/**
* Created by Spencer on 7/16/2018.
* Updated by Dan on 7/14/2023.
* V3.0.4
*/
// IE FIX FOR startsWith METHOD
if (!String.prototype.startsWith) {
String.prototype.startsWith = function(searchString, position) {
position = position || 0;
return this.indexOf(searchString, position) === position;
};
}
jQuery(document).ready(function() {
/*** CHECK IF FORMS ON THE PAGE ***/
var forms = jQuery('form');
var formBuilder = cmHipaaScript.formBuilder;
var calderaEnabledForms;
if(cmHipaaScript.calderaEnabledForms) {
calderaEnabledForms = JSON.parse(cmHipaaScript.calderaEnabledForms);
}
var gravityEnabledForms;
if(cmHipaaScript.gravityEnabledForms) {
gravityEnabledForms = JSON.parse(cmHipaaScript.gravityEnabledForms);
}
var enabledFormsSettings;
if(cmHipaaScript.enabledFormsSettings) {
enabledFormsSettings = JSON.parse(cmHipaaScript.enabledFormsSettings);
}
formIds = [];
// LOOP ENABLED CALDERA FORMS AND PUSH IDS TO ARRAY - DEPRECATED
for(var i = 0; i < calderaEnabledForms.length; i++){
if(calderaEnabledForms[i]) {
formIds.push(calderaEnabledForms[i]);
}
}
// LOOP ENABLED GRAVITY FORMS AND PUSH IDS TO ARRAY - DEPRECATED
for(var i = 0; i < gravityEnabledForms.length; i++){
if(gravityEnabledForms[i]) {
formIds.push('gform_' + gravityEnabledForms[i]);
}
}
/*** LOOP FORMS ***/
forms.each(function() {
var form = jQuery(this);
var formMainId = form.attr('id');
var formId = form.attr('data-form-id');
if(!formId) {
formId = formMainId;
}
// SET NEW SUBMIT BUTTON
var newSubmitButton;
if(formId && formId.startsWith('gform_')) {
newSubmitButton = '
lock SUBMIT
';
} else {
newSubmitButton = '
lock SUBMIT
';
}
var showSig;
if(!enabledFormsSettings) {
// IF NEW ENABLED FORMS SETTINGS DOESN'T EXIST SET SIGNATURE TO YES
showSig = 'yes';
}
// CHECK IF FORM OBJECT EXISTS IN ARRAY - NEW FORMS SETTINGS JSON OBJECT ARRAY METHOD
var formFound;
if(cmHipaaScript.enabledFormsSettings) {
enabledFormsSettings.some(function (el) {
if (el.id === formId && el.enabled === 'yes' || el.form_builder === 'gravity' && 'gform_' + el.id === formId && el.enabled === 'yes') {
formFound = true;
// IF SIGNATURE OPTION HAS VALUE SET IT
if(el.show_signature) {
showSig = el.show_signature;
}
// SET SUBMIT BUTTON
if(el.submit_btn_text){
if(el.form_builder === 'gravity' && 'gform_' + el.id === formId){
newSubmitButton = '
' + el.submit_btn_text + '
';
} else {
newSubmitButton = '
' + el.submit_btn_text + '
';
}
}
}
});
}
// IF FORM ID IN DEPRECATED METHOD OR FORM FOUND IN NEW JSON OBJECT ARRAY METHOD
if(jQuery.inArray(formId, formIds) !== -1 || formFound) {
// CHECK IF SSL ENABLED
var protocol = document.location.protocol;
// ADD CM-HIPAA-FORM-ENABLED CLASS TO FORM
jQuery(this).addClass('cm-hipaa-form-enabled');
// SET INITIAL VALUES
var submitButton = jQuery(this).find('input[type="submit"]');
var gravityFileUploadEle = jQuery(this).find('.ginput_container_fileupload');
var calderaFileUploadEle = jQuery(this).find('.file-prevent-overflow').parent();
var calderaMultiFileUploadEle = jQuery(this).find('.cf-uploader-trigger').parent();
var calderaAdvancedFileUploadEle = jQuery(this).find('.cf2-field-wrapper'); // EXPERIMENTAL - WILL OTHER NON-FILE UPLOAD FIELDS USE THIS CLASS IN THE FUTURE?
if(calderaAdvancedFileUploadEle.length > 0) {
jQuery.each(calderaAdvancedFileUploadEle,function (){
calderaMultiFileUploadEle.push(this);
})
//calderaMultiFileUploadEle.push(calderaAdvancedFileUploadEle); // EXPERIMENTAL
}
var gravitySflEle = jQuery(this).find('.gform_save_link');
var calderaFormPages;
var gravityFormPages;
var appendEle;
calderaFormPages = jQuery(this).find('[data-formpage]');
gravityFormPages = jQuery(this).find('.gform_page');
// CHECK IF MULTI-PAGE FORM
if(calderaFormPages.length) {
appendEle = calderaFormPages.last();
} else if(gravityFormPages.length) {
appendEle = gravityFormPages.last();
// STRIP PREVIOUS & NEXT ONCLICK & ONKEYPRESS METHODS (IE FIX SETS ATTRIBUTE BLANK AS REMOVEATTR DOESN'T PLAY WELL WITH THAT ANTIQUE PIECE OF JUNK)
jQuery(this).find('.gform_next_button, .gform_previous_button').prop('onclick', '').prop('onkeypress', '').removeAttr('onclick').removeAttr('onkeypress');
// LOOP PAGES AND ADD PREVIOUS/NEXT BUTTONS
gravityFormPages.each(function(index) {
index = +index+1;
var pageFooter = jQuery(this).find('.gform_page_footer');
var inputIndex = jQuery(this).find('.gform_page_fields input[tabindex]').last().attr('tabindex');
var previousButtonIndex;
// PREPEND PREVIOUS BUTTON TO LAST PAGE (NOT SURE WHY ONLY THAT PAGE DOESN'T GET IT)
if(index > 1 && index === gravityFormPages.length) {
previousButtonIndex = +inputIndex+1;
pageFooter.prepend('');
}
});
} else {
appendEle = form;
}
// REMOVE FORM ACTION TO ONLY SUBMIT THROUGH AJAX
jQuery(this).attr('action','');
// STOP FORMS FROM USING GENERIC SUBMIT BUTTON
jQuery(document).on('click', '#'+ formMainId +' input[type="submit"], #'+ formMainId +' button[type="submit"], #'+ formMainId +' [id^=gform_submit_button], #'+ formMainId +' input[type="submit"], #'+ formMainId +' button[type="submit"] ', function(e) {
e.preventDefault();
alert('ERROR: This form submission is being overridden be the HIPAA Forms Plugin and was not submitted!');
});
// SET LOADING ICON
appendEle.append('
SECURING FORM
');
// ENSURE SSL ENABLED IF FORM SELECTED AS HIPAA COMPLIANT (checks both Wordpress is_ssl AND document protocol for good measure)
if(protocol === 'https:' && cmHipaaScript.ssl === '1') {
/*** VALIDATE ACCOUNT ***/
jQuery.ajax({
method: 'POST',
type: 'POST',
url: cmHipaaScript.ajax_url,
data: {
'action': 'cm_hipaa_validate_account',
'nononce': '1',
'nonce': cmHipaaScript.nonce
},
success: function (data) {
// REMOVE LOADING ICON
jQuery('.cm-hipaa-forms-loading').remove();
//var resultData = JSON.parse(data);
var resultData;
try {
resultData = JSON.parse(data);
} catch (e) {
console.log(data);
appendEle.append('
';
}
// IF BASIC PRODUCT CHECK IF MAX SUBMISSIONS REACHED
var maxSubmissionsMessage;
if(resultData.product === 'basic' && resultData.this_months_submissions >= 25) {
// CHANGING THIS WILL ENABLE YOUR FORM BUT THE SUBMISSIONS WILL STILL BE BLOCKED BY THE API. UPGRADING IS ONLY $50/MO, CODE MONKEYS HAVE BILLS TO PAY TOO ;).
maxSubmissionsMessage = '
The maximum number of forms have been submitted for this month, please try again next month.
' + basicBadge;
}
if(submitButton.length > 0) {
// DISABLE & REMOVE ORIGINAL SUBMIT BUTTON TO PREVENT ACCIDENTAL GENERAL SUBMISSION
submitButton.attr('disabled', 'disabled').remove();
}
// CHECK IF GRAVITY FILE UPLOAD FIELD & FILE UPLOAD URL EXISTS & REPLACE WITH MESSAGE IF NO UPLOAD URL
if(gravityFileUploadEle && fileUploadEnabled !== 'yes') {
gravityFileUploadEle.html('
Default file upload functionality is not HIPAA compliant & has been disabled, please upgrade HIPAA Forms for file upload capability.
');
} else if(gravityFileUploadEle && fileUploadEnabled === 'yes') {
// LOOP FILE INPUT FIELDS & REPLACE MULTI-FILE UPLOAD IF EXISTS
jQuery.each(gravityFileUploadEle, function() {
var gfMultiFile = jQuery(this).find('.gform_fileupload_multifile');
var fieldId = jQuery(this).parent().attr('id');
var fileInputId = fieldId.replace('field', 'input');
var fileInputEnd = fieldId.split('_').pop();
var fileInputName = 'input_' + fileInputEnd;
var fileInputDescribed = fieldId.replace('field', 'extensions_message');
var tabIndex = jQuery(this).find('.gform_button_select_files').attr('tabindex');
var gfAcceptAttr = jQuery(this).find('.gform_fileupload_multifile input[type="file"]').attr('accept');
var gfMaxFileSize = 0;
var gfDisallowedExtensions = "php,asp,aspx,cmd,csh,bat,html,htm,hta,jar,exe,com,js,lnk,htaccess,phtml,ps1,ps2,php3,php4,php5,php6,py,rb,tmp";
var gfFileMimeTypesExtensions = "*";
var gfMaxFiles = 0;
var gfFileInputSettings = "";
if(gfMultiFile && gfMultiFile.data('settings')){
var gfFileDataSettings = gfMultiFile.data('settings');
if(gfFileDataSettings.filters.max_file_size){
gfMaxFileSize = gfFileDataSettings.filters.max_file_size
}
var gfFileMimeTypesTitle = "";
if(gfFileDataSettings.filters.mime_types[0]){
var gfFileMimeTypes = gfFileDataSettings.filters.mime_types[0];
if(gfFileMimeTypes.title){
gfFileMimeTypesTitle = gfFileMimeTypes.title
}
if(gfFileMimeTypes.extensions){
gfFileMimeTypesExtensions = gfFileMimeTypes.extensions
}
}
if(gfFileDataSettings.gf_vars.disallowed_extensions){
gfDisallowedExtensions = gfFileDataSettings.gf_vars.disallowed_extensions
}
if(gfFileDataSettings.gf_vars.max_files){
gfMaxFiles = gfFileDataSettings.gf_vars.max_files
}
gfFileInputSettings = '{"maxfilesize":"'+gfMaxFileSize+'","allowedextensions":"'+gfFileMimeTypesExtensions+'","disallowedextensions":"'+gfDisallowedExtensions+'","maxfiles":"'+gfMaxFiles+'"}';
}else if (gfMultiFile.length === 0){
gfMaxFileSize = jQuery(this).find("input[type='hidden'][name='MAX_FILE_SIZE']").first().val();
var uploadRulesTxt = jQuery(this).find(".gform_fileupload_rules").first().text();
var start = uploadRulesTxt.indexOf("Accepted file types: ");
var end = uploadRulesTxt.lastIndexOf(',');
if(start > -1 && end > -1){
gfFileMimeTypesExtensions = uploadRulesTxt.substring(21, end).replaceAll(' ','').split(',');
}
gfFileInputSettings = '{"maxfilesize":"'+gfMaxFileSize+'","allowedextensions":"'+gfFileMimeTypesExtensions+'","disallowedextensions":"'+gfDisallowedExtensions+'","maxfiles":"'+gfMaxFiles+'"}';
}
isRequired = jQuery(this).parent().hasClass('gfield_contains_required');
if(gfMultiFile.length > 0 && gfMaxFiles === "1") {
//maxfiles set to allow only 1 file
gfMultiFile.replaceWith('');
}else if(gfMultiFile.length > 0 ){
gfMultiFile.replaceWith('
Add Another File
');
}else if(gfMultiFile.length === 0 && gfMaxFiles === 0){
jQuery('#'+fileInputId).replaceWith('');
}
});
}
// CHECK IF CALDERA FILE UPLOAD FIELD & FILE UPLOAD URL EXISTS & REPLACE WITH MESSAGE IF NO UPLOAD URL
if((calderaFileUploadEle || calderaMultiFileUploadEle) && fileUploadEnabled !== 'yes') {
calderaFileUploadEle.html('
Default file upload functionality is not HIPAA compliant & has been disabled, please upgrade HIPAA Forms for file upload capability.
