{"id":10329,"date":"2020-10-15T18:15:39","date_gmt":"2020-10-15T22:15:39","guid":{"rendered":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/?page_id=10329"},"modified":"2020-12-07T16:55:25","modified_gmt":"2020-12-07T21:55:25","slug":"lsq-ellenor-johnson-careplan-print","status":"publish","type":"page","link":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/lsq-ellenor-johnson-careplan-print\/","title":{"rendered":"LSQ &#8211; Ellenor CarePlan \u2013 Print"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;border-width: 0px 0px 0px 0px;border-color:#ffffff;border-style:solid;padding: 0px 30px 0px 30px;\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_5_6 5_6 fusion-five-sixth fusion-column-first fusion-column-no-min-height fusion-no-small-visibility\" style=\"width:83.333333333333%;width:calc(83.333333333333% - ( ( 0px ) * 0.83333333333333 ) );margin-right: 0px;margin-top:20px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><div>\n<table border=\"0\" cellspacing=\"0px\">\n<tbody>\n<tr>\n<th style=\"text-align: left; padding-left: 0px; padding-right: 15px; padding-top: 12px; vertical-align: top;\" align=\"top\"><img class=\"aligncenter size-full wp-image-5566\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/04\/ellenor-johnson-circle-white-36.png\" alt=\"\" width=\"36\" height=\"36\" \/><\/th>\n<th align=\"left\">\n<h1 style=\"margin-bottom: 0px; margin-top: 8px; margin-left: 0px; table-layout: auto;\"><a title=\"\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/ellenor-health\/\">Ellenor Johnson<\/a><\/h1>\n<p class=\"new-view\">Unit 117 \u00a0 | \u00a0 Assisted Living<\/p>\n<\/th>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_6 1_6 fusion-one-sixth fusion-column-last fusion-column-no-min-height\" style=\"width:16.666666666667%;width:calc(16.666666666667% - ( ( 0px ) * 0.16666666666667 ) );margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"margin-left:25px;float:right;margin-right:0px;\"><img width=\"216\" height=\"216\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2019\/10\/legacy-website-logo.jpg\" class=\"img-responsive wp-image-1018\" srcset=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2019\/10\/legacy-website-logo-200x200.jpg 200w, https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2019\/10\/legacy-website-logo.jpg 216w\" sizes=\"(max-width: 800px) 100vw, 200px\" \/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-text fusion-text-2\"><div style=\"margin-bottom: 15px; border-bottom: 1px solid #bbbbbb;\">\n<table border=\"0\" width=\"100%\" cellspacing=\"0px\">\n<tbody>\n<tr>\n<th style=\"text-align: left; padding-left: 0px;\" align=\"left\" width=\"23%\">\n<h3 style=\"padding: 0px 0 6px 0; margin: 0 0 3px 0; font-size: 18px; line-height: 1; font-family: Roboto Slab,Tahoma,sans-serif; font-weight: 300; color: #005174; background-color: transparent;\">CarePlan<\/h3>\n<\/th>\n<th style=\"text-align: left; padding-left: 0px; margin-top: 20px; margin-bottom: 0px;\" align=\"right\" width=\"41%\"><\/th>\n<th style=\"text-align: left; padding-left: 0px; margin-top: 20px; margin-bottom: 0px;\" align=\"right\" width=\"36%\">\n<p class=\"new-view-print\" style=\"text-align: right; margin: 1px 3px 0 0;\">Quarterly Assessment \u00a0 | \u00a0 04\/12\/20<\/p>\n<\/th>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-3\"><div class=\"frm_forms  with_frm_style frm_style_minimal-info-style\" id=\"frm_form_298_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_ellenor-cp-top-completed\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Ellenor CP Top Completed<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"298\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_298\" id=\"frm_hide_fields_298\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"ellenor-cp-top-completed\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_298\" name=\"frm_submit_entry_298\" value=\"697e471e31\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/10329\" \/><input type=\"hidden\" name=\"item_meta[7739]\" id=\"field_4bhhg23dc9637a685e8ebbb015f850a188bd6a0d454e2149cb85a74c559c5b368d3306c1ce\" value=\"\"  data-invmsg=\"Create Resident is invalid\"   \/>\n<div id=\"frm_field_7740_container\" class=\"frm_form_field frm_section_heading form-field  frm_hide_section\">\r\n<h3 class=\"frm_pos_none frm_section_spacing\">Top Completed<\/h3>\r\n\r\n\r\n<div id=\"frm_field_7741_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_ul03p11775bf1b0bde0da0eb313584df8a8\" id=\"field_ul03p11775bf1b0bde0da0eb313584df8a8_label\" class=\"frm_primary_label\">Assessment Type\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[7741]\" id=\"field_ul03p11775bf1b0bde0da0eb313584df8a8\"  data-sectionid=\"7740\" data-frmval=\"Quarterly\" data-invmsg=\"Assessment Type is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"14-day\"  class=\"\">\n\t\t\t14-day\t\t<\/option>\n\t\t\t<option value=\"30-day\"  class=\"\">\n\t\t\t30-day\t\t<\/option>\n\t\t\t<option value=\"Interim\"  class=\"\">\n\t\t\tInterim\t\t<\/option>\n\t\t\t<option value=\"Quarterly\"  selected=\"selected\" class=\"\">\n\t\t\tQuarterly\t\t<\/option>\n\t\t\t<option value=\"Significant Change\"  class=\"\">\n\t\t\tSignificant Change\t\t<\/option>\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7776_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_1u5lz\" id=\"field_1u5lz_label\" class=\"frm_primary_label\">Mental Status\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[7776]\" id=\"field_1u5lz\"  data-sectionid=\"7740\" data-frmval=\"Alert and Oriented\" data-invmsg=\"Mental Status is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option value=\"(multi-select)\"  class=\"\">\n\t\t\t(multi-select)\t\t<\/option>\n\t\t\t<option value=\"Alert and Oriented\"  selected=\"selected\" class=\"\">\n\t\t\tAlert and Oriented\t\t<\/option>\n\t\t\t<option value=\"Elopement Risk\"  class=\"\">\n\t\t\tElopement Risk\t\t<\/option>\n\t\t\t<option value=\"Aggression \u2013 Physical\"  class=\"\">\n\t\t\tAggression \u2013 Physical\t\t<\/option>\n\t\t\t<option value=\"Aggression \u2013 Verbal\"  class=\"\">\n\t\t\tAggression \u2013 Verbal\t\t<\/option>\n\t\t\t<option value=\"Uncooperative\"  class=\"\">\n\t\t\tUncooperative\t\t<\/option>\n\t\t\t<option value=\"Confused \/ Disoriented\"  class=\"\">\n\t\t\tConfused \/ Disoriented\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8427_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\n    <label for=\"field_w52q9\" id=\"field_w52q9_label\" class=\"frm_primary_label\">Med Cart Assignment\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[8427]\" id=\"field_w52q9\"  data-sectionid=\"7740\" data-frmval=\"Cart 1\" data-invmsg=\"Med Cart Assignment is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Cart 1\"  selected=\"selected\" class=\"\">\n\t\t\tCart 1\t\t<\/option>\n\t\t\t<option value=\"Cart 2\"  class=\"\">\n\t\t\tCart 2\t\t<\/option>\n\t\t\t<option value=\"Cart 3\"  class=\"\">\n\t\t\tCart 3\t\t<\/option>\n\t\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_7777_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\n    <label for=\"field_hlg1r\" id=\"field_hlg1r_label\" class=\"frm_primary_label\">Hospice\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_hlg1r\" name=\"item_meta[7777]\" value=\"In hospice with Lowcountry Hospice since 09\/18\/20.\"  data-sectionid=\"7740\" data-frmval=\"In hospice with Lowcountry Hospice since 09\/18\/20.\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_7778_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\n    <label for=\"field_j3w0u\" id=\"field_j3w0u_label\" class=\"frm_primary_label\">Date of 1st Hospice CarePlan\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_j3w0u\" name=\"item_meta[7778]\" value=\"09\/21\/20\"  data-sectionid=\"7740\" maxlength=\"10\" data-frmval=\"09\/21\/20\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:15px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-4\"><div class=\"frm_forms  with_frm_style frm_style_print-style-1\" id=\"frm_form_361_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_ellenor-careplan-print\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Ellenor CP Print<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"361\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_361\" id=\"frm_hide_fields_361\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"ellenor-careplan-print\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_361\" name=\"frm_submit_entry_361\" value=\"697e471e31\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/10329\" \/><input type=\"hidden\" name=\"item_meta[10719]\" id=\"field_4bhhg23dc9637a685e8ebbb015f850a188bd6a0d454ed832b20ebf\" value=\"\"  data-invmsg=\"Create Resident is invalid\"   \/>\n<div id=\"frm_field_10721_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-bath-blue.svg\" width=\"30\" height=\"30\" \/>Bathing<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10722_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_vzkl41e400eef30\" id=\"field_vzkl41e400eef30_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10722]\"  id=\"field_vzkl41e400eef30\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10721\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10723_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_d1cvm4c08bd2c55\" id=\"field_d1cvm4c08bd2c55_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_d1cvm4c08bd2c55\" name=\"item_meta[10723]\" value=\"Caregivers\"  data-sectionid=\"10721\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10724_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view-print\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10725_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_cfp7df5e177402c\" id=\"field_cfp7df5e177402c_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[10725]\" id=\"field_cfp7df5e177402c\"  data-sectionid=\"10721\" data-frmval=\"Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.\" data-invmsg=\"Details is invalid\" aria-invalid=\"false\"  >Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.<\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10726_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_14z5x43a3de3bbf\" id=\"field_14z5x43a3de3bbf_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_14z5x43a3de3bbf\" name=\"item_meta[10726]\" value=\"Maintain\"  data-sectionid=\"10721\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10727_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_92tquf4661a4fa4\" id=\"field_92tquf4661a4fa4_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_92tquf4661a4fa4\" name=\"item_meta[10727]\" value=\"Notes...\"  data-sectionid=\"10721\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10728_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_qniku23a340c687\" id=\"field_qniku23a340c687_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qniku23a340c687\" name=\"item_meta[10728]\" value=\"\"  data-sectionid=\"10721\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10729_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10731_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-bed-blue.svg\" width=\"30\" height=\"30\" \/>Bed<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10732_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_32lit122d6a1240\" id=\"field_32lit122d6a1240_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10732]\"  id=\"field_32lit122d6a1240\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10731\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10733_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_e9f7j55bcc4a066\" id=\"field_e9f7j55bcc4a066_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_e9f7j55bcc4a066\" name=\"item_meta[10733]\" value=\"Caregivers\"  data-sectionid=\"10731\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10734_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10735_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_c5jjc2a30b7c91\" id=\"field_c5jjc2a30b7c91_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c5jjc2a30b7c91\" name=\"item_meta[10735]\" value=\"Sleeps on the side of the bed closer to the bathroom.\"  data-sectionid=\"10731\" data-frmval=\"Sleeps on the side of the bed closer to the bathroom.\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10736_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_fbm4e31cecd4e8d\" id=\"field_fbm4e31cecd4e8d_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fbm4e31cecd4e8d\" name=\"item_meta[10736]\" value=\"Maintain\"  data-sectionid=\"10731\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10737_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_ujncb62c2535b18\" id=\"field_ujncb62c2535b18_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ujncb62c2535b18\" name=\"item_meta[10737]\" value=\"Notes...