function objDisabled(obj, toDisable)
{
	if(toDisable)
	{   
	    if(obj.length != null)
		{
			for(i = 0; i<obj.length; i++)
			{
				obj[i].disabled = true;
				if(obj[i].checked)
					obj[i].checked = false;
			}
		}
		else if(obj.className!=null)
		{
			if(obj.className.indexOf("disabled")==-1)
				obj.className += " disabled";
		}
		if(obj.disabled!=null)
			obj.disabled = true;
	}
	else
	{
		if(obj.length != null)
		{
			for(i = 0; i<obj.length; i++)
			{
				obj[i].disabled = false;
				
				if(obj[i].checked)
					obj[i].checked = false;
			}
		}
		
		else if(obj.className!=null)
			obj.className = obj.className.replace("disabled", "");
		if(obj.disabled!=null)
			obj.disabled = false;
	}
}

function disableInfo()
{
    var employmentStatusRadioList = getFormRadioButtonList("EmploymentStatus");
    
	if(employmentStatusRadioList[2].checked == true)
	{		
		//objDisabled(getElementByPD_Id("NameEmp"), true);
		objDisabled(getElementByPD_Id("AddressEmp"), true);
		objDisabled(getElementByPD_Id("ZIPEMP"), true);
		objDisabled(getElementByPD_Id("PhoneEMP"), true);
		objDisabled(getElementByPD_Id("PatientsOccupationEMP"), true);
		
		document.getElementById('lblNameEmp').innerHTML="";
		//document.getElementById('lblNameEmp').innerHTML="Name";
		//getElementByPD_Id("NameEmp").setAttribute("PD_isRequiredValue","false");
		document.getElementById('lblNameEmp').innerHTML='<font class="reqAstric">*</font>'+"Name";
		getElementByPD_Id("NameEmp").setAttribute("PD_isRequiredValue","true");
	}
	else
	{	
	    objDisabled(getElementByPD_Id("NameEmp"), false);
		objDisabled(getElementByPD_Id("AddressEmp"), false);
		objDisabled(getElementByPD_Id("ZIPEMP"), false);
		objDisabled(getElementByPD_Id("PhoneEMP"), false);
		objDisabled(getElementByPD_Id("PatientsOccupationEMP"), false);
			
		document.getElementById('lblNameEmp').innerHTML="";
		document.getElementById('lblNameEmp').innerHTML='<font class="reqAstric">*</font>'+"Name";
		getElementByPD_Id("NameEmp").setAttribute("PD_isRequiredValue","true");
		return true;
	}
	
}

function fillInfoKin()
{	
    
    var usePatientsAddressCheckboxList = getFormCheckboxList("UseSameAddressasPatientsAddress");
    
    if(usePatientsAddressCheckboxList[0].checked == true)
	{   	
	    getElementByPD_Id("AddressNTK").value = getElementByPD_Id("AddressPI").value
	    getElementByPD_Id("CityNTK").value = getElementByPD_Id("CityPI").value
	    getElementByPD_Id("ZIPNTK").value = getElementByPD_Id("ZipPI").value
	    getElementByPD_Id("PhoneNTK").value = getElementByPD_Id("PhonePI").value
    		
	    for(j=0; j< getElementByPD_Id("StatePI").options.length - 1; j++)
	    {
		    if(getElementByPD_Id("StatePI").options[j].selected)
		    {
			    getElementByPD_Id("StateNTK").options[j].selected = true;
		    }
	    }
	    return true;
	}
	else
	{   
	    getElementByPD_Id("AddressNTK").value ="";
	    getElementByPD_Id("CityNTK").value="";
	    getElementByPD_Id("ZIPNTK").value="";
	    getElementByPD_Id("PhoneNTK").value="";
	    getElementByPD_Id("WorkPhoneNTK").value="";	   
	    getElementByPD_Id("StateNTK").options[0].selected=true;	    
	   
	    return true;
	}
}

function fillInfoNotify()
{	
    var sameAsNextOfKinCheckboxList = getFormCheckboxList("SameasNextofKin");
    if(sameAsNextOfKinCheckboxList[0].checked == true)
	{   
	getElementByPD_Id("FirstNamePTN").value = getElementByPD_Id("FirstNameNTK").value
	getElementByPD_Id("MiddleInitialPTN").value = getElementByPD_Id("MiddleInitialNTK").value
	getElementByPD_Id("LastNamePTN").value = getElementByPD_Id("LastNameNTK").value
	getElementByPD_Id("AddressPTN").value = getElementByPD_Id("AddressNTK").value
	getElementByPD_Id("CityPTN").value = getElementByPD_Id("CityNTK").value
	getElementByPD_Id("ZIPPTN").value = getElementByPD_Id("ZIPNTK").value
	getElementByPD_Id("PhonePTN").value = getElementByPD_Id("PhoneNTK").value
	getElementByPD_Id("WorkPhonePTN").value = getElementByPD_Id("WorkPhoneNTK").value
	getElementByPD_Id("RelationshiptoPatientPTN").value = getElementByPD_Id("RelationshiptoPatientNTK").value
	
	for(j=0; j<=getElementByPD_Id("SuffixNTK").options.length - 1; j++)
	{
		if(getElementByPD_Id("SuffixNTK").options[j].selected)
			getElementByPD_Id("SuffixPTN").options[j].selected = true;
	}
	for(k=0; k<=getElementByPD_Id("StateNTK").options.length - 1; k++)
	{
		if(getElementByPD_Id("StateNTK").options[k].selected)
			getElementByPD_Id("StatePTN").options[k].selected = true;
	}
	return true;
	}
	else
	{
	    getElementByPD_Id("FirstNamePTN").value ="";
	    getElementByPD_Id("MiddleInitialPTN").value ="";
	    getElementByPD_Id("LastNamePTN").value="";
	    getElementByPD_Id("AddressPTN").value ="";
	    getElementByPD_Id("CityPTN").value="";
	    getElementByPD_Id("ZIPPTN").value="";
	    getElementByPD_Id("PhonePTN").value="";
	    getElementByPD_Id("WorkPhonePTN").value="";
	    getElementByPD_Id("RelationshiptoPatientPTN").value ="";
	    getElementByPD_Id("StatePTN").options[0].selected=true;	    
	    getElementByPD_Id("SuffixPTN").options[0].selected=true;
	}
}

function searchInsurance1()
{
    var patientSubscriberIN1 = getFormRadioButtonList("IsthePatienttheSubscriberIN1");
    
	if(patientSubscriberIN1[0].checked == true)
	{   
	   	var toDisable = true;
		toggleInsuranceInfo1(toDisable);
		/*getElementByPD_Id("SubscriberSuffixIN1").value="Choose...";
		getElementByPD_Id("StateSUIN1").value="-Select One-";
		getElementByPD_Id("SubscriberBirthDateIN1").value="MM";
		getElementByPD_Id("SubscriberBirthDateIN1").value="DD";
		getElementByPD_Id("SubscriberBirthDateIN1").value="YYYY";*/
		return true;
		
	}
	else if (patientSubscriberIN1[1].checked == true)
	{
		var toDisable = false;
		toggleInsurance1Info(toDisable);
		return true;
	}
}

function searchInsurance2()
{
    var patientSubscriberIN2 = getFormRadioButtonList("IsthePatienttheSubscriberIN2");
    
	if(patientSubscriberIN2[0].checked == true)
	{
	    var toDisable = true;
		toggleInsuranceInfo2(toDisable);
		/*getElementByPD_Id("SubscriberSuffixIN2").value="Choose...";
		getElementByPD_Id("StateSUIN2").value="-Select One-";
		getElementByPD_Id("SubscriberBirthDateIN2").value="MM";
		getElementByPD_Id("SubscriberBirthDateIN2").value="DD";
		getElementByPD_Id("SubscriberBirthDateIN2").value="YYYY";*/
		return true;
	}
	else(patientSubscriberIN2[1].checked == true)
	{
	    var toDisable = false;
		toggleInsurance2Info(toDisable);
		return true;
	}
}

function searchInsurance3()
{
    var patientSubscriberIN3 = getFormRadioButtonList("IsthePatienttheSubscriberIN3");
    
