@csrf
{!! __('clinic-signup.edit.h5') !!}
{!! __('clinic-signup.edit.p') !!}
{!! __('clinic-signup.common.clinic_name') !!}
★
@error('clinic_name')
{{ $message }}
@enderror
@if(app()->getLocale() == "ja")
{!! __('clinic-signup.common.clinic_kana') !!}
★
@error('clinic_kana')
{{ $message }}
@enderror
@endif
{!! __('clinic-signup.common.clinic_manager_name') !!}
★
@error('manager_last_name')
{{ $message }}
@enderror
@error('manager_first_name')
{{ $message }}
@enderror
{!! __('clinic-signup.common.postal_code') !!}
★
-
{!! __('clinic-signup.edit.postal_code_text') !!}
@error('postal_first_code')
{{ $message }}
@enderror @error('postal_last_code')
{{ $message }}
@enderror
{!! __('clinic-signup.edit.prefecture') !!}
★
@foreach(\ClinicHelper::prefectureForForm() as $key => $value)
{{ $value }}
@endforeach
@error('prefecture_code')
{{ $message }}
@enderror
{!! __('clinic-signup.edit.city') !!}
★
@error('city')
{{ $message }}
@enderror
{!! __('clinic-signup.edit.street_address') !!}
★
@error('street_address')
{{ $message }}
@enderror
{!! __('clinic-signup.edit.address') !!}
@error('address')
{{ $message }}
@enderror
{!! __('clinic-signup.common.email') !!}
★
@error('email')
{{ $message }}
@enderror
{!! __('clinic-signup.common.tel') !!}
★
@error('tel')
{{ $message }}
@enderror
{!! __('clinic-signup.common.clinic_category') !!}
★
@foreach(\ClinicHelper::medicalCategoryForForm() as $key => $value)
{{ $value }}
@endforeach
@error('clinic_category')
{{ $message }}
@enderror
{!! __('clinic-signup.common.password') !!}
★
{!! __('clinic-signup.edit.password_rule_text') !!}
@error('password')
{{ $message }}
@enderror
{!! __('clinic-signup.edit.password_confirm_text') !!}
★
@error('password_confirmation')
{{ $message }}
@enderror
@php if (old('clinic_interest')) { $clinicInterests = old('clinic_interest'); } else if ($clinic && $clinic->clinicInterests) { $clinicInterests = $clinic->clinicInterests->pluck('interest_id')->toArray(); } else { $clinicInterests = []; } @endphp @include('clinic.formparts.interests', ['clinicInterests' => $clinicInterests]) @error('clinic_interest')
{{ $message }}
@enderror @include('clinic.formparts.freetime')
{!! __('clinic-signup.edit.back') !!}
{!! __('clinic-signup.edit.submit') !!}
@if (old('clinic_category')) @endif