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

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

  if (theForm.date_of_birth.value == "")
  {
	cmsg = cmsg + "• Date of Birth\n";
   	lerror = true;
  }
  
  if (theForm.home_address.value == "")
  {
	cmsg = cmsg + "• Home Address\n";
   	lerror = true;
  }  

  if (theForm.home_city.value == "")
  {
	cmsg = cmsg + "• Home City\n";
   	lerror = true;
  }  

  if (theForm.home_state.value == "")
  {
	cmsg = cmsg + "• Home State\n";
   	lerror = true;
  } 

  if (theForm.home_zip.value == "")
  {
	cmsg = cmsg + "• Home Zip Code\n";
   	lerror = true;
  } 

  if (theForm.county.value == "")
  {
	cmsg = cmsg + "• County Medical Society\n";
   	lerror = true;
  }  

  if (theForm.medschool.value == "")
  {
	cmsg = cmsg + "• Medical School\n";
   	lerror = true;
  } 

  if (theForm.grad_year.value == "")
  {
	cmsg = cmsg + "• Medical School Graduation Year\n";
   	lerror = true;
  } 

  if (theForm.residency.value == "")
  {
	cmsg = cmsg + "• Residency\n";
   	lerror = true;
  } 

  if (theForm.res_grad_year.value == "")
  {
	cmsg = cmsg + "• Residency Graduation Year\n";
   	lerror = true;
  }  
  
  if (theForm.IN_license_no.value == "")
  {
	cmsg = cmsg + "• IN license no:\n";
   	lerror = true;
  } 
 
 if (theForm.electronic_signature.value == "")
  {
	cmsg = cmsg + "• Signature:\n";
   	lerror = true;
  }
  
  if (lerror == true) {   
  	alert("Please provide the following required\ninformation:\n--------------------------------------------\n" + cmsg);
  	lerror = false;
  	return false;
  }  
}