<?

	// ************************************************ 
	//   log database connection
	// ************************************************ 

//	$link = mysql_connect( "localhost", "clientinfo", "clientinfo2004" );
//	if (!$link)
//	{
//		$status = "F";
//		return;
//	}
//	else
//	{
//		$test = mysql_select_db ("clientinfo");
//		if (!$test)
//		{
//			$status = "F";
//			return;
//		}
//	}


	// ************************************************
	//   check for cookies
	// ************************************************

//	if (!isset($_COOKIE['atlasmedical_id']))
//	{
//		$l_origid = 0;
//	}
//	else
//	{
//		$l_origid = $_COOKIE['atlasmedical_id'];
//	}


	// ************************************************
	//   create log file
	// ************************************************

	$l_date = date("Y-m-d H:i:s");
	$l_ipaddr = $_SERVER["REMOTE_ADDR"];
	$l_iphost = gethostbyaddr($_SERVER["REMOTE_ADDR"]);
	$l_remuser = $_SERVER["REMOTE_USER"];
	$l_secure = $_SERVER["HTTPS"];
	$l_reqmethod = $_SERVER["REQUEST_METHOD"];
	$l_httphost = $_SERVER["HTTP_HOST"];
	$l_requri = $_SERVER["REQUEST_URI"];
	$l_phpself = $_SERVER["PHP_SELF"];
	$l_protocol = $_SERVER["SERVER_PROTOCOL"];
	$l_qstring = $_SERVER["QUERY_STRING"];
	$l_remport = $_SERVER["REMOTE_PORT"];
	$l_referer = $_SERVER["HTTP_REFERER"];
	$l_uagent = $_SERVER["HTTP_USER_AGENT"];

// 	$queery = "INSERT INTO atlasm (atlasm.origid, atlasm.date, atlasm.ipaddr, atlasm.iphost,
//			atlasm.remuser, atlasm.secure, atlasm.reqmethod, atlasm.httphost, atlasm.requri,
//			atlasm.phpself, atlasm.protocol, atlasm.qstring, atlasm.remport, atlasm.referer,
//			atlasm.uagent) " . 
//			"VALUES ('" . 
//			mysql_escape_string($l_origid) . "', '" . 
//			mysql_escape_string($l_date) . "', '" . 
//			mysql_escape_string($l_ipaddr) . "', '" . 
//			mysql_escape_string($l_iphost) . "', '" . 
//			mysql_escape_string($l_remuser) . "', '" . 
//			mysql_escape_string($l_secure) . "', '" . 
//			mysql_escape_string($l_reqmethod) . "', '" . 
//			mysql_escape_string($l_httphost) . "', '" . 
//			mysql_escape_string($l_requri) . "', '" . 
//			mysql_escape_string($l_phpself) . "', '" . 
//			mysql_escape_string($l_protocol) . "', '" . 
//			mysql_escape_string($l_qstring) . "', '" . 
//			mysql_escape_string($l_remport) . "', '" . 
//			mysql_escape_string($l_referer) . "', '" . 
//			mysql_escape_string($l_uagent) . "')";
// 	mysql_query($queery, $link);
// 	$nrows = mysql_affected_rows();
//	if ($nrows != "0")
//	{
//		$lid = mysql_insert_id();
//		if ($l_origid == 0)
//		{
//			$l_origid = $lid;
//		}
//	}


	// ************************************************
	//   check for cookies
	// ************************************************

//	setcookie("atlasmedical_id", $l_origid, time() + 15552000);


	// ************************************************ 
	//   allowable characters in form fields
	// ************************************************ 

	$allowed = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz0123456789,.-'&# ";
	$zallowed = "0123456789- ";
	$pallowed = "0123456789.-+() ";


	// ************************************************ 
	//   constants
	// ************************************************ 

	$frmdir = "/var/www/phpcode/forms/";	// form directory
	$ck = "CHECKED";					// used for checkboxes/radio buttons


	// ************************************************ 
	//   arrays
	// ************************************************ 

