ContactForm7 – Hide & Show field using Javascript

<script language="javascript" type="text/javascript">
// Hide the Text field by default

jQuery( document ).ready( function( $ ) {
	$( '#drug_details' ).css( 'display', 'none' );
	$( 'input[name="prescription-transferred"]' ).on( 'click', function() {
		var checked = $( 'input[name="prescription-transferred"]:checked' );
		if ( 'No, please only transfer the prescriptions listed below:' == checked.val() ) {
			$( '#drug_details' ).show();
		} else {
			$( '#drug_details' ).hide();
		}
	} );
} );
</script>

Patient Information

First Name *

Last Name *

Birth Date *

Your Email Address *

Home Phone *

Mobile Phone *

Address *

City or Town*

Province *

Postal Code *

Transferring Pharmacy Location

Existing Pharmacy *

Pharmacy Phone Number *

Prescription(s) to be Transferred

Please provide us with drug name or prescription number for each of the prescriptions you would like to transfer to Chappelle Pharmasave.

Yes, please transfer all of my prescriptions to Chappelle PharmasaveNo, please only transfer the prescriptions listed below:

Drug Name *

RX Number *

Notes *

Fill my prescription as soon as the prescription transfer is complete.
Hold prescription until I request a fill.

Important Note

Chapelle Pharma is committed to protecting the privacy of our customers' information. Any and all information provided on this form will be kept strictly confidential in accordance with our privacy policy.

By submitting this form you are giving consent for a Chapelle Pharma representative to contact the transferring pharmacy indicated to complete your prescription transfer request.

Code Snippets