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index.html
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index.html
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<!DOCTYPE html>
<!--[if lt IE 9]><html class="lte-ie8" lang="en"><![endif]-->
<!--[if gt IE 8]><!--><html lang="en"><!--<![endif]-->
<head>
<meta charset="utf-8" />
<title>GNCR - Information Sharing Preferences</title>
<!--[if gt IE 8]><!--><link href="public/stylesheets/govuk-template.css" media="screen" rel="stylesheet" /><!--<![endif]-->
<!--[if IE 6]><link href="public/stylesheets/govuk-template-ie6.css" media="screen" rel="stylesheet" /><![endif]-->
<!--[if IE 7]><link href="public/stylesheets/govuk-template-ie7.css" media="screen" rel="stylesheet" /><![endif]-->
<!--[if IE 8]><link href="public/stylesheets/govuk-template-ie8.css" media="screen" rel="stylesheet" /><![endif]-->
<link href="public/stylesheets/govuk-template-print.css?0.18.2" media="print" rel="stylesheet" />
<!--[if IE 8]><link href="public/stylesheets/fonts-ie8.css" media="all" rel="stylesheet" /><![endif]-->
<!--[if gte IE 9]><!--><link href="public/stylesheets/fonts.css" media="all" rel="stylesheet" /><!--<![endif]-->
<!--[if lt IE 9]><script src="public/javascripts/ie.js"></script><![endif]-->
<link rel="shortcut icon" href="public/images/favicon.png" type="image/x-icon" />
<link rel="mask-icon" href="public/images/gov.uk_logotype_crown.svg" color="#0b0c0c">
<link rel="apple-touch-icon-precomposed" sizes="152x152" href="public/images/apple-touch-icon-152x152.png">
<link rel="apple-touch-icon-precomposed" sizes="120x120" href="public/images/apple-touch-icon-120x120.png">
<link rel="apple-touch-icon-precomposed" sizes="76x76" href="public/images/apple-touch-icon-76x76.png">
<link rel="apple-touch-icon-precomposed" href="public/images/apple-touch-icon-60x60.png">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta property="og:image" content="public/images/opengraph-image.png">
<!--[if gt IE 8]><!--><link href="public/stylesheets/elements-page.css" rel="stylesheet" type="text/css"><!--<![endif]-->
<!--[if IE 6]><link href="public/stylesheets/elements-page-ie6.css" rel="stylesheet" type="text/css" /><![endif]-->
<!--[if IE 7]><link href="public/stylesheets/elements-page-ie7.css" rel="stylesheet" type="text/css" /><![endif]-->
<!--[if IE 8]><link href="public/stylesheets/elements-page-ie8.css" rel="stylesheet" type="text/css" /><![endif]-->
<link href="public/stylesheets/prism.css" media="screen" rel="stylesheet">
<script src="public/javascripts/vendor/prism.js"></script>
</head>
<body class="">
<script>document.body.className = ((document.body.className) ? document.body.className + ' js-enabled' : 'js-enabled');</script>
<div id="skiplink-container">
<div>
<a href="#content" class="skiplink">Skip to main content</a>
</div>
</div>
<header role="banner" id="global-header" class="with-proposition">
<div class="header-wrapper">
<div class="header-global">
<img src="public/images/logo.png" />
</div>
</div>
</header>
<main id="content" role="main" tabindex="-1">
<div class="grid-row">
<div class="column-two-thirds">
<h1 class="heading-large">
Enter your details
</h1>
<form action="/" method="post" class="form">
<div class="form-item-wrapper">
<div class="form-group">
<label class="form-label-bold" for="name">
Name
</label>
<input type="text" id="name" name="name" value="" class="form-control ">
</div>
</div>
<div class="form-item-wrapper">
<fieldset>
<lable class="form-label-bold">
Date of birth
<span class="form-hint">For example 31 7 1961</span>
</label>
<div class="inline-form-groups">
<div class="form-group">
<label class="form-label" for="dob-day">Day</label>
<input class="form-control form-control-2-chars" id="dob-day" type="number" min="0" max="31">
</div>
<div class="form-group">
<label class="form-label" for="dob-month">Month</label>
<input class="form-control form-control-2-chars" id="dob-month" type="number" min="0" max="12">
</div>
<div class="form-group">
<label class="form-label" for="dob-year">Year</label>
<input class="form-control form-control-4-chars" id="dob-year" type="number" min="0">
</div>
</div>
</fieldset>
</div>
<div class="form-item-wrapper">
<div class="form-group">
<label class="form-label-bold" for="gp-practice-search">
NHS Number
<span class="form-hint">Enter your 10 digit NHS number</span>
</label>
<input type="text" id="gp-practice-search" name="gp-practice-search" class="form-control">
</div>
</div>
<div class="form-item-wrapper">
<div class="form-group">
<a class="button button-start" href="preference.html" role="button">Change Preferences</a>
</div>
</div>
</form>
</div>
</div>
</main><!-- / #content -->
<div id="global-app-error" class="app-error hidden"></div>
<script src="public/javascripts/govuk-template.js"></script>
<script src="public/javascripts/vendor/jquery-1.11.0.min.js"></script>
<!-- govuk_frontend_toolkit js -->
<script src="public/javascripts/vendor/polyfills/bind.js"></script>
<script src="public/javascripts/govuk/selection-buttons.js"></script>
<script src="public/javascripts/govuk/shim-links-with-button-role.js"></script>
<script src="public/javascripts/govuk/show-hide-content.js"></script>
<!-- govuk_elements js -->
<script src="public/javascripts/govuk/details.polyfill.js"></script>
<script src="public/javascripts/application.js"></script>
<script>
(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
})(window,document,'script','https://www.google-analytics.com/analytics.js','ga');
ga('create', 'UA-85087923-1', 'auto');
ga('send', 'pageview');
</script>
<script>if (typeof window.GOVUK === 'undefined') document.body.className = document.body.className.replace('js-enabled', '');</script>
</body>
</html>