Azfmc

function filledout(formObj){
//checks to see that all required fields have data, but does not validate data
var check=true;

//check name
if (formObj.cname.value==””){
formObj.cname.style.backgroundColor=”#ffff99″;
check=false;
}

//check email
if (formObj.email.value==””){
formObj.email.style.backgroundColor=”#ffff99″;
check=false;
}

//check message
if (formObj.comm.value==””){
formObj.comm.style.backgroundColor=”#ffff99″;
check=false;
}

//check refer
if (formObj.selRefer.options[formObj.selRefer.selectedIndex].value==”select”){
formObj.selRefer.style.backgroundColor=”#ffff99″;
check=false;
}
else if(formObj.selRefer.options[formObj.selRefer.selectedIndex].value==”other”){
//check other
if (formObj.txtOther.value==””){
formObj.txtOther.style.backgroundColor=”#ffff99″;
check=false;
}
}
else if(formObj.selRefer.options[formObj.selRefer.selectedIndex].value==”Professional Organization”){
//check other
if (formObj.txtOrganization.value==””){
formObj.txtOrganization.style.backgroundColor=”#ffff99″;
check=false;
}
}

if (check==false){
alert (“You missed one or more required fields.”);
return false;
}else{
return true;
}
}

function toggleOther()
{
document.getElementById(‘lblOther’).style.display = “none”;
document.getElementById(‘divOther’).style.display = “none”;
document.getElementById(‘lblOrganization’).style.display = “none”;
document.getElementById(‘divOrganization’).style.display = “none”;

if(document.getElementById(‘selRefer’).options[document.getElementById(‘selRefer’).selectedIndex].value == “other”)
{
document.getElementById(‘lblOther’).style.display = “block”;
document.getElementById(‘divOther’).style.display = “block”;
}
else if(document.getElementById(‘selRefer’).options[document.getElementById(‘selRefer’).selectedIndex].value == “Professional Organization”)
{
document.getElementById(‘lblOrganization’).style.display = “block”;
document.getElementById(‘divOrganization’).style.display = “block”;
}
}

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Arizona Foundation for Medical Care
326 East Coronado Road
Phoenix, AZ 85004
Phone: (602) 252-4042
Toll-Free: (800) 624-4277
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