');
} else if(calderaMultiFileUploadEle && fileUploadEnabled === 'yes') {
// LOOP FILE INPUT FIELDS & REPLACE MULTI-FILE UPLOAD IF EXISTS
jQuery.each(calderaMultiFileUploadEle, function() {
var fieldId = jQuery(this).parent().attr('data-field-wrapper');
if(!fieldId){
fieldId = jQuery(this).attr('data-field-id');
}
var cfInputField = jQuery("#"+fieldId);
var cfAcceptAttr = cfInputField.attr('accept');
var cfMaxFileSize = 0;
var cfDisallowedExtensions = "php,asp,aspx,cmd,csh,bat,html,htm,hta,jar,exe,com,js,lnk,htaccess,phtml,ps1,ps2,php3,php4,php5,php6,py,rb,tmp";
var cfFileMimeTypesExtensions = "*";
var cfMaxFiles = cfInputField.attr('multiple');
var cfFileInputSettings = '{"maxfilesize":"'+cfMaxFileSize+'","allowedextensions":"'+cfFileMimeTypesExtensions+'","disallowedextensions":"'+cfDisallowedExtensions+'","maxfiles":"'+cfMaxFiles+'"}';
if(cfMaxFiles === 'multiple'){
jQuery(this).replaceWith('
Add Another File
');
}else {
jQuery(this).replaceWith('
');
}
});
}
// CHECK IF GRAVITY FORMS "SAVE FOR LATER" LINK EXISTS AND REPLACE WITH NON-COMPLIANT MESSAGE
if(gravitySflEle) {
gravitySflEle.replaceWith('
"Save For Later" has been disabled due to HIPAA non-compliance
To sign left click and drag mouse or use your finger or stylus if touch screenRESET
';
}
// SET HIPAA PRIVACY NOTICE
var cmPrivacyNoticeMethod = cmHipaaScript.privacyNoticeMethod;
var cmPrivacyNoticeLabel = cmHipaaScript.privacyNoticeLabel;
var cmPrivacyNoticeCopy = cmHipaaScript.privacyNoticeCopy;
var cmPrivacyNoticeLink = cmHipaaScript.privacyNoticeLink;
var privacyStatement;
if(!cmPrivacyNoticeLabel) {
cmPrivacyNoticeLabel = 'I agree to the HIPAA Privacy Statement';
}
if(!cmPrivacyNoticeCopy) {
cmPrivacyNoticeCopy = '
\n' +
'This "Notice of Information/Privacy Practices" is used to inform website visitors regarding our policies with the collection, use, and disclosure of Personal Information if anyone decided to use our Service.\n' +
'
\n' +
'
\n' +
'If you choose to use our Service, then you agree to the collection and use of information in relation with this policy. The Personal Information that we collect are used for providing and improving the Service. We will not use or share your information with anyone except as described in this Privacy Policy.\n' +
'
\n' +
'
\n' +
'
Information Collection and Use
\n' +
'For a better experience while using our Service, we may require you to provide us with certain personally identifiable information, including but not limited to your name, phone number, and postal address. The information that we collect will be used to contact or identify you.\n' +
'\n' +
'
\n' +
'
Log Data
\n' +
'We want to inform you that whenever you visit our Service, we collect information that your browser sends to us that is called Log Data. This Log Data may include information such as your computer’s Internet Protocol ("IP") address, browser version, pages of our Service that you visit, the time and date of your visit, the time spent on those pages, and other statistics.\n' +
'\n' +
'
\n' +
'
Cookies
\n' +
'Cookies are files with small amount of data that is commonly used an anonymous unique identifier. These are sent to your browser from the website that you visit and are stored on your computer’s hard drive.\n' +
'\n' +
'
\n' +
'Our website uses these "cookies" to collection information and to improve our Service. You have the option to either accept or refuse these cookies, and know when a cookie is being sent to your computer. If you choose to refuse our cookies, you may not be able to use some portions of our Service.\n' +
'
\n' +
'
\n' +
'
Service Providers
\n' +
'We may employ third-party companies and individuals due to the following reasons:\n' +
'
\n' +
'
To facilitate our Service;
\n' +
'
To provide the Service on our behalf;
\n' +
'
To perform Service-related services; or
\n' +
'
To assist us in analyzing how our Service is used.
\n' +
'
\n' +
'We want to inform our Service users that these third parties have access to your Personal Information. The reason is to perform the tasks assigned to them on our behalf. However, they are obligated not to disclose or use the information for any other purpose.\n' +
'
\n' +
'\n' +
'
\n' +
'
Security
\n' +
'We value your trust in providing us your Personal Information, thus we are striving to use commercially acceptable means of protecting it. But remember that no method of transmission over the internet, or method of electronic storage is 100% secure and reliable, and we cannot guarantee its absolute security.\n' +
'\n' +
'
\n' +
'
Links to Other Sites
\n' +
'Our Service may contain links to other sites. If you click on a third-party link, you will be directed to that site. Note that these external sites are not operated by us. Therefore, we strongly advise you to review the Privacy Policy of these websites. We have no control over, and assume no responsibility for the content, privacy policies, or practices of any third-party sites or services.\n' +
'\n' +
'
\n' +
'
Changes to This Privacy Policy
\n' +
'We may update our Privacy Policy from time to time. Thus, we advise you to review this page periodically for any changes. We will notify you of any changes by posting the new Privacy Policy on this page. These changes are effective immediately, after they are posted on this page.\n' +
'';
}
var modalHTML;
if(cmPrivacyNoticeLink && cmPrivacyNoticeMethod === 'link') {
privacyStatement = '' + cmPrivacyNoticeLabel + '';
modalHTML = '';
} else {
modalHTML = '
Notice of Information/Privacy Practices
cancel
'+ cmPrivacyNoticeCopy + '
';
privacyStatement = '' + cmPrivacyNoticeLabel + '';
}
// CREATE HONEYPOT INPUT
var honeyPot = '';
if(maxSubmissionsMessage) {
// PREPEND MAX FORM SUBMISSIONS MESSAGE
form.prepend('
'+ maxSubmissionsMessage +'
');
// APPEND MAX FORM SUBMISSIONS MESSAGE
appendEle.append('
'+ maxSubmissionsMessage +'
');
// DISABLE FORM INPUTS
form.find('input, textarea').attr('readonly', 'readonly');
form.find('select').attr('disabled', 'disabled');
form.find('input[type="checkbox"], input[type="radio"]').prop('disabled', true);
} else {
// APPEND ADDITIONAL FIELDS, SUBMIT BUTTON AND BADGE TO THE FORM
appendEle.append('
' + modalHTML + '
' + privacyStatement + '
' + sigField + '
' + honeyPot + newSubmitButton + '
' + stagingMessage + '
' + basicBadge + '
').promise().done(function () {
if (showSig === 'yes') {
// INITIALIZE THE FORM SIGNATURE CANVAS FIELD IF VISIBLE
var signature = appendEle.find(".cm-hipaa-form-signature");
if (signature.is(':visible')) {
signature.jSignature({'background-color':'transparent'});
}
}
});
}
} else {
// DISABLE & REMOVE ORIGINAL SUBMIT BUTTON TO PREVENT ACCIDENTAL GENERAL SUBMISSION
submitButton.attr('disabled', 'disabled').remove();
appendEle.append(resultData.error);
}
},
error: function (errorThrown) {
// REMOVE LOADING ICON
jQuery('.cm-hipaa-forms-loading').remove();
console.log(errorThrown);
}
});
} else {
// APPEND NOTICE THAT SSL IS NOT ENABLED
form.append('
This form is designated as a HIPAA compliant form however SSL (https) is not enabled so the form has been disabled. Please ask the website administrators to fix this issue.
');
// DISABLE AND REMOVE SUBMIT BUTTON TO ENSURE FORM CAN'T BE SUBMITTED
submitButton.attr('disabled', 'disabled').remove();
}
}
});
/*** REINITIALIZE JSIGNATURE IF MULTI-PAGE FORM - JSIGNATURE DOESN'T INIT PROPERLY WHEN IN A HIDDEN ELEMENT ***/
jQuery(document).on('click', '.cm-hipaa-form-enabled .cf-page-btn-next, .cm-hipaa-form-enabled .gform_next_button, .cm-hipaa-form-enabled .gf_step, .caldera_forms_form .breadcrumb a', function() {
var signature = jQuery(this).closest('form').find('.cm-hipaa-form-signature');
// SET TIMEOUT TO WAIT FOR FADEIN
setTimeout(function() {
if(signature.is(':visible') && signature.find('canvas').length === 0) {
signature.jSignature({'background-color':'transparent'});
}
},500);
});
/*** ADD VALID CLASS TO SIGNATURE FIELD ON CLICK ***/
jQuery(document).on('click', '.jSignature', function() {
if(!jQuery(this).hasClass('cm-valid-sig')) {
jQuery(this).addClass('cm-valid-sig');
}
});
/*** TOUCH EVENT VERSION ***/
jQuery(document).on('touchstart', '.jSignature', function() {
if(!jQuery(this).hasClass('cm-valid-sig')) {
jQuery(this).addClass('cm-valid-sig');
}
});
/*** REMOVE VALID CLASS FROM SIGNATURE FIELD ON RESET ***/
jQuery(document).on('click', '.cm-hipaa-form-signature-reset', function() {
jQuery(this).parent().parent().find('.jSignature').removeClass('cm-valid-sig');
});
/*** OVER-RIDE GRAVITY PREVIOUS/NEXT BUTTONS TO SHOW/HIDE INSTEAD OF RELOAD PAGE, DEFAULT FORM SUBMIT TO SELF ISN'T PROTECTED & NOT COMPLIANT! ***/
jQuery(document).on('click', '.cm-hipaa-form-enabled .gform_previous_button, .cm-hipaa-form-enabled .gform_next_button', function(e) {
var form = jQuery(this).closest('form');
var formId = form.attr('id');
var thisPage = jQuery(this).parent().parent();
var pages = form.find('.gform_page');
var pbPercent = Math.floor(100/pages.length);
var progressBarTitle = form.find('.gf_progressbar_title');
var progressBar = form.find('.gf_progressbar_percentage');
var stepsWrapper = form.find('.gf_page_steps');
var direction;
// CLEAR ERRORS
form.find('.gfield_error').removeClass('gfield_error');
form.find('.validation_error, .validation_message').remove();
if(jQuery(this).hasClass('gform_previous_button')) {
direction = 'previous';
} else if(jQuery(this).hasClass('gform_next_button')) {
direction = 'next';
}
// LOOP PAGES
pages.each(function(index) {
index = index+1;
if(jQuery(this).attr('id') === thisPage.attr('id') && direction === 'next') {
// VALIDATE REQUIRED FIELDS ON PAGE
var inputs = thisPage.find('input, select, textarea');
var errors = [];
// LOOP INPUTS
inputs.each(function() {
var fieldWrapper = jQuery(this).closest('.gfield');
var fieldType = jQuery(this).attr('type');
var value = jQuery(this).val();
var visibleSelect;
var optionText;
var fieldId = jQuery(this).attr('id');
if (!fieldType) {
if (jQuery(this).is('select')) {
fieldType = 'select';
visibleSelect = form.find('#' + fieldId);
optionText = visibleSelect.find('option:selected').text();
value = visibleSelect.val();
} else if (jQuery(this).is('textarea')) {
fieldType = 'textarea';
var visibleTextArea = form.find('#' + fieldId);
value = visibleTextArea.attr('value');
// TRY THE VALUE ATTR FIRST AND IF NO VALUE TRY NORMAL JQUERY VAL(), NOT SURE WHY ONE WORKS OVER THE OTHER SOMETIMES
if (!value || value === 'undefined') {
value = visibleTextArea.val();
}
}
}
// IF CHECKBOX OR RADIO SET OPTIONS
var checkOrRadio = false;
var cbOptionChecked;
if(fieldType === 'checkbox' || fieldType === 'radio') {
checkOrRadio = true;
cbOptionChecked = jQuery(this).prop('checked');
}
// SET IF FIELD IS HIDDEN OR DISABLED
var isVisible = jQuery(this).is(':visible');
var isDisabled = jQuery(this).prop('disabled');
// CHECK IF FIELD IS A NUMBER FIELD WITH MIN AND/OR MAX
if (fieldType === 'number') {
var val = jQuery(this).val();
var num = parseFloat(val);
if (val !== '') {
if (jQuery.isNumeric(num)) {
var min = parseFloat(jQuery(this).attr('min'));
var max = parseFloat(jQuery(this).attr('max'));
if (jQuery.isNumeric(min) && jQuery.isNumeric(max)) {
if ((Math.round(num * 100000) < Math.round(min * 100000)) || (Math.round(max * 100000) < Math.round(num * 100000))) {
errors.push(jQuery(this).attr('id'));
}
} else if (jQuery.isNumeric(max)) {
if (Math.round(max * 100000) < Math.round(num * 100000)) {
errors.push(jQuery(this).attr('id'));
}
} else if (jQuery.isNumeric(min)) {
if (Math.round(num * 100000) < Math.round(min * 100000)) {
errors.push(jQuery(this).attr('id'));
}
}
} else {
errors.push(jQuery(this).attr('id'));
}
}
}
// CHECK IF FIELD IS AN EMAIL AND FORMATTED CORRECTLY
if (fieldType === 'email'){
var emailVal = jQuery(this).val();
// pattern taken form https://emailregex.com/
var emailReg = /^(([^<>()\[\]\\.,;:\s@"]+(\.[^<>()\[\]\\.,;:\s@"]+)*)|(".+"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/;
if ( emailVal !== '' ) {
if(!emailReg.test( emailVal ) ){
errors.push(jQuery(this).attr('id'));
}
}
}
// SET IF FIELD IS REQUIRED
var required = false;
if(isDisabled !== true && isVisible === true && !jQuery(this).parent().hasClass('name_prefix_select') && !jQuery(this).parent().hasClass('name_suffix') && !jQuery(this).parent().hasClass('ginput_address_line_2') && (jQuery(this).attr('required') === 'true' || jQuery(this).attr('aria-required') === 'true' || fieldWrapper.hasClass('gfield_contains_required') && checkOrRadio !== true && !jQuery(this).parent().hasClass('address_line_2'))) {
required = true;
}
// IF REQUIRED FIELD WITH NO VALUE PUSH FIELD TO ERRORS ARRAY
if (required && (!value || value == "") || isDisabled !== true && isVisible === true && checkOrRadio === true && fieldWrapper.hasClass('gfield_contains_required') && cbOptionChecked === false) {
var invalidInputId;
// IF CHECKBOX OR RADIO INPUT
if(checkOrRadio === true) {
var cbIsValid = false;
// GROUP OPTION INPUTS
var cbInputs = fieldWrapper.find('input');
// LOOP OPTIONS
cbInputs.each(function() {
if(jQuery(this).prop('checked') === true) {
cbIsValid = true;
}
});
// PUSH ID TO ERROR ARRAY IF INVALID
if(cbIsValid !== true) {
invalidInputId = fieldWrapper.attr('id');
}
} else if (jQuery(this).attr('id') === undefined){
invalidInputId = fieldWrapper.attr('id');
} else if (fieldType === 'select'){
invalidInputId = fieldWrapper.attr('id');
}else {
invalidInputId = jQuery(this).attr('id');
}
if(invalidInputId && errors.indexOf(invalidInputId) === -1) {
errors.push(invalidInputId);
}
}
});
if(errors.length > 0) {
// SET FIRST INVALID FIELD
var firstErrorId = errors[0];
var firstInvalidInput = jQuery('#' + firstErrorId);
var firstInvalidInputWrapper = firstInvalidInput.closest('.gfield');
// ADD ERROR MESSAGE TO TOP OF FORM
form.find('.gform_body').before('
There was a problem with your submission. Errors have been highlighted below.
