Notification Email Not Working
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I am unable to receive the email after form submit.
Here is my code@start To: [item re_f_name] <[item re_email]> From: [UMD Urgent Medical Care] <[email protected]> Subject: [UMD Urgent Medical Care] Thank you for your registration. MIME-Version: 1.0 Content-type: text/html @message start Dear, [item re_f_name] Thank you for choosing UMD Urgent Medical Care. <hr> <div class="container" style="width:960px;margin:0 auto; font-family:Arial, Helvetica, sans-serif;font-size: 16px"> <!-- <div style="width:960px;text-align:center; border-bottom:3px solid #c9252b;padding-bottom:10px;"> <a href="https://www.umdcare.com/urgent-care/"><img src="https://www.umdcare.com/urgent-care/wp-content/uploads/2014/03/umd-urgent-medical-care-logo.png" width="232" height="93" align="center"/></a> </div> --> <p align="center" style="font-size:16px">Please present your insurance card and a photo ID at time of check-in</p> <div style="padding:20px;"> <h2 style="font-size:22px;font-weight:bold;margin-bottom:5px;">PATIENT INFORMATION</h2> <div style="border:2px solid black;padding:5px 15px;"> <p> Last Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_l_name]</span> First Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_f_name]</span> MI: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:175px"> [item re_m_name]</span> </p> <p> Social Security Number: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> </span> Date of Birth: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_dot]</span> Sex: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:86px"> [item re_sex]</span> </p> <p> Race: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_race]</span> Ethnicity: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_ethnicity]</span> Preferred Language: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:120px"> [item re_language]</span> </p> <p> Street Address: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:540px;display:inline-block;margin-right: 20px;"> [item re_address]</span> Apt: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:150px;"> [item re_suite]</span> </p> <p> City: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_city]</span> State: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_state]</span> Zip Code: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:220px"> [item re_zip]</span> </p> <p> Home Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_home_no]</span> Work Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_work_no]</span> Cell Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;"> [item re_cell_no]</span> </p> <p> Email: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:540px;display:inline-block;margin-right: 20px;"> [item re_email]</span> Smoker: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:182px;"> [item re_smoker]</span> </p> <p> Are you allergic or have you had any reaction(s) to any medications: </p> <p><span style="border-bottom: 1px solid black;padding-bottom:2px;width:100%;display:inline-block;margin-right: 20px;"> [item re_allergic]</span></p> <p> Do you have any medical issues we should be aware of? </p> <p><span style="border-bottom: 1px solid black;padding-bottom:2px;width:100%;display:inline-block;"> [item re_issue]</span></p> <p style="font-weight:bold;font-size:14px;">Insurance Information:</p> <p>Insurance Plan: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:350px;display:inline-block;margin-right: 20px;"> [item re_insurance_pan]</span> Member ID: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:290px;display:inline-block;"> [item re_member_id]</span></p> <p style="font-weight:bold;font-size:14px;">Person to contact in case of emergency:</p> <p>Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_emergency_name]</span> Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:190px;display:inline-block;margin-right: 20px;"> [item re_emergency_phone]</span> Relationship: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:207px;"> [item re_emergency_relationship]</span></p> <p>Patient Signature: <span style="border-bottom:1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right:20px"> </span></p> </div> </div> </div> <hr> <p style="font-weight:bold;font-size:14px;">Resrvation:</p> <p>Location:[item re_location] Date:[item re_reservation_date] Time:[item re_reservation_time] </p> <table width="699" height="210" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="267" height="76"><a href="https://www.umdcare.com/"><img src="https://www.umdcare.com/urgent-care/wp-content/uploads/2014/03/umd-urgent-medical-care-logo.png" width="267" height="76" border="0" align="absbottom" style="vertical-align:top"></a> </td> </tr> <tr> <td width="665" height="134"> <p> <a href="https://urgentmedicalcareunionsquare.com/urgent-care/contact/">110 W 14TH STREET NEW YORK, NY 10011</a> | T.212.242.4333 <a href="https://www.umdcare.com/">www.UMDcare.com</a> | <a href="mailto:[email protected]"> [email protected]</a> </p> </td> </tr> </table> @message end @end @start To: [item re_f_name] <[item re_reservation_email]> --> From: [UMD Urgent Medical Care] <[email protected]> Subject: [UMD Urgent Medical Care] Thank you for your reservation. MIME-Version: 1.0 Content-type: text/html @message start Dear, [item re_f_name] Your reservation to UMD Urgent Medical Care