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<!-- 
Build Date: 10/24/2012 12:11:31 PM
SiteMaker Release:SM7.3
(c) 1999-2012 Medseek, Inc. All rights reserved.
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>




<head>




<meta http-equiv="Content-Type" content="text/html; charset=utf-8">

<title>Email Forms Manager - Children's Hospital &amp; Medical Center, Omaha, Nebraska</title>

<link href="favicon.ico" rel="icon" type="image/x-icon" />
<link href="favicon.ico" rel="shortcut icon" />
<link href="template.css" rel="stylesheet" type="text/css">
<link href="default.css" rel="stylesheet" type="text/css">
<meta http-equiv="keywords" content="">
<meta http-equiv="description" content="">
<script src="scripts/AC_OETags.js" type="text/javascript"></script>
<script src="http://ajax.googleapis.com/ajax/libs/jquery/1.4.2/jquery.min.js" type="text/javascript"></script>







	<meta name="robots" content="noindex">
	<style type="text/css">
	<!--
	@import url("module.css");
	-->
	</style>


				
<script type="text/javascript">
//<!--
var ns4 = (document.layers);
var ie  = (document.all);
var ie4 = (ie && !document.getElementById);
var ie5 = (ie && document.getElementById);
var ns6 = (!ie && document.getElementById);

var aryMoused = new Array();
var aryLayerMoused = new Array();
var aryMoImages = new Array();
var imageList = new Array();
var runMouseOvers = true;
var TimerID = null;
var iLimit = 25;
var itmp = 0;

var nbTime = 100;
var nbTimes = 2;
var nbThisLoc = 325;
var aryLayerNames = new Array();
var aryNavBarLayerInfo = new Array();
var aryNavBarLayers = new Array();

var registeredObjects = new Array();
var viz = "hide";

function MOImage() {
	var arg = MOImage.arguments;
	this.ptrImage = BillzNavBarMM_findObj(arg[0]);
	this.imageMO = new Image();
	this.imageMO.src = arg[1];
	this.HTMLname = arg[0];
	this.Moused = false;
	this.OriginalSrc = '';
	return true;
}

function BillzImagePreload() {
	// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image) 
	var arg = BillzImagePreload.arguments;
	nbImagePreload(arg[0], arg[1], arg[2]);
}

function nbImagePreload(img_name, mo_img_src, rollover_key_img_name) {
	var imageKey = (rollover_key_img_name.length > 0) ? rollover_key_img_name : img_name;
	imageList[imageList.length] = imageKey;
	if (!(aryMoImages[imageKey])) aryMoImages[imageKey] = new MOImage(img_name, mo_img_src);
}

function BillzMouseover() {
	var arg = null;
	if (runMouseOvers) {		
		arg = BillzMouseover.arguments; //args 0)ImageName 1)OriginalSrc 2)array index (caller imagename)		
		nbMouseover(arg[0], arg[1], arg[2]);
	}
	return true;
}
// args 1) ImageName 2) OriginalSrc 3) array index (caller imagename)
function nbMouseover(img_name, orig_src, img_key) {
	var imageKey = null;
	var o = null;
	if (runMouseOvers) 
	{				
		imageKey = (img_key.length > 0) ? img_key : img_name;
		if (!(aryMoImages[imageKey].ptrImage)) aryMoImages[imageKey].ptrImage = BillzNavBarMM_findObj(img_name);		
		if (aryMoImages[imageKey] && (o = aryMoImages[imageKey].ptrImage)) {
			aryMoImages[imageKey].OriginalSrc = orig_src;
			aryMoImages[imageKey].Moused = true;
			o.src = aryMoImages[imageKey].imageMO.src;
		}
	}
	return true;
}

function navbarMouseover(bar,linkId,row){
	var ListElement = document.getElementById('Link1_' + bar);
	var ItemElement = document.getElementById('Link2_' + bar + '_' + linkId);
	var LinkElement = document.getElementById('Link3_' + bar + '_' + linkId);
	var theClass = ' hover';	
	if(ListElement){
		ListElement.className = ListElement.className + theClass;
	}
	if(ItemElement){
		ItemElement.className = ItemElement.className + theClass;
	}
	if(LinkElement){
		LinkElement.className = LinkElement.className + theClass;
	}
}
function navbarMouseout(bar,linkId,row){
	var ListElement = document.getElementById('Link1_' + bar + '_' + row);
	var ItemElement = document.getElementById('Link2_' + bar + '_' + linkId);
	var LinkElement = document.getElementById('Link3_' + bar + '_' + linkId);
	var theClass = ' hover';	
	if(ListElement){
		ListElement.className = ListElement.className.replace(theClass,"");		
	}
	if(ItemElement){
		ItemElement.className = ItemElement.className.replace(theClass,"");
	}
	if(LinkElement){
		LinkElement.className = LinkElement.className.replace(theClass,"");
	}
}

var NavBarTempOnload = null;
if (window.onload && window.onload != null) NavBarTempOnload = window.onload;

function FullyLoaded() {
	if (NavBarTempOnload != null) NavBarTempOnload();
	runMouseOvers = true;
	return true;
}

function BillzMouseOutTimer() {
	return nbMouseOutTimer();
}

function nbMouseOutTimer() {
	if (TimerID) clearTimeout(TimerID);
	TimerID = setTimeout("nbLayerRestore()",5000);
	return true;
}

function RestoreAll() {
	nbMouseoverRestore();
	nbLayerRestore();
	return true;
}

function BillzMouseoverRestore() {
	return nbMouseoverRestore();
}

function nbMouseoverRestore() {
	var i = 0;
	var o = null;
	if (runMouseOvers) {
		for (i = 0; i < imageList.length; i++) {
			if (aryMoImages[imageList[i]].Moused && (o = aryMoImages[imageList[i]].ptrImage)) {
				o.src = aryMoImages[imageList[i]].OriginalSrc;
				aryMoImages[imageList[i]].Moused = false;
			}
		}
	}
	return true;
}

function BillzLayerRestore() {
	return nbLayerRestore();
}

function nbLayerRestore() {
	var i = 0;
	for (i = 0; i < aryLayerNames.length; i++) {
		if (!aryNavBarLayerInfo[aryLayerNames[i]].isDefault) BillzNavBarRestoreLayers(aryLayerNames[i]);	
	}
	return true;
}

function BillzArrayPushUnique(aryArray, varNewElement) { //only pushes if unique value
	var pushIt = true;
	var i = 0;
	for (i = 0; i < aryArray.length && pushIt; i++) {
		pushIt = (varNewElement != aryArray[i]);
	}
	if (pushIt) BillzArrayPush(aryArray, varNewElement);
	return pushIt;
}

function BillzArrayPush(aryArray, varNewElement) { //Implement Array Push 'cause IE cant handle it
	aryArray[aryArray.length] = varNewElement;
	return true;
}
function BillzArrayPop(aryArray) { //Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
	if (aryArray[aryArray.length - 1]) {
		varItemToPop = aryArray[aryArray.length - 1];
		aryArray[aryArray.length] = null;
	}
	return varItemToPop;
}

function getDivRef(id) {
	var divref;
	if(ns4) divref = document.layers[id];
	else if(ie4) divref = document.all[id];
	else if(ie5 || ns6) divref = document.getElementById(id);	
	return divref;
}

