Sample details: eab33394910180c900f4738f00ab3601 --

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MD5: eab33394910180c900f4738f00ab3601
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SSDEEP: 768:3EIZHMoc40d3shiG0yptbYXGObgqEqExN5Jg:U6OxshiGhz0XGOpEqExHC
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class=row><div
class="small-12 medium-7 column small-text-center medium-text-left"> <a
href="https://www.google.com/maps/place/Petrous+Orthodontics/@42.515408,-83.086743,17z/data=!3m1!4b1!4m2!3m1!1s0x8824c54919472235:0xe8a36ac0d867f096?hl=en" class=contact-address target=_blank><i
class="fa fa-map-marker fa-fw"></i>30201 Dequindre | Madison Heights, MI 48071</a></div><div
class="small-12 text-center show-for-small-only"><div
class="margin-text text-small"><div><a
href="tel:1(248) 588-2020" class=contact-address><i
class="fa fa-mobile fa-fw"></i> 248.588.2020</a></div><div><i
class="fa fa-envelope fa-fw"></i> info@petrousortho.com</div></div><div
class="margin-text text-small"><div><strong>Office Hours</strong></div><div>Monday-Saturday</div><div>Call For Hours</div></div></div><div
class="small-12 show-for-small-only"><div
class=pt-login-sm><p><a
class="btn-action n-margin small-full-width" href="https://www.mytlink.net/TLinkDotNet/Patient/Login.aspx?tpract=637463" target=_blank>Patient Login</a></p></div></div><div
class="small-12 medium-5 column"><div
class="small-text-center medium-text-right"> <a
class="btn-action n-margin small-full-width" href=/appointment-request/>Schedule an Appointment <i
class="fa fa-clock-o fa-fw"></i></a></div></div></div></section><section
class="featured-home section-alt hide-for-small-only"><div
class=row><div
class="img-feature small-8 small-offset-2 medium-3 medium-offset-1 column"> <a
href=/smile-gallery/><img
class=img-circle src=https://www.petrousortho.com/wp-content/uploads/2018/05/soniya-closeup.jpg alt="Smile Gallery"></a></div><div
class="medium-7 column end"> <a
href=/smile-gallery/><h3 class="featured-heading"> Smiles that last a lifetime...<br> Check out our smile for life! gallery</h3>
</a></div></div></section><section
class="why-petrous-home section-main"><div
class=title-margin><div
class=row><div
class="medium-12 column"><h2 class="img-title">The Petrous Difference</h2></div></div><div
class=row><div
class="medium-8 medium-offset-2 column">At Petrous Orthodontics, we strive to create beautiful smiles in a comfortable, caring and high-tech environment.</div></div></div>
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class="medium-4 column"> <a
href=/appointment-request/><div
class=spotlight data-equalizer-watch><div
class="img-consultation spotlight-img"></div><h3>Complimentary Consultation</h3><div>Contact our office to schedule your complimentary consultation and learn about all the ways you can improve the look and function of your smile.</div></div>
</a></div><div
class="medium-4 column"> <a
href=/financial-information/><div
class=spotlight data-equalizer-watch><div
class="img-insurance spotlight-img"></div><h3>We accept nearly all Types of Insurance</h3><div>We make your orthodontic treatment as affordable as possible by offering interest-free payment options and accepting nearly all insurance plans.</div></div>
</a></div><div
class="medium-4 column"> <a
href=/contact/><div
class=spotlight data-equalizer-watch><div
class="img-saturdayHours spotlight-img"></div><h3>Evening and Saturday Hours</h3><div>With flexible office hours in the morning, evening, and even some Saturdays, your orthodontic treatment can fit into your family
s busy schedule.</div></div>
</a></div></div>
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class="spotlight-container row" data-equalizer><div
class="medium-4 column"> <a
href=/financial-information/><div
class=spotlight data-equalizer-watch><div
class="img-consultation boxrow2 spotlight-img"></div><h3>Flexible Financing</h3><div>We will go out of our way to make orthodontics affordable to you</div></div>
</a></div><div
class="medium-4 column"> <a
href=/digital-scanner/><div
class=spotlight data-equalizer-watch><div
class="img-insurance boxrow2 spotlight-img"></div><h3>Innovative Techniques</h3><div>We aren
t stuck in the past. We use all the latest techniques</div></div>
</a></div><div
class="medium-4 column"> <a
href=/what-sets-us-apart/><div
class=spotlight data-equalizer-watch><div
class="img-saturdayHours boxrow2 spotlight-img"></div><h3>Straight Teeth. Less Time.</h3><div>Our cases finish 4-6 months faster than the national average</div></div>
</a></div></div></section><section
class="faq-home section-alt"><div
class=row><div
class="medium-6 column m-bottom"><h2 class="subhead">Smile for Life with Dr. Petrous</h2><div
class="flex-video widescreen">
<iframe
class=embed-responsive-item src="https://www.youtube.com/embed/E5YGYDee4No?rel=0&showinfo=0" frameborder=0 allowfullscreen></iframe></div></div><div
class="medium-6 column"><h2 class="subhead">FAQs</h2><dl
class=accordion data-accordion><dd
class=accordion-navigation> <a
href=#panel-1><i
class="fa fa-plus"></i> What
s the Right Age for Orthodontic Treatment?</a><div
id=panel-1 class=content><p>The right age can be any age. Early examination in our office allows us to determine when your child should be treated for maximum improvement 
 in the least amount of time and at the lowest cost. Certain treatment techniques provide significant benefits for patients between 7 to 11 years old. Treatment during these growth stages can achieve results not possible once the face and the jawbones have finished growing. Full orthodontic treatment with braces generally starts after all the permanent teeth are in place, usually at ages 12 or 13.</p></div></dd><dd
class=accordion-navigation> <a
