GET https://talion.webamstudio.fr/embed/399dd0747e4d6343af4169f6eff9c3735d20303ae42bee7d7847cafa80ba58ec

Forms

  • request_submission
    • patientLastName
    • patientFirstName
    • patientEmail
    • patientPhone
    • dentalOffice
    • doctor
    • proforma
    • panoramic
    • notes
    • submit
    • _token

request_submission

Form type:
"App\Form\DentalRequest\RequestSubmissionType"

Errors

This form has no errors.

Default Data

Property Value
Model Format same as normalized format
Normalized Format
App\Dto\DentalRequestSubmission {#934
  +client: App\Entity\Client {#715 …}
  +dentalOffice: null
  +doctor: null
  +patientFirstName: ""
  +patientLastName: ""
  +patientEmail: null
  +patientPhone: null
  +notes: null
  +proforma: null
  +panoramic: null
}
View Format same as normalized format

Submitted Data

This form was not submitted.

Passed Options

Option Passed Value Resolved Value
data
App\Dto\DentalRequestSubmission {#934
  +client: App\Entity\Client {#715 …}
  +dentalOffice: null
  +doctor: null
  +patientFirstName: ""
  +patientLastName: ""
  +patientEmail: null
  +patientPhone: null
  +notes: null
  +proforma: null
  +panoramic: null
}
same as passed value
dental_office_choices
[
  App\Entity\Client {#718
    -id: 3
    -name: "Centre Leon"
    -slug: "centre-leon-858bda"
    -type: App\Enum\ClientType {#694 …}
    -email: "leon@webamstudio.fr"
    -phone: "0102030405"
    -address: "1 rue de test"
    -postalCode: "75019"
    -city: "Paris"
    -embedKey: "858bdacf616061fd28472bceb407231a93be9850fe27c0054e9972afa5ac41d1"
    -active: true
    -demo: false
    -embedAllowedOrigins: []
    -createdAt: DateTimeImmutable @1785501063 {#915
      date: 2026-07-31 12:31:03.0 UTC (+00:00)
    }
    -updatedAt: DateTimeImmutable @1785501063 {#706
      date: 2026-07-31 12:31:03.0 UTC (+00:00)
    }
    -users: Doctrine\ORM\PersistentCollection {#922 …}
    -requests: Doctrine\ORM\PersistentCollection {#925 …}
  }
  App\Entity\Client {#929
    -id: 1
    -name: "DOCTEST"
    -slug: "doctest"
    -type: App\Enum\ClientType {#694 …}
    -email: null
    -phone: null
    -address: null
    -postalCode: null
    -city: null
    -embedKey: "9db4f57a5fc62a7650c3af8e9b18919f7ac6e42512a2bb5aaeb18928efd75e5a"
    -active: true
    -demo: true
    -embedAllowedOrigins: []
    -createdAt: DateTimeImmutable @1785495509 {#927
      date: 2026-07-31 10:58:29.0 UTC (+00:00)
    }
    -updatedAt: DateTimeImmutable @1785495509 {#928
      date: 2026-07-31 10:58:29.0 UTC (+00:00)
    }
    -users: Doctrine\ORM\PersistentCollection {#930 …}
    -requests: Doctrine\ORM\PersistentCollection {#932 …}
  }
]
[
  App\Entity\Client {#718
    -id: 3
    -name: "Centre Leon"
    -slug: "centre-leon-858bda"
    -type: App\Enum\ClientType {#694 …}
    -email: "leon@webamstudio.fr"
    -phone: "0102030405"
    -address: "1 rue de test"
    -postalCode: "75019"
    -city: "Paris"
    -embedKey: "858bdacf616061fd28472bceb407231a93be9850fe27c0054e9972afa5ac41d1"
    -active: true
    -demo: false
    -embedAllowedOrigins: []
    -createdAt: DateTimeImmutable @1785501063 {#915
      date: 2026-07-31 12:31:03.0 UTC (+00:00)
    }
    -updatedAt: DateTimeImmutable @1785501063 {#706
      date: 2026-07-31 12:31:03.0 UTC (+00:00)
    }
    -users: Doctrine\ORM\PersistentCollection {#922 …}
