Application Express :: On Button Click To Fill Out Form On Same Page As Report

I have a report that contains a name that I want to pass in to a field in a form on a different region on the same page. My button located on the report is has its own column called ADD_LINK. Here is the button.

<button id="apexir_btn_ADD" class="apexir-button" type="button" value="Add" onclick=""><span>Add</span></button>

Once that button is clicked, I have the form region fade in. The region is called Add Tag to Employee, which has P4_ROWID, P4_EMPLOYEE_ID, and P4_TAG_ID. Once the region is displayed, I want the #NAME# to show in the P4_EMPLOYEE_ID.

I did copy this form from another page, where I had it working before. It made more sense to move it to this page for interface purposes, so maybe that tidbit will work as well.