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#722976
function h($name, $value){ if(isset($name)) { print ("<input type=hidden name=$name value=\"$value\">\n"); }}print ("<form name=gah method=post action=patient_questionnaire_update.php>\n"); h('patient_lname', $patient_lname); h('patient_fname', $patient_fname); h('patient_address', $patient_address); h('patient_city', $patient_city); h('patient_state', $patient_state); h('patient_zip', $patient_zip);