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html,body{
margin: 0px;
}
#crmWebToEntityForm.zcwf_lblLeft {
width:100%;
padding: 25px;
margin: 0 auto;
box-sizing: border-box;
}
#crmWebToEntityForm.zcwf_lblLeft * {
box-sizing: border-box;
}
#crmWebToEntityForm{text-align: left;}
#crmWebToEntityForm * {
direction: ltr;
}
.zcwf_lblLeft .zcwf_title {
word-wrap: break-word;
padding: 0px 6px 10px;
font-weight:bold }.zcwf_lblLeft.cpT_primaryBtn:hover{
background: linear-gradient(#02acff 0,#006be4 100%) no-repeat padding-box !important;
box-shadow: 0 -2px 0 0 #0159b9 inset !important;
border: 0 !important;
color: #fff !important;
outline: 0 !important;
}.zcwf_lblLeft .zcwf_col_fld input[type=text], input[type=password], .zcwf_lblLeft .zcwf_col_fld textarea {
width: 60%;
border: 1px solid #c0c6cc !important;
resize: vertical;
border-radius: 2px;
float: left;
}
.zcwf_lblLeft .zcwf_col_lab {
width: 30%;
word-break: break-word;
padding: 0px 6px 0px;
margin-right: 10px;
margin-top: 5px;
float: left;
min-height: 1px;
}
.zcwf_lblLeft .zcwf_col_fld {
float: left;
width: 68%;
padding: 0px 6px 0px;
position: relative;
margin-top: 5px;
}
.zcwf_lblLeft .zcwf_privacy{padding: 6px;}
.zcwf_lblLeft .wfrm_fld_dpNn{display: none;}
.dIB{display: inline-block;}
.zcwf_lblLeft .zcwf_col_fld_slt {
width: 60%;
border: 1px solid #ccc;
background: #fff;
border-radius: 4px;
font-size: 16px;
float: left;
resize: vertical;
padding: 2px 5px;
}
.zcwf_lblLeft .zcwf_row:after, .zcwf_lblLeft .zcwf_col_fld:after {
content: ”;
display: table;
clear: both;
}
.zcwf_lblLeft .zcwf_col_help {
float: left;
margin-left: 7px;
font-size: 16px;
max-width: 35%;
word-break: break-word;
}
.zcwf_lblLeft .zcwf_help_icon {
cursor: pointer;
width: 16px;
height: 16px;
display: inline-block;
background: #fff;
border: 1px solid #c0c6cc;
color: #c1c1c1;
text-align: center;
font-size: 11px;
line-height: 16px;
font-weight: bold;
border-radius: 50%;
}
.zcwf_lblLeft .zcwf_row {margin: 15px 0px;}
.zcwf_lblLeft .formsubmit {
margin-right: 5px;
cursor: pointer;
color: var(–baseColor);
font-size: 16px;
}
.zcwf_lblLeft .zcwf_privacy_txt {
width: 90%;
color: rgb(0, 0, 0);
font-size: 16px;
font-family: Verdana;
display: inline-block;
vertical-align: top;
color: var(–baseColor);
padding-top: 2px;
margin-left: 6px;
}
.zcwf_lblLeft .zcwf_button {
font-size: 16px;
color: var(–baseColor);
border: 1px solid #c0c6cc;
padding: 3px 9px;
border-radius: 4px;
cursor: pointer;
max-width: 120px;
overflow: hidden;
text-overflow: ellipsis;
white-space: nowrap;
}
.zcwf_lblLeft .zcwf_tooltip_over{
position: relative;
}
.zcwf_lblLeft .zcwf_tooltip_ctn{
position: absolute;
background: #dedede;
padding: 3px 6px;
top: 3px;
border-radius: 4px;word-break: break-word;
min-width: 100px;
max-width: 150px;
color: var(–baseColor);
z-index: 100;
}
.zcwf_lblLeft .zcwf_ckbox{
float: left;
}
.zcwf_lblLeft .zcwf_file{
width: 55%;
box-sizing: border-box;
float: left;
}
.clearB:after{
content:”;
display: block;
clear: both;
}
@media all and (max-width: 600px) {
.zcwf_lblLeft .zcwf_col_lab, .zcwf_lblLeft .zcwf_col_fld {
width: auto;
