@foreach($steps as $index => $stepName)
  • @if($index + 1 < $default['step']) {{ $stepName }} @else {{ $stepName }} @endif
    • @endforeach

Personal Information

Health Concerns

Medications & Allergies

Do you have any known allergies to medications?

No allergies added

Are you currently taking any medications?

No medications added

Symptoms & Additional Information

Symptoms Checklist

Check all that apply

@foreach($groupedConditions as $groupName => $conditions)

{{ $groupName }}

@foreach($conditions as $condition)
{{ $condition->name }}
@foreach($condition->symptoms as $symptom) @endforeach
@endforeach
@endforeach

Additional Questions

Consent and Privacy

By submitting this form, you agree that the information provided is accurate to the best of your knowledge.

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