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< html lang ="en ">
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< head >
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< meta charset ="utf-8 ">
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- < title > AngularWebComponent </ title >
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+ < title > Acme Care Example - Fasten Connect </ title >
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< base href ="/ ">
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< meta name ="viewport " content ="width=device-width, initial-scale=1 ">
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< link rel ="icon " type ="image/x-icon " href ="favicon.ico ">
@@ -296,11 +296,15 @@ <h1 id="header_53" class="form-header" data-component="header">New Patient Regis
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< input type ="text " id ="input_30 " name ="q30_primaryCare " data-type ="input-textbox " class ="form-textbox " data-defaultvalue ="" style ="width:310px " size ="310 " data-component ="textbox " aria-labelledby ="label_30 " value ="" />
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</ div >
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</ li >
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+
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+ < li class ="form-line " data-type ="control_textbox " id ="id_31 ">
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+ < label class ="form-label form-label-left form-label-auto " id ="label_31 " for ="input_30 " aria-hidden ="false "> Attach Medical Records</ label >
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+ < fasten-stitch public-key ="pub_test_123456324234234 "> </ fasten-stitch >
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+ </ li >
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< li class ="form-line " data-type ="control_button " id ="id_52 ">
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< div id ="cid_52 " class ="form-input-wide " data-layout ="full ">
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< div data-align ="center " class ="form-buttons-wrapper form-buttons-center jsTest-button-wrapperField ">
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< button type ="button " class ="form-submit-button submit-button jf-form-buttons jsTest-submitField " data-component ="button " data-content =""> Submit Form</ button >
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- < fasten-stitch > </ fasten-stitch >
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</ div >
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</ div >
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</ li >
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