https://sandpit.coaguchek.ca/fr/patient/resources/ressources/formulaire-de-garantie

Forms

  • warranty
    • serialNumber
    • dateOfPurchase
    • firstname
    • lastname
    • dateOfBirth
    • inrSelfTesting
    • purpose
    • healthcareProfessional
    • profession
    • street
    • unit
    • city
    • postalCode
    • phone
    • email
    • language
    • declarationPrescription
    • declarationTestLimitation
    • declarationCorrectly
    • declarationQuestions
    • declarationCommunications
    • captcha
    • _token

warranty

"App\Form\WarrantyType"

Default Data

Property Value
Model Format same as normalized format
Normalized Format
App\Entity\Warranty {#383
  -id: null
  -serialNumber: null
  -dateOfPurchase: null
  -firstname: null
  -lastname: null
  -dateOfBirth: null
  -inrSelfTesting: null
  -healthcareProfessional: null
  -street: null
  -unit: null
  -city: null
  -postalCode: null
  -phone: null
  -email: null
  -language: null
  -declarationPrescription: null
  -declarationTestLimitation: null
  -declarationCorrectly: null
  -declarationQuestions: null
  -declarationCommunications: null
  -createdAt: DateTime @1754336874 {#384
    date: 2025-08-04 19:47:54.108950 UTC (+00:00)
  }
  -purpose: null
  -profession: null
}
View Format same as normalized format

Submitted Data

This form was not submitted.

Passed Options

Option Passed Value Resolved Value
data
App\Entity\Warranty {#383
  -id: null
  -serialNumber: null
  -dateOfPurchase: null
  -firstname: null
  -lastname: null
  -dateOfBirth: null
  -inrSelfTesting: null
  -healthcareProfessional: null
  -street: null
  -unit: null
  -city: null
  -postalCode: null
  -phone: null
  -email: null
  -language: null
  -declarationPrescription: null
  -declarationTestLimitation: null
  -declarationCorrectly: null
  -declarationQuestions: null
  -declarationCommunications: null
  -createdAt: DateTime @1754336874 {#384
    date: 2025-08-04 19:47:54.108950 UTC (+00:00)
  }
  -purpose: null
  -profession: null
}
same as passed value

Resolved Options

View Variables