function validateReferral(){

	

	var dname = document.getElementById("dname").value;

	var dphone = document.getElementById("dphone").value;

	var pname = document.getElementById("pname").value;

	var plname = document.getElementById("plname").value;

	var p_phone = document.getElementById("p_phone").value;

	var reason = document.getElementById("reason").value;

	var demail = document.getElementById("demail").value;

	if (dname =="")

	{

		alert("Please Enter the Doctor's Name");

		return false;

	}

	

	 var charpos = dname.search("[^A-Za-z\- ]"); 

              if(dname.length > 0 &&  charpos >= 0) 

              {

				  alert("Name must be Alpabetic");

				  return false;

			  }

			  

	

	if (dphone =="")

	{

		alert("Please Enter the Doctor's Phone Number");

		return false;

	}

	

	 var charpos1 = dphone.search("[^0-9\-]"); 

              if(dphone.length > 0 &&  charpos1 >= 0) 

              {

				  alert("Phone Number Must be Numeric");

				  return false;

			  }

	if(!validateEmailv2(demail))

	{

		alert("Please Enter Valid Email Address");

		return false;

	}

	if (pname =="")

	{

		alert("Please Enter the Patient's Name");

		return false;

	}

	

	 var charpos = pname.search("[^A-Za-z\- ]"); 

              if(pname.length > 0 &&  charpos >= 0) 

              {

				  alert("Name must be Alpabetic");

				  return false;

			  }

	

	if (plname =="")

	{

		alert("Please Enter the Patient's Name");

		return false;

	}

	

	 var charpos = plname.search("[^A-Za-z\- ]"); 

              if(plname.length > 0 &&  charpos >= 0) 

              {

				  alert("Name must be Alpabetic");

				  return false;

			  }

	

	if (p_phone =="")

		{

			alert("Please Enter the Patient's Phone Number");

			return false;

		}

		

		 var charpos1 = p_phone.search("[^0-9\-]"); 

				  if(p_phone.length > 0 &&  charpos1 >= 0) 

				  {

					  alert("Phone Number Must be Numeric");

					  return false;

				  }

	if (reason =="")

	{

		alert("Please Enter Reason for Referral");

		return false;

	}

	

}



function validateContact()

{

	var name = document.getElementById("name").value;

	var phone = document.getElementById("phone").value;

	var email = document.getElementById("email").value;	

	

	

	

	if (name =="")

	{

		alert("Please Enter the Patient Name");

		return false;

	}

	

	 var charpos = name.search("[^A-Za-z\- ]"); 

              if(name.length > 0 &&  charpos >= 0) 

              {

				  alert("Name must be Alpabetic");

				  return false;

			  }

			  

	

	if (phone =="")

	{

		alert("Please Enter the Phone Number");

		return false;

	}

	

	 var charpos1 = phone.search("[^0-9\-]"); 

              if(phone.length > 0 &&  charpos1 >= 0) 

              {

				  alert("Phone Number Must be Numeric");

				  return false;

			  }

			  

	if (email =="")

	{

		alert("Please Enter Email Address");

		return false;

	}

	

	if(!validateEmailv2(email))

	{

		alert("Please Enter Valid Email Address");

		return false;

	}			  

			  

}





function validateEmailv2(email)

{

// a very simple email validation checking. 

// you can add more complex email checking if it helps 

    if(email.length <= 0)

	{

	  return true;

	}

    var splitted = email.match("^(.+)@(.+)$");

    if(splitted == null) return false;

    if(splitted[1] != null )

    {

      var regexp_user=/^\"?[\w-_\.]*\"?$/;

      if(splitted[1].match(regexp_user) == null) return false;

    }

    if(splitted[2] != null)

    {

      var regexp_domain=/^[\w-\.]*\.[A-Za-z]{2,4}$/;

      if(splitted[2].match(regexp_domain) == null) 

      {

	    var regexp_ip =/^\[\d{1,3}\.\d{1,3}\.\d{1,3}\.\d{1,3}\]$/;

	    if(splitted[2].match(regexp_ip) == null) return false;

      }// if

      return true;

    }

return false;

}