// Begin Form Validation

	function isValidEmail(str) {
   		return (str.indexOf(".") > 2) && (str.indexOf("@") > 0);
 	}

	function ValidateForm(form)
	{
		var errMsg = '';
		if (form.first_name.value.length < 1 || form.last_name.value.length < 1)
		{
			errMsg = errMsg + 'First and Last names are required fields\r\n';
		}
		if (form.email.value.length < 1)
		{
			errMsg = errMsg + 'Email is a required field\r\n';
		}
		if (form.contact_phone.value.length < 1)
		{
			errMsg = errMsg + 'Contact phone is required\r\n';
		}
		if (!form.gender[0].checked && !form.gender[1].checked)
		{
			errMsg = errMsg + 'Patient gender is a required field\r\n';
		}
		else if (!isValidEmail(form.email.value)){
			errMsg = errMsg +  'Please enter a valid email address\r\n';
		}
		
		if (!form.primary_insurance_coverage[0].checked && !form.primary_insurance_coverage[1].checked && !form.primary_insurance_coverage[2].checked && !form.primary_insurance_coverage[3].checked && !form.primary_insurance_coverage[4].checked )
		{
			errMsg = errMsg + 'Please indicate your insurance coverage\r\n';
		}
		if ( errMsg.length > 0){
			errMsg = 'Please correct the following error(s) in the form:\r\n\r\n' + errMsg;
			alert(errMsg);
			return false;
		}
		else{
			alert('You will now be re-dericted to http://supportplusmedical.com: a division of American Diabetes Services and official online supplier. Please continue your sign up process in the following page');
			return true;
		}
	}