Enrollment

Last Name (As spelled on your enrollment sheet)

Any person who knowingly with the intent to defraud any medical agency by concealing and filing false information for medical care or treatment may be found to have committed a fraudulent act which is a crime and may be subject to criminal and civil penalties.

The security token is an 8-digit number given to you by your practice in the following format XXX-XX-XXX. Token can be entered with or without dashes.

); $(divIsBusyOverLay).css(display, none); ShowMsgBox(msgBoxObj9, undefined, securityTokenQuestion); ); if ($(.divTempNotification).text().trim() != ) var errorMessage = $(.divTempNotification).text(); setErrorMessageForiOs(errorMessage); $imgSource = /m/Content/images/alert.png; $(.divTempNotification).css(padding-top, 10px); $(.divTempNotification).text(); $(.divTempNotification).append(

); if (!isiOs()) $(.divTempNotification).append(

); $(SecurityToken).focus(); else $(.divTempNotification).append(

); if ($(LastName).val().trim() == ) $(divEmailAddress).removeClass(displayNone); $(divLastName).addClass(displayNone); else $(divLastName).removeClass(displayNone); $(emailReq).prop(checked, checked); $(divEmailAddress).hide(); $(divDisableEmailAddress).show(); $(EmailAddress).val(); $(emailReq).change(function () if (this.checked) $(EmailRequired).val(false); $(EmailAddress).val(); $(divLastName).removeClass(displayNone); $(divDisableEmailAddress).show(); $(divEmailAddress).hide(); else $(EmailRequired).val(true); $(divLastName).addClass(displayNone); $(LastName).val(); $(divDisableEmailAddress).hide(); $(divEmailAddress).show(); if ($(divLastName span).not(.TextBoxPlaceHolder_Asterisk).hasClass(field-validation-error)) $(divLastName span).not(.TextBoxPlaceHolder_Asterisk).removeClass(field-validation-error); $(divLastName span).not(.TextBoxPlaceHolder_Asterisk).empty(); $(divLastName span).not(.TextBoxPlaceHolder_Asterisk).addClass(field-validation-valid); $(LastName).removeClass(input-validation-error); if ($(divEmailAddress span).not(.TextBoxPlaceHolder_Asterisk).hasClass(field-validation-error)) $(divEmailAddress span).not(.TextBoxPlaceHolder_Asterisk).removeClass(field-validation-error); $(divEmailAddress span).not(.TextBoxPlaceHolder_Asterisk).empty(); $(divEmailAddress span).not(.TextBoxPlaceHolder_Asterisk).addClass(field-validation-valid); $(EmailAddress).removeClass(input-validation-error); ); );

