<commit_before>{% extends path2+"/_layoutStripped.html" %}

{% block case_content %}

  <a href="javascript: history.go(-1)" class="link-back">Back</a>

<h3 class="heading-large mt20">Appointment referral</h3>
<form class="form" action="/{{ path2 }}" method="get">
  
  <div class="form-group">
	  <label class="form-label" for="reason">
	  	Reason for face to face appointment
	  </label>
	  <textarea class="form-control" name="reason" style="height:200px"></textarea>
	  
	  
	   
  </div> 
		  

		  
		  
		     <div class="form-group">
			    <fieldset>
			
			      <legend class="heading-medium">Skill required</legend>
			
			      <div class="multiple-choice">
			        <input id="radio-neuro1" type="radio" name="radio-neuro" value="neuro">
			        <label for="radio-neuro1">Standard</label>
			      </div>
			      <div class="multiple-choice">
			        <input id="radio-neuro2" type="radio" name="radio-neuro" value="neuro">
			        <label for="radio-neuro2">Neuro</label>
			      </div><commit_msg>Update booking.html<commit_after>{% extends path2+"/_layoutStripped.html" %}

{% block case_content %}

  <a href="javascript: history.go(-1)" class="link-back">Back</a>

<h3 class="heading-large mt20">Appointment referral</h3>
<form class="form" action="/{{ path2 }}" method="get">
  
  <div class="form-group">
	  <label class="form-label" for="reason">
	  	Why Tomas needs a face to face appointment
	  </label>
	  <textarea class="form-control" name="reason" style="height:200px"></textarea>
	  
	  
	   
  </div> 
		  

		  
		  
		     <div class="form-group">
			    <fieldset>
			
			      <legend class="heading-medium">Skill required</legend>
			
			      <div class="multiple-choice">
			        <input id="radio-neuro1" type="radio" name="radio-neuro" value="neuro">
			        <label for="radio-neuro1">Standard</label>
			      </div>
			      <div class="multiple-choice">
			        <input id="radio-neuro2" type="radio" name="radio-neuro" value="neuro">
			        <label for="radio-neuro2">Neuro</label>
			      </div>
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