href=#panel-2><i
class="fa fa-plus"></i> How Much Does Invisalign Cost?</a><div
id=panel-2 class=content><p>Dr. Petrous understands the commitment required for anyone considering orthodontic treatment. Invisalign costs are comparable to the cost of traditional braces. However, only Dr. Petrous can determine the final cost of invisalign for your situation. Factors that impact cost can include treatment goals, how long treatment may last, and the difficulty of your specific orthodontic case. Also, it
s worth it to check with your dental insurance 
 a portion of your treatment may be covered by your dental health plan.</p></div></dd><dd
class=accordion-navigation> <a
href=#panel-3><i
class="fa fa-plus"></i> Does Orthodontic Treatment Hurt?</a><div
id=panel-3 class=content><p>Orthodontic treatment quality and comfort have improved significantly over the years. For the first 3-4 days, braces may leave you a bit sore, but they shouldn
t be painful. Whatever soreness you experience can be relieved with simple over the counter pain relievers. Today
s orthodontic tools are smaller, more precise, and more comfortable thanks to technological improvements. Petrous Orthodontics uses the latest in braces technology and materials to provide the best treatment possible.</p></div></dd></dl>
class=button href=/orthodontic-faq/>More FAQs</a></div></div></section><section
class=section-main><div
class=welcome-home><div
class=row><div
class="title-margin text-center"><h2 class="img-title">WELCOME TO PETROUS ORTHODONTICS</h2></div></div><div
class=row><div
class="medium-6 column"><div
class=content><p> Your&nbsp;<a
href=/smile-gallery/>smile</a> says everything about you and it&#39;s the first thing people notice. A great smile builds confidence, opens doors for you in your life and career. It all starts when you come in the door. Our goal at Petrous Orthodontics is to <a
href=/appointment-request/>create beautiful smiles</a> in a comfortable, caring, <a
href=/what-sets-us-apart/>high-tech</a> environment. <a
href=/appointment-request/>Vist our orthodontist</a> Dr. Petrous today!</p></div></div><div
class="medium-6 column"> <img
class=img-margin src=https://www.petrousortho.com/wp-content/uploads/2018/02/petrous-office.jpg alt></div></div></div><div
class=partner-logos><div
class=row><ul
class="small-block-grid-2 medium-block-grid-3 large-block-grid-6"><li><img
src=https://www.petrousortho.com/wp-content/uploads/2018/02/invisalign.png alt=Invisalign></li><li><img
src=https://www.petrousortho.com/wp-content/uploads/2018/02/invisalign-teen.png alt="Invisalign Teen"></li><li><img
src=https://www.petrousortho.com/wp-content/uploads/2018/05/petrous-ortho-hour-top-dentist-1.png alt></li><li><img
src=https://www.petrousortho.com/wp-content/uploads/2018/05/american-association-of-orthodontists.png alt="american association of orthodontists"></li><li><img
src=https://www.petrousortho.com/wp-content/uploads/2018/05/ABO-logo-long.png alt="orthodontist american board orthodontics"></li><li><img
src=https://www.petrousortho.com/wp-content/uploads/2018/05/orthodontiat-madison-heights-smiles-change-lives-logo.png alt="orthodontiat madison heights smiles change lives logo"></li></ul></div></div></section><section
class="footer-contact section-alt no-padding-bottom-small"><div
class=row data-equalizer><div
class="large-4 medium-6 column m-bottom"></div><div
class="large-4 medium-6 column hide-for-medium-only m-bottom"></div><div
class="large-4 medium-6 column m-bottom"><h3 style="display:none">Schedule An Appointment</h3><div
class=textwidget><div
data-equalizer-watch><h3 class="subhead">Schedule An Appointment</h3><div
class=margin-text><div><i
class="fa fa-mobile fa-fw"></i> <a
href=tel:12485882020>248.588.2020</a></div></div><p>The first step toward achieving a beautiful, healthy Smile For Life! is to schedule an appointment</p></div><p><a
class="btn-action top-15" href=/appointment-request/>Schedule an Appointment</a></p></div></div><div
class="small-12 column show-for-small-only no-padding-small"> <a
href=/appointment-request/ class="btn-action full-width">Schedule an Appointment</a></div></div></section><section
class=footer><div
class=row><div
class="large-3 medium-3 column"><div
class=footer-nav><h5>TEAM PETROUS</h5><ul
id=menu-team-petrous class><li
id=menu-item-654 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-654"><a
href=https://www.petrousortho.com/dr-jerek-petrous/>Meet Dr. Jerek Petrous</a></li><li
id=menu-item-357 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-357"><a
href=https://www.petrousortho.com/smile-for-life-team/>Smile for Life! Team</a></li><li
id=menu-item-358 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-358"><a
href=https://www.petrousortho.com/what-sets-us-apart/>What Sets Us Apart</a></li><li
id=menu-item-359 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-359"><a
href=https://www.petrousortho.com/community-sponsorship/>Community Sponsorship</a></li><li
id=menu-item-360 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-360"><a
href=https://www.petrousortho.com/smiles-change-lives/>Smiles Change Lives</a></li></ul></div></div><div
class="large-3 medium-3 column"><div
class=footer-nav><h5>NEW PATIENTS</h5><ul
id=menu-new-patients class><li
id=menu-item-361 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-361"><a
href=https://www.petrousortho.com/office-visits/>Office Visits</a></li><li
id=menu-item-362 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-362"><a
href=https://www.petrousortho.com/financial-information/>Financial Information</a></li><li
id=menu-item-363 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-363"><a
href=https://www.petrousortho.com/new-patient-forms/>Patient Forms</a></li><li