//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function NavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "images/" + swapimage;
		else
			document.getElementById(imageID).src = "images/" + defaultimage;		
	}
}
function BillzNavBarMM_findObj(n, d) {
	var p,i,x;
	if (ns6) x = document.getElementById(n);
	else {		
		if (registeredObjects[n]) return registeredObjects[n];
		if (!(d)) d = document;
		try {
			p = n.indexOf("?");
		}
		catch(e) {
			p = 0;
		}
		if (p > 0 && parent.frames.length) {
			d = parent.frames[n.substring(p+1)].document;
			n = n.substring(0,p);
		}
		if (!(x = d[n]) && d.all) x = d.all[n];	
		for (i = 0; !x && i < d.forms.length; i++) {
			x = d.forms[i][n];
		}
		for (i=0; !x && d.layers && i < d.layers.length; i++) {
			if (d.layers[i].id.indexOf("external_") == -1) x = BillzNavBarMM_findObj(n, d.layers[i].document);	
		}
		registeredObjects[n] = x;
	}				
	return x;
}

function BillzArrayContains() {
	var arg = BillzArrayContains.arguments;
	var foundit = false;
	var i = 0;
	for (i = 0; i < arg[0].length && !foundit; i++) {
		foundit = (arg[1] == arg[0][i]);
	}
	return foundit;
}

function NavBarRegisterLayer() {
	var arg = NavBarRegisterLayer.arguments;
	var n = arg[0];
	var d = arg[1];
	var mo = false;
	var o = null;
	if (arg[2] && arg[2] == 'MOutLayer') mo = true;
	else mo = false;
	
	if (!(BillzArrayContains(aryLayerNames, n))) {
		if (o = BillzNavBarMM_findObj(n)) {
			aryNavBarLayers[n] = o;
			BillzArrayPushUnique(aryLayerNames, n);
			aryNavBarLayerInfo[n] = new NavBarLayer(n, d, mo);
		}
	}
	return true;
}

function BillzNavBarMM_showHideLayers() {
	//v3.0 name changed, this function complements of MM Dreamweaver with customizations by Bill Heller
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarMM_showHideLayers.arguments;
	
	if (args[args.length - 1] != "menu") nbMouseOutTimer();
	for (i = 0; i < (args.length - 2); i += 3) {
		if (!aryNavBarLayers[args[i]]) {
			x = (args[i + 2] == 'show') ? 'hide' : 'show';
			NavBarRegisterLayer(args[i], x);
		}
		if ((obj = aryNavBarLayers[args[i]]) != null) {
			v = args[i + 2];
			aryNavBarLayerInfo[args[i]].isDefault = false;
			if (args[args.length - 1] == "restore") v = (v == 'show') ? 'hide' : 'show';
			
			if (obj.style) obj.style.visibility = (v == 'show') ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			else obj.visibility = v;
		}
	}
	return true;
}

function BillzNavBarRestoreLayers() {
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarRestoreLayers.arguments;
	for (i = 0; i < (args.length); i++) {
		if (obj = aryNavBarLayers[args[i]]) {
			v = aryNavBarLayerInfo[args[i]].defaultVisibility;
			if (obj.style) {
				obj = obj.style;
				v = (v == 'show' ) ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			}
			obj.visibility = v;
			if (!aryNavBarLayerInfo[args[i]].MOutLayer) aryNavBarLayerInfo[args[i]].isDefault = true;			
		}
	}
	return true;
}

function NavBarLayer() {
	var arg = NavBarLayer.arguments;
	this.defaultVisibility = arg[1];
	this.isDefault = true;
	this.MOutLayer = arg[2];
	return true;
}

function BillzNavMove() {
	return nbNavMove();
}

function nbNavMove() {
	var thisl = null;
	var otherl = null;
	if (thisl = BillzNavBarMM_findObj("nbScrollLayer")) {
		if (thisl.style) {
			thisl = thisl.style;
			viz = "hidden";
		} 
		thisl.top = nbThisLoc -= 3;
		if (nbThisLoc < -750) {
			nbThisLoc = 325;
			nbTimes--;
		}
	}
	if (nbTimes <= 0) {
		otherl = BillzNavBarMM_findObj("BillzLayer");
		otherl.visibility = viz;
	} else {
		setTimeout("nbNavMove()", nbTime);
	}	
	return true;
}

function NavBar_openadmin() {
	window.open('admin/','SiteAdmin','height=screen.availheight,width=screen.availwidth,scrollbars=1,toolbar=0,directories=0,status=0,menubar=0,resizable=1');
	return true;
}

window.onload = FullyLoaded;
//-->
</script>
						
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			</head>


<body class="body body_primary primary">




	<div class="showDivs">
	<table class="collapse containerHeader">
		<tr>
			<td class="collapse" id="navigationTop">
				<table class="collapse navigationTop">
					<tr>
						<td class="collapse">
							

		<script type="text/javascript">
		//<!--
		
		
	function findPosY(obj)
	{
		var curtop = 0;
		if (obj.offsetParent)
		{
			while (obj.offsetParent)
			{
				curtop += obj.offsetTop
				obj = obj.offsetParent;
			}
		}
		else if (obj.y)
		{
			curtop += obj.y;
		}
		return curtop;
	}
	//aryDHTMLMoused = new Array();
	var aryDHTMLLayerMoused = new Array();
	var DHTMLrunMouseOvers = false;
	var aryDHTMLMoImages = new Array();
	var DHTMLimageList = new Array();
	var DHTMLTimerID=null;
	//DHTMLiLimit=25;
	var itmp=0;

	function DHTMLMOImage()
	{
		var a = DHTMLMOImage.arguments;
		this.ptrImage = DHTMLNavBarMM_findObj(a[0]);
		this.imageMO = new Image();
		this.imageMO.src = a[1];
		this.HTMLname = a[0];
		this.Moused = false;
		this.OriginalSrc = '';
	}

	// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image)
	function DHTMLNavBarImagePreload()
	{
		var arg = DHTMLNavBarImagePreload.arguments;
		imageKey = (arg[2])?arg[2]:arg[0];
		DHTMLimageList[DHTMLimageList.length] = imageKey;
		if(!(aryDHTMLMoImages[imageKey])) {
			aryDHTMLMoImages[imageKey] = new DHTMLMOImage(arg[0],arg[1]);
		}
	}

	function DHTMLNavBarMouseover()
	{
		var a = null;
		var imageKey = null;
		var o = null;
		if (DHTMLrunMouseOvers)
		{
			//args 0)ImageName 1)OriginalSrc 2)array index (caller imagename)
			a = DHTMLNavBarMouseover.arguments;
			imageKey = (a[2])?a[2]:a[0];
			if(!(aryDHTMLMoImages[imageKey].ptrImage)){
				aryDHTMLMoImages[imageKey].ptrImage = DHTMLNavBarMM_findObj(a[0]);
			}
			if(aryDHTMLMoImages[imageKey] && (o = aryDHTMLMoImages[imageKey].ptrImage))
			{
				aryDHTMLMoImages[imageKey].OriginalSrc = a[1];
				aryDHTMLMoImages[imageKey].Moused = true;
				o.src = aryDHTMLMoImages[imageKey].imageMO.src;
			}
		}
	}

	var DHTMLNavBarTemponload = null;
	if (window.onload && window.onload != null){
		DHTMLNavBarTemponload = window.onload;
	}

	function DHTMLFullyLoaded()
	{
		if (DHTMLNavBarTemponload != null) {
			DHTMLNavBarTemponload();
		}
			