	$methods = array ("email", "phone", "mail");
	$states = array ("ALAlabama", "AKAlaska", "AZArizona", "ARArkansas", "CACalifornia", "COColorado",
				"CTConnecticut", "DCDC Washington", "DEDelaware", "FLFlorida", "GAGeorgia",
				"HIHawaii", "IDIdaho", "ILIllinois", "INIndiana", "IAIowa", "KSKansas", "KYKentucky",
				"LALouisiana", "MEMaine", "MDMaryland", "MAMassachusetts", "MIMichigan", "MNMinnesota",
				"MSMississippi", "MOMissouri", "MTMontana", "NENebraska", "NVNevada", "NHNew Hampshire",
				"NJNew Jersey", "NMNew Mexico", "NYNew York", "NCNorth Carolina", "NDNorth Dakota",
				"OHOhio", "OKOklahoma", "OROregon", "PAPennsylvania", "RIRhode Island", "SCSouth Carolina",
				"SDSouth Dakota", "TNTennessee", "TXTexas", "UTUtah", "VTVermont", "VAVirginia", "WAWashington",
				"WVWest Virginia", "WIWisconsin", "WYWyoming");


	// ************************************************ 
	//   functions
	// ************************************************ 

	function is_email_valid($email)
	{ 
		if(eregi("^[a-z0-9\._-]+@+[a-z0-9\._-]+\.+[a-z]{2,3}$", $email))
			return TRUE; 
		else
			return FALSE;
	}

	function is_phone_valid($ph) 
	{ 
		$ph = ereg_replace("[^[:digit:]]", "", $ph);
		if ($ph[0] == "1")
		{
			$ph = substr($ph, 1);
		}
		if (strlen($ph) == 10)
		{
			return ("(" . substr($ph, 0, 3) . ") " . substr($ph, 3, 3) . "-" . substr($ph, 6));
		}
		else
			return FALSE;
	}


	// ************************************************ 
	//   process forms
	// ************************************************ 

	$rtn = stripslashes($_POST['rtn']);
	if ($rtn != "")
	{
		if ((substr($rtn,0,7) == "request") || ($rtn == "test")) 
		{
			include ($frmdir . $rtn . ".frm");
		}
	}

?><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html><!-- InstanceBegin template="/Templates/subpage2_contact.dwt" codeOutsideHTMLIsLocked="false" -->
<head>
<!-- InstanceBeginEditable name="doctitle" -->
<title>Contact Atlas Medical</title>
<!-- InstanceEndEditable --> 
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<meta name="description" content="Atlas Medical Software is a leading provider of high performance software applications for healthcare industry leaders.">
<meta name="keywords" content="Atlas Medical, Atlas Medical Software, healthcare, labs, laboratories, healthcare providers, clinics, Bio Terrorism, Communicable Disease Reporting, Morbidity Reporting System,Cache, Custom Development, Database, Computer, Software, SQL, Visual CMR, Atlas Development, Atlas Labworks, Atlas Care, Atlascare, Atlas Consulting">
<LINK REL="SHORTCUT ICON" HREF="/atlas.ico">
<link href="../atlas.css" rel="stylesheet" type="text/css">
<!-- InstanceBeginEditable name="head" --><!-- InstanceEndEditable -->
<script language="JavaScript" type="text/JavaScript">
<!--
function MM_preloadImages() { //v3.0
  var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array();
    var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++)
    if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}}
}

function MM_swapImgRestore() { //v3.0
  var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc;
}

function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>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++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

function MM_swapImage() { //v3.0
  var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array; for(i=0;i<(a.length-2);i+=3)
   if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc) x.oSrc=x.src; x.src=a[i+2];}
}
//-->
</script>
</head>

