[% META title = 'Request &raquo; Unlock' %]

<!-- BEGIN [% template.name %] -->

    [% INCLUDE record/patient_summary.tt %]

    <h3>Unlock record:</h3>

    <div class="indent">            
       <form method="post" action="[% app_url %]/request/unlock_request/[% c.stash.request_id %]">
            <p class="title">Confirm you want to unlock this record:
                <input type="checkbox" name="confirm_unlock" value="1"> [% site.html.submit %]
            </p>
        </form>
       
       <p>[% site.html.back_button %]</p>
    </div>
<!-- END [% template.name %] -->
