{"id":110,"date":"2019-06-09T06:12:30","date_gmt":"2019-06-09T06:12:30","guid":{"rendered":"https:\/\/river-ent.fm1.dev\/request-appointment\/"},"modified":"2021-03-09T19:20:10","modified_gmt":"2021-03-10T01:20:10","slug":"request-appointment","status":"publish","type":"page","link":"https:\/\/river-ent.com\/resources\/request-appointment\/","title":{"rendered":"Request Appointment"},"content":{"rendered":"<div class=\"contact-wrapper js-intersect\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script><\/p>\n<div class=\"fuel-gf-wrapper\">\n<div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' >\n<div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n<div class='gform_heading'>\n<h3 class=\"gform_title\">Request Appointment<\/h3>\n<p class='gform_description'>\n<\/p><\/div>\n<form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2'  action='\/wp-json\/wp\/v2\/pages\/110#gf_2' data-formid='2' novalidate>\n<div class=\"fuel-gf-alert\" role=\"alert\"><\/div>\n<div class='gform-body gform_body'>\n<ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'>\n<li id=\"field_2_7\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_7\" >\n<div class=\"short-title\">Contact Us Today!<\/div>\n<div class=\"long-title\">Connect With Us Today!<\/div>\n<\/li>\n<li id=\"field_2_11\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_11\" ><!-- !! If moving back to contact form uncomment lines 897 on styles css, remove hide class from fields below in their appearance tab !! -->\n<p>To request an appointment or ask a question please use the purple Message us button on the right side of your screen. Thank you!<\/p>\n<\/li>\n<li id=\"field_2_8\" class=\"gfield gfield--type-html gfield--input-type-html hide gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_8\" >\n<div class=\"form-legal\">\n<p><strong>If you are experiencing a medical emergency, please call 911.<\/strong><\/p>\n<p>To request an appointment, please complete the form below and we will contact you during business hours. If you are a current patient and have a question, please visit the <a href=\"https:\/\/ehr.wrshealth.com\/patient_v2\/index.php?patientView=1&#038;id=2428049\" target=\"_blank\">Patient Portal<\/a>.<\/p>\n<\/div>\n<\/li>\n<li id=\"field_2_1\" class=\"gfield gfield--type-text gfield--input-type-text hide gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_1\" ><label class='gfield_label gform-field-label' for='input_2_1'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_2_2\" class=\"gfield gfield--type-email gfield--input-type-email hide gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_2\" ><label class='gfield_label gform-field-label' for='input_2_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_2_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div>\n<\/li>\n<li id=\"field_2_9\" class=\"gfield gfield--type-phone gfield--input-type-phone hide gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_9\" ><label class='gfield_label gform-field-label' for='input_2_9'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_phone'><input name='input_9' id='input_2_9' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_2_10\" class=\"gfield gfield--type-select gfield--input-type-select hide field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_10\" ><label class='gfield_label gform-field-label' for='input_2_10'>How May We Help You?<\/label>\n<div class='ginput_container ginput_container_select'><select name='input_10' id='input_2_10' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select option&#8230;<\/option><option value='Ear &amp; Hearing' >Ear &amp; Hearing<\/option><option value='Nose &amp; Sinus' >Nose &amp; Sinus<\/option><option value='Throat' >Throat<\/option><\/select><\/div>\n<\/li>\n<li id=\"field_2_6\" class=\"gfield gfield--type-gfic gfield--input-type-gfic field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_6\" ><label class='gfield_label gform-field-label screen-reader-text' for='input_2_6'><\/label><span class=\"wpcf7-form-control-wrap kc_captcha gfic-loader\"><span class=\"wpcf7-form-control wpcf7-cf7ic\"><span class=\"captcha-image\"><span class=\"cf7ic_instructions\"><br \/>\n\t\t\t\t\tPlease prove you are human by selecting the <span class=\"cf7ic_choice\">Icon<\/span><br \/>\n\t\t\t\t\t<span class=\"gfic_screenreader\" tabindex=\"0\" aria-label=\"Please prove you are human by selecting the Icon from the radio buttons below.\" title=\"Please prove you are human by selecting the Icon from the radio buttons below.\"><svg width=\"48\" height=\"48\" aria-hidden=\"true\" focusable=\"false\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 192 512\"><path fill=\"currentColor\" d=\"M20 424.229h20V279.771H20c-11.046 0-20-8.954-20-20V212c0-11.046 8.954-20 20-20h112c11.046 0 20 8.954 20 20v212.229h20c11.046 0 20 8.954 20 20V492c0 11.046-8.954 20-20 20H20c-11.046 0-20-8.954-20-20v-47.771c0-11.046 8.954-20 20-20zM96 0C56.235 0 24 32.235 24 72s32.235 72 72 72 72-32.235 72-72S135.764 0 96 0z\"><\/path><\/svg><\/span><br \/>\n\t\t\t\t<\/span><label><input type=\"radio\" aria-invalid=\"false\" aria-label=\"Press P to play currently focused image.