	if(patientSubscriberIN3[0].checked == true)
	{
		var toDisable = true;
		toggleInsuranceInfo3(toDisable);
		/*getElementByPD_Id("SubscriberSuffixIN3").value="Choose...";
		getElementByPD_Id("StateSUIN3").value="-Select One-";
		getElementByPD_Id("SubscriberBirthDateIN3").value="MM";
		getElementByPD_Id("SubscriberBirthDateIN3").value="DD";
		getElementByPD_Id("SubscriberBirthDateIN3").value="YYYY";*/
		return true;
	}
	else(patientSubscriberIN3[1].checked == true)
	{
		var toDisable = false;
		toggleInsurance3Info(toDisable);
		return true;
	}
}

function searchInsurance4()
{
    var patientSubscriberIN4 = getFormRadioButtonList("IsthePatienttheSubscriberIN4");
    
	if(patientSubscriberIN4[0].checked == true)
	{
		var toDisable = true;
		toggleInsuranceInfo4(toDisable);
		/*getElementByPD_Id("SubscriberSuffixIN4").value="Choose...";
		getElementByPD_Id("StateSUIN4").value="-Select One-";
		getElementByPD_Id("SubscriberBirthDateIN4").value="MM";
		getElementByPD_Id("SubscriberBirthDateIN4").value="DD";
		getElementByPD_Id("SubscriberBirthDateIN4").value="YYYY";*/
		return true;
	}
	else(patientSubscriberIN4[1].checked == true)
	{
		var toDisable = false;
		toggleInsurance4Info(toDisable);
		return true;
	}
}

// Prepopulate the data in insurance if user clicks yes

function toggleInsuranceInfo1(toDisable)
{
	
	getElementByPD_Id("SubscriberFirstNameIN1").value = getElementByPD_Id("FirstNamePI").value;
	getElementByPD_Id("SubscriberLastNameIN1").value = getElementByPD_Id("LastNamePI").value;
	for(j=0; j<=getElementByPD_Id("SuffixPI").options.length - 1; j++)
	{
		if(getElementByPD_Id("SuffixPI").options[j].selected)
			getElementByPD_Id("SubscriberSuffixIN1").options[j].selected = true;
	}
	setDateControlValuesselected("BirthDatePI","SubscriberBirthDateIN1");
	getElementByPD_Id("SubscriberAddressIN1").value = getElementByPD_Id("AddressPI").value;
	getElementByPD_Id("SubscriberCityIN1").value = getElementByPD_Id("CityPI").value;
	for(j=0; j<=getElementByPD_Id("StatePI").options.length - 1; j++)
	{
		if(getElementByPD_Id("StatePI").options[j].selected)
			getElementByPD_Id("StateSUIN1").options[j].selected = true;
	}
	getElementByPD_Id("ZipCodeSUIN1").value = getElementByPD_Id("ZipPI").value;
	getElementByPD_Id("SubscriberHomePhoneIN1").value = getElementByPD_Id("PhonePI").value;
	
	//Date of birth code will come here
	//getElementByPD_Id("SubscriberBirthDateIN1").value = getElementByPD_Id("BirthDatePI").value;
	//for(j=0; j<=getElementByPD_Id("BirthDatePI").options.length - 1; j++)
	//{
	//    if(getElementByPD_Id("BirthDatePI").options[j].selected)
	//		getElementByPD_Id("SubscriberBirthDateIN1").options[j].selected = true;	
	//}
	
	
	getElementByPD_Id("SubscriberSocialSecurityNumberIN1").value = getElementByPD_Id("SocialSecurityNumberPI").value;
	//getElementByPD_Id("SubscriberRelationshiptoPatientIN1").value = getElementByPD_Id("SubscriberSocialSecurityNumberIN1").value;
	getElementByPD_Id("SubscribersEmployerIN1").value = getElementByPD_Id("NameEmp").value;
	getElementByPD_Id("AddressIN1").value = getElementByPD_Id("AddressEmp").value;
	getElementByPD_Id("CityIN1").value = getElementByPD_Id("CityEMP").value;
	for(j=0; j<=getElementByPD_Id("StateEMP").options.length - 1; j++)
	{
		if(getElementByPD_Id("StateEMP").options[j].selected)
			getElementByPD_Id("StateIN1").options[j].selected = true;
	}
	getElementByPD_Id("ZipCodeIN1").value = getElementByPD_Id("ZIPEMP").value;
	getElementByPD_Id("PhoneIN1").value = getElementByPD_Id("PhoneEMP").value;
	getElementByPD_Id("SubscribersOccupationIN1").value = getElementByPD_Id("PatientsOccupationEMP").value;
	
	objDisabled(getElementByPD_Id("SubscriberFirstNameIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberLastNameIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSuffixIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberAddressIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberCityIN1"), toDisable);
	objDisabled(getElementByPD_Id("StateSUIN1"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeSUIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberHomePhoneIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSocialSecurityNumberIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberRelationshiptoPatientIN1"), toDisable);	
	
	//objDisabled(getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN1"), toDisable);	
	objDisabled(getFormRadioButtonList("EmployementStatusIN1"), toDisable);	
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN1"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN1"), toDisable);
	objDisabled(getElementByPD_Id("CityIN1"), toDisable);
	objDisabled(getElementByPD_Id("StateIN1"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN1"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN1"), toDisable);
	return true;
}

function toggleInsurance1Info(toDisable)
{
	getElementByPD_Id("SubscriberFirstNameIN1").value="";
	getElementByPD_Id("SubscriberLastNameIN1").value="";
	getElementByPD_Id("SubscriberAddressIN1").value="";
	getElementByPD_Id("SubscriberCityIN1").value="";
	getElementByPD_Id("ZipCodeSUIN1").value="";
	getElementByPD_Id("SubscriberHomePhoneIN1").value="";
	getElementByPD_Id("SubscriberSocialSecurityNumberIN1").value="";
	getElementByPD_Id("SubscriberRelationshiptoPatientIN1").value="";
	getElementByPD_Id("SubscribersEmployerIN1").value="";
	getElementByPD_Id("AddressIN1").value="";
	getElementByPD_Id("CityIN1").value="";
	getElementByPD_Id("StateIN1").value="";
	getElementByPD_Id("ZipCodeIN1").value="";
	getElementByPD_Id("PhoneIN1").value="";
	getElementByPD_Id("SubscribersOccupationIN1").value="";
	
	objDisabled(getElementByPD_Id("SubscriberFirstNameIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberLastNameIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSuffixIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberAddressIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberCityIN1"), toDisable);
	objDisabled(getElementByPD_Id("StateSUIN1"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeSUIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberHomePhoneIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSocialSecurityNumberIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberRelationshiptoPatientIN1"), toDisable);	
	
	//objDisabled(getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN1"), toDisable);	
	objDisabled(getFormRadioButtonList("EmployementStatusIN1"), toDisable);	
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN1"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN1"), toDisable);
	objDisabled(getElementByPD_Id("CityIN1"), toDisable);
	objDisabled(getElementByPD_Id("StateIN1"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN1"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN1"), toDisable);
	
	setDateControlValuesdefault("SubscriberBirthDateIN1");
	
	return true;
}

function toggleInsuranceInfo2(toDisable)
{
	
	getElementByPD_Id("SubscriberFirstNameIN2").value = getElementByPD_Id("FirstNamePI").value;
	getElementByPD_Id("SubscriberLastNameIN2").value = getElementByPD_Id("LastNamePI").value;
	for(j=0; j<=getElementByPD_Id("SuffixPI").options.length - 1; j++)
	{
		if(getElementByPD_Id("SuffixPI").options[j].selected)
			getElementByPD_Id("SubscriberSuffixIN2").options[j].selected = true;
	}
	setDateControlValuesselected("BirthDatePI","SubscriberBirthDateIN2");
	getElementByPD_Id("SubscriberAddressIN2").value = getElementByPD_Id("AddressPI").value;
	getElementByPD_Id("SubscriberCityIN2").value = getElementByPD_Id("CityPI").value;
	for(j=0; j<=getElementByPD_Id("StatePI").options.length - 1; j++)
	{
		if(getElementByPD_Id("StatePI").options[j].selected)
			getElementByPD_Id("StateSUIN2").options[j].selected = true;
	}
	getElementByPD_Id("ZipCodeSUIN2").value = getElementByPD_Id("ZipPI").value;
	getElementByPD_Id("SubscriberHomePhoneIN2").value = getElementByPD_Id("PhonePI").value;
	getElementByPD_Id("SubscriberSocialSecurityNumberSUIN2").value = getElementByPD_Id("SocialSecurityNumberPI").value;
	//getElementByPD_Id("SubscriberRelationshiptoPatientIN1").value = getElementByPD_Id("SubscriberSocialSecurityNumberIN1").value;
	getElementByPD_Id("SubscribersEmployerIN2").value = getElementByPD_Id("NameEmp").value;
	getElementByPD_Id("AddressIN2").value = getElementByPD_Id("AddressEmp").value;
	getElementByPD_Id("CityIN2").value = getElementByPD_Id("CityEMP").value;
	for(j=0; j<=getElementByPD_Id("StateEMP").options.length - 1; j++)
	{
		if(getElementByPD_Id("StateEMP").options[j].selected)
			getElementByPD_Id("StateIN2").options[j].selected = true;
	}
	getElementByPD_Id("ZipCodeIN2").value = getElementByPD_Id("ZIPEMP").value;
	getElementByPD_Id("PhoneIN2").value = getElementByPD_Id("PhoneEMP").value;
	getElementByPD_Id("SubscribersOccupationIN2").value = getElementByPD_Id("PatientsOccupationEMP").value;
	
