<div class="spaced-lg">
{!! $form->field('last-name', ['show_title' => false]) !!}
{!! $form->field('first-name', ['show_title' => false]) !!}
+ {!! $form->field('birthdate', ['show_icon' => false,'show_title' => false, 'placeholder' => __('Date de naissance') . ' '. $date_placeholder ]) !!}
{!! $form->field('sex', ['class' => 'flex items-center spaced-horizontal', 'title_class' => 'font-light mb-0']) !!}
<div class="flex spaced-horizontal justify-between">
{!! $form->field('size', [
</div>
{!! $form->field('message', ['class' => 'mt-6', 'title_class' => 'font-light']) !!}
+ @if($form_name !== "appointment")
<div class="mt-4">
<div class="custom-checkbox mb-1">
<label>
]
]) !!}
</div>
+ @endif
</div>
</div>