    -requests: Doctrine\ORM\PersistentCollection {#925 …}
  }
  App\Entity\Client {#929
    -id: 1
    -name: "DOCTEST"
    -slug: "doctest"
    -type: App\Enum\ClientType {#694 …}
    -email: null
    -phone: null
    -address: null
    -postalCode: null
    -city: null
    -embedKey: "9db4f57a5fc62a7650c3af8e9b18919f7ac6e42512a2bb5aaeb18928efd75e5a"
    -active: true
    -demo: true
    -embedAllowedOrigins: []
    -createdAt: DateTimeImmutable @1785495509 {#927
      date: 2026-07-31 10:58:29.0 UTC (+00:00)
    }
    -updatedAt: DateTimeImmutable @1785495509 {#928
      date: 2026-07-31 10:58:29.0 UTC (+00:00)
    }
    -users: Doctrine\ORM\PersistentCollection {#930 …}
    -requests: Doctrine\ORM\PersistentCollection {#932 …}
  }
]
doctor_choices
[
  App\Entity\User {#977
    -id: 6
    -email: "raymond@webamstudio.fr"
    -roles: [
      "ROLE_DOCTOR"
    ]
    -password: "$2y$13$1.1bcKMrN6eoP7OWL34Pr./ZLe1CwMNdVBrPFusWjtL8/jkEW0Ixq"
    -firstName: "Raymond"
    -lastName: "Bassil"
    -phone: "0102030405"
    -client: App\Entity\Client {#718
      -id: 3
      -name: "Centre Leon"
      -slug: "centre-leon-858bda"
      -type: App\Enum\ClientType {#694 …}
      -email: "leon@webamstudio.fr"
      -phone: "0102030405"
      -address: "1 rue de test"
      -postalCode: "75019"
      -city: "Paris"
      -embedKey: "858bdacf616061fd28472bceb407231a93be9850fe27c0054e9972afa5ac41d1"
      -active: true
      -demo: false
      -embedAllowedOrigins: []
      -createdAt: DateTimeImmutable @1785501063 {#915
        date: 2026-07-31 12:31:03.0 UTC (+00:00)
      }
      -updatedAt: DateTimeImmutable @1785501063 {#706
        date: 2026-07-31 12:31:03.0 UTC (+00:00)
      }
      -users: Doctrine\ORM\PersistentCollection {#922 …}
      -requests: Doctrine\ORM\PersistentCollection {#925 …}
    }
    -active: true
    -createdAt: DateTimeImmutable @1785502206 {#973
      date: 2026-07-31 12:50:06.0 UTC (+00:00)
    }
    -resetPasswordRequests: Doctrine\ORM\PersistentCollection {#978 …}
  }
]
[
  App\Entity\User {#977
    -id: 6
    -email: "raymond@webamstudio.fr"
    -roles: [
      "ROLE_DOCTOR"
    ]
    -password: "$2y$13$1.1bcKMrN6eoP7OWL34Pr./ZLe1CwMNdVBrPFusWjtL8/jkEW0Ixq"
    -firstName: "Raymond"
    -lastName: "Bassil"
    -phone: "0102030405"
    -client: App\Entity\Client {#718
      -id: 3
      -name: "Centre Leon"
      -slug: "centre-leon-858bda"
      -type: App\Enum\ClientType {#694 …}
      -email: "leon@webamstudio.fr"
      -phone: "0102030405"
      -address: "1 rue de test"
      -postalCode: "75019"
      -city: "Paris"
      -embedKey: "858bdacf616061fd28472bceb407231a93be9850fe27c0054e9972afa5ac41d1"
      -active: true
      -demo: false
      -embedAllowedOrigins: []
      -createdAt: DateTimeImmutable @1785501063 {#915
        date: 2026-07-31 12:31:03.0 UTC (+00:00)
      }
      -updatedAt: DateTimeImmutable @1785501063 {#706
        date: 2026-07-31 12:31:03.0 UTC (+00:00)
      }
      -users: Doctrine\ORM\PersistentCollection {#922 …}
      -requests: Doctrine\ORM\PersistentCollection {#925 …}
    }
    -active: true
    -createdAt: DateTimeImmutable @1785502206 {#973
      date: 2026-07-31 12:50:06.0 UTC (+00:00)
    }
    -resetPasswordRequests: Doctrine\ORM\PersistentCollection {#978 …}
  }
]

