If the problem persists contact us by phone";
} else {
// if (isset ($_REQUEST['Submit'])) {
//Check User
//User is not longer requested, Request submitted by Antonio Rey 11/22/06
$c_functions = new db_functions (); $c_functions ->db_connect($database_DB_conn, $DB_conn);
// if ($c_functions ->get_count ("site_med_history", "uname = \"".$_REQUEST['db_uname']."\"" ) > 0){
// echo "Sorry but the USER NAME is NOT AVAILABLE, please use a new one
";
// include ("lib/login_frm.php");
//} else {
echo "Please complete the folowing medical history form