	objDisabled(getElementByPD_Id("SubscriberFirstNameIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberLastNameIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSuffixIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberAddressIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberCityIN2"), toDisable);
	objDisabled(getElementByPD_Id("StateSUIN2"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeSUIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberHomePhoneIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSocialSecurityNumberSUIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberRelationshiptoPatientIN2"), toDisable);
	
	//objDisabled(getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN2"), toDisable);	
	objDisabled(getFormRadioButtonList("EmployementStatusIN2"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN2"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN2"), toDisable);
	objDisabled(getElementByPD_Id("CityIN2"), toDisable);
	objDisabled(getElementByPD_Id("StateIN2"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN2"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN2"), toDisable);
	
	return true;
}

function toggleInsurance2Info(toDisable)
{   
    getElementByPD_Id("SubscriberFirstNameIN2").value="";
	getElementByPD_Id("SubscriberLastNameIN2").value="";
	getElementByPD_Id("SubscriberAddressIN2").value="";
	getElementByPD_Id("SubscriberCityIN2").value="";
	getElementByPD_Id("ZipCodeSUIN2").value="";
	getElementByPD_Id("SubscriberHomePhoneIN2").value="";
	getElementByPD_Id("SubscriberSocialSecurityNumberSUIN2").value="";
	getElementByPD_Id("SubscriberRelationshiptoPatientIN2").value="";
	getElementByPD_Id("SubscribersEmployerIN2").value="";
	getElementByPD_Id("AddressIN2").value="";
	getElementByPD_Id("CityIN2").value="";
	getElementByPD_Id("StateIN2").value="";
	getElementByPD_Id("ZipCodeIN2").value="";
	getElementByPD_Id("PhoneIN2").value="";
	getElementByPD_Id("SubscribersOccupationIN2").value="";
    
    
	objDisabled(getElementByPD_Id("SubscriberFirstNameIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberLastNameIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSuffixIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberAddressIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberCityIN2"), toDisable);
	objDisabled(getElementByPD_Id("StateSUIN2"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeSUIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberHomePhoneIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSocialSecurityNumberSUIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberRelationshiptoPatientIN2"), toDisable);
	
	//objDisabled(getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN2"), toDisable);	
	objDisabled(getFormRadioButtonList("EmployementStatusIN2"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN2"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN2"), toDisable);
	objDisabled(getElementByPD_Id("CityIN2"), toDisable);
	objDisabled(getElementByPD_Id("StateIN2"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN2"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN2"), toDisable);
	setDateControlValuesdefault("SubscriberBirthDateIN2");
	return true;
}

function toggleInsuranceInfo3(toDisable)
{
	
	getElementByPD_Id("SubscriberFirstNameIN3").value = getElementByPD_Id("FirstNamePI").value;
	getElementByPD_Id("SubscriberLastNameIN3").value = getElementByPD_Id("LastNamePI").value;
	for(j=0; j<=getElementByPD_Id("SuffixPI").options.length - 1; j++)
	{
		if(getElementByPD_Id("SuffixPI").options[j].selected)
			getElementByPD_Id("SubscriberSuffixIN3").options[j].selected = true;
	}
	setDateControlValuesselected("BirthDatePI","SubscriberBirthDateIN3");
	getElementByPD_Id("SubscriberAddressIN3").value = getElementByPD_Id("AddressPI").value;
	getElementByPD_Id("SubscriberCityIN3").value = getElementByPD_Id("CityPI").value;
	for(j=0; j<=getElementByPD_Id("StatePI").options.length - 1; j++)
	{
		if(getElementByPD_Id("StatePI").options[j].selected)
			getElementByPD_Id("StateSUIN3").options[j].selected = true;
	}
	getElementByPD_Id("ZipCodeSUIN3").value = getElementByPD_Id("ZipPI").value;
	getElementByPD_Id("SubscriberHomePhoneIN3").value = getElementByPD_Id("PhonePI").value;
	getElementByPD_Id("SubscriberSocialSecurityNumberIN3").value = getElementByPD_Id("SocialSecurityNumberPI").value;
	//getElementByPD_Id("SubscriberRelationshiptoPatientIN1").value = getElementByPD_Id("SubscriberSocialSecurityNumberIN1").value;
	getElementByPD_Id("SubscribersEmployerIN3").value = getElementByPD_Id("NameEmp").value;
	getElementByPD_Id("AddressIN3").value = getElementByPD_Id("AddressEmp").value;
	getElementByPD_Id("CityIN3").value = getElementByPD_Id("CityEMP").value;
	for(j=0; j<=getElementByPD_Id("StateEMP").options.length - 1; j++)
	{
		if(getElementByPD_Id("StateEMP").options[j].selected)
			getElementByPD_Id("StateIN3").options[j].selected = true;
	}
	getElementByPD_Id("ZipCodeIN3").value = getElementByPD_Id("ZIPEMP").value;
	getElementByPD_Id("PhoneIN3").value = getElementByPD_Id("PhoneEMP").value;
	getElementByPD_Id("SubscribersOccupationIN3").value = getElementByPD_Id("PatientsOccupationEMP").value;
	
	objDisabled(getElementByPD_Id("SubscriberFirstNameIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberLastNameIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSuffixIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberAddressIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberCityIN3"), toDisable);
	objDisabled(getElementByPD_Id("StateSUIN3"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeSUIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberHomePhoneIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSocialSecurityNumberIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberRelationshiptoPatientIN3"), toDisable);
	
	//objDisabled(getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN3"), toDisable);
	objDisabled(getFormRadioButtonList("EmployementStatusIN3"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN3"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN3"), toDisable);
	objDisabled(getElementByPD_Id("CityIN3"), toDisable);
	objDisabled(getElementByPD_Id("StateIN3"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN3"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN3"), toDisable);
	return true;
}

function toggleInsurance3Info(toDisable)
{   
    getElementByPD_Id("SubscriberFirstNameIN3").value="";
	getElementByPD_Id("SubscriberLastNameIN3").value="";
	getElementByPD_Id("SubscriberAddressIN3").value="";
	getElementByPD_Id("SubscriberCityIN3").value="";
	getElementByPD_Id("ZipCodeSUIN3").value="";
	getElementByPD_Id("SubscriberHomePhoneIN3").value="";
	getElementByPD_Id("SubscriberSocialSecurityNumberIN3").value="";
	getElementByPD_Id("SubscriberRelationshiptoPatientIN3").value="";
	getElementByPD_Id("SubscribersEmployerIN3").value="";
	getElementByPD_Id("AddressIN3").value="";
	getElementByPD_Id("CityIN3").value="";
	getElementByPD_Id("StateIN3").value="";
	getElementByPD_Id("ZipCodeIN3").value="";
	getElementByPD_Id("PhoneIN3").value="";
	getElementByPD_Id("SubscribersOccupationIN3").value="";
    
	objDisabled(getElementByPD_Id("SubscriberFirstNameIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberLastNameIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSuffixIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberAddressIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberCityIN3"), toDisable);
	objDisabled(getElementByPD_Id("StateSUIN3"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeSUIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberHomePhoneIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSocialSecurityNumberIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberRelationshiptoPatientIN3"), toDisable);
	
