var StateList = '<option value="Not Available">Not Available<\/option>' +
	'<option value="AL">Alabama<\/option>' +
	'<option value="AB">Alberta<\/option>' +
	'<option value="AK">Alaska<\/option>' +
	'<option value="AZ">Arizona<\/option>' +
	'<option value="AR">Arkansas<\/option>' +
	'<option value="BC">British Columbia<\/option>' +
	'<option value="CA">California<\/option>' +
	'<option value="CO">Colorado<\/option>' +
	'<option value="CT">Connecticut<\/option>' +
	'<option value="DE">Delaware<\/option>' +
	'<option value="DC">District of Columbia<\/option>' +
	'<option value="FL">Florida<\/option>' +
	'<option value="GA">Georgia<\/option>' +
	'<option value="HI">Hawaii<\/option>' +
	'<option value="ID">Idaho<\/option>' +
	'<option value="IL">Illinois<\/option>' +
	'<option value="IN">Indiana<\/option>' +
	'<option value="IA">Iowa<\/option>' +
	'<option value="KS">Kansas<\/option>' +
	'<option value="KY">Kentucky<\/option>' +
	'<option value="LA">Louisiana<\/option>' +
	'<option value="ME">Maine<\/option>' +
	'<option value="MB">Manitoba<\/option>' +
	'<option value="MD">Maryland<\/option>' +
	'<option value="MA">Massachusetts<\/option>' +
	'<option value="MI">Michigan<\/option>' +
	'<option value="MN">Minnesota<\/option>' +
	'<option value="MS">Mississippi<\/option>' +
	'<option value="MO">Missouri<\/option>' +
	'<option value="MT">Montana<\/option>' +
	'<option value="NE">Nebraska<\/option>' +
	'<option value="NV">Nevada<\/option>' +
	'<option value="NB">New Brunswick<\/option>' +
	'<option value="NH">New Hampshire<\/option>' +
	'<option value="NJ">New Jersey<\/option>' +
	'<option value="NM">New Mexico<\/option>' +
	'<option value="NY">New York<\/option>' +
	'<option value="NL">Newfoundland &amp; Labrador<\/option>' +
	'<option value="NC">North Carolina<\/option>' +
	'<option value="ND">North Dakota<\/option>' +
	'<option value="NT">Northwest Territories<\/option>' +
	'<option value="NS">Nova Scotia<\/option>' +
	'<option value="NU">Nunavut<\/option>' +
	'<option value="OH">Ohio<\/option>' +
	'<option value="OK">Oklahoma<\/option>' +
	'<option value="ON">Ontario<\/option>' +
	'<option value="OR">Oregon<\/option>' +
	'<option value="PA">Pennsylvania<\/option>' +
	'<option value="PE">Prince Edward Island<\/option>' +
	'<option value="PR">Puerto Rico<\/option>' +
	'<option value="QC">Qu&eacute;bec<\/option>' +
	'<option value="RI">Rhode Island<\/option>' +
	'<option value="SK">Saskatchewan<\/option>' +
	'<option value="SC">South Carolina<\/option>' +
	'<option value="SD">South Dakota<\/option>' +
	'<option value="TN">Tennessee<\/option>' +
	'<option value="TX">Texas<\/option>' +
	'<option value="UT">Utah<\/option>' +
	'<option value="VT">Vermont<\/option>' +
	'<option value="VA">Virginia<\/option>' +
	'<option value="WA">Washington<\/option>' +
	'<option value="WV">West Virginia<\/option>' +
	'<option value="WI">Wisconsin<\/option>' +
	'<option value="WY">Wyoming<\/option>' +
	'<option value="YT">Yukon Territory<\/option>';

// initialize the list of countries
var CountryList =	'<option value="United States of America">United States of America<\/option>' +
	'<option value="Afghanistan">Afghanistan<\/option>' +
	'<option value="Albania">Albania<\/option>' +
	'<option value="Algeria">Algeria<\/option>' +
	'<option value="American Samoa">American Samoa<\/option>' +
	'<option value="Andorra">Andorra<\/option>' +
	'<option value="Angola">Angola<\/option>' +
