Healing humanity through science and compassion, one patient at a time.
// Shortcode function for the form
function simple_test_form() {
$output = '';
// Check if form is submitted
if ( isset($_POST['submit_test_form']) ) {
$name = sanitize_text_field($_POST['name']);
$dob = sanitize_text_field($_POST['dob']);
// Simple confirmation
$output .= ‘
Thank you, ‘ . esc_html($name) . ‘! Your DOB is ‘ . esc_html($dob) . ‘.
‘;
}
// The form HTML
$output .= ‘
‘;
return $output;
}
// Register the shortcode [simple_test_form]
add_shortcode(‘simple_test_form’, ‘simple_test_form’);
?>