[CSSElement 3 in #o8b5c888c9864 "transform: translate(0px, -20px);"] [SyncFields email] ['SyncFields f2151] [IfField #o6a682b836e46-f2316 not ''][/IfField] [HideField f2165,unique_id,f2482,f2593,f2165,status,f2392,f2523,f2746,f2747] [IfField #oeddddcd807ae-f2165 is '3,4,5,6,7,8,9,10,11,12' AND #oe43503187162-f2593 not 'Faxed In'][Redirect https://patients.orderlymeds.com/healthscreening][/IfField] [IfField #oeddddcd807ae-f2165 is '2' AND #o6a682b836e46-f2152 is 'Yes' AND #oe43503187162-f2593 not 'Faxed In'][Redirect https://patients.orderlymeds.com/healthscreening][/IfField] [IfField #oeddddcd807ae-f2165 not '10' AND #oeddddcd807ae-f2165 not '12' AND #oe43503187162-f2593 is 'Faxed In'][Redirect https://orderlysupport.com/faxed_in_new_client][/IfField] [IfField #oeddddcd807ae-f2165 is '10' AND #oe43503187162-f2593 is 'Faxed In'][Redirect https://patients.orderlymeds.com/continue/paynow][/IfField] [IfField #oeddddcd807ae-f2165 is '12' AND #oe43503187162-f2593 is 'Faxed In'][Redirect https://patients.orderlymeds.com/healthscreening-ty][/IfField] [HideBlock #oeddddcd807ae][IfAnchor #testing][ShowBlock #oeddddcd807ae][/IfAnchor] [Calc $progress=0] [IfField #oeddddcd807ae-f2165 not ''][Calc $progress=#oeddddcd807ae-f2165][/IfField] [IfAnchor #step.$currentstep][ShowAfter 0.5s][Redirect #o8df2aff93d6b][FillField #oeddddcd807ae-f2165 with $currentstep][Redirect #done][/ShowAfter][/IfAnchor] [IfField #oeddddcd807ae-f2165 is ',0'][ShowBlock #o6a682b836e46][/IfField] [IfField #oeddddcd807ae-f2165 is '1,2' AND #oeddddcd807ae-f2162 is 'Not Eligible'][ShowBlock #ocdbdbf5a743a][/IfField] [HideElement 36 in #o5c7604388ed1] [IfField #oeddddcd807ae-f2165 is '1,2' AND #oeddddcd807ae-f2162 not 'Not Eligible'][ShowBlock #o7cafd12dc2fe][/IfField] [HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2] [IfAnchor #om.starter.core][ShowBlock #od83362e46468][HideBlock #o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #od83362e46468][/IfAnchor] [IfAnchor #om.transferring.core][ShowBlock #o2a1a3d066ab5][HideBlock #od83362e46468,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #o2a1a3d066ab5][/IfAnchor] [IfAnchor #om.starter.easy][ShowBlock #ofa56f4453bf9][HideBlock #od83362e46468,#o2a1a3d066ab5,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #ofa56f4453bf9][/IfAnchor] [IfAnchor #om.transferring.easy][ShowBlock #ocf4e964e8de4][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #ocf4e964e8de4][/IfAnchor] [IfAnchor #om.starter.ultra][ShowBlock #oe346742d91b0][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #oe346742d91b0][/IfAnchor] [IfAnchor #om.transferring.ultra][ShowBlock #obe8ccf6f8bbe][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#o618ffcc6cec4,#o34f75afb82a2][Redirect #obe8ccf6f8bbe][/IfAnchor] [IfAnchor #om.wegovy][ShowBlock #o618ffcc6cec4][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o34f75afb82a2][Redirect #o618ffcc6cec4][/IfAnchor] [IfAnchor #om.zepbound][ShowBlock #o34f75afb82a2][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4][Redirect #o34f75afb82a2][/IfAnchor] [IfAnchor #om.close][HideBlock #od83362e46468,#o2a1a3d066ab5,#ofa56f4453bf9,#ocf4e964e8de4,#oe346742d91b0,#obe8ccf6f8bbe,#o618ffcc6cec4,#o34f75afb82a2][Redirect #o7cafd12dc2fe][/IfAnchor] [IfVar $started is 'Transferring in at Higher Dose (higher doses)'] [HideColumn 110,161,124 in #o7cafd12dc2fe] [ShowColumn 173,184,194 in #o7cafd12dc2fe] [/IfVar] [IfField #oeddddcd807ae-f2165 is '3,4,5,6,7,8,9,10,11,12'][ShowBlock #o14f77ce2fbf3][HideBlock #o8b5c888c9864][/IfField] [HideElement 3,31,40,52,54 in #o6a682b836e46] [HideElement 157,212,200 in #o7cafd12dc2fe] [HideColumn 68,69 in #oe346742d91b0] [HideElement 72,71,49 in #oe346742d91b0] [HideColumn 68,69 in #obe8ccf6f8bbe] [HideElement 72,71,49 in #obe8ccf6f8bbe] [HideElement 49,7 in #od83362e46468] [HideElement 49,7 in #o2a1a3d066ab5] [HideElement 49,7 in #ofa56f4453bf9] [HideElement 49,7 in #ocf4e964e8de4] [HideElement 48,7 in #oe346742d91b0] [HideElement 48,7 in #obe8ccf6f8bbe] [HideElement 7,48 in #o618ffcc6cec4] [HideElement 3,7,48 in #o34f75afb82a2] [Validate f2145 numeric "You need to input your height with numeric values." force=yes] [Validate f2147 numeric "You need to input your height with numeric values." force=yes] [Validate f2146 numeric "You need to input your weight with numeric values." force=yes] [IfField #o6a682b836e46-f2145 not '' AND #o6a682b836e46-f2147 not '' AND #o6a682b836e46-f2146 not ''] [Calc $feet=#o6a682b836e46-f2145] [Calc $inches=#o6a682b836e46-f2147] [Calc $height=($feet*12)+$inches] [Calc $weight=#o6a682b836e46-f2146] [Calc $bmi=($weight/($height*$height))*703 round=1] [FillField #o6a682b836e46-f2225 with $bmi] [IfVar $bmi <= $bmimin][ShowElement 31 in #o6a682b836e46][/IfVar] [IfVar $bmi <= $bmimin AND $dateofbirth < $eitheenyearsago][Calc #o6a682b836e46-f2372,$eligibility='BMI less than 27'][/IfVar] [ShowElement 19 in #o6a682b836e46] [/IfField] [Calc $dateofbirth=1714060834] [IfField #o6a682b836e46-f2000 not ''][SetVar $dateofbirth=#o6a682b836e46-f2000 type=unix][/IfField] [Calc $eitheenyearsago=$today-568024668] [IfVar $dateofbirth > $eitheenyearsago][ShowElement 30 in #o6a682b836e46][/IfVar] [IfVar $dateofbirth > $eitheenyearsago AND $bmi > $bmimin][Calc #o6a682b836e46-f2372,$eligibility='Age less than 18'][/IfVar] [Calc $started=#o6a682b836e46-f2364] [IfVar $started is 'Transferring in at Higher Dose (higher doses)'][Calc $bmimin=19][/IfVar] [IfVar $started not 'Transferring in at Higher Dose (higher doses)'][Calc $bmimin=27][/IfVar] [IfVar $dateofbirth < $eitheenyearsago AND $bmi > $bmimin][ShowElement 43 in #o6a682b836e46][/IfVar] [IfVar $bmi <= $bmimin AND $dateofbirth > $eitheenyearsago][Calc #o6a682b836e46-f2372,$eligibility='BMI less than 27 And Age less than 18'][/IfVar] [HideField f2372,f2162,f2662] [IfVar $bmi > $bmimin AND $dateofbirth < $eitheenyearsago][Calc #o6a682b836e46-f2372,$eligibility=''][/IfVar] [IfField #o6a682b836e46-f2372 not ''][FillField #o6a682b836e46-f2162 with 'Not Eligible'][/IfField] [IfField #o6a682b836e46-f2372 is ''][FillField #o6a682b836e46-f2162 with 'Select...'][/IfField] [IfField #o6a682b836e46-f2162 is 'Select...'][FillField f2662 with checked][/IfField] [IfField #o6a682b836e46-f2162 is 'Not Eligible'][FillField f2662 with unchecked][/IfField] [Calc $referrertype=''] [Calc $couponcode=''] [IfVar $couponcode not 'FREEPERKS' AND $couponcode not 'PERKS100' AND $couponcode not 'NIFT' AND ($referrertype is 'Referral Credit System' OR $referrertype is 'PN Coaches' OR $referrertype is 'PN Corporate')] [FillField f2594 with "GETSTARTED50"] [/IfVar] [IfField #oeddddcd807ae-f2364 not 'Transferring in at Higher Dose (higher doses)' AND #oeddddcd807ae-f2594 not 'GETSTARTED50' AND #oeddddcd807ae-f2594 not 'PERKS100' AND #oeddddcd807ae-f2594 not 'NIFT'] [ShowField f2594] [/IfField] [HideElement 65 in #o6a682b836e46] [FillField #o6a682b836e46-f2594 with url code] [SyncFields f2364] [Calc $referrerid=''] [IfVar $referrerid is '71725'] [Calc $6startercore=179.1][Calc $12startercore=477.6] [Calc $6transferringcore=179.1][Calc $12transferringcore=477.6] [Calc $6startereasy=291.6][Calc $12startereasy=777.6] [Calc $6transferringeasy=291.6][Calc $12transferringeasy=777.6] [Calc $6starterultra=696][Calc $12starterultra=1080] [Calc $6transferringultra=359.1][Calc $12transferringultra=957.6] [/IfVar] [IfVar $referrerid not '71725'] [Calc $6startercore=350][Calc $12startercore=575] [Calc $6transferringcore=64][Calc $12transferringcore=289] [Calc $6startereasy=95][Calc $12startereasy=429] [Calc $6transferringeasy=90][Calc $12transferringeasy=396] [Calc $6starterultra=696][Calc $12starterultra=1080] [Calc $6transferringultra=119][Calc $12transferringultra=480] [/IfVar] [HideElement 91,81,82,83 in #od83362e46468] [IfAnchor #starter.core.1][ShowElement 91,78,79,80 in #od83362e46468][HideElement 90,81,82,83 in #od83362e46468] [FillField #od83362e46468-f2392 with '1'][FillField #od83362e46468-f2746 with ''] [FillField #od83362e46468-f2523 with 'No'][FillField #od83362e46468-f2747 with unchecked][/IfAnchor] [IfAnchor #starter.core.3][ShowElement 90,81,79,80 in #od83362e46468][HideElement 91,78,82,83 in #od83362e46468] [FillField #od83362e46468-f2392 with '3'][FillField #od83362e46468-f2746 with '249'] [FillField #od83362e46468-f2523 with 'Yes'][FillField #od83362e46468-f2747 with checked][/IfAnchor] [IfAnchor #starter.core.6][ShowElement 90,78,82,80 in #od83362e46468][HideElement 91,81,79,83 in #od83362e46468] [FillField #od83362e46468-f2392 with '6'][FillField #od83362e46468-f2746 with $6startercore] [FillField #od83362e46468-f2523 with 'Yes'][FillField #od83362e46468-f2747 with checked][/IfAnchor] [IfAnchor #starter.core.12][ShowElement 90,78,79,83 in #od83362e46468][HideElement 91,81,82,80 in #od83362e46468] [FillField #od83362e46468-f2392 with '12'][FillField #od83362e46468-f2746 with $12startercore] [FillField #od83362e46468-f2523 with 'Yes'][FillField #od83362e46468-f2747 with checked][/IfAnchor] [IfField #od83362e46468-f2392 is ''][HideColumn 