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GenericLetter.html

HTML icon GenericLetter.html — HTML, 5 kB (5161 bytes)

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<html>
<head>
<title>Generic Letter</title>
<!-------Script to maximize window on loading----------->
<script language="JavaScript1.2">
<!--
top.window.moveTo(0,0);
if (document.all) {
top.window.resizeTo(screen.availWidth,screen.availHeight);
}
else if (document.layers||document.getElementById) {
if (top.window.outerHeight<screen.availHeight||top.window.outerWidth<screen.availWidth){
top.window.outerHeight = screen.availHeight;
top.window.outerWidth = screen.availWidth;
}
}
//-->
</script>
<!----------End maximizing window scipt---------->

<style type="text/css" media="print">
.DoNotPrint {
	display: none;
}
.noborder {
	scrollbar-3dlight-color: transparent;
	scrollbar-3dlight-color: transparent;
	scrollbar-arrow-color: transparent;
	scrollbar-base-color: transparent;
	scrollbar-darkshadow-color: transparent;
	scrollbar-face-color: transparent;
	scrollbar-highlight-color: transparent;
	scrollbar-shadow-color: transparent;
	scrollbar-track-color: transparent;
	background: transparent;
	overflow: hidden;
	border : 0px;
}
</style>

<style type="text/css">
input.title {
	font-family: Arial;
	font-size: 30;
	font-weight: bolder;
	color: #000000;
	background: #ffffff;
	text-align: center;
	width:100%;
}

.normaltext {
	font-family: Arial;
	font-size: 14;
}

.smallertext {
	font-family: Arial;
	font-size: 14;
}
.lettertext {
	font-family: Arial;
	font-size: 12;
}

</style>
</head>

<body>
<form method="post" action="" name="FormName">

<!-- Letterhead: start -->
<table width="750" style="border-style:solid; border-width:3">
<tr>
	<td colspan=4>
		<input name="ClinicName" type="text" class="noborder title" style="width: 100%; text-align:center;" oscardb=clinic_name >
	</td>
</tr>
<tr>
	<td colspan=4 align="center">
		<input name="ClinicAddressLine" type="text" class="noborder smallertext" style="width:100%; text-align: center;" oscarDB=clinic_addressLineFull>
	</td>
</tr>
<tr align="center">
	<td colspan="4" align="center" class="noborder smallertext">
		 Ph: <input name="ClinicPhone" type="text" class="noborder smallertext" style="text-align:left; width:90;" oscarDB=clinic_phone>
		 Fax: <input name="ClinicFax" type="text" class="noborder smallertext" style="text-align:left; width:90;" oscarDB=clinic_fax>
	</td>
</tr>
<tr class="normaltext">
<!-- you can customize Doctor1-4  and MSP#1-4 with names  and MSP # of doctors in your practice -->
	<td align="center"><b>Doctor1</b> (MSP#1)</td>
	<td align="center"><b>Doctor2</b> (MSP#2)</td>
	<td align="center"><b>Doctor3</b> (MSP#3)</td>
	<td align="center"><b>Doctor4</b> (MSP#4)</td>
</tr>
</table>
<!-- Letterhead: end -->

<br>

<div class="DoNotPrint" style="position:absolute; top:10px; left: 800px;">
<input type="button" name="AddLabel" value="Patient Label" 
	onclick="document.getElementById('Letter').value += document.getElementById('Label').value">
<input type="hidden" name="Label" id="Label" oscarDB=label>
<br>
<input type="button" name="AddMedicalHistory" value="Medical History"
	onclick="document.getElementById('Letter').value += document.getElementById('MedicalHistory').value">
<input type="hidden" name="MedicalHistory" id="MedicalHistory" oscarDB=Medical_History>
<br>
<input type="button" name="AddOtherMedicationsHistory" value="Other Medication History"
	onclick="document.getElementById('Letter').value += document.getElementById('OtherMedicationsHistory').value">
<input type="hidden" name="OtherMedicationsHistory" id="OtherMedicationsHistory" oscarDB=Other_Medications_History>
<br>
<input type="button" name="AddSocialFamilyHistory" value="SocialFamilyHistory"
	onclick="document.getElementById('Letter').value += document.getElementById('SocialFamilyHistory').value">
<input type="hidden" name="SocialFamilyHistory" id="SocialFamilyHistory" oscarDB=Social_Family_History>
<br>
<input type="button" name="AddReminders" value="Reminders"
	onclick="document.getElementById('Letter').value += document.getElementById('Reminders').value">
<input type="hidden" name="Reminders" id="Reminders" oscarDB=Reminders>
<br>
<input type="button" name="AddOngoingConcerns" value="OngoingConcerns"
	onclick="document.getElementById('Letter').value += document.getElementById('OngoingConcerns').value">
<input type="hidden" name="OngoingConcerns" id="OngoingConcerns" oscarDB=OngoingConcerns >
</div>

<textarea name="Letter" id="Letter" class="lettertext noborder" style="height: 880px; width:750px;"></textarea>


<!-- Submit/print/reset buttons: start -->
<div class="DoNotPrint" style="position: absolute; left: 41px;">
<table>
	<tr>
		<td>
			Subject: <input name="subject" size="40" type="text">
			<input value="Submit" name="B1" type="submit">
			<input value="Reset" name="B2" type="reset">
			<input value="Print" onclick="window.print()" type="button">
                        <input value="Print and Submit" name="PrintSubmitButton" type="button" onClick="window.print(); document.FormName.submit()">
		</td>
	</tr>
</table>
</div>
</form>
<!-- Submit/print/reset buttons: end  -->


</body>
</html>

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