<commit_before><%= bootstrap_form_for patient, html: { id: 'patient_dashboard_form' }, remote: true do |f| %>
  <div class="col-sm-4" >
    <%= f.text_field :name, label: 'First and last name', autocomplete: 'off' %>
    <%= f.text_field :primary_phone, value: patient.primary_phone_display, label: 'Phone number', autocomplete: 'off' %>
  </div>

  <div class="col-sm-4">
    <div class="row">
      <div class="col-sm-6">
        <%= f.select :last_menstrual_period_weeks, options_for_select(weeks_options, patient.last_menstrual_period_weeks ), label: 'LMP at intake', autocomplete: 'off', help: "Currently: #{patient.last_menstrual_period_display_short}" %>
      </div>
      <div class="col-sm-6 hide-label">
        <%= f.select :last_menstrual_period_days, options_for_select(days_options, patient.last_menstrual_period_days ), label: '.', autocomplete: 'off', help: "Called on: #{patient.initial_call_date.strftime("%m/%d/%Y")}" %>
      </div>
    </div>
    <div class="row">
      <div class="col-sm-12">
        <p><strong>Status:</strong> <span id='patient_status'><%= patient.status %></span></p>
      </div>
    </div>
  </div>

  <div class="col-sm-4">
    <div class="row">
      <%= f.date_field :appointment_date, label: 'Appointment date', autocomplete: 'off', help: "Approx gestation at appt: #{patient.last_menstrual_period_at_appt}" %>
    </div>
  </div>
<% end %><commit_msg>missed a spot<commit_after><div id="patient_dashboard_content">
  <%= bootstrap_form_for patient, html: { id: 'patient_dashboard_form' }, remote: true do |f| %>
    <div class="col-sm-4" >
      <%= f.text_field :name, label: 'First and <NAME>', autocomplete: 'off' %>
      <%= f.text_field :primary_phone, value: patient.primary_phone_display, label: 'Phone number', autocomplete: 'off' %>
    </div>

    <div class="col-sm-4">
      <div class="row">
        <div class="col-sm-6">
          <%= f.select :last_menstrual_period_weeks, options_for_select(weeks_options, patient.last_menstrual_period_weeks ), label: 'LMP at intake', autocomplete: 'off', help: "Currently: #{patient.last_menstrual_period_display_short}" %>
        </div>
        <div class="col-sm-6 hide-label">
          <%= f.select :last_menstrual_period_days, options_for_select(days_options, patient.last_menstrual_period_days ), label: '.', autocomplete: 'off', help: "Called on: #{patient.initial_call_date.strftime("%m/%d/%Y")}" %>
        </div>
      </div>
      <div class="row">
        <div class="col-sm-12">
          <p><strong>Status:</strong> <span id='patient_status'><%= patient.status %></span></p>
        </div>
      </div>
    </div>

    <div class="col-sm-4">
      <div class="row">
        <%= f.date_field :appointment_date, label: 'Appointment date', autocomplete: 'off', help: "Approx gestation at appt: #{patient.last_menstrual_period_at_appt}" %>
      </div>
    </div>
  <% end %>
</div>
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