id=menu-item-364 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-364"><a
href=https://www.petrousortho.com/orthodontic-faq/>Orthodontic FAQs</a></li><li
id=menu-item-365 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-365"><a
href=https://www.petrousortho.com/game-room/>The Game Room</a></li></ul></div></div><div
class="large-3 medium-3 column"><div
class=footer-nav><h5>BEAUTIFUL SMILES</h5><ul
id=menu-beautiful-smiles class><li
id=menu-item-721 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-721"><a
href=https://www.petrousortho.com/smile-gallery/>Smile for Life! Gallery</a></li><li
id=menu-item-722 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-722"><a
href=https://www.petrousortho.com/testimonials/>Testimonials</a></li></ul></div></div><div
class="large-3 medium-3 column"><div
class=footer-nav><h5>CONTACT US</h5><ul
id=menu-contact-us class><li
id=menu-item-389 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-389"><a
href=https://www.petrousortho.com/contact/>Office Information</a></li><li
id=menu-item-388 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-388"><a
href=https://www.petrousortho.com/appointment-request/>Appointment Request Form</a></li><li
id=menu-item-1139 class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1139"><a
href=/refer-a-friend/>Refer A Friend</a></li><li
id=menu-item-390 class="menu-item menu-item-type-custom menu-item-object-custom menu-item-390"><a
href=https://www.petrousortho.com/contact#comment-form>Comment Form</a></li></ul></div></div></div><div
class=row><div
class="large-3 medium-3 hide-for-small-only column"><div
class=footer-nav><h5>INVISALIGN</h5><ul
id=menu-invisalign class><li
id=menu-item-370 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-370"><a
href=https://www.petrousortho.com/how-invisalign-works/>How Invisalign Works</a></li><li
id=menu-item-369 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-369"><a
href=https://www.petrousortho.com/why-invisalign/>Why Invisalign</a></li><li
id=menu-item-373 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-373"><a
href=https://www.petrousortho.com/living-with-invisalign/>Living With Invisalign</a></li><li
id=menu-item-372 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-372"><a
href=https://www.petrousortho.com/invisalign-teen/>Invisalign Teen Info</a></li><li
id=menu-item-368 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-368"><a
href=https://www.petrousortho.com/invisalign-costs/>Invisalign Costs</a></li><li
id=menu-item-371 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-371"><a
href=https://www.petrousortho.com/invisalign-success-stories-madison-heights/>Invisalign Success Stories</a></li></ul></div></div><div
class="large-3 medium-2 hide-for-small-only column"><div
class=footer-nav></div></div><div
class="large-3 medium-3 hide-for-small-only column"><div
class=footer-nav><h5>BRACES 101</h5><ul
id=menu-braces-101 class><li
id=menu-item-377 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-377"><a
href=https://www.petrousortho.com/braces-prevention/>Early Prevention</a></li><li
id=menu-item-379 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-379"><a
href=https://www.petrousortho.com/braces-palatal-expander/>Palatal Expander</a></li><li
id=menu-item-380 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-380"><a
href=https://www.petrousortho.com/braces-types/>Types of Braces</a></li><li
id=menu-item-381 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-381"><a
href=https://www.petrousortho.com/braces-adult-orthodontics/>Adult Orthodontics</a></li><li
id=menu-item-382 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-382"><a
href=https://www.petrousortho.com/surgical-orthodontics/>Surgical Orthodontics</a></li><li
id=menu-item-383 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-383"><a
href=https://www.petrousortho.com/braces-life-with/>Life With Braces</a></li><li
id=menu-item-384 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-384"><a
href=https://www.petrousortho.com/braces-brushing-flossing/>Brushing and Flossing</a></li><li
id=menu-item-385 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-385"><a
href=https://www.petrousortho.com/braces-retainer-instructions/>Retainer Instructions</a></li><li
id=menu-item-386 class="menu-item menu-item-type-post_type menu-item-object-page menu-item-386"><a
href=https://www.petrousortho.com/braces-emergency-care/>Emergency Care</a></li></ul></div></div><div
class="large-3 medium-4 column"><h5 style="display:none">Contact Petrous</h5><div
class=textwidget><div
class=show-for-medium-up><h5 class="subhead">Contact Petrous</h5></div><div
class="contact-footer small-text-center medium-text-left"><i
class="fa fa-map-marker fa-fw"></i> <a
class=footer-link-white href="https://www.google.com/maps/place/Petrous+Orthodontics/@42.515408,-83.086743,17z/data=!3m1!4b1!4m2!3m1!1s0x8824c54919472235:0xe8a36ac0d867f096?hl=en" target=_blank rel="noopener noreferrer">30201 Dequindre Road<br>
class="fa fa-fw fa-hidden"></i> Madison Heights, MI 48071</a><br>
class="fa fa-phone fa-fw"></i> <a
class=footer-link-white href=tel:12485882020>248.588.2020</a><br>
class="fa fa-fax fa-fw"></i> 248.588.5610</div></div></div></div><div
class="copyright-footer row"><div
class="medium-12 small-text-center medium-text-left column"><div></div></div></div></section>
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                      t1.value = 'N/A';
					  t2.value = 'N/A';
					  t3.value = 'N/A';
					  t4.value = 'N/A';
					  t5.value = 'N/A';
					  t6.value = 'N/A';
					  t7.value = 'N/A';
					  t8.value = 'N/A';
					  t9.value = 'N/A';
					  t10.value = 'N/A';
					  t01.value = 'N/A';
					  t11.value = 'N/A';
					  t12.value = 'N/A';
				  
