How do I format captured form data into a table to send in email

//Sending Email to form owner
$pfw_header = "From: PatientReferral@ckids.org\n"
  . "Reply-To: PatientReferral@ckids.org\n";
$pfw_subject = "Admin Email with All Fields data - $medSpecialties";
$pfw_email_to = "PatientReferral@ckids.org";
$pfw_message = "medSpecialties:   $medSpecialties\n"
. "surgSpecialties:   $surgSpecialties\n"
. "Patient Name:   $patName\n"
. "Date of Birth:   $patDOB\n"
. "Parent/Guardian:   $parent2\n"
. "Preferred Phone 1:   $prePhone1\n"
. "Preferred Phone 2:   $prefPhone\n"
. "DCF:   $dcf\n"
. "Social Worker Name: $socialWkrName\n"
. "Social Worker Phone: $socialWkrPhone2\n"
. "Residential Placement: $resPlacement\n"
. "Residential Placement Address: $resAddress\n"
. "Residential Placement Phone: $resPhone\n"
. "Completed On-line Appointment Request: $onlineAppt\n"
. "Household Language Preference (other than English): $houseLang\n"
. "Household Language Preference: $houseLangOther2\n"
. "Translation Services Needed: $translationSvcs\n"
. "Hearing Impaired Services Needed: $hearingSvcs\n"
. "Referring Provider Name: $refProviderName2\n"
. "Referring Provider Phone: $refProviderPhone2\n"
. "Referring Provider Fax: $refProviderFax2\n"
. "Referring Provider Email: $refProviderEmail2\n"
. "Other Pediatric Specialist Name1: $MDName1\n"
. "Other Pediatric Specialist Specialty1: $MDSpecialty1\n"
. "Other Pediatric Specialist Name2: $MDName2\n"
. "Other Pediatric Specialist Specialty2: $MDSpecialty2\n"
. "Other Pediatric Specialist Name3: $MDName3\n"
. "Other Pediatric Specialist Specialty3: $MDSpecialty3\n"
. "Reason for Referral: $refReason2\n"
. "Is Family Aware of Referral Reason: $famAware\n"
. "Provider Call Requested: $providerCall\n"
. "Initiate Co-management Protocol (if available): $coMgmtProtocol\n"
. "Patient Name: $patName3\n"
. "Date of Birth: $patDOB3\n"
. "Sex: $patSex2\n"
. "Home Phone: $patPhone2\n"
. "Cell Phone: $patCell2\n"
. "Work Phone: $patWorkPhone2\n"
. "Address: $patAddress2\n"
. "PO Box: $patPOBox\n"
. "City: $patCity2\n"
. "State: $patState2\n"
. "Zip: $patZip2\n"
. "Guarantor: $guarantor\n"
. "Primary Language (if other than English): $patLanguage\n"
. "Insurance Primary: $insPrimary\n"
. "Primary ID Number: $insPrimaryID\n"
. "Specialist Co-Pay: $patPrimaryCopay\n"
. "Insurance Secondary: $patInsSecondary\n"
. "Secondary ID Number: $patIDNumSecondary\n"
. "Specialist Co-Pay: $patSecondaryCopay\n"
. "TodaysDate: $TodaysDate\n";
@mail($pfw_email_to, $pfw_subject ,$pfw_message ,$pfw_header ) ;

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