Ty Clifford
48 lines
2.7 KiB
PHP
48 lines
2.7 KiB
PHP
<?php
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declare(strict_types=1);
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require __DIR__ . '/../app/bootstrap.php';
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app_db();
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$pageTitle = 'Sign Up | Neon Medical Tracker';
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$activePage = 'signup';
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require __DIR__ . '/partials/site-header.php';
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?>
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<main>
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<section class="signup-layout">
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<div class="signup-copy">
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<p class="site-eyebrow">Create your profile</p>
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<h1>Start with the basics. Add records as care changes.</h1>
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<p>Your profile keeps medications, vitals, labs, symptoms, allergies, appointments, vaccines, notes, and theme preferences separate from every other user.</p>
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<div class="signup-steps">
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<article><strong>1</strong><span>Create profile</span></article>
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<article><strong>2</strong><span>Open tracker</span></article>
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<article><strong>3</strong><span>Add medical records</span></article>
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</div>
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</div>
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<form class="signup-card" id="publicSignupForm">
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<div>
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<p class="site-eyebrow">Sign up</p>
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<h2>New profile</h2>
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</div>
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<label class="site-field"><span>Name</span><input name="name" required autocomplete="name"></label>
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<label class="site-field"><span>Email</span><input name="email" type="email" autocomplete="email"></label>
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<label class="site-field"><span>Phone</span><input name="phone" type="tel" autocomplete="tel"></label>
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<label class="site-field"><span>Care focus</span><input name="fitness_focus" placeholder="Blood pressure, glucose, asthma"></label>
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<div class="signup-row">
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<label class="site-field"><span>Birthday</span><input name="birthday" type="date"></label>
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<label class="site-field"><span>Height in</span><input name="height_in" type="number" min="0" step="0.5"></label>
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</div>
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<label class="site-field"><span>Tracking comfort</span><select name="training_level"><option></option><option>Getting started</option><option>Comfortable</option><option>Advanced</option><option>Caregiver</option></select></label>
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<div class="signup-row">
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<label class="site-field"><span>Theme</span><select name="theme_mode"><option>dark</option><option>light</option></select></label>
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<label class="site-field"><span>Accent</span><select name="theme_accent"><option>green</option><option>blue</option><option>red</option><option>pink</option><option>orange</option></select></label>
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</div>
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<button class="site-primary full" type="submit">Create profile</button>
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<p class="signup-result" id="signupResult" role="status" aria-live="polite"></p>
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</form>
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</section>
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</main>
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<?php require __DIR__ . '/partials/site-footer.php'; ?>
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