document.write('<div id="finddoctor">');
		document.write('<div class="boxHeader">Find a Doctor</div>');

		document.write('<form id="form1" name="form1" method="get" action="http://latimes.planetdiscover.com/sp" class="finddoctorform">');
			document.write('<input name="aff" type="hidden" value="2"/>');
		    document.write('<select name="keywords" class="docselect">');
		      document.write('<option selected="selected">Procedure</option>');
		      document.write('<option value="botox">Botox</option>');
		      document.write('<option value="breast augmentation">Breast Augmentation</option>');
			  document.write('<option value="breast lift">Breast Lift</option>');
			  document.write('<option value="breast reduction">Breast Reduction</option>');
			  document.write('<option value="chemical peel">Chemical Peel</option>');
			  document.write('<option value="cosmetic dentistry">Cosmetic Dentistry</option>');
			  document.write('<option value="erectile dysfunction">Erectile Dysfunction</option>');
			  document.write('<option value="eyebrow lift">Eyebrow Lift</option>');
			  document.write('<option value="eyelid surgery">Eyelid Surgery</option>');
			  document.write('<option value="facelift">Facelift</option>');
			  document.write('<option value="hair transplantation">Hair Transplantation</option>');
			  document.write('<option value="laser hair removal">Laser Hair Removal</option>');
			  document.write('<option value="lip augmentation">Lip Augmentation</option>');
			  document.write('<option value="liposuction">Liposuction</option>');
			  document.write('<option value="nose surgery">Nose Surgery</option>');
			  document.write('<option value="surgical weight loss">Surgical Weight Loss</option>');
			  document.write('<option value="skin rejuvenation">Skin Rejuvenation</option>');
			  document.write('<option value="tummy tuck">Tummy Tuck</option>');
			  document.write('<option value="Varicose and Spider Veins">Varicose and Spider Veins</option>');
			
		    document.write('</select>');
		
			document.write('<input name="address" type="text" class="docselect" value="Enter City or Zip Code" style="width:120px;font-size:10px;font-family:arial, helvetica, sans-serif;"/>');
		    

		    document.write('<input name="Search" type="image" id="Search" src="http://cosmeticsurgery.latimes.com/images/findDoc_search.gif" border="0" value="Search" class="finddocsearch" />');
		document.write('</form>');

		document.write('<div class="finddoctorlinks">');
			document.write('<a href="http://cosmeticsurgery.latimes.com/find_a_doctor.php">Advanced Search</a><br />');
			document.write('<a href="http://cosmeticsurgery.latimes.com/advertising.php">Add Your Business</a>');
		document.write('</div>');
document.write('</div>');