                }
            });
        });
		$(function () {
            $("#dental-insurance-id input[type=\"checkbox\"]").click(function () {
                if ($(this).is(":checked")) {
                    $("#prepolicy-holder-fname").removeAttr("readonly");
				    $("#prepolicy-holder-lname").removeAttr("readonly");
					$("#insu-cname").removeAttr("readonly");
					$("#insu-cphnum").removeAttr("readonly");
					$("#subbirthdate").removeAttr("readonly");
					$("#subscr-emp-id").removeAttr("readonly");
					$("#subscr-idnum").removeAttr("readonly");
					$("#subscr-ssn").removeAttr("readonly");
                       var t13 = document.getElementById('prepolicy-holder-fname');
					    var t14 = document.getElementById('prepolicy-holder-lname');
						 var t15 = document.getElementById('insu-cname');
						  var t16 = document.getElementById('insu-cphnum');
						   var t17 = document.getElementById('subbirthdate');
						    var t18 = document.getElementById('subscr-emp-id');
							 var t19 = document.getElementById('subscr-idnum');
							  var t20 = document.getElementById('subscr-ssn');
							 
							   
					 t13.value = '';
					  t14.value = '';
					  t15.value = '';
					  t16.value = '';
					  t17.value = '';
					  t18.value = '';
					  t19.value = '';
					  t20.value = '';
					 $("#prepolicy-holder-fname").focus();
                } else {
                    $("#prepolicy-holder-fname").attr("readonly", "readonly");
					$("#prepolicy-holder-lname").attr("readonly", "readonly");
					$("#insu-cname").attr("readonly", "readonly");
					$("#insu-cphnum").attr("readonly", "readonly");
					$("#subbirthdate").attr("readonly", "readonly");
					$("#subscr-emp-id").attr("readonly", "readonly");
					$("#subscr-idnum").attr("readonly", "readonly");
					$("#subscr-ssn").attr("readonly", "readonly");
					   var t13 = document.getElementById('prepolicy-holder-fname');
					    var t14 = document.getElementById('prepolicy-holder-lname');
						 var t15 = document.getElementById('insu-cname');
						  var t16 = document.getElementById('insu-cphnum');
						   var t17 = document.getElementById('subbirthdate');
						    var t18 = document.getElementById('subscr-emp-id');
							 var t19 = document.getElementById('subscr-idnum');
							  var t20 = document.getElementById('subscr-ssn');
							  
							   
					 t13.value = 'N/A';
					  t14.value = 'N/A';
					  t15.value = 'N/A';
					  t16.value = 'N/A';
					  t17.value = 'N/A';
					  t18.value = 'N/A';
					  t19.value = 'N/A';
					  t20.value = 'N/A';
					 
