{"id":251,"date":"2018-12-12T05:32:10","date_gmt":"2018-12-12T05:32:10","guid":{"rendered":"http:\/\/ggf.pan.mybluehost.me\/?page_id=251"},"modified":"2024-02-25T09:28:08","modified_gmt":"2024-02-25T14:28:08","slug":"request-an-appointment","status":"publish","type":"page","link":"https:\/\/drfawnchiro.com\/staging\/7952\/request-an-appointment\/","title":{"rendered":"Request an Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"251\" class=\"elementor elementor-251\">\n\t\t\t\t<div class=\"elementor-element elementor-element-69c4e34 e-con-full e-flex e-con e-parent\" data-id=\"69c4e34\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9bf4d5d elementor-widget elementor-widget-heading\" data-id=\"9bf4d5d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Request an Appointment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c9d0433 e-con-full e-flex e-con e-parent\" data-id=\"c9d0433\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-39e2bc6 elementor-widget elementor-widget-text-editor\" data-id=\"39e2bc6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Send us a request for an appointment and we will call you to get you set up! Or, simply call us at\u00a0<a href=\"tel:570-748-3590\">570-748-3590<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0506408 elementor-widget elementor-widget-wpforms\" data-id=\"0506408\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container \" id=\"wpforms-1439\"><form id=\"wpforms-form-1439\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1439\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/staging\/7952\/wp-json\/wp\/v2\/pages\/251\" data-token=\"db612e10ad4a9c3faf0230cdd8fb283f\" data-token-time=\"1777571133\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1439-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><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-1439-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-1439-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1439-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-1439-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1439-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1439-field_3\">Telephone Number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1439-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-1439-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1439-field_1\">E-mail Address: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1439-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1439-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1439-field_4\">Type of Patient: <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1439-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required=\"required\"><option value=\"New Patient\"  class=\"choice-1 depth-1\"  >New Patient<\/option><option value=\"Current Patient\"  class=\"choice-2 depth-1\"  >Current Patient<\/option><option value=\"Returning Patient\"  class=\"choice-3 depth-1\"  >Returning Patient<\/option><\/select><\/div><div id=\"wpforms-1439-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1439-field_5\">What service would you like an appointment for: <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1439-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"Chiropractic\"  class=\"choice-1 depth-1\"  >Chiropractic<\/option><option value=\"Nutrition\"  class=\"choice-5 depth-1\"  >Nutrition<\/option><option value=\"Cold Laser\"  class=\"choice-3 depth-1\"  >Cold Laser<\/option><option value=\"Spa Services\"  class=\"choice-4 depth-1\"  >Spa Services<\/option><\/select><\/div><div id=\"wpforms-1439-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1439-field_6\">Preferred Date: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1439-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-1439-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1439-field_8\">Preferred Time of Day: <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1439-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"Morning\"  class=\"choice-1 depth-1\"  >Morning<\/option><option value=\"Afternoon\"  class=\"choice-2 depth-1\"  >Afternoon<\/option><option value=\"Evening\"  class=\"choice-3 depth-1\"  >Evening<\/option><\/select><\/div><div id=\"wpforms-1439-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1439-field_9\">How did you hear about us? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1439-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"Search Engine (Google, Bing, Etc.)\"  class=\"choice-1 depth-1\"  >Search Engine (Google, Bing, Etc.)<\/option><option value=\"Social Media (Facebook, Instagram, Etc.)\"  class=\"choice-2 depth-1\"  >Social Media (Facebook, Instagram, Etc.)<\/option><option value=\"Yelp\"  class=\"choice-4 depth-1\"  >Yelp<\/option><option value=\"TripAdvisor\"  class=\"choice-5 depth-1\"  >TripAdvisor<\/option><option value=\"ZocDoc\"  class=\"choice-6 depth-1\"  >ZocDoc<\/option><option value=\"Referral\"  class=\"choice-7 depth-1\"  >Referral<\/option><option value=\"Advertisement on Google\"  class=\"choice-8 depth-1\"  >Advertisement on Google<\/option><option value=\"Other\"  class=\"choice-9 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-1439-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1439-field_2\">Comments:<\/label><textarea id=\"wpforms-1439-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1439\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/drfawnchiro.com\/staging\/7952\/wp-json\/wp\/v2\/pages\/251\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1439\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/drfawnchiro.com\/staging\/7952\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5335184 e-flex e-con-boxed e-con e-parent\" data-id=\"5335184\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-713eb80 elementor-widget elementor-widget-spacer\" data-id=\"713eb80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/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\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Request an Appointment Send us a request for an appointment and we will call you to get you set up! Or, simply call us at\u00a0570-748-3590. Please enable JavaScript in your browser to complete this form.Name: *FirstLastTelephone Number: *E-mail Address: *Type of Patient: *New PatientCurrent PatientReturning PatientWhat service would you like an appointment for: *ChiropracticNutritionCold LaserSpa [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":4000,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"nf_dc_page":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-251","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Request an Appointment | Fresh Start Chiropractic and Wellness Center<\/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:\/\/drfawnchiro.com\/staging\/7952\/request-an-appointment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Request an Appointment | Fresh Start Chiropractic and Wellness Center\" \/>\n<meta property=\"og:description\" content=\"Request an Appointment Send us a request for an appointment and we will call you to get you set up! 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