function checkForm(form) {
var errorMsg = "";
var stateReg = "(ACT|NSW|NT|QLD|SA|TAS|VIC|WA|)";
var contactMethodReg = "(home|work|mobile)";
var titleReg = "(Mr|Mrs|Ms|Miss|Dr)";
var specialityReg = "(^(Acupuncturist|Advanced Dental Technician|Chiropractor|Clinical Psychologist|Dental Prosthetist|Dietitian|Dispensing Optometrist|Endodontist|General Dentist|Myotherapist|Naturopath|Occupational Therapist|Optical Dispenser|Osteopath|Paediatric Dentist|Periodontist|Physiotherapist|Podiatrist|Prosthodontist|Psychologist|Remedial Massage Therapist|Speech Pathologist|Other)\$)";
var prefContactTimeReg = "(^(morning|afternoon|evening)\$)";
var prefContactMethodReg = "(^(email|phone|mail)\$)";
var prefContactDayReg = "(^(monday|tuesday|wednesday|thursday|friday)\$)";
var yesNoReg = "(^(yes|no)\$)";
//Validate required fields on form
errorMsg +=isFieldValid(getSelectedOptionValue(form.title), "Title",1,5,"optionsList",titleReg);
errorMsg += isFieldValid(form.firstName.value, "First name",1,50, "text");
errorMsg += isFieldValid(form.surname.value, "Surname",1,50, "text");
errorMsg += isFieldValid(form.busName.value, "Business Name",1, 50, "alphaNum");
errorMsg += isFieldValid(form.address.value, "Address",1,50, "alphaNum");
errorMsg += isFieldValid(form.suburb.value, "Suburb",1,50, "text");
errorMsg += isFieldValid(getSelectedOptionValue(form.state), "State",2,3, "optionsList",stateReg);
errorMsg += isFieldValid(form.postcode.value, "Post code",4,4,"num");
errorMsg += isFieldValid(form.speciality1.value, "Speciality",1,26,"optionsList",specialityReg);
errorMsg += isFieldValid(getSelectedOptionValue(form.prefPhone),"Preferred contact phone",1,6,"custom",contactMethodReg);
errorMsg += isFieldValid(form.phone.value, "Phone",10,10, "num");
errorMsg += isFieldValid(form.emailAddress.value, "Email address",0,80, "email");
errorMsg += isFieldValid(getSelectedOptionValue(form.prefContactTime),"Preferred contact time",0,9,"custom",prefContactTimeReg);
errorMsg += isFieldValid(getSelectedOptionValue(form.prefContactMethod),"Preferred contact method",0,5,"custom",prefContactMethodReg);
errorMsg += isFieldValid(getSelectedOptionValue(form.prefContactDay),"Preferred contact day",0,9,"custom",prefContactDayReg);
errorMsg += isFieldValid(getRadioButtonValue(form.termUpgrade),"Need terminal upgraded",1,3,"optionsList",yesNoReg);
errorMsg += isFieldValid(getRadioButtonValue(form.hicapsTermup),"HICAPS/Medicare Easyclaim Terminal",1,3,"optionsList",yesNoReg);
errorMsg += isFieldValid(form.addComments.value, "Additional Comments","0", "500", "alphaNum");
if ((getRadioButtonValue(form.termUpgrade) == "yes") && (getRadioButtonValue(form.hicapsTermup) == "yes"))
{
errorMsg += "You have indicated you have and do not have HICAPS, these should be mutually exclusive of one another.
"
}
if ((getRadioButtonValue(form.termUpgrade) == "no") && (getRadioButtonValue(form.hicapsTermup) == "no"))
{
errorMsg += "You have not indicated you have and do not have HICAPS, these should be mutually exclusive of one another.
"
}
return errorMsg;
}
function submitForm(form) {
var errorMsg = checkForm(form);
var reEnterMsg = "
Please select the 'Close' button below to return to the email form.
";
var formTitle = "Contact Us Form";
if (isEmpty(errorMsg)) {
// globalWindowOpen('','medicareClaim_win',350,300,1,0,0,1,0,0,0,300,300);
form.submit();
} else {
popup = window.open("","contactFormFinish_win","width=400,height=400,toolbar=0,location=0,directories=0,status=0,menuBar=0,scrollBars=1,resizable=1");
popup.document.write("");
popup.document.write("");
popup.document.write("");
popup.document.write("");
popup.document.write("");
popup.document.write("");
popup.document.write("