');
// LOOP INVALID INPUT ID'S
for(i=0; iThis field is required.
');
}
}
if(errorPage.attr('id') !== curPage.attr('id')) {
curPage.fadeOut().promise().done(function() {
errorPage.fadeIn();
// UPDATE LINKS
jQuery.each(stepLinks, function () {
if (jQuery(this).attr('id') === 'gf_step_' + errorPageIdArr[2] + '_' + errorPageIdArr[3]) {
jQuery(this).addClass('gf_step_active gpmpn-step-current');
} else {
jQuery(this).removeClass('gf_step_active gpmpn-step-current');
}
});
});
}
// SCROLL TO FIRST INVALID FIELD
jQuery('html, body').animate({
scrollTop: firstInvalidInputWrapper.offset().top
}, 500, 'linear');
} else {
// FADE OUT CURRENT PAGE
curPage.fadeOut().promise().done(function () {
// FADE IN SELECTED PAGE
jQuery('#' + pageId).fadeIn();
// UPDATE LINKS
jQuery.each(stepLinks, function () {
if (jQuery(this).attr('id') === stepId) {
jQuery(this).addClass('gf_step_active gpmpn-step-current');
} else {
jQuery(this).removeClass('gf_step_active gpmpn-step-current');
}
});
});
}
} else {
// FADE OUT CURRENT PAGE
curPage.fadeOut().promise().done(function () {
// FADE IN SELECTED PAGE
jQuery('#' + pageId).fadeIn();
// UPDATE LINKS
jQuery.each(stepLinks, function () {
if (jQuery(this).attr('id') === stepId) {
jQuery(this).addClass('gf_step_active gpmpn-step-current');
} else {
jQuery(this).removeClass('gf_step_active gpmpn-step-current');
}
});
});
}
}
});
/*** MULTI-FILE UPLOAD ***/
jQuery(document).on('change', '.cm-hipaa-multifile-upload-input',function (){
jQuery('body .cm-hipaa-multifile-errors').remove();
var settings = jQuery(this).data('settings');
var uploadPath = jQuery(this).val();
var uploadExtension = uploadPath.substring(uploadPath.lastIndexOf(".")+1, uploadPath.length);
//Default values
var uploadValidationErrors = [];
var maxFileSize = "";
var isMaxFileSize = true;
var isAllowedExtention = null;
var isDisallowedExtention = null;
if(settings.maxfilesize){
maxFileSize = settings.maxfilesize;
var fileSize = jQuery(this).prop('files')[0].size;
//maxFileSize = maxFileSize.substring(0,maxFileSize.length - 1); //No Longer needed
if(fileSize > parseInt(maxFileSize)){
uploadValidationErrors.push("
This file is too large.
");
}
}
var allowedExtentions = "";
if(settings.allowedextensions){
allowedExtentions = settings.allowedextensions;
}
var disallowedExtentions = "";
if(settings.disallowedextentions){
disallowedExtentions = settings.disallowedextentions;
}
if(allowedExtentions !== "*"){
var allowedExtentionsArray = allowedExtentions.split(',');
//if extention not found in array then error is given
if(!allowedExtentionsArray.includes(uploadExtension)){
uploadValidationErrors.push("
This file type is not allowed.
")
}
}else{
var disallowedExtentionsArray = disallowedExtentions.split(',');
//if extention is found in array then error is given
if(disallowedExtentionsArray.includes(uploadExtension)){
uploadValidationErrors.push("
This file type is not allowed.
")
}
}
var maxFiles = 0;
if(settings.maxfiles){
maxFiles = settings.maxfiles;
}
if(uploadValidationErrors.length){
jQuery(this).val("");
for (i = 0; i < uploadValidationErrors.length; i++) {
jQuery(this).before(uploadValidationErrors[i]);
}
}
})
/*** GRAVITY MULTI-FILE UPLOAD ADD NEW FIELD ***/
jQuery(document).on('click', '.cm-hipaa-gf-multifile-upload-button', function() {
var fileUploadInputCount = jQuery(this).parent().find('input[type="file"]').length+1;
var fieldId = jQuery(this).parent().parent().attr('id');
var fileInputId = fieldId.replace('field', 'input');
var fileInputEnd = fieldId.split('_').pop();
var fileInputName = 'input_' + fileInputEnd;
var fileInputDescribed = fieldId.replace('field', 'extensions_message');
var gfFileInputSettings = JSON.stringify(jQuery('#'+fileInputId).data('settings'));
var gfAcceptAttr = jQuery('#'+fileInputId).attr('accept');
jQuery(this).before('
delete_forever
');
gfAddAnotherFileBtn(fileInputId);
});
/*** GRAVITY HANDLE MULTI-FILE ADD ANOTHER FILE BUTTON ***/
function gfAddAnotherFileBtn(assocdInputId){
var fileInputId = jQuery('#'+assocdInputId);
var count = 0;
count = fileInputId.parent().find('input[type="file"]').length;
var fileInputSetting = fileInputId.data('settings');
var max = parseInt(fileInputSetting.maxfiles);
var addAnotherBtn = jQuery('#assocd_id_'+assocdInputId);
var btnFound = false;
if(addAnotherBtn.length > 0){
btnFound = true;
}
if((!btnFound && max === 0) || (!btnFound && max > count)){
fileInputId.parent().find('span.gform_fileupload_rules').before('
Add Another File
')
}else if(btnFound && max <= count && max !== 0){
addAnotherBtn.remove();
}
}
/*** CALDERA MULTI-FILE UPLOAD ADD NEW FIELD ***/
jQuery(document).on('click', '.cm-hipaa-cf-multifile-upload-button', function() {
var fileUploadInputCount = 0;
fileUploadInputCount = jQuery(this).parent().find('input[type="file"]').length+1;
//var fieldId = jQuery(this).parent().attr('data-field-wrapper');
var fieldId = jQuery(this).attr('id').replace('assocd_id_','');
var firstFileUploadInput = jQuery('#'+fieldId+'_1');
var cfFileInputSettings = firstFileUploadInput.data('settings');
var cfAcceptAttr = firstFileUploadInput.attr('accept');
jQuery(this).before('
delete_forever
');
});
/*** GRAVITY MULTI-FILE DELETE ***/
jQuery(document).on('click', '.cm-hipaa-gf-delete-file', function() {
var fileInputId = jQuery(this).parent().find('input[type="file"]').first().attr('id')
jQuery(this).prev().prev().remove();
jQuery(this).prev().remove();
jQuery(this).remove();
gfAddAnotherFileBtn(fileInputId);
});
/*** CALDERA MULTI-FILE DELETE ***/
jQuery(document).on('click', '.cm-hipaa-cf-delete-file', function() {
jQuery(this).prev().prev().remove();
jQuery(this).prev().remove();
jQuery(this).remove();
});
/*** TRIGGER CLICK EVENT ON ENTER/RETURN KEY CALDERA***/
jQuery(document).on('keydown', 'form .cm-hipaa-forms-submit.caldera.active', function(e){
if(e.keyCode===13){
jQuery('form .cm-hipaa-forms-submit.caldera.active').trigger('click');
}
});
/*** SUBMIT HIPAA ENABLED CALDERA FORM ***/
jQuery(document).on('click', 'form .cm-hipaa-forms-submit.caldera.active', function(e){
var submitButton = jQuery(this);
var form = jQuery(this).parents('form:first');
var formHtml = form.html();
var noticeEle = form.find('.cm-hipaa-notice');
var formMainId = form.attr('id');
var formId = form.attr('data-form-id');
if(!formId) {
formId = formMainId;
}
// REMOVE ACTIVE CLASS FROM SUBMIT BUTTON TO PREVENT RE-SUBMITTING
submitButton.removeClass('active').addClass('inactive');
var calderaEnabledForms = JSON.parse(cmHipaaScript.calderaEnabledForms); // DEPRECATED
formIds = [];
// LOOP CALDERA FORMS AND PUSH IDS TO ARRAY - DEPRECATED
for(var i = 0; i < calderaEnabledForms.length; i++){
if(calderaEnabledForms[i]) {
formIds.push(calderaEnabledForms[i]);
}
}
var enabledFormsSettings;
if(cmHipaaScript.enabledFormsSettings) {
enabledFormsSettings = JSON.parse(cmHipaaScript.enabledFormsSettings); // NEW JSON OBJECT ARRAY
}
// CHECK IF FORM OBJECT EXISTS IN ARRAY - NEW FORMS SETTINGS JSON OBJECT ARRAY METHOD
var formFound = false;
var successHandler;
var successMessage;
var successHideForm;
var successRedirect;
var successCallback;
var successCallbackParams;
var selectedUserSlug = '';
var showSignature;
var notificationOption = '';
//var notificationFromName = '';
//var notificationFromEmail = '';
//var notificationSendTo = '';
//var notificationSubject = '';
//var notificationMessage = '';
if(cmHipaaScript.enabledFormsSettings) {
enabledFormsSettings.some(function (el) {
if (el.id === formId && el.enabled === 'yes') {
formFound = true;
successHandler = el.success_handler;
successMessage = el.success_message;
successHideForm = el.success_hide_form;
successRedirect = el.success_redirect;
successCallback = el.success_callback;
successCallbackParams = el.success_callback_params;
selectedUserSlug = el.selected_user_slug;
showSignature = el.show_signature;
notificationOption = el.notification_option;
//notificationFromName = el.notification_from_name;
//notificationFromEmail = el.notification_from_email;
//notificationSendTo = el.notification_sendto;
//notificationSubject = el.notification_subject;
//notificationMessage = el.notification_message;
}
});
}
// SET SUCCESS MESSAGE IF NOT SET
if(!successMessage) {
successMessage = 'Thank you, your form has been encrypted to protect your privacy and submitted successfully!';
}
// IF FORM ID IS IN ENABLED FORMS PREVENT DEFAULT SUBMIT AND SEND TO CODE MONKEYS
if(jQuery.inArray(formId, formIds) !== -1 || formFound) {
e.preventDefault(); //Prevent the normal submission action
var defaultBorder;
// GET FILE INPUTS
var fileInputs = form.find('input[type=file]');
// CLONE THE FORM AS A HIDDEN VERSION IN ORDER TO REPLACE INPUTS WITH VALUES AND FORMAT TO SAVE
form.after('');
form.clone().appendTo('.cm-hipaa-forms-hidden-form');
var hiddenForm = jQuery('.cm-hipaa-forms-hidden-form form');
