has_many错误的参数数量错误：通过关联和表单

I have three models related using has_many :through as seen below. The user should be able to select concerns (in addition to insurance, patient gender, preferred gender, and writing a note) and create a referral request. When I try to submit the referral request form I get a wrong number of arguments error as seen in this screenshot.I have three models related using has_many :thr