my-yukon-prototype/edit-yg-info.html at master · patdryburgh/my-yukon-prototype · GitHub

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---
title: Edit Profile
layout: default
permalink: /my-profile/edit-yg-info/
---

<div class="py-5 text-center">
    <h2>Edit Your Profile</h2>
    <p class="lead">Edit your personal information and select the YG services you frequently use</p>
</div>

    <div class="col-md-12 my-3">
        <h4 class="mb-3">YG Information</h4>
        <div class="row">
            <div class="col-md-4 mb-3">
                <div class="list-group" id="list-tab" role="tablist">
                    <a class="list-group-item list-group-item-action active" id="list-home-list" data-toggle="list" href="#list-home" role="tab" aria-controls="home">Health Care Number</a>
                    <a class="list-group-item list-group-item-action" id="list-profile-list" data-toggle="list" href="#list-profile" role="tab" aria-controls="profile">Drivers License</a>
                </div>
            </div>
            <div class="col-md-8">
                <div class="tab-content" id="nav-tabContent">
                    <div class="tab-pane fade show active" id="list-home" role="tabpanel" aria-labelledby="list-home-list">
                        <h5>Health Care Number</h5>
                        <form>
                            <div class="form-group">
                                <input type="text" class="form-control" id="healthCareNumber" placeholder="Health Care #">
                            </div>
                            <button type="submit" class="btn btn-primary">Save</button>
                        </form>
                    </div>
                    <div class="tab-pane fade" id="list-profile" role="tabpanel" aria-labelledby="list-profile-list">
                        <h5>Drivers License</h5>
                        <form>
                            <div class="form-group">
                                <input type="text" class="form-control" id="driversLicense" placeholder="Drivers License #">
                            </div>
                            <button type="submit" class="btn btn-primary">Save</button>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>