var hiddenFormInputs = jQuery('.cm-hipaa-forms-hidden-form form :input');
// REMOVE THE UNWANTED APPENDED ITEMS AT BOTTOM OF FORM
hiddenForm.find('.cm-hipaa-forms-prepend-bottom, .cmprivacy-modal, .cmprivacy-modal-overlay').remove();
// REMOVE STEP LINK BREADCRUMBS IF EXIST
hiddenForm.find('.breadcrumb').remove();
// LOOP CLONED HIDDEN FORM INPUTS AND GET LABELS => VALUES & FULL HTML VERSION OF FORM
var formFields = [];
var validationErrors = [];
var inputs = jQuery('#' + formMainId + ' :input');
hiddenFormInputs.each(function() {
var label = form.find('label[for="' + jQuery(this).attr('id') + '"]').text().trim();
var value = jQuery(this).val();
var dataField = jQuery(this).attr('data-field');
var fieldId = jQuery(this).attr('id');
var fieldName = jQuery(this).attr('name');
var fieldType = jQuery(this).attr('type');
defaultBorder = jQuery(this).css('border');
var required = jQuery(this).attr('required');
var formGroup = jQuery(this).closest('.form-group');
var checkboxParentLabel = '';
var checkboxLabel = '';
var radioValue = '';
var checkboxValue = '';
var fieldValue = '';
var optionLabel = '';
var optionValue = '';
// IGNORE INITIAL HIDDEN CALDERA FIELDS & NEXT/PREVIOUS BUTTONS
if(fieldName !== '_cf_verify' && fieldName !== '_wp_http_referer' && fieldName !== '_cf_frm_id' && fieldName !== '_cf_frm_ct' && fieldName !== 'cfajax' && fieldName !== '_cf_cr_pst' && fieldType !== 'button' && !jQuery(this).hasClass('button_trigger_1') && !jQuery(this).hasClass('button_trigger_2') && fieldName !== 'pum_form_popup_id') {
if (!fieldType) {
if (jQuery(this).is('select')) {
fieldType = 'select';
var visibleSelect = form.find('#' + fieldId);
var optionText = visibleSelect.find('option:selected').text();
value = visibleSelect.val();
fieldValue = value;
} else if (jQuery(this).is('textarea')) {
fieldType = 'textarea';
var visibleTextArea = form.find('#' + fieldId);
value = visibleTextArea.attr('value');
fieldValue = value;
// TRY THE VALUE ATTR FIRST AND IF NO VALUE TRY NORMAL JQUERY VAL(), NOT SURE WHY ONE WORKS OVER THE OTHER SOMETIMES
if(!value || value === 'undefined') {
value = visibleTextArea.val();
fieldValue = value;
}
}
}
// GET REQUIRED FIELDS THAT DO NOT HAVE A VALUE
if (required && !value && form.find('#' + fieldId).is(':visible') || (fieldType === 'checkbox' || fieldType === 'radio') && (required || jQuery(this).attr('data-parsley-required') === 'true') && jQuery(this).prop('checked') === false && form.find('#' + fieldId).is(':visible')) {
var errorExists;
if(fieldType === 'checkbox' || fieldType === 'radio') {
var optionsGroup;
var visibleOptionsGroup;
if(fieldType === 'checkbox') {
optionsGroup = jQuery(this).data('parsley-group');
visibleOptionsGroup = form.find('input[data-parsley-group="' + optionsGroup + '"]');
} else if(fieldType === 'radio') {
optionsGroup = jQuery(this).data('radio-field');
visibleOptionsGroup = form.find('input[data-radio-field="' + optionsGroup + '"]');
}
var cbIgnore;
visibleOptionsGroup.each(function() {
if(jQuery(this).prop('checked') === true) {
cbIgnore = true;
return false;
}
});
if(validationErrors.length > 0) {
validationErrors.some(function(el) {
if(el.fieldId === fieldId || el.fieldGroup === optionsGroup) {
errorExists = true;
}
});
}
if(!errorExists && !cbIgnore) {
validationErrors.push({
'fieldId': fieldId,
'label': form.find('label[for="' + optionsGroup + '"]').text(),
'fieldType': fieldType,
'fieldGroup': optionsGroup
});
}
} else {
validationErrors.push({
'fieldId': fieldId,
'label': form.find('label[for="' + jQuery(this).attr('id') + '"]').text(),
'fieldType': fieldType,
'fieldGroup': ''
});
}
}
// SET CHECKBOX OR RADIO FIELD LABEL AND INPUT LABEL
if (fieldType === 'checkbox' || fieldType === 'radio') {
if (jQuery(this).prop('checked') === true) {
checkboxLabel = jQuery(this).parent().text().trim();
if(jQuery(this).hasClass('cm-hipaa-forms-privacy-agree')) {
label = 'Privacy Agreement';
} else {
label = jQuery(this).parent().parent().parent().find('.control-label').text().trim();
if(!label) {
label = jQuery(this).parent().parent().parent().parent().find('.control-label').text().trim();
if(!label) {
label = checkboxLabel;
}
}
}
checkboxParentLabel = label;
optionLabel = checkboxLabel;
optionValue = value;
}
}
// REPLACE HIDDEN HTML VERSION INPUTS WITH VALUES
if (fieldType === 'select') {
jQuery(this).replaceWith(optionText);
} else if (fieldType === 'checkbox') {
// SET CHECKBOX VALUE IF DIFFERENT THAN LABEL
if(value !== checkboxLabel) {
checkboxValue = value;
}
if (jQuery(this).prop('checked') === true) {
// SET CHECKED CHECKBOX IMAGE AND VALUE
value = '' + checkboxValue + '';
jQuery(this).parent().addClass('cm-hipaa-forms-checkbox-checked-wrapper');
if(checkboxParentLabel) {
fieldValue = 'checked';
}
} else {
// SET UNCHECKED CHECKBOX IMAGE AND VALUE
value = '';
jQuery(this).parent().addClass('cm-hipaa-forms-checkbox-not-checked-wrapper');
}
jQuery(this).replaceWith(value);
} else if (fieldType === 'radio') {
// SET RADIO VALUE IF DIFFERENT THAN LABEL
if (value !== checkboxLabel) {
radioValue = value;
}
if (jQuery(this).prop('checked') === true) {
// SET CHECKED RADIO BUTTON IMAGE AND VALUE
value = '' + radioValue + '';
jQuery(this).parent().addClass('cm-hipaa-forms-radio-checked-wrapper');
if (checkboxParentLabel) {
fieldValue = 'checked';
}
} else {
// SET UNCHECKED RADIO BUTTON IMAGE AND VALUE
value = '';
jQuery(this).parent().addClass('cm-hipaa-forms-radio-not-checked-wrapper');
}
jQuery(this).replaceWith(value);
} else if(fieldType === 'hidden') {
// NEED TO CREATE A WRAPPING ELEMENT AND PASS ATTRIBUTES FROM INPUT TO WRAPPER ELE
jQuery(this).replaceWith('
' + value + '
');
} else {
fieldValue = value;
jQuery(this).replaceWith(value);
}
// ADD CUSTOM CLASS TO IDENTIFY IF FIELD VALUE IS EMPTY OR NOT
if(formGroup.hasClass('cm_hipaa_forms_field_not_empty') === false && (!fieldValue || fieldValue.length === 0)) {
formGroup.addClass('cm_hipaa_forms_field_empty');
} else {
formGroup.removeClass('cm_hipaa_forms_field_empty');
formGroup.addClass('cm_hipaa_forms_field_not_empty');
}
if (label && fieldValue) {
// IF LABEL EXISTS PUSH TO FIELDS ARRAY
formFields.push({
'label': label,
'option_label': optionLabel,
'option_value': optionValue,
'value': fieldValue,
'data_field': dataField,
'field_id': fieldId,
'field_type': fieldType,
'option_text': optionText
});
}
}
});
// GET SIGNATURE SVG BASE64 DATA
var signatureEle = form.find('.cm-hipaa-form-signature');
var datapair = signatureEle.jSignature("getData", "svgbase64");
var signature;
if(datapair) {
signature = "data:" + datapair[0] + "," + datapair[1];
formFields.push({
'label': 'Signature',
'option_label': 'data:',
'option_value': datapair[0],
'value': datapair[1],
'data_field': '',
'field_id': '',
'field_type': 'signature',
'option_text': ''
});
}
// SET PRIVACY AGREEMENT ELEMENT
var privacyAgreementEle = form.find('.cm-hipaa-forms-privacy-agree');
// RESET ERRORS
//inputs.css('border', defaultBorder);
jQuery('.form-group').removeClass('has-error');
jQuery('input, select, textarea').removeAttr('aria-invalid').removeClass('parsley-error');
jQuery('.caldera_ajax_error_block').remove();
privacyAgreementEle.parent().css('border', '0');
if(signatureEle) {
signatureEle.find('.jSignature').css('border', '0');
}
noticeEle.html('');
// MULTI-PAGE FORM RENDERING
var calderaFormPages = hiddenForm.find('[data-formpage]');
calderaFormPages.each(function(index) {
// MAKE PAGE ELEMENT VISIBLE
jQuery(this).css({
'visibility': 'visible',
'display': 'block'
});
// REMOVE BUTTONS
jQuery(this).find('input[type="button"]').closest('.form-group').remove();
jQuery(this).find('button').remove();
// APPEND PAGE BREAK TO END OF PAGE FOR MPDF IF NOT LAST ELEMENT
if(index !== (calderaFormPages.length - 1)) {
jQuery(this).append('');
}
});
var nonce = cmHipaaScript.nonce;
if(!jQuery.isEmptyObject(validationErrors) && validationErrors.length > 0) { // ADDED .LENGTH CHECK TO OBJECT TO PREVENT POTENTIAL UNDEFINED OBJ ISSUES
// VALIDATE FIELDS
jQuery.each(validationErrors, function(key, val) {
var invalidFieldId = val.fieldId;
var invalidFieldType = val.fieldType;
var invalidFieldGroup = val.fieldGroup;
var invalidInput = jQuery('#' + invalidFieldId);
var invalidFieldWrapper;
if(invalidFieldGroup) {
invalidFieldWrapper = jQuery('#' + invalidFieldGroup + '-wrap');
} else {
invalidFieldWrapper = jQuery('#' + invalidFieldId + '-wrap');
}
// ADD ERROR CLASS TO FIELD GROUP ELEMENT & INPUT
invalidFieldWrapper.addClass('has-error');
invalidInput.attr('aria-invalid', 'true').addClass('parsley-error');
jQuery('label[for="' + invalidFieldId + '"]').addClass('parsley-error');
// APPEND NOTICE
invalidFieldWrapper.append('This value is required.');
// UPDATE NOTICE ELEMENT
noticeEle.append('
' + val.label + ' is a required field!