	//objDisabled(getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN3"), toDisable);
	objDisabled(getFormRadioButtonList("EmployementStatusIN3"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN3"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN3"), toDisable);
	objDisabled(getElementByPD_Id("CityIN3"), toDisable);
	objDisabled(getElementByPD_Id("StateIN3"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN3"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN3"), toDisable);
	setDateControlValuesdefault("SubscriberBirthDateIN3");
	return true;
}

function toggleInsuranceInfo4(toDisable)
{
	
	getElementByPD_Id("SubscriberFirstNameIN4").value = getElementByPD_Id("FirstNamePI").value;
	getElementByPD_Id("SubscriberLastNameIN4").value = getElementByPD_Id("LastNamePI").value;
	for(j=0; j<=getElementByPD_Id("SuffixPI").options.length - 1; j++)
	{
		if(getElementByPD_Id("SuffixPI").options[j].selected)
			getElementByPD_Id("SubscriberSuffixIN4").options[j].selected = true;
	}
	setDateControlValuesselected("BirthDatePI","SubscriberBirthDateIN4");
	getElementByPD_Id("SubscriberAddressIN4").value = getElementByPD_Id("AddressPI").value;
	getElementByPD_Id("SubscriberCityIN4").value = getElementByPD_Id("CityPI").value;
	for(j=0; j<=getElementByPD_Id("StatePI").options.length - 1; j++)
	{
		if(getElementByPD_Id("StatePI").options[j].selected)
			getElementByPD_Id("StateSUIN4").options[j].selected = true;
	}
	getElementByPD_Id("ZipCodeSUIN4").value = getElementByPD_Id("ZipPI").value;
	getElementByPD_Id("SubscriberHomePhoneIN4").value = getElementByPD_Id("PhonePI").value;
	getElementByPD_Id("SubscriberSocialSecurityNumberIN4").value = getElementByPD_Id("SocialSecurityNumberPI").value;
	//getElementByPD_Id("SubscriberRelationshiptoPatientIN1").value = getElementByPD_Id("SubscriberSocialSecurityNumberIN1").value;
	getElementByPD_Id("SubscribersEmployerIN4").value = getElementByPD_Id("NameEmp").value;
	getElementByPD_Id("AddressIN4").value = getElementByPD_Id("AddressEmp").value;
	getElementByPD_Id("CityIN4").value = getElementByPD_Id("CityEMP").value;
	for(j=0; j<=getElementByPD_Id("StateEMP").options.length - 1; j++)
	{
		if(getElementByPD_Id("StateEMP").options[j].selected)
			getElementByPD_Id("StateIN4").options[j].selected = true;
	}
	getElementByPD_Id("ZipCodeIN4").value = getElementByPD_Id("ZIPEMP").value;
	getElementByPD_Id("PhoneIN4").value = getElementByPD_Id("PhoneEMP").value;
	getElementByPD_Id("SubscribersOccupationIN4").value = getElementByPD_Id("PatientsOccupationEMP").value;
	
	objDisabled(getElementByPD_Id("SubscriberFirstNameIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberLastNameIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSuffixIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberAddressIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberCityIN4"), toDisable);
	objDisabled(getElementByPD_Id("StateSUIN4"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeSUIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberHomePhoneIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSocialSecurityNumberIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberRelationshiptoPatientIN4"), toDisable);
	
	//objDisabled(getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIn4"), toDisable);
	objDisabled(getFormRadioButtonList("EmployementStatusIN4"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN4"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN4"), toDisable);
	objDisabled(getElementByPD_Id("CityIN4"), toDisable);
	objDisabled(getElementByPD_Id("StateIN4"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN4"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN4"), toDisable);
	return true;
}

function toggleInsurance4Info(toDisable)
{   
    getElementByPD_Id("SubscriberFirstNameIN4").value="";
	getElementByPD_Id("SubscriberLastNameIN4").value="";
	getElementByPD_Id("SubscriberAddressIN4").value="";
	getElementByPD_Id("SubscriberCityIN4").value="";
	getElementByPD_Id("ZipCodeSUIN4").value="";
	getElementByPD_Id("SubscriberHomePhoneIN4").value="";
	getElementByPD_Id("SubscriberSocialSecurityNumberIN4").value="";
	getElementByPD_Id("SubscriberRelationshiptoPatientIN4").value="";
	getElementByPD_Id("SubscribersEmployerIN4").value="";
	getElementByPD_Id("AddressIN4").value="";
	getElementByPD_Id("CityIN4").value="";
	getElementByPD_Id("StateIN4").value="";
	getElementByPD_Id("ZipCodeIN4").value="";
	getElementByPD_Id("PhoneIN4").value="";
	getElementByPD_Id("SubscribersOccupationIN4").value="";
    
	objDisabled(getElementByPD_Id("SubscriberFirstNameIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberLastNameIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSuffixIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberAddressIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberCityIN4"), toDisable);
	objDisabled(getElementByPD_Id("StateSUIN4"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeSUIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberHomePhoneIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberBirthDateIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberSocialSecurityNumberIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscriberRelationshiptoPatientIN4"), toDisable);
	
	//objDisabled(getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIn4"), toDisable);
	objDisabled(getFormRadioButtonList("EmployementStatusIN4"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN4"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN4"), toDisable);
	objDisabled(getElementByPD_Id("CityIN4"), toDisable);
	objDisabled(getElementByPD_Id("StateIN4"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN4"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN4"), toDisable);
	setDateControlValuesdefault("SubscriberBirthDateIN4");
	return true;
}

function currEmpInsurance1()
{
    var currentEmpInsuranceIN1 = getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN1");
    
	if(currentEmpInsuranceIN1[0].checked == true)
	{
		var toDisable = true;
		currEmpInsurance1Toggle(toDisable);
		return true;
	}
	else if (currentEmpInsuranceIN1[1].checked == true)
	{
	   	var toDisable = false;
		currEmpInsurance1Toggle(toDisable);
		return true;
	}
}

function currEmpInsurance2()
{
    var currentEmpInsuranceIN2 = getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN2");
	
	if(currentEmpInsuranceIN2[0].checked == true)
	{
	   var toDisable = true;
		currEmpInsurance2Toggle(toDisable);
		return true;
	}
	else if (currentEmpInsuranceIN2[1].checked == true)
	{
	    var toDisable = false;
		currEmpInsurance2Toggle(toDisable);
		return true;
	}
}

function currEmpInsurance3()
{
    var currentEmpInsuranceIN3 = getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIN3");
	
	if(currentEmpInsuranceIN3[0].checked == true)
	{
		var toDisable = true;
		currEmpInsurance3Toggle(toDisable);
		return true;
	}
	else if (currentEmpInsuranceIN3[1].checked == true)
	{
		var toDisable = false;
		currEmpInsurance3Toggle(toDisable);
		return true;
	}
}

function currEmpInsurance4()
{
    var currentEmpInsuranceIN4 = getFormRadioButtonList("IsthisInsurancefromyourcurrentEmployerIn4");
	
	if(currentEmpInsuranceIN4[0].checked == true)
	{
		var toDisable = true;
		currEmpInsurance4Toggle(toDisable);
		return true;
	}
	else if (currentEmpInsuranceIN4[1].checked == true)
	{
		var toDisable = false;
		currEmpInsurance4Toggle(toDisable);
		return true;
	}
}

function currEmpInsurance1Toggle(toDisable)
{
   
	if(toDisable == false)
	{	   
		getElementByPD_Id("SubscribersEmployerIN1").value="";
		getElementByPD_Id("AddressIN1").value="";
		getElementByPD_Id("CityIN1").value="";
		getElementByPD_Id("ZipCodeIN1").value="";
		getElementByPD_Id("PhoneIN1").value="";
		getElementByPD_Id("SubscribersOccupationIN1").value="";
	}
	else if(toDisable == true)
	{
	    getElementByPD_Id("ZipCodeIN1").value="";
	    getElementByPD_Id("StateIN1").options[0].selected = true
	}
	
	objDisabled(getFormRadioButtonList("EmployementStatusIN1"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN1"), toDisable);	
	objDisabled(getElementByPD_Id("AddressIN1"), toDisable);
	objDisabled(getElementByPD_Id("CityIN1"), toDisable);
	objDisabled(getElementByPD_Id("StateIN1"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN1"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN1"), toDisable);	
	objDisabled(getElementByPD_Id("SubscribersOccupationIN1"), toDisable);
}

