>Province *</label>
    [text* contact-province id:contact-province class:form-control]
    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”contact-postal-code”>Postal Code *</label>
    [text* contact-postal-code id:contact-postal-code class:form-control]
    </div>
    </div>

    <div class=”col-lg-12″>
    <h2 class=”short”>Transferring Pharmacy Location</h2>
    </div>

    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”existing-pharmacy”>Existing Pharmacy *</label>
    [select* existing-pharmacy include_blank id:existing-pharmacy class:existing-pharmacy “Alberta” “Edmonton”]

    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group”>
    <label for=”pharmacy-phone”>Pharmacy Phone Number *</label>
    [text* pharmacy-phone id:pharmacy-phone class:form-control]
    </div>
    </div>

    <div class=”col-lg-12″>
    <h2 class=”short”>Prescription(s) to be Transferred</h2>
    <h5>Please provide us with drug name or prescription number for each of the prescriptions you would like to transfer to Chappelle Pharma.</h5>
    </div>

    <div class=”col-lg-12″>
    [radio prescription-transferred id:prescription-transferred default:1 “Yes, please transfer all of my prescriptions to Rexall” “No, please only transfer the prescriptions listed below:”]
    </div>

    [field_group drug-details id=”drug-details”]
    <div class=”col-lg-6″>
    <div class=”form-group drug-name”>
    <label for=”drug-name” id=”drug-name”>Drug Name *
    [text* drug-name class:form-control] </label>
    </div>
    </div>
    <div class=”col-lg-6″>
    <div class=”form-group rx-number”>
    <label for=”rx-number” id=”rx-number”>RX Number *
    [text* rx-number class:form-control] </label>
    </div>
    </div>
    <div class=”col-lg-12″>
    <div class=”form-group transfer-notes”>
    <label for=”transfer-notes” id=”transfer-notes”>Notes *
    [textarea* transfer-notes 100×10 class:form-control] </label>
    <label for=”fill-my-prescription” id=”fill-my-prescription”> [checkbox fill-my-prescription “Fill my prescription as soon as the prescription transfer is complete.”]</label>
    <label for=”hold-my-prescription” id=”hold-my-prescription”> [checkbox hold-my-prescription “Hold prescription until I request a fill.
    “]</label>
    </div>
    </div>

    [/field_group]

    <hr>
    <div class=”col-lg-12″>
    <h3 class=”short”>Important Note</h3>
    <h6>Chapelle Pharma is committed to protecting the privacy of our customers’ information. Any and all information provided on this form will be kept strictly confidential in accordance with our privacy policy.</h6>
    <h6>By submitting this form you are giving consent for a Chapelle Pharma representative to contact the transferring pharmacy indicated to complete your prescription transfer request.</h6>
    </div>

    <div class=”col-lg-12″>
    <div class=”form-group”>
    [submit class:btn class:btn-primary class:btn-lg “Request Transfer”]
    </div>
    </div>
    </div>

    <script language=”javascript” type=”text/javascript”>
    // Hide the Text field by default

    $( ‘.drug-name’ ).css( ‘display’, ‘none’ );
    $( ‘.rx-number’ ).css( ‘display’, ‘none’ );
    $( ‘.transfer-notes’ ).css( ‘display’, ‘none’ );
    $( ‘.fill-my-prescription’ ).css( ‘display’, ‘none’ );
    $( ‘.hold-my-prescription’ ).css( ‘display’, ‘none’ );
    document.getElementById(‘prescription-transferred’).addEventListener(‘click’, displayTextField);
    function displayTextField() {
    // Get the value of the currently selected radio button. ‘select-a-size’ is the name of the radio buttons you specify in the form builder
    var radioText = document.querySelector(‘input[name=”prescription-transferred”]:checked’).value;
    if (radioText == ‘No, please only transfer the prescriptions listed below:’) {
    $( ‘.drug-name’ ).css( ‘display’, ‘block’ );
    $( ‘.rx-number’ ).css( ‘display’, ‘block’ );
    $( ‘.transfer-notes’ ).css( ‘display’, ‘block’ );
    $( ‘.fill-my-prescription’ ).css( ‘display’, ‘inline’ );
    $( ‘.hold-my-prescription’ ).css( ‘display’, ‘inline’ );
    } else {
    $( ‘.drug-name’ ).css( ‘display’, ‘none’ );
    $( ‘.rx-number’ ).css( ‘display’, ‘none’ );
    $( ‘.transfer-notes’ ).css( ‘display’, ‘none’ );
    $( ‘.fill-my-prescription’ ).css( ‘display’, ‘none’ );
    $( ‘.hold-my-prescription’ ).css( ‘display’, ‘none’ );
    }
    }
    </script>

    Thread Starter manigopal

    (@manigopal)

    @felipeelia did that worked? for you

    Thread Starter manigopal

    (@manigopal)

    it didnt worked for me does it worked for you. you can just use the entire code i have added at pastebin @contactform7

    Thread Starter manigopal

    (@manigopal)

    hi i have it but i cant post here the link since its customers.,

    the code is all which i used @contactform7

    Thread Starter manigopal

    (@manigopal)

    Thread Starter manigopal

    (@manigopal)

    using php 7 version

    Thread Starter manigopal

    (@manigopal)

    your plugin has some Deprecated functions and it doesn’t works well with php7.2
    I went back to php7.1 now issue resolved.

    Thread Starter manigopal

    (@manigopal)

    PHP Version 7.2

    No i dont think its on another plugin.,

    Thread Starter manigopal

    (@manigopal)

    The plugin generated 591 characters of unexpected output during activation. If you notice “headers already sent” messages, problems with syndication feeds or other issues, try deactivating or removing this plugin.

    Thread Starter manigopal

    (@manigopal)

    Getting this issue.,

    PHP Notice: Trying to get property of non-object in /public_html/wp-content/plugins/job-postings/class-job-postings.php on line 2511

    Thread Starter manigopal

    (@manigopal)

    I also had checked up with default WP theme or someother theme it worked fine !

    Thread Starter manigopal

    (@manigopal)

    elementor plugin & even tawk chat plugin are not working with the updated one.,

    Thread Starter manigopal

    (@manigopal)

    Yes, i have updated and issue is closed. Thanks.

Viewing 15 replies - 61 through 75 (of 99 total)