');
});
// REMOVE HIDDEN FORM
jQuery('.cm-hipaa-forms-hidden-form').remove();
// SET FIRST INVALID FIELD DEPENDING ON IF CHECKBOX/FIELDGROUP
var scrollTopEle;
if(validationErrors[0].fieldGroup) {
//if(validationErrors[0].hasOwnProperty('fieldGroup')) { // CHANGED TO PREVENT POTENTIAL UNDEFINED ISSUES
scrollTopEle = '#' + validationErrors[0].fieldGroup + '-wrap';
} else {
scrollTopEle = '#' + validationErrors[0].fieldId + '-wrap';
}
// SCROLL TO FIRST INVALID FIELD
jQuery('html, body').animate({
scrollTop: jQuery(scrollTopEle).offset().top
}, 500, 'linear');
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else if(privacyAgreementEle.prop('checked') !== true) {
// ENSURE THE HIPAA PRIVACY CHECKBOX IS CHECKED
privacyAgreementEle.parent().css('border', '1px solid red');
noticeEle.html('You must agree to the HIPAA Privacy Agreement');
// REMOVE HIDDEN FORM
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else if(showSignature === 'yes' && !signatureEle.find('.jSignature').hasClass('cm-valid-sig')) {
// ADD RED BORDER TO SIGNATURE FIELD
signatureEle.find('.jSignature').css('border', '1px solid red');
// UPDATE NOTICE ELEMENT
noticeEle.html('You must sign the form');
// REMOVE HIDDEN FORM
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// VALIDATE ACCOUNT TO GET ENABLED ADD-ONS
jQuery.ajax({
method: 'POST',
type: 'POST',
url: cmHipaaScript.ajax_url,
data: {
'action': 'cm_hipaa_validate_account',
'nononce': '1',
'nonce': cmHipaaScript.nonce
},
success: function (data) {
// REMOVE LOADING ICON
jQuery('.cm-hipaa-forms-loading').remove();
//var resultData = JSON.parse(data);
var resultData;
try {
resultData = JSON.parse(data);
} catch (e) {
console.log(data);
noticeEle.append(data);
return false;
}
if (resultData.success === 'success') {
// CHECK IF FILE UPLOAD ENABLED
var validatedAddOns = resultData.add_ons;
var validatedAddOnsArray;
if(validatedAddOns) {
validatedAddOnsArray = validatedAddOns.split(',');
}
var fileUploadEnabled = 'no';
if(Array.isArray(validatedAddOnsArray) && validatedAddOnsArray.indexOf('fileupload') !== -1) {
fileUploadEnabled = 'yes';
} else if(validatedAddOns === 'fileupload') {
fileUploadEnabled = 'yes';
}
// IF FILE INPUTS EXIST & FILE UPLOAD ENABLED
if (fileInputs.length > 0 && fileUploadEnabled === 'yes') {
// SHOW LOADING BAR
noticeEle.html('
Uploading Files...
');
cmHipaaFormsProgress();
var fileInputsLength = fileInputs.length;
var iterations = 0;
var fileKeys = [];
fileInputs.each(function (index) {
var fileInputParentId = jQuery(this).parent().parent().attr('id');
var fileLabel = jQuery(this).parent().parent().find('label').text();
fileLabel = fileLabel.replace(/[^a-z0-9\s]/gi, '').replace(/[_\s]/g, '-');
// GET FILE
var theFormFile = jQuery(this).get()[0].files[0];
if (theFormFile) {
var fileType = theFormFile.type;
var fileName = theFormFile.name;
// GET PRESIGNED FILE UPLOAD URL
jQuery.ajax({
method: 'POST',
type: 'POST',
url: cmHipaaScript.ajax_url,
data: {
'action': 'cm_hipaa_get_file_upload_url',
'file_name': fileName,
'nononce': '1',
'nonce': cmHipaaScript.nonce
},
success: function (data) {
//var resultData = JSON.parse(data);
var resultData;
try {
resultData = JSON.parse(data);
} catch (e) {
console.log(data);
noticeEle.append(data);
return false;
}
var fileUploadUrl = resultData.file_upload_url;
var fileKey = resultData.file_key;
// PUSH FILE KEYS TO ARRAY
fileKeys.push(fileKey);
// UPLOAD THE FILE
jQuery.ajax({
url: fileUploadUrl, // the presigned URL
type: 'PUT',
processData: false,
contentType: fileType,
//headers: {'x-amz-tagging': 'label=' + fileLabel},
data: theFormFile,
success: function () {
var hiddenFileUploadContainer = hiddenForm.find('#' + fileInputParentId);
var existingFiles = hiddenFileUploadContainer.find('.cm_hipaa_file_input'); // GET EXISTING FILES ALREADY UPLOADED IN HIDDEN FORM
hiddenFileUploadContainer.html(''); // CLEAR THE CONTAINER ELEMENT
// PREPEND LABEL TO FILE CONTAINER ELEMENT
hiddenFileUploadContainer.prepend('');
jQuery.each(existingFiles, function () {
// APPEND EXISTING FILES ALREADY UPLOADED BACK INTO CONTAINER ELEMENT
hiddenFileUploadContainer.append(jQuery(this));
});
// APPEND NEW UPLOADED FILE TO CONTAINER ELEMENT
hiddenFileUploadContainer.append('
');
jQuery('.cm-hidden-form-message').fadeIn();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
});
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html(successMessage + ' ' + formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
} else if (successHandler === 'redirect') {
// REDIRECT TO SUCCESS PAGE
window.location = successRedirect;
} else if (successHandler === 'callback') {
// MAKE SURE CALLBACK IS AN EXISTING FUNCTION
fnExists = typeof window[successCallback] === 'function';
if (fnExists) {
if (successCallbackParams) {
window[successCallback].apply(null, successCallbackParams.split(','));
} else {
window[successCallback]();
}
} else {
console.log(successCallback + ' is not an existing function!');
}
if (successMessage) {
noticeEle.html(successMessage + ' ' + formError);
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
}
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
// RESET THE FORM
form[0].reset();
if (signature) {
signatureEle.jSignature("reset");
}
} else {
// JUST A FAIL-SAFE JUST IN CASE WE DON'T ACTUALLY GET A SUCCESS MESSAGE
noticeEle.html(formError);
}
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
},
error: function (errorThrown) {
console.log(errorThrown);
noticeEle.html(errorThrown);
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
}
});
}, 1000);
}
}
});
},
error: function (errorThrown) {
console.log(errorThrown);
}
});
} else {
hiddenForm.find('#' + fileInputParentId).find('.file-prevent-overflow').html('
');
jQuery('.cm-hidden-form-message').fadeIn();
});
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html(successMessage + ' ' + formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
} else if (successHandler === 'redirect') {
// REDIRECT TO SUCCESS PAGE
window.location = successRedirect;
} else if (successHandler === 'callback') {
// MAKE SURE CALLBACK IS AN EXISTING FUNCTION
fnExists = typeof window[successCallback] === 'function';
if (fnExists) {
if (successCallbackParams) {
window[successCallback].apply(null, successCallbackParams.split(','));
} else {
window[successCallback]();
}
} else {
console.log(successCallback + ' is not an existing function!');
}
if (successMessage) {
noticeEle.html(successMessage + ' ' + formError);
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
}
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
// RESET THE FORM
form[0].reset();
if (signature) {
signatureEle.jSignature("reset");
}
} else {
// JUST A FAIL-SAFE JUST IN CASE WE DON'T ACTUALLY GET A SUCCESS MESSAGE
noticeEle.html(formError);
}
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
},
error: function (errorThrown) {
console.log(errorThrown);
noticeEle.html(errorThrown);
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
});
}, 1000);
}
}
});
} else {
// SHOW LOADING BAR
noticeEle.html('
');
jQuery('.cm-hidden-form-message').fadeIn();
});
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html(successMessage + ' ' + formError);
}
} else if (successHandler === 'redirect') {
// REDIRECT TO SUCCESS PAGE
window.location = successRedirect;
} else if (successHandler === 'callback') {
// MAKE SURE CALLBACK IS AN EXISTING FUNCTION
fnExists = typeof window[successCallback] === 'function';
if (fnExists) {
if (successCallbackParams) {
window[successCallback].apply(null, successCallbackParams.split(','));
} else {
window[successCallback]();
}
} else {
console.log(successCallback + ' is not an existing function!');
}
if (successMessage) {
noticeEle.html(successMessage + ' ' + formError);
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
}
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
// RESET THE FORM
form[0].reset();
if (signature) {
signatureEle.jSignature("reset");
}
} else {
// JUST A FAIL-SAFE JUST IN CASE WE DON'T ACTUALLY GET A SUCCESS MESSAGE
noticeEle.html(formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
},
error: function (errorThrown) {
console.log(errorThrown);
noticeEle.html(errorThrown);
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
});
}
} else {
console.log('Error validating Account...');
}
},
error: function (errorThrown) {
console.log(errorThrown);
}
});
}
}
});
/*** TRIGGER CLICK EVENT ON ENTER/RETURN KEY GRAVITY***/
jQuery(document).on('keyup', 'form .cm-hipaa-forms-submit.gravity.active', function(e){
if(e.keyCode===13){
jQuery('body form .cm-hipaa-forms-submit.gravity.active').trigger('click');
}
});
/*** SUBMIT HIPAA ENABLED GRAVITY FORM ***/
jQuery(document).on('click', 'form .cm-hipaa-forms-submit.gravity.active', function(e){
var gravityVersion = cmHipaaScript.gravityVersion;
var submitButton = jQuery(this);
var form = jQuery(this).parents('form:first');
var noticeEle = form.find('.cm-hipaa-notice');
var formMainId = form.attr('id');
var formId = form.attr('data-form-id');
var newFormat = false;
var legacyMarkup = false;
if(!formId) {
formId = formMainId;
}
// REMOVE ALL TAGS BEFORE CLONING FORM
var rawInputs = form.find('textarea, ' +
'input[type=text], ' +
'input[type=textarea], ' +
'input[type=email], ' +
'input[type=hidden], ' +
'input[type=password], ' +
'input[type=search], ' +
'input[type=url], ' +
'input[type=month], ' +
'input[type=day], ' +
'input[type=year]');
jQuery.each(rawInputs, function(index) {
var rawValue = jQuery(this).val();
if (rawValue) {
var newValue = rawValue
.replaceAll('onerror', '')
.replaceAll('img', '')
.replaceAll('onload','')
.replaceAll('<','<')
.replaceAll('>', '>');
//var sanitizedValue = removeTags(newValue);
jQuery(this).val(newValue);
}
});
// CHECK IF NEW FORMAT VERSION (2.5 OR HIGHER)
if(gravityVersion >= 2.5) {
// SET NEW FORMAT TO TRUE
newFormat = true;
// CHECK IF LEGACY MARKUP FORM
if(form.parent().hasClass('gform_legacy_markup_wrapper')) {
legacyMarkup = true;
}
}
// REMOVE ACTIVE CLASS TO PREVENT RE-SUBMITTING
submitButton.removeClass('active').addClass('inactive');
// REMOVE REQUIRED FIELD NOTIFICATION ERROR IF EXISTS
jQuery('.validation_error').remove();
var gravityEnabledForms = JSON.parse(cmHipaaScript.gravityEnabledForms); // DEPRECATED
formIds = [];
// LOOP GRAVITY FORMS AND PUSH IDS TO ARRAY - DEPRECATED
for(var i = 0; i < gravityEnabledForms.length; i++){
if(gravityEnabledForms[i]) {
formIds.push('gform_' + gravityEnabledForms[i]);
}
}
var enabledFormsSettings;
if(cmHipaaScript.enabledFormsSettings) {
enabledFormsSettings = JSON.parse(cmHipaaScript.enabledFormsSettings); // NEW JSON OBJECT ARRAY
}
// CHECK IF FORM OBJECT EXISTS IN ARRAY - NEW FORMS SETTINGS JSON OBJECT ARRAY METHOD
var formFound;
var successHandler;
var successMessage;
var successHideForm;
var successRedirect;
var successCallback;
var successCallbackParams;
var selectedUserSlug = '';
var showSignature;
var notificationOption = '';
//var notificationFromName = '';
//var notificationFromEmail = '';
//var notificationSendTo = '';
//var notificationSubject = '';
//var notificationMessage = '';
if(cmHipaaScript.enabledFormsSettings) {
enabledFormsSettings.some(function (el) {
