
function validate_newsletter() {

if (document.getElementById("your_email").value.indexOf('@')==-1  || document.getElementById("your_email").value.indexOf('.')==-1  || document.getElementById("your_email").value.length <= 7 )
    {
    alert("Please provide your email");
    return false;
    }

}


function validate_insurance() {

if ( document.getElementById('your_phone').value.length < 2 ) {     alert("Please provide a phone number"); return false;    }

if ( document.getElementById('your_chief').value.length < 2 ) {     alert("Please provide a chief complaint"); return false;    }

if ( document.getElementById('your_name').value.length < 2 ) {      alert("Please provide your first name"); return false;    }

if ( document.getElementById('your_last_name').value.length < 2 ) { alert("Please provide your last name"); return false;    }

if ( document.getElementById('your_month').value=="" ) {     alert("Please provide DOB Month"); return false;    }

if ( document.getElementById('your_day').value=="" ) {     alert("Please provide DOB Day "); return false;    }

if ( document.getElementById('your_year').value.length < 2 ) {     alert("Please provide DOB Year"); return false;    }

if ( document.getElementById('your_holder').value.length < 2 ) {     alert("Please provide the Policy Holder"); return false;    }

if ( !document.getElementById('your_source_relationship').value ) {     alert("Please specify Relationship to Patient*"); return false;    }

if ( document.getElementById('your_dob_month').value=="" ) {     alert("Please provide D.O.B. Month"); return false;    }

if ( document.getElementById('your_dob_day').value=="" ) {     alert("Please provide D.O.B. Day"); return false;    }

if ( document.getElementById('your_dob_year').value.length < 2 ) {     alert("Please provide D.O.B. Year"); return false;    }

if ( !document.getElementById('your_insurance_co').value ) {     alert("Please specifi your Primary Insurance Co."); return false;    }    

if ( document.getElementById('your_customer_phone').value.length < 2 ) {     alert("Please provide the Customer Service Phone"); return false;    }

if ( document.getElementById('your_id').value.length < 2 ) {     alert("Please provide the Insured's Policy I.D."); return false;    }

if ( document.getElementById('your_group').value.length < 2 ) {     alert("Please provide the group"); return false;    }

if ( document.getElementById('your_app_month').value=="" ) {     alert("Please provide the Requested Appointment Month"); return false;    }

if ( document.getElementById('your_app_day').value=="" ) {     alert("Please provide the Requested Appointment Day"); return false;    }

if ( document.getElementById('your_app_year').value.length < 2 ) {     alert("Please provide the Requested Appointment Year"); return false;    }

if ( document.getElementById('your_time').value.length < 2 ) {     alert("Please provide the Requested Appointment Time"); return false;    }

if ( document.getElementById('your_answer').value=="" ) {     alert("Have you been to a chiropractor in the past?"); return false;    }


}