	'<option value="Antigua and Barbuda">Antigua and Barbuda<\/option>' +
	'<option value="Argentina">Argentina<\/option>' +
	'<option value="Armenia">Armenia<\/option>' +
	'<option value="Aruba">Aruba<\/option>' +
	'<option value="Australia">Australia<\/option>' +
	'<option value="Austria">Austria<\/option>' +
	'<option value="Azerbaijan">Azerbaijan<\/option>' +
	'<option value="Bahamas">Bahamas<\/option>' +
	'<option value="Bahrain">Bahrain<\/option>' +
	'<option value="Bangladesh">Bangladesh<\/option>' +
	'<option value="Barbados">Barbados<\/option>' +
	'<option value="Belarus">Belarus<\/option>' +
	'<option value="Belgium">Belgium<\/option>' +
	'<option value="Belize">Belize<\/option>' +
	'<option value="Benin">Benin<\/option>' +
	'<option value="Bermuda">Bermuda<\/option>' +
	'<option value="Bhutan">Bhutan<\/option>' +
	'<option value="Bolivia">Bolivia<\/option>' +
	'<option value="Botswana">Botswana<\/option>' +
	'<option value="Bouvet Island">Bouvet Island<\/option>' +
	'<option value="Brazil">Brazil<\/option>' +
	'<option value="Brunei">Brunei<\/option>' +
	'<option value="Bulgaria">Bulgaria<\/option>' +
	'<option value="Burkina Faso">Burkina Faso<\/option>' +
	'<option value="Burundi">Burundi<\/option>' +
	'<option value="Cambodia">Cambodia<\/option>' +
	'<option value="Cameroon">Cameroon<\/option>' +
	'<option value="Canada">Canada<\/option>' +
	'<option value="Cape Verde">Cape Verde<\/option>' +
	'<option value="Cayman Islands">Cayman Islands<\/option>' +
	'<option value="Central African Republic">Central African Republic<\/option>' +
	'<option value="Chad">Chad<\/option>' +
	'<option value="Chile">Chile<\/option>' +
	'<option value="China">China<\/option>' +
	'<option value="Christmas Island">Christmas Island<\/option>' +
	'<option value="Cocos Islands">Cocos Islands<\/option>' +
	'<option value="Colombia">Colombia<\/option>' +
	'<option value="Comoros">Comoros<\/option>' +
	'<option value="Congo">Congo<\/option>' +
	'<option value="Cook Islands">Cook Islands<\/option>' +
	'<option value="Costa Rica">Costa Rica<\/option>' +
	'<option value="Croatia">Croatia<\/option>' +
	'<option value="Cuba">Cuba<\/option>' +
	'<option value="Cyprus">Cyprus<\/option>' +
	'<option value="Czech Republic">Czech Republic<\/option>' +
	'<option value="Darussalam">Darussalam<\/option>' +
	'<option value="Denmark">Denmark<\/option>' +
	'<option value="Djibouti">Djibouti<\/option>' +
	'<option value="Dominica">Dominica<\/option>' +
	'<option value="Dominican Republic">Dominican Republic<\/option>' +
	'<option value="DPR of Korea">DPR of Korea<\/option>' +
	'<option value="East Timor">East Timor<\/option>' +
	'<option value="Ecuador">Ecuador<\/option>' +
	'<option value="Egypt">Egypt<\/option>' +
	'<option value="El Salvador">El Salvador<\/option>' +
	'<option value="Equatorial Guinea">Equatorial Guinea<\/option>' +
	'<option value="Estonia">Estonia<\/option>' +
	'<option value="Ethiopia">Ethiopia<\/option>' +
	'<option value="Falkland Islands">Falkland Islands<\/option>' +
	'<option value="Faroe Islands">Faroe Islands<\/option>' +
	'<option value="Fiji">Fiji<\/option>' +
	'<option value="Finland">Finland<\/option>' +
	'<option value="France">France<\/option>' +
	'<option value="French Guiana">French Guiana<\/option>' +
	'<option value="French Southern Territories">French Southern Territories<\/option>' +
	'<option value="Gabon">Gabon<\/option>' +
	'<option value="Gambia">Gambia<\/option>' +
