+
+
+
+ Edit Referral Note
+{{ referral.memberCase.caseName }}
+
+ {{ form_start(form) }}
+ {{ form_errors(form) }}
+
+
+
+ {{ form_end(form) }}
+
+ {% set endDateWarning = '' %}
+ {% if date("+28 days") >= referral.endDate %}
+ {% set endDateWarning = 'bg-gradient-warning' %}
+ {% elseif date("+14 days") >= referral.endDate %}
+ {% set endDateWarning = 'bg-gradient-danger text-white' %}
+ {% endif %}
+
+ Hours:
+ {{ referral.hours }}
+ /
+ Remaining:
+ {{ referral.getHoursRemaining() }}
+
+
+ Expiration Date:
+ {{ referral.endDate|date('M j, Y', company_timezone) }}
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ {{ form_row(form.members, {
+ 'label': 'Members Present',
+ 'label_attr': {'class': ''},
+ 'attr': {'class': 'form-control'}
+
+ }) }}
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Add Referral Note
+{{ referral.memberCase.caseName }}
+
+ {{ form_start(form) }}
+ {{ form_errors(form) }}
+
+
+
+ {{ form_end(form) }}
+
+ {% set endDateWarning = '' %}
+ {% if date("+28 days") >= referral.endDate %}
+ {% set endDateWarning = 'bg-gradient-warning' %}
+ {% elseif date("+14 days") >= referral.endDate %}
+ {% set endDateWarning = 'bg-gradient-danger text-white' %}
+ {% endif %}
+
+ Hours:
+ {{ referral.hours }}
+ /
+ Remaining:
+ {{ referral.getHoursRemaining() }}
+
+
+ Expiration Date:
+ {{ referral.endDate|date('M j, Y', company_timezone) }}
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ {{ form_row(form.members, {
+ 'label': 'Members Present',
+ 'label_attr': {'class': ''},
+ 'attr': {'class': 'form-control'}
+ }) }}
+
+
+
+
+
+
+
+
+
+
+