2021-12-24 10:23:22 +08:00
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name: 报告新的精神科医生
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description: 报告新的精神科医生
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title: "精神科："
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body:
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- type: markdown
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attributes:
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value: 感谢您的报告，请根据该表单填充必要信息。
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- type: input
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id: hospital-name
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attributes:
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label: 医院名称
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description: 该医院的名字全称
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validations:
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required: true
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- type: input
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id: doctor-name
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attributes:
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label: 医生姓名
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description: 该医生的名字
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validations:
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required: true
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- type: checkboxes
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2021-12-24 11:01:18 +08:00
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id: labels
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2021-12-24 10:23:22 +08:00
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attributes:
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label: 标签
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options:
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2021-12-24 11:01:18 +08:00
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- label: LGBT+ 友善
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2021-12-24 10:23:22 +08:00
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- label: 有观察期/随访
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- label: 初诊开证/开假条
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- label: 需家长介入
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- label: 可与家长沟通
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2021-12-24 11:01:18 +08:00
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- label: 须年满 20 周岁
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2021-12-24 10:23:22 +08:00
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- type: textarea
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id: caveats
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attributes:
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label: 注意事项
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description: 您在面诊时遭遇的问题
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validations:
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2021-12-24 11:02:46 +08:00
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required: true
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2021-12-24 10:23:22 +08:00
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- type: textarea
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id: proof
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attributes:
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label: 证明样式
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description: 您已获得的证明扫描件
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- type: checkboxes
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id: license
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attributes:
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label: 以 CC-BY-SA 4.0 协议分发
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description: 本站采用 [CC-BY-SA 4.0](https://creativecommons.org/licenses/by-sa/4.0/deed.zh-Hans) 协议分发内容
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options:
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- label: 我同意以 CC-BY-SA 4.0 协议分发
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required: true
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