		DHTMLrunMouseOvers = true;
		return true;
	}

	function DHTMLNavBarMouseOutTimer()
	{
		if(DHTMLTimerID) { clearTimeout(DHTMLTimerID); }
		DHTMLTimerID = setTimeout("DHTMLNavBarLayerRestore()",5000);
	}

	function DTHMLRestoreParent(layername)
	{
		for(var i=0;i < aryDHTMLLayerNames.length;i++)
		{
			if(!aryDHTMLNavBarLayerInfo[aryDHTMLLayerNames[i]].isDefault)
			{
				//alert(aryDHTMLLayerNames[i].indexOf("grand"));
				if(!(aryDHTMLLayerNames[i] == layername) && aryDHTMLLayerNames[i].indexOf("grand") == -1) {
					DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);
				}
			}
		}
	}

	function DHTMLRestoreAll()
	{
		DHTMLNavBarMouseoverRestore();
		DHTMLNavBarLayerRestore();
	}

	function DHTMLNavBarMouseoverRestore()
	{
		var i = 0;
		var o = null;
		if (DHTMLrunMouseOvers)
		{
			for (var i=0; i < DHTMLimageList.length; i++)
			{
				if (aryDHTMLMoImages[imageList[i]].Moused && (o = aryDHTMLMoImages[imageList[i]].ptrImage)) {
					o.src = aryDHTMLMoImages[imageList[i]].OriginalSrc;
					aryDHTMLMoImages[imageList[i]].Moused = false;
				}
			}
		}
		return true;
	}

	function DHTMLNavBarLayerRestore()
	{
		for(var i=0;i < aryDHTMLLayerNames.length;i++)
		{
			if(!aryDHTMLNavBarLayerInfo[aryDHTMLLayerNames[i]].isDefault) {
				DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);
			}
		}
	}

	function DHTMLNavBarArrayPushUnique(aryArray, varNewElement)
	{
		//only pushes if unique value
		var pushIt = true;
		for (var i=0;i < aryArray.length && pushIt;i++) {
			pushIt = (varNewElement!=aryArray[i]);
		}
		if(pushIt) {
			DHTMLNavBarArrayPush(aryArray, varNewElement);
		}
		return pushIt;
	}

	function DHTMLNavBarArrayPush(aryArray, varNewElement)
	{
		//Implement Array Push 'cause IE cant handle it
		aryArray[aryArray.length]=varNewElement;
	}

	function DHTMLNavBarArrayPop(aryArray)
	{
		//Implement Array Pop 'cause IE cant handle it before 5.5
		var varItemToPop = null;
		if(aryArray[aryArray.length-1]) {
			varItemToPop = aryArray[aryArray.length-1];
			aryArray[aryArray.length]=null;
		}
		return varItemToPop;
	}

	var registeredObjects = new Array();
	//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
	function DHTMLNavBarMM_findObj(n, d)
	{
		
		x = document.getElementById(n);
		return x;
			
	}

	var DHTMLNavBarTime         = 100;
	var DHTMLNavBarTimes        = 2;
	var DHTMLNavBarmoveDistance = 1;
	var DHTMLNavBarThisLoc      = 325;
	var aryDHTMLLayerNames      = new Array();
	var aryDHTMLNavBarLayerInfo = new Array();
	var aryDHTMLNavBarLayers    = new Array();

	function DHTMLNavBarArrayContains()
	{
		var a = DHTMLNavBarArrayContains.arguments;
		var foundit = false;
		for(var i=0; i < a[0].length && !foundit; i++) {
			foundit = (a[1]==a[0][i]);
		}
		return foundit;
	}

	function DHTMLNavBarRegisterLayer()
	{
		var a = DHTMLNavBarRegisterLayer.arguments;
		var n = a[0];
		var d = a[1];
		if(a[2] && a[2] == 'MOutLayer'){
			var mo = true;
		} else {
			var mo = false;
		}
		//alert(n + " -- " + d);
		if(!(DHTMLNavBarArrayContains(aryDHTMLLayerNames,n)))
		{
			if(o = DHTMLNavBarMM_findObj(n))
			{
				aryDHTMLNavBarLayers[n] = o;
				DHTMLNavBarArrayPushUnique(aryDHTMLLayerNames,n);
				aryDHTMLNavBarLayerInfo[n] = new DHTMLNavBarLayer(n,d,mo);
			}
		}
	}

	// v3.0 name changed, this function complements of MM Dreamweaver with customizations
	function DHTMLNavBarMM_showHideLayers()
	{
		var i,p,v,x,obj,args = DHTMLNavBarMM_showHideLayers.arguments;
		if(args[args.length-1] != "menu") { DHTMLNavBarMouseOutTimer(); }
	  	for (var i=0; i<(args.length-2); i+=3)
		{
			if(!aryDHTMLNavBarLayers[args[i]]) {
				x = (args[i+2]=='show')?'hide':'show';
				DHTMLNavBarRegisterLayer(args[i],x);
			}
	  		if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
			{
				v = args[i+2];
				aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	  			if(args[args.length-1] == "restore") {
					v = (v=='show')?'hide':'show';
				}
				if (obj.style){
					obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
				} else {
					obj.visibility = v;
				}
			}
		}
	}

	// v3.0 name changed, this function complements of MM Dreamweaver with customizations
	function DHTMLNavBarMM_showHideGrandLayers()
	{
		var i,p,v,x,obj,args = DHTMLNavBarMM_showHideGrandLayers.arguments;
		if(args[args.length-1] != "menu") { DHTMLNavBarMouseOutTimer(); }
	  	for (var i=0; i<(args.length-2); i+=3)
		{
			if(!aryDHTMLNavBarLayers[args[i]]) {
				x = (args[i+2]=='show')?'hide':'show';
				DHTMLNavBarRegisterLayer(args[i],x);
			}
	  		if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
			{
				v = args[i+2];
				aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	  			if(args[args.length-1] == "restore"){
					v = (v=='show')?'hide':'show';
				}
				if (obj.style){
					obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
				} else {
		 			obj.visibility = v;
				}
			}
		}
	}

	function DHTMLNavBarRestoreLayers()
	{
	  	var i,p,v,obj,args = DHTMLNavBarRestoreLayers.arguments;
	  	for (var i=0; i<(args.length); i++)
		{
			//alert(args[i]);
	  		if (obj = aryDHTMLNavBarLayers[args[i]])
			{
				v = aryDHTMLNavBarLayerInfo[args[i]].defaultVisibility;
				var strobjid = obj.id;
				if (obj.style)
				{
					obj=obj.style;
					//alert(strobjid + " -- " + obj.visibility);
					v=(v=='show')?'visible':(v='hide')?'hidden':v;
				}
				obj.visibility = v;
				if (!aryDHTMLNavBarLayerInfo[args[i]].MOutLayer) {
					aryDHTMLNavBarLayerInfo[args[i]].isDefault=true;
				}
			}
		}
	}

	function DHTMLNavBarLayer()
	{
		var a = DHTMLNavBarLayer.arguments;
		this.defaultVisibility = a[1];
		this.isDefault = true;
		this.MOutLayer = a[2];
	}

	var viz = "hide";
	function DHTMLNavBarNavMove()
	{
		if(thisl==DHTMLNavBarMM_findObj("DHTMLNavBarScrollLayer"))
		//test for (==) mistyped as assignment (=)? -rls
		{
			if(thisl.style)
			{
				thisl=thisl.style;
				viz="hidden";
			}
			thisl.top = DHTMLNavBarThisLoc -= 3;
			if(DHTMLNavBarThisLoc < -750)
			{
				DHTMLNavBarThisLoc=325;
				DHTMLNavBarTimes--;
			}
		}
		if (DHTMLNavBarTimes<=0)
		{
			otherl=DHTMLNavBarMM_findObj("DHTMLNavBarLayer");
			otherl.visibility=viz;
		}
		else setTimeout("DHTMLNavBarNavMove()",DHTMLNavBarTime);
	}

