{"id":1294,"date":"2013-04-23T08:11:30","date_gmt":"2013-04-23T08:11:30","guid":{"rendered":"http:\/\/localhost\/wordpress\/medicenter\/?page_id=1294"},"modified":"2024-01-12T18:53:12","modified_gmt":"2024-01-12T18:53:12","slug":"contactus","status":"publish","type":"page","link":"https:\/\/med-quill.com\/index.php\/contactus\/","title":{"rendered":"Contact Us"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row top_margin=&#8221;page-margin-top&#8221; disable_element=&#8221;yes&#8221; el_position=&#8221;last&#8221;][vc_column width=&#8221;2\/3&#8243;]<h3 class=\"box-header animation-slide\">Online Appointment Form<\/h3><form class=\"contact-form \" id=\"`{`contact-form-7 id=``4664`` title=``med-quill contact form```}`\" method=\"post\" action=\"\"><ul class=\"clearfix tabs-box-navigation sf-menu\">\n\t\t\t\t<li class=\"tabs-box-navigation-selected wide template-plus-2-after\" aria-haspopup=\"true\">\n\t\t\t\t\t<input type=\"hidden\" name=\"department\" value=\"\" \/>\n\t\t\t\t\t<span>Select Department<\/span>\n\t\t\t\t\t<ul class=\"sub-menu\"><li><a href=\"#cardiac-clinic\" title=\"Cardiac Clinic\">Cardiac Clinic<\/a><\/li><li><a href=\"#dental-clinic\" title=\"Dental Clinic\">Dental Clinic<\/a><\/li><li><a href=\"#gynaecological-clinic\" title=\"Gynaecological Clinic\">Gynaecological Clinic<\/a><\/li><li><a href=\"#laryngological-clinic\" title=\"Laryngological Clinic\">Laryngological Clinic<\/a><\/li><li><a href=\"#ophthalmology-clinic\" title=\"Ophthalmology Clinic\">Ophthalmology Clinic<\/a><\/li><li><a href=\"#outpatient-rehabilitation\" title=\"Outpatient Rehabilitation\">Outpatient Rehabilitation<\/a><\/li><li><a href=\"#outpatient-surgery\" title=\"Outpatient Surgery\">Outpatient Surgery<\/a><\/li><li><a href=\"#pediatric-clinic\" title=\"Pediatric Clinic\">Pediatric Clinic<\/a><\/li><li><a href=\"#primary-health-care\" title=\"Primary Health Care\">Primary Health Care<\/a><\/li><\/ul>\n\t\t\t\t<\/ul><input type=\"hidden\" id=\"department_select_box_title\" value=\"Select Department\"><div class=\"vc_row wpb_row vc_inner\">\n\t\t\t<fieldset class=\"vc_col-sm-6 wpb_column vc_column_container\"><label>FIRST NAME<\/label>\n\t\t\t\t<div class=\"block\">\n\t\t\t\t\t<input class=\"text_input\" name=\"first_name\" type=\"text\" value=\"\" tabindex=\"1\" data-required=\"1\">\n\t\t\t\t<\/div><label>DATE OF BIRTH (mm\/dd\/yyyy)<\/label>\n\t\t\t\t<div class=\"block\">\n\t\t\t\t\t<input class=\"text_input\" name=\"date_of_birth\" type=\"text\" value=\"\" tabindex=\"3\">\n\t\t\t\t<\/div><label>PHONE NUMBER<\/label>\n\t\t\t\t<div class=\"block\">\n\t\t\t\t\t<input class=\"text_input\" name=\"phone_number\" type=\"text\" value=\"\" tabindex=\"5\">\n\t\t\t\t<\/div><\/fieldset>\n\t\t\t<fieldset class=\"vc_col-sm-6 wpb_column vc_column_container\"><label>LAST NAME<\/label>\n\t\t\t\t<div class=\"block\">\n\t\t\t\t\t<input class=\"text_input\" name=\"last_name\" type=\"text\" value=\"\" tabindex=\"2\" data-required=\"1\">\n\t\t\t\t<\/div><label>SOCIAL SECURITY NUMBER<\/label>\n\t\t\t\t<div class=\"block\">\n\t\t\t\t\t<input class=\"text_input\" name=\"social_security_number\" type=\"text\" value=\"\" tabindex=\"4\">\n\t\t\t\t<\/div><label>E-MAIL<\/label>\n\t\t\t\t<div class=\"block\">\n\t\t\t\t\t<input class=\"text_input\" name=\"email\" type=\"text\" value=\"\" tabindex=\"6\" data-required=\"1\">\n\t\t\t\t<\/div><\/fieldset>\n\t\t<\/div><div class=\"vc_row wpb_row vc_inner\">\n\t\t\t<fieldset>\n\t\t\t\t<label>REASON OF APPOINTMENT<\/label>\n\t\t\t\t<div class=\"block\">\n\t\t\t\t\t<textarea name=\"message\" tabindex=\"7\" data-required=\"1\"><\/textarea>\n\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div><div class=\"vc_row wpb_row vc_inner submit-container margin-top-30\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\">\n\t\t\t\t<p>We will contact you within one business day.