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									<span class="addressTitle">All Children's Hospital</span><br>
									501 6th Ave South<br>
									St. Petersburg, FL 33701<br>
									(727) 898-7451<br>
									(800) 456-4543
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							runMouseOvers = true;
							return true;
						}
						function BillzMouseOutTimer() {
							return nbMouseOutTimer();
						}
                  function nbMouseOutTimer() 
                  {
							if (TimerID) {
								clearTimeout(TimerID);
							}
							TimerID = setTimeout("nbLayerRestore()",5000);
							return true;
						}
						function RestoreAll() {
							nbMouseoverRestore();
							nbLayerRestore();
							return true;
						}
                  
						function BillzMouseoverRestore() {
							return nbMouseoverRestore();
						}
                  function nbMouseoverRestore() 
                  {
							var i = 0;
							var o = null;
							if (runMouseOvers) 
                     {
								for (i = 0; i < imageList.length; i++) 
                        {
									if (aryMoImages[imageList[i]].Moused && (o = aryMoImages[imageList[i]].ptrImage)) 
                           {
										o.src = aryMoImages[imageList[i]].OriginalSrc;
										aryMoImages[imageList[i]].Moused = false;
									}
								}
							}
							return true;
						}
                  
						function BillzLayerRestore() {
							return nbLayerRestore();
						}
                  function nbLayerRestore() 
                  {
							var i = 0;
							for (i = 0; i < aryLayerNames.length; i++) 
                     {
								if (!aryNavBarLayerInfo[aryLayerNames[i]].isDefault) {
									BillzNavBarRestoreLayers(aryLayerNames[i]);
								}
							}
							return true;
						}
                  
                  
						function BillzArrayPushUnique(aryArray, varNewElement) { //only pushes if unique value
							var pushIt = true;
							var i = 0;
							for (i = 0; i < aryArray.length && pushIt; i++) {
								pushIt = (varNewElement != aryArray[i]);
							}
							if (pushIt) {
								BillzArrayPush(aryArray, varNewElement);
							}
							return pushIt;
						}
						function BillzArrayPush(aryArray, varNewElement) { //Implement Array Push 'cause IE cant handle it
							aryArray[aryArray.length] = varNewElement;
							return true;
						}
						function BillzArrayPop(aryArray) { //Implement Array Pop 'cause IE cant handle it before 5.5
							var varItemToPop = null;
							if (aryArray[aryArray.length - 1]) {
								varItemToPop = aryArray[aryArray.length - 1];
								aryArray[aryArray.length] = null;
							}
							return varItemToPop;
						}
                  
                  //Heikoz "just get me the freakin' div object handle" function
                  function getDivRef(id)
                  {
                     var divref;
                  	if(ns4)
                  		divref = document.layers[id];
                  	else if(ie4)
                  		divref = document.all[id];
                  	else if(ie5 || ns6)  // remaining cases
                  		divref = document.getElementById(id);
                  
                  	return divref;
                  }
   
                  //v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
						function BillzNavBarMM_findObj(n, d) {
						  	var p,i,x;
						
							if (registeredObjects[n]) {
								return registeredObjects[n];
							}
							if (!(d)) {
								d = document;
							}
                     try {
                        p = n.indexOf("?");
                     }
                     catch(e) {
                        p = 0;
                     }
							if (p > 0 && parent.frames.length) {
								d = parent.frames[n.substring(p+1)].document;
								n = n.substring(0,p);
							}
						  	if (!(x = d[n]) && d.all) {
								x = d.all[n];
							}
							for (i = 0; !x && i < d.forms.length; i++) {
								x = d.forms[i][n];
							}
						  	for (i=0; !x && d.layers && i < d.layers.length; i++) {
								if (d.layers[i].id.indexOf("external_") == -1) {
						  			x = BillzNavBarMM_findObj(n, d.layers[i].document);
								}
							}
							registeredObjects[n] = x;
						
