Request Details

Submitted: <%- moment(request.createdDate).format('MM/DD/YYYY @ HH:mm') %>
Location: <%- request.friendlyLocationName || request.facility.name %>
<% if (request.objectType === "CCAppointmentRequest") { %>
Service: Community Care (Distance Eligible Veterans)
<% } %>
Type of Care: <%- request.appointmentType %>
<% if (!_.isEmpty(request.providerName)) { %>
Provider: <%- request.providerName + (_.isEmpty(request.providerPersonClass) ? '' : ' (' + request.providerPersonClass + ')')%>
<% } %> <% if (request.typeOfCareId !== EXPRESS_CARE_ID) { %> <% if (!_.isEmpty(request.visitType)) { %>
Preferred Type of Visit: <%- request.visitType %>
<% } %> <% } %> <% if (!_.isEmpty(request.providerOption)) { %>
Preference: <%- request.providerOption %>
<% } %> <% if (request.typeOfCareId === EXPRESS_CARE_ID || (request.appointmentType === 'Primary Care (find a provider)')) { %> <% if (!_.isEmpty(request.reasonForVisit)) { %>
Reason for <%-(request.appointmentType === 'Primary Care (find a provider)') ? 'Request' : 'Visit' %>: <%- request.reasonForVisit %>
<% } %> <% if (request.reasonForVisit == 'Other') { %>
Other Reason for Visit: <%- request.otherReasonForVisit %>
<% } %> <% } %> <% if (!_.isEmpty(request.additionalInformation) && request.objectType !== "CCAppointmentRequest") { %>
Additional Information: <%- request.additionalInformation %>
<% } %>
<% if (request.objectType !== "CCAppointmentRequest" && request.typeOfCareId !== EXPRESS_CARE_ID) { %> <% if (!_.isEmpty(request.purposeOfVisit)) { %>
Purpose of Visit: <%- request.purposeOfVisit %>
<% } %> <% if (request.purposeOfVisit == 'Other') { %>
Other Purpose of Visit: <%- request.otherPurposeOfVisit %>
<% } %> <% } %>
<% if (request.optionDate1 !== "No Date Selected" && request.typeOfCareId !== EXPRESS_CARE_ID) { %>

Preferred Appointment Date/Time

1st Choice: <%- request.optionDate1 %> <%- request.optionTime1 %>
<% if (request.optionDate2 !== "No Date Selected") { %>
2nd Choice: <%- request.optionDate2 %> <% if (request.optionTime2 !== "No Time Selected") { %><%- request.optionTime2 %><% } %>
<% } %> <% if (request.optionDate3 !== "No Date Selected") { %>
3rd Choice: <%- request.optionDate3 %> <% if (request.optionTime3 !== "No Time Selected") { %><%- request.optionTime3 %><% } %>
<% } %>
<% } %>

Your Contact Information

<% if (request.email) { %>
Email <%- request.email %>
<% } %> <% if (request.phoneNumber) { %>
Phone <%- request.phoneNumber %>
Best Times for VA to Call <% request.bestTimetoCall.forEach(function(time){ %> <%- time %> <% }) %>
<% } %>