Medical Providers: Please send bills, questions and other communications to the contact information listed below.

Mail: BerkleyNet

P.O. Box 26002

Daphne, AL 36526

Email: [email protected]

Fax: 866.680.1682

Phone: 888.548.7431

The FormValidation instance // data.field --> The field name // data.element --> The field element // Get the messages of field var messages = data.fv.getMessages(data.element); // Remove the field messages if they're already available $('#contactsusForm_errors').find('li[data-field="' + data.field + '"]').remove(); // Loop over the messages for (var i in messages) { // Create new 'li' element to show the message $('
  • ') .attr('data-field', data.field) .wrapInner( $('') .attr('href', 'javascript: void(0);') .html(messages[i]) .on('click', function(e) { // Focus on the invalid field data.element.focus(); }) ) .appendTo('#contactsusForm_errors'); } // Hide the default message // data.element.data('fv.messages') returns the field messages element data.element .data('fv.messages') .find('.help-block[data-fv-for="' + data.field + '"]') .hide(); }) .on('success.field.fv', function(e, data) { // Remove the field messages $('#contactsusForm_errors').find('li[data-field="' + data.field + '"]').remove(); }); }); var verifyCallback = function(response) { console.log(response); return false; }; var onloadCallback = function() { $("#html_element").html(""); grecaptcha.render('html_element', { 'sitekey' : '6Ld1BzMUAAAAACd82d7juQeG3YUY9q2uEyQ_sZeS', 'callback' : verifyCallback }); };

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