function selecthospital(value,address)
{
if(form11[value].checked){
form11["emailto"].value +=", "+ address;
}
else
{
form11["emailto"].value=form11["emailto"].value.replace(", "+address,"");
}
//alert(form11["emailto"].value);
}
function sameaddress()
{
form11["11Permanent Street Address"].value=form11["07Street Address"].value;
form11["12Permanent City"].value=form11["08City"].value;
form11["13Permanent State"].value=form11["09State"].value;
form11["14Permanent Zip"].value=form11["10Zip"].value;
}
function email2(email)
{
if(email=="") email=document.getElementById("!55Email Address").value;	
re = /^[a-zA-Z0-9\._%-]+@(?:[a-zA-Z0-9_\.%-]+\.[a-zA-Z]{2,4})$/;
if(!re.exec(email))
{alert("Invalid E-Mail Address!");
return false;}
return true;}