function currEmpInsurance2Toggle(toDisable)
{   
	if(toDisable == false)
	{
		getElementByPD_Id("SubscribersEmployerIN2").value="";
		getElementByPD_Id("AddressIN2").value="";
		getElementByPD_Id("CityIN2").value="";
		getElementByPD_Id("ZipCodeIN2").value="";
		getElementByPD_Id("PhoneIN2").value="";
		getElementByPD_Id("SubscribersOccupationIN2").value="";
	}
	else if(toDisable == true)
	{
	    getElementByPD_Id("ZipCodeIN2").value="";
	    getElementByPD_Id("StateIN2").options[0].selected = true
	}
    
	objDisabled(getFormRadioButtonList("EmployementStatusIN2"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN2"), toDisable);	
	objDisabled(getElementByPD_Id("AddressIN2"), toDisable);
	objDisabled(getElementByPD_Id("CityIN2"), toDisable);
	objDisabled(getElementByPD_Id("StateIN2"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN2"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN2"), toDisable);
}

function currEmpInsurance3Toggle(toDisable)
{
	if(toDisable == false)
	{
		getElementByPD_Id("SubscribersEmployerIN3").value="";
		getElementByPD_Id("AddressIN3").value="";
		getElementByPD_Id("CityIN3").value="";
		getElementByPD_Id("ZipCodeIN3").value="";
		getElementByPD_Id("PhoneIN3").value="";
		getElementByPD_Id("SubscribersOccupationIN3").value="";
	}
	else if(toDisable == true)
	{
	    getElementByPD_Id("ZipCodeIN3").value="";
	    getElementByPD_Id("StateIN3").options[0].selected = true
	}
	
	objDisabled(getFormRadioButtonList("EmployementStatusIN3"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN3"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN3"), toDisable);
	objDisabled(getElementByPD_Id("CityIN3"), toDisable);
	objDisabled(getElementByPD_Id("StateIN3"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN3"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN3"), toDisable);
}

function currEmpInsurance4Toggle(toDisable)
{
	if(toDisable == false)
	{
		getElementByPD_Id("SubscribersEmployerIN4").value="";
		getElementByPD_Id("AddressIN4").value="";
		getElementByPD_Id("CityIN4").value="";
		getElementByPD_Id("ZipCodeIN4").value="";
		getElementByPD_Id("PhoneIN4").value="";
		getElementByPD_Id("SubscribersOccupationIN4").value="";
	}
	else if(toDisable == true)
	{
	    getElementByPD_Id("ZipCodeIN4").value="";
	    getElementByPD_Id("StateIN4").options[0].selected = true
	}
	
	objDisabled(getFormRadioButtonList("EmployementStatusIN4"), toDisable);
	
	objDisabled(getElementByPD_Id("SubscribersEmployerIN4"), toDisable);	
	objDisabled(getElementByPD_Id("AddressIN4"), toDisable);
	objDisabled(getElementByPD_Id("CityIN4"), toDisable);
	objDisabled(getElementByPD_Id("StateIN4"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN4"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN4"), toDisable);
}

function retiredInsurance1()
{
    var employmentStatusRadioList = getFormRadioButtonList("EmployementStatusIN1") 
    
	if(employmentStatusRadioList[2].checked == true)
	{
		var toDisable = true;
		retiredToggleInsurance1(toDisable);
		return true;
	}
	else if (employmentStatusRadioList[0].checked == true)
	{
		var toDisable = false;
		retiredToggleInsurance1(toDisable);
		return true;
	}
	else if (employmentStatusRadioList[1].checked == true)
	{
		var toDisable = false;
		retiredToggleInsurance1(toDisable);
		return true;
	}
}

function retiredInsurance2()
{
    var employmentStatusRadioList = getFormRadioButtonList("EmployementStatusIN2") 
    
	if(employmentStatusRadioList[2].checked == true)
	{
		var toDisable = true;
		retiredToggleInsurance2(toDisable);
		return true;
	}
	else if (employmentStatusRadioList[0].checked == true)
	{
		var toDisable = false;
		retiredToggleInsurance2(toDisable);
		return true;
	}
	else if (employmentStatusRadioList[1].checked == true)
	{
		var toDisable = false;
		retiredToggleInsurance2(toDisable);
		return true;
	}
}

function retiredInsurance3()
{
    var employmentStatusRadioList = getFormRadioButtonList("EmployementStatusIN3") 
    
	if(employmentStatusRadioList[2].checked == true)
	{
		var toDisable = true;
		retiredToggleInsurance3(toDisable);
		return true;
	}
	else if (employmentStatusRadioList[0].checked == true)
	{
		var toDisable = false;
		retiredToggleInsurance3(toDisable);
		return true;
	}
	else if (employmentStatusRadioList[1].checked == true)
	{
		var toDisable = false;
		retiredToggleInsurance3(toDisable);
		return true;
	}
}

function retiredInsurance4()
{
    var employmentStatusRadioList = getFormRadioButtonList("EmployementStatusIN4") 
    
	if(employmentStatusRadioList[2].checked == true)
	{
		var toDisable = true;
		retiredToggleInsurance4(toDisable);
		return true;
	}
	else if (employmentStatusRadioList[0].checked == true)
	{
		var toDisable = false;
		retiredToggleInsurance4(toDisable);
		return true;
	}
	else if (employmentStatusRadioList[1].checked == true)
	{
		var toDisable = false;
		retiredToggleInsurance4(toDisable);
		return true;
	}
}

function retiredToggleInsurance1(toDisable)
{   
   
	getElementByPD_Id("AddressIN1").value="";
	getElementByPD_Id("ZipCodeIN1").value="";
	getElementByPD_Id("PhoneIN1").value="";
	//getElementByPD_Id("SubscribersOccupationIN1").value="";
	//getElementByPD_Id("CityIN1").value="";
	
	objDisabled(getElementByPD_Id("AddressIN1"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN1"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN1"), toDisable);
	//objDisabled(getElementByPD_Id("CityIN1"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN1"), toDisable);
}

function retiredToggleInsurance2(toDisable)
{
    getElementByPD_Id("AddressIN2").value="";
	getElementByPD_Id("ZipCodeIN2").value="";
	getElementByPD_Id("PhoneIN2").value="";
	getElementByPD_Id("SubscribersOccupationIN2").value="";
	//getElementByPD_Id("CityIN2").value="";
	
	//objDisabled(getElementByPD_Id("CityIN2"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN2"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN2"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN2"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN2"), toDisable);
}

function retiredToggleInsurance3(toDisable)
{
    getElementByPD_Id("AddressIN3").value="";
	getElementByPD_Id("ZipCodeIN3").value="";
	getElementByPD_Id("PhoneIN3").value="";
	getElementByPD_Id("SubscribersOccupationIN3").value="";
	//getElementByPD_Id("CityIN3").value="";
	
	//objDisabled(getElementByPD_Id("CityIN3"), toDisable);
	
	objDisabled(getElementByPD_Id("AddressIN3"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN3"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN3"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN3"), toDisable);
}

function retiredToggleInsurance4(toDisable)
{   
    getElementByPD_Id("AddressIN4").value="";
	getElementByPD_Id("ZipCodeIN4").value="";
	getElementByPD_Id("PhoneIN4").value="";
	getElementByPD_Id("SubscribersOccupationIN4").value="";
	//getElementByPD_Id("CityIN4").value="";
	