is confirmed. If you have any question, please make sure to call us at 212.242.4333 to confirm your reservation. <p style="font-weight:bold;font-size:14px;">Resrvation Details:</p> <p>Location:[item re_location] Date:[item re_reservation_date] Time:[item re_reservation_time] </p> <table width="699" height="210" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="267" height="76"><a href="https://www.umdcare.com/"><img src="https://www.umdcare.com/urgent-care/wp-content/uploads/2014/03/umd-urgent-medical-care-logo.png" width="267" height="76" border="0" align="absbottom" style="vertical-align:top"></a> </td> </tr> <tr> <td width="665" height="134"> <p> <a href="https://urgentmedicalcareunionsquare.com/urgent-care/contact/">110 W 14TH STREET NEW YORK, NY 10011</a> | T.212.242.4333 <a href="https://www.umdcare.com/">www.UMDcare.com</a> | <a href="mailto:[email protected]"> [email protected]</a> </p> </td> </tr> </table> @message end @end @start To: [email protected] From: [item re_f_name] [item re_l_name] <[item re_email]> Bcc: <[email protected]> Subject: [UMD Urgent Medical Care] [item re_f_name] Online Registration MIME-Version: 1.0 Content-type: text/html @message start <p style="font-weight:bold;font-size:14px;">Resrvation:</p> <p>Location:[item re_location] Date:[item re_reservation_date] Time:[item re_reservation_time] </p> <div class="container" style="width:960px;margin:0 auto; font-family:Arial, Helvetica, sans-serif;font-size: 16px"> <!-- <div style="width:960px;text-align:center; border-bottom:3px solid #c9252b;padding-bottom:10px;"> <a href="https://www.umdcare.com/urgent-care/"><img src="https://www.umdcare.com/urgent-care/wp-content/uploads/2014/03/umd-urgent-medical-care-logo.png" width="232" height="93" align="center"/></a> </div> --> <p align="center" style="font-size:16px">Please present your insurance card and a photo ID at time of check-in</p> <div style="padding:20px;"> <h2 style="font-size:22px;font-weight:bold;margin-bottom:5px;">PATIENT INFORMATION</h2> <div style="border:2px solid black;padding:5px 15px;"> <p> Last Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_l_name]</span> First Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_f_name]</span> MI: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:175px"> [item re_m_name]</span> </p> <p> Social Security Number: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> </span> Date of Birth: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_dot]</span> Sex: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:86px"> [item re_sex]</span> </p> <p> Race: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_race]</span> Ethnicity: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_ethnicity]</span> Preferred Language: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:120px"> [item re_language]</span> </p> <p> Street Address: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:540px;display:inline-block;margin-right: 20px;"> [item re_address]</span> Apt: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:150px;"> [item re_suite]</span> </p> <p> City: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_city]</span> State: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_state]</span> Zip Code: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:220px"> [item re_zip]</span> </p> <p> Home Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_home_no]</span> Work Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_work_no]</span> Cell Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;"> [item re_cell_no]</span> </p> <p> Email: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:540px;display:inline-block;margin-right: 20px;"> [item re_email]</span> Smoker: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:182px;"> [item re_smoker]</span> </p> <p> Are you allergic or have you had any reaction(s) to any medications: </p> <p><span style="border-bottom: 1px solid black;padding-bottom:2px;width:100%;display:inline-block;margin-right: 20px;"> [item re_allergic]</span></p> <p> Do you have any medical issues we should be aware of? </p> <p><span style="border-bottom: 1px solid black;padding-bottom:2px;width:100%;display:inline-block;"> [item re_issue]</span></p> <p style="font-weight:bold;font-size:14px;">Insurance Information:</p> <p>Insurance Plan: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:350px;display:inline-block;margin-right: 20px;"> [item re_insurance_pan]</span> Member ID: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:290px;display:inline-block;"> [item re_member_id]</span></p> <p style="font-weight:bold;font-size:14px;">Person to contact in case of emergency:</p> <p>Name: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right: 20px;"> [item re_emergency_name]</span> Phone: <span style="border-bottom: 1px solid black;padding-bottom:2px;width:190px;display:inline-block;margin-right: 20px;"> [item re_emergency_phone]</span> Relationship: <span style="border-bottom: 1px solid black;padding-bottom:2px;display:inline-block;width:207px;"> [item re_emergency_relationship]</span></p> <p>Patient Signature: <span style="border-bottom:1px solid black;padding-bottom:2px;width:220px;display:inline-block;margin-right:20px"> </span></p> </div> </div> </div> @message end @endhttps://www.ads-software.com/plugins/wordpress-form-manager/
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