	'<option value="Georgia">Georgia<\/option>' +
	'<option value="Germany">Germany<\/option>' +
	'<option value="Ghana">Ghana<\/option>' +
	'<option value="Gibraltar">Gibraltar<\/option>' +
	'<option value="Greece">Greece<\/option>' +
	'<option value="Grenada">Grenada<\/option>' +
	'<option value="Guadeloupe">Guadeloupe<\/option>' +
	'<option value="Guam">Guam<\/option>' +
	'<option value="Guatemala">Guatemala<\/option>' +
	'<option value="Guinea">Guinea<\/option>' +
	'<option value="Guyana">Guyana<\/option>' +
	'<option value="Haiti">Haiti<\/option>' +
	'<option value="Honduras">Honduras<\/option>' +
	'<option value="Hong Kong">Hong Kong<\/option>' +
	'<option value="Hungary">Hungary<\/option>' +
	'<option value="Iceland">Iceland<\/option>' +
	'<option value="India">India<\/option>' +
	'<option value="Indonesia">Indonesia<\/option>' +
	'<option value="Iran">Iran<\/option>' +
	'<option value="Iraq">Iraq<\/option>' +
	'<option value="Ireland">Ireland<\/option>' +
	'<option value="Israel">Israel<\/option>' +
	'<option value="Italy">Italy<\/option>' +
	'<option value="Jamahiriya">Jamahiriya<\/option>' +
	'<option value="Jamaica">Jamaica<\/option>' +
	'<option value="Japan">Japan<\/option>' +
	'<option value="Jordan">Jordan<\/option>' +
	'<option value="Kazakhstan">Kazakhstan<\/option>' +
	'<option value="Kenya">Kenya<\/option>' +
	'<option value="Kiribati">Kiribati<\/option>' +
	'<option value="Kuwait">Kuwait<\/option>' +
	'<option value="Kyrgystan">Kyrgystan<\/option>' +
	'<option value="Latvia">Latvia<\/option>' +
	'<option value="Lebanon">Lebanon<\/option>' +
	'<option value="Lesotho">Lesotho<\/option>' +
	'<option value="Liberia">Liberia<\/option>' +
	'<option value="Libyan Arab">Libyan Arab<\/option>' +
	'<option value="Liechtenstein">Liechtenstein<\/option>' +
	'<option value="Lithuania">Lithuania<\/option>' +
	'<option value="Luxembourg">Luxembourg<\/option>' +
	'<option value="Macao">Macao<\/option>' +
	'<option value="Macedonia">Macedonia<\/option>' +
	'<option value="Madagascar">Madagascar<\/option>' +
	'<option value="Malawi">Malawi<\/option>' +
	'<option value="Malaysia">Malaysia<\/option>' +
	'<option value="Maldives">Maldives<\/option>' +
	'<option value="Mali">Mali<\/option>' +
	'<option value="Malta">Malta<\/option>' +
	'<option value="Martinique">Martinique<\/option>' +
	'<option value="Mauritania">Mauritania<\/option>' +
	'<option value="Mauritius">Mauritius<\/option>' +
	'<option value="Mexico">Mexico<\/option>' +
	'<option value="Moldova">Moldova<\/option>' +
	'<option value="Monaco">Monaco<\/option>' +
	'<option value="Mongolia">Mongolia<\/option>' +
	'<option value="Montserrat">Montserrat<\/option>' +
	'<option value="Morocco">Morocco<\/option>' +
	'<option value="Mozambique">Mozambique<\/option>' +
	'<option value="Myanmar">Myanmar<\/option>' +
	'<option value="Namibia">Namibia<\/option>' +
	'<option value="Nauru">Nauru<\/option>' +
	'<option value="Nepal">Nepal<\/option>' +
	'<option value="Netherlands">Netherlands<\/option>' +
	'<option value="New Zealand">New Zealand<\/option>' +
	'<option value="Nicaragua">Nicaragua<\/option>' +
	'<option value="Nigeria">Nigeria<\/option>' +
	'<option value="Niue">Niue<\/option>' +
	'<option value="Norfolk Island">Norfolk Island<\/option>' +
	'<option value="Northern Mariana Islands">Northern Mariana Islands<\/option>' +
	'<option value="Norway">Norway<\/option>' +