	function DHTML_swapImgRestore()
	{ //v3.0
	  	var i,x,a=document.Sliding_sr;
	  	for(var i=0; a && i<a.length && (x=a[i]) && x.oSrc; i++) {
			x.src=x.oSrc;
		}
	}

	function DHTML_preloadImages()
	{ //v3.0
	  	var d=document;
	  	if(d.images)
	  	{
	  		if(!d.Sliding_p) {
				d.Sliding_p=new Array();
			}
	 		var i,j=d.Sliding_p.length,a=DHTML_preloadImages.arguments;
			for(var i=0; i < a.length; i++)
			{
		 		if (a[i].indexOf("#")!=0)
				{
					d.Sliding_p[j]=new Image;
					d.Sliding_p[j++].src=a[i];
				}
			}
		}
	}

	function DHTML_findObj(n, d)
	{ //v4.01
	  	var p,i,x;
	  	if(!d) {
	  		d=document;
		}
		if((p=n.indexOf("?"))>0 && parent.frames.length)
		{
		 	d=parent.frames[n.substring(p+1)].document;
			n=n.substring(0,p);
		}
	  	if(!(x=d[n]) && d.all) x=d.all[n];
		for (var i=0; !x && i<d.forms.length; i++) {
			x = d.forms[i][n];
		}
	  	for(var i=0; !x && d.layers && i<d.layers.length; i++) {
			x = DHTML_findObj(n,d.layers[i].document);
		}
	  	if(!x && d.getElementById) {
			x=d.getElementById(n);
		}
		return x;
	}

	function DHTML_swapImage()
	{ //v3.0
		var i,j=0,x,a=DHTML_swapImage.arguments;
		document.Sliding_sr=new Array;
		for(var i=0; i<(a.length-2); i+=3)
		{
			if ((x=DHTML_findObj(a[i]))!=null)
			{
				document.Sliding_sr[j++] = x;
				if(!x.oSrc) {
					x.oSrc=x.src;
				}
				x.src = a[i+2];
			}
		}
	}

	function DHTMLNavBarSwapRollover(swapimage,defaultimage,imageID)
	{
		if(imageID.length > 0 && document.getElementById(imageID))
		{
			if(swapimage.length > 0) {
				document.getElementById(imageID).src = "images/" + swapimage;
			}else{
				document.getElementById(imageID).src = "images/" + defaultimage;
			}
		}
	}
	window.onload = DHTMLFullyLoaded;
		
		
		// -->
		</script>
		
			<div id="lryParentmain522" class="Parentmain1" onmouseover="DHTMLRestoreAll();;DHTMLNavBarMM_showHideLayers('lyr522','','show','menu');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow522" style="vertical-align: top; background-color: transparent;" >
			
					<td valign="top" style="" id="pLink522"><a href="body.cfm?id=522" target="" class="clMain1" onMouseOver="DHTMLRestoreAll();">Find A Doctor</a></td>
			
				</tr>
			
			</table>
			
						<div id="lyr522" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
					<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
						
						<tr id="cRow522_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink522_1"><a href="http://www.childrensomaha.org/body.cfm?id=522" target="" class="clSubb1">New Search</a></td>
							
						</tr>
						
						<tr id="cRow522_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink522_2"><a href="body.cfm?id=1460" target="" class="clSubb1">Find a Doctor Online Chat Advisor</a></td>
							
						</tr>
						
					</table>
					
					<!--[if lte IE 6.5]>
					<div id="endTablelyr522" style="height:1px;overflow:hidden;"></div>
					<iframe id="Framelyr522" frameborder="1" style="background-color:transparent; filter: mask(); left:0px; position:absolute;top:0px;width:100%;height:30;z-index:-1;"></iframe>
					<![endif]-->
					</div>
					
			</div>
			
			<div id="lryParentmain16" class="Parentmain1" onmouseover="DHTMLRestoreAll();;DHTMLNavBarMM_showHideLayers('lyr16','','show','menu');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow16" style="vertical-align: top; background-color: transparent;" >
			
					<td valign="top" style="" id="pLink16"><a href="body.cfm?id=16" target="" class="clMain1" onMouseOver="DHTMLRestoreAll();">Patients &amp; Visitors</a></td>
			
				</tr>
			
			</table>
			
						<div id="lyr16" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
					<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
						
						<tr id="cRow16_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_1"><a href="body.cfm?id=97" target="" class="clSubb1">Visiting Hours</a></td>
							
						</tr>
						
						<tr id="cRow16_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_2"><a href="body.cfm?id=92" target="" class="clSubb1">Information for Families</a></td>
							
						</tr>
						
						<tr id="cRow16_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_3"><a href="body.cfm?id=246" target="" class="clSubb1">My Account</a></td>
							
						</tr>
						
						<tr id="cRow16_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_4"><a href="http://www.childrensomaha.org/body.cfm?id=487" target="" class="clSubb1">Financial Assistance</a></td>
							
						</tr>
						
						<tr id="cRow16_5" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_5"><a href="body.cfm?id=1553" target="" class="clSubb1">Calendar of Events</a></td>
							
						</tr>
						
						<tr id="cRow16_6" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_6"><a href="body.cfm?id=12" target="" class="clSubb1">Gift Shop</a></td>
							
						</tr>
						
						<tr id="cRow16_7" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_7"><a href="body.cfm?id=2633" target="" class="clSubb1">Logowear Store</a></td>
							
						</tr>
						
						<tr id="cRow16_8" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_8"><a href="body.cfm?id=619" target="" class="clSubb1">Patient Greeting Cards</a></td>
							
						</tr>
						
						<tr id="cRow16_9" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_9"><a href="body.cfm?id=525" target="" class="clSubb1">Important Departments</a></td>
							
						</tr>
						
						<tr id="cRow16_10" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_10"><a href="http://www.childrensomaha.org/body.cfm?id=413" target="" class="clSubb1">Rainbow House</a></td>
							
						</tr>
						
						<tr id="cRow16_11" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_11"><a href="body.cfm?id=96" target="" class="clSubb1">Virtual Visits</a></td>
							
						</tr>
						
						<tr id="cRow16_12" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink16_12"><a href="body.cfm?id=2394" target="" class="clSubb1">CaringBridge</a></td>
							
						</tr>
						
					</table>
					
					<!--[if lte IE 6.5]>
					<div id="endTablelyr16" style="height:1px;overflow:hidden;"></div>
					<iframe id="Framelyr16" frameborder="1" style="background-color:transparent; filter: mask(); left:0px; position:absolute;top:0px;width:100%;height:180;z-index:-1;"></iframe>
					<![endif]-->
					</div>
					
			</div>
			
			<div id="lryParentmain1521" class="Parentmain1" onmouseover="DHTMLRestoreAll();;DHTMLNavBarMM_showHideLayers('lyr1521','','show','menu');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow1521" style="vertical-align: top; background-color: transparent;" >
			
					<td valign="top" style="" id="pLink1521"><a href="body.cfm?id=1521" target="" class="clMain1" onMouseOver="DHTMLRestoreAll();">About Children's</a></td>
			
				</tr>
			
			</table>
			
						<div id="lyr1521" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
					<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
						
						<tr id="cRow1521_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_1"><a href="body.cfm?id=142" target="" class="clSubb1">Maps &amp; Directions</a></td>
							
						</tr>
						
						<tr id="cRow1521_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_2"><a href="body.cfm?id=2555" target="" class="clSubb1">News Room</a></td>
							