float: none !important;
}
.zcwf_lblLeft .zcwf_col_help {width: 40%;}
}
-None-
Dentistry
Dietetics
Medicine
Nursing
Occupational Therapy
Optometry
Pharmacy
Physiotherapy
Podiatry
Radiography
Speech Pathology
Veterinary Science
function addAriaSelected6380842000000509003()
{
var optionElem = event.target;
var previousSelectedOption=optionElem.querySelector(‘[aria-selected=true]’);
if(previousSelectedOption){
previousSelectedOption.removeAttribute(‘aria-selected’);
}
optionElem.querySelectorAll(‘option’)[optionElem.selectedIndex].ariaSelected=’true’;
}
function validateEmail6380842000000509003()
{
var form = document.forms[‘WebToContacts6380842000000509003’];
var emailFld = form.querySelectorAll(‘[ftype=email]’);
var i;
for (i = 0; i < emailFld.length; i++)
{
var emailVal = emailFld[i].value;
if((emailVal.replace(/^\s+|\s+$/g, '')).length!=0 )
{
var atpos=emailVal.indexOf('@');
var dotpos=emailVal.lastIndexOf('.');
if (atpos<1 || dotpos=emailVal.length)
{
alert(‘Please enter a valid email address. ‘);
emailFld[i].focus();
return false;
}
}
}
return true;
}
function checkMandatory6380842000000509003() {
var mndFileds = new Array(‘First Name’,’Last Name’,’Email’,’Mailing Country’,’CONTACTCF1′);
var fldLangVal = new Array(‘First\x20Name’,’Last\x20Name’,’Email’,’Residence\x20Country’,’Profession’);
for(i=0;i<mndFileds.length;i++) {
var fieldObj=document.forms['WebToContacts6380842000000509003'][mndFileds[i]];
if(fieldObj) {
if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) {
if(fieldObj.type =='file')
{
alert('Please select a file to upload.');
fieldObj.focus();
return false;
}
alert(fldLangVal[i] +' cannot be empty.');
fieldObj.focus();
return false;
} else if(fieldObj.nodeName=='SELECT') {
if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {
alert(fldLangVal[i] +' cannot be none.');
fieldObj.focus();
return false;
}
} else if(fieldObj.type =='checkbox'){
if(fieldObj.checked == false){
alert('Please accept '+fldLangVal[i]);
fieldObj.focus();
return false;
}
}
try {
if(fieldObj.name == 'Last Name') {
name = fieldObj.value;
}
} catch (e) {}
}
}
if(!validateEmail6380842000000509003()){return false;}
var urlparams = new URLSearchParams( window.location.search);
if(urlparams.has('service') && (urlparams.get('service')==='smarturl')){
var webform = document.getElementById('webform6380842000000509003');
var service = urlparams.get('service');
var smarturlfield = document.createElement('input');
smarturlfield.setAttribute('type','hidden');
smarturlfield.setAttribute('value',service);
smarturlfield.setAttribute('name','service');
webform.appendChild(smarturlfield);
}
document.querySelector('.crmWebToEntityForm .formsubmit').setAttribute('disabled', true);
}
function tooltipShow6380842000000509003(el){
var tooltip = el.nextElementSibling;
var tooltipDisplay = tooltip.style.display;
if(tooltipDisplay == 'none'){
var allTooltip = document.getElementsByClassName('zcwf_tooltip_over');
for(i=0; i<allTooltip.length; i++){
allTooltip[i].style.display='none';
}
tooltip.style.display = 'block';
}else{
tooltip.style.display='none';
}
}