update issue tracker.

This commit is contained in:
Jason Kulatunga 2023-12-14 17:55:24 -08:00
parent 65bcabeb23
commit 07677d0878
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1 changed files with 9 additions and 1 deletions

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@ -32,10 +32,18 @@ body:
id: provider-website
attributes:
label: Provider/Institution Website
description: Please share a link to the provider's website.
description: Please share a link to the provider's homepage.
placeholder: ex. https://www.humana.com/
validations:
required: true
- type: input
id: provider-portal
attributes:
label: Patient Portal Login Website
description: Please share a link to the provider's login page, where you can access your health records.
placeholder: ex. https://ucsfmychart.ucsfmedicalcenter.org/ucsfmychart/Authentication/Login?
validations:
required: false
- type: input
id: provider-ehr
attributes: