I have 2 pages of forms, initially it was a php but since I want to convert it in pdf, I use html2fpdf. My problem now is the code using php inside in html which will generate the value of field from the user was doesn't workout. Please give me some help and advice which I need to do if I need to change my code or find another class to convert it in pdf. thanks in advance. Tirso Here is my .html that initially .php ( I will rename it inside dreamweaver) <? require_once("../include/session.php"); global $session; //echo $session->getvalue2(txtflddisnameemploy); //echo $session->getvaluechkbox2(txtflddisnameemploy); ?> <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <title>.: INFINITY :.</title> <link href="clemzkie.css" rel="stylesheet" type="text/css" /> <link href="../clemzkie.css" rel="stylesheet" type="text/css" /> <link href="../style.css" rel="stylesheet" type="text/css" /> <style type="text/css"> <!-- body { margin-top: 0px; } --> </style></head> <body> <table width="850" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td width="850" height="175" align="right" valign="top" background="../images/header.jpg" style="padding:20px"><a href="../index.php" class="c">Home</a> | <a href="../contactus.php" class="c">Contact Us</a> | <a href="../sitemap.php" class="c">Site Map</a></td> </tr> </table> <table width="850" border="0" align="center" cellpadding="0" cellspacing="0" bgcolor="#8EB936"> <tr> <th height="30" align="left" scope="col" style="padding:5px"> <a href="../aboutus.php" class="a">ABOUT US</a> | <a href="../mission.php" class="a">OUR MISSION</a> | <a href="../services.php" class="a">OUR SERVICES</a> | <a href="#" class="a">PATIENTS</a> | <a href="#" class="a">NURSES</a> | <a href="../faq.php" class="a">FAQ</a> | <a href="../infinity/index.php" class="a">FORMS</a></th> </tr> </table><form action="submit_form2.php" method="post"> <table width="860" border="0" align="center" cellpadding="1" cellspacing="0" bgcolor="#FFFFFF"> <tr> <td colspan="4" align="center"><img src="../images/logo_infinity.jpg" width="233" height="78" /></td> </tr> <tr> <td colspan="4" align="center">9300 Flair Drive, Suite 388, El Monte, CA 91731• ph. 626.227.0220 • fax. 626. 227.0226<br /> <span class="text4">MEDICARE SECONDARY PAYER SCREENING FORM</span></td> </tr> <tr> <td colspan="4" align="center"> </td> </tr> <tr> <td align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="1"> <tr> <td colspan="3" align="left" valign="top" class="text3"> </td> </tr> <tr> <td colspan="3" align="left" valign="top" class="text3"><span class="text1">PART I</span></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td> </td> <td> </td> </tr> <tr> <td width="5%" align="center" valign="top" class="text3">1.</td> <td width="84%">Are you receiving Black Lung (BL) Benefits?</td> <td width="11%"> <? $session->getvaluechkbox(chkboxbenifity); ?> <strong class="style1">Yes</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td><div>Date benefits began: <span class="text3"><? echo $session->getvalue(monthdatebenifit)."/".$session->getvalue(daydatebenifit)."/".$session->getvalue(yeardatebenifit) ?></span></div></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td><strong>BL IS PRIMARY PAYER ONLY FOR CLAIMS RELATED TO BL</strong>.</td> <td><? $session->getvaluechkbox(chkboxbenifitn); ?><strong class="style1"> No</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"> </td> </tr> <tr> <td align="center" valign="top" class="text3">2.</td> <td colspan="2">Are the services to be paid by a government research program?</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"><? $session->getvaluechkbox(chkboxgvspy); ?><strong class="style1"> Yes</strong>. GOVERNMENT RESEARCH PROGRAM WILL PAY PRIMARY<br /> BENEFITS FOR SERVICES.</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"><? $session->getvaluechkbox(chkboxgvspn); ?><strong class="style1"> No</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"> </td> </tr> <tr> <td align="center" valign="top" class="text3">3.</td> <td colspan="2">Has the Department of Veterans Affairs (DVA) authorized and agreed to pay for your care at this facility?