						 	return x;
						}
						function BillzArrayContains() {
							var arg = BillzArrayContains.arguments;
							var foundit = false;
							var i = 0;
							for (i = 0; i < arg[0].length && !foundit; i++) {
								foundit = (arg[1] == arg[0][i]);
							}
							return foundit;
						}
						function NavBarRegisterLayer() {
							var arg = NavBarRegisterLayer.arguments;
							var n = arg[0];
							var d = arg[1];
							var mo = false;
							var o = null;
							if (arg[2] && arg[2] == 'MOutLayer') {
								mo = true;
							} else {
								mo = false;
							}
							if (!(BillzArrayContains(aryLayerNames, n))) {
								if (o = BillzNavBarMM_findObj(n)) {
									aryNavBarLayers[n] = o;
									BillzArrayPushUnique(aryLayerNames, n);
									aryNavBarLayerInfo[n] = new NavBarLayer(n, d, mo);
								}
							}
							return true;
						}
						function BillzNavBarMM_showHideLayers() {
						//v3.0 name changed, this function complements of MM Dreamweaver with customizations by Bill Heller
							var i = 0;
							var x = "";
							var obj = null;
							var v = null;
							var p = null;
							var args = BillzNavBarMM_showHideLayers.arguments;

							if (args[args.length - 1] != "menu") {
								nbMouseOutTimer();
							}
						  	for (i = 0; i < (args.length - 2); i += 3) {
								if (!aryNavBarLayers[args[i]]) {
									x = (args[i + 2] == 'show') ? 'hide' : 'show';
									NavBarRegisterLayer(args[i], x);
								}
						  		if ((obj = aryNavBarLayers[args[i]]) != null) {
									v = args[i + 2];
									aryNavBarLayerInfo[args[i]].isDefault = false;
						  			if (args[args.length - 1] == "restore") {
										v = (v == 'show') ? 'hide' : 'show';
									}
									if (obj.style) {
										obj.style.visibility = (v == 'show') ? 'visible' : ((v == 'hide') ? 'hidden' : v);
									} else {
										obj.visibility = v;
									}
								}
							}
							return true;
						}
                  
						function BillzNavBarRestoreLayers() {
							var i = 0;
							var x = "";
							var obj = null;
							var v = null;
							var p = null;
							var args = BillzNavBarRestoreLayers.arguments;
						  	for (i = 0; i < (args.length); i++) {
						  		if (obj = aryNavBarLayers[args[i]]) {
									v = aryNavBarLayerInfo[args[i]].defaultVisibility;
									if (obj.style) {
										obj = obj.style;
										v = (v == 'show' ) ? 'visible' : ((v == 'hide') ? 'hidden' : v);
									}
									obj.visibility = v;
									if (!aryNavBarLayerInfo[args[i]].MOutLayer) {
										aryNavBarLayerInfo[args[i]].isDefault = true;
									}
								}
							}
							return true;
						}
						function NavBarLayer() {
							var arg = NavBarLayer.arguments;
							this.defaultVisibility = arg[1];
							this.isDefault = true;
							this.MOutLayer = arg[2];
							return true;
						}
						function BillzNavMove() {
							return nbNavMove();
						}
                  function nbNavMove() 
                  {
							var thisl = null;
							var otherl = null;
							if (thisl = BillzNavBarMM_findObj("nbScrollLayer")) 
                     {
								if (thisl.style) {
									thisl = thisl.style;
									viz = "hidden";
								} 
								thisl.top = nbThisLoc -= 3;
								if (nbThisLoc < -750) {
									nbThisLoc = 325;
									nbTimes--;
								}
							}
							if (nbTimes <= 0) 
                     {
								otherl = BillzNavBarMM_findObj("BillzLayer");
								otherl.visibility = viz;
							} else {
								setTimeout("nbNavMove()", nbTime);
							}
							
							return true;
						}
						function NavBar_openadmin() {
							window.open('admin/', 'SiteAdmin', 'height=screen.availheight,width=screen.availwidth,scrollbars=1,toolbar=0,directories=0,status=0,menubar=0,resizable=1');
							return true;
						}
						window.onload = FullyLoaded;
					//-->
				</script>
			