if (el.form_builder === 'gravity' && 'gform_' + el.id === formId && el.enabled === 'yes') {
formFound = true;
successHandler = el.success_handler;
successMessage = el.success_message;
successHideForm = el.success_hide_form;
successRedirect = el.success_redirect;
successCallback = el.success_callback;
successCallbackParams = el.success_callback_params;
selectedUserSlug = el.selected_user_slug;
showSignature = el.show_signature;
notificationOption = el.notification_option;
//notificationFromName = el.notification_from_name;
//notificationFromEmail = el.notification_from_email;
//notificationSendTo = el.notification_sendto;
//notificationSubject = el.notification_subject;
//notificationMessage = el.notification_message;
}
});
}
// SET SUCCESS MESSAGE IF NOT SET
if(!successMessage) {
successMessage = 'Thank you, your form has been encrypted to protect your privacy and submitted successfully!';
}
// IF FORM ID IS IN ENABLED FORMS PREVENT DEFAULT SUBMIT AND SEND TO CODE MONKEYS
if(jQuery.inArray(formId, formIds) !== -1 || formFound) {
e.preventDefault(); //Prevent the normal submission action
var location;
var locationEmail;
var firstName;
var lastName;
var email;
var phone;
var selectedUser;
var defaultBorder;
// GET FILE INPUTS
var fileInputs = form.find('input[type=file]');
// CLONE THE FORM AS A HIDDEN VERSION IN ORDER TO REPLACE INPUTS WITH VALUES AND FORMAT TO SAVE
form.after(''); // ADD HIDDEN EMPTY DIV ELEMENT TO CLONE FORM TO
form.clone().appendTo('.cm-hipaa-forms-hidden-form'); // CLONE FORM TO APPENDED HIDDEN EMPTY DIV ELEMENT
var hiddenForm = jQuery('.cm-hipaa-forms-hidden-form form'); // SET HIDDEN FORM VARIABLE
var hiddenFormInputs = jQuery('.cm-hipaa-forms-hidden-form form :input'); // SET INPUTS VARIABLE FROM HIDDEN FORM
// IF GRAVITY 2.5+ ADD GFORM_WRAPPER GRAVITY-THEME CLASS ELEMENT FOR COLUMN STYLES TO WORK
if(newFormat === true && legacyMarkup === false) {
hiddenForm.find('.gform_body').addClass('gform_wrapper gravity-theme');
}
// REMOVE THE UNWANTED APPENDED ITEMS AT BOTTOM OF FORM
hiddenForm.find('.cm-hipaa-forms-prepend-bottom, .cmprivacy-modal, .cmprivacy-modal-overlay').remove();
hiddenForm.find('.gform_footer .gform_hidden').remove();
//add css class by dividing by number of header items
hiddenForm.find('.gfield_list_container').each(function () {
var headerItems = jQuery(this).find('.gfield_header_item');
var headerCount = headerItems.length;
//console.log(headerCount)
if(headerItems.last().hasClass('gfield_header_item--icons')){
headerCount = headerCount - 1;
}
var widthClass;
switch (headerCount) {
case 1 :
widthClass = 'cm-hipaa-gfield--width-1-col';
break;
case 2 :
widthClass = 'cm-hipaa-gfield--width-2-col';
break;
case 3 :
widthClass = 'cm-hipaa-gfield--width-3-col';
break;
case 4 :
widthClass = 'cm-hipaa-gfield--width-4-col';
break;
case 5 :
widthClass = 'cm-hipaa-gfield--width-5-col';
break;
case 6 :
widthClass = 'cm-hipaa-gfield--width-6-col';
break;
case 7 :
widthClass = 'cm-hipaa-gfield--width-7-col';
break;
case 8 :
widthClass = 'cm-hipaa-gfield--width-8-col';
break;
case 9 :
widthClass = 'cm-hipaa-gfield--width-9-col'
break;
default:
widthClass = '';
}
headerItems.each(function () {
jQuery(this).addClass(widthClass);
});
jQuery(this).find('.gfield_list_group_item').each(function () {
jQuery(this).removeAttr('data-label');
jQuery(this).addClass(widthClass);
})
})
// FIND DATE FIELDS
var dateContainers = hiddenForm.find('.ginput_container_date');
// LOOP DATE FIELDS
var dateInputId = '';
dateContainers.each(function() {
// SET MAIN INPUT ID
dateInputId = jQuery(this).find('.datepicker').attr('id');
// REMOVE ICON
jQuery(this).find('.ui-datepicker-trigger').remove();
// REMOVE HIDDEN INPUT WITH ICON PATH
jQuery(this).find('.gform_hidden').remove();
});
// FIND AND REMOVE HIDDEN DATEPICKER ICON INPUT IF EXISTS
hiddenForm.find('.ginput_container_date').next('.gform_hidden').remove();
// REMOVE STEPS LINKS AT TOP OF FORM IF EXIST
hiddenForm.find('.gf_page_steps').remove();
// REMOVE HIDDEN PAGE PROGRESSION INPUT IF EXISTS
hiddenForm.find( "input[name^='gpps_page_progression_']" ).remove();
// REMOVE ADD/DELETE ROW ICONS IF EXIST
hiddenForm.find('.add_list_item').remove();
hiddenForm.find('.delete_list_item').remove();
// REMOVE MULTI-SELECT SELECT OPTIONS ELEMENT
hiddenForm.find('.chosen-drop').remove();
// LOOP CLONED HIDDEN FORM INPUTS AND GET LABELS => VALUES & FULL HTML VERSION OF FORM
var formFields = [];
var validationErrors = [];
var inputs = jQuery('#' + formMainId + ' :input');
hiddenFormInputs.each(function() {
var label = form.find('label[for="' + jQuery(this).attr('id') + '"]').text().trim();
var value = jQuery(this).val();
var fieldId = jQuery(this).attr('id');
var fieldSetId;
var fieldName = jQuery(this).attr('name');
var fieldType = jQuery(this).attr('type');
var gravityClassEle = jQuery(this).closest('.gfield');
var gravityClass = gravityClassEle.attr('class');
defaultBorder = jQuery(this).css('border');
var locationSelect;
var selectedUserSelect;
var visibleSelect;
var optionText = '';
var checkboxParentLabel = '';
var checkboxLabel;
var radioValue = '';
var checkboxValue = '';
var fieldValue = '';
var optionLabel = '';
var optionValue = '';
var checkRadioEmpty = false;
var required = false;
var isVisible = form.find('#' + fieldId).is(':visible');
var isDisabled = jQuery(this).prop('disabled');
var message = '';
// SET IF ADVANCED FIELD
var isAdvancedField = false;
var isAdvancedList = false;
if(jQuery(this).closest('.ginput_container').hasClass('ginput_complex') || jQuery(this).closest('.ginput_container').hasClass('ginput_container_list')) {
isAdvancedField = true;
// SET FIELDSET ID IF NEW FORMAT & NOT LEGACY MARKUP
if(newFormat === true && legacyMarkup === false) {
fieldSetId = jQuery(this).closest('fieldset').attr('id');
// SET FIELD ID OF EACH INPUT ELEMENT
let currentItem = jQuery(this);
jQuery('.gfield_list input').each(function(index) {
if(jQuery(this).attr('aria-label') === currentItem.attr('aria-label')) {
fieldId = fieldSetId + '_' + index;
return false;
}
});
// SET IF ADVANCED FIELD IS VISIBLE
isVisible = form.find('#' + fieldSetId).is(':visible');
}
// IF ADVANCED LIST ITEM
if(jQuery(this).closest('.ginput_container').hasClass('ginput_container_list')) {
isAdvancedList = true;
// TODO: SET FIELD ID OF EACH INPUT ELEMENT ON LEGACY MARKUP (MAYBE IMPOSSIBLE)
}
}
// IGNORE GRAVITY SPECIFIC HIDDEN FIELDS NOT NEEDED TO SHOW ON FORM
if(fieldName !== 'is_submit_10' && fieldName !== 'gform_submit' && fieldName !== 'gform_unique_id' && fieldName !== 'state_10' && fieldName !== 'gform_target_page_number_10' && fieldName !== 'gform_source_page_number_10' && fieldName !== 'gform_field_values' && !jQuery(this).hasClass('gforms-pum') && !(jQuery(this).hasClass('gform_hidden') && jQuery(this).parent().hasClass('ginput_container_consent'))) {
// TODO: ADDING THIS TO THE END OF THE ABOVE IF STATEMENT BREAKS ADVANCED ADDRESS FIELDS ON >2.5 && !jQuery(this).hasClass('gform_hidden')
// TODO: ABOVE WAS ADDED TO TRY AND REMOVE REDUNDANT LABEL/VALUE FOR "I AGREE" CHECKBOX FIELD, NEED TO TRY AND CHECK PARENT ELE FOR CLASS GINPUT_CONTAINER_CONSENT FIRST
// GET REQUIRED GRAVITY FIELDS
if (gravityClassEle.hasClass('hipaa_forms_office_location')) {
// SET LOCATION VALUES
locationSelect = form.find('#' + fieldId);
location = locationSelect.find('option:selected').text();
locationEmail = locationSelect.val();
} else if (gravityClassEle.hasClass('hipaa_forms_first_name') && jQuery(this).val()) {
firstName = jQuery(this).val();
} else if (gravityClassEle.hasClass('hipaa_forms_last_name') && jQuery(this).val()) {
lastName = jQuery(this).val();
} else if (gravityClassEle.hasClass('hipaa_forms_name')) {
if (jQuery(this).parent().hasClass('name_first') && jQuery(this).val()) {
firstName = jQuery(this).val();
} else if (jQuery(this).parent().hasClass('name_last') && jQuery(this).val()) {
lastName = jQuery(this).val();
}
} else if (gravityClassEle.hasClass('hipaa_forms_email')) {
email = jQuery(this).val();
} else if (gravityClassEle.hasClass('hipaa_forms_phone')) {
phone = jQuery(this).val();
} else if (selectedUserSlug && gravityClassEle.hasClass(selectedUserSlug)) {
selectedUserSelect = form.find('#' + fieldId);
selectedUser = selectedUserSelect.val();
}
if (!fieldType) {
if (jQuery(this).is('select')) {
fieldType = 'select';
visibleSelect = form.find('#' + fieldId);
optionText = visibleSelect.find('option:selected').text();
value = visibleSelect.val();
fieldValue = value;
} else if (jQuery(this).is('textarea')) {
fieldType = 'textarea';
var visibleTextArea = form.find('#' + fieldId);
value = visibleTextArea.attr('value');
fieldValue = value;
// TRY THE VALUE ATTR FIRST AND IF NO VALUE TRY NORMAL JQUERY VAL(), NOT SURE WHY ONE WORKS OVER THE OTHER SOMETIMES
if (!value || value === 'undefined') {
value = visibleTextArea.val();
fieldValue = value;
}
}
}
// IF CHECKBOX OR RADIO SET OPTIONS
var cbOptionsWrapper;
var checkOrRadio = false;
var cbOptionChecked;
if (fieldType === 'checkbox' || fieldType === 'radio') {
checkOrRadio = true;
cbOptionsWrapperId = gravityClassEle.attr('id');
cbOptionsWrapper = form.find('#' + cbOptionsWrapperId);
cbOptionChecked = form.find('#' + fieldId).prop('checked');
}
// CHECK IF FIELD IS FILE UPLOAD & SET AS HIDDEN INPUT VALUE (SAFARI REQUIRED FIELD FIX)
if (fieldType === 'file') {
value = form.find('#' + fieldId).val().replace(/C:\\fakepath\\/i, '');
if (!label) {
label = 'File Upload';
}
}
// CHECK IF FIELD IS A NUMBER FIELD WITH MIN AND/OR MAX
if (fieldType === 'number') {
var val = jQuery(this).val();
var num = parseFloat(val);
if (val !== '') {
if (jQuery.isNumeric(num)) {
var min = parseFloat(jQuery(this).attr('min'));
var max = parseFloat(jQuery(this).attr('max'));
if (jQuery.isNumeric(min) && jQuery.isNumeric(max)) {
if ((Math.round(num * 100000) < Math.round(min * 100000)) || (Math.round(max * 100000) < Math.round(num * 100000))) {
validationErrors.push({
'fieldId': fieldId,
'label': label,
'name': fieldName,
'visible': isVisible,
'message': 'The number must be between ' + min + ' and ' + max
});
}
} else if (jQuery.isNumeric(max)) {
if (Math.round(max * 100000) < Math.round(num * 100000)) {
validationErrors.push({
'fieldId': fieldId,
'label': label,
'name': fieldName,
'visible': isVisible,
'message': 'The number must be less than or equal to ' + max
});
}
} else if (jQuery.isNumeric(min)) {
if (Math.round(num * 100000) < Math.round(min * 100000)) {
validationErrors.push({
'fieldId': fieldId,
'label': label,
'name': fieldName,
'visible': isVisible,
'message': 'The number must be greater than or equal to ' + min
});
}
}
} else {
validationErrors.push({
'fieldId': fieldId,
'label': label,
'name': fieldName,
'visible': isVisible,
'message': 'You must enter a number'
});
}
}
}
// CHECK IF FIELD IS AN EMAIL AND FORMATTED CORRECTLY
if (fieldType === 'email'){
var emailVal = jQuery(this).val();
// pattern taken form https://emailregex.com/
var emailReg = /^(([^<>()\[\]\\.,;:\s@"]+(\.[^<>()\[\]\\.,;:\s@"]+)*)|(".+"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/;
if ( emailVal !== '' ) {
if(!emailReg.test( emailVal ) ){
validationErrors.push({
'fieldId': fieldId,
'label': label,
'name': fieldName,