\"  data-sectionid=\"10731\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10738_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_2tr3t5dc8a4ecf1\" id=\"field_2tr3t5dc8a4ecf1_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2tr3t5dc8a4ecf1\" name=\"item_meta[10738]\" value=\"\"  data-sectionid=\"10731\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10739_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10741_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-bp-blue.svg\" width=\"30\" height=\"30\" \/>Blood Pressure<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10742_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_e38zgb3835f61b4\" id=\"field_e38zgb3835f61b4_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10742]\"  id=\"field_e38zgb3835f61b4\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10741\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10743_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_pq2cy94137ed0ef\" id=\"field_pq2cy94137ed0ef_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_pq2cy94137ed0ef\" name=\"item_meta[10743]\" value=\"Med Tech\"  data-sectionid=\"10741\" data-frmval=\"Med Tech\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10744_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10745_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_mr9n0617ce032cc\" id=\"field_mr9n0617ce032cc_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_mr9n0617ce032cc\" name=\"item_meta[10745]\" value=\"Notes...\"  data-sectionid=\"10741\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10746_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_y8fui53ca21cff0\" id=\"field_y8fui53ca21cff0_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_y8fui53ca21cff0\" name=\"item_meta[10746]\" value=\"Improve\"  data-sectionid=\"10741\" data-frmval=\"Improve\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10747_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_m3uhqbd1bee60b3\" id=\"field_m3uhqbd1bee60b3_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_m3uhqbd1bee60b3\" name=\"item_meta[10747]\" value=\"Checking to see if new medication will help lower blood pressure.\"  data-sectionid=\"10741\" data-frmval=\"Checking to see if new medication will help lower blood pressure.\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10748_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_5nik562160c4a9e\" id=\"field_5nik562160c4a9e_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5nik562160c4a9e\" name=\"item_meta[10748]\" value=\"\"  data-sectionid=\"10741\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10749_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10751_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-chair-stand-blue.svg\" width=\"30\" height=\"30\" \/>Chair Stand<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10752_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_1vkeu9a60bb2c7e\" id=\"field_1vkeu9a60bb2c7e_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[10752]\"  id=\"field_1vkeu9a60bb2c7e\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10751\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10753_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_eiadt181e501ee3\" id=\"field_eiadt181e501ee3_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_eiadt181e501ee3\" name=\"item_meta[10753]\" value=\"Caregivers\"  data-sectionid=\"10751\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10754_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10755_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_gjylk9cf3c890d5\" id=\"field_gjylk9cf3c890d5_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gjylk9cf3c890d5\" name=\"item_meta[10755]\" value=\"Notes...\"  data-sectionid=\"10751\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10756_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_oscqce84fa43211\" id=\"field_oscqce84fa43211_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_oscqce84fa43211\" name=\"item_meta[10756]\" value=\"Improve\"  data-sectionid=\"10751\" data-frmval=\"Improve\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10757_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_lerya0e61da678a\" id=\"field_lerya0e61da678a_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_lerya0e61da678a\" name=\"item_meta[10757]\" value=\"Notes...\"  data-sectionid=\"10751\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_10759_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-check-in-blue.svg\" width=\"30\" height=\"30\" \/>Check-In<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10760_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_xf3rrde4e7ac055\" id=\"field_xf3rrde4e7ac055_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[10760]\"  id=\"field_xf3rrde4e7ac055\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10759\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10761_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_3roebab0702a3a6\" id=\"field_3roebab0702a3a6_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3roebab0702a3a6\" name=\"item_meta[10761]\" value=\"Caregivers\"  data-sectionid=\"10759\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10762_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10763_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_u8z1p97d77d6ae8\" id=\"field_u8z1p97d77d6ae8_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_u8z1p97d77d6ae8\" name=\"item_meta[10763]\" value=\"Notes...\"  data-sectionid=\"10759\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10764_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_5svy4172006aac\" id=\"field_5svy4172006aac_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5svy4172006aac\" name=\"item_meta[10764]\" value=\"Improve\"  data-sectionid=\"10759\" data-frmval=\"Improve\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10765_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_9f6g07cfa4de4e9\" id=\"field_9f6g07cfa4de4e9_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9f6g07cfa4de4e9\" name=\"item_meta[10765]\" value=\"Notes...