; var msgBoxObj98 = header: You have switched patient., message: alertWrapper, imgSrc: /m/Content/images/swtich-patient-popup.png, imgWidth: 200px, outsideClick: true, autoHide: 2000 ; ssage); ShowMsgBox(msgBoxObj98); if (False == True) $(acompose).hide(); if (False == False && False == False) InitializeOwlCarousal(); var owl = $(owl-demo).data(owlCarousel); JumpBottomMenu(owl); else $(footer).hide(); (function (i, s, o, g, r, a, m) i[GoogleAnalyticsObject] = r; i[r] = i[r] function () (i[r].q = i[r].q []).push(arguments) , i[r].l = 1 * new Date(); a = s.createElement(o), m = s.getElementsByTagName(o)[0]; a.async = 1; a.src= g; sertBefore(a, m) )(window, document, script, // ga); ga(create, UA-44873915-5, ); ga(send, pageview); //Carousal keyboard focus / IOS and Android – do not use tab or shift tab key checks in future which will not work on IOS //def163665 $(a[id^=bottomMenuAnchor-]).on(focus, function () if (!$(this).parent(div).parent(div).hasClass(active)) if ($(this).parent(div).parent(div).next(div).hasClass(active)) $(bottomLeftArrow).trigger(click); else JumpToBottomMenu(owl, dashboard); ); //Talkback announces Double Tap to activate or Press Alt plus Enter to activate on non-clickable element // To fix this, unbind Form click event. It would fix for Heading (H1, H2..), span, P elements. if (isAndroid()) $(form).unbind(click); ); function handleAPIBanner(hideshow) $.ajax( type: POST, url: /m/Account/ToggleAPIBanner, data: JSON.stringify( showBanner: hideshow ), dataType: json, contentType: application/json; charset=utf-8, success: function (response) if (response.result === true) if (hideshow === 1) $(divApiMsg).show(); $(content).css(padding-bottom, 68); else $(divApiMsg).hide(); $(content).css(padding-bottom,); else , error: function (errorThrown) //alert(errorThrown: + errorThrown.responseText); , ); return false; function HandleSession(e) $([/m/Content/images/time-popup.png]).preload(); var msgSessionPrompt = message: Your session is about to timeout, would you like to continue?, imgSrc: /m/Content/images/time-popup.png, buttons: Ok: Reconnect ; var isEntirePageHidden = false; var isSessionTimeoutPopup = true; ShowMsgBox(msgSessionPrompt, undefined, undefined, isEntirePageHidden, isSessionTimeoutPopup); function DisplayNotification(message, success) if (success == 1) var msgBoxObj9 = message: message, imgSrc: /m/Content/images/mail-sent-popup.png, outsideClick: true, autoHide: 2000 ; else var msgBoxObj9 = message: message, imgSrc: /m/Content/images/alert-popup.png, outsideClick: false, buttons: Ok: DoNothing ; ShowMsgBox(msgBoxObj9); $(function () $(window).resize(function () var spaceSize = $(window).width() – (112 + 30 + 10); // 112 = flyout icon + previous icon + compose/med/appt icon + 30 px offset + 10px since the phr icon on right is bigger var namewidth = $(userDisplayDivParent).width() + 37; //This change was limiting the name display – Fixed for Defect 122907 //$(.lblName).css(width, spaceSize + px); if (spaceSize

namewidth) $(userDisplayDivParent).css(width, auto); $(.imgDropdownArrow).css(padding-right, 0px); //Reset when name has space $(divDisplayName).css(width, auto); // Android stock browser fix on orientation change header footer not expanding // without this line the header doesnt expand properly – wierd error var owl = $(owl-demo).data(owlCarousel); JumpBottomMenu(owl); ).resize(); // trigger resize event ); $(window).on(orientationchange, function (event) // Android stock browser fix on orientation change header footer not expanding setTimeout(function () $(bottomLeftArrow).show(); $(bottomRightArrow).show(); var owl = $(owl-demo).data(owlCarousel); JumpBottomMenu(owl); // Android stock browser fix on orientation change header footer not expanding if (event.orientation == landscape) $(div.owl-pagination).css(width, 100%); $(divDeleteMsg).removeClass(modalPopupFloating).addClass(modalPopupSticked); else $(div.owl-pagination).css(width, auto); $(divDeleteMsg).removeClass(modalPopupSticked).addClass(modalPopupFloating); // Android stock browser fix on orientation change header footer not expanding $(window).trigger(resize); , 1000); if (event.orientation == landscape && erAgent.match(/Windows Phone/i) && $(hiddenIsAuthenticated).val() != True) $(html).css(overflow, hidden); ChangeOverlay(); ); $(document).ready(function () // //if (isiPhone() isiPad()) // //iPhoneFixHeader(); // // //user-scalable value changed to 0 to avoid zooming the page on text field focus on iPhone $(meta[name=viewport]).attr(content, width=device-width, initial-scale=1.0, maximum-scale=2.0, minimum-scale=0.5, user-scalable=0, minimal-ui); //Set Grouping for first input, select or textarea element in each fieldset on page setGrouping(); if ($.trim($(hdnIsBeta).val()).length == 0) //Set the Session[IsBeta] value to a hidden field so that after auto session timeout the value can be passed as a query string parameter to the action // as after auto session timeout, Session[IsBeta] would be null $(hdnIsBeta).val(); );