function checkit()
{
var message = "";

if (document.ps.name.value == "")
message = message + "Please enter your name.\n\n";	

if (document.ps.dov.value == "")
message = message + "Please enter your Date of Visit.\n\n";	

if (document.ps.doc_pa.value == "")
message = message + "Please enter your Doctor or Physician Assistant.\n\n";	

if (!document.ps.office[0].checked && !document.ps.office[1].checked && !document.ps.office[2].checked) 
	{ 
	// no radio button is selected
	message = message + "Please select the office you visited.\n\n";	
}



/*
if (document.ps.email.value.length >0) 
{
i=document.ps.email.value.indexOf("@");
j=document.ps.email.value.indexOf(".",i);
k=document.ps.email.value.indexOf(",");
kk=document.ps.email.value.indexOf(" ");
jj=document.ps.email.value.lastIndexOf(".")+1;
len=document.ps.email.value.length;
if ((i>0) && (j>(1+1)) && (k==-1) && (kk==-1) && (len-jj >=2) && (len-jj<=3)) 
{}
else 
{message = message + "Please enter a valid email address.\n\n";	}
}

*/

if (document.ps.authcode.value == "")
message = message + "Please enter authorization code.\n\n";	


if(message != "")
{
alert(message);
return false;
}
else
{
return true;
}

}
	// Radio Button Validation
// copyright Stephen Chapman, 15th Nov 2004,14th Sep 2005
// you may copy this function but please keep the copyright notice with it
function valButton(btn) {
    
}