\"  data-sectionid=\"10759\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_10767_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-dental-blue.svg\" width=\"30\" height=\"30\" \/>Dental<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10768_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_7pinsf828ef2a62\" id=\"field_7pinsf828ef2a62_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10768]\"  id=\"field_7pinsf828ef2a62\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10767\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10769_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_vy4ugb87f59ff32\" id=\"field_vy4ugb87f59ff32_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_vy4ugb87f59ff32\" name=\"item_meta[10769]\" value=\"Caregivers\"  data-sectionid=\"10767\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10770_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10771_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_z2jk9043a59ca39\" id=\"field_z2jk9043a59ca39_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_z2jk9043a59ca39\" name=\"item_meta[10771]\" value=\"Details would go here...\"  data-sectionid=\"10767\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10772_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_lk0lj49cf024aeb\" id=\"field_lk0lj49cf024aeb_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_lk0lj49cf024aeb\" name=\"item_meta[10772]\" value=\"Maintain\"  data-sectionid=\"10767\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10773_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_14vco3f1def9aa2\" id=\"field_14vco3f1def9aa2_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_14vco3f1def9aa2\" name=\"item_meta[10773]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10767\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10774_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_d7ijnb83b7387e0\" id=\"field_d7ijnb83b7387e0_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_d7ijnb83b7387e0\" name=\"item_meta[10774]\" value=\"\"  data-sectionid=\"10767\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10775_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10777_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-dressing-blue.svg\" width=\"30\" height=\"30\" \/>Dressing<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10778_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_mhik62463dd4bf1\" id=\"field_mhik62463dd4bf1_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10778]\"  id=\"field_mhik62463dd4bf1\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10777\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10779_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_bfxr81b0bdad36b\" id=\"field_bfxr81b0bdad36b_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bfxr81b0bdad36b\" name=\"item_meta[10779]\" value=\"Caregivers\"  data-sectionid=\"10777\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10780_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10781_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_k194ec33dc23801\" id=\"field_k194ec33dc23801_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_k194ec33dc23801\" name=\"item_meta[10781]\" value=\"Details would go here...\"  data-sectionid=\"10777\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10782_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_f3hvte63db5eef5\" id=\"field_f3hvte63db5eef5_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f3hvte63db5eef5\" name=\"item_meta[10782]\" value=\"Maintain\"  data-sectionid=\"10777\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10783_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_trzk4043c86355d\" id=\"field_trzk4043c86355d_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_trzk4043c86355d\" name=\"item_meta[10783]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10777\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10784_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_wbis19aebb7415b\" id=\"field_wbis19aebb7415b_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wbis19aebb7415b\" name=\"item_meta[10784]\" value=\"\"  data-sectionid=\"10777\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10785_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10787_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-elopement-blue.svg\" width=\"30\" height=\"30\" \/>Elopement<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10788_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_1vmpj7dc90b6f60\" id=\"field_1vmpj7dc90b6f60_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[10788]\"  id=\"field_1vmpj7dc90b6f60\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10787\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10789_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_3h49i0d568709f9\" id=\"field_3h49i0d568709f9_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3h49i0d568709f9\" name=\"item_meta[10789]\" value=\"Caregivers\"  data-sectionid=\"10787\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10790_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_10791_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_rxp7hbe169932f9\" id=\"field_rxp7hbe169932f9_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_rxp7hbe169932f9\" name=\"item_meta[10791]\" value=\"Details would go here...