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var fbScriptTag = document.getElementsByClassName("b74bfa60-3379-4269-90ca-c89cf10bb4c9"),
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    renderedScripts = 'var conditionalSectionJs = function () {\
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        var fbRequire = fbRequireConfig.fbRequire;\
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        fbRequire([\'jquery\', \'he\'], function ($, he) {\
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            sectionConditions.forEach(function (sectionCondition) {\
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                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
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                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
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            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
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                showHideSection(shouldShowSection);\
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                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
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                        return;\
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                    if (matchingSelect.type === \'select-multiple\') {\
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                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
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                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
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                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
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\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
                        }\
                    }\
                }\
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                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
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            }\
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            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
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                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
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            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
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            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
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            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField36_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField36_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
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                $("#FormField36_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
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fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
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            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Billing"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
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            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
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                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
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                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
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\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
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\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
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\
                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
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            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
\
                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
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            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
\
            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
\
            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField34_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField34_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
                }\
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                $("#FormField34_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
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fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
\
            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Birth Certificates"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
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            \
            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
\
                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
\
                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
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\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
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                }\
\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
                        }\
                    }\
                }\
\
                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
                        }\
                    }\
                }\
            }\
\
            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
\
                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
\
            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
\
            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
\
            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField32_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField32_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
                }\
\
                $("#FormField32_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
\
fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
\
            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Careers"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
            });\
            \
            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
\
                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
\
                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
                            }\
                        }\
\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
                    }\
                }\
\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
                        }\
                    }\
                }\
\
                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
                        }\
                    }\
                }\
            }\
\
            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
\
                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
\
            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
\
            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
\
            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField30_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField30_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
                }\
\
                $("#FormField30_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
