83 lines
3.2 KiB
PHP
83 lines
3.2 KiB
PHP
<?php
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session_start();
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require_once 'db/config.php';
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if (!isset($_SESSION['user_id']) || $_SESSION['user_role'] !== 'staff') {
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header("Location: index.php");
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exit;
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}
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$resident_id = isset($_GET['resident_id']) ? (int)$_GET['resident_id'] : 0;
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if ($resident_id === 0) {
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header("Location: staff_dashboard.php");
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exit;
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}
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$pdo = db();
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// Fetch resident details
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$stmt = $pdo->prepare("SELECT * FROM residents WHERE id = ?");
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$stmt->execute([$resident_id]);
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$resident = $stmt->fetch(PDO::FETCH_ASSOC);
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if (!$resident) {
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header("Location: staff_dashboard.php");
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exit;
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}
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// Fetch partners for the dropdown
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$stmt = $pdo->query("SELECT id, name FROM partners ORDER BY name");
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$partners = $stmt->fetchAll(PDO::FETCH_ASSOC);
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?>
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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>New Referral - Continuum of Healing</title>
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<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/css/bootstrap.min.css" rel="stylesheet">
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<link rel="stylesheet" href="assets/css/custom.css">
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</head>
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<body>
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<nav class="navbar navbar-expand-lg navbar-dark bg-dark">
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<div class="container-fluid">
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<a class="navbar-brand" href="staff_dashboard.php">Continuum of Healing</a>
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<a href="logout.php" class="btn btn-outline-light">Logout</a>
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</div>
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</nav>
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<div class="container mt-4">
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<div class="d-flex justify-content-between align-items-center mb-4">
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<h1 class="h2">New Referral for <?php echo htmlspecialchars($resident['first_name'] . ' ' . $resident['last_name']); ?></h1>
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<a href="resident_view.php?id=<?php echo $resident_id; ?>" class="btn btn-secondary">← Back to Resident</a>
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</div>
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<div class="card">
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<div class="card-body">
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<form action="submit_referral.php" method="POST">
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<input type="hidden" name="resident_id" value="<?php echo $resident_id; ?>">
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<input type="hidden" name="staff_id" value="<?php echo $_SESSION['user_id']; ?>">
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<div class="mb-3">
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<label for="partner_id" class="form-label">Refer to Partner</label>
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<select name="partner_id" id="partner_id" class="form-select" required>
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<option value="">Select a partner...</option>
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<?php foreach ($partners as $partner): ?>
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<option value="<?php echo $partner['id']; ?>"><?php echo htmlspecialchars($partner['name']); ?></option>
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<?php endforeach; ?>
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</select>
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</div>
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<div class="mb-3">
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<label for="notes" class="form-label">Referral Notes</label>
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<textarea name="notes" id="notes" class="form-control" rows="5" required></textarea>
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</div>
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<button type="submit" class="btn btn-primary-custom">Submit Referral</button>
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</form>
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</div>
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</div>
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</div>
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<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/js/bootstrap.bundle.min.js"></script>
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</body>
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</html>
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