                }
            });
        });
		$(function () {
            $("#dual-covg input[type=\"checkbox\"]").click(function () {
                if ($(this).is(":checked")) {
                    $("#secprepolicy-holder-fname").removeAttr("readonly");
				    $("#secprepolicy-holder-lname").removeAttr("readonly");
					$("#sec-insu-cname").removeAttr("readonly");
					$("#sec-insu-cphnum").removeAttr("readonly");
					$("#sec-subbirthdate").removeAttr("readonly");
					$("#sec-subscr-emp").removeAttr("readonly");
					$("#sec-subscr-idnum").removeAttr("readonly");
					$("#sec-subscr-ssn").removeAttr("readonly");
                  var t21 = document.getElementById('secprepolicy-holder-fname');
				  var t22 = document.getElementById('secprepolicy-holder-lname');
                  var t23 = document.getElementById('sec-insu-cname');
                  var t24 = document.getElementById('sec-insu-cphnum');
                  var t25 = document.getElementById('sec-subbirthdate');
                  var t26 = document.getElementById('sec-subscr-emp');
                  var t27 = document.getElementById('sec-subscr-idnum');
                  var t28 = document.getElementById('sec-subscr-ssn');
                  var t29 = document.getElementById('subbirthdate');
                     t21.value = '';
					 t22.value = '';
					 t23.value = '';
				     t24.value = '';
				     t25.value = '';
					 t26.value = '';
				     t27.value = '';
					 t28.value = '';
					 t29.value = '';
					$("#sec-prepolicy-holder-fname").focus();
                } 
				else {
                    $("#secprepolicy-holder-fname").attr("readonly", "readonly");
					$("#secprepolicy-holder-lname").attr("readonly", "readonly");
					$("#sec-insu-cname").attr("readonly", "readonly");
					$("#sec-insu-cphnum").attr("readonly", "readonly");
					$("#sec-subbirthdate").attr("readonly", "readonly");
					$("#sec-subscr-emp").attr("readonly", "readonly");
					$("#sec-subscr-idnum").attr("readonly", "readonly");
					$("#sec-subscr-ssn").attr("readonly", "readonly");
					 var t21 = document.getElementById('secprepolicy-holder-fname');
				  var t22 = document.getElementById('secprepolicy-holder-lname');
                  var t23 = document.getElementById('sec-insu-cname');
                  var t24 = document.getElementById('sec-insu-cphnum');
                  var t25 = document.getElementById('sec-subbirthdate');
                  var t26 = document.getElementById('sec-subscr-emp');
                  var t27 = document.getElementById('sec-subscr-idnum');
                  var t28 = document.getElementById('sec-subscr-ssn');
                  var t29 = document.getElementById('subbirthdate');
					 t21.value = 'N/A';
					 t22.value = 'N/A';
					 t23.value = 'N/A';
				     t24.value = 'N/A';
				     t25.value = 'N/A';
					 t26.value = 'N/A';
				     t27.value = 'N/A';
					 t28.value = 'N/A';
					 t29.value = 'N/A';
                }
            });
        });
		 $(function () {
            $("#aphomeaddress input[type=\"checkbox\"]").click(function () {
				var astreet = document.getElementById('astreet-id');
                    var apstreet = document.getElementById('apstreet-id');
					var acity = document.getElementById('acity-id');
                    var apcity = document.getElementById('apcity-id');
					var astate = document.getElementById('astate-id');
                    var apstate = document.getElementById('apstate-id');
					var azip = document.getElementById('azip-id');
                    var apzip = document.getElementById('apzip-id');
                if ($(this).is(":checked")) {
					 apstreet.value = astreet.value;
					 apcity.value = acity.value;
					 apstate.value = astate.value;
					 apzip.value = azip.value;
                } else {
					apstreet.value = '';
					 apcity.value = '';
					 apstate.value = '';
					 apzip.value = '';
                   
                }
            });
        });
        
        $(function () {
            $("#phomeaddress input[type=\"checkbox\"]").click(function () {
				var cstreet = document.getElementById('street-id');
                    var cpstreet = document.getElementById('pstreet-id');
					var ccity = document.getElementById('city-id');
                    var cpcity = document.getElementById('pcity-id');
					var cstate = document.getElementById('state-id');
                    var cpstate = document.getElementById('pstate-id');
					var czip = document.getElementById('zip-id');
                    var cpzip = document.getElementById('pzip-id');
                if ($(this).is(":checked")) {
					 cpstreet.value = cstreet.value;
					 cpcity.value = ccity.value;
					 cpstate.value = cstate.value;
					 cpzip.value = czip.value;
                } else {
					cpstreet.value = '';
					 cpcity.value = '';
					 cpstate.value = '';
					 cpzip.value = '';
                   
                }
            });
        });
		 $(function () {
            $("#asecaddress input[type=\"checkbox\"]").click(function () {
				var asecstreet = document.getElementById('astreet-id');
                    var asecpstreet = document.getElementById('asecpstreet-id');
					var aseccity = document.getElementById('acity-id');
                    var asecpcity = document.getElementById('asecpcity-id');
					var asecstate = document.getElementById('astate-id');
                    var asecpstate = document.getElementById('asecpstate-id');
					var aseczip = document.getElementById('azip-id');
                    var asecpzip = document.getElementById('asecpzip-id');
                if ($(this).is(":checked")) {
					 asecpstreet.value = asecstreet.value;
					 asecpcity.value = aseccity.value;
					 asecpstate.value = asecstate.value;
					 asecpzip.value = aseczip.value;
                } else {
					 asecpstreet.value = '';
					 asecpcity.value = '';
					 asecpstate.value = '';
					 asecpzip.value = '';
                   
                }
            });
        });
        
        $(function () {
            $("#p2home-address input[type=\"checkbox\"]").click(function () {
				var csecstreet = document.getElementById('street-id');
                    var csecpstreet = document.getElementById('p2street-name');
					var cseccity = document.getElementById('city-id');
                    var csecpcity = document.getElementById('p2city-name');
					var csecstate = document.getElementById('state-id');
                    var csecpstate = document.getElementById('p2state-name');
					var cseczip = document.getElementById('zip-id');
                    var csecpzip = document.getElementById('p2zipcode');
                if ($(this).is(":checked")) {
					 csecpstreet.value = csecstreet.value;
					 csecpcity.value = cseccity.value;
					 csecpstate.value = csecstate.value;
					 csecpzip.value = cseczip.value;
                } else {
					 csecpstreet.value = '';
					 csecpcity.value = '';
					 csecpstate.value = '';
					 csecpzip.value = '';
                   
