    <!--
    	function validate()
		{
			var formInfo = document.forms.childForm;
			
			if (formInfo.Name.value == '')
			{
				alert("Section 1: Please enter a name.");
				formInfo.Name.focus();
				return false;
			}
			if (formInfo.Email.value == '')
			{
				alert("Section 1: Please enter an email address.");
				formInfo.Email.focus();
				return false;
			}
			if (formInfo.SSN.value == '')
			{
				alert("Section 1: Please enter a SS #.");
				formInfo.SSN.focus();
				return false;
			}
			if (formInfo.Birthdate.value == '')
			{
				alert("Section 1: Please enter a birthdate.");
				formInfo.Birthdate.focus();
				return false;
			}		
			if (formInfo.Age.value == '')
			{
				alert("Section 1: Please enter an age.");
				formInfo.Age.focus();
				return false;
			}				
			if ((formInfo.Sex[0].checked == false) && (formInfo.Sex[1].checked == false))
			{
				alert("Section 1: Please select male or female.");
				return false;
			}
			if (formInfo.School.value == '')
			{
				alert("Section 1: Pleaes enter a school");
				formInfo.School.focus();
				return false;
			}
			
			if (formInfo.Grade.value == '')
			{
				alert("Section 1: Please enter a grade");
				formInfo.Grade.focus();
				return false;
			}
			if (formInfo.HomePhone.value == '')
			{
				alert("Section 1: Please enter a home phone #.");
				formInfo.HomePhone.focus();
				return false;
			}
			if (formInfo.Address.value == '')
			{
				alert("Section 1: Please enter an address.");
				formInfo.Address.focus();
				return false;
			}
			if (formInfo.City.value == '')
			{
				alert("Section 1: Please enter a city");
				formInfo.City.focus();
				return false;
			}
			if (formInfo.State.options[formInfo.State.selectedIndex].value == '')
			{
				alert("Section 1: Please select a state.");
				formInfo.State.focus();
				return false;
			}
			if (formInfo.Zip.value == '')
			{
				alert("Section 1: Please enter a zip code.");
				formInfo.Zip.focus();
				return false;
			}
			
			if (formInfo.AccompanyingName.value == '')
			{
				alert("Section 2: Who will be accompanying your child today?");
				formInfo.AccompanyingName.focus();
				return false;
			}
			if (formInfo.AccompanyingRelation.value == '')
			{
				alert("Section 2: How is the person accompanying your child today related?");
				formInfo.AccompanyingRelation.focus();
				return false;
			}
			if ((formInfo.Custody[0].checked == false) && (formInfo.Custody[1].checked == false))
			{
				alert("Section 2: Do you have legal custody of this child?");
				return false;
			}
			if (formInfo.GeneralDentist.value == '')
			{
				alert("Section 2: Please enter the child's general dentist.");
				formInfo.GeneralDentist.focus();
				return false;
			}
			if (formInfo.LastVisit.value == '')
			{
				alert("Section 2: Please enter the child's last visit date.");
				formInfo.LastVisit.focus();
				return false;
			}			
			if ((formInfo.MaritalStatus[0].checked == false) && (formInfo.MaritalStatus[1].checked == false) && (formInfo.MaritalStatus[2].checked == false) && (formInfo.MaritalStatus[3].checked == false) && (formInfo.MaritalStatus[4].checked == false) && (formInfo.MaritalStatus[5].checked == false))
			{
				alert("Section 2: Please select the parent's marital status.");
				return false;
			}/**/
			
			if (formInfo.MotherName.value == '')
			{
				alert("Section 3: Please enter the mother's name");
				formInfo.MotherName.focus();
				return false;
			}
			if (formInfo.MotherBirthdate.value == '')
			{
				alert("Section 3: Please enter the mother's birthdate");
				formInfo.MotherBirthdate.focus();
				return false;
			}
			if (formInfo.MotherHomePhone.value == '')
			{
				alert("Section 3: Please enter the mother's home phone");
				formInfo.MotherHomePhone.focus();
				return false;
			} 
			if (formInfo.MotherSSN.value == '')
			{
				alert("Section 3: Please enter the mother's SS #");
				formInfo.MotherSSN.focus();
				return false;
			}
			if (formInfo.FatherName.value == '')
			{
				alert("Section 3: Please enter the father's name");
				formInfo.FatherName.focus();
				return false;
			}
			if (formInfo.FatherBirthdate.value == '')
			{
				alert("Section 3: Please enter the father's birthdate");
				formInfo.FatherBirthdate.focus();
				return false;
			}
			if (formInfo.FatherHomePhone.value == '')
			{
				alert("Section 3: Please enter the father's home phone");
				formInfo.FatherHomePhone.focus();
				return false;
			} 
			if (formInfo.FatherSSN.value == '')
			{
				alert("Section 3: Please enter the father's SS #");
				formInfo.FatherSSN.focus();
				return false;
			}
			