\"  data-sectionid=\"10787\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10792_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_nxyzpbda7bcbd91\" id=\"field_nxyzpbda7bcbd91_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_nxyzpbda7bcbd91\" name=\"item_meta[10792]\" value=\"Maintain\"  data-sectionid=\"10787\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10793_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_mqukp062782bd31\" id=\"field_mqukp062782bd31_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_mqukp062782bd31\" name=\"item_meta[10793]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10787\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10794_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_ht4fmaae6fad411\" id=\"field_ht4fmaae6fad411_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ht4fmaae6fad411\" name=\"item_meta[10794]\" value=\"\"  data-sectionid=\"10787\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10795_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10797_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-falls-blue.svg\" width=\"30\" height=\"30\" \/>Falls<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10798_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_2wycw0930ce933f\" id=\"field_2wycw0930ce933f_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[10798]\"  id=\"field_2wycw0930ce933f\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10797\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10799_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_aokmg61f9b979c3\" id=\"field_aokmg61f9b979c3_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_aokmg61f9b979c3\" name=\"item_meta[10799]\" value=\"Caregivers\"  data-sectionid=\"10797\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10800_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_10801_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_j31y48601500869\" id=\"field_j31y48601500869_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j31y48601500869\" name=\"item_meta[10801]\" value=\"Details would go here...\"  data-sectionid=\"10797\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10802_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_m1y6r1a6f4523e0\" id=\"field_m1y6r1a6f4523e0_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_m1y6r1a6f4523e0\" name=\"item_meta[10802]\" value=\"Maintain\"  data-sectionid=\"10797\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10803_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_hsg4003c4355e\" id=\"field_hsg4003c4355e_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hsg4003c4355e\" name=\"item_meta[10803]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10797\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10804_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_3tlfa20cf6cdec6\" id=\"field_3tlfa20cf6cdec6_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3tlfa20cf6cdec6\" name=\"item_meta[10804]\" value=\"\"  data-sectionid=\"10797\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10805_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10807_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-blood-sugar-blue.svg\" width=\"30\" height=\"30\" \/>Glucose<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10808_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_ezpp8b82777f104\" id=\"field_ezpp8b82777f104_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[10808]\"  id=\"field_ezpp8b82777f104\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10807\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10809_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_228hd685ce8dc79\" id=\"field_228hd685ce8dc79_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_228hd685ce8dc79\" name=\"item_meta[10809]\" value=\"Med Tech\"  data-sectionid=\"10807\" data-frmval=\"Med Tech\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10810_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10811_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_djomcc7e11c1496\" id=\"field_djomcc7e11c1496_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_djomcc7e11c1496\" name=\"item_meta[10811]\" value=\"Details would go here...\"  data-sectionid=\"10807\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10812_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_j4w194d2a7eb2ad\" id=\"field_j4w194d2a7eb2ad_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j4w194d2a7eb2ad\" name=\"item_meta[10812]\" value=\"Maintain\"  data-sectionid=\"10807\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10813_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_9i9l46bb5eaf558\" id=\"field_9i9l46bb5eaf558_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9i9l46bb5eaf558\" name=\"item_meta[10813]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10807\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10814_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_glhmn9efc472686\" id=\"field_glhmn9efc472686_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_glhmn9efc472686\" name=\"item_meta[10814]\" value=\"\"  data-sectionid=\"10807\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10815_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10817_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-grooming-blue.svg\" width=\"30\" height=\"30\" \/>Grooming<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10818_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_ic7q4d9c01af3cf\" id=\"field_ic7q4d9c01af3cf_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10818]\"  id=\"field_ic7q4d9c01af3cf\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10817\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10819_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_hjjpz4cf1e17c08\" id=\"field_hjjpz4cf1e17c08_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hjjpz4cf1e17c08\" name=\"item_meta[10819]\" value=\"Caregivers\"  data-sectionid=\"10817\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10820_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10821_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_1dgl13b005ab45c\" id=\"field_1dgl13b005ab45c_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1dgl13b005ab45c\" name=\"item_meta[10821]\" value=\"Details would go here...