{"id":13,"date":"2015-12-14T04:12:01","date_gmt":"2015-12-14T04:12:01","guid":{"rendered":"http:\/\/theme-fusion.com\/avada\/medical\/?page_id=13"},"modified":"2025-08-20T16:06:40","modified_gmt":"2025-08-20T16:06:40","slug":"make-appointment","status":"publish","type":"page","link":"https:\/\/laniertherapy.com\/?page_id=13","title":{"rendered":"Make Appointment"},"content":{"rendered":"<p><div class=\"fusion-bg-parallax\" data-bg-align=\"center bottom\" data-direction=\"up\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.4\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"http:\/\/laniertherapy.com\/wp-content\/uploads\/2025\/03\/Physical-Therapy-in-Gainesville-Georgia-Professional-Handshake.webp\" data-bg-repeat=\"false\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container fusion-parallax-up nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:center bottom;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10%;--awb-padding-right:5%;--awb-padding-bottom:10%;--awb-padding-left:5%;--awb-background-image:url(&quot;http:\/\/laniertherapy.com\/wp-content\/uploads\/2025\/03\/Physical-Therapy-in-Gainesville-Georgia-Professional-Handshake.webp&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1170px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:30px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:50px;--awb-margin-bottom:30px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;text-transform:capitalize;--fontSize:40;line-height:var(--awb-typography1-line-height);\">Consult<\/h1><\/div><div class=\"fusion-text fusion-text-1\"><p style=\"font-size: 26px; line-height: 36px; text-align: center;\">\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><a class=\"fb-icon-element-1 fb-icon-element fontawesome-icon awb-health-chevron-down circle-no fusion-animated fusion-link fusion-one-page-text-link\" style=\"--awb-font-size:70px;--awb-margin-top:0;--awb-margin-right:0;--awb-margin-bottom:0;--awb-margin-left:0;--awb-align-self:center;\" data-animationType=\"fadeInUp\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\" href=\"#contact\" target=\"_self\" aria-label=\"Link to #contact\"><\/a><\/div><\/div><\/div><\/div><div id=\"contact\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-top:100px;--awb-padding-right:10%;--awb-padding-bottom:100px;--awb-padding-left:10%;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.304%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;text-transform:capitalize;--fontSize:30;line-height:1.25;\"><strong>Consult<\/strong><\/h2><\/div><div class=\"fusion-text fusion-text-2\"><h3 data-fontsize=\"20\" data-lineheight=\"44px\" class=\"fusion-responsive-typography-calculated\" style=\"--fontSize: 20; line-height: 2.2; --minFontSize: 20;\">Fill out the form below and we will get back to you as soon as possible!<\/h3>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-1266 has-icon-alignment\" style=\"--awb-tooltip-text-color:var(--awb-color1);--awb-tooltip-background-color:var(--awb-color8);--awb-field-margin-top:0px;--awb-form-input-height:62px;--awb-form-bg-color:hsla(var(--awb-color1-h),var(--awb-color1-s),var(--awb-color1-l),calc(var(--awb-color1-a) - 100%));--awb-form-select-bg:var(--awb-color1);--awb-form-font-size:24px;--awb-form-placeholder-color:hsla(var(--awb-color4-h),var(--awb-color4-s),var(--awb-color4-l),calc(var(--awb-color4-a) - 80%));--awb-form-text-color:var(--awb-color4);--awb-form-label-color:var(--awb-color4);--awb-form-border-width-top:0px;--awb-form-border-width-bottom:1px;--awb-form-border-width-right:1px;--awb-form-border-width-left:0px;--awb-form-border-color:hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc(var(--awb-color8-a) - 70%));--awb-form-focus-border-color:var(--awb-color5);--awb-form-focus-border-hover-color:hsla(var(--awb-color5-h),var(--awb-color5-s),var(--awb-color5-l),calc(var(--awb-color5-a) - 50%));--awb-form-border-radius:0px;--awb-icon-alignment-top:0px;--awb-icon-alignment-bottom:1px;--awb-icon-alignment-font-size:24px;\" data-form-id=\"1266\" data-config=\"{&quot;form_id&quot;:&quot;1266&quot;,&quot;form_post_id&quot;:&quot;1266&quot;,&quot;post_id&quot;:13,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;field_labels&quot;:{&quot;first_name&quot;:&quot;First Name&quot;,&quot;last_name&quot;:&quot;Last Name&quot;,&quot;email_address&quot;:&quot;Email Address&quot;,&quot;phone&quot;:&quot;Phone&quot;,&quot;location_preference&quot;:&quot;Check if applicable&quot;},&quot;field_logics&quot;:{&quot;first_name&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;,&quot;email_address&quot;:&quot;&quot;,&quot;phone&quot;:&quot;&quot;,&quot;location_preference&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;first_name&quot;:&quot;text&quot;,&quot;last_name&quot;:&quot;text&quot;,&quot;email_address&quot;:&quot;email&quot;,&quot;phone&quot;:&quot;text&quot;,&quot;location_preference&quot;:&quot;checkbox&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;}\"><form action=\"https:\/\/laniertherapy.com\/?page_id=13\" method=\"post\" class=\"fusion-form fusion-form-1266\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:103% !important;max-width:103% !important;margin-left: calc(-3% \/ 2 );margin-right: calc(-3% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color2);--awb-bg-color-hover:var(--awb-color2);--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:6px 6px 6px 6px;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:2.91%;--awb-margin-bottom-large:30PX;--awb-spacing-left-large:2.91%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1266\"><div class=\"fusion-form-label-wrapper\"><label for=\"first_name\">First Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-user-edit fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"first_name\" id=\"first_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color2);--awb-bg-color-hover:var(--awb-color2);--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:6px 