{"id":686,"date":"2018-11-15T10:04:55","date_gmt":"2018-11-15T10:04:55","guid":{"rendered":"https:\/\/o2medicaldiagnostic.com\/home\/?page_id=686"},"modified":"2020-08-02T22:38:11","modified_gmt":"2020-08-02T22:38:11","slug":"appointment-form","status":"publish","type":"page","link":"https:\/\/o2medicaldiagnostic.com\/home\/appointment-form\/","title":{"rendered":"Appointment Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"686\" class=\"elementor elementor-686\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a9ecbdd elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a9ecbdd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-db5e03d bg-primary\" data-id=\"db5e03d\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-83e542d elementor-widget elementor-widget-rt-title\" data-id=\"83e542d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"section-heading heading-dark text-left heading-layout1\">\n        <h2 class=\"rtin-title\">Make an Appointment<\/h2>\n        \t\t\t<p class=\"rtin-subtitle\">Need An Appointment For Test Or Consulting?<\/p> \n         <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-be62598 elementor-widget elementor-widget-shortcode\" data-id=\"be62598\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f711-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"711\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/home\/wp-json\/wp\/v2\/pages\/686#wpcf7-f711-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"711\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f711-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"appointment-box-layout1\">\n\t<div class=\"row gutters-15\">\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"department\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required select2\" aria-required=\"true\" aria-invalid=\"false\" name=\"department\"><option value=\"Select Department\">Select Department<\/option><option value=\"COVID-19 Test\">COVID-19 Test<\/option><option value=\"Pathology\">Pathology<\/option><option value=\"Cardiology\">Cardiology<\/option><option value=\"Radiology\">Radiology<\/option><option value=\"Endoscopy\">Endoscopy<\/option><option value=\"Health Checks\">Health Checks<\/option><option value=\"Radiology\">Radiology<\/option><option value=\"Blood Bank\">Blood Bank<\/option><option value=\"Radiologist Report\">Radiologist Report<\/option><option value=\"Consultancy\">Consultancy<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"txtpatname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Patient Name *\" value=\"\" type=\"text\" name=\"txtpatname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"txtphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone *\" value=\"\" type=\"text\" name=\"txtphone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail*\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date form-control rt-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"time\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"Time*\" type=\"text\" name=\"time\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea textarea form-control\" aria-invalid=\"false\" placeholder=\"Type Appintment Note\" name=\"message\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner item-btn\" type=\"submit\" value=\"Make an Appointment\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7969598\" data-id=\"7969598\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0a22211 elementor-widget elementor-widget-image\" data-id=\"0a22211\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"683\" height=\"1000\" src=\"https:\/\/o2medicaldiagnostic.com\/home\/wp-content\/uploads\/2018\/11\/figure2.png\" class=\"attachment-full size-full wp-image-714\" alt=\"\" srcset=\"https:\/\/o2medicaldiagnostic.com\/home\/wp-content\/uploads\/2018\/11\/figure2.png 683w, https:\/\/o2medicaldiagnostic.com\/home\/wp-content\/uploads\/2018\/11\/figure2-205x300.png 205w, https:\/\/o2medicaldiagnostic.com\/home\/wp-content\/uploads\/2018\/11\/figure2-600x878.png 600w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c231c67 elementor-section-stretched elementor-section-full_width elementor-section-content-middle elementor-section-height-default elementor-section-height-default\" data-id=\"5c231c67\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-538ad58d\" data-id=\"538ad58d\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ceaf2dd elementor-widget elementor-widget-rt-cta\" data-id=\"7ceaf2dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"rt-cta.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"call-to-action-wrap-layout4\">\n    <div class=\"item-img\">\n           <\/div>\n    <div class=\"container\">\n        <div class=\"row\">\n            <div class=\"col-xl-12 col-lg-8 col-md-8 col-12\">\n                <div class=\"call-to-action-box-layout4\">\n                    <h2 class=\"item-title\">We Provide the highest level of satisfaction care &amp; services to our patients.<\/h2>\n                    <div class=\"call-to-action-phone\">\n                        <a href=\"tel:+12344092888\"><i class=\"fas fa-phone\"><\/i>08023951033,07034947235 <\/a>\n                    <\/div>\n\t\t\t\t\t\t                 \n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Make an Appointment Need An Appointment For Test Or Consulting? We Provide the highest level of satisfaction care &amp; services to our patients. 08023951033,07034947235<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-686","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Appointment Form - O2 Medical Diagnostic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/o2medicaldiagnostic.com\/home\/appointment-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Appointment Form - O2 Medical Diagnostic\" \/>\n<meta property=\"og:description\" content=\"Make an Appointment Need An Appointment For Test Or Consulting? 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