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From the list: Form Fill

✔ Form fill on contact us

Rachel S. added this on Jun 01, 2016
Completed Jun 01, 2016 by Eddie O.

Rachel Schmidt

Hi Eddie,

The form fill on the bottom of the contact us page doesn't have the are you a new patient.

http://healthcarewebsite.net/rcca/contact-us/

Thanks!

Jun 01, 2016 at 9:41 PM Notified 2 people

Eddie Olivas

Try refreshing, it's there. The layout of the form is off though. I'll fix that.

Jun 01, 2016 at 9:46 PM Notified 2 people

Rachel Schmidt

Thank you!

Jun 01, 2016 at 10:13 PM Notified 2 people

Niki Kaylor completed this to-do.

Jun 01, 2016 at 10:21 PM