4
Form Metadata
- Select|""
- Dr|Dr
- Mr|Mr
- Miss|Miss
- Ms|Ms
- Mrs|Mrs
- Other|Other
- Select|""
- Doctor|Doctor
- Registrar|Registrar
- Retail Pharmacist|Retail Pharmacist
- Nurse|Nurse
- HCP Demonstration|HCP Demonstration
- Select|""
- Allergist|Allergist
- Anaesthetist|Anaesthetist
- Cardiologist|Cardiologist
- Community Nurse|Community Nurse
- Consultant Physician|Consultant Physician
- Dermatologist|Dermatologist
- Diabetologist|Diabetologist
- Ear Nose Throat Specialist|Ear Nose Throat Specialist
- Endocrinologist|Endocrinologist
- General Practitioner|General Practitioner
- General Surgeon|General Surgeon
- Geriatrician|Geriatrician
- Haematologist|Haematologist
- Hospital Pharmacist|Hospital Pharmacist
- Immunologist|Immunologist
- Infectious Diseases|Infectious Diseases
- Intensive Care Specialist|Intensive Care Specialist
- Medical Oncologist|Medical Oncologist
- Nurses|Nurses
- Other|Other
- medicalprovidernumber|A_PROF_GMCNO
{"profile.firstName":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"max-length":[{"value":"20","msg":"max length is 20"}]},"profile.lastName":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"max-length":[{"value":"20","msg":"max length is 20"}]},"email":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"regex":[{"value":"","msg":"email need to be in correct format"}],"email-taken":[{"value":"","msg":"email is already taken"}]},"password":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"max-length":[{"value":"20","msg":"max length is 20"}]},"passwordRetype":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"must-match":[{"value":"password","msg":"Password do not much"}]},"data.HOSPITALNAME":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"max-length":[{"value":"20","msg":"max length is 20"}]},"data.MEDICALPROVIDERNUMBER":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"max-length":[{"value":"20","msg":"max length is 20"}]},"data.crmid":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"max-length":[{"value":"20","msg":"max length is 20"}],"regex":[{"value":"","msg":"ID is in bad format or already taken"}]},"data.ADDRESS.CITY":{"required":[{"value":"true","msg":"this field is required"}],"min-length":[{"value":"3","msg":"min length is 3"}],"max-length":[{"value":"20","msg":"max length is 20"}]},"formValidateMsg":{"error":[{"value":"","msg":"You need to fill the form"}]},"data.SPECIALITY":{"required":[{"value":"true","msg":"this field is required"}]},"data.CHANNEL.SMS.PHONE":{"required":[{"value":"true","msg":"this field is required"}]},"data.ADDRESS.LINE1":{"required":[{"value":"true","msg":"this field is required"}]},"data.ADDRESS.ZIP":{"required":[{"value":"true","msg":"this field is required"}]},"data.PHONE":{"required":[{"value":"true","msg":"this field is required"}]}}