Patient Journey

Request Information

• First and Last Name:
  
• Email:

• Phone:

• Do you have any questions?

function submitUserForm() {
    var response = grecaptcha.getResponse();
    if(response.trim().length == 0) {
        document.getElementById(‘g-recaptcha-error’).innerHTML = ‘Please, verify you are not robot‘;
        return false;
    }
    return true;
}
 
function verifyCaptcha() {
    document.getElementById(‘g-recaptcha-error’).innerHTML = ”;
}