                }
            });
        });
		 $(function () {
			 $("#apgender [type=\"radio\"]").attr('disabled', true);
			$("#aphomeaddress input[type=\"checkbox\"]").attr('disabled', true);
			 $("#apphone-type").attr('disabled', true);
            $("#form-acheckfoo input[type=\"checkbox\"]").click(function () {
                if ($(this).is(":checked")) {
                    $("#aprelation-name").removeAttr("readonly");
				    $("#aplast-name").removeAttr("readonly");
					$("#apfirst-name").removeAttr("readonly");
					$("#apgender input[type=\"radio\"]").attr('disabled', false);
					$("#aphomeaddress input[type=\"checkbox\"]").attr('disabled', false);
					$("#apbirthdate").removeAttr("readonly");
					$("#apstreet-id").removeAttr("readonly");
					$("#apcity-id").removeAttr("readonly");
					$("#apstate-id").removeAttr("readonly");
					$("#apzip-id").removeAttr("readonly");
					$("#apbest-phone").removeAttr("readonly");
					$("#apphone-type").attr('disabled', false);
					$("#aalternate-phone").removeAttr("readonly");
					$("#apemail-add").removeAttr("readonly");
					$("#apspouse-name").removeAttr("readonly");
					$("#apmarital-status").removeAttr("readonly");
				var t30 = document.getElementById('aprelation-name');
				var t31 = document.getElementById('aplast-name');
				var t32 = document.getElementById('apfirst-name');
				var t33 = document.getElementById('apbirthdate');
				var t34 = document.getElementById('apstreet-id');
				var t35 = document.getElementById('apcity-id');
				var t36 = document.getElementById('apstate-id');
				var t37 = document.getElementById('apzip-id');
				var t38 = document.getElementById('apbest-phone');
				var t42 = document.getElementById('aaalternate-phone');
				var t39 = document.getElementById('apemail-add');
				var t40 = document.getElementById('apspouse-name');
				var t41 = document.getElementById('apmarital-status');
                      t30.value = '';
					  t31.value = '';
					  t32.value = '';
					  t33.value = '';
					  t34.value = '';
					  t35.value = '';
					  t36.value = '';
					  t37.value = '';
					  t38.value = '';
					  t39.value = '';
					  t40.value = '';
					  t41.value = '';
					  t42.value = '';
					 
					$("#aprelation-name").focus();
                } else {
					$("#aprelation-name").attr("readonly", "readonly");
				    $("#aplast-name").attr("readonly", "readonly");
					$("#apfirst-name").attr("readonly", "readonly");
					$("#apgender input[type=\"radio\"]").attr('disabled', true);
					$("#aphomeaddress input[type=\"checkbox\"]").attr('disabled', true);
					$("#apbirthdate").attr("readonly", "readonly");
					$("#apstreet-id").attr("readonly", "readonly");
					$("#apcity-id").attr("readonly", "readonly");
					$("#apstate-id").attr("readonly", "readonly");
					$("#apzip-id").attr("readonly", "readonly");
					$("#apbest-phone").attr("readonly", "readonly");
				    $("#apphone-type").attr('disabled', true);
					$("#aalternate-phone").attr("readonly", "readonly");
					$("#apemail-add").attr("readonly", "readonly");
					$("#apspouse-name").attr("readonly", "readonly");
					$("#apmarital-status").attr("readonly", "readonly");
                    
				  var t30 = document.getElementById('aprelation-name');
				var t31 = document.getElementById('aplast-name');
				var t32 = document.getElementById('apfirst-name');
				var t33 = document.getElementById('apbirthdate');
				var t34 = document.getElementById('apstreet-id');
				var t35 = document.getElementById('apcity-id');
				var t36 = document.getElementById('apstate-id');
				var t37 = document.getElementById('apzip-id');
				var t38 = document.getElementById('apbest-phone');
				var t42 = document.getElementById('aaalternate-phone');
				var t39 = document.getElementById('apemail-add');
				var t40 = document.getElementById('apspouse-name');
				var t41 = document.getElementById('apmarital-status');
                      t30.value = 'N/A';
					  t31.value = 'N/A';
					  t32.value = 'N/A';
					  t33.value = 'N/A';
					  t34.value = 'N/A';
					  t35.value = 'N/A';
					  t36.value = 'N/A';
					  t37.value = 'N/A';
					  t38.value = 'N/A';
					  t39.value = 'N/A';
					  t40.value = 'N/A';
					  t41.value = 'N/A';
					  t42.value = 'N/A';
				  
