h2 Edit your personal details

= semantic_form_for current_user,
  builder: Fields::FormBuilder,
  url: provider_admin_user_personal_details_path do |form|

  = hidden_field_tag :origin, params[:origin]
  = form.inputs name: 'User Information' do
    = form.user_defined_form
    - unless current_account.heroku?
      = form.input :password, label: "New Password", required: true, input_html: { value: "" }

    br
    br
  = form.inputs name: "Provide your current password and update your personal details" do
    = form.input :current_password, required: true
  = form.buttons do
    = form.commit_button 'Update Details'