<body background="../images/background.gif" link="#003366" vlink="#666666" alink="#003366" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" onLoad="MM_preloadImages('../images/sub_nav_news_on.gif','../images/sub_nav_clients_on.gif','../images/sub_nav_corporate_on.gif','../images/sub_nav_products_on.gif','../images/b_newsandevents2.gif','../images/b_pressroom2.gif','../images/b_corporate2.gif','../images/b_products02.gif','../images/b_ourclients2.gif')">
<div align="center"> 
<table width="780" height="100%" border="0" cellpadding="0" cellspacing="0" background="../images/sub_background.gif">
<tr> 
<td width="3" height="3" align="left" valign="top"><img src="../images/sub_corner_left.gif" width="3" height="3"></td>
<td width="55" height="3" align="left" valign="top" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="55" height="3"></td>
<td width="106" height="3" align="left" valign="top" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="106" height="3"></td>
<td width="537" height="3" align="left" valign="top" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="537" height="3"></td>
<td width="1" height="3" align="left" valign="top" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="1" height="3"></td>
<td width="75" height="3" align="left" valign="top" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="75" height="3"></td>
<td width="3" height="3" align="left" valign="top"><img src="../images/sub_corner_right.gif" width="3" height="3"></td>
</tr>
<tr> 
<td width="3" rowspan="2" align="left" valign="top" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="3" height="60"></td>
<td colspan="2" rowspan="2" align="left" valign="top"><a href="../index.php"><img src="../images/sub_atlasmedical_logo.gif" alt="Atlas Medical" width="161" height="60" border="0"></a></td>
<td width="537" height="46" align="left" valign="middle" bgcolor="FFFFFF"><table width="537" border="0" cellspacing="3" cellpadding="0">
  <tr>
    <td align="center" valign="middle"><a href="../products/index.php" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image38','','../images/b_products02.gif',1)"><img src="../images/b_products01.gif" name="Image38" width="49" height="9" border="0"></a></td>
    <td width="2" height="15" align="left" valign="middle"><img src="../images/sub_nav_divider.gif" width="2" height="15"></td>
    <td align="center" valign="middle"><a href="../clients/index.php" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image39','','../images/sub_nav_clients_on.gif',1)"><img src="../images/sub_nav_clients_off.gif" name="Image39" width="59" height="9" border="0"></a></td>
    <td width="2" height="15" align="left" valign="middle"><img src="../images/sub_nav_divider.gif" width="2" height="15"></td>
    <td align="center" valign="middle"><a href="../news_events/index.php" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image36','','../images/b_newsandevents2.gif',1)"><img src="../images/b_newsandevents1.gif" name="Image36" width="71" height="9" border="0"></a></td>
    <td width="2" height="15" align="left" valign="middle"><img src="../images/sub_nav_divider.gif" width="2" height="15"></td>
    <td align="center" valign="middle"><a href="../pressroom/index.php" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image37','','../images/b_pressroom2.gif',1)"><img src="../images/b_pressroom1.gif" name="Image37" width="60" height="9" border="0"></a></td>
    <td width="2" height="15" align="left" valign="middle"><img src="../images/sub_nav_divider.gif" width="2" height="15"></td>
    <td align="center" valign="middle"><a href="../corporate_info/index.php" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image431','','../images/b_corporate2.gif',1)"><img src="../images/b_corporate1.gif" name="Image431" width="78" height="9" border="0" id="Image431"></a></td>
    <td width="2" height="15" align="left" valign="middle"><img src="../images/sub_nav_divider.gif" width="2" height="15"></td>
    <td align="center" valign="middle"><img src="../images/sub_nav_contact_on.gif" width="41" height="9"></td>
</table></td>

<td height="46" colspan="2" align="left" valign="middle" bgcolor="FFFFFF">&nbsp;</td>