         	
		<!-- Begin NavBar Bar #1 Content Output... -->
		<table  border="0" cellspacing="0" cellpadding="0">	<tr class="NavBarNum1">		<td class="NavBarNum1" valign="middle" align="center" title=""><a href="body.cfm?id=275"  class="NavBarNum1">Find a Job</a></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><img src="images/topnavline.gif" alt=""></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><a href="body.cfm?id=720"  class="NavBarNum1">Find a Doctor</a></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><img src="images/topnavline.gif" alt=""></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><a href="body.cfm?id=8"  class="NavBarNum1">Events</a></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><img src="images/topnavline.gif" alt=""></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><a href="http://www.carepages.com/allkids"  target="_blank" class="NavBarNum1">CarePages</a></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><img src="images/topnavline.gif" alt=""></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><a href="http://www.allkids.org/estore"  class="NavBarNum1">eStore</a></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><img src="images/topnavline.gif" alt=""></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><a href="body.cfm?id=809"  class="NavBarNum1">Contact Us</a></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><img src="images/topnavline.gif" alt=""></td>		<td class="NavBarNum1" valign="middle" align="center" title=""><a href="body.cfm?id=6"  class="NavBarNum1">Donate Now</a></td>	</tr></table>
	
		<!-- End NavBar Output -->
	 
</td>
                        <td valign="top" width="0%"><img src="images/rttopnavend.gif"></td>
                      </tr>
                      <tr> 
                        <td width="0%" valign="top"><img src="images/prof_top1.gif" border="0"></td>
                        <td width="100%" align="left" valign="top" style="background-image: url(images/prof_top2.gif); background-repeat: repeat-x; background-position: top left;">
						<br> 

 
<table style="border:solid #000000 0px;" cellpadding="1" cellspacing="0" class="breadcrumb">
		<tr>
			<td class="breadcrumb">
			
				<a href="homepage.cfm" style="text-decoration: none;">Home</a>
			
			
			<span class="breadcrumb" style="white-space:nowrap;"><span class="between">&nbsp;>&nbsp;</span><a href="body.cfm?id=12&oTopID=12" class="breadcrumb">For Patients & Families</a></span>
			
			<span class="breadcrumb" style="white-space:nowrap;"><span class="between">&nbsp;>&nbsp;</span><a href="body.cfm?id=114" class="breadcrumb">Speech-Language Pathology Services</a></span>
			
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</table> 
</td>
                        <td valign="top" width="0%"><img src="images/prof_top3.gif" border="0"></td>
                      </tr>
                    </table></td>
                </tr>
				   <tr> 
                  <td width="0%" valign="top" align="center"><table width="100%" border="0" cellpadding="0" cellspacing="0">
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                        <td width="0%" valign="top"><img src="images/bodycontentclear.gif"></td>
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                        <td width="0%" valign="top" ><table width="100%" border="0" cellpadding="10" cellspacing="0">
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						    <td valign="top" align="left" class="pageContent">
								
<table border="0" width="100%"><tr><td valign="top">
									<table cellpadding="0" cellspacing="0" border="0" width="100%">
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												<td align="left" valign="middle" width="0%"><img src="images/prof_bullet.gif" border="0"></td>
											
												<td align="left" valign="middle" width="100%"><h1>Request a Directory of Pediatric Services</h1></td>
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</script>

	
	<form name="eform" method="post" action="http://www.allkids.org/body.cfm?xyzpdqabc=0&id=911&action=submiteform" onSubmit="return (sm_ValidateForm(this) && sm_removeALLrequiredhiddenfields(this));" class="metadetail">
	
	
	<table class="metadetail">
	
	<tr class="metadetail">
		<td class="metadetail" colspan="2">Referring physicians can request a copy of our Directory of Pediatric Programs and Services via mail, and we will send one to you. If you wish to print your own copy, you can download the PDF file <a href="http://www.allkids.org/workfiles/pdfs/ACHDirectoryOfPrograms.pdf" target="_blank">here</a> (PDF).<br><br></td>
	</tr>
	
	
	<tr class="metadetail">
		<td class="metadetail" colspan="2"><span class="required">
		* Indicates required information</span></td>
	</tr>
	
	
	<tr class="metadetail">
		<th valign="top" class="metadetail">Name&nbsp;<span class="required">*</span>&nbsp;</th>
	
		<td class="metadetail">
			<input type="Text" name="eformField_1" class="metadetail" size="35" value="">
			
		
			<input type="Hidden" name="eformField_1_required" class="metadetail" value="Name is required.">
		
		</td>
	</tr>
	
	
	<tr class="metadetail">
		<th valign="top" class="metadetail">Email Address&nbsp;<span class="required">*</span>&nbsp;</th>
	
