@extends('frontend.layouts.app')

@section('content')
	<div class="row">
		<div class="col col-12 mt-3 mb-3">
			<button class="btn btn-primary float-right" onclick="window.print()">Print</button>
			<a class="btn btn-primary float-right mr-3" href="{{ route('frontend.client.create') }}?param={{$initialContact->id}}">Transfer</a>
		</div>
		<div class="col col-12">
			<div class="card">
                <div class="card-header">
                    <strong>
                        Initial Contacts View
                    </strong>
                </div><!--card-header-->
                <div class="card-body">
                    <div class="row">
                        <div class="col col-5 mx-auto order-1 order-sm-2 mb-4">
                        	<dl class="row">
  								<dt class="col-sm-4">Initial Contact Date</dt>
  								<dd class="col-sm-8">{{ $initialContact->inital_contact_date }}</dd>
  								<dt class="col-sm-4">Social Worker</dt>
  								<dd class="col-sm-8">{{ $initialContact->first_name }} {{ $initialContact->last_name }}</dd>
  							</dl>
                        </div>
                        <div class="col col-6 order-1 order-sm-2 mb-4">
                        	<dl class="row">
  								<dt class="col-sm-3">Start Time</dt>
  								<dd class="col-sm-9">{{ $initialContact->start_time }}</dd>
  								<dt class="col-sm-3">End Time</dt>
  								<dd class="col-sm-9">{{ $initialContact->end_tme }}</dd>
  							</dl>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-12">
                        	<div class="card">
				                <div class="card-header">
				                    <strong>
				                        Referral Source
				                    </strong>
				                </div><!--card-header-->
				                <div class="card-body">
				                    <div class="row">
				                    	<div class="col col-5 mx-auto order-1 order-sm-2 mb-4">
				                        	<dl class="row">
				                        		<dt class="col-sm-4">Self</dt>
				  								<dd class="col-sm-8">{{ $initialContact->self }}</dd>
				  								<dt class="col-sm-4">Client Name</dt>
				  								<dd class="col-sm-8">{{ $initialContact->client_name }}</dd>
				  								<dt class="col-sm-4">Date of Birth</dt>
				  								<dd class="col-sm-8">{{ $initialContact->date_of_birth }}</dd>
				  								<dt class="col-sm-4">Age</dt>
				  								<dd class="col-sm-8">{{ $initialContact->age }}</dd>
				  								<dt class="col-sm-4">Address</dt>
				  								<dd class="col-sm-8">{{ $initialContact->address_left_1 }}</dd>
				  								<dt class="col-sm-4">Phone</dt>
				  								<dd class="col-sm-8">{{ $initialContact->phone_left }}</dd>
				  								<dt class="col-sm-4">Email</dt>
				  								<dd class="col-sm-8">{{ $initialContact->email_left }}</dd>
				  								<dt class="col-sm-4">Identity</dt>
				  								<dd class="col-sm-8">{{ $initialContact->identity }}</dd>
				  								<dt class="col-sm-4">Community</dt>
				  								<dd class="col-sm-8">{{ $initialContact->community }}</dd>
				  							</dl>
				                        </div>
				                        <div class="col col-6 order-1 order-sm-2 mb-4">
				                        	<dl class="row">
				  								<dt class="col-sm-4">Worker</dt>
				  								<dd class="col-sm-8">{{ $initialContact->referral_worker }}</dd>
				  								<dt class="col-sm-4">Agency</dt>
				  								<dd class="col-sm-8">{{ $initialContact->agency }}</dd>
				  								<dt class="col-sm-4">Age</dt>
				  								<dd class="col-sm-8">{{ $initialContact->age }}</dd>
				  								<dt class="col-sm-4">Address</dt>
				  								<dd class="col-sm-8">{{ $initialContact->address_right_1 }}</dd>
