View source for Form:Cardiologist preferences

<noinclude>
This is the "Physician preferences" form.
To create a page with this form, enter the page name below;
if a page with that name already exists, you will be sent to a form to edit that page.


{{#forminput:form=Physician preferences}}

</noinclude><includeonly>
<div id="wikiPreview" style="display: none; padding-bottom: 25px; margin-bottom: 25px; border-bottom: 1px solid #AAAAAA;"></div>
{{{for template|Physician}}}
{| class="formtable"
! Specialty: 
| {{{field|input type = dropdown|values from category=Specialty}}}
|-
! Glove size: 
| {{{field|Glove size}}}
|-
! Access: 
| {{{field|Access}}}
|-
! Radial Setup: 
| {{{field|Radial Setup}}}
|-
! Radial Cocktail: 
| {{{field|Radial Cocktail}}}
|-
! Groin Setup: 
| {{{field|Groin Setup}}}
|-
! Closure Device: 
| {{{field|Closure Device}}}
|-
! Right Heart Setup: 
| {{{field|Right Heart Setup}}}
|-
! Intervention Setup: 
| {{{field|Intervention Setup}}}
|-
! Phone Number:
| {{{field|Phone Number}}}
|-
! Pager Number:
| {{{field|Pager Number}}}
|}
{{{end template}}}

'''Free text:'''

{{{standard input|free text|rows=30}}}


{{{standard input|summary}}}

{{{standard input|minor edit}}} {{{standard input|watch}}}

{{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}}
</includeonly>