{!! Form::select('australian_citizen') -> options(trans('form::user.options.australian_citizen')) -> label(trans('form::user.label.australian_citizen')) -> placeholder(trans('form::user.placeholder.australian_citizen'))!!}

{!! Form::text('treatment') -> label(trans('form::user.label.treatment')) -> placeholder(trans('form::user.placeholder.treatment'))!!}

{!! Form::select('affected_person') -> options(trans('form::user.options.affected_person')) -> label(trans('form::user.label.affected_person')) -> placeholder(trans('form::user.placeholder.affected_person'))!!}