[% META title = 'Haematological Malignancy Research Network » Edit Practice' %]
<!-- BEGIN hmrn/data/edit_practice.tt -->
[% # PROCESS dumper.tt dump = data %]
[% PROCESS site/autosuggest.tt %]
<script type="text/javascript">
<!--
function make_blank() {
document.practice.practice_name.value = "";
}
-->
</script>
<h3>Edit GP practice:</h3>
<form method="post" action="[% app_url %]/hmrn_data/edit_practice/[% c.param('id')
%]/[% data.patient_id %]" name="practice" id="practice">
<p class="indent">
<input type="text" name="practice_name" id="location_name"
value="[% data.practice.display_name %]"
style="width: 600px" onclick="make_blank();" />
<input type="hidden" id="source_id" name="practice_id" />
[% site.html.submit %]
[% site.html.reset %]
</p>
</form>
<p class="indent">[% site.html.back_button %]</p>
<!-- END hmrn/data/edit_practice.tt -->