\
fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
\
            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Medical Records and MyChart"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
            });\
            \
            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
\
                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
\
                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
                            }\
                        }\
\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
                    }\
                }\
\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
                        }\
                    }\
                }\
\
                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
                        }\
                    }\
                }\
            }\
\
            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
\
                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
\
            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
\
            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
\
            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField28_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField28_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
                }\
\
                $("#FormField28_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
\
fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
\
            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Medication Refills"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
            });\
            \
            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
\
                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
\
                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
                            }\
                        }\
\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
                    }\
                }\
\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
                        }\
                    }\
                }\
\
                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
                        }\
                    }\
                }\
            }\
\
            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
\
                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
\
            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
\
            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
\
            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField26_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField26_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
                }\
\
                $("#FormField26_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
\
fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
\
            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Patient Care Issue/Concern"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
            });\
            \
            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
\
                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
\
                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
                            }\
                        }\
\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
                    }\
                }\
\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
                        }\
                    }\
                }\
\
                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
                        }\
                    }\
                }\
            }\
\
            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
\
                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
\
            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
\
            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
\
            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField24_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField24_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
                }\
\
                $("#FormField24_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
\
fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
\
            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Physician Referral"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
            });\
            \
            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
\
                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
\
                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
                            }\
                        }\
\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
                    }\
                }\
\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
                        }\
                    }\
                }\
\
                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
                        }\
                    }\
                }\
            }\
\
            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
\
                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
\
            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
\
            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
\
            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField22_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField22_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
                }\
\
                $("#FormField22_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
\
fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
\
            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Thank a Team Member"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
            });\
            \
            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
\
                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
\
                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
                            }\
                        }\
\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
                    }\
                }\
\
                function checkCheckbox(sectionCondition) {\
                    var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\
                    \
                    for (var i = 0; i < matchingCheckboxes.length; i++) {\
                        if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\
                        }\
                    }\
                }\
\
                function checkRadio(sectionCondition) {\
                    var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\
                    \
                    for (var i = 0; i < matchingRadios.length; i++) {\
                        if (encode(matchingRadios[i].value) === sectionCondition.Value) {\
                            shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\
                        }\
                    }\
                }\
            }\
\
            function mergeCondition(overallResult, newResult, element) {\
                newResult = newResult && isParentVisible(element);\
\
                if (conditionOperator === \'and\') {\
                    return overallResult && newResult;\
                } else {\
                    return overallResult || newResult;\
                }\
            }\
\
            function isParentVisible(element) {\