	'<option value="Oman">Oman<\/option>' +
	'<option value="Pakistan">Pakistan<\/option>' +
	'<option value="Panama">Panama<\/option>' +
	'<option value="Papua New Guinea">Papua New Guinea<\/option>' +
	'<option value="Paraguay">Paraguay<\/option>' +
	'<option value="People\'s Dem. Rep. Of Lao">People\'s Dem. Rep. Of Lao<\/option>' +
	'<option value="Peru">Peru<\/option>' +
	'<option value="Philippines">Philippines<\/option>' +
	'<option value="Pitcairn">Pitcairn<\/option>' +
	'<option value="Poland">Poland<\/option>' +
	'<option value="Portugal">Portugal<\/option>' +
	'<option value="Puerto Rico">Puerto Rico<\/option>' +
	'<option value="Qatar">Qatar<\/option>' +
	'<option value="Republic of Korea">Republic of Korea<\/option>' +
	'<option value="Reunion">Reunion<\/option>' +
	'<option value="Romania">Romania<\/option>' +
	'<option value="Russia">Russia<\/option>' +
	'<option value="Rwanda">Rwanda<\/option>' +
	'<option value="Samoa">Samoa<\/option>' +
	'<option value="San Marino">San Marino<\/option>' +
	'<option value="Saudi Arabia">Saudi Arabia<\/option>' +
	'<option value="Serbia">Serbia<\/option>' +
	'<option value="Seychelles">Seychelles<\/option>' +
	'<option value="Sierra Leone">Sierra Leone<\/option>' +
	'<option value="Singapore">Singapore<\/option>' +
	'<option value="Slovakia">Slovakia<\/option>' +
	'<option value="Slovenia">Slovenia<\/option>' +
	'<option value="Solomon Islands">Solomon Islands<\/option>' +
	'<option value="Somalia">Somalia<\/option>' +
	'<option value="South Africa">South Africa<\/option>' +
	'<option value="South Korea">South Korea<\/option>' +
	'<option value="Spain">Spain<\/option>' +
	'<option value="Sri Lanka">Sri Lanka<\/option>' +
	'<option value="St. Helena">St. Helena<\/option>' +
	'<option value="St. Pierre and Miquelon">St. Pierre and Miquelon<\/option>' +
	'<option value="Sudan">Sudan<\/option>' +
	'<option value="Suriname">Suriname<\/option>' +
	'<option value="Swaziland">Swaziland<\/option>' +
	'<option value="Sweden">Sweden<\/option>' +
	'<option value="Switzerland">Switzerland<\/option>' +
	'<option value="Syrian Arab Republic">Syrian Arab Republic<\/option>' +
	'<option value="Taiwan">Taiwan<\/option>' +
	'<option value="Tajikistan">Tajikistan<\/option>' +
	'<option value="Tanzania">Tanzania<\/option>' +
	'<option value="Thailand">Thailand<\/option>' +
	'<option value="Tibet">Tibet<\/option>' +
	'<option value="Tokelau">Tokelau<\/option>' +
	'<option value="Tonga">Tonga<\/option>' +
	'<option value="Trinidad and Tobago">Trinidad and Tobago<\/option>' +
	'<option value="Tunisia">Tunisia<\/option>' +
	'<option value="Turkey">Turkey<\/option>' +
	'<option value="Turkmenistan">Turkmenistan<\/option>' +
	'<option value="Turks and Caicos Islands">Turks and Caicos Islands<\/option>' +
	'<option value="Tuvalu">Tuvalu<\/option>' +
	'<option value="Uganda">Uganda<\/option>' +
	'<option value="Ukraine">Ukraine<\/option>' +
	'<option value="United Arab Emirates">United Arab Emirates<\/option>' +
	'<option value="United Kingdom">United Kingdom<\/option>' +
	'<option value="Uruguay">Uruguay<\/option>' +
	'<option value="Uzbekistan">Uzbekistan<\/option>' +
	'<option value="Vanuatu">Vanuatu<\/option>' +
	'<option value="Venezuela">Venezuela<\/option>' +
	'<option value="Vietnam">Vietnam<\/option>' +
	'<option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)<\/option>' +
	'<option value="Yemen">Yemen<\/option>' +
	'<option value="Yugoslavia">Yugoslavia<\/option>' +