<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-sm-6 wpb_column vc_column_container \"><input type=\"hidden\" name=\"action\" value=\"theme_contact_form\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"id\" value=\"`{`contact-form-7 id=``4664`` title=``med-quill contact form```}`\" \/><div class=\"vc_row wpb_row vc_inner\">\n\t\t\t\t<input type=\"submit\" name=\"submit\" value=\"SEND\" class=\"more mc-button\" \/>\n\t\t\t<\/div><\/div><\/div>\n\t<\/form>[\/vc_column][vc_column width=&#8221;1\/3&#8243;][\/vc_column][\/vc_row][vc_row top_margin=&#8221;page-margin-top&#8221; content_placement=&#8221;middle&#8221; el_position=&#8221;last&#8221;][vc_column width=&#8221;2\/3&#8243;]<h1 class=\"box-header animation-slide\">Get In Touch<\/h1>[vc_column_text]Please kindly provide your information in the fields below, and we kindly request your patience as we strive to respond within 1-2 business days. Thank you for choosing our medical billing services. We look forward to serving you better. In case of urgent assistance please call us at <a href=\"tel:+1 (281) 818-1970\">+1 (281) 818-1970<\/a>[\/vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4664-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"4664\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1294#wpcf7-f4664-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4664\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4664-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label> Your name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"tel\" name=\"phone-number\" \/><\/span> <\/label>\n<\/p>\n<p><label> Subject<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-subject\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your message (optional)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row top_margin=&#8221;page-margin-top&#8221; disable_element=&#8221;yes&#8221; el_position=&#8221;last&#8221;][vc_column width=&#8221;2\/3&#8243;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][\/vc_column][\/vc_row][vc_row top_margin=&#8221;page-margin-top&#8221; content_placement=&#8221;middle&#8221; el_position=&#8221;last&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text]Please kindly provide your information in the fields below, and we kindly request your patience as we strive to respond within 1-2 business days. Thank you for choosing our medical billing services. We look forward to serving you better. In case of urgent assistance please call<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1294","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/med-quill.com\/index.php\/wp-json\/wp\/v2\/pages\/1294","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/med-quill.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/med-quill.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/med-quill.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/med-quill.com\/index.php\/wp-json\/wp\/v2\/comments?post=1294"}],"version-history":[{"count":21,"href":"https:\/\/med-quill.com\/index.php\/wp-json\/wp\/v2\/pages\/1294\/revisions"}],"predecessor-version":[{"id":5148,"href":"https:\/\/med-quill.com\/index.php\/wp-json\/wp\/v2\/pages\/1294\/revisions\/5148"}],"wp:attachment":[{"href":"https:\/\/med-quill.com\/index.php\/wp-json\/wp\/v2\/media?parent=1294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}