'visible': isVisible,
'message': 'The email address entered is invalid, please check the formatting (e.g. email@domain.com)',
});
}
}
}
// SET IF FIELD IS REQUIRED
if (isDisabled !== true && isVisible === true && (jQuery(this).attr('required') === 'true' || jQuery(this).attr('aria-required') === 'true' || gravityClassEle.hasClass('gfield_contains_required') === 'true' && checkOrRadio !== true && !jQuery(this).parent().hasClass('address_line_2'))) {
required = true;
jQuery(this).attr('required');
} else if (isAdvancedField) {
if (isAdvancedList && jQuery(this).attr('aria-required') === 'true' && isVisible === true) {
required = true;
jQuery(this).attr('required');
var fieldId = (jQuery(this).closest('fieldset.gfield_contains_required').attr('id'));
jQuery(this).attr('id', fieldId + '_' + jQuery(this).attr('aria-label'));
}
}
// GET REQUIRED FIELDS THAT DO NOT HAVE A VALUE
if (required && (!value || value == "") || isDisabled !== true && isVisible === true && checkOrRadio === true && cbOptionsWrapper.hasClass('gfield_contains_required') && cbOptionChecked === false) {
// MAKE SURE OBJECT DOES NOT ALREADY EXIST, CLEARING ARRAY ABOVE DOESN'T SEEM TO WORK HERE
var errorFound;
var cbIgnore;
// IF CHECKBOX SPLIT NAME AT PERIOD FOR CONSISTENCY
if (fieldType === 'checkbox' && !jQuery(this).parent().hasClass('gchoice_select_all')) {
fieldName = fieldName.split('.')[0];
}
// IF CHECKBOX OR RADIO, GROUP OPTIONS & ENSURE ONE IS CHECKED
if (cbOptionsWrapper) {
var cbOptions = cbOptionsWrapper.find('input');
cbOptions.each(function () {
if (jQuery(this).prop('checked')) {
cbIgnore = true;
return false;
}
});
}
if (validationErrors.length > 0) {
validationErrors.some(function (el) {
// CHECK IF ERROR ALREADY EXISTS IN VALIDATION ERRORS ARRAY
if (el.fieldId === fieldId || el.name === fieldName) {
errorFound = true;
}
});
}
if (!errorFound && !cbIgnore && !jQuery(this).parent().hasClass('name_prefix_select') && !jQuery(this).parent().hasClass('name_suffix') && !jQuery(this).parent().hasClass('ginput_address_line_2')) {
validationErrors.push({
'fieldId': fieldId,
'label': label,
'name': fieldName,
'visible': isVisible,
'message': message
});
}
}
// SET CHECKBOX OR RADIO FIELD LABEL AND INPUT LABEL
if (fieldType === 'checkbox' || fieldType === 'radio') {
if (jQuery(this).prop('checked') === true) {
checkboxLabel = jQuery(this).parent().find('label').text().trim();
if (jQuery(this).hasClass('cm-hipaa-forms-privacy-agree')) {
label = 'Privacy Agreement';
} else {
label = cbOptionsWrapper.find('.gfield_label').text().trim();
}
checkboxParentLabel = label;
optionLabel = checkboxLabel;
optionValue = value;
}
// GET CHECKBOXES OR RADIOS WITHIN GROUP
//var advancedFields = gravityClassEle.find('input, select');
//var lastAdvancedFieldId = gravityClassEle.find('input:last', 'select:last').attr('id');
}
// REPLACE HIDDEN HTML VERSION INPUTS WITH VALUES
if (isAdvancedField === true) {
if (newFormat === true && legacyMarkup === false) {
/* NEW 2.5+ FORMAT STUFF HERE */
// GET INPUT AND SELECT ELEMENTS IN FIELD
var advancedFields = gravityClassEle.find('input, select');
var lastAdvancedFieldId = '';
var lastAdvancedListField = '';
if (isAdvancedList === true) {
lastAdvancedListField = advancedFields.filter(':last');
} else {
lastAdvancedFieldId = advancedFields.filter(':last').attr('id');
}
// LOOP FIELDS IF THIS IS THE LAST ADVANCED FIELD
if (fieldId === lastAdvancedFieldId || isAdvancedList === true && jQuery(this).is(lastAdvancedListField)) {
// LOOP FIELDS
var advancedFieldValues = [];
var advancedFieldHTML = [];
advancedFields.each(function (index) {
var advancedFieldClass = jQuery(this).parent().attr('class');
var listGroupsWrapper;
var listRows;
var listRow;
var firstListRow;
var lastListRow;
var listRowFields;
var listCell;
var firstListCell;
var lastListCell;
var listCellLabel;
if (isAdvancedList === true) {
listGroupsWrapper = jQuery(this).closest('.gfield_list_groups');
listRows = listGroupsWrapper.find('.gfield_list_group');
listRow = jQuery(this).closest('.gfield_list_group');
firstListRow = listRows.filter(':first');
lastListRow = listRows.filter(':last');
listRowFields = listRow.find('input, select');
listCell = jQuery(this).closest('.gfield_list_group_item');
firstListCell = listRowFields.filter(':first');
lastListCell = listRowFields.filter(':last');
//listCellLabel = jQuery(this).parent().attr('data-label');
listCellLabel = jQuery(this).attr('aria-label');
}
if (jQuery(this).is('select') && isAdvancedList !== true) {
visibleSelect = form.find('#' + jQuery(this).attr('id'));
optionText = visibleSelect.find('option:selected').text();
advancedFieldHTML.push('' + optionText + ' ');
advancedFieldValues.push(optionText);
} else {
if (isAdvancedList === true && jQuery(this).is(firstListCell)) {
// if (listRow.is(firstListRow)) {
// //advancedFieldHTML.push('
';
}
fieldValue = advancedFieldValues.join(' ');
label = gravityClassEle.find('.gfield_label_before_complex').text();
// ADD FIX FOR ADVANCED LIST NOT GETTING LABEL
if (!label) {
label = gravityClassEle.find('label').text();
}
if (!label){
label = gravityClassEle.find('.gfield_label').text();
}
});
} else {
value = '';
fieldValue = '';
label = '';
}
if (value) {
gravityClassEle.html('' + value);
fieldId = gravityClassEle.attr('id');
fieldType = 'advanced';
}
}
} else if (fieldType === 'select') {
// IF VALUE IS OBJECT ARRAY LIKE FROM MULTISELECT, JOIN VALUES TO STRING
if (Array.isArray(value)) {
fieldValue = value.join(';');
value = value.join(' ');
jQuery(this).replaceWith(value);
} else if (jQuery(this).closest('.ginput_container_date').is('[class*="gfield_date_dropdown"]')){
var fieldsetElm;
var parentElm;
if (newFormat === true && legacyMarkup === false){
fieldsetElm = jQuery(this).closest('fieldset');
fieldSetId = fieldsetElm.attr('id');
parentElm = jQuery(this).parent();
}else{
fieldsetElm = jQuery(this).closest('li.gfield');
fieldSetId = fieldsetElm.attr('id');
parentElm = jQuery(this).parent().parent();
}
var dateSelect1 = form.find('#' + fieldSetId).find('select:eq(0)').attr('id');
var dateSelect2 = form.find('#' + fieldSetId).find('select:eq(1)').attr('id');
var dateSelect3 = form.find('#' + fieldSetId).find('select:eq(2)').attr('id');
var dateValue1 = form.find('#'+dateSelect1+' option:selected').text();
var dateValue2 = form.find('#'+dateSelect2+' option:selected').text();
var dateValue3 = form.find('#'+dateSelect3+' option:selected').text();
if (jQuery(this).attr('id') === dateSelect1){
if (dateValue1 && dateValue1 !== '' && dateValue1 !== 'Month' && dateValue1 !== 'Day' && dateValue1 !== 'Year') {
value = dateValue1 + '\/' + dateValue2 + '\/' + dateValue3;
parentElm.replaceWith(value);
fieldId = fieldSetId;
fieldValue = dateValue1 + '/' + dateValue2 + '/' + dateValue3;
optionText = '';
label = fieldsetElm.find('.gfield_label').text();
}else{
label = fieldsetElm.find('.gfield_label').text();
jQuery(this).replaceWith('');
}
}else{
label = '';
jQuery(this).replaceWith('');
}
} else {
jQuery(this).replaceWith(optionText);
}
} else if (fieldType === 'checkbox') {
// SET CHECKBOX VALUE IF DIFFERENT THAN LABEL
if (value !== checkboxLabel && !jQuery(this).parent().hasClass('ginput_container_consent')) {
checkboxValue = value;
}
if (jQuery(this).prop('checked') === true) {
// SET CHECKED CHECKBOX IMAGE AND VALUE
value = '' + checkboxValue + '';
// ADD CHECKED WRAPPER CLASS TO PARENT ELEMENT
jQuery(this).parent().addClass('cm-hipaa-forms-checkbox-checked-wrapper');
if (checkboxParentLabel) {
fieldValue = 'checked';
}
} else {
// SET UNCHECKED CHECKBOX IMAGE AND VALUE
value = '';
jQuery(this).parent().addClass('cm-hipaa-forms-checkbox-not-checked-wrapper');
}
// ADD VALUE
jQuery(this).replaceWith(value);
} else if (fieldType === 'radio') {
// SET RADIO VALUE IF DIFFERENT THAN LABEL
if (value !== checkboxLabel) {
radioValue = value;
}
if (jQuery(this).prop('checked') === true) {
// SET CHECKED RADIO BUTTON IMAGE AND VALUE
value = '' + radioValue + '';
jQuery(this).parent().addClass('cm-hipaa-forms-radio-checked-wrapper');
if (checkboxParentLabel) {
fieldValue = 'checked';
}
} else {
// SET UNCHECKED RADIO BUTTON IMAGE AND VALUE
value = '';
jQuery(this).parent().addClass('cm-hipaa-forms-radio-not-checked-wrapper');
}
jQuery(this).replaceWith(value);
} else if (fieldType === 'url') {
var rawUrl = jQuery(this).val();
var formatedUrl = '';
if (rawUrl.indexOf("http://") === 0){
formatedUrl = rawUrl.replace('http://','https://');
}else if(rawUrl.indexOf("https://") === 0){
formatedUrl = rawUrl;
}else{
formatedUrl = 'https://'+rawUrl;
}
value = '' + formatedUrl + '';
fieldValue = formatedUrl;
jQuery(this).replaceWith(value);
}else if(jQuery(this).parent().hasClass('ginput_container_time')) {
if (jQuery(this).parent().hasClass('gfield_time_hour')) {
var name = jQuery(this).attr('name');
var hours = jQuery(this).val();
var minutes = jQuery('.gfield_time_minute input[name="' + name + '"]').val();
var ampm = jQuery('.gfield_time_ampm select[name="' + name + '"]').val();
if(hours && hours !== '') {
if (parseInt(minutes) < 10) {
minutes = '0' + minutes;
}
if (ampm) {
fieldValue = hours + ':' + minutes + ' ' + ampm;
} else {
fieldValue = hours + ':' + minutes;
}
}else{
fieldValue = '';
}
label = jQuery(this).closest('fieldset').find('.gfield_label').text();
fieldId = jQuery(this).closest('.gfield_time_hour').attr('id');
jQuery(this).closest('.ginput_complex').replaceWith('
' + fieldValue + '
');
} else {
label = false;
}
}else if (jQuery(this).closest('.ginput_container_date').is('[class*="gfield_date"]')) {
var dateFieldsetElm;
var dateFieldsetId;
var parentElm;
if (newFormat === true && legacyMarkup === false) {
dateFieldsetElm = jQuery(this).closest('fieldset');
dateFieldsetId = dateFieldsetElm.attr('id');
parentElm = jQuery(this).parent();
} else {
dateFieldsetElm = jQuery(this).closest('li.gfield');
dateFieldsetId = dateFieldsetElm.attr('id');
parentElm = jQuery(this).parent().parent();
}
var dateField1 = form.find('#' + dateFieldsetId).find('.ginput_container_date:eq(0) input');
var dateField2 = form.find('#' + dateFieldsetId).find('.ginput_container_date:eq(1) input');
var dateField3 = form.find('#' + dateFieldsetId).find('.ginput_container_date:eq(2) input');
var dateFieldValue1 = jQuery(dateField1).val();
var dateFieldValue2 = jQuery(dateField2).val();
var dateFieldValue3 = jQuery(dateField3).val();
if (jQuery(this).attr('id') === jQuery(dateField1).attr('id')) {
if (dateFieldValue1 && dateFieldValue1 !== '' && dateFieldValue1 !== 'Month' && dateFieldValue1 !== 'Day' && dateFieldValue1 !== 'Year') {
value = dateFieldValue1 + '\/' + dateFieldValue2 + '\/' + dateFieldValue3;
parentElm.replaceWith(value);
fieldValue = dateFieldValue1 + '/' + dateFieldValue2 + '/' + dateFieldValue3;
label = dateFieldsetElm.find('.gfield_label').text();
optionText = '';
}else {
label = dateFieldsetElm.find('.gfield_label').text();
jQuery(this).replaceWith('');
}
} else {
label = '';
jQuery(this).replaceWith('');
}
} else {
jQuery(this).replaceWith(value);
}
// MAKE SURE VALUES ARE TRIMMED
if(typeof value === 'string' || value instanceof String) {
value = value.trim();
}
if(typeof fieldValue === 'string' || fieldValue instanceof String) {
