* @author Terry Hill * @copyright Copyright (c) 2016-2021 Jerry Padgett * @license https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3 */ //require_once ("./../verify_session.php"); require_once("../../library/options.inc.php"); $this->assign('title', xlt("Patient Portal") . " | " . xlt("Patient Data")); $this->assign('nav', 'patientdata'); /* * row keys are js underscore camelcase and follow the underscores varables used in this template * $row['city'] or $row['postalCode'] e.t.c.. The keys do not match table columns ie postalCode here is postal_code in table. * */ $row = array(); if ($this->trow) { $row = $this->trow; } $exclude = array(); if ($this->exclude) { $exclude = $this->exclude; } echo ""; $this->display('_modalFormHeader.tpl.php'); ?> register)) {?>