0
edits
Changes
→Sample POST from SmartSimple
<div style="border:1px solid #1b409b; max-width:700px; min-width:550px;">
<table>
<th colspan="64" align="left" class="titleText001">Insurance company claim referred By:</th>
</tr>
<tr>
<td><textarea name=ss_ReferralCompany readonly>@parent.client.name@</textarea></td>
</tr>
</tr>
<tr>
<th><textarea name=ss_TypeofAssessment readonly>@type@</textarea></th>
</tr>
</tr>
<tr>
<textarea readonly>@intassistance@</textarea></td>
</tr>
</tr>
<tr>
</tr>
<tr>
<th colspan="64" align="left" class="titleText001">Billing Details</th>
</tr>
<tr>
</tr>
<!--@end-->
<tr>
<th colspan="64" align="left" class="titleText001">Appointment Confirmation</th>
</tr>
<tr>
</body>
</html>
</pre>
