{!! Form::select('patient_id') -> options(trans('appointment::appointment.options.patient_id')) -> label(trans('appointment::appointment.label.patient_id')) -> placeholder(trans('appointment::appointment.placeholder.patient_id'))!!}

{!! Form::select('branch_id') -> options(trans('appointment::appointment.options.branch_id')) -> label(trans('appointment::appointment.label.branch_id')) -> placeholder(trans('appointment::appointment.placeholder.branch_id'))!!}

{!! Form::select('physician_id') -> options(trans('appointment::appointment.options.physician_id')) -> label(trans('appointment::appointment.label.physician_id')) -> placeholder(trans('appointment::appointment.placeholder.physician_id'))!!}

{!! Form::select('referral_source') -> options(trans('appointment::appointment.options.referral_source')) -> label(trans('appointment::appointment.label.referral_source')) -> placeholder(trans('appointment::appointment.placeholder.referral_source'))!!}

{!! Form::select('type') -> options(trans('appointment::appointment.options.type')) -> label(trans('appointment::appointment.label.type')) -> placeholder(trans('appointment::appointment.placeholder.type'))!!}

{!! Form::textarea ('description') -> label(trans('appointment::appointment.label.description')) -> placeholder(trans('appointment::appointment.placeholder.description'))!!}

{!!trans('appointment::appointment.label.date')!!}

{!! Form::text('date') -> placeholder(trans('appointment::appointment.placeholder.date')) -> addClass('pickdatetime') ->raw()!!}

{!!trans('appointment::appointment.label.length')!!}

{!! Form::text('length') -> placeholder(trans('appointment::appointment.placeholder.length')) -> raw()!!}

{!! Form::text('prior_auth') -> label(trans('appointment::appointment.label.prior_auth')) -> placeholder(trans('appointment::appointment.placeholder.prior_auth'))!!}

{!!trans('appointment::appointment.label.prior_auth_exp')!!}

{!! Form::text('prior_auth_exp') -> placeholder(trans('appointment::appointment.placeholder.prior_auth_exp')) ->raw()!!}

{!! Form::textarea ('notes') -> label(trans('appointment::appointment.label.notes')) -> placeholder(trans('appointment::appointment.placeholder.notes'))!!}

{!! Form::textarea ('repeat') -> label(trans('appointment::appointment.label.repeat')) -> placeholder(trans('appointment::appointment.placeholder.repeat'))!!}