                }
            });
        });
		$(function () {
			 $("#asecpgender [type=\"radio\"]").attr('disabled', true);
			$("#asecaddress input[type=\"checkbox\"]").attr('disabled', true);
			 $("#asecphone-type").attr('disabled', true);
            $("#asec-res-party input[type=\"checkbox\"]").click(function () {
                if ($(this).is(":checked")) {
                    $("#asecprelation-name").removeAttr("readonly");
				    $("#asecplast-name").removeAttr("readonly");
					$("#asecpfirst-name").removeAttr("readonly");
					$("#asecpgender input[type=\"radio\"]").attr('disabled', false);
					$("#asecaddress input[type=\"checkbox\"]").attr('disabled', false);
					$("#asecpbirthdate").removeAttr("readonly");
					$("#asecpstreet-id").removeAttr("readonly");
					$("#asecpcity-id").removeAttr("readonly");
					$("#asecpstate-id").removeAttr("readonly");
					$("#asecpzip-id").removeAttr("readonly");
					$("#asecbest-phone").removeAttr("readonly");
				    $("#asecphone-type").attr('disabled', false);
					$("#asecpalternate-phone").removeAttr("readonly");
					$("#asec-email-add").removeAttr("readonly");
					$("#asecpspouse-name").removeAttr("readonly");
					$("#asecpmarital-status").removeAttr("readonly");
					var t43 = document.getElementById('asecprelation-name');
					var t44 = document.getElementById('asecplast-name');
					var t45 = document.getElementById('asecpfirst-name');
					var t46 = document.getElementById('asecpbirthdate');
					var t47 = document.getElementById('asecpstreet-id');
					var t48 = document.getElementById('asecpcity-id');
					var t49 = document.getElementById('asecpstate-id');
					var t50 = document.getElementById('asecpzip-id');
					var t51 = document.getElementById('asecbest-phone');
					var t52 = document.getElementById('asecpalternate-phone');
					var t53 = document.getElementById('asec-email-add');
					var t54 = document.getElementById('asecpspouse-name');
					var t55 = document.getElementById('asecpmarital-status');
					   t43.value = '';
					    t44.value = '';
						  t45.value = '';
						    t46.value = '';
							  t47.value = '';
							    t48.value = '';
								  t49.value = '';
								    t50.value = '';
									  t51.value = '';
									    t52.value = '';
										  t53.value = '';
										    t54.value = '';
											  t55.value = '';
					  
					 
									  
							
					$("#asecprelation-name").focus();
                } else {
					 $("#asecprelation-name").attr("readonly", "readonly");
				    $("#asecplast-name").attr("readonly", "readonly");
					$("#asecpfirst-name").attr("readonly", "readonly");
					$("#asecpgender input[type=\"radio\"]").attr('disabled', true);
					$("#asecaddress input[type=\"checkbox\"]").attr('disabled', true);
					$("#asecpbirthdate").attr("readonly", "readonly");
					$("#asecpstreet-id").attr("readonly", "readonly");
					$("#asecpcity-id").attr("readonly", "readonly");
					$("#asecpstate-id").attr("readonly", "readonly");
					$("#asecpzip-id").attr("readonly", "readonly");
					$("#asecbest-phone").attr("readonly", "readonly");
					 $("#asecphone-type").attr('disabled', true);
					$("#asecpalternate-phone").attr("readonly", "readonly");
					$("#asec-email-add").attr("readonly", "readonly");
					$("#asecpspouse-name").attr("readonly", "readonly");
					$("#asecpmarital-status").attr("readonly", "readonly");
					var t43 = document.getElementById('asecprelation-name');
					var t44 = document.getElementById('asecplast-name');
					var t45 = document.getElementById('asecpfirst-name');
					var t46 = document.getElementById('asecpbirthdate');
					var t47 = document.getElementById('asecpstreet-id');
					var t48 = document.getElementById('asecpcity-id');
					var t49 = document.getElementById('asecpstate-id');
					var t50 = document.getElementById('asecpzip-id');
					var t51 = document.getElementById('asecbest-phone');
					var t52 = document.getElementById('asecpalternate-phone');
					var t53 = document.getElementById('asec-email-add');
					var t54 = document.getElementById('asecpspouse-name');
					var t55 = document.getElementById('asecpmarital-status');
					 t43.value = 'N/A';
					    t44.value = 'N/A';
						  t45.value = 'N/A';
						    t46.value = 'N/A';
							  t47.value = 'N/A';
							    t48.value = 'N/A';
								  t49.value = 'N/A';
								    t50.value = 'N/A';
									  t51.value = 'N/A';
									    t52.value = 'N/A';
										  t53.value = 'N/A';
										    t54.value = 'N/A';
											  t55.value = 'N/A';
					 
