0
edits
Changes
→Sample POST from SmartSimple
</tr>
<tr>
<th align="left">Insurer Referral Contact First Name </th>
<td><textarea name=ss_ReferralFirstName readonly>@parent.Referral Contact First Name@</textarea></td>
<th align="left">Insurer Referral Contact Last Name </th>
<td><textarea name=ss_ReferralLastName readonly>@parent.Referral Contact Last Name@</textarea></td>
</tr>
</tr>
<th colspan="4" align="left" class="titleText001"><br /><br />Claim / Assessment Information</th> </tr> <tr> <th align="left">File Number (Referral)</th> <td><textarea name=ss_ReferralFileNumber readonly>@parent.Claim #@</textarea></td> </tr> <tr> <th align="left">Location</th> <td><textarea name=ss_AppointmentLocation readonly>@Location@</textarea></td> <th align="left"> Date & Time </th> <td><textarea name=ss_DateandTime readonly>@fullstartdate@</textarea></td> </tr> <th align="left"> Duration (hr) </th> <td><textarea name=ss_Duration readonly>@appduration@</textarea></td> <th align="left"> Assessment Type</th> <th><textarea name=ss_TypeofAssessment readonly>@type@</textarea></th> </tr> <th colspan="4" align="left" class="titleText001">Pickup Details </th>
</tr>
<tr>
</body>
</html>