	//objDisabled(getElementByPD_Id("CityIN4"), toDisable);
	objDisabled(getElementByPD_Id("AddressIN4"), toDisable);
	objDisabled(getElementByPD_Id("ZipCodeIN4"), toDisable);
	objDisabled(getElementByPD_Id("PhoneIN4"), toDisable);
	objDisabled(getElementByPD_Id("SubscribersOccupationIN4"), toDisable);
}

function guaranterInfo()
{   

    getElementByPD_Id("FirstNameGU").value="";
    getElementByPD_Id("MiddleInitialGU").value="";
    getElementByPD_Id("LastNameGU").value="";    
    getElementByPD_Id("AddressGU").value="";
    getElementByPD_Id("CityGU").value="";
    getElementByPD_Id("StateGU").value="";
    getElementByPD_Id("ZipCodeGU").value="";
    getElementByPD_Id("PhoneGU").value="";
    getElementByPD_Id("SocialSecurityNumberGU").value="";
    getElementByPD_Id("RelationshiptoPatientGU").value="";
    getElementByPD_Id("EMailGU").value="";
    getElementByPD_Id("SubscribersSocialSecurityNumber").value="";
   getElementByPD_Id("GuarantorsSocialSecurityNumber").value="";
    

   	objDisabled(getElementByPD_Id("FirstNameGU"), true);
	objDisabled(getElementByPD_Id("MiddleInitialGU"), true);
	objDisabled(getElementByPD_Id("LastNameGU"), true);
	objDisabled(getElementByPD_Id("SuffixGU"), true);
	objDisabled(getElementByPD_Id("AddressGU"), true);
	objDisabled(getElementByPD_Id("CityGU"), true);
	objDisabled(getElementByPD_Id("StateGU"), true);
	objDisabled(getElementByPD_Id("ZipCodeGU"), true);
	objDisabled(getElementByPD_Id("PhoneGU"), true);
	setDateControlValuesdisable("BirthDateGU",true);
	objDisabled(getElementByPD_Id("SocialSecurityNumberGU"), true);
	objDisabled(getElementByPD_Id("RelationshiptoPatientGU"), true);
	objDisabled(getElementByPD_Id("EMailGU"), true);
	objDisabled(getElementByPD_Id("SubscribersSocialSecurityNumber"), true);
	objDisabled(getElementByPD_Id("GuarantorsSocialSecurityNumber"), true);
	getElementByPD_Id("SuffixGU").options[0].selected = true	
	objDisabled(getFormRadioButtonList("Whoshouldreceivebills"), true);	
	objDisabled(getFormRadioButtonList("PersontoNotify"), true);			
	objDisabled(getFormRadioButtonList("Others"), true);
	return true;
}


function guaranterInfoyes()
{
    //alert("tes");
    getElementByPD_Id("FirstNameGU").value=getElementByPD_Id("FirstNamePI").value;
    getElementByPD_Id("MiddleInitialGU").value=getElementByPD_Id("MiddleInitialPI").value;
    getElementByPD_Id("LastNameGU").value=getElementByPD_Id("LastNamePI").value;      
    getElementByPD_Id("SuffixGU").value=getElementByPD_Id("SuffixPI").value; 
    
    for(j=0; j<=getElementByPD_Id("SuffixPI").options.length - 1; j++)
	{
	   if(getElementByPD_Id("SuffixPI").options[j].selected)
			getElementByPD_Id("SuffixGU").options[j].selected = true;
	}
    
    getElementByPD_Id("AddressGU").value=getElementByPD_Id("AddressPI").value;
    getElementByPD_Id("CityGU").value=getElementByPD_Id("CityPI").value;
    getElementByPD_Id("StateGU").value=getElementByPD_Id("StatePI").value;
    getElementByPD_Id("ZipCodeGU").value=getElementByPD_Id("ZipPI").value;
    getElementByPD_Id("PhoneGU").value=getElementByPD_Id("PhonePI").value;
    
    setDateControlValuesselected("BirthDatePI","BirthDateGU");
    
    getElementByPD_Id("SocialSecurityNumberGU").value=getElementByPD_Id("SocialSecurityNumberPI").value;
    getElementByPD_Id("EMailGU").value=getElementByPD_Id("FromEMail").value;
    
    //To make columns enable 
    objDisabled(getElementByPD_Id("FirstNameGU"), false);
	objDisabled(getElementByPD_Id("MiddleInitialGU"), false);
	objDisabled(getElementByPD_Id("LastNameGU"), false);
	objDisabled(getElementByPD_Id("SuffixGU"), true);
	objDisabled(getElementByPD_Id("AddressGU"), false);
	objDisabled(getElementByPD_Id("CityGU"), false);
	objDisabled(getElementByPD_Id("StateGU"), true);
	objDisabled(getElementByPD_Id("ZipCodeGU"), false);
	objDisabled(getElementByPD_Id("PhoneGU"), false);
	objDisabled(getElementByPD_Id("BirthDateGU"), false);
	objDisabled(getElementByPD_Id("SocialSecurityNumberGU"), false);
	objDisabled(getElementByPD_Id("RelationshiptoPatientGU"), false);
	objDisabled(getElementByPD_Id("EMailGU"), false);
	
	//To Make columns readonly	
    getElementByPD_Id("FirstNameGU").readOnly=true;    
    getElementByPD_Id("MiddleInitialGU").readOnly=true;
    getElementByPD_Id("LastNameGU").readOnly=true;    
    getElementByPD_Id("AddressGU").readOnly=true;
    getElementByPD_Id("CityGU").readOnly=true;
    getElementByPD_Id("ZipCodeGU").readOnly=true;
    getElementByPD_Id("PhoneGU").readOnly=true;
    getElementByPD_Id("SocialSecurityNumberGU").readOnly=true;
    getElementByPD_Id("EMailGU").readOnly=true;
    
    objDisabled(getFormRadioButtonList("Whoshouldreceivebills"), true);	
	objDisabled(getFormRadioButtonList("PersontoNotify"), true);			
	objDisabled(getFormRadioButtonList("Others"), true);
    
}

function gauranterRadioBtn()
{
    var patientUnder18YearsAgeRadioButtonList = getFormRadioButtonList("PatientUnder18YearsAge") 
  
	if(patientUnder18YearsAgeRadioButtonList[1].checked == true)
	{
	    guaranterInfo();
		objDisabled(getFormRadioButtonList("Whoshouldreceivebills"), false);		
		objDisabled(getFormRadioButtonList("PersontoNotify"), false);
		objDisabled(getFormRadioButtonList("Others"), false);
		
		document.getElementById('lblFirstNameGU').innerHTML="";
		document.getElementById('lblFirstNameGU').innerHTML="First Name";
		getElementByPD_Id("FirstNameGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblLastNameGU').innerHTML="";
		document.getElementById('lblLastNameGU').innerHTML="Last Name";
		getElementByPD_Id("LastNameGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblAddressGU').innerHTML="";
		document.getElementById('lblAddressGU').innerHTML="Address";
		getElementByPD_Id("AddressGU").setAttribute("PD_isRequiredValue","false");

		document.getElementById('lblCityGU').innerHTML="";
		document.getElementById('lblCityGU').innerHTML="City";
		getElementByPD_Id("CityGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblStateGU').innerHTML="";
		document.getElementById('lblStateGU').innerHTML="State";
		getElementByPD_Id("StateGU").setAttribute("PD_isRequiredValue","false");

		document.getElementById('lblZipCodeGU').innerHTML="";
		document.getElementById('lblZipCodeGU').innerHTML="ZIP Code";
		getElementByPD_Id("ZipCodeGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblPhoneGU').innerHTML="";
	    document.getElementById('lblPhoneGU').innerHTML="Phone";
	    getElementByPD_Id("PhoneGU").setAttribute("PD_isRequiredValue","false");
	    
	    document.getElementById('lblBirthDateGU').innerHTML="";
	    document.getElementById('lblBirthDateGU').innerHTML="Birth Date";
	    getElementByPD_Id("BirthDateGU").setAttribute("PD_isRequiredValue","false");
	    
		
		document.getElementById('lblRelationshiptoPatientGU').innerHTML="";
		document.getElementById('lblRelationshiptoPatientGU').innerHTML="Relationship to Patient";
		getElementByPD_Id("RelationshiptoPatientGU").setAttribute("PD_isRequiredValue","false");
		
		getElementByPD_Id("FirstNameGU").readOnly=false;    
        getElementByPD_Id("MiddleInitialGU").readOnly=false;
        getElementByPD_Id("LastNameGU").readOnly=false;    
        getElementByPD_Id("AddressGU").readOnly=false;
        getElementByPD_Id("CityGU").readOnly=false;
        getElementByPD_Id("ZipCodeGU").readOnly=false;
        getElementByPD_Id("PhoneGU").readOnly=false;
        setDateControldisable("BirthDateGU");
        getElementByPD_Id("SocialSecurityNumberGU").readOnly=false;
        getElementByPD_Id("EMailGU").readOnly=false;
		
		
		return true;
	}
	else
	{
	    guaranterInfoyes();
		var whoShouldRecieveBillsRadioList = getFormRadioButtonList("Whoshouldreceivebills")
		var personToNotifyRadioList = getFormRadioButtonList("PersontoNotify")
		var othersRadioList = getFormRadioButtonList("Others")
		
		whoShouldRecieveBillsRadioList[0].checked = false;
		whoShouldRecieveBillsRadioList[1].checked = false;
		personToNotifyRadioList[0].checked = false;		
		othersRadioList[0].checked = false;
		