						</tr>
						
						<tr id="cRow1521_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_3"><a href="body.cfm?id=1296" target="" class="clSubb1">Our Stories</a></td>
							
						</tr>
						
						<tr id="cRow1521_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_4"><a href="body.cfm?id=1822" target="" class="clSubb1">Our Videos</a></td>
							
						</tr>
						
						<tr id="cRow1521_5" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_5"><a href="body.cfm?id=2713" target="" class="clSubb1">Preventing Childhood Obesity Community Grants</a></td>
							
						</tr>
						
						<tr id="cRow1521_6" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_6"><a href="body.cfm?id=1403" target="" class="clSubb1">Events Calendar</a></td>
							
						</tr>
						
						<tr id="cRow1521_7" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_7"><a href="body.cfm?id=1927" target="" class="clSubb1">Specialty Pediatric Center</a></td>
							
						</tr>
						
						<tr id="cRow1521_8" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_8"><a href="body.cfm?id=249" target="" class="clSubb1">Contact Us</a></td>
							
						</tr>
						
						<tr id="cRow1521_9" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_9"><a href="body.cfm?id=19" target="" class="clSubb1">Careers</a></td>
							
						</tr>
						
						<tr id="cRow1521_10" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_10"><a href="body.cfm?id=1578" target="" class="clSubb1">Our History</a></td>
							
						</tr>
						
						<tr id="cRow1521_11" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_11"><a href="body.cfm?id=1687" target="" class="clSubb1">Quality and Safety Measures</a></td>
							
						</tr>
						
						<tr id="cRow1521_12" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_12"><a href="body.cfm?id=1770" target="" class="clSubb1">Omaha Community</a></td>
							
						</tr>
						
						<tr id="cRow1521_13" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_13"><a href="body.cfm?id=1602" target="" class="clSubb1">Logowear Store</a></td>
							
						</tr>
						
						<tr id="cRow1521_14" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_14"><a href="body.cfm?id=2705" target="" class="clSubb1">Recognize a Children's Employee</a></td>
							
						</tr>
						
						<tr id="cRow1521_15" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_15"><a href="body.cfm?id=1764" target="" class="clSubb1">Volunteering</a></td>
							
						</tr>
						
						<tr id="cRow1521_16" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink1521_16"><a href="body.cfm?id=1058" target="" class="clSubb1">Joint Notice of Privacy Practices</a></td>
							
						</tr>
						
					</table>
					
					<!--[if lte IE 6.5]>
					<div id="endTablelyr1521" style="height:1px;overflow:hidden;"></div>
					<iframe id="Framelyr1521" frameborder="1" style="background-color:transparent; filter: mask(); left:0px; position:absolute;top:0px;width:100%;height:240;z-index:-1;"></iframe>
					<![endif]-->
					</div>
					
			</div>
			
			<div id="lryParentmain509" class="Parentmain1" onmouseover="DHTMLRestoreAll();;DHTMLNavBarMM_showHideLayers('lyr509','','show','menu');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow509" style="vertical-align: top; background-color: transparent;" >
			
					<td valign="top" style="" id="pLink509"><a href="body.cfm?id=509" target="" class="clMain1" onMouseOver="DHTMLRestoreAll();">Services</a></td>
			
				</tr>
			
			</table>
			
						<div id="lyr509" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
					<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
						
						<tr id="cRow509_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_1"><a href="body.cfm?id=21" target="" class="clSubb1">Asthma and Allergy Clinic</a></td>
							
						</tr>
						
						<tr id="cRow509_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_2"><a href="body.cfm?id=60" target="" class="clSubb1">Access Center</a></td>
							
						</tr>
						
						<tr id="cRow509_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_3"><a href="body.cfm?id=22" target="" class="clSubb1">Audiology Department</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_4"><a href="body.cfm?id=23" target="" class="clSubb1">Behavioral Health</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_5"><a href="body.cfm?id=26" target="" class="clSubb1">CDC (Children's Developmental Clinic)</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_6"><a href="body.cfm?id=63" target="" class="clSubb1">Child Life Services</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_7"><a href="body.cfm?id=27" target="" class="clSubb1">Craniofacial Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_8"><a href="body.cfm?id=80" target="" class="clSubb1">Critical Care Transport Team</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_9"><a href="body.cfm?id=28" target="" class="clSubb1">Developmental Behavioral Pediatric Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_10"><a href="body.cfm?id=29" target="" class="clSubb1">Diabetes Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_11"><a href="body.cfm?id=2381" target="" class="clSubb1">Ear, Nose, Throat Clinic (ENT)</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_12"><a href="body.cfm?id=180" target="" class="clSubb1">Eating Disorders</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_13"><a href="body.cfm?id=65" target="" class="clSubb1">Emergency Department</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_14"><a href="body.cfm?id=31" target="" class="clSubb1">Endocrine Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_15"><a href="body.cfm?id=2645" target="" class="clSubb1">Fetal Care Center</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_16"><a href="body.cfm?id=67" target="" class="clSubb1">Guest Relations</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_17"><a href="body.cfm?id=1237" target="" class="clSubb1">Hand In Hand/Palliative Care</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_18"><a href="body.cfm?id=1641" target="" class="clSubb1">Heart Center</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_19"><a href="body.cfm?id=34" target="" class="clSubb1">Helmet Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_20"><a href="body.cfm?id=35" target="" class="clSubb1">Hematology and Oncology Program</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_21"><a href="body.cfm?id=20" target="" class="clSubb1">Home Health Services</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_23"><a href="body.cfm?id=37" target="" class="clSubb1">Infectious Disease Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_24"><a href="body.cfm?id=69" target="" class="clSubb1">Medical Surgical Floors</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_25"><a href="body.cfm?id=38" target="" class="clSubb1">Metabolic Management Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_26"><a href="body.cfm?id=40" target="" class="clSubb1">Neurodiagnostic Services</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_27"><a href="body.cfm?id=41" target="" class="clSubb1">Neurology Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_28"><a href="body.cfm?id=72" target="" class="clSubb1">Newborn Intensive Care Unit (NICU)</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_29"><a href="body.cfm?id=42" target="" class="clSubb1">NICU Follow-Up Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_30"><a href="body.cfm?id=1904" target="" class="clSubb1">Orthopaedics Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_31"><a href="body.cfm?id=73" target="" class="clSubb1">Pathology</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_32"><a href="body.cfm?id=33" target="" class="clSubb1">Pediatric Gastroenterology Department</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_33"><a href="body.cfm?id=75" target="" class="clSubb1">Pediatric Intensive Care Unit (PICU)</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_34"><a href="body.cfm?id=78" target="" class="clSubb1">Pastoral &amp; Spiritual Care</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_35"><a href="body.cfm?id=2387" target="" class="clSubb1">Plastic Surgery</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_36"><a href="body.cfm?id=1823" target="" class="clSubb1">Pulmonary Medicine Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_37"><a href="body.cfm?id=76" target="" class="clSubb1">Radiology Department</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_38"><a href="body.cfm?id=45" target="" class="clSubb1">Rehab Services (Speech, Occupational &amp; Physical Therapies)</a></td>
							
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						<tr id="cRow509_39" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_39"><a href="body.cfm?id=39" target="" class="clSubb1">Nephrology Clinic</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink509_40"><a href="body.cfm?id=354" target="" class="clSubb1">Rheumatology Clinic</a></td>
							
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						<tr id="cRow509_41" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_41"><a href="body.cfm?id=77" target="" class="clSubb1">Social Work, Nursing Case Management and Interpreting Services</a></td>
							