Resolved Options

Option Value
action
""
allow_extra_fields
false
allow_file_upload
false
attr
[]
attr_translation_parameters
[]
auto_initialize
true
block_name
null
block_prefix
null
by_reference
true
compound
true
constraints
[]
csrf_field_name
"_token"
csrf_message
"The CSRF token is invalid. Please try to resubmit the form."
csrf_protection
true
csrf_token_id
"request_submission"
csrf_token_manager
Symfony\Component\Security\Csrf\SameOriginCsrfTokenManager {#207
  -requestStack: Symfony\Component\HttpFoundation\RequestStack {#117 …}
  -logger: Monolog\Logger {#225 …}
  -fallbackCsrfTokenManager: Symfony\Component\Security\Csrf\CsrfTokenManager {#209 …}
  -tokenIds: [
    "request_submission" => 0
  ]
  -checkHeader: 0
  -cookieName: "csrf-token"
}
data
App\Dto\DentalRequestSubmission {#934
  +client: App\Entity\Client {#715 …}
  +dentalOffice: null
  +doctor: null
  +patientFirstName: ""
  +patientLastName: ""
  +patientEmail: null
  +patientPhone: null
  +notes: null
  +proforma: null
  +panoramic: null
}
data_class
"App\Dto\DentalRequestSubmission"
dental_office_choices
[
  App\Entity\Client {#718
    -id: 3
    -name: "Centre Leon"
    -slug: "centre-leon-858bda"
    -type: App\Enum\ClientType {#694 …}
    -email: "leon@webamstudio.fr"
    -phone: "0102030405"
    -address: "1 rue de test"
    -postalCode: "75019"
    -city: "Paris"
    -embedKey: "858bdacf616061fd28472bceb407231a93be9850fe27c0054e9972afa5ac41d1"
    -active: true
    -demo: false
    -embedAllowedOrigins: []
    -createdAt: DateTimeImmutable @1785501063 {#915
      date: 2026-07-31 12:31:03.0 UTC (+00:00)
    }
    -updatedAt: DateTimeImmutable @1785501063 {#706
      date: 2026-07-31 12:31:03.0 UTC (+00:00)
    }
    -users: Doctrine\ORM\PersistentCollection {#922 …}
    -requests: Doctrine\ORM\PersistentCollection {#925 …}
  }
  App\Entity\Client {#929
    -id: 1
    -name: "DOCTEST"
    -slug: "doctest"
    -type: App\Enum\ClientType {#694 …}
    -email: null
    -phone: null
    -address: null
    -postalCode: null
    -city: null
    -embedKey: "9db4f57a5fc62a7650c3af8e9b18919f7ac6e42512a2bb5aaeb18928efd75e5a"
    -active: true
    -demo: true
    -embedAllowedOrigins: []
    -createdAt: DateTimeImmutable @1785495509 {#927
      date: 2026-07-31 10:58:29.0 UTC (+00:00)
    }
    -updatedAt: DateTimeImmutable @1785495509 {#928
      date: 2026-07-31 10:58:29.0 UTC (+00:00)
    }
    -users: Doctrine\ORM\PersistentCollection {#930 …}
    -requests: Doctrine\ORM\PersistentCollection {#932 …}
  }
]
disabled
false
doctor_choices
[
  App\Entity\User {#977
    -id: 6
    -email: "raymond@webamstudio.fr"
    -roles: [
      "ROLE_DOCTOR"
    ]
    -password: "$2y$13$1.1bcKMrN6eoP7OWL34Pr./ZLe1CwMNdVBrPFusWjtL8/jkEW0Ixq"
    -firstName: "Raymond"
    -lastName: "Bassil"
    -phone: "0102030405"
    -client: App\Entity\Client {#718
      -id: 3
      -name: "Centre Leon"
      -slug: "centre-leon-858bda"
      -type: App\Enum\ClientType {#694 …}
      -email: "leon@webamstudio.fr"
      -phone: "0102030405"
      -address: "1 rue de test"
      -postalCode: "75019"
      -city: "Paris"
      -embedKey: "858bdacf616061fd28472bceb407231a93be9850fe27c0054e9972afa5ac41d1"
      -active: true
      -demo: false
      -embedAllowedOrigins: []
      -createdAt: DateTimeImmutable @1785501063 {#915
        date: 2026-07-31 12:31:03.0 UTC (+00:00)
      }
      -updatedAt: DateTimeImmutable @1785501063 {#706
        date: 2026-07-31 12:31:03.0 UTC (+00:00)
      }
      -users: Doctrine\ORM\PersistentCollection {#922 …}
      -requests: Doctrine\ORM\PersistentCollection {#925 …}
    }
    -active: true
    -createdAt: DateTimeImmutable @1785502206 {#973
      date: 2026-07-31 12:50:06.0 UTC (+00:00)
    }
    -resetPasswordRequests: Doctrine\ORM\PersistentCollection {#978 …}
  }
]
empty_data
Closure(FormInterface $form) {#1064
  class: "Symfony\Component\Form\Extension\Core\Type\FormType"
  use: {
    $class: "App\Dto\DentalRequestSubmission"
  }
}
error_bubbling
true
error_mapping
[]
extra_fields_message
"This form should not contain extra fields."
form_attr
false
getter
null
help
null
help_attr
[]
help_html
false
help_translation_parameters
[]
inherit_data
false
invalid_message
"This value is not valid."
invalid_message_parameters
[]
is_empty_callback
null
label
null
label_attr
[]
label_format
null
label_html
false
label_translation_parameters
[]
mapped
true
method
"POST"
post_max_size_message
"The uploaded file was too large. Please try to upload a smaller file."
priority
0
property_path
null
required
true
row_attr
[]
setter
null
show_client
false
translation_domain
null
trim
true
upload_max_size_message
Closure() {#1077
  class: "Symfony\Component\Form\Extension\Validator\Type\UploadValidatorExtension"
  use: {
    $translator: Symfony\Component\Translation\DataCollectorTranslator {#426 …}
    $message: Closure() {#1076 …}
    $translationDomain: "validators"
  }
}
validation_groups
null