		//document.getElementById('lblFirstNameGU').innerHTML="";
		//document.getElementById('lblFirstNameGU').innerHTML="First Name";
		//getElementByPD_Id("FirstNameGU").setAttribute("PD_isRequiredValue","true");
		
		
		//document.getElementById('lblLastNameGU').innerHTML="";
		//document.getElementById('lblLastNameGU').innerHTML="Last Name";
		//getElementByPD_Id("LastNameGU").setAttribute("PD_isRequiredValue","false");
		
		
		//document.getElementById('lblAddressGU').innerHTML="";
		//document.getElementById('lblAddressGU').innerHTML="Address";
		//getElementByPD_Id("AddressGU").setAttribute("PD_isRequiredValue","false");
		

		//document.getElementById('lblCityGU').innerHTML="";
		//document.getElementById('lblCityGU').innerHTML="City";
		//getElementByPD_Id("CityGU").setAttribute("PD_isRequiredValue","false");
		
		
		//document.getElementById('lblStateGU').innerHTML="";
		//document.getElementById('lblStateGU').innerHTML="State";
		//getElementByPD_Id("StateGU").setAttribute("PD_isRequiredValue","false");
		

		//document.getElementById('lblZipCodeGU').innerHTML="";
		//document.getElementById('lblZipCodeGU').innerHTML="ZIP Code";
		//getElementByPD_Id("ZipCodeGU").setAttribute("PD_isRequiredValue","false");
		
		
		//document.getElementById('lblPhoneGU').innerHTML="";
	    //document.getElementById('lblPhoneGU').innerHTML="Phone";
	    //getElementByPD_Id("PhoneGU").setAttribute("PD_isRequiredValue","false");
	    
		
		//document.getElementById('lblRelationshiptoPatientGU').innerHTML="";
		//document.getElementById('lblRelationshiptoPatientGU').innerHTML="Relationship to Patient";
		//getElementByPD_Id("RelationshiptoPatientGU").setAttribute("PD_isRequiredValue","false");
		
		
		
	}
}

function gauranterSubscriber()
{
    var whoShouldRecieveBillRadioList = getFormRadioButtonList("Whoshouldreceivebills")
    
	if(whoShouldRecieveBillRadioList[0].checked == true)
	{
		whoShouldRecieveBillRadioList[1].checked = false;
		
		objDisabled(getElementByPD_Id("SubscribersSocialSecurityNumber"), true);
		objDisabled(getFormRadioButtonList("PersontoNotify"), false);
		objDisabled(getElementByPD_Id("SubscribersSocialSecurityNumber"), true);
		objDisabled(getFormRadioButtonList("Others"), false);
		
		document.getElementById('lblFirstNameGU').innerHTML="";
		document.getElementById('lblFirstNameGU').innerHTML="First Name";
		getElementByPD_Id("FirstNameGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblLastNameGU').innerHTML="";
		document.getElementById('lblLastNameGU').innerHTML="Last Name";
		getElementByPD_Id("LastNameGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblAddressGU').innerHTML="";
		document.getElementById('lblAddressGU').innerHTML="Address";
		getElementByPD_Id("AddressGU").setAttribute("PD_isRequiredValue","false");

		document.getElementById('lblCityGU').innerHTML="";
		document.getElementById('lblCityGU').innerHTML="City";
		getElementByPD_Id("CityGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblStateGU').innerHTML="";
		document.getElementById('lblStateGU').innerHTML="State";
		getElementByPD_Id("StateGU").setAttribute("PD_isRequiredValue","false");

		document.getElementById('lblZipCodeGU').innerHTML="";
		document.getElementById('lblZipCodeGU').innerHTML="ZIP Code";
		getElementByPD_Id("ZipCodeGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblPhoneGU').innerHTML="";
		document.getElementById('lblPhoneGU').innerHTML="Phone";
		getElementByPD_Id("PhoneGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblBirthDateGU').innerHTML="";
	    document.getElementById('lblBirthDateGU').innerHTML="Birth Date";
	    getElementByPD_Id("BirthDateGU").setAttribute("PD_isRequiredValue","false");		
		
		document.getElementById('lblRelationshiptoPatientGU').innerHTML="";
		document.getElementById('lblRelationshiptoPatientGU').innerHTML="Relationship to Patient";
		getElementByPD_Id("RelationshiptoPatientGU").setAttribute("PD_isRequiredValue","false");
		
		
		//objDisabled(getFormRadioButtonList("Whoshouldreceivebills"), true);
	   //objDisabled(getFormRadioButtonList("PersontoNotify"), true);
    	
	    objDisabled(getElementByPD_Id("SubscribersSocialSecurityNumber"), true);	
	    objDisabled(getElementByPD_Id("GuarantorsSocialSecurityNumber"), true);
	    objDisabled(getElementByPD_Id("FirstNameGU"), true);
	    objDisabled(getElementByPD_Id("MiddleInitialGU"), true);
	    objDisabled(getElementByPD_Id("LastNameGU"), true);
	    objDisabled(getElementByPD_Id("SuffixGU"), true);
	    objDisabled(getElementByPD_Id("AddressGU"), true);
	    objDisabled(getElementByPD_Id("CityGU"), true);
	    objDisabled(getElementByPD_Id("StateGU"), true);
	    objDisabled(getElementByPD_Id("ZipCodeGU"), true);
	    objDisabled(getElementByPD_Id("PhoneGU"), true);
	    objDisabled(getElementByPD_Id("SocialSecurityNumberGU"), true);
	    objDisabled(getElementByPD_Id("RelationshiptoPatientGU"), true);
	    objDisabled(getElementByPD_Id("EMailGU"), true);
		
		
		return true;
	}
}


function gauranterNextKin()
{    
    var whoShouldRecieveBillRadioList = getFormRadioButtonList("Whoshouldreceivebills")
   
	if(whoShouldRecieveBillRadioList[1].checked == true)
	{
	    var oo = getElementByPD_Id("SubscribersSocialSecurityNumber");
		objDisabled(getElementByPD_Id("SubscribersSocialSecurityNumber"), false);

		objDisabled(getFormRadioButtonList("PersontoNotify"), false);
		objDisabled(getElementByPD_Id("GuarantorsSocialSecurityNumber"), true);
		objDisabled(getFormRadioButtonList("Others"), false);
		
		document.getElementById('lblFirstNameGU').innerHTML="";
		document.getElementById('lblFirstNameGU').innerHTML="First Name";
		getElementByPD_Id("FirstNameGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblLastNameGU').innerHTML="";
		document.getElementById('lblLastNameGU').innerHTML="Last Name";
		getElementByPD_Id("LastNameGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblAddressGU').innerHTML="";
		document.getElementById('lblAddressGU').innerHTML="Address";
		getElementByPD_Id("AddressGU").setAttribute("PD_isRequiredValue","false");

		document.getElementById('lblCityGU').innerHTML="";
		document.getElementById('lblCityGU').innerHTML="City";
		getElementByPD_Id("CityGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblStateGU').innerHTML="";
		document.getElementById('lblStateGU').innerHTML="State";
		getElementByPD_Id("StateGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblPhoneGU').innerHTML="";
		document.getElementById('lblPhoneGU').innerHTML="Phone";
		getElementByPD_Id("PhoneGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblBirthDateGU').innerHTML="";
	    document.getElementById('lblBirthDateGU').innerHTML="Birth Date";
	    getElementByPD_Id("BirthDateGU").setAttribute("PD_isRequiredValue","false");

		document.getElementById('lblZipCodeGU').innerHTML="";
		document.getElementById('lblZipCodeGU').innerHTML="ZIP Code";
		getElementByPD_Id("ZipCodeGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblRelationshiptoPatientGU').innerHTML="";
		document.getElementById('lblRelationshiptoPatientGU').innerHTML="Relationship to Patient";
		getElementByPD_Id("RelationshiptoPatientGU").setAttribute("PD_isRequiredValue","false");
		
