54 lines
3.7 KiB
Plaintext
54 lines
3.7 KiB
Plaintext
---
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import Button from './Button.astro';
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import ContactObfuscation from './ContactObfuscation.astro';
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import JotformIframe from './JotformIframe.astro';
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import { formMessages } from '../utils/form-messages';
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import { formModeForRuntime, resolveFormAIframe, resolveFormMode, resolveMockFormResult, type LogicalForm } from '../utils/form-integration';
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const { lang = 'en', showBackground = false, route = '' } = Astro.props;
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const text = formMessages(lang);
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const title = Astro.props.title ?? text.heading;
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const logicalForm: LogicalForm = Astro.props.logicalForm ?? (Astro.props.title === 'Physician & Insurer Referrals' ? 'referral' : 'service');
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const config = resolveFormMode(import.meta.env.PUBLIC_AIA_FORMS_MODE, import.meta.env.PUBLIC_AIA_FORMS_LIVE_APPROVED);
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const mode = formModeForRuntime(config);
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const mockResult = resolveMockFormResult(import.meta.env.PUBLIC_AIA_FORMS_MOCK_RESULT);
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const formAIframe = logicalForm === 'service'
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? resolveFormAIframe({
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rawMode: import.meta.env.PUBLIC_AIA_FORMS_MODE,
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liveApproved: import.meta.env.PUBLIC_AIA_FORMS_LIVE_APPROVED,
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isolatedTestApproved: import.meta.env.PUBLIC_AIA_FORMS_ISOLATED_TEST_APPROVED,
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consultationTestApproved: import.meta.env.PUBLIC_AIA_FORMS_CONSULTATION_TEST_APPROVED,
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productionApproved: import.meta.env.PUBLIC_AIA_FORM_A_PRODUCTION_APPROVED,
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environmentRole: import.meta.env.PUBLIC_AIA_FORMS_ENVIRONMENT,
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allowIndexing: import.meta.env.PUBLIC_ALLOW_INDEXING,
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route,
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locale: lang,
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})
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: undefined;
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const consultationIframeEnabled = formAIframe?.enabled && formAIframe.context === 'consultation';
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const consultationHeading = lang === 'es' ? 'Comience una conversación' : 'Start a conversation';
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const consultationDescription = lang === 'es'
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? 'Use este formulario para solicitar una conversación. Un defensor de clientes de AIA puede explicarle los próximos pasos.'
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: 'Use this form to request a conversation. An AIA client advocate can explain the next steps.';
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---
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<section class:list={['form-section', { 'form-section-background': showBackground }]} aria-labelledby="form-title">
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<div class="container form-grid">
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<div><p class="eyebrow">{text.eyebrow}</p><h2 id="form-title">{title}</h2><p>{text.intro}</p></div>
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{formAIframe && consultationIframeEnabled
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? <JotformIframe config={formAIframe} heading={consultationHeading} description={consultationDescription} />
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: <div class="form" role="group" data-aia-form data-form-mode={mode} data-form-mode-reason={config.reason} data-logical-form={logicalForm} data-mock-result={mockResult} data-mock-success={text.mockSuccess} data-mock-failed={text.mockFailed} data-mock-unavailable={text.mockUnavailable}>
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<label>{text.name}<input name="name" autocomplete="name" disabled={mode === 'off'} /></label>
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<label>{text.email}<input type="email" name="email" autocomplete="email" disabled={mode === 'off'} /></label>
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<label>{text.phone}<input type="tel" name="phone" autocomplete="tel" disabled={mode === 'off'} /></label>
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<label>{text.service}<select name="service" disabled={mode === 'off'}>{text.options.map((label) => <option>{label}</option>)}</select></label>
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<label>{text.message}<textarea name="message" rows="5" disabled={mode === 'off'}></textarea></label>
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<Button type="button" data-mock-submit disabled={mode === 'off'} aria-describedby="form-note">{text.submit}</Button>
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<p id="form-note" class="form-note" data-form-status>{mode === 'mock' ? text.mock : <>{text.disabled} <ContactObfuscation phone="(480) 687-7099" hrefValue="+14806877099" obfuscatedText="9907-786 (084)" />.</>}</p>
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</div>}
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</div>
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</section>
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<script>
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import { bindMockForms } from '../scripts/mock-form';
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bindMockForms();
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</script>
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