\"  data-sectionid=\"10817\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10822_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_753p95e7467b51f\" id=\"field_753p95e7467b51f_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_753p95e7467b51f\" name=\"item_meta[10822]\" value=\"Maintain\"  data-sectionid=\"10817\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10823_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_t04md9cddf0c71b\" id=\"field_t04md9cddf0c71b_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_t04md9cddf0c71b\" name=\"item_meta[10823]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10817\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10824_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_9ztgv7fa0375d92\" id=\"field_9ztgv7fa0375d92_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9ztgv7fa0375d92\" name=\"item_meta[10824]\" value=\"\"  data-sectionid=\"10817\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10825_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10827_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-injections-blue.svg\" width=\"30\" height=\"30\" \/>Insulin<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10828_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_b5lx1be3e47346a\" id=\"field_b5lx1be3e47346a_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10828]\"  id=\"field_b5lx1be3e47346a\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10827\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10829_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_qk5xhf30e652ca7\" id=\"field_qk5xhf30e652ca7_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qk5xhf30e652ca7\" name=\"item_meta[10829]\" value=\"Caregivers\"  data-sectionid=\"10827\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10830_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10831_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_d6fifdba60ebe3b\" id=\"field_d6fifdba60ebe3b_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_d6fifdba60ebe3b\" name=\"item_meta[10831]\" value=\"Notes...\"  data-sectionid=\"10827\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10832_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_2zl5ue3cdab630a\" id=\"field_2zl5ue3cdab630a_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2zl5ue3cdab630a\" name=\"item_meta[10832]\" value=\"Maintain\"  data-sectionid=\"10827\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10833_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_fkhlv77ee134e02\" id=\"field_fkhlv77ee134e02_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fkhlv77ee134e02\" name=\"item_meta[10833]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10827\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10834_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_yyus9f8cd6c67bf\" id=\"field_yyus9f8cd6c67bf_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_yyus9f8cd6c67bf\" name=\"item_meta[10834]\" value=\"\"  data-sectionid=\"10827\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10835_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10837_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-meals-blue.svg\" width=\"30\" height=\"30\" \/>Meals<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10838_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_1x5mpfb63b4e94b\" id=\"field_1x5mpfb63b4e94b_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10838]\"  id=\"field_1x5mpfb63b4e94b\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10837\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10839_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_t4roedf0523d00d\" id=\"field_t4roedf0523d00d_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_t4roedf0523d00d\" name=\"item_meta[10839]\" value=\"Caregivers\"  data-sectionid=\"10837\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10840_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10841_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_o54ajd9f90e1590\" id=\"field_o54ajd9f90e1590_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_o54ajd9f90e1590\" name=\"item_meta[10841]\" value=\"She enjoys sitting at Table 9 by the window.\"  data-sectionid=\"10837\" data-frmval=\"She enjoys sitting at Table 9 by the window.\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10842_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_vab2vc5245b782e\" id=\"field_vab2vc5245b782e_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_vab2vc5245b782e\" name=\"item_meta[10842]\" value=\"Maintain\"  data-sectionid=\"10837\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10843_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_jh09z37cef92451\" id=\"field_jh09z37cef92451_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jh09z37cef92451\" name=\"item_meta[10843]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10837\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10844_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_t53iqc909d4cc57\" id=\"field_t53iqc909d4cc57_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_t53iqc909d4cc57\" name=\"item_meta[10844]\" value=\"\"  data-sectionid=\"10837\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10845_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10847_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-medication-blue.svg\" width=\"30\" height=\"30\" \/>Medication<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10848_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_pokrrd0ac22c47a\" id=\"field_pokrrd0ac22c47a_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10848]\"  id=\"field_pokrrd0ac22c47a\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10847\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10849_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_gs10sb0dc06b74d\" id=\"field_gs10sb0dc06b74d_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gs10sb0dc06b74d\" name=\"item_meta[10849]\" value=\"Med Tech\"  data-sectionid=\"10847\" data-frmval=\"Med Tech\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10850_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_10851_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_nlx0eb8bc45b50d\" id=\"field_nlx0eb8bc45b50d_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_nlx0eb8bc45b50d\" name=\"item_meta[10851]\" value=\"Details would go here...