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						<tr id="cRow509_42" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_42"><a href="body.cfm?id=48" target="" class="clSubb1">Speech Therapy Clinic</a></td>
							
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						<tr id="cRow509_43" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_43"><a href="body.cfm?id=79" target="" class="clSubb1">Surgical Services</a></td>
							
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						<tr id="cRow509_44" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_44"><a href="body.cfm?id=50" target="" class="clSubb1">Urology Clinic</a></td>
							
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						<tr id="cRow509_45" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						
								<td valign="top" class="ChildNav1" style="" id="cLink509_45"><a href="body.cfm?id=2465" target="" class="clSubb1">Weight Management - HEROES Program</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink7_1"><a href="http://healthlibrary.childrensomaha.org/" target="" class="clSubb1">Health Library</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink7_5"><a href="body.cfm?id=1242" target="" class="clSubb1">Just Kids Publication</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink7_6"><a href="http://www.childrensomaha.org/body.cfm?id=677" target="" class="clSubb1">Family &amp; Friends CPR - Infant and Child</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink7_7"><a href="http://www.cdc.gov/parents/" target="_blank" class="clSubb1">CDC Parent Portal</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink18_11"><a href="body.cfm?id=1782" target="" class="clSubb1">Pediatric Resource Directory</a></td>
							
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								<td valign="top" class="ChildNav1" style="" id="cLink18_12"><a href="body.cfm?id=1951" target="" class="clSubb1">Pediatric Surgery Fellowship</a></td>
							
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	<ul class="breadcrumb"><li class="first-child"><a href="default.cfm?id=1">Home</a></li><li class="last-child"><a href="body.cfm?id=150">Email Forms Manager</a></li></ul>
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														<h1 class="title"><span class="title">Email Forms Manager</span></h1>
													
													
														
		
		
		

		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		
		
		
		
		
		
															
		
			
			
			
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		
		
		
		
		
		
															
		
			
			
			
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
		
		

		
		

		
		

		
		
		
		
		
		
		
			
				

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		
			

		

		
		
		
		
		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		

		
		

		
		
		
		

		
		

		

		
		
		

		
		
			
				
				



		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
		
			

		

		
		
		
		
		
			
		
		
	
		

		
		

		
		
		
		
			
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
		

		
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
			

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		
			

		

		
		
		
		
		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		
		
		

		
		
		
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
			
				

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		
			

		

		
		
		
		
		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		

		
		
		
		
		
		
		
		

		
		
		
		
		
		
		

		
			
		
		

		
		
		
		


		
			

		

		
		
		

	
		
		
		
		

		



	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		
	
	
	
	
	
	
	
	
	 
	

	
	
	
	
	
	
	
	
	
	
	

	
	

	
	

	
	
	
	
	
	
	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	






				
					





















 

				
			
			
			
				
					
				
			
		

		

		

		
		
		

	
		

		
			
		
		

		
		
		

		
		
 








   

	







	





	
























 














	









	
	



	





	





	
 


 


 


 








	














	
 


 


 


 








	














	
 


 


 


 








	



















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		<form name="eform" method="post" action="http://childrensomaha.org/body.cfm?xyzpdqabc=0&amp;id=150&amp;action=submiteform&amp;eformid=181" onSubmit="return (smm_eforms_validate() && sm_ValidateForm(this));" class="metadetail" enctype="multipart/form-data">
	
	
	<table class="metadetail">
		
		<tr class="metadetail">
			<td class="metadetail" colspan="2"><h3>"Short Bowel Syndrome in Children"</H3>Children's Hospital & Medical Center issues the Continuing Medical Education credit for the Pediatric Grand Rounds presentations. Children's Hospital & Medical Center is accredited by the Nebraska Medical Association Commission on Medical Education to provide continuing medical education for physicians.  Children's Hospital & Medical Center designates this live activity for a maximum of one (1) AMA PRA Category I CreditTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.By registering for Continuing Medical Education credit, you certify that you have watched the CME program in its entirety for which you are claiming credit.<br><br></td>
		</tr>
		
		
		<tr class="metadetail">
			<td class="metadetail" colspan="2"><span class="required">
			* Indicates required information</span></td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Overall, which of the following factors have been associated with good prognosis in patients with short bowel syndrome?&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_1" id="eformField_1_1" style="{border:0;}" value="Presence of the ileocecal valve">
				<label for="eformField_1_1" class="metadetail">Presence of the ileocecal valve</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_1" id="eformField_1_2" style="{border:0;}" value="Presence of colon">
				<label for="eformField_1_2" class="metadetail">Presence of colon</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_1" id="eformField_1_3" style="{border:0;}" value="TPN independency">
				<label for="eformField_1_3" class="metadetail">TPN independency</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_1" id="eformField_1_4" style="{border:0;}" value="Prematurity">
				<label for="eformField_1_4" class="metadetail">Prematurity</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_1" id="eformField_1_5" style="{border:0;}" value="Anatomical continuity">
				<label for="eformField_1_5" class="metadetail">Anatomical continuity</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_1" id="eformField_1_6" style="{border:0;}" value="All of the above">
				<label for="eformField_1_6" class="metadetail">All of the above</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_1_required" id="eformField_1_required" class="metadetail" value="Overall, which of the following factors have been associated with good prognosis in patients with short bowel syndrome? is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">The average intestinal length in an otherwise full term baby is approximately 250-300 cm.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_2" id="eformField_2_1" style="{border:0;}" value="true">
				<label for="eformField_2_1" class="metadetail">true</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_2" id="eformField_2_2" style="{border:0;}" value="false">
				<label for="eformField_2_2" class="metadetail">false</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_2_required" id="eformField_2_required" class="metadetail" value="The average intestinal length in an otherwise full term baby is approximately 250-300 cm. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Primary Email Address:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_3" id="eformField_3" class="metadetail" size="35" value="">
				  
				<input type="Hidden" name="eformField_3_email" id="eformField_3_email" class="metadetail" value="Primary Email Address: must be a valid email address.">
				
			
				
				<input type="Hidden" name="eformField_3_required" id="eformField_3_required" class="metadetail" value="Primary Email Address: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">First Name:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_4" id="eformField_4" class="metadetail" size="35" value="">
				
			
				
				<input type="Hidden" name="eformField_4_required" id="eformField_4_required" class="metadetail" value="First Name: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Middle Initial:&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_5" id="eformField_5" class="metadetail" size="35" value="">
				
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Last Name:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_6" id="eformField_6" class="metadetail" size="35" value="">
				
			
				
				<input type="Hidden" name="eformField_6_required" id="eformField_6_required" class="metadetail" value="Last Name: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Street Address 1:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_7" id="eformField_7" class="metadetail" size="35" value="">
				
			
				
				<input type="Hidden" name="eformField_7_required" id="eformField_7_required" class="metadetail" value="Street Address 1: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Street Address 2:&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_8" id="eformField_8" class="metadetail" size="35" value="">
				
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">City&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_9" id="eformField_9" class="metadetail" size="35" value="">
				
			
				
