Clinic Change Request

Request to transfer to a different clinic during your pregnancy

@if (session()->has('success'))
{{ session('success') }}
@endif @if (session()->has('error'))
{{ session('error') }}
@endif

Your Current Clinic

{{ $currentClinic->name }}

{{ $currentClinic->address }}

Current Clinic
@if (!$pendingRequest) @if (!$showForm)

Need to Change Your Clinic?

If you need to transfer to a different clinic during your pregnancy, you can submit a change request here.

@else

Submit Clinic Change Request

@error('requested_clinic_id')

{{ $message }}

@enderror
@error('reason')

{{ $message }}

@enderror

Minimum 10 characters, maximum 500 characters

@if($supporting_documents)
{{ $supporting_documents->getClientOriginalName() }}
@endif @error('supporting_documents')

{{ $message }}

@enderror

Upload proof of address, relocation letter, or other relevant documents to support your request

Uploading...
@endif @else

@if($pendingRequest->status === 'INFO_REQUESTED') Additional Information Requested @else Request Under Review @endif

@if($pendingRequest->status === 'INFO_REQUESTED') The Clinic Admin has requested additional information for your clinic change request. You cannot submit a new request until this one is completed. @else You have an active clinic change request under review. You cannot submit a new request until this one is processed. @endif

Status: @if($pendingRequest->status === 'PENDING') Pending Review @elseif($pendingRequest->status === 'INFO_REQUESTED') Info Requested @endif

Requested Clinic: {{ $pendingRequest->requestedClinic->name }}

Submitted: {{ $pendingRequest->created_at->format('M d, Y \a\t g:i A') }}

Reason: {{ Str::limit($pendingRequest->reason, 100) }}

@endif @if($requests->count() > 0)

Request History

@foreach($requests as $request)

{{ $request->currentClinic->name }} → {{ $request->requestedClinic->name }}

@if($request->isPending()) Pending @elseif($request->isApproved()) Approved @else Rejected @endif

Reason: {{ $request->reason }}

Submitted: {{ $request->created_at->format('M d, Y \a\t g:i A') }} @if($request->reviewed_at) Reviewed: {{ $request->reviewed_at->format('M d, Y \a\t g:i A') }} @endif
@if($request->isRejected() && $request->rejection_reason)

Rejection Reason: {{ $request->rejection_reason }}

@endif
@endforeach
@endif