		<td class="metadetail">
			<input type="Text" name="eformField_2" class="metadetail" size="35" value="">
			  
			<input type="Hidden" name="eformField_2_email" class="metadetail" value="Email Address must be a valid email address.">
			
		
			<input type="Hidden" name="eformField_2_required" class="metadetail" value="Email Address is required.">
		
		</td>
	</tr>
	
	
	<tr class="metadetail">
		<th valign="top" class="metadetail">Street Address 1&nbsp;<span class="required">*</span>&nbsp;</th>
	
		<td class="metadetail">
			<input type="Text" name="eformField_3" class="metadetail" size="35" value="">
			
		
			<input type="Hidden" name="eformField_3_required" class="metadetail" value="Street Address 1 is required.">
		
		</td>
	</tr>
	
	
	<tr class="metadetail">
		<th valign="top" class="metadetail">Street Address 2&nbsp;</th>
	
		<td class="metadetail">
			<input type="Text" name="eformField_4" class="metadetail" size="35" value="">
			
		
		</td>
	</tr>
	
	
	<tr class="metadetail">
		<th valign="top" class="metadetail">City&nbsp;<span class="required">*</span>&nbsp;</th>
	
		<td class="metadetail">
			<input type="Text" name="eformField_5" class="metadetail" size="35" value="">
			
		
			<input type="Hidden" name="eformField_5_required" class="metadetail" value="City is required.">
		
		</td>
	</tr>
	
	
	<tr class="metadetail">
		<th valign="top" class="metadetail">State&nbsp;<span class="required">*</span>&nbsp;</th>
	
		<td class="metadetail">
			<select name="eformField_6" id="eformField_6" class="metadetail">
				
				<option value="AK">AK</option>
				<option value="AL">AL</option>
				<option value="AR">AR</option>
				<option value="AZ">AZ</option>
				<option value="CA">CA</option>
				<option value="CO">CO</option>
				<option value="CT">CT</option>
				<option value="DC">DC</option>
				<option value="DE">DE</option>
				<option value="FL" selected>FL</option>
				<option value="GA">GA</option>
				<option value="HI">HI</option>
				<option value="IA">IA</option>
				<option value="ID">ID</option>
				<option value="IL">IL</option>
				<option value="IN">IN</option>
				<option value="KS">KS</option>
				<option value="KY">KY</option>
				<option value="LA">LA</option>
				<option value="MA">MA</option>
				<option value="MD">MD</option>
				<option value="ME">ME</option>
				<option value="MI">MI</option>
				<option value="MN">MN</option>
				<option value="MO">MO</option>
				<option value="MS">MS</option>
				<option value="MT">MT</option>
				<option value="NC">NC</option>
				<option value="ND">ND</option>
				<option value="NE">NE</option>
				<option value="NH">NH</option>
				<option value="NJ">NJ</option>
				<option value="NM">NM</option>
				<option value="NV">NV</option>
				<option value="NY">NY</option>
				<option value="OH">OH</option>
				<option value="OK">OK</option>
				<option value="OR">OR</option>
				<option value="PA">PA</option>
				<option value="PR">PR</option>
				<option value="RI">RI</option>
				<option value="SC">SC</option>
				<option value="SD">SD</option>
				<option value="TN">TN</option>
				<option value="TX">TX</option>
				<option value="UT">UT</option>
				<option value="VA">VA</option>
				<option value="VT">VT</option>
				<option value="WA">WA</option>
				<option value="WI">WI</option>
				<option value="WV">WV</option>
				<option value="WY">WY</option>
			</select>
			
			
		</td>
	</tr>
	
	
	<tr class="metadetail">
		<th valign="top" class="metadetail">Zip&nbsp;<span class="required">*</span>&nbsp;</th>
	
		<td class="metadetail">
			<input type="Text" name="eformField_7" class="metadetail" size="35" value="">
			
		
			<input type="Hidden" name="eformField_7_required" class="metadetail" value="Zip is required.">
		
		</td>
	</tr>
	
	
	<tr class="metadetail">
		<th class="metadetail">&nbsp;</td>
		<td class="metadetail">
			<input type="submit" name="submit" value="Submit" class="metadetail">
		</td>
	</tr>
	
	</table>
	</form>
	

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