                var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\
                return parentSectionDiv && !parentSectionDiv.is(":hidden");\
            }\
\
            function encode(myString) {\
                myString = he.encode(he.escape(myString));\
\
                /* Fixes issues with single quote and backtick encoding */\
                var i,\
                    entities = [\
                        [\'&#x27;\', \'&#39;\'],\
                        [\'&#x60;\', \'`\']\
                    ];\
\
                for (i = 0; i < entities.length; i++) {\
                    myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\
                }\
\
                return myString;\
            }\
\
            function showHideSection(showSection) {\
                if (showSection) {\
                    $(\'#FormField20_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').show();\
                } else {\
                    $(\'#FormField20_b74bfa60-3379-4269-90ca-c89cf10bb4c9\').hide();\
                }\
\
                $("#FormField20_b74bfa60-3379-4269-90ca-c89cf10bb4c9 .conditionalSectionListSelection").each(function (i, obj) {\
                    if (obj.type === \'radio\' || obj.type === \'checkbox\') {\
                        if (obj.checked) {\
                            $(\'#\' + obj.id).change();\
                        }\
                    } else {\
                        $(\'#\' + obj.id).change();\
                    }\
                });\
            }\
        });\
    });\
};\
\
fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\
    requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\
        var fbRequire = fbRequireConfig.fbRequire;\
\
        fbRequire([\'jquery\', \'he\'], function ($, he) {\
            he.encode.options.decimal = true;\
            he.encode.options.allowUnsafeSymbols = true;\
\
            var sectionConditions = JSON.parse(\'[{"ElementName":"FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9","Value":"Volunteering"}]\');\
            var conditionOperator = \'and\';\
\
            sectionConditions.forEach(function (sectionCondition) {\
                $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\
                \
                $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
                \
                $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\
                    checkShowHide();\
                });\
            });\
            \
            function checkShowHide() {\
                var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\
\
                sectionConditions.forEach(function (sectionCondition) {\
                    checkSelect(sectionCondition);                \
                    checkCheckbox(sectionCondition);                \
                    checkRadio(sectionCondition);                    \
                });\
\
                showHideSection(shouldShowSection);\
\
                function checkSelect(sectionCondition) {\
                    var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\
\
                    if (!matchingSelect) {\
                        return;\
                    }\
\
                    if (matchingSelect.type === \'select-multiple\') {\
                        var hasOneMatchingValue = false;\
\
                        for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\
                            if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\
                                hasOneMatchingValue = true;\
                            }\
                        }\
\
                        shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\
                    } else {\
                        shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\
                    }\
                }\
\
                function checkCheckbox(sectionCondition) {\
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<div class=\'form-group inquiry-topic-select\'><label for=\'FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'control-label  \'>Please select a topic<span class=\'fb-required\'>*</span></label><div><select  name=\'FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' id=\'FormField14_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'form-control \' style=\'width: auto\' required data-msg-required=\'Topic is required.\' data-export-label=\'Topic\' ><option value=\'\' selected>( Please Select )</option><option value=\'Appointments\'>Appointments</option><option value=\'Billing\'>Billing</option><option value=\'Birth Certificates\'>Birth Certificates</option><option value=\'Careers\'>Careers</option><option value=\'Medical Records and MyChart\'>Medical Records and MyChart</option><option value=\'Medication Refills\'>Medication Refills</option><option value=\'Patient Care Issue/Concern\'>Patient Care Issue/Concern</option><option value=\'Physician Referral\'>Physician Referral</option><option value=\'Thank a Team Member\'>Thank a Team Member</option><option value=\'Volunteering\'>Volunteering</option><option value=\'Other/General Inquiries\'>Other/General Inquiries</option></select></div></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField36_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>Appointments for many services and doctors can be made online on our <a href=\'/appointments\'>Make an Appointment</a> page or in Englewood Health&apos;s <a href=\'https://mychart.englewoodhealth.org/\' target=\'_blank\'>MyChart</a> patient portal.</p><p>To cancel or change an existing appointment, please contact your doctor&apos;s office directly or cancel in MyChart.</p></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField34_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><h3>Patient Billing and Financial Counseling Department</h3><p><a class=\'read-more\' href=\'/for-patients-and-visitors/billing-insurance/contact-the-billing-department\'>Send us a secure message</a></p><p>Or call 201-894-3031 Monday &ndash; Friday, 9 a.m. &ndash; 5 p.m.</p><h4>Related Phone Numbers</h4><ul><li>Charity Care: 201-894-3918 or 3087</li><li>Pricing Inquiries/CPT Coding: 201-894-3956</li><li>Medicaid Applications A-K: 201-894-3060</li><li>Medicaid Applications L-Z: 201-894-3643</li><li>Managed Care: 201-894-3099</li></ul><p>If you have questions about bills received from physicians, please contact the customer service number on the bill:</p><ul><li>Anesthesiology Billing: 888-983-4885</li><li>Emergency Department Billing: 201-366-9950</li><li>Englewood Health Physician Network Billing: 201-366-9950</li><li>Pathology Billing: 844-298-8238</li><li>Radiology Billing: 800-889-4447</li></ul></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField32_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>For new certificates for your baby born at Englewood Hospital, call 201-894-3250.</p><p>Copies of previously issued birth certificates for babies born at Englewood Hospital are handled by the local health department.</p><p>For assistance, call 201-568-3450. You can also request through <a href=\'https://www.vitalchek.com/\' target=\'_blank\'>VitalChek</a> or the <a href=\'https://www.state.nj.us/health/vital/order-vital/online-requests/index.shtml\' target=\'_blank\'>NJ State Department of Health</a>.</p></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField30_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>Please visit our <a href=\'/career-opportunities\'>Career Opportunities</a> page for more information about open positions and our hiring process.</p><p>If you are looking to follow up on an application, see our <a href=\'/career-opportunities#frequently-asked-questions\'>job application FAQs</a> to learn more.