function verifyReferral(){var theMessage="Please complete the following: \n-----------------------------------\n";var noErrors=theMessage;if(document.referralForm.practice_name.value==""){theMessage=theMessage+"\n --> Practice Name";}if(!/^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,4})+$/.test(document.referralForm.email.value)){theMessage=theMessage+"\n --> Enter practice valid e-mail address";}if(document.referralForm.practice_contact_number.value==""){theMessage=theMessage+"\n --> Practice Phone Number";}var listCheck=document.referralForm.title.selectedIndex;if(document.referralForm.title.options[listCheck].value=="0"){theMessage=theMessage+"\n --> Patient Title";}if(document.referralForm.firstName.value==""){theMessage=theMessage+"\n --> Patient FirstName";}if(document.referralForm.lastName.value==""){theMessage=theMessage+"\n --> Patient LastName";}if(document.referralForm.date_of_birth.value==""){theMessage=theMessage+"\n --> Patient date of birth";}if(!/^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,4})+$/.test(document.referralForm.patient_email.value)){theMessage=theMessage+"\n --> Enter Patient valid e-mail address";}if(theMessage==noErrors){return true;}else{alert(theMessage);return false;}}