1 in #od83362e46468][/IfField] [IfField #od83362e46468-f2392 not ''][ShowColumn 1 in #od83362e46468][/IfField] [HideElement 91,82,83 in #o2a1a3d066ab5] [IfAnchor #transferring.core.1][ShowElement 91,79,80 in #o2a1a3d066ab5][HideElement 90,82,83 in #o2a1a3d066ab5] [FillField #o2a1a3d066ab5-f2392 with '1'][FillField #o2a1a3d066ab5-f2746 with '0'] [FillField #o2a1a3d066ab5-f2523 with 'No'][FillField #o2a1a3d066ab5-f2747 with unchecked][/IfAnchor] [IfAnchor #transferring.core.6][ShowElement 90,82,80 in #o2a1a3d066ab5][HideElement 91,79,83 in #o2a1a3d066ab5] [FillField #o2a1a3d066ab5-f2392 with '6'][FillField #o2a1a3d066ab5-f2746 with $6transferringcore] [FillField #o2a1a3d066ab5-f2523 with 'Yes'][FillField #o2a1a3d066ab5-f2747 with checked][/IfAnchor] [IfAnchor #transferring.core.12][ShowElement 90,79,83 in #o2a1a3d066ab5][HideElement 91,82,80 in #o2a1a3d066ab5] [FillField #o2a1a3d066ab5-f2392 with '12'][FillField #o2a1a3d066ab5-f2746 with $12transferringcore] [FillField #o2a1a3d066ab5-f2523 with 'Yes'][FillField #o2a1a3d066ab5-f2747 with checked][/IfAnchor] [IfField #o2a1a3d066ab5-f2392 is ''][HideColumn 1 in #o2a1a3d066ab5][/IfField] [IfField #o2a1a3d066ab5-f2392 not ''][ShowColumn 1 in #o2a1a3d066ab5][/IfField] [HideElement 98,82,83 in #ofa56f4453bf9] [IfAnchor #starter.easy.1][ShowElement 98,79,80 in #ofa56f4453bf9][HideElement 97,82,83 in #ofa56f4453bf9] [FillField #ofa56f4453bf9-f2392 with '1'][FillField #ofa56f4453bf9-f2746 with '0'] [FillField #ofa56f4453bf9-f2523 with 'No'][FillField #ofa56f4453bf9-f2747 with unchecked][/IfAnchor] [IfAnchor #starter.easy.6][ShowElement 97,82,80 in #ofa56f4453bf9][HideElement 98,79,83 in #ofa56f4453bf9] [FillField #ofa56f4453bf9-f2392 with '6'][FillField #ofa56f4453bf9-f2746 with $6startereasy] [FillField #ofa56f4453bf9-f2523 with 'Yes'][FillField #ofa56f4453bf9-f2747 with checked][/IfAnchor] [IfAnchor #starter.easy.12][ShowElement 97,79,83 in #ofa56f4453bf9][HideElement 98,82,80 in #ofa56f4453bf9] [FillField #ofa56f4453bf9-f2392 with '12'][FillField #ofa56f4453bf9-f2746 with $12startereasy] [FillField #ofa56f4453bf9-f2523 with 'Yes'][FillField #ofa56f4453bf9-f2747 with checked][/IfAnchor] [IfField #ofa56f4453bf9-f2392 is ''][HideColumn 1 in #ofa56f4453bf9][/IfField] [IfField #ofa56f4453bf9-f2392 not ''][ShowColumn 1 in #ofa56f4453bf9][/IfField] [HideElement 98,82,83 in #ocf4e964e8de4] [IfAnchor #transferring.easy.1][ShowElement 98,79,80 in #ocf4e964e8de4][HideElement 97,82,83 in #ocf4e964e8de4] [FillField #ocf4e964e8de4-f2392 with '1'][FillField #ocf4e964e8de4-f2746 with '0'] [FillField #ocf4e964e8de4-f2523 with 'No'][FillField #ocf4e964e8de4-f2747 with unchecked][/IfAnchor] [IfAnchor #transferring.easy.6][ShowElement 97,82,80 in #ocf4e964e8de4][HideElement 98,79,83 in #ocf4e964e8de4] [FillField #ocf4e964e8de4-f2392 with '6'][FillField #ocf4e964e8de4-f2746 with $6transferringeasy] [FillField #ocf4e964e8de4-f2523 with 'Yes'][FillField #ocf4e964e8de4-f2747 with checked][/IfAnchor] [IfAnchor #transferring.easy.12][ShowElement 97,79,83 in #ocf4e964e8de4][HideElement 98,82,80 in #ocf4e964e8de4] [FillField #ocf4e964e8de4-f2392 with '12'][FillField #ocf4e964e8de4-f2746 with $12transferringeasy] [FillField #ocf4e964e8de4-f2523 with 'Yes'][FillField #ocf4e964e8de4-f2747 with checked][/IfAnchor] [IfField #ocf4e964e8de4-f2392 is ''][HideColumn 1 in #ocf4e964e8de4][/IfField] [IfField #ocf4e964e8de4-f2392 not ''][ShowColumn 1 in #ocf4e964e8de4][/IfField] [HideElement 82,74,77,78 in #oe346742d91b0] [IfAnchor #starter.ultra.1][ShowElement 82,73,75,76 in #oe346742d91b0][HideElement 81,74,77,78 in #oe346742d91b0] [FillField #oe346742d91b0-f2392 with '1'][FillField #oe346742d91b0-f2746 with '0'] [FillField #oe346742d91b0-f2523 with 'No'][FillField #oe346742d91b0-f2747 with unchecked][/IfAnchor] [IfAnchor #starter.ultra.3][ShowElement 81,74,75,76 in #oe346742d91b0][HideElement 82,73,77,78 in #oe346742d91b0] [FillField #oe346742d91b0-f2392 with '3'][FillField #oe346742d91b0-f2746 with '399'] [FillField #oe346742d91b0-f2523 with 'Yes'][FillField #oe346742d91b0-f2747 with checked][/IfAnchor] [IfAnchor #starter.ultra.6][ShowElement 81,73,77,76 in #oe346742d91b0][HideElement 82,74,75,78 in #oe346742d91b0] [FillField #oe346742d91b0-f2392 with '6'][FillField #oe346742d91b0-f2746 with $6starterultra] [FillField #oe346742d91b0-f2523 with 'Yes'][FillField #oe346742d91b0-f2747 with checked][/IfAnchor] [IfAnchor #starter.ultra.12][ShowElement 81,73,75,78 in #oe346742d91b0][HideElement 82,74,77,76 in #oe346742d91b0] [FillField #oe346742d91b0-f2392 with '12'][FillField #oe346742d91b0-f2746 with $12starterultra] [FillField #oe346742d91b0-f2523 with 'Yes'][FillField #oe346742d91b0-f2747 with checked][/IfAnchor] [IfField #oe346742d91b0-f2392 is ''][HideColumn 1 in #oe346742d91b0][/IfField] [IfField #oe346742d91b0-f2392 not ''][ShowColumn 1 in #oe346742d91b0][/IfField] [HideElement 82,77,78 in #obe8ccf6f8bbe] [IfAnchor #transferring.ultra.1][ShowElement 82,75,76 in #obe8ccf6f8bbe][HideElement 81,77,78 in #obe8ccf6f8bbe] [FillField #obe8ccf6f8bbe-f2392 with '1'][FillField #obe8ccf6f8bbe-f2746 with '0'] [FillField #obe8ccf6f8bbe-f2523 with 'No'][FillField #obe8ccf6f8bbe-f2747 with unchecked][/IfAnchor] [IfAnchor #transferring.ultra.6][ShowElement 81,77,76 in #obe8ccf6f8bbe][HideElement 82,75,78 in #obe8ccf6f8bbe] [FillField #obe8ccf6f8bbe-f2392 with '6'][FillField #obe8ccf6f8bbe-f2746 with $6transferringultra] [FillField #obe8ccf6f8bbe-f2523 with 'Yes'][FillField #obe8ccf6f8bbe-f2747 with checked][/IfAnchor] [IfAnchor #transferring.ultra.12][ShowElement 81,75,78 in #obe8ccf6f8bbe][HideElement 82,77,76 in #obe8ccf6f8bbe] [FillField #obe8ccf6f8bbe-f2392 with '12'][FillField #obe8ccf6f8bbe-f2746 with $12transferringultra] [FillField #obe8ccf6f8bbe-f2523 with 'Yes'][FillField #obe8ccf6f8bbe-f2747 with checked][/IfAnchor] [IfField #obe8ccf6f8bbe-f2392 is ''][HideColumn 1 in #obe8ccf6f8bbe][/IfField] [IfField #obe8ccf6f8bbe-f2392 not ''][ShowColumn 1 in #obe8ccf6f8bbe][/IfField]