View Vars

Variable Value
action
""
attr
[]
attr_translation_parameters
[]
block_prefixes
[
  "form"
  "request_submission"
  "_request_submission"
]
cache_key
"_request_submission_request_submission"
compound
true
data
App\Dto\DentalRequestSubmission {#934
  +client: App\Entity\Client {#715 …}
  +dentalOffice: null
  +doctor: null
  +patientFirstName: ""
  +patientLastName: ""
  +patientEmail: null
  +patientPhone: null
  +notes: null
  +proforma: null
  +panoramic: null
}
disabled
false
errors
Symfony\Component\Form\FormErrorIterator {#1141
  -errors: []
  -form: Symfony\Component\Form\Form {#1244 …}
}
form
Symfony\Component\Form\FormView {#1078 …5}
full_name
"request_submission"
help
null
help_attr
[]
help_html
false
help_translation_parameters
[]
id
"request_submission"
label
null
label_attr
[]
label_format
null
label_html
false
label_translation_parameters
[]
method
"POST"
multipart
true
name
"request_submission"
priority
0
required
true
row_attr
[]
submitted
false
translation_domain
null
unique_block_prefix
"_request_submission"
valid
true
value
App\Dto\DentalRequestSubmission {#934
  +client: App\Entity\Client {#715 …}
  +dentalOffice: null
  +doctor: null
  +patientFirstName: ""
  +patientLastName: ""
  +patientEmail: null
  +patientPhone: null
  +notes: null
  +proforma: null
  +panoramic: null
}