contrib/forms/well_child_care/new.php

   1 <?php
   2
   3 // file new.php for well child evaluation
   4
   5 // input designed by Lowell Gordon, MD lgordon@whssf.org
   6
   7
   8
   9 include_once("../../globals.php");
  10
  11 include_once("../../../library/api.inc");
  12
  13 include_once("C_WellChildCare.class.php");
  14
  15 ?>
  16
  17 <html><head>
  18 <?php html_header_show();?>
  19
  20 <link rel=stylesheet href="<?php echo $css_header;?>" type="text/css">
  21
  22 </head>
  23
  24 <body class="body_top">
  25
  26
  27
  28 <!--REM note that every input method has the same name as a valid column, this will make things easier in save.php -->
  29
  30
  31
  32 <br>
  33
  34 <form method='post' action="<?php echo $rootdir;?>/forms/well_child_care/save.php?mode=new" name='well_child_care' >
  35
  36
  37
  38 <!-- the form goes here -->
  39
  40 <?php
  41
  42                 $form=new C_WellChildCare($pid);
  43
  44                 $a=$form->put_form();
  45
  46 ?>
  47
  48 <!-- the form ends here -->
  49
  50
  51
  52 <!--REM note our nifty jscript submit -->
  53
  54 <a href="javascript:top.restoreSession();document.well_child_care.submit();" class="link_submit">[Save]</a>
  55
  56 <br>
  57
  58
  59
  60 <a href="<?php echo $GLOBALS['form_exit_url']; ?>" class="link" onclick="top.restoreSession()">[Don't Save]</a>
  61
  62 </form>
  63
  64
  65
  66 <?php
  67
  68 formFooter();
  69
  70 ?>
  71