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At Towne Nursing, we are entirely dedicated to filling the needs of our clients and employees alike. Whether you are a patient, caregiver, staffing coordinator, Registered Nurse, Licensed Practical Nurse, Orderly, Physical or Occupational Therapist, we look forward to hearing from you. Please feel free to contact us with your questions, comments, and concerns by filling out the form below.
&*~|#]/', '', $_GET['location']); } if (!isset($_POST['action'])) { $action="none"; } ELSE { $action=$_POST['action']; } if (isset($_POST['name'])) { $name=preg_replace('/[";<>&*~|#]/', '', $_POST['name']); } if (isset($_POST['liame'])) { $liame=preg_replace('/[";<>&*~|#]/', '', $_POST['liame']); } if (isset($_POST['phone'])) { $phone=preg_replace('/[";<>&*~|#]/', '', $_POST['phone']); } if (isset($_POST['zip'])) { $zip=preg_replace('/[";<>&*~|#]/', '', $_POST['zip']); } if (isset($_POST['comments'])) { $comments=preg_replace('/[";<>&*~|#]/', '', $_POST['comments']); } if (isset($_POST['category'])) { $category=preg_replace('/[";<>&*~|#]/', '', $_POST['category']); } if (isset($_POST['location'])) { $location=preg_replace('/[";<>&*~|#]/', '', $_POST['location']); } if (isset($_POST['department'])) { $department=preg_replace('/[";<>&*~|#]/', '', $_POST['department']); } if ($department == 'orientations') { $emailto = "orientations@townenursing.com,log@duvys.com"; } elseif ($department == 'scheduling') { $emailto = "townecoordinating@townenursing.com,log@duvys.com"; } elseif ($department == 'payroll') { $emailto = "payroll@townenursing.com,log@duvys.com"; } else { $emailto = "staffcontact@townenursing.com,log@duvys.com"; } //if (get_magic_quotes_gpc()) { // $comments = stripslashes( $comments ); //} //$comments=str_replace ("'", "", $comments); //$comments=str_replace ('"', '', $comments); if(isset($_POST['starttime']) && $_POST['starttime']){ $starttime=$_POST['starttime']; $endtime = microtime(); $endarray = explode(" ", $endtime); $endtime = $endarray[1] + $endarray[0]; $totaltime = $endtime - $starttime; $totaltime = round($totaltime,5); //echo "Total time: $totaltime"; } $httpReferer = getenv( "HTTP_REFERER" ); $ip = $_SERVER['REMOTE_ADDR']; $http_agent = getenv ("HTTP_USER_AGENT"); $curDate = date("l, F j, Y, g:i a") ; switch($action){ case 'insert': if (preg_match('/http/i', $comments)) { die ('

Sorry, we do not allow urls in the comment field.
Please go back to correct it.


'); }elseif($CaptchaImage == "1") { include_once $pathtoIncludes . 'securimage.php'; $securimage = new Securimage(); if ($securimage->check($_POST['captcha_code']) == false) { die('The letters you entered for the security image did not match the letters on the image. Please go back and correct it.'); } }if(((($liame) && strstr($liame,"@") && strstr($liame,"."))||($RequireEmail=='0')) && ($totaltime>='2')&&(($RequireSession != 1)||(!isset($_SESSION['check']))||($_SESSION['check'] >= 1))){ if($InsertDB == 1) { $newid = insert($ContactTable,$name,$phone,$liame,$comments,$location,$category,$department,$httpReferer,$ip,$http_agent); } sendEMail($emailto,$sitename,$subject,$CustomerEmail,$CustomerSubject,$CustomerMessage,$name,$phone,$liame,$comments,$location,$category,$department,$httpReferer,$ip,$http_agent,$curDate,$newid,$totaltime); message('

 
Thank you for contacting us.

A representative will get back to you shortly.
'); $_SESSION['check'] = 0; }else{ echo '

There was an error submitting this form. Please contact our office. (Error code: TT-'.$totaltime.'-'.$_SESSION['check'].')

'; } break; default : showFrm($pathtoIncludes,$CaptchaImage,$curLocation); } function showFrm($pathtoIncludes,$CaptchaImage,$curLocation) { ?>
-     -    
Please enter the letters or digits that appear in the security image below

CAPTCHA Image   


'); if($CustomerEmail == 1) { mail($liame, $CustomerSubject, $CustomerMessage, 'From: "'.$sitename.'" <'.$emailto.'>'); } if(!$SentSuccess) { die('

There was an error emailing this form. Please contact our office.

'); } return; } function message($message) { echo "

$message

"; // Don't allow to refresh page // $curLocation = $_SERVER['PHP_SELF'].'?action= '; // header( "Location: $curLocation" ); } ?>
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