\"  data-sectionid=\"10847\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10852_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_c1e9499bfb70d06\" id=\"field_c1e9499bfb70d06_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c1e9499bfb70d06\" name=\"item_meta[10852]\" value=\"Maintain\"  data-sectionid=\"10847\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10853_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_obdameda51b7356\" id=\"field_obdameda51b7356_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_obdameda51b7356\" name=\"item_meta[10853]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10847\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10854_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_oul6w10a1ab491c\" id=\"field_oul6w10a1ab491c_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_oul6w10a1ab491c\" name=\"item_meta[10854]\" value=\"\"  data-sectionid=\"10847\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10855_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10857_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-mobility-blue.svg\" width=\"30\" height=\"30\" \/>Mobility<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10858_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_i65sb66b57ff6da\" id=\"field_i65sb66b57ff6da_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10858]\"  id=\"field_i65sb66b57ff6da\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10857\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10859_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_p2j2f214be4af69\" id=\"field_p2j2f214be4af69_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_p2j2f214be4af69\" name=\"item_meta[10859]\" value=\"Caregivers\"  data-sectionid=\"10857\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10860_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_10861_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_48xtn9edc6b408c\" id=\"field_48xtn9edc6b408c_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_48xtn9edc6b408c\" name=\"item_meta[10861]\" value=\"Details would go here...\"  data-sectionid=\"10857\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10862_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_i1u7zd0c8f67422\" id=\"field_i1u7zd0c8f67422_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_i1u7zd0c8f67422\" name=\"item_meta[10862]\" value=\"Maintain\"  data-sectionid=\"10857\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10863_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_dfg1g10efd440eb\" id=\"field_dfg1g10efd440eb_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dfg1g10efd440eb\" name=\"item_meta[10863]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10857\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10864_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_zc2wf655c5f0ef\" id=\"field_zc2wf655c5f0ef_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zc2wf655c5f0ef\" name=\"item_meta[10864]\" value=\"\"  data-sectionid=\"10857\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10865_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10867_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-skin-blue.svg\" width=\"30\" height=\"30\" \/>Skin<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10868_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_lq1fdd414d54b80\" id=\"field_lq1fdd414d54b80_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10868]\"  id=\"field_lq1fdd414d54b80\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10867\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10869_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_esayr80668cd662\" id=\"field_esayr80668cd662_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_esayr80668cd662\" name=\"item_meta[10869]\" value=\"Caregivers\"  data-sectionid=\"10867\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10870_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10871_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_1skxo1960673d2e\" id=\"field_1skxo1960673d2e_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1skxo1960673d2e\" name=\"item_meta[10871]\" value=\"Details would go here...\"  data-sectionid=\"10867\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10872_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_twwkn1e8d19a4b4\" id=\"field_twwkn1e8d19a4b4_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_twwkn1e8d19a4b4\" name=\"item_meta[10872]\" value=\"Maintain\"  data-sectionid=\"10867\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10873_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_ext7a8d240f6fa2\" id=\"field_ext7a8d240f6fa2_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ext7a8d240f6fa2\" name=\"item_meta[10873]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10867\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10874_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_cwl7s3ae65b87c9\" id=\"field_cwl7s3ae65b87c9_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_cwl7s3ae65b87c9\" name=\"item_meta[10874]\" value=\"\"  data-sectionid=\"10867\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10875_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10877_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-toileting-blue.svg\" width=\"30\" height=\"30\" \/>Toileting<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10878_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_4uf5lae52c85103\" id=\"field_4uf5lae52c85103_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[10878]\"  id=\"field_4uf5lae52c85103\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10877\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10879_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_bkx40418f40a751\" id=\"field_bkx40418f40a751_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bkx40418f40a751\" name=\"item_meta[10879]\" value=\"Caregivers\"  data-sectionid=\"10877\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10880_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_10881_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_a9num9a3664f905\" id=\"field_a9num9a3664f905_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_a9num9a3664f905\" name=\"item_meta[10881]\" value=\"Details would go here...