diff --git a/iTrust/WebRoot/util/PreRegisterPatient.jsp b/iTrust/WebRoot/util/PreRegisterPatient.jsp
index 7f3603959910a7af3b9bdfb5324716010a430a11..e36630e75b2568bd306ae54c12cb0ce7ec2d6c17 100755
--- a/iTrust/WebRoot/util/PreRegisterPatient.jsp
+++ b/iTrust/WebRoot/util/PreRegisterPatient.jsp
@@ -114,100 +114,118 @@ to recover the password.</div>
 <br />
 <br />
 <table class="fTable">
-    <tr>
-        <th colspan=2 style="text-align:center">Pre-registered Patient Information</th>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">First name:</td>
-        <td><input type="text" name="firstName" required>   *</td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Last Name:</td>
-        <td><input type="text" name="lastName" required>   *</td>>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Email:</td>
-        <td><input type="text" name="email" required>   *</td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Password:</td>
-        <td><input type="password" name="password" id ="password" required>   *</td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Verify Password:</td>
-        <td><input type="password" name="verifyPassword" id = "verifyPassword" required>   *</td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Address:</td>
-        <td>   <input name="streetAddress1" type="text"><br />
-        <input name="streetAddress2" type="text"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">City:</td>
-        <td>   <input name="city" type="text"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">State:</td>
-        <td><itrust:state name="state" value="AK" /></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Zip:</td>
-        <td>   <input type="text" name="zip" maxlength="10" size="10"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Phone:</td>
-        <td>   <input type="text" name="phone" size="12" maxlength="12"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Height:</td>
-        <td><input type="text" name="height"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Weight:</td>
-        <td><input type="text" name="weight"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Smoker:</td>
-        <td><input type="radio" id="smoker_yes" name="isSmoker" value="1">
+	<tr>
+		<th colspan=3 style="text-align:center">Pre-registered Patient Information</th>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">First name:</td>
+		<td><input type="text" name="firstName" required></td>
+		<td style="font-size: 16pt; text-align:left; color:red">*</td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Last Name:</td>
+		<td><input type="text" name="lastName" required></td>
+		<td style="font-size: 16pt; text-align:left; color:red">*</td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Email:</td>
+		<td><input type="text" name="email" required></td>
+		<td style="font-size: 16pt; text-align:left; color:red">*</td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Password:</td>
+		<td><input type="password" name="password" id ="password" required></td>
+		<td style="font-size: 16pt; text-align:left; color:red">*</td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Verify Password:</td>
+		<td><input type="password" name="verifyPassword" id = "verifyPassword" required></td>
+		<td style="font-size: 16pt; text-align:left; color:red">*</td>
+	</tr>
+    <tr>
+		<td class="subHeaderVertical">Address:</td>
+		<td>   <input name="streetAddress1" type="text"><br />
+		<input name="streetAddress2" type="text"></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">City:</td>
+		<td>   <input name="city" type="text"></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">State:</td>
+		<td><itrust:state name="state" value="AK" /></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Zip:</td>
+	    <td>   <input type="text" name="zip" maxlength="10" size="10"></td>
+	    <td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Phone:</td>
+		<td>   <input type="text" name="phone" size="12" maxlength="12"></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Height:</td>
+		<td><input type="text" name="height"></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Weight:</td>
+		<td><input type="text" name="weight"></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Smoker:</td>
+		<td><input type="radio" id="smoker_yes" name="isSmoker" value="true">
             <label for="smoker_yes">Yes</label>
-        <br>
-            <input type="radio" id="smoker_no" name="isSmoker" value="0" checked>
-            <label for="smoker_no">No</label><br>
+        <br />
+            <input type="radio" id="smoker_no" name="isSmoker" value="false">
+            <label for="smoker_no">No</label><br />
         </td>
-    </tr>
-    
-    <br/>
-    <tr>
-        <th colspan=2 style="text-align:center">Insurance Information</th>
-    </tr>
-            
-    <tr>
-        <td class="subHeaderVertical">Insurance Provider Name:</td>
-        <td>   <input type="text" name="icName"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Insurance Provider Address:</td>
-        <td><input name="icAddress1" type="text"><br />
-        <input name="icAddress2" type="text"></td>
-    </tr>
-        <tr>
-        <td class="subHeaderVertical">City:</td>
-        <td>   <input name="icCity" type="text"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">State:</td>
-        <td><itrust:state name="icState" value="AK" /></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Zip:</td>
-        <td>   <input type="text" name="icZip" maxlength="10" size="10"></td>
-    </tr>
-    <tr>
-        <td class="subHeaderVertical">Insurance Provider Phone:</td>
-        <td><input type="text" name="icPhone"></td>
-    </tr>
+        <td> </td>
+	</tr>
+	
+	<br/>
+	<tr>
+		<th colspan=3 style="text-align:center">Insurance Information</th>
+	</tr>
+			
+	<tr>
+		<td class="subHeaderVertical">Insurance Provider Name:</td>
+		<td>   <input type="text" name="icName"></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Insurance Provider Address:</td>
+		<td><input name="icAddress1" type="text"><br />
+		<input name="icAddress2" type="text"></td>
+		<td> </td>
+	</tr>
+		<tr>
+		<td class="subHeaderVertical">City:</td>
+		<td>   <input name="icCity" type="text"></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">State:</td>
+		<td><itrust:state name="icState" value="AK" /></td>
+		<td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Zip:</td>
+	    <td>   <input type="text" name="icZip" maxlength="10" size="10"></td>
+	    <td> </td>
+	</tr>
+	<tr>
+		<td class="subHeaderVertical">Insurance Provider Phone:</td>
+		<td><input type="text" name="icPhone"></td>
+		<td> </td>
+	</tr>
 </table>
-
 <br />
 
 <input type="submit" style="font-size: 16pt; font-weight: bold;" value="Patient Pre-Register" id="submit_preregister">