6px 6px 6px;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:2.91%;--awb-margin-bottom-large:30PX;--awb-spacing-left-large:2.91%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1266\"><div class=\"fusion-form-label-wrapper\"><label for=\"last_name\">Last Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-user-edit fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"last_name\" id=\"last_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color2);--awb-bg-color-hover:var(--awb-color2);--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:6px 6px 6px 6px;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"1266\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address\">Email Address <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-envelope fas\"><\/i><input type=\"email\" autocomplete=\"off\" name=\"email_address\" id=\"email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color2);--awb-bg-color-hover:var(--awb-color2);--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:6px 6px 6px 6px;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1266\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone\">Phone <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-square-alt fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"phone\" id=\"phone\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color2);--awb-bg-color-hover:var(--awb-color2);--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:6px 6px 6px 6px;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"1266\"><fieldset data-awb-fieldset-min-required=\"1\" data-awb-fieldset-max-required=\"0\" data-awb-fieldset-error=\"Please select at least 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Location Preference <abbr class=\"fusion-form-element-required\" title=\"Please select at least 1 checkbox from this field.\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-1-0\" type=\"checkbox\" value=\"Cleveland\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-1-0\">Cleveland<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-1-1\" type=\"checkbox\" value=\"Gainesville\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-1-1\">Gainesville<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color2);--awb-bg-color-hover:var(--awb-color2);--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:6px 6px 6px 6px;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"1266\"><fieldset data-awb-fieldset-min-required=\"1\" data-awb-fieldset-max-required=\"0\" data-awb-fieldset-error=\"Please select at least 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Preferred Days of the Week <abbr class=\"fusion-form-element-required\" title=\"Please select at least 1 checkbox from this field.\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-2-0\" type=\"checkbox\" value=\"Monday\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-2-0\">Monday<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-2-1\" type=\"checkbox\" value=\"Tuesday\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-2-1\">Tuesday<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-2-2\" type=\"checkbox\" value=\"Wednesday\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-2-2\">Wednesday<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-2-3\" type=\"checkbox\" value=\"Thursday\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-2-3\">Thursday<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-2-4\" type=\"checkbox\" value=\"Friday\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-2-4\">Friday<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-2-5\" type=\"checkbox\" value=\"Saturday\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-2-5\">Saturday<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color2);--awb-bg-color-hover:var(--awb-color2);--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:6px 6px 6px 6px;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"1266\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Check if applicable<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-location_preference-3-0\" type=\"checkbox\" value=\"I do NOT have a referral for therapy\" name=\"location_preference[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-location_preference-3-0\">I do NOT have a referral for therapy<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"1266\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-span-no  form-form-submit button-default\" style=\"--button-border-radius-top-left:6px;--button-border-radius-top-right:6px;--button-border-radius-bottom-right:6px;--button-border-radius-bottom-left:6px;--button_margin-top:30px;--button_margin-bottom:30PX;\" data-form-number=\"1266\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Submit<\/span><\/button><\/div><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your message. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_store_ip_ua\" value=\"false\"><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-13","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/laniertherapy.com\/index.php?rest_route=\/wp\/v2\/pages\/13","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/laniertherapy.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/laniertherapy.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/laniertherapy.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/laniertherapy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13"}],"version-history":[{"count":4,"href":"https:\/\/laniertherapy.com\/index.php?rest_route=\/wp\/v2\/pages\/13\/revisions"}],"predecessor-version":[{"id":1661,"href":"https:\/\/laniertherapy.com\/index.php?rest_route=\/wp\/v2\/pages\/13\/revisions\/1661"}],"wp:attachment":[{"href":"https:\/\/laniertherapy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}