{"id":193,"date":"2023-01-27T21:28:59","date_gmt":"2023-01-27T21:28:59","guid":{"rendered":"https:\/\/redeemerhospitalgh.com\/?page_id=193"},"modified":"2023-01-27T21:57:37","modified_gmt":"2023-01-27T21:57:37","slug":"book-appointment","status":"publish","type":"page","link":"https:\/\/redeemerhospitalgh.com\/index.php\/book-appointment\/","title":{"rendered":"Book Appointment"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-196\"><form id=\"wpforms-form-196\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"196\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/193\" data-token=\"3dce210dde2f3679eed2609a3dbfdb38\" data-token-time=\"1776378649\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-196-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-196-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-196-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-196-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-196-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-196-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-196-field_10\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-196-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><\/select><\/div><div id=\"wpforms-196-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-196-field_8\">Date of Birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-196-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-196-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-196-field_14\">Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-196-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/div><div id=\"wpforms-196-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-196-field_13\">Preferred Appointment Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-196-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-196-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-196-field_12\">Preferred Location <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-196-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"Tarkwa-Brofoyedur\"  class=\"choice-1 depth-1\"  >Tarkwa-Brofoyedur<\/option><option value=\"Gold Fields Junction, Tarkwa\"  class=\"choice-2 depth-1\"  >Gold Fields Junction, Tarkwa<\/option><option value=\"Tarkwa-Efuanta\"  class=\"choice-3 depth-1\"  >Tarkwa-Efuanta<\/option><\/select><\/div><div id=\"wpforms-196-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-196-field_2\">Email<\/label><input type=\"email\" id=\"wpforms-196-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-196-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-196-field_7\">Reason for Appointment <span 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width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container 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