				<input type="Hidden" name="eformField_9_required" id="eformField_9_required" class="metadetail" value="City is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">State&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<select name="eformField_10" id="eformField_10" class="metadetail">
					<option value=""></option>
					<option value="AK" selected>AK</option>
					<option value="AL">AL</option>
					<option value="AR">AR</option>
					<option value="AZ">AZ</option>
					<option value="CA">CA</option>
					<option value="CO">CO</option>
					<option value="CT">CT</option>
					<option value="DC">DC</option>
					<option value="DE">DE</option>
					<option value="FL">FL</option>
					<option value="GA">GA</option>
					<option value="HI">HI</option>
					<option value="IA">IA</option>
					<option value="ID">ID</option>
					<option value="IL">IL</option>
					<option value="IN">IN</option>
					<option value="KS">KS</option>
					<option value="KY">KY</option>
					<option value="LA">LA</option>
					<option value="MA">MA</option>
					<option value="MD">MD</option>
					<option value="ME">ME</option>
					<option value="MI">MI</option>
					<option value="MN">MN</option>
					<option value="MO">MO</option>
					<option value="MS">MS</option>
					<option value="MT">MT</option>
					<option value="NC">NC</option>
					<option value="ND">ND</option>
					<option value="NE">NE</option>
					<option value="NH">NH</option>
					<option value="NJ">NJ</option>
					<option value="NM">NM</option>
					<option value="NV">NV</option>
					<option value="NY">NY</option>
					<option value="OH">OH</option>
					<option value="OK">OK</option>
					<option value="OR">OR</option>
					<option value="PA">PA</option>
					<option value="PR">PR</option>
					<option value="RI">RI</option>
					<option value="SC">SC</option>
					<option value="SD">SD</option>
					<option value="TN">TN</option>
					<option value="TX">TX</option>
					<option value="UT">UT</option>
					<option value="VA">VA</option>
					<option value="VT">VT</option>
					<option value="WA">WA</option>
					<option value="WI">WI</option>
					<option value="WV">WV</option>
					<option value="WY">WY</option>
				</select>
				
				
			
				
				<input type="Hidden" name="eformField_10_required" id="eformField_10_required" class="metadetail" value="State is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Zip&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_11" id="eformField_11" class="metadetail" size="35" value="">
				
			
				
				<input type="Hidden" name="eformField_11_required" id="eformField_11_required" class="metadetail" value="Zip is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">License Number:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_12" id="eformField_12" class="metadetail" size="35" value="">
				
			
				
				<input type="Hidden" name="eformField_12_required" id="eformField_12_required" class="metadetail" value="License Number: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">State of Licensure:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_13" id="eformField_13" class="metadetail" size="35" value="">
				
			
				
				<input type="Hidden" name="eformField_13_required" id="eformField_13_required" class="metadetail" value="State of Licensure: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Country&nbsp;</th>
		
			<td class="metadetail">
				<input type="Text" name="eformField_14" id="eformField_14" class="metadetail" size="35" value="United States">
				
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Area of Specialty:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_1" style="{border:0;}" value="Pediatrics">
				<label for="eformField_15_1" class="metadetail">Pediatrics</label></span><br>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_1";
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				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_2" style="{border:0;}" value="Family Medicine">
				<label for="eformField_15_2" class="metadetail">Family Medicine</label></span><br>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_2";
					//--></script>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_3" style="{border:0;}" value="Medicine/Pediatrics">
				<label for="eformField_15_3" class="metadetail">Medicine/Pediatrics</label></span><br>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_3";
					//--></script>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_4" style="{border:0;}" value="Internal Medicine">
				<label for="eformField_15_4" class="metadetail">Internal Medicine</label></span><br>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_4";
					//--></script>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_5" style="{border:0;}" value="Surgery">
				<label for="eformField_15_5" class="metadetail">Surgery</label></span><br>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_5";
					//--></script>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_6" style="{border:0;}" value="Orthopedics">
				<label for="eformField_15_6" class="metadetail">Orthopedics</label></span><br>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_6";
					//--></script>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_7" style="{border:0;}" value="Psychiatry">
				<label for="eformField_15_7" class="metadetail">Psychiatry</label></span><br>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_7";
					//--></script>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_8" style="{border:0;}" value="Obstetrics/Gynecology">
				<label for="eformField_15_8" class="metadetail">Obstetrics/Gynecology</label></span><br>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_8";
					//--></script>
				
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_15" id="eformField_15_other" style="{border:0;}" value='Other' onClick="return smm_eforms_toggle_other(this);">
				<label for="eformField_15_other" class="metadetail">Other</label></span>
				<div class="metanew">
					<p class="metanew">
						If Other, please specify:<br>
						<textarea cols="30" rows="3" name="eformField_15_other_txt" id="eformField_15_other_txt" disabled class="metadetail"></textarea>
					</p>
				</div>
				<script type="text/javascript"><!--
				smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_15_other";
				//--></script>
				<input type="hidden" name="eformField_15_other_txt_required" id="eformField_15_other_txt_required" value='Please provide further details to your answer: Other.' disabled>
			
		
			
				
				<input type="Hidden" name="eformField_15_required" id="eformField_15_required" class="metadetail" value="Area of Specialty: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Employment Type:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_16" id="eformField_16_1" style="{border:0;}" value="Staff physician">
				<label for="eformField_16_1" class="metadetail">Staff physician</label></span>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_16_1";
					//--></script>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_16" id="eformField_16_2" style="{border:0;}" value="Resident Physician">
				<label for="eformField_16_2" class="metadetail">Resident Physician</label></span>
				
					<script type="text/javascript"><!--
					smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_16_2";
					//--></script>
				
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_16" id="eformField_16_other" style="{border:0;}" value='Other' onClick="return smm_eforms_toggle_other(this);">
				<label for="eformField_16_other" class="metadetail">Other</label></span>
				<div class="metanew">
					<p class="metanew">
						If Other, please specify:<br>
						<textarea cols="30" rows="3" name="eformField_16_other_txt" id="eformField_16_other_txt" disabled class="metadetail"></textarea>
					</p>
				</div>
				<script type="text/javascript"><!--
				smm_eforms_toggle_other_to_init[smm_eforms_toggle_other_to_init.length] = "eformField_16_other";
				//--></script>
				<input type="hidden" name="eformField_16_other_txt_required" id="eformField_16_other_txt_required" value='Please provide further details to your answer: Other.' disabled>
			
		
			