fieldValue = fieldValue.trim();
}
if(!fieldValue && fieldType !== 'checkbox' && fieldType !== 'radio' && fieldType !== 'advanced' && fieldType !== 'url') {
fieldValue = value;
}
// ADD CUSTOM CLASS TO IDENTIFY IF FIELD VALUE IS EMPTY OR NOT
if(gravityClassEle.hasClass('cm_hipaa_forms_field_not_empty') === false && (!fieldValue || fieldValue.length === 0)) {
gravityClassEle.addClass('cm_hipaa_forms_field_empty');
} else {
gravityClassEle.removeClass('cm_hipaa_forms_field_empty');
gravityClassEle.addClass('cm_hipaa_forms_field_not_empty');
}
// REMOVED "&& fieldValue" TO START STORING FIELDS WITH EMPTY VALUES 4/2/21
if (label) {
// IF LABEL EXISTS PUSH TO FIELDS ARRAY
formFields.push({
'label': label,
'option_label': optionLabel,
'option_value': optionValue,
'value': fieldValue,
'field_id': fieldId,
'field_type': fieldType,
'option_text': optionText
});
}
}
});
// GET SIGNATURE SVG BASE64 DATA
var signature;
var signatureEle;
var datapair;
if(showSignature === 'yes') {
signatureEle = form.find('.cm-hipaa-form-signature');
datapair = signatureEle.jSignature("getData", "svgbase64");
if(datapair) {
signature = "data:" + datapair[0] + "," + datapair[1];
formFields.push({
'label': 'Signature',
'option_label': 'data',
'option_value': datapair[0],
'value': datapair[1],
'field_id': '',
'field_type': 'signature',
'option_text': ''
});
}
}
// SET PRIVACY AGREEMENT ELEMENT
var privacyAgreementEle = form.find('.cm-hipaa-forms-privacy-agree');
// RESET ERRORS
jQuery('.gfield_error').removeClass('gfield_error');
privacyAgreementEle.parent().css('border', '0');
if(signatureEle) {
signatureEle.find('.jSignature').css('border', '0');
}
noticeEle.html('');
// CLEAR ERRORS
form.find('.gfield_error').removeClass('gfield_error');
form.find('.validation_error, .validation_message').remove();
// MULTI-PAGE FORM RENDERING
var gravityFormPages = hiddenForm.find('.gform_page');
if(gravityFormPages && gravityFormPages.length > 0) {
// REMOVE PROGRESS BAR
hiddenForm.find('.gf_progressbar_wrapper').remove();
gravityFormPages.each(function(index) {
// MAKE PAGE ELEMENT VISIBLE
jQuery(this).css({
'display': 'block'
});
// REMOVE BUTTONS
jQuery(this).find('.gform_page_footer').remove();
// APPEND PAGE BREAK TO END OF PAGE FOR MPDF IF NOT LAST ELEMENT
if(index !== (gravityFormPages.length - 1)) {
jQuery(this).append('');
}
});
}
var nonce = cmHipaaScript.nonce;
var honeyPotInput = form.find('.cm-hipaa-required-extra');
var honeyPot;
if(honeyPotInput) {
honeyPot = honeyPotInput.val();
}
if(honeyPot) {
//console.log(honeyPot);
// REMOVE HIDDEN FORM
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD NOTICE MESSAGE
noticeEle.html('
Oops, this appears to be an automated bot submission! Please contact support@codemonkeysllc.com if this is an error.
');
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else if(!jQuery.isEmptyObject(validationErrors) && validationErrors.length > 0) {
// ADD ERROR MESSAGE TO TOP OF FORM
form.find('.gform_body').before('
There was a problem with your submission. Errors have been highlighted below.
');
// VALIDATE FIELDS
jQuery.each(validationErrors, function(key, val) {
var invalidFieldId = val.fieldId;
var invalidField = jQuery('#' + invalidFieldId);
var invalidFieldType = invalidField.attr('type');
var requiredMessage = val.message;
if(requiredMessage.length < 1){
if(invalidField.closest('li').hasClass('hipaa_forms_office_location') && !locationEmail) {
requiredMessage = 'Location select options must have a value! This should be an email address for the person at the specific location that should receive the form submission notice.';
} else {
requiredMessage = 'This field is required.';
}
}
// ADD ERROR CLASS & NOTICE MESSAGE
var invalidFieldWrapper;
if(newFormat === true && legacyMarkup === false) {
/* NEW FORMAT VALIDATION */
// SET INVALID FIELD WRAPPER
invalidFieldWrapper = invalidField.closest('.gfield');
// CHECK IF VALIDATION ERROR ALREADY EXISTS
var existingValidationMessage = invalidFieldWrapper.find('.validation_message');
if(existingValidationMessage.length === 0) {
// IF NO VALIDATION MESSAGE EXISTS ADD THE MESSAGE
invalidFieldWrapper.addClass('gfield_error').append('
');
jQuery('.cm-hidden-form-message').fadeIn();
});
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html(successMessage + ' ' + formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
} else if (successHandler === 'redirect') {
// REDIRECT TO SUCCESS PAGE
window.location = successRedirect;
} else if (successHandler === 'callback') {
// MAKE SURE CALLBACK IS AN EXISTING FUNCTION
fnExists = typeof window[successCallback] === 'function';
if (fnExists) {
if (successCallbackParams) {
window[successCallback].apply(null, successCallbackParams.split(','));
} else {
window[successCallback]();
}
} else {
console.log(successCallback + ' is not an existing function!');
}
if (successMessage) {
noticeEle.html(successMessage + ' ' + formError);
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
}
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
}
// RESET THE FORM
form[0].reset();
if (signature) {
signatureEle.jSignature("reset");
}
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// JUST A FAIL-SAFE JUST IN CASE WE DON'T ACTUALLY GET A SUCCESS MESSAGE
noticeEle.html(formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
},
error: function (errorThrown) {
console.log(errorThrown);
noticeEle.html(errorThrown);
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
});
}, 500);
}
}
});
},
error: function (errorThrown) {
console.log(errorThrown);
}
});
} else {
hiddenForm.find('#' + fileInputParentId).find('.ginput_container_fileupload').html('
');
jQuery('.cm-hidden-form-message').fadeIn();
});
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html(successMessage + ' ' + formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
} else if (successHandler === 'redirect') {
// REDIRECT TO SUCCESS PAGE
window.location = successRedirect;
} else if (successHandler === 'callback') {
// MAKE SURE CALLBACK IS AN EXISTING FUNCTION
fnExists = typeof window[successCallback] === 'function';
if (fnExists) {
if (successCallbackParams) {
window[successCallback].apply(null, successCallbackParams.split(','));
} else {
window[successCallback]();
}
} else {
console.log(successCallback + ' is not an existing function!');
}
if (successMessage) {
noticeEle.html(successMessage + ' ' + formError);
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
}
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
}
// RESET THE FORM
form[0].reset();
if (signature) {
signatureEle.jSignature("reset");
}
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// JUST A FAIL-SAFE JUST IN CASE WE DON'T ACTUALLY GET A SUCCESS MESSAGE
noticeEle.html(formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
},
error: function (errorThrown) {
console.log(errorThrown);
noticeEle.html(errorThrown);
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
});
}, 500);
}
}
});
} else {
// SHOW LOADING BAR
noticeEle.html('
');
jQuery('.cm-hidden-form-message').fadeIn();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
});
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html(successMessage + ' ' + formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
} else if(successHandler === 'redirect') {
// REDIRECT TO SUCCESS PAGE
window.location = successRedirect;
} else if(successHandler === 'callback') {
// MAKE SURE CALLBACK IS AN EXISTING FUNCTION
fnExists = typeof window[successCallback] === 'function';
if(fnExists) {
if(successCallbackParams) {
window[successCallback].apply(null, successCallbackParams.split(','));
} else {
window[successCallback]();
}
} else {
console.log(successCallback + ' is not an existing function!');
}
if(successMessage) {
noticeEle.html(successMessage + ' ' + formError);
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
}
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
} else {
// DISPLAY THE SUCCESS NOTICE
noticeEle.html('Thank you, your form has been encrypted to protect your privacy and submitted successfully!');
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
// RESET THE FORM
form[0].reset();
if(signature) {
signatureEle.jSignature("reset");
}
} else {
// JUST A FAIL-SAFE JUST IN CASE WE DON'T ACTUALLY GET A SUCCESS MESSAGE
noticeEle.html(formError);
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
},
error: function (errorThrown) {
console.log(errorThrown);
noticeEle.html(errorThrown);
hiddenForm.remove();
jQuery('.cm-hipaa-forms-hidden-form').remove();
// ADD ACTIVE CLASS BACK TO SUBMIT BUTTON
submitButton.removeClass('inactive').addClass('active');
}
});
}
} else {
console.log('Error validating Account...');
}
},
error: function (errorThrown) {
console.log(errorThrown);
}
});
}
}
});
/*** RESET SIGNATURE ***/
jQuery(document).on('click', '.cm-hipaa-form-signature-reset', function() {
jQuery(this).parent().parent().find('.cm-hipaa-form-signature').jSignature("reset");
});
/*** PRIVACY MODAL WINDOW ***/
jQuery(document).on('click', '.cmprivacy-modal .cmprivacy-close-btn', function() {
jQuery('.cmprivacy-modal').toggle('closed');
jQuery('.cmprivacy-modal-overlay').toggle('closed');
});
jQuery(document).on('click', '.cm-hipaa-privacy-statement a', function(e) {
e.preventDefault();
jQuery('.cmprivacy-modal').toggle('closed');
jQuery('.cmprivacy-modal-overlay').toggle('closed');
});
console.log('CM script.js finished');
});
//Custom progress bar
function cmHipaaFormsProgress() {
var elem = jQuery(".cm-hipaa-forms-progress-bar");
var width = 10;
var id = setInterval(frame, 25);
function frame() {
if (width >= 100) {
width = 10;
} else {
width++;
elem.css('width', width + '%');
jQuery(".cm-hipaa-forms-progress-label").html( width + '%');
}
}
}
//Custom Sanatize inputs
function removeTags(str) {
if ((str===null) || (str===''))
return false;
else
str = str.toString();
// Regular expression to identify HTML tags in
// the input string. Replacing the identified
// HTML tag with a null string.
var sanitizedString = str.replace( /(<([^>]+)>)/ig, '');
var sanitizedString2 = sanitizedString.replace(/]*?>/g,'');
//console.log(sanitizedString2);
return sanitizedString2;
}
' + checkboxValue + '';
jQuery(this).parent().addClass('cm-hipaa-forms-checkbox-checked-wrapper');
if(checkboxParentLabel) {
fieldValue = 'checked';
}
} else {
// SET UNCHECKED CHECKBOX IMAGE AND VALUE
value = '
';
jQuery(this).parent().addClass('cm-hipaa-forms-checkbox-not-checked-wrapper');
}
jQuery(this).replaceWith(value);
} else if (fieldType === 'radio') {
// SET RADIO VALUE IF DIFFERENT THAN LABEL
if (value !== checkboxLabel) {
radioValue = value;
}
if (jQuery(this).prop('checked') === true) {
// SET CHECKED RADIO BUTTON IMAGE AND VALUE
value = '
' + radioValue + '';
jQuery(this).parent().addClass('cm-hipaa-forms-radio-checked-wrapper');
if (checkboxParentLabel) {
fieldValue = 'checked';
}
} else {
// SET UNCHECKED RADIO BUTTON IMAGE AND VALUE
value = '
';
jQuery(this).parent().addClass('cm-hipaa-forms-radio-not-checked-wrapper');
}
jQuery(this).replaceWith(value);
} else if(fieldType === 'hidden') {
// NEED TO CREATE A WRAPPING ELEMENT AND PASS ATTRIBUTES FROM INPUT TO WRAPPER ELE
jQuery(this).replaceWith('