                }
            });
        });
		$(function () {
            $("#dental-insurance-id input[type=\"checkbox\"]").click(function () {
                if ($(this).is(":checked")) {
                    $("#prepolicy-holder-fname").removeAttr("readonly");
				    $("#prepolicy-holder-lname").removeAttr("readonly");
					$("#insu-cname").removeAttr("readonly");
					$("#insu-cphnum").removeAttr("readonly");
					$("#subbirthdate").removeAttr("readonly");
					$("#subscr-emp-id").removeAttr("readonly");
					$("#subscr-idnum").removeAttr("readonly");
					$("#subscr-ssn").removeAttr("readonly");
					var t56 = document.getElementById('prepolicy-holder-fname');
					var t57 = document.getElementById('prepolicy-holder-lname');
					var t58 = document.getElementById('insu-cname');
					var t59 = document.getElementById('insu-cphnum');
					var t60 = document.getElementById('subscr-emp-id');
					var t61 = document.getElementById('subscr-idnum');
					var t62 = document.getElementById('subscr-ssn');
					t56.value = '';
					t57.value = '';
					t58.value = '';
					t59.value = '';
					t60.value = '';
					t61.value = '';
					t62.value = '';
					$("#prepolicy-holder-fname").focus();
                } else {
                    $("#prepolicy-holder-fname").attr("readonly", "readonly");
					$("#prepolicy-holder-lname").attr("readonly", "readonly");
					$("#insu-cname").attr("readonly", "readonly");
					$("#insu-cphnum").attr("readonly", "readonly");
					$("#subbirthdate").attr("readonly", "readonly");
					$("#subscr-emp-id").attr("readonly", "readonly");
					$("#subscr-idnum").attr("readonly", "readonly");
					$("#subscr-ssn").attr("readonly", "readonly");
					var t56 = document.getElementById('prepolicy-holder-fname');
					var t57 = document.getElementById('prepolicy-holder-lname');
					var t58 = document.getElementById('insu-cname');
					var t59 = document.getElementById('insu-cphnum');
					var t60 = document.getElementById('subscr-emp-id');
					var t61 = document.getElementById('subscr-idnum');
					var t62 = document.getElementById('subscr-ssn');
					t56.value = 'N/A';
					t57.value = 'N/A';
					t58.value = 'N/A';
					t59.value = 'N/A';
					t60.value = 'N/A';
					t61.value = 'N/A';
					t62.value = 'N/A';
                }
            });
        });
		$(function () {
            $("#dual-covg input[type=\"checkbox\"]").click(function () {
                if ($(this).is(":checked")) {
                    $("#secprepolicy-holder-fname").removeAttr("readonly");
				    $("#secprepolicy-holder-lname").removeAttr("readonly");
					$("#sec-insu-cname").removeAttr("readonly");
					$("#sec-insu-cphnum").removeAttr("readonly");
					$("#sec-subbirthdate").removeAttr("readonly");
					$("#sec-subscr-emp").removeAttr("readonly");
					$("#sec-subscr-idnum").removeAttr("readonly");
					$("#sec-subscr-ssn").removeAttr("readonly");
					var t63 = document.getElementById('secprepolicy-holder-fname');
					var t64 = document.getElementById('secprepolicy-holder-lname');
					var t65 = document.getElementById('sec-insu-cname');
					var t66 = document.getElementById('sec-insu-cphnum');
					var t67 = document.getElementById('sec-subscr-emp');
					var t68 = document.getElementById('sec-subscr-idnum');
					var t69 = document.getElementById('sec-subscr-ssn');
						t63.value = '';
						t64.value = '';
						t65.value = '';
						t66.value = '';
						t67.value = '';
						t68.value = '';
						t69.value = '';
					$("#sec-prepolicy-holder-fname").focus();
                } else {
                    $("#secprepolicy-holder-fname").attr("readonly", "readonly");
					$("#secprepolicy-holder-lname").attr("readonly", "readonly");
					$("#sec-insu-cname").attr("readonly", "readonly");
					$("#sec-insu-cphnum").attr("readonly", "readonly");
					$("#sec-subbirthdate").attr("readonly", "readonly");
					$("#sec-subscr-emp").attr("readonly", "readonly");
					$("#sec-subscr-idnum").attr("readonly", "readonly");
					$("#sec-subscr-ssn").attr("readonly", "readonly");
					var t63 = document.getElementById('secprepolicy-holder-fname');
					var t64 = document.getElementById('secprepolicy-holder-lname');
					var t65 = document.getElementById('sec-insu-cname');
					var t66 = document.getElementById('sec-insu-cphnum');
					var t67 = document.getElementById('sec-subscr-emp');
					var t68 = document.getElementById('sec-subscr-idnum');
					var t69 = document.getElementById('sec-subscr-ssn');
						t63.value = 'N/A';
						t64.value = 'N/A';
						t65.value = 'N/A';
						t66.value = 'N/A';
						t67.value = 'N/A';
						t68.value = 'N/A';
						t69.value = 'N/A';
                }
            });
        });
		$(function () {
            $("#adental-insurance input[type=\"checkbox\"]").click(function () {
                if ($(this).is(":checked")) {
                    $("#aprepolicy-holder-fname").removeAttr("readonly");
				    $("#aprepolicy-holder-lname").removeAttr("readonly");
					$("#ainsu-cname").removeAttr("readonly");
					$("#ainsu-cphnum").removeAttr("readonly");
					$("#asubbirthdate").removeAttr("readonly");
					$("#asubscr-emp").removeAttr("readonly");
					$("#asubscr-idnum").removeAttr("readonly");
					$("#asubscr-ssn").removeAttr("readonly");
					var t70 = document.getElementById('aprepolicy-holder-fname');
					var t71 = document.getElementById('aprepolicy-holder-lname');
					var t72 = document.getElementById('ainsu-cname');
					var t73 = document.getElementById('ainsu-cphnum');
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