Should require submitter to search for and select a facility

[sgammon]

basic crappy implementation: (please improve this with predictive search from all 8k options)
Hospital Name *

Copy/paste from this list: https://docs.google.com/spreadsheets/d/1Qm11H2R3kom5cRqoPcC3ObnVWzAUp_yPSfO57tPQdUo/edit?usp=sharing (soon we hope to auto-populate this)

Your answer: ______________

[sgammon]

Link to subfeature: https://covidmap.productboard.com/feature-board/planning/features/4238416