<!--
function validate()
{
var inputStr = document.getElementById('OrdererName').value;
if (inputStr == "") {
alert ("Please enter your name.");
document.getElementById('OrdererName').focus();
return false;}

var inputStr = document.getElementById('OrdererPh').value;
if (inputStr == "") {
alert ("Please enter your phone number.");
document.getElementById('OrdererPh').focus();
return false;}

var inputStr = document.getElementById('pt_InsuranceID').value;
if (inputStr == "") {
alert ("Please enter the insurance indentification number of the patient.");
document.getElementById('pt_InsuranceID').focus();
return false;}

var inputStr = document.getElementById('pt_LastName').value;
if (inputStr == "") {
alert ("Please enter the last name of the patient");
document.getElementById('pt_LastName').focus();
return false;}

var inputStr = document.getElementById('pt_FirstName').value;
if (inputStr == "") {
alert ("Please enter the first name of the patient");
document.getElementById('pt_FirstName').focus();
return false;}

var inputStr = document.getElementById('itemsRequested').value;
if (inputStr == "") {
alert ("Please include the item or service requested.");
document.getElementById('itemsRequested').focus();
return false;}

var inputStr = document.getElementById('confirmationCode').value;
if (inputStr == "") {
alert ("Please enter the alphanumberic code shown in the image.");
document.getElementById('confirmationCode').focus();
return false;}

}