function ValidateFields(theForm)
{
 
  cmsg 		= "";
  lerror 	= false;
  
  if (theForm.firstname.value == "")
  {
	cmsg = cmsg + "• First Name\n";
   	lerror = true;
  }

  if (theForm.lastname.value == "")
  {
	cmsg = cmsg + "• Last Name\n";
   	lerror = true;
  }
  
 if (theForm.practicename_old.value == "")
  {
	cmsg = cmsg + "• Old Practice Name\n";
   	lerror = true;
  }

if (theForm.old_address1.value == "")
  {
	cmsg = cmsg + "• Old Address\n";
   	lerror = true;
  }
  
   
    if (theForm.old_city.value == "")
  {
	cmsg = cmsg + "• Old City\n";
   	lerror = true;
  }
  
    if (theForm.old_state.value == "")
  {
	cmsg = cmsg + "• Old State\n";
   	lerror = true;
  }
  
      if (theForm.old_zip.value == "")
  {
	cmsg = cmsg + "• Old Zip\n";
   	lerror = true;
  }
  
      if (theForm.practicename_new.value == "")
  {
	cmsg = cmsg + "• New Practice Name\n";
   	lerror = true;
  }
 
 if (theForm.new_address1.value == "")
  {
	cmsg = cmsg + "• New Address\n";
   	lerror = true;
  }
  
      if (theForm.new_city.value == "")
  {
	cmsg = cmsg + "• New City\n";
   	lerror = true;
  }
  
      if (theForm.new_state.value == "")
  {
	cmsg = cmsg + "• New State\n";
   	lerror = true;
  }
  
      if (theForm.new_zip.value == "")
  {
	cmsg = cmsg + "• New Zip\n";
   	lerror = true;
  }
  
      if (theForm.phone_work.value == "")
  {
	cmsg = cmsg + "• New Work Phone\n";
   	lerror = true;
  }
  
  if (lerror == true) {   
  	alert("Please provide the following required\ninformation:\n--------------------------------------------\n" + cmsg);
  	lerror = false;
  	return false;
  }  
}