			if ((formInfo.MakesAppointments[0].checked == false) && (formInfo.MakesAppointments[1].checked == false) && (formInfo.MakesAppointments[2].checked == false))
			{
				alert("Section 4: Who is responsible for making appointments");
				return false;
			}
			
			if ((formInfo.PrimaryOrthodonticCoverage[0].checked == false) && (formInfo.PrimaryOrthodonticCoverage[1].checked == false))
			{
				alert("Do you have primary orthodontic coverage?");
				return false;
			}
			else if (formInfo.PrimaryOrthodonticCoverage[0].checked == true)
			{
				if (formInfo.PrimaryInsuranceName.value == '')
				{
					alert("Section 5: Please enter your primary insurance company's name.");
					formInfo.PrimaryInsuranceName.focus();
					return false;
				}
				if (formInfo.PrimaryInsuranceAddress.value == '')
				{
					alert("Section 5: Please enter your primary insurance company's address.");
					formInfo.PrimaryInsuranceAddress.focus();
					return false;
				}
				if (formInfo.PrimaryInsurancePhone.value == '')
				{
					alert("Section 5: Please enter your primary insurance company's phone #.");
					formInfo.PrimaryInsurancePhone.focus();
					return false;
				}
				if (formInfo.PrimaryInsuranceGroupNumber.value == '')
				{
					alert("Section 5: Please enter your primary group #.");
					formInfo.PrimaryInsuranceGroupNumber.focus();
					return false;
				}
				if (formInfo.PrimaryInsuredName.value == '')
				{
					alert("Section 3: Section 5: Please enter the primary policy owner's name.");
					formInfo.PrimaryInsuredName.focus();
					return false;
				}
				if (formInfo.PrimaryInsuredRelation.value == '')
				{
					alert("Section 5: Please enter the primary policy owner's relation.");
					formInfo.PrimaryInsuredRelation.focus();
					return false;
				}
				if (formInfo.PrimaryInsuredBirthdate.value == '')
				{
					alert("Section 5: Please enter the primary policy owner's birthdate.");
					formInfo.PrimaryInsuredBirthdate.focus();
					return false;
				}
				if (formInfo.PrimaryInsuredSSN.value == '')
				{
					alert("Section 5: Please enter the primary policy owner's SS #.");
					formInfo.PrimaryInsuredSSN.focus();
					return false;
				}
				if (formInfo.PrimaryInsuredEmployer.value == '')
				{
					alert("Section 5: Please enter the primary policy owner's employer.");
					formInfo.PrimaryInsuredEmployer.focus();
					return false;
				}
				if (formInfo.PrimaryInsuredEmployerAddress.value == '')
				{
					alert("Section 5: Pleae enter the primary policy owner's employer address");
					formInfo.PrimaryInsuredEmployerAddess.focus();
					return false;
				}
			}
			if ((formInfo.SecondaryOrthodonticCoverage[0].checked == false) && (formInfo.SecondaryOrthodonticCoverage[1].checked == false))
			{
				alert("Section 5: Do you have secondary orthodontic coverage?");
				return false;
			}
			else if (formInfo.SecondaryOrthodonticCoverage[0].checked == true)
			{
				if (formInfo.SecondaryInsuranceName.value == '')
				{
					alert("Section 5: Please enter your secondary insurance company's name.");
					formInfo.SecondaryInsuranceName.focus();
					return false;
				}
				if (formInfo.SecondaryInsuranceAddress.value == '')
				{
					alert("Section 5: Please enter your secondary insurance company's address.");
					formInfo.SecondaryInsuranceAddress.focus();
					return false;
				}
				if (formInfo.SecondaryInsurancePhone.value == '')
				{
					alert("Section 5: Please enter your secondary insurance company's phone #.");
					formInfo.SecondaryInsurancePhone.focus();
					return false;
				}
				if (formInfo.SecondaryInsuranceGroupNumber.value == '')
				{
					alert("Section 5: Please enter your secondary group #.");
					formInfo.SecondaryInsuranceGroupNumber.focus();
					return false;
				}
				if (formInfo.SecondaryInsuredName.value == '')
				{
					alert("Section 5: Please enter the secondary policy owner's name.");
					formInfo.SecondaryInsuredName.focus();
					return false;
				}
				if (formInfo.SecondaryInsuredRelation.value == '')
				{
					alert("Section 5: Please enter the secondary policy owner's relation.");
					formInfo.SecondaryInsuredRelation.focus();
					return false;
				}
				if (formInfo.SecondaryInsuredBirthdate.value == '')
				{
					alert("Section 5: Please enter the secondary policy owner's birthdate.");
					formInfo.SecondaryInsuredBirthdate.focus();
					return false;
				}
				if (formInfo.SecondaryInsuredSSN.value == '')
				{
					alert("Section 5: Please enter the secondary policy owner's SS #.");
					formInfo.SecondaryInsuredSSN.focus();
					return false;
				}
				if (formInfo.SecondaryInsuredEmployer.value == '')
				{
					alert("Section 5: Please enter the secondary policy owner's employer.");
					formInfo.SecondaryInsuredEmployer.focus();
					return false;
				}
				if (formInfo.SecondaryInsuredEmployerAddress.value == '')
				{
					alert("Section 5: Pleae enter the secondary policy owner's employer address");
					formInfo.SecondaryInsuredEmployerAddress.focus();
					return false;
				}
			}
			
