echo '<div style=text-align:left;padding-left:80px;padding-bottom:4px;>Goal Title <input type=text name="goal_title" size=30 class="cell_floating"></div>';
echo '<div style=text-align:left;padding-left:45px;padding-bottom:4px;>Goal Description <input type=text name="goal_description" size=30 class="cell_floating"></div>';
echo '<div style=text-align:left;padding-left:47px;padding-bottom:4px;>Progress Period <input type=text name="progress_name" size=30 class="cell_floating"></div>';
echo '<div style=text-align:left;padding-left:16px;padding-bottom:14px;>Progress Assessment <input type=text name="progress_description" size=30 class="cell_floating"></div>';
echo '<div style="margin-left:22px; padding-bottom:5px;"><b>Medical</b></div>';
echo '<div style=text-align:left;padding-left:103px;padding-bottom:4px;>Date ' . SearchDateInput('med_day', 'med_month', 'med_year', 'Y', 'Y', 'Y') . '</div>';
echo '<div style=text-align:left;padding-left:60px;padding-bottom:14px;>Doctor\'s Note <input type=text name="doctors_note_comments" size=30 class="cell_floating"></div>';
echo '<div style="margin-left:22px; padding-bottom:5px;"><b>Immunization</b></div>';
echo '<div style=text-align:left;padding-left:102px;padding-bottom:4px;>Type <input type=text name="type" size=30 class="cell_floating"></div>';
echo '<div style=text-align:left;padding-left:104px;padding-bottom:4px;>Date ' . SearchDateInput('imm_day', 'imm_month', 'imm_year', 'Y', 'Y', 'Y') . '</div>';
echo '<div style=text-align:left;padding-left:76px;padding-bottom:14px;>Comments <input type=text name="imm_comments" size=30 class="cell_floating"></div>';
echo '<div style="margin-left:22px; padding-bottom:5px;"><b>Medical Alert</b></div>';
echo '<div style=text-align:left;padding-left:104px;padding-bottom:4px;>Date ' . SearchDateInput('ma_day', 'ma_month', 'ma_year', 'Y', 'Y', 'Y') . '</div>';
echo '<div style=text-align:left;padding-left:102px;padding-bottom:14px;>Alert <input type=text name="med_alrt_title" size=30 class="cell_floating"></div>';
echo '<div style="margin-left:22px; padding-bottom:5px;"><b>Nurse Visit</b></div>';
echo '<div style=text-align:left;padding-left:104px;padding-bottom:4px;>Date ' . SearchDateInput('nv_day', 'nv_month', 'nv_year', 'Y', 'Y', 'Y') . '</div>';
echo '<div style=text-align:left;padding-left:89px;padding-bottom:4px;>Reason <input type=text name="reason" size=30 class="cell_floating"></div>';
echo '<div style=text-align:left;padding-left:96px;padding-bottom:4px;>Result <input type=text name="result" size=30 class="cell_floating"></div>';
echo '<div style=text-align:left;padding-left:76px;padding-bottom:4px;>Comments <input type=text name="med_vist_comments" size=30 class="cell_floating"></div>';
echo '</div>';
# --- Advanced Search End ----------------------------------------------------------- #
echo '<TABLE width=100%><TR><TD align=center><BR>';
if (User('PROFILE') == 'admin') {
echo '<INPUT type=checkbox name=address_group value=Y' . (Preferences('DEFAULT_FAMILIES') == 'Y' ? ' CHECKED' : '') . '>Group by Family<BR>';
echo '<INPUT type=checkbox name=_search_all_schools value=Y' . (Preferences('DEFAULT_ALL_SCHOOLS') == 'Y' ? ' CHECKED' : '') . '>Search All Schools<BR>';
}
echo '<INPUT type=checkbox name=include_inactive value=Y>Include Inactive Students<BR>';
echo '<BR>';
//echo Buttons('Submit','Reset');
if ($extra['pdf'] != true) {
echo "<INPUT type=SUBMIT class=btn_medium value='Submit' onclick='return formcheck_student_advnc_srch();formload_ajax(\"search\");'> <INPUT type=RESET class=btn_medium value='Reset'>";
echo '<table><tr><td width="120" align="right">Goal Title </td><td><input type=text name="goal_title" size=30 class="cell_floating"></td></tr>';
echo '<tr><td align="right">Goal Description </td><td><input type=text name="goal_description" size=30 class="cell_floating"></td></tr>';
echo '<tr><td align="right">Progress Period </td><td><input type=text name="progress_name" size=30 class="cell_floating"></td></tr>';
echo '<tr><td align="right">Progress Assessment </td><td><input type=text name="progress_description" size=30 class="cell_floating"></td></tr></table><br />';
echo '<div style="margin-left:22px; padding-bottom:5px;"><b>Medical</b></div>';
echo '<table><tr><td width="120" align="right">Date </td><td>' . SearchDateInput('med_day', 'med_month', 'med_year', 'Y', 'Y', 'Y') . '</td></tr>';
echo '<tr><td align="right">Doctor\'s Note </td><td><input type=text name="doctors_note_comments" size=30 class="cell_floating"></td></tr></table><br />';
echo '<div style="margin-left:22px; padding-bottom:5px;"><b>Immunization</b></div>';
echo '<table><tr><td width="120" align="right">Type </td><td><input type=text name="type" size=30 class="cell_floating"></td></tr>';
echo '<tr><td align="right">Date </td><td>' . SearchDateInput('imm_day', 'imm_month', 'imm_year', 'Y', 'Y', 'Y') . '</td></tr>';
echo '<tr><td align="right">Comments </td><td><input type=text name="imm_comments" size=30 class="cell_floating"></td></tr></table><br />';
echo '<div style="margin-left:22px; padding-bottom:5px;"><b>Medical Alert</b></div>';
echo '<table><tr><td width="120" align="right">Date </td><td>' . SearchDateInput('ma_day', 'ma_month', 'ma_year', 'Y', 'Y', 'Y') . '</td></tr>';
echo '<tr><td align="right">Alert </td><td><input type=text name="med_alrt_title" size=30 class="cell_floating"></td></tr></table><br />';
echo '<div style="margin-left:22px; padding-bottom:5px;"><b>Nurse Visit</b></div>';
echo '<table><tr><td width="120" align="right">Date </td><td>' . SearchDateInput('nv_day', 'nv_month', 'nv_year', 'Y', 'Y', 'Y') . '</td></tr>';
echo '<tr><td align="right">Reason </td><td><input type=text name="reason" size=30 class="cell_floating"></td></tr>';
echo '<tr><td align="right">Result </td><td><input type=text name="result" size=30 class="cell_floating"></td></tr>';
echo '<tr><td align="right">Comments </td><td><input type=text name="med_vist_comments" size=30 class="cell_floating"></td></tr></table><br />';
echo '</div>';
# --- Advanced Search End ----------------------------------------------------------- #
echo '<TABLE width=100%><TR><TD align=center><BR>';
if (User('PROFILE') == 'admin') {
echo '<INPUT type=checkbox name=address_group value=Y' . (Preferences('DEFAULT_FAMILIES') == 'Y' ? ' CHECKED' : '') . '>Group by Family<BR>';
echo '<INPUT type=checkbox name=_search_all_schools value=Y' . (Preferences('DEFAULT_ALL_SCHOOLS') == 'Y' ? ' CHECKED' : '') . '>Search All Schools<BR>';
}
if ($_REQUEST['modname'] != 'students/StudentReenroll.php') {
echo '<INPUT type=checkbox name=include_inactive value=Y>Include Inactive Students<BR>';
}
echo '<BR>';
if ($extra['pdf'] != true) {
