{"id":319,"date":"2018-05-11T18:30:37","date_gmt":"2018-05-11T18:30:37","guid":{"rendered":"https:\/\/www.sperokaras.com\/?page_id=319"},"modified":"2019-06-18T16:15:11","modified_gmt":"2019-06-18T16:15:11","slug":"appointments","status":"publish","type":"page","link":"https:\/\/www.sperokaras.com\/contact\/appointments\/","title":{"rendered":"Schedule an Appointment"},"content":{"rendered":"<div class=\"contact-intro\">\n<h1>Schedule an Appointment<\/h1>\n<p>Complete this form, and our office will contact you to schedule an appointment.<\/p>\n<\/div>\n<div class=\"span-10\">\n<div class=\"span-5\">\n<div id=\"edit-first-wrapper\" class=\"form-item\">\u00a0<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f692-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/319#wpcf7-f692-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"692\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f692-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><label>First Name<span class=\"wpforms-required-label\">*<\/span><span class=\"wpcf7-form-control-wrap first-name\"><input type=\"text\" name=\"first-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label>Last Name<span class=\"wpforms-required-label\">*<\/span><span class=\"wpcf7-form-control-wrap last-name\"><input type=\"text\" name=\"last-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label>Phone Number<span class=\"wpforms-required-label\">*<\/span><span class=\"wpcf7-form-control-wrap phone\"><input type=\"text\" name=\"phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label>Email<span class=\"wpforms-required-label\">*<\/span><span class=\"wpcf7-form-control-wrap email\"><input type=\"email\" name=\"email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label>Age<span class=\"wpforms-required-label\">*<\/span><span class=\"wpcf7-form-control-wrap age\"><input type=\"number\" name=\"age\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label>How often do you exercise<span class=\"wpcf7-form-control-wrap exercise\"><select name=\"exercise\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Never\">Never<\/option><option value=\"Rarely\">Rarely<\/option><option value=\"Occasionally\">Occasionally<\/option><option value=\"Frequently\">Frequently<\/option><option value=\"Daily\">Daily<\/option><\/select><\/span><\/label><\/p>\n<p><label>How did you hear about us<span class=\"wpcf7-form-control-wrap referral\"><select name=\"referral\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Physician Referral\">Physician Referral<\/option><option value=\"Friend Referral\">Friend Referral<\/option><option value=\"Internet Search\">Internet Search<\/option><option value=\"Word of mouth\">Word of mouth<\/option><option value=\"Advertisement\">Advertisement<\/option><option value=\"Other\">Other<\/option><\/select><\/span><\/label><\/p>\n<p><label>What is the reason for your visit<span class=\"wpforms-required-label\">*<\/span><span class=\"wpcf7-form-control-wrap reason\"><input type=\"text\" name=\"reason\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label>Message<span class=\"wpcf7-form-control-wrap message\"><textarea name=\"message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/label><\/p>\n<p><input type=\"submit\" value=\"Submit\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js\" name=\"_wpcf7_ak_js\" value=\"90\"\/><script>document.getElementById( \"ak_js\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Schedule an Appointment Complete this form, and our office will contact you to schedule an appointment. \u00a0<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":17,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/two-column.php","meta":{"spay_email":"","footnotes":""},"yst_prominent_words":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/pages\/319"}],"collection":[{"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/comments?post=319"}],"version-history":[{"count":2,"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/pages\/319\/revisions"}],"predecessor-version":[{"id":693,"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/pages\/319\/revisions\/693"}],"up":[{"embeddable":true,"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/pages\/17"}],"wp:attachment":[{"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/media?parent=319"}],"wp:term":[{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/www.sperokaras.com\/wp-json\/wp\/v2\/yst_prominent_words?post=319"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}