Request Details
- Facility <%- facility.name %>
- Type of Care <%- appointmentType %>
- Provider <%- providerName + (providerPersonClass == '' ? '' : ' (' + providerPersonClass + ')')%>
- Type of Visit <%- visitType %>
- 1st Choice <%- optionDate1 %> <%- optionTime1 %>
- 2nd Choice <%- optionDate2 %><% if (optionTime2 !== "No Time Selected") { %> <%- optionTime2 %><% } %>
- 3rd Choice <%- optionDate3 %><% if (optionTime3 !== "No Time Selected") { %> <%- optionTime3 %><% } %>
- Request Phone Call <% if (typeof(requestedPhoneCall) !== 'undefined' && requestedPhoneCall !== "") { %><%- yesNo(requestedPhoneCall) %><% } %>
<% if(typeof(initialRequestMessage) === 'string'){ %>
- Request Message <%- initialRequestMessage %>
<% }%>
- Phone <%- phoneNumber %>
- Best Times for VA to Call<% _.each(bestTimetoCall, function(i) { %><%- i %>
<% }); %>
- Preference <%- providerOption %>
- Purpose of Visit <%- purposeOfVisit %>
<% if (purposeOfVisit == 'Other') { %>
- Other Purpose of Visit <%- otherPurposeOfVisit %>
<% } %>