<td width="3" height="46" align="left" valign="top" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="3" height="46"></td>
</tr>
<tr> 
<td height="14" colspan="4" align="left" valign="top"><img src="../images/sub_header1.jpg" width="616" height="14"></td>
</tr>
<tr> 
<td height="48" align="left" valign="top" background="../images/pagenotfound_bkgrd.jpg"><img src="../images/spacer.gif" width="3" height="30"></td>
<td height="48" align="left" valign="top" background="../images/pagenotfound_bkgrd.jpg"><img src="../images/spacer.gif" width="55" height="30"></td>
<td height="48" colspan="5" align="left" valign="top" background="../images/pagenotfound_bkgrd.jpg"><img src="../images/contact_title.jpg" width="288" height="48"></td>
</tr>
<tr> 
<td height="27" colspan="7" align="left" valign="top"><img src="../images/sub_background.gif" width="780" height="27"></td>
</tr>
<!-- InstanceBeginEditable name="body" --> 
<tr> 
<td colspan="2" align="left" valign="top">`<img src="../images/spacer.gif" width="50" height="60"></td>
<td colspan="3" align="left" valign="top"><table width="644" height="100%" border="0" cellpadding="0" cellspacing="0">
<tr> 
<td width="185" height="21" colspan="2" align="left" valign="top"><img src="../images/contact_bar.gif" width="644" height="21"></td>
</tr>
<tr> 
<td width="186" align="left" valign="top" class="smallNormal"><img src="../images/spacer.gif" width="186" height="1"><br>
<br>
<strong>Atlas Medical 
Software</strong><br>
26679 W. Agoura Road, Ste 200<br>
Calabasas, CA 91302<br>
<br>
Tel: +1.800.333.0070<br>
Tel: +1.818.340.7080<br>
Fax: +1.818.340.7079</td>
<td width="459" align="left" valign="top"><table width="458" border="0" cellspacing="3" cellpadding="0">
<tr> 
<td width="452" colspan="2" align="left" valign="top" class="td"><br>
<strong><img src="../images/map2.gif" alt="Atlas Medical Map" width="450" height="294"><br>
</strong><strong>
<br>
For General Inquiries</strong><br>
Email: <a href="mailto:info@atlasmedical.com">info@atlasmedical.com</a><br>
<br>
<strong>For Sales</strong><br>
Email: <a href="mailto:sales@atlasmedical.com">sales@atlasmedical.com</a><br>
<br>
<strong>For Media/PR Inquiries</strong><br>
Email: <a href="mailto:media@atlasmedical.com">media@atlasmedical.com<br>
</a><br>
<br>

<br></td>
</tr>
</table></td>
</tr>
</table></td>
<td width="75" colspan="2" align="left" valign="top"><img src="../images/spacer.gif" width="50" height="60"></td>
</tr>
<!-- InstanceEndEditable --> 
<tr> 
<td colspan="2" align="left" valign="top"><img src="../images/spacer.gif" width="58" height="20"></td>
<td colspan="5" align="left" valign="bottom"> 
<table width="644"  border="0" cellpadding="0" cellspacing="3">
<tr> 
<td height="1" align="left" class="footerNormal"><hr align="left" size="1" noshade></td>
</tr>
<tr> 
<td align="left" valign="bottom" class="footerNormal"><a href="../index.php" class="footer">HOME</a> |
  <a href="../products/index.php" class="footer">PRODUCTS</a> | <a href="../our_clients/index.php" class="footer">OUR
    CLIENTS</a> | <a href="../news_events/index.php" class="footer">NEWS &amp; EVENTS</a> |<a href="../pressroom/index.php" class="footer"> PRESS
    ROOM</a> | <a href="../corporate_info/index.php" class="footer">CORPORATE
    INFO</a><strong> </strong>| <font color="#333333"><strong>CONTACT</strong></font>| <a href="/privacy.php" class="footer">PRIVACY POLICY</a><br> 
<br>
&copy;2001-2009 Atlas Development Corporation. All Rights Reserved. <a href="../usage.htm" class="footer"><br>
</a></td>
</tr>
</table>
</td>
</tr>
<tr> 
<td width="3" height="8" align="right" valign="top" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="3" height="8"></td>
<td width="55" height="8" align="right" valign="bottom" bgcolor="FFFFFF"><img src="../images/spacer.gif" width="55" height="8"></td>
<td height="8" colspan="5" align="left" valign="top"><img src="../images/sub_footer_corner.gif" width="8" height="8"></td>
</tr>
</table>
</div>
</body>
<!-- InstanceEnd --></html>