https://emr.kompletecare.com/_nuxt/Vbu-JUx8.js

1import{e as T,m as j,q as S,A as U,x as o,k as $,b1 as q,y as I,B,c as i,o as l,a as t,b as s,f as r,F as z,d as u,t as x,b2 as L,w as g,g as M,H,j as R,b3 as Y,J as G}from"#entry";import{_ as J}from"./CXVszHqz.js";import{_ as O}from"./DlP9uqBQ.js";import{_ as W}from"./DjoTwymE.js";import{C as K}from"./DBr935Js.js";import{_ as Q}from"./1681sehF.js";import"./C3DONDKa.js";import"./kC3kxybx.js";import"./D5Td5aVQ.js";import"./CvtDo0MO.js";import"./Dmhids7v.js";import"./BBoVSIOO.js";import"./Ltqd2rAr.js";import"./DippbqLN.js";import"./DcGhxoNh.js";import"./DlAUqK2U.js";const X={class:"min-h-screen bg-[#F6F8FA]"},Z={class:"fixed top-0 left-0 right-0 z-50 bg-white border-b border-[#E2E4E9] px-6 py-4"},ee=["src","alt"],te={key:0,class:"flex items-center justify-center min-h-[60vh]"},se={class:"text-center space-y-4"},ne={key:1,class:"flex items-center justify-center min-h-[60vh]"},ae={class:"text-center space-y-4 max-w-md px-6"},oe={class:"w-16 h-16 rounded-full bg-red-50 border-2 border-red-200 flex items-center justify-center mx-auto"},ie={key:2,class:"flex items-center justify-center min-h-[60vh]"},le={class:"text-center space-y-4 max-w-md px-6"},re={class:"w-16 h-16 rounded-full bg-[#FEFDEA] border-2 border-[#FEF08A] flex items-center justify-center mx-auto"},de={key:3,class:"flex items-center justify-center min-h-[60vh]"},me={class:"text-center space-y-4 max-w-md px-6"},ue={class:"w-16 h-16 rounded-full bg-red-50 border-2 border-red-200 flex items-center justify-center mx-auto"},ce={key:4,class:"flex items-center justify-center min-h-[60vh]"},pe={class:"text-center space-y-4 max-w-md px-6"},xe={class:"w-16 h-16 rounded-full bg-green-50 border-2 border-green-200 flex items-center justify-center mx-auto"},ge={class:"text-base text-[#525866]"},fe={class:"font-bold text-[#0A0D14]"},ve={key:5,class:"max-w-3xl mx-auto px-4 sm:px-6 py-8 sm:py-12"},be={class:"bg-white rounded-2xl border border-[#E2E4E9] p-6 sm:p-10"},ye={class:"mt-2 mb-6 text-base text-[#525866]"}

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1 1st Floor, UAC Building, Central Business District, Garki, Abuja, FCT, Nigeria. </p><p class="text-sm text-neutral-400 leading-normal"> +234 (0) 817 4290 703, +234 (0) 817 4290 702. </p></div>',1))])]),t("button",{type:"button",class:"mt-3 text-sm font-medium text-primary hover:underline flex items-center cursor-pointer gap-1",onClick:e[0]||(e[0]=m=>h.value=!0)},[e[19]||(e[19]=u(" View full agreement ",-1)),s(n,{name:"i-ri-external-link-line",class:"w-4 h-4"})]),s(V,{state:a,class:"mt-5 space-y-5",onSubmit:C},{default:g(()=>[s(E,{name:"signatureName",required:"",class:"text-sm font-normal leading-[143%] tracking-[-0.084px] text-[#0A0D14]"},{default:g(()=>[s(r(K),{modelValue:a.signatureName,"onUpdate:modelValue":e[1]||(e[1]=m=>a.signatureName=m),placeholder:"Enter full name",label:"Type your full name as e-signature",required:"",size:"xl",class:"w-full"},null,8,["modelValue"])]),_:1}),s(E,{name:"accepted",class:"mt-5"},{default:g(()=>[s(P,{modelValue:a.accepted,"onUpdate:modelValue":e[2]||(e[2]=m=>a.accepted=m)},{label:g(()=>[t("span",Ee,[e[20]||(e[20]=u(" I have read and understood the Data Processing Agreement and accept its terms on behalf of ",-1)),t("span",Fe,x(p.value),1),e[21]||(e[21]=u(". ",-1))])]),_:1},8,["modelValue"])]),_:1}),c.value?(l(),i("p",De,x(c.value),1)):M("",!0),t("div",Ne,[s(r(H),{type:"submit",block:"",size:"xl",loading:r(w),disabled:r(w)||!a.accepted||!a.signatureName.trim()},{default:g(()=>[...e[22]||(e[22]=[u(" Accept Agreement ",-1)])]),_:1},8,["loading","disabled"])])]),_:1},8,["state"])])])])):(l(),i("div",ne,[t("div",ae,[t("div",oe,[s(n,{name:"i-ri-error-warning-line",class:"w-8 h-8 text-red-500"})]),e[5]||(e[5]=t("h2",{class:"text-2xl font-semibold text-[#0A0D14]"}," Invalid Link ",-1)),e[6]||(e[6]=t("p",{class:"text-base text-[#525866]"}," This signing link is missing a valid token. Please check the link in your email and try again. ",-1))])])),s(Q,{open:h.value,"onUpdate:open":e[3]||(e[3]=m=>h.value=m),"hospital-name":p.value},null,8,["open","hospital-name"])])}}});export{Ge as default};