src/applications/appeals/testing/sc/content/evidencePrivateRecords.jsx
import numberToWords from 'platform/forms-system/src/js/utilities/data/numberToWords';
export const content = {
title: (addOrEdit, index) =>
`${addOrEdit === 'add' ? 'Add' : 'Edit'} the ${numberToWords(
index || 1,
)} provider where you received treatment`,
description:
'We’ll request your non-VA medical records from this provider or hospital.',
nameLabel: 'Name of provider or hospital',
addressLabels: {
country: 'Country',
street: 'Street address',
street2: 'Street address line 2',
city: 'City',
state: 'State',
postal: 'Postal code',
},
issuesLabel:
'Choose the conditions you received treatment for at this facility.',
dateStart: 'First treatment date (you can estimate)',
dateEnd: 'Last treatment date (you can estimate)',
modal: {
title: ({ providerFacilityName }) =>
`Do you want to keep ${providerFacilityName || 'this location'}?`,
description: 'We’ve saved your current information',
yes: 'Yes, keep location',
no: 'No, remove location',
},
addAnotherLink: 'Add another location',
};