				  								<dt class="col-sm-4">Phone</dt>
				  								<dd class="col-sm-8">{{ $initialContact->phone_right }}</dd>
				  								<dt class="col-sm-4">Fax</dt>
				  								<dd class="col-sm-8">{{ $initialContact->fax }}</dd>
				  								<dt class="col-sm-4">Email</dt>
				  								<dd class="col-sm-8">{{ $initialContact->email_right }}</dd>
				  								<dt class="col-sm-4">Consent Received at NASC</dt>
				  								<dd class="col-sm-8">{{ $initialContact->consent_received }}</dd>
				  								<dt class="col-sm-4">Mandated by Court</dt>
				  								<dd class="col-sm-8">{{ $initialContact->mandated_by_court }}</dd>
				  								<dt class="col-sm-4">Mandated by CAS</dt>
				  								<dd class="col-sm-8">{{ $initialContact->mandated_by_cas }}</dd>
				  								<dt class="col-sm-4">Youth in care</dt>
				  								<dd class="col-sm-8">{{ $initialContact->youth_in_care }}</dd>
				  							</dl>
				                        </div>
				                    </div>
				                </div>
				            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-12">
                        	<div class="card">
				                <div class="card-header">
				                    <strong>
				                        IS IT SAFE FOR US TO LEAVE A MESSAGE FOR YOU ON YOUR
				                    </strong>
				                </div><!--card-header-->
				                <div class="card-body">
				                    <div class="row">
				                    	<div class="col col-6 order-1 order-sm-2 mb-4">
				                        	<dl class="row">
				  								<dt class="col-sm-4">Phone</dt>
				  								<dd class="col-sm-8">{{ $initialContact->safe_phone }}</dd>
				  								<dt class="col-sm-4">Email</dt>
				  								<dd class="col-sm-8">{{ $initialContact->safe_email }}</dd>
				  								<dt class="col-sm-4">Source of Income</dt>
				  								<dd class="col-sm-8">{{ $initialContact->source_of_income }}</dd>
				  								<dt class="col-sm-4">School Attending</dt>
				  								<dd class="col-sm-8">{{ $initialContact->school_attending }}</dd>
				  							</dl>
				  							<h4 class="mb-4">Current Court Involvement</h4>
				  							<dl class="row">
				  								<dt class="col-sm-4">Police</dt>
				  								<dd class="col-sm-8">{{ $initialContact->current_court_involvement }}</dd>
				  								<dt class="col-sm-4">Probation / Parole</dt>
				  								<dd class="col-sm-8">{{ $initialContact->probation_parole }}</dd>
				  								<dt class="col-sm-4">Contact</dt>
				  								<dd class="col-sm-8">{{ $initialContact->probation_contact }}</dd>
				  								<dt class="col-sm-4">CAS</dt>
				  								<dd class="col-sm-8">{{ $initialContact->cas }}</dd>
				  								<dt class="col-sm-4">Contact</dt>
				  								<dd class="col-sm-8">{{ $initialContact->cas_contact }}</dd>
				  								<dt class="col-sm-4">Family Court</dt>
				  								<dd class="col-sm-8">{{ $initialContact->family_court }}</dd>
				  								<dt class="col-sm-4">Immediate Safety concerns</dt>
				  								<dd class="col-sm-8">{{ $initialContact->immediate_safety_concerns }}</dd>
				  								<dt class="col-sm-4">Suicidal</dt>
				  								<dd class="col-sm-8">{{ $initialContact->suicidal }}</dd>
				  								<dt class="col-sm-4">Current plan/Access to method?</dt>
				  								<dd class="col-sm-8">{{ $initialContact->current_plan }}</dd>
				  								<dt class="col-sm-4">Resources to support individual?</dt>
				  								<dd class="col-sm-8">{{ $initialContact->resources_to_support }}</dd>
				  								<dt class="col-sm-4">Self-Harm</dt>
				  								<dd class="col-sm-8">{{ $initialContact->self_harm }}</dd>
				  								<dt class="col-sm-4">Specify</dt>