\" name=\"kc_captcha_demo\" tabindex=\"0\" value=\"\" \/><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"48\" height=\"48\" viewBox=\"0 0 48 48\"><path d=\"M0 0h48v48H0z\" fill=\"#E5E5E5\" fill-rule=\"evenodd\"\/><\/svg><\/label><label><input type=\"radio\" aria-invalid=\"false\" aria-label=\"Press P to play currently focused image.\" name=\"kc_captcha_demo\" tabindex=\"0\" value=\"\" \/><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"48\" height=\"48\" viewBox=\"0 0 48 48\"><path d=\"M0 0h48v48H0z\" fill=\"#E5E5E5\" fill-rule=\"evenodd\"\/><\/svg><\/label><label><input type=\"radio\" aria-invalid=\"false\" aria-label=\"Press P to play currently focused image.\" name=\"kc_captcha_demo\" tabindex=\"0\" value=\"\" \/><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"48\" height=\"48\" viewBox=\"0 0 48 48\"><path d=\"M0 0h48v48H0z\" fill=\"#E5E5E5\" fill-rule=\"evenodd\"\/><\/svg><\/label><\/span><\/span><\/span><span style=\"display:none\"><input type=\"text\" name=\"kc_honeypot\"><\/span><\/li>\n<\/ul>\n<\/div>\n<div class='gform-footer gform_footer top_label'> <button class=\"button gform_button\" id=\"gform_submit_button_2\">Send Request<\/button> <input type='hidden' name='gform_ajax' value='form_id=2&amp;title=1&amp;description=1&amp;tabindex=0&amp;theme=legacy&amp;hash=4206907462b47a6bbb78056e9f39e55d' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='iframe' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='legacy' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/><\/p>\n<p>            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsImJjNmE2MTc5ZmVmMGU5MzExOGY4YWNlNjYzODYzMjc4Il0=' \/><br \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' \/><br \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/><br \/>\n            <input type='hidden' name='gform_field_values' value='' \/><\/p><\/div>\n<\/p><\/form>\n<\/p><\/div>\n<p>\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_2' id='gform_ajax_frame_2' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe><br \/>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 2, 'https:\/\/river-ent.com\/wp-content\/themes\/fuel-junior\/images\/ripple-loading.svg', true );jQuery('#gform_ajax_frame_2').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_2');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_2').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_2').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_2').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_2').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_2').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_2').val();gformInitSpinner( 2, 'https:\/\/river-ent.com\/wp-content\/themes\/fuel-junior\/images\/ripple-loading.svg', true );jQuery(document).trigger('gform_page_loaded', [2, current_page]);window['gf_submitting_2'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_2').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_2').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [2]);window['gf_submitting_2'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_2').text());}else{jQuery('#gform_2').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"2\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event && event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_2\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_2\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_2\" );        let postRenderFired = false;                function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            jQuery( document ).trigger( 'gform_post_render', [2, current_page] );            gform.utils.trigger( { event: 'gform\/postRender', native: false, data: { formId: 2, currentPage: current_page } } );            gform.utils.trigger( { event: 'gform\/post_render', native: false, data: { formId: 2, currentPage: current_page } } );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n<\/div>\n<div class=\"fuel-gf-status\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":113,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page_fullwidth.php","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"service_tags":[],"class_list":["post-110","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/pages\/110","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/comments?post=110"}],"version-history":[{"count":0,"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/pages\/110\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/pages\/113"}],"wp:attachment":[{"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/media?parent=110"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/river-ent.com\/wp-json\/wp\/v2\/service_tags?post=110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}