</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"><? $session->getvaluechkbox (chkboxdvay); ?><strong class="style1"> Yes</strong>. DVA IS PRIMARY FOR THESE SERVICES.</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"><? $session->getvaluechkbox (chkboxdvan); ?><strong class="style1"> No</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"> </td> </tr> <tr> <td align="center" valign="top" class="text3">4.</td> <td>Was the illness/injury due to a work-related accident/condition?</td> <td><? $session->getvaluechkbox(chkboxwcy); ?><strong class="style1"> Yes</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"><div>Date of injury/illness: <span class="text3"><? echo $session->getvalue(monthdateinjury)."/".$session->getvalue(daydateinjury)."/".$session->getvalue(yeardateinjury) ?></span></div></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2">Policy or identification number: <input name="txtfldwcpin" type="text" class="text3" id="txtfldwcpin" size="30" readonly="readonly" value="<? echo $session->getvalue(txtfldwcpin) ?>"/></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2">Name and address of workers’ compensation plan (WC) plan:</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"><textarea name="txtfldwcpnameadsworker" id="txtfldwcpnameadsworker" cols="45" rows="2"><? echo $session->getvalue(txtfldwcpnameadsworker) ?></textarea></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2">Name and address of your employer:</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"><textarea name="txtfldwcpnameadsemployer" id="txtfldwcpnameadsemployer" cols="45" rows="2"><? echo $session->getvalue(txtfldwcpnameadsemployer) ?></textarea></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2">WC IS PRIMARY PAYER FOR CLAIMS FOR WORK-RELATED INJURIES OR ILLNESS, Go to<span class="text3"> PART III</span>. <? $session->getvaluechkbox(chkboxwcn); ?> <strong class="style1"> No</strong>. Go to <span class="text3">PART I</span>I.</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"> </td> </tr> <tr> <td colspan="3" align="left" valign="top" class="text3">PART II</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"> </td> </tr> <tr> <td align="center" valign="top" class="text3">1.</td> <td>Was illness/injury due to a non-work-related accident?</td> <td><? $session->getvaluechkbox(chkboxnway); ?><strong class="style1"> Yes</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2">Date of accident: <input name="txtfldnwdateacc" type="text" class="text3" id="txtfldnwdateacc" size="30" readonly="readonly" value="<? echo $session->getvalue(txtfldnwdateacc) ?>" /></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"><? $session->getvaluechkbox(chkboxnwan); ?><strong class="style1"> No</strong>. Go to PART III</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td colspan="2"> </td> </tr> <tr> <td align="center" valign="top" class="text3">2.</td> <td colspan="2">Is no-fault insurance available? <span class="style3"><em>(No-fault insurance is insurance that pays for health care services resulting from injury to you or damage to your property regardless of who is at fault for causing the accident.)</em> </span> <? $session->getvaluechkbox(chkboxinavy); ?><strong class="style1"> Yes</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td> </td> </tr> <tr> <td align="center" valign="top" class="text3">2.</td> <td>Do you have a spouse who is currently employed? <? $session->getvaluechkbox(chkboxspousey); ?><strong class="style1"> Yes</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td>Name and address of your spouse's employer:</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td><textarea name="txtfldnameadsspouse" id="txtfldnameadsspouse" cols="45" rows="2" class="text3" readonly="readonly"><? echo $session->getvalue(txtfldnameadsspouse) ?></textarea></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td><? $session->getvaluechkbox(chkboxspousen); ?><span class="text3"> No.</span> Check One: <? $session->getvaluechkbox(txtfldagecuemploydne); ?