				  								<dd class="col-sm-8">{{ $initialContact->specify }}</dd>
				  								<dt class="col-sm-4">Presenting Issues/Concerns</dt>
				  								<dd class="col-sm-8">{{ $initialContact->presenting_issues }}</dd>
				  								<dt class="col-sm-4">Services Wanted?</dt>
				  								<dd class="col-sm-8">{{ $initialContact->services_wanted }}</dd>
				  								<dt class="col-sm-4">Work Assigned?</dt>
				  								<dd class="col-sm-8">{{ $initialContact->work_assigned }}</dd>
				  								<dt class="col-sm-4">Contact Date</dt>
				  								<dd class="col-sm-8">{{ $initialContact->contact_date }}</dd>
				  								<dt class="col-sm-4">Result</dt>
				  								<dd class="col-sm-8">{{ $initialContact->result }}</dd>
				  							</dl>
				                        </div>
				                        <div class="col col-6 order-1 order-sm-2 mb-4">
				                        	<h4 class="mb-4">Dependents</h4>
				                        	<dl class="row">
				  								<dt class="col-sm-4">Name</dt>
				  								<dd class="col-sm-8">{{ $initialContact->name_1 }}</dd>
				  								<dt class="col-sm-4">Date of birth</dt>
				  								<dd class="col-sm-8">{{ $initialContact->dob_1 }}</dd>
				  								<dt class="col-sm-4">Age</dt>
				  								<dd class="col-sm-8">{{ $initialContact->age_1 }}</dd>
				  								<dt class="col-sm-4">Name</dt>
				  								<dd class="col-sm-8">{{ $initialContact->name_2 }}</dd>
				  								<dt class="col-sm-4">Date of birth</dt>
				  								<dd class="col-sm-8">{{ $initialContact->dob_2 }}</dd>
				  								<dt class="col-sm-4">Age</dt>
				  								<dd class="col-sm-8">{{ $initialContact->age_2 }}</dd>
				  								<dt class="col-sm-4">Name</dt>
				  								<dd class="col-sm-8">{{ $initialContact->name_3 }}</dd>
				  								<dt class="col-sm-4">Date of birth</dt>
				  								<dd class="col-sm-8">{{ $initialContact->dob_3 }}</dd>
				  								<dt class="col-sm-4">Age</dt>
				  								<dd class="col-sm-8">{{ $initialContact->age_3 }}</dd>
				  								<dt class="col-sm-4">Any disabilities with dependent(s)</dt>
				  								<dd class="col-sm-8">{{ $initialContact->disabilities_with }}</dd>
				  								<dt class="col-sm-4">Name</dt>
				  								<dd class="col-sm-8">{{ $initialContact->name_specify }}</dd>
				  								<dt class="col-sm-4">Specify</dt>
				  								<dd class="col-sm-8">{{ $initialContact->specify_2 }}</dd>
				  								<dt class="col-sm-4">Current supports</dt>
				  								<dd class="col-sm-8">{{ $initialContact->current_supports }}</dd>
				  							</dl>
				  							<h4 class="mb-4">Mental Health / Wellness</h4>
				  							<dl class="row">
				  								<dt class="col-sm-4">Diagnosis?</dt>
				  								<dd class="col-sm-8">{{ $initialContact->mental_health }}</dd>
				  								<dt class="col-sm-4">Specify</dt>
				  								<dd class="col-sm-8">{{ $initialContact->specify_3 }}</dd>
				  								<dt class="col-sm-4">Medications</dt>
				  								<dd class="col-sm-8">{{ $initialContact->medications }}</dd>
				  								<dt class="col-sm-4">Substance Abuse</dt>
				  								<dd class="col-sm-8">{{ $initialContact->substance_abuse }}</dd>
				  								<dt class="col-sm-4">Substances</dt>
				  								<dd class="col-sm-8">{{ $initialContact->substances }}</dd>
				  								<dt class="col-sm-4">Other health concerns</dt>
				  								<dd class="col-sm-8">{{ $initialContact->other_health_concerns }}</dd>
				  							</dl>
				                        </div>
				                    </div>
				                </div>
				            </div>
                        </div>
                    </div>
                </div>
            </div>
		</div>
	</div>
@endsection