function h($name, $value)
{
	if(isset($name))
	{
		print ("<input type=hidden name=$name value=\"$value\">\n");
	}
}


print ("<form name=gah method=post action=patient_questionnaire_update.php>\n");
	h('patient_lname', $patient_lname);
	h('patient_fname', $patient_fname);
	h('patient_address', $patient_address);
	h('patient_city', $patient_city);
	h('patient_state', $patient_state);
	h('patient_zip', $patient_zip);