> <span class="text3">Never Employed</span>. If applicable,</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td><div>Date of retirement:<span class="text3"><? echo $session->getvalue(monthdateretirementspouse)."/".$session->getvalue(daydateretirementspouse)."/".$session->getvalue(yeardateretirementspouse) ?></span></div></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td><div align="justify" class="style3">IF THE PATIENT ANSWERED “NO†TO BOTH QUESTIONS 1 AND 2, MEDICARE IS PRIMARY UNLESS THE PATIENT ANSWERED “YES†TO QUESTIONS IN PART I OR II. DO NOT PROCEED FURTHER.</div></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td> </td> </tr> <tr> <td align="center" valign="top" class="text3">3.</td> <td>Do you have group health plan (GHP) coverage based on your own or a spouse's current employment? <? $session->getvaluechkbox(chkboxghpy); ?><strong class="style1"> Yes</strong></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td>Check One. <? $session->getvaluechkbox(chkboxghpboth); ?> Both; <? $session->getvaluechkbox(chkboxghpself); ?> Self Only; <? $session->getvaluechkbox(chkboxghpspouse); ?> Spouse Only. <? $session->getvaluechkbox(chkboxghpno); ?> No. <span class="text3">STOP.</span></td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td><div align="justify">MEDICARE IS PRIMARY PAYER UNLESS THE PATIENT ANSWERED YES TO THE QUESTIONS IN <span class="text3">PART I OR II.</span></div></td> </tr> <tr> <td align="center" valign="top" class="text3">4.</td> <td>If you have GHP coverage based on your own current employment, does your employer that sponsors or contributes to the GHP employ 20 or more employees?</td> </tr> <tr> <td align="center" valign="top" class="text3"> </td> <td><? $session->getvaluechkbox(chkboxghpprimaryy); ?><strong class="style1"> Yes</strong>. GHP IS PRIMARY. OBTAIN THE FOLLOWING INFORMATION.</td> </tr> <tr> <td colspan="4" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="46%"> </td> <td width="12%" align="center">Page 1</td> <td width="42%" align="right" class="text2 style4">med_sec_payment_07.2008 _ 1/2</td> </tr> <tr> <td> </td> <td align="center"> </td> <td align="right" class="text2 style4"> </td> </tr> <tr> <td> </td> <td align="center"> </td> <td align="right" class="text2 style4"><input name="next" type="submit" class="text2" id="button" value="NEXT PAGE" /></td> </tr> <tr> <td> </td> <td align="center"> </td> <td align="right" class="text2 style4"> </td> </tr> </table></td> </tr> </table> </form> <table width="850" border="0" align="center" cellpadding="0" cellspacing="0" bgcolor="#CEE7C0"> <tr> <th height="30" align="center" scope="col" style="padding:5px"><p class="text1">NOTICE OF NON-DISCRIMINATION POLICY<br /> INFINITY HOME CARE PROVIDERS ADHERES TO ALL FEDERAL, <br /> STATE AND LOCAL LAWS AND REGULATIONS AGAINST DISCRIMINATION. </p> <p><span class="text1">IT IS THE DECLARED POLICY OF INFINITY HOME CARE PROVIDERS THAT NO ONE WILL BE DENIED SERVICE OR EXCLUDED FROM CARE SOLELY ON THE GROUND OF AGE, SEX OR SEXUAL ORIENTATION, HANDICAP OR PHYSICAL DISABILITY, RACE, COLOR OR NATIONAL ORIGIN</span><br /> (Title VI Civil Rights Act of 1964, as amended; 42 USC 200d; Age Discrimination Act of 1975; 42 USC 6101 et Seq.; 45 CFR 84; 45 <br /> CFR 91; 42 USC 10406; Sec 504 Rehabilitation Act of 1973'29 USC 794);</p></th> </tr> </table> <table width="850" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <th scope="col"><p><a href="../index.php" class="a">Home</a> | <a href="../contactus.php" class="a">Contact Us</a> | <a href="#" class="a">Help</a><br /> © 2008 Infinity Home Care Providers. All Rights Reserved.</p></th> </tr> </table> </body> </html> PHP:
I'm not sure if this is the answer you're looking for, but it may help If you have access to your Apache config (assuming you're using Apache), you can tell the server to parse HTML as PHP. 1.) Edit your httpd.conf file 2.) Look for something like: AddType application/x-httpd-php .php .php3 3.) Add ".html" to that line. Example: AddType application/x-httpd-php .php .php3 .html 4.) Restart Apache I hope it helps... keep in mind this may not match your setup.