				
				<input type="Hidden" name="eformField_16_required" id="eformField_16_required" class="metadetail" value="Employment Type: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Presentation:</u> Stated educational objectives were met.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_17" id="eformField_17_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_17_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_17" id="eformField_17_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_17_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_17" id="eformField_17_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_17_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_17" id="eformField_17_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_17_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_17" id="eformField_17_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_17_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_17_required" id="eformField_17_required" class="metadetail" value="Presentation: Stated educational objectives were met. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Presentation:</u> The speaker(s) demonstrated mastery of the subject.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_18" id="eformField_18_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_18_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_18" id="eformField_18_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_18_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_18" id="eformField_18_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_18_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_18" id="eformField_18_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_18_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_18" id="eformField_18_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_18_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_18_required" id="eformField_18_required" class="metadetail" value="Presentation: The speaker(s) demonstrated mastery of the subject. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Presentation:</u> Teaching methods and presentation skills were effective.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_19" id="eformField_19_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_19_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_19" id="eformField_19_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_19_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_19" id="eformField_19_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_19_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_19" id="eformField_19_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_19_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_19" id="eformField_19_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_19_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_19_required" id="eformField_19_required" class="metadetail" value="Presentation: Teaching methods and presentation skills were effective. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Content and Format:</u> The content was evidence-based.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_20" id="eformField_20_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_20_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_20" id="eformField_20_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_20_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_20" id="eformField_20_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_20_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_20" id="eformField_20_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_20_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_20" id="eformField_20_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_20_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_20_required" id="eformField_20_required" class="metadetail" value="Content and Format: The content was evidence-based. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Content and Format:</u> Presentation was given without commercial bias or influence.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_21" id="eformField_21_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_21_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_21" id="eformField_21_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_21_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_21" id="eformField_21_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_21_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_21" id="eformField_21_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_21_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_21" id="eformField_21_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_21_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_21_required" id="eformField_21_required" class="metadetail" value="Content and Format: Presentation was given without commercial bias or influence. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Content and Format:</u> Information will improve my ability to treat and manage my patients.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_22" id="eformField_22_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_22_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_22" id="eformField_22_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_22_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_22" id="eformField_22_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_22_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_22" id="eformField_22_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_22_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_22" id="eformField_22_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_22_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_22_required" id="eformField_22_required" class="metadetail" value="Content and Format: Information will improve my ability to treat and manage my patients. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Content and Format:</u> The material presented is relevant to my practice.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_23" id="eformField_23_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_23_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_23" id="eformField_23_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_23_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_23" id="eformField_23_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_23_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_23" id="eformField_23_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_23_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_23" id="eformField_23_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_23_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_23_required" id="eformField_23_required" class="metadetail" value="Content and Format: The material presented is relevant to my practice. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Content and Format:</u> The educational format for this CME activity was appropriate for the content.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_24" id="eformField_24_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_24_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_24" id="eformField_24_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_24_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_24" id="eformField_24_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_24_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_24" id="eformField_24_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_24_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_24" id="eformField_24_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_24_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_24_required" id="eformField_24_required" class="metadetail" value="Content and Format: The educational format for this CME activity was appropriate for the content. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Outcomes:</u> Attending this CME activity increased/improved my: Knowledge of the subject.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_25" id="eformField_25_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_25_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_25" id="eformField_25_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_25_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_25" id="eformField_25_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_25_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_25" id="eformField_25_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_25_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_25" id="eformField_25_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_25_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_25_required" id="eformField_25_required" class="metadetail" value="Outcomes: Attending this CME activity increased/improved my: Knowledge of the subject. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Outcomes:</u> Attending this CME activity increased/improved my: Competence.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_26" id="eformField_26_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_26_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_26" id="eformField_26_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_26_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_26" id="eformField_26_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_26_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_26" id="eformField_26_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_26_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_26" id="eformField_26_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_26_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_26_required" id="eformField_26_required" class="metadetail" value="Outcomes: Attending this CME activity increased/improved my: Competence. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Outcomes:</u> Attending this CME activity increased/improved my: Performance.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_27" id="eformField_27_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_27_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_27" id="eformField_27_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_27_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_27" id="eformField_27_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_27_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_27" id="eformField_27_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_27_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_27" id="eformField_27_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_27_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_27_required" id="eformField_27_required" class="metadetail" value="Outcomes: Attending this CME activity increased/improved my: Performance. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Outcomes:</u> Attending this CME activity increased/improved my: Patient outcomes.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_28" id="eformField_28_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_28_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_28" id="eformField_28_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_28_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_28" id="eformField_28_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_28_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_28" id="eformField_28_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_28_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_28" id="eformField_28_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_28_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_28_required" id="eformField_28_required" class="metadetail" value="Outcomes: Attending this CME activity increased/improved my: Patient outcomes. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Outcomes:</u> Attending this CME activity increased/improved my: This activity will have a positive impact on the quality of patient care and/or patient safety.&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_29" id="eformField_29_1" style="{border:0;}" value="5 - Strongly Agree">
				<label for="eformField_29_1" class="metadetail">5 - Strongly Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_29" id="eformField_29_2" style="{border:0;}" value="4 - Agree">
				<label for="eformField_29_2" class="metadetail">4 - Agree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_29" id="eformField_29_3" style="{border:0;}" value="3 - Neutral">
				<label for="eformField_29_3" class="metadetail">3 - Neutral</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_29" id="eformField_29_4" style="{border:0;}" value="2 - Disagree">
				<label for="eformField_29_4" class="metadetail">2 - Disagree</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_29" id="eformField_29_5" style="{border:0;}" value="1 - Strongly Disagree">
				<label for="eformField_29_5" class="metadetail">1 - Strongly Disagree</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_29_required" id="eformField_29_required" class="metadetail" value="Outcomes: Attending this CME activity increased/improved my: This activity will have a positive impact on the quality of patient care and/or patient safety. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Commercial Support / Disclosure:</u> The provider of the CME has disclosed in writing or verbally: <i>The conflict of interest or lack thereof declared by planners and speaker(s)?</i>	&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_30" id="eformField_30_1" style="{border:0;}" value="Yes">
				<label for="eformField_30_1" class="metadetail">Yes</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_30" id="eformField_30_2" style="{border:0;}" value="No">
				<label for="eformField_30_2" class="metadetail">No</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_30_required" id="eformField_30_required" class="metadetail" value="Commercial Support / Disclosure: The provider of the CME has disclosed in writing or verbally: The conflict of interest or lack thereof declared by planners and speaker(s)?	 is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail"><u>Commercial Support / Disclosure:</u> The provider of the CME has disclosed in writing or verbally: <i>Commercial support or lack thereof was acknowledged accordingly.</i>&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
			
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_31" id="eformField_31_1" style="{border:0;}" value="Yes">
				<label for="eformField_31_1" class="metadetail">Yes</label></span><br>
				
			
				<span style="white-space:nowrap;"><input type="checkbox" name="eformField_31" id="eformField_31_2" style="{border:0;}" value="No">
				<label for="eformField_31_2" class="metadetail">No</label></span><br>
				
			
			
		
			
				
				<input type="Hidden" name="eformField_31_required" id="eformField_31_required" class="metadetail" value="Commercial Support / Disclosure: The provider of the CME has disclosed in writing or verbally: Commercial support or lack thereof was acknowledged accordingly. is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Name one thing you will change as a result of attending this CME program:&nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<textarea name="eformField_32" id="eformField_32" class="metadetail" cols="40" rows="5"></textarea>
				
			
				
				<input type="Hidden" name="eformField_32_required" id="eformField_32_required" class="metadetail" value="Name one thing you will change as a result of attending this CME program: is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">What barriers do you anticipate in implementing the above change?  &nbsp;<span class="required">*</span>&nbsp;</th>
		
			<td class="metadetail">
				<textarea name="eformField_33" id="eformField_33" class="metadetail" cols="40" rows="5"></textarea>
				
			
				
				<input type="Hidden" name="eformField_33_required" id="eformField_33_required" class="metadetail" value="What barriers do you anticipate in implementing the above change?   is required.">
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Comments or suggestions:  &nbsp;</th>
		
			<td class="metadetail">
				<textarea name="eformField_34" id="eformField_34" class="metadetail" cols="40" rows="5"></textarea>
				
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">Suggestions for future topics:&nbsp;</th>
		
			<td class="metadetail">
				<textarea name="eformField_35" id="eformField_35" class="metadetail" cols="40" rows="5"></textarea>
				
			
			</td>
		</tr>
		
	
		
			
		
		<tr class="metadetail">
			<th valign="top" class="metadetail">By registering for Continuing Medical Education credit, I certify that I have watched the CME program in its entirety for which I am claiming credit.&nbsp;<span class="required">*</span>&nbsp;</th>
		
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			<td class="metadetail" colspan="2"><br>Children's Hospital & Medical Center is accredited by the Nebraska Medical Association Commission on Medical Education to provide continuing medical education for physicians.&nbsp;&nbsp;Children's Hospital & Medical Center designates this live activity for a maximum of one (1) AMA PRA Category I CreditTM.&nbsp;&nbsp;Physicians should claim only the credit commensurate with the extent of their participation in the activity.</td>
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