			if (formInfo.MainConcerns.value == '')
			{
				alert("Section 6: Please enter the main concerns that you would like orthodontics to accompish.");
				formInfo.MainConcerns.focus();
				return false;
			}
			if ((formInfo.PhenFen[0].checked == false) && (formInfo.PhenFen[1].checked == false))
			{
				alert("Section 6: Has your child ever taken Phen-Fen?");
				return false;
			}
			else if (formInfo.PhenFen[1].checked == false)
			{
				if (formInfo.PhenFenWhen.value == '')
				{
					alert("Section 6: When has your child used Phen-Fen?")
					formInfo.PhenFenWhen.focus();
					return false;
				}
			}
			if ((formInfo.PreviousTreatment[0].checked == false) && (formInfo.PreviousTreatment[1].checked == false))
			{
				alert("Section 6: Has your child ever had or been evaluated for orthodontic treatment?");
				return false;
			}
			if ((formInfo.TonsilsRemoved[0].checked == false) && (formInfo.TonsilsRemoved[1].checked == false))
			{
				alert("Section 6: Have anenoids or tonsils been removed?");
				return false;
			}
			if ((formInfo.ExtraTeeth[0].checked == false) && (formInfo.ExtraTeeth[1].checked == false))
			{
				alert("Section 6: Has your child been informed of any missing or extra permanent teeth?");
				return false;
			}
			if ((formInfo.ExperiencePain[0].checked == false) && (formInfo.ExperiencePain[1].checked == false))
			{
				alert("Section 6: Has your child ever had any pain / tenderness in his/her jaw joint (TMJ / TMD)?");
				return false;
			}
			if ((formInfo.BrushTeeth[0].checked == false) && (formInfo.BrushTeeth[1].checked == false))
			{
				alert("Section 6: Does your child brush his/her teeth daily?");
				return false;
			}
			if ((formInfo.FlossTeeth[0].checked == false) && (formInfo.FlossTeeth[1].checked == false))
			{
				alert("Section 6: Does your child floss his/her teeth daily?");
				return false;
			}
			if (formInfo.PhysiciansName.value == '')
			{
				alert("Section 6: Please enter your child's physician's name.");
				formInfo.PhysiciansName.focus();
				return false;
			}
			if (formInfo.PhysiciansPhone.value == '')
			{
				alert("Section 6: Please enter your child's physician's phone number.");
				formInfo.PhysiciansPhone.focus();
				return false;
			}
			if (formInfo.PhysiciansLastVisit.value == '')
			{
				alert("Section 6: Pleae enter the date your child last visited their physician.");
				formInfo.PhysiciansLastVisit.focus();
				return false;
			}
			if ((formInfo.PhysicianCare[0].checked == false) && (formInfo.PhysicianCare[1].checked == false))
			{
				alert("Section 6: Is your child currently under the care of a physician?");
				return false;
			}
			if ((formInfo.Puberty[0].checked == false) && (formInfo.Puberty[1].checked == false))
			{
				alert("Section 6: Has puberty begun?");
				return false;
			}
			if (formInfo.Sex[1].checked == true)
			{
				if ((formInfo.Menstruation[0].checked == false) && (formInfo.Menstruation[1].checked == false))
				{
					alert("Section 6: Has menstruation begun?");
					return false;
				}
			}
			if ((formInfo.PhysicalHealth[0].checked == false) && (formInfo.PhysicalHealth[1].checked == false) && (formInfo.PhysicalHealth[2].checked == false))
			{
				alert("Section 6: Please select your child's current physical health.");
				return false;				
			}
			
			if (formInfo.ContactName.value == '')
			{
				alert("Section 8: Please enter a name for a neighbor or relative not living with you.");
				formInfo.ContactName.focus();
				return false;
			}
			if (formInfo.ContactPhone.value == '')
			{
				alert("Section 6: Please enter a phone number for a neighbor or relative not living with you.");
				formInfo.ContactPhone.focus();
				return false;
			}
			if (formInfo.ContactAddress.value == '')
			{
				alert("Section 6: Please enter an address for a neighbor or relative not living with you.");
				formInfo.ContactAddress.focus();
				return false;
			}
			if (formInfo.ContactCity.value == '')
			{
				alert("Section 8: Please enter a city for a neighbor or relative not living with you.");
				formInfo.ContactCity.focus();
				return false;
			}
			if (formInfo.ContactState.value == '')
			{
				alert("Section 8: Please enter a state for a neighbor or relative not living with you.");
				formInfo.ContactState.focus();
				return false;
			}
			if (formInfo.ContactZip.value == '')
			{
				alert("Section 8: Please enter a zip code for a neighbor or relative not living with you.");
				formInfo.ContactZip.focus();
				return false;
			}
		}
    //-->