<div class="DynamicForms">
        <div class="col-md-8 col-md-offset-2">
            <div class="DecsisionFrame">
                <form action="javascript:;">
                    <input type="hidden" name="mode" value="proces" />
                    <input type="hidden" name="function" value="removekryterium" />
                    <input type="hidden" name="method" value="confirm" />
                    <input type="hidden" name="id" value="{$id}" />
                    <div class="p10">
                        <div class="p10">
                            <div class="form-group">
                                <label>Hasło terapeuty</label>
                                <input type="password" name="password" class="form-control" />
                            </div>
                            <div class="p10 tac">
                                <a href="javascript:;" class="btn btn-primary DynamicFormSubmit">Usuń</a>
                            </div>
                        </div>
                    </div>
                </form>
            </div>
        </div>
</div>