</p></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField28_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>Our online patient portal, <a href=\'https://mychart.englewoodhealth.org/MyChart/\' target=\'_blank\'>MyChart</a>, gives you access to your discharge instructions, lab and pathology test reports, and radiology results.</p><p>Requests for paper copies must be submitted through an Authorization for Release of Information form. <a class=\'read-more\' href=\'/for-patients-and-visitors/your-hospital-stay/medical-records\'>Learn more</a></p><p>For more information, call 201-894-3169.</p><p>For problems or concerns with MyChart, call 201-894-3700.</p></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField26_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>For medication refills and questions, please contact your doctor&apos;s office directly by phone or through Englewood Health&apos;s <a href=\'https://mychart.englewoodhealth.org/\' target=\'_blanks\'>MyChart</a> patient portal.</p></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField24_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>For current questions about your care and treatment, please contact your doctor&rsquo;s office through MyChart or phone. We cannot accept medical questions through this form.</p><p>If you have concerns related to your care, safety, or service and wish to contact our management team, please fill out the form below.&nbsp;</p><p>If a matter remains unresolved after contacting us, you may contact The Joint Commission at 800-994-6610 or the New Jersey Department of Health and Senior Services at 800-792-9770 for further assistance.</p>\
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<div class=\'formHelp rolloverHelp\'>if known</div></div></div><div class=\'form-group\'><label for=\'FormField47_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'control-label  \'>Question or comment<span class=\'fb-required\'>*</span></label><div>\
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<div class=\'formHelp\'>1000 characters maximum</div></div></div></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField22_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>If you need help finding a doctor, please use our online <a href=\'/find-a-doctor\'>physician referral service</a> or call 833-234-2234.</p></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField20_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>If an employee, physician, or volunteer made a difference for you during your hospital stay or visit, and you want to send your appreciation, please fill out <a href=\'/for-patients-and-visitors/your-hospital-stay/thank-a-team-member\'>this form</a>.</p><p>Your submission will be shared with the team member and his or her manager and may be used in internal recognition activities.</p></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField18_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>Learn about and apply to become an Englewood Health volunteer.</p><ul><li><a class=\'read-more\' href=\'/volunteering/adult-volunteer-program\'>Adult volunteers</a></li><li><a class=\'read-more\' href=\'/volunteering/junior-volunteer-program\'>Junior volunteers</a></li></ul></div><div class=\'fb-section\' style=\'display: none;\' id=\'FormField12_b74bfa60-3379-4269-90ca-c89cf10bb4c9\'><p>Do not use this form as a way to seek medical help. If you need medical care, please call your physician. Please do not include personal health information in your message.</p>\
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<input type=\'text\' name=\'FormField48_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' id=\'FormField48_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'form-control input-large \' value=\'\'   data-export-label=\'Address_street\'  placeholder=\'\'  />\
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<input type=\'text\' name=\'FormField49_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' id=\'FormField49_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'form-control input-large \' value=\'\'   data-export-label=\'Address_city\'  placeholder=\'\'  />\
</div></div><div class=\'form-group\'><label for=\'FormField50_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'control-label  \'>State</label><div><select  name=\'FormField50_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' id=\'FormField50_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'form-control \' style=\'width: auto\'  data-export-label=\'Address_state\' ><option value=\'\' selected>( Please Select )</option><option value=\'Alabama\'>Alabama</option><option value=\'Alaska\'>Alaska</option><option value=\'Arizona\'>Arizona</option><option value=\'Arkansas\'>Arkansas</option><option value=\'California\'>California</option><option value=\'Colorado\'>Colorado</option><option value=\'Connecticut\'>Connecticut</option><option value=\'Delaware\'>Delaware</option><option value=\'Florida\'>Florida</option><option value=\'Georgia\'>Georgia</option><option value=\'Hawaii\'>Hawaii</option><option value=\'Idaho\'>Idaho</option><option value=\'IllinoisIndiana\'>IllinoisIndiana</option><option value=\'Iowa\'>Iowa</option><option value=\'Kansas\'>Kansas</option><option value=\'Kentucky\'>Kentucky</option><option value=\'Louisiana\'>Louisiana</option><option value=\'Maine\'>Maine</option><option value=\'Maryland\'>Maryland</option><option value=\'Massachusetts\'>Massachusetts</option><option value=\'Michigan\'>Michigan</option><option value=\'Minnesota\'>Minnesota</option><option value=\'Mississippi\'>Mississippi</option><option value=\'Missouri\'>Missouri</option><option value=\'MontanaNebraska\'>MontanaNebraska</option><option value=\'Nevada\'>Nevada</option><option value=\'New Hampshire\'>New Hampshire</option><option value=\'New Jersey\'>New Jersey</option><option value=\'New Mexico\'>New Mexico</option><option value=\'New York\'>New York</option><option value=\'North Carolina\'>North Carolina</option><option value=\'North Dakota\'>North Dakota</option><option value=\'Ohio\'>Ohio</option><option value=\'Oklahoma\'>Oklahoma</option><option value=\'Oregon\'>Oregon</option><option value=\'PennsylvaniaRhode Island\'>PennsylvaniaRhode Island</option><option value=\'South Carolina\'>South Carolina</option><option value=\'South Dakota\'>South Dakota</option><option value=\'Tennessee\'>Tennessee</option><option value=\'Texas\'>Texas</option><option value=\'Utah\'>Utah</option><option value=\'Vermont\'>Vermont</option><option value=\'Virginia\'>Virginia</option><option value=\'Washington\'>Washington</option><option value=\'West Virginia\'>West Virginia</option><option value=\'Wisconsin\'>Wisconsin</option><option value=\'Wyoming\'>Wyoming</option></select></div></div><div class=\'form-group\'><label for=\'FormField51_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'control-label  \'>ZIP</label><div>\
<input type=\'text\' name=\'FormField51_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' id=\'FormField51_b74bfa60-3379-4269-90ca-c89cf10bb4c9\' class=\'form-control input-large \' value=\'\' data-rule-maxlength=\'5\' data-msg-maxlength=\'You have exceeded the max length of 5 characters.\'  data-export-label=\'Address_ZIP\'  placeholder=\'\'  />\
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<div class=\'formHelp\'>NOTE: THIS FORM IS NOT FOR QUESTIONS FOR YOUR DOCTOR. TO CONTACT YOUR DOCTOR, PLEASE USE MYCHART OR TELEPHONE. DO NOT INCLUDE PERSONAL HEALTH INFORMATION ABOUT YOUR TREATMENT OR CONDITION IN THIS FORM.</div></div></div></div>\
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