	'<option value="Zambia">Zambia<\/option>' +
	'<option value="Zimbabwe">Zimbabwe<\/option>';
	
// initialize the list of salutations
var SalutationList = '<option value="Dr.">Dr.<\/option>' +
	'<option value="Prof.">Prof.<\/option>' +
	'<option value="Mr.">Mr.<\/option>' +
	'<option value="Mrs.">Mrs.<\/option>' +
	'<option value="Ms.">Ms.<\/option>';

// initialize list of investigator employment statuses
var InvEmploymentStatusList = '<option value="Full Time">Full Time<\/option>' +
	'<option value="Part Time">Part Time<\/option>' +
	'<option value="Retired">Retired<\/option>' +
	'<option value="Deceased">Deceased<\/option>' +
	'<option value="Leave of Absence">Leave of Absence<\/option>';

// initialize list of suffixes
var SuffixList = '<option value="Jr.">Jr.<\/option>' +
	'<option value="Sr.">Sr.<\/option>' +
	'<option value="II">II<\/option>' +
	'<option value="III">III<\/option>' +
	'<option value="IV">IV<\/option>' +
	'<option value="V">V<\/option>';


// initialize the list of medical specialties
var MedSpecList = '<option value="Allergy">Allergy<\/option>' +
	'<option value="Anesthesiology">Anesthesiology<\/option>' +
	'<option value="Cardiology">Cardiology<\/option>' +
	'<option value="Cardiovascular">Cardiovascular<\/option>' +
	'<option value="Critical Care">Critical Care<\/option>' +
	'<option value="Dental Care">Dental Care<\/option>' +
	'<option value="Dermatology">Dermatology<\/option>' +
	'<option value="Emergency Medicine">Emergency Medicine<\/option>' +
	'<option value="Endocrinology">Endocrinology<\/option>' +
	'<option value="Family Practice\/Primary Care">Family Practice/Primary Care<\/option>' +
	'<option value="Gastroenterology">Gastroenterology<\/option>' +
	'<option value="General Surgery">General Surgery<\/option>' +
	'<option value="Geriatrics">Geriatrics<\/option>' +
	'<option value="Gynecology">Gynecology<\/option>' +
	'<option value="Hematology">Hematology<\/option>' +
	'<option value="Hepatology">Hepatology<\/option>' +
	'<option value="Immunology">Immunology<\/option>' +
	'<option value="Infectious Diseases">Infectious Diseases<\/option>' +
	'<option value="Internal Medicine">Internal Medicine<\/option>' +
	'<option value="Nephrology">Nephrology<\/option>' +
	'<option value="Neurology">Neurology<\/option>' +
	'<option value="Obstetrics">Obstetrics<\/option>' +
	'<option value="Oncology">Oncology<\/option>' +
	'<option value="Ophthalmology">Ophthalmology<\/option>' +
	'<option value="Orthopedics">Orthopedics<\/option>' +
	'<option value="Osteopathy">Osteopathy<\/option>' +
	'<option value="Otolaryngology\/ENT">Otolaryngology\/ENT<\/option>' +
	'<option value="Paediatrics">Paediatrics<\/option>' +
	'<option value="Pathology">Pathology<\/option>' +
	'<option value="Pharmacology">Pharmacology<\/option>' +
	'<option value="Plastic Surgery">Plastic Surgery<\/option>' +
	'<option value="Podiatry">Podiatry<\/option>' +
	'<option value="Proctology">Proctology<\/option>' +
	'<option value="Psychiatry">Psychiatry<\/option>' +
	'<option value="Pulmonology\/Respiratory">Pulmonology\/Respiratory<\/option>' +
	'<option value="Radiology">Radiology<\/option>' +
	'<option value="Rheumatology">Rheumatology<\/option>' +
	'<option value="Trauma Medicine">Trauma Medicine<\/option>' +
	'<option value="Urology">Urology<\/option>' +
	'<option value="Wound Care">Wound Care<\/option>' +
	'<option value="Other">Other<\/option>';