"")
$header_padding = "pt-5";
else
$header_padding = "pt-0";
// $button = '';
// $disabled = "readonly";
}
else {
/*
echo "";
$contact_1 = "";
$contact_1_number = "";
$contact_2 = "";
$contact_2_number = "";
$name = "";
$DOB = "";
$blood_type = "";
$allergies = "";
$conditions = "";
$medications = "";
*/
}
}
else {
// echo "";
}
?>
"") {
echo '
';
}
?>
