If the fields were in the right order of the phone call, I would say you did a very good job. Looks organised and accessible.
Maybe but not sure if you like that, is to add a function that inserts time and name of the person that takes the notes. That way if someone else is taking the call he or she can directly see to whom he or she spoken too before that call. Oh and I am missing a field for an email in case you have the option call back
the option:"first 4 of password" would mean you don't encrypt passwords. Most companies also don't ask for passwords.
Oh and last this I would add a gender option before the name.
Hope i wasn't to harsh
good job though even if my comment wasn't about css