		objDisabled(getElementByPD_Id("FirstNameGU"), true);
	    objDisabled(getElementByPD_Id("MiddleInitialGU"), true);
	    objDisabled(getElementByPD_Id("LastNameGU"), true);
	    objDisabled(getElementByPD_Id("SuffixGU"), true);
	    objDisabled(getElementByPD_Id("AddressGU"), true);
	    objDisabled(getElementByPD_Id("CityGU"), true);
	    objDisabled(getElementByPD_Id("StateGU"), true);
	    objDisabled(getElementByPD_Id("ZipCodeGU"), true);
	    objDisabled(getElementByPD_Id("PhoneGU"), true);
	    objDisabled(getElementByPD_Id("SocialSecurityNumberGU"), true);
	    objDisabled(getElementByPD_Id("RelationshiptoPatientGU"), true);
	    objDisabled(getElementByPD_Id("EMailGU"), true);
		
		return true;
	}
}

function gauranterPersonNotify()
{
    var personToNotifyRadioList = getFormRadioButtonList("PersontoNotify")
    
	if(personToNotifyRadioList[0].checked == true)
	{
		objDisabled(getElementByPD_Id("GuarantorsSocialSecurityNumber"), false);
		objDisabled(getElementByPD_Id("SubscribersSocialSecurityNumber"), true);
		objDisabled(getFormRadioButtonList("Whoshouldreceivebills"), false);
		objDisabled(getFormRadioButtonList("Others"), false);
		
		document.getElementById('lblFirstNameGU').innerHTML="";
		document.getElementById('lblFirstNameGU').innerHTML="First Name";
		getElementByPD_Id("FirstNameGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblLastNameGU').innerHTML="";
		document.getElementById('lblLastNameGU').innerHTML="Last Name";
		getElementByPD_Id("LastNameGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblAddressGU').innerHTML="";
		document.getElementById('lblAddressGU').innerHTML="Address";
		getElementByPD_Id("AddressGU").setAttribute("PD_isRequiredValue","false");

		document.getElementById('lblCityGU').innerHTML="";
		document.getElementById('lblCityGU').innerHTML="City";
		getElementByPD_Id("CityGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblStateGU').innerHTML="";
		document.getElementById('lblStateGU').innerHTML="State";
		getElementByPD_Id("StateGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblPhoneGU').innerHTML="";
		document.getElementById('lblPhoneGU').innerHTML="Phone";
		getElementByPD_Id("PhoneGU").setAttribute("PD_isRequiredValue","false");
		
		document.getElementById('lblBirthDateGU').innerHTML="";
	    document.getElementById('lblBirthDateGU').innerHTML="Birth Date";
	    getElementByPD_Id("BirthDateGU").setAttribute("PD_isRequiredValue","false");

		document.getElementById('lblZipCodeGU').innerHTML="";
		document.getElementById('lblZipCodeGU').innerHTML="ZIP Code";
		getElementByPD_Id("ZipCodeGU").setAttribute("PD_isRequiredValue","false");
				
		document.getElementById('lblRelationshiptoPatientGU').innerHTML="";
		document.getElementById('lblRelationshiptoPatientGU').innerHTML="Relationship to Patient";
		getElementByPD_Id("RelationshiptoPatientGU").setAttribute("PD_isRequiredValue","false");
		
		objDisabled(getElementByPD_Id("FirstNameGU"), true);
	    objDisabled(getElementByPD_Id("MiddleInitialGU"), true);
	    objDisabled(getElementByPD_Id("LastNameGU"), true);
	    objDisabled(getElementByPD_Id("SuffixGU"), true);
	    objDisabled(getElementByPD_Id("AddressGU"), true);
	    objDisabled(getElementByPD_Id("CityGU"), true);
	    objDisabled(getElementByPD_Id("StateGU"), true);
	    objDisabled(getElementByPD_Id("ZipCodeGU"), true);
	    objDisabled(getElementByPD_Id("PhoneGU"), true);
	    objDisabled(getElementByPD_Id("SocialSecurityNumberGU"), true);
	    objDisabled(getElementByPD_Id("RelationshiptoPatientGU"), true);
	    objDisabled(getElementByPD_Id("EMailGU"), true);
		return true;
	}
}

function gauranterOthers()
{
    var othersRadioList = getFormRadioButtonList("Others")   
	if(othersRadioList[0].checked == true)
	{	
	objDisabled(getFormRadioButtonList("Whoshouldreceivebills"), false);
	objDisabled(getFormRadioButtonList("PersontoNotify"), false);
	
	objDisabled(getElementByPD_Id("SubscribersSocialSecurityNumber"), true);	
	objDisabled(getElementByPD_Id("GuarantorsSocialSecurityNumber"), true);
	objDisabled(getElementByPD_Id("FirstNameGU"), false);
	objDisabled(getElementByPD_Id("MiddleInitialGU"), false);
	objDisabled(getElementByPD_Id("LastNameGU"), false);
	objDisabled(getElementByPD_Id("SuffixGU"), false);
	objDisabled(getElementByPD_Id("AddressGU"), false);
	objDisabled(getElementByPD_Id("CityGU"), false);
	objDisabled(getElementByPD_Id("StateGU"), false);
	objDisabled(getElementByPD_Id("ZipCodeGU"), false);
	objDisabled(getElementByPD_Id("PhoneGU"), false);
	setDateControlValuesdisable("BirthDateGU",false);
	objDisabled(getElementByPD_Id("SocialSecurityNumberGU"), false);
	objDisabled(getElementByPD_Id("RelationshiptoPatientGU"), false);
	objDisabled(getElementByPD_Id("EMailGU"), false);
	
	document.getElementById('lblFirstNameGU').innerHTML="";
	document.getElementById('lblFirstNameGU').innerHTML='<font class="reqAstric">*</font>'+"First Name";
	getElementByPD_Id("FirstNameGU").setAttribute("PD_isRequiredValue","true");
	
	document.getElementById('lblLastNameGU').innerHTML="";
	document.getElementById('lblLastNameGU').innerHTML='<font class="reqAstric">*</font>'+"Last Name";
	getElementByPD_Id("LastNameGU").setAttribute("PD_isRequiredValue","true");
	
	document.getElementById('lblAddressGU').innerHTML="";
	document.getElementById('lblAddressGU').innerHTML='<font class="reqAstric">*</font>'+"Address";
	getElementByPD_Id("AddressGU").setAttribute("PD_isRequiredValue","true");

	document.getElementById('lblCityGU').innerHTML="";
	document.getElementById('lblCityGU').innerHTML='<font class="reqAstric">*</font>'+"City";
	getElementByPD_Id("CityGU").setAttribute("PD_isRequiredValue","true");
	
	document.getElementById('lblStateGU').innerHTML="";
	document.getElementById('lblStateGU').innerHTML='<font class="reqAstric">*</font>'+"State";
	getElementByPD_Id("StateGU").setAttribute("PD_isRequiredValue","true");

	document.getElementById('lblZipCodeGU').innerHTML="";
	document.getElementById('lblZipCodeGU').innerHTML='<font class="reqAstric">*</font>'+"ZIP Code";
	getElementByPD_Id("ZipCodeGU").setAttribute("PD_isRequiredValue","true");
	
	document.getElementById('lblPhoneGU').innerHTML="";
	document.getElementById('lblPhoneGU').innerHTML='<font class="reqAstric">*</font>'+"Phone";
	getElementByPD_Id("PhoneGU").setAttribute("PD_isRequiredValue","true");
	
	document.getElementById('lblBirthDateGU').innerHTML="";
	document.getElementById('lblBirthDateGU').innerHTML='<font class="reqAstric">*</font>'+"Birth Date";
	getElementByPD_Id("BirthDateGU").setAttribute("PD_isRequiredValue","true");
	
	
	document.getElementById('lblRelationshiptoPatientGU').innerHTML="";
	document.getElementById('lblRelationshiptoPatientGU').innerHTML='<font class="reqAstric">*</font>'+"Relationship to Patient";
	getElementByPD_Id("RelationshiptoPatientGU").setAttribute("PD_isRequiredValue","true");
	}
}

function OptionAppointmentClick()
{
    var IsyourappointmentduetoaninjuryRadioList = getFormRadioButtonList("Isyourappointmentduetoaninjury")
  
    if (IsyourappointmentduetoaninjuryRadioList[0].checked == true)
    {
        getElementByPD_Id("IfyeswhatType").disabled=false;
    }
    else
    {
         getElementByPD_Id("IfyeswhatType").disabled=true;
    }
    
}