\"  data-sectionid=\"10877\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10882_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_6nzhkf7ef180858\" id=\"field_6nzhkf7ef180858_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6nzhkf7ef180858\" name=\"item_meta[10882]\" value=\"Maintain\"  data-sectionid=\"10877\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10883_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_1wb3jbcef1d18ca\" id=\"field_1wb3jbcef1d18ca_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1wb3jbcef1d18ca\" name=\"item_meta[10883]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10877\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10884_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_eq8pm39c57dcbf6\" id=\"field_eq8pm39c57dcbf6_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_eq8pm39c57dcbf6\" name=\"item_meta[10884]\" value=\"\"  data-sectionid=\"10877\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10885_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10887_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-vision-blue.svg\" width=\"30\" height=\"30\" \/>Vision<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10888_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_b55bl3c31763b53\" id=\"field_b55bl3c31763b53_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10888]\"  id=\"field_b55bl3c31763b53\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10887\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10889_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_myfydb0a820bf0c\" id=\"field_myfydb0a820bf0c_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_myfydb0a820bf0c\" name=\"item_meta[10889]\" value=\"Caregivers\"  data-sectionid=\"10887\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10890_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10891_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_9xxxyf8338dc519\" id=\"field_9xxxyf8338dc519_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9xxxyf8338dc519\" name=\"item_meta[10891]\" value=\"Details would go here...\"  data-sectionid=\"10887\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10892_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_dhye390c198e017\" id=\"field_dhye390c198e017_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dhye390c198e017\" name=\"item_meta[10892]\" value=\"Maintain\"  data-sectionid=\"10887\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10893_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_attnb6c43cd93bb\" id=\"field_attnb6c43cd93bb_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_attnb6c43cd93bb\" name=\"item_meta[10893]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10887\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10894_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_3m9y16d71f65ee0\" id=\"field_3m9y16d71f65ee0_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3m9y16d71f65ee0\" name=\"item_meta[10894]\" value=\"\"  data-sectionid=\"10887\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10895_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10897_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_10898_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 style=\"border-top: 1px solid #b5b5b5; padding-top: 5px; margin-top: 0px;\" class=\"frm_pos_top frm_section_spacing\"><img style=\"display: inline; margin: 0 10px 2px 0;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-acute-exceptions-blue.svg\" width=\"30\" height=\"30\" \/>Broken Arm<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10899_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_sw48049a52b4f0\" id=\"field_sw48049a52b4f0_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[10899]\"  id=\"field_sw48049a52b4f0\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"10898\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10900_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_3s01eb43ee8c7dc\" id=\"field_3s01eb43ee8c7dc_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3s01eb43ee8c7dc\" name=\"item_meta[10900]\" value=\"Caregivers\"  data-sectionid=\"10898\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10901_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_10902_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_dcqjx50527b9531\" id=\"field_dcqjx50527b9531_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dcqjx50527b9531\" name=\"item_meta[10902]\" value=\"Details would go here...\"  data-sectionid=\"10898\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10903_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_j5kahd67c3aa76a\" id=\"field_j5kahd67c3aa76a_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j5kahd67c3aa76a\" name=\"item_meta[10903]\" value=\"Maintain\"  data-sectionid=\"10898\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10904_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_mhkjn99c30a3a92\" id=\"field_mhkjn99c30a3a92_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_mhkjn99c30a3a92\" name=\"item_meta[10904]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"10898\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10905_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_w26143ee33e8bdb\" id=\"field_w26143ee33e8bdb_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w26143ee33e8bdb\" name=\"item_meta[10905]\" value=\"\"  data-sectionid=\"10898\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10906_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_10908_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_10909_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Meeting Minutes \/ Signatures<\/h3>\r\n\r\n\r\n<div id=\"frm_field_10910_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_1cbqk60f15dbd7d\" id=\"field_1cbqk60f15dbd7d_label\" class=\"frm_primary_label\">Meeting Minutes\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[10910]\" id=\"field_1cbqk60f15dbd7d\" rows=\"5\"  data-sectionid=\"10909\" data-invmsg=\"Meeting Minutes is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":789,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":[],"_links":{"self":[{"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/10329"}],"collection":[{"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/comments?post=10329"}],"version-history":[{"count":120,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/10329\/revisions"}],"predecessor-version":[{"id":11030,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/10329\/revisions\/11030"}],"up":[{"embeddable":true,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/789"}],"wp:attachment":[{"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/media?parent=10329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}