{"id":19,"date":"2020-05-06T01:10:52","date_gmt":"2020-05-06T01:10:52","guid":{"rendered":"http:\/\/prestigioushcs.com\/?page_id=19"},"modified":"2020-05-15T15:55:04","modified_gmt":"2020-05-15T19:55:04","slug":"appointment","status":"publish","type":"page","link":"https:\/\/prestigioushcs.com\/appointment\/","title":{"rendered":"Appointment"},"content":{"rendered":"<h1>Book an Appointment<\/h1>\n<div>Are you looking for quality, reliable home care services? <\/div>\n<div>\n<p>Complete the form below and a care coordinator will reach you at a convenient time. We can customize a care plan based on your home care needs assessment results.<\/p>\n<\/div>\n<div>\n<div>Add your information below:<\/div>\n<div>\n<div class='gf_browser_chrome gform_wrapper' id='gform_wrapper_1' style='display:none'>\n<form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/wp-admin\/admin-ajax.php?action=kernel&#038;p=page'>\n<div class='gform_body'>\n<ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'>\n<li id='field_1_1'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<span class='gfield_required'>*<\/span><\/label>\n<div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_1'>\n<p>                            <span id='input_1_1_3_container' class='name_first' ><br \/>\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/><br \/>\n                                                    <label for='input_1_1_3' >First<\/label><br \/>\n                                                <\/span><\/p>\n<p>                            <span id='input_1_1_6_container' class='name_last' ><br \/>\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/><br \/>\n                                                    <label for='input_1_1_6' >Last<\/label><br \/>\n                                                <\/span><\/p><\/div>\n<\/li>\n<li id='field_1_2'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>\n<div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address' id='input_1_2' >\n                         <span class='ginput_full address_line_1' id='input_1_2_1_container' ><br \/>\n                                        <input type='text' name='input_2.1' id='input_1_2_1' value=''    aria-required=\"true\"\/><br \/>\n                                        <label for='input_1_2_1' id='input_1_2_1_label' >Street Address<\/label><br \/>\n                                    <\/span><span class='ginput_left address_city' id='input_1_2_3_container' ><br \/>\n                                    <input type='text' name='input_2.3' id='input_1_2_3' value=''    aria-required=\"true\"\/><br \/>\n                                    <label for='input_1_2_3' id='input_1_2_3_label' >City<\/label><br \/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_2_4_container' ><br \/>\n                                        <select name='input_2.4' id='input_1_2_4'     aria-required=\"true\"><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' selected='selected'>Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select><br \/>\n                                        <label for='input_1_2_4' id='input_1_2_4_label' >State<\/label><br \/>\n                                      <\/span><span class='ginput_left address_zip' id='input_1_2_5_container' ><br \/>\n                                    <input type='text' name='input_2.5' id='input_1_2_5' value=''    aria-required=\"true\"\/><br \/>\n                                    <label for='input_1_2_5' id='input_1_2_5_label' >ZIP Code<\/label><br \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_1_2_6' value='United States'\/><\/p>\n<div class='gf_clear gf_clear_complex'><\/div>\n<\/p><\/div>\n<\/li>\n<li id='field_1_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >How do you prefer to be contacted?<span class='gfield_required'>*<\/span><\/label>\n<div class='ginput_container ginput_container_checkbox'>\n<ul class='gfield_checkbox' id='input_1_3'>\n<li class='gchoice_1_3_1'>\n\t\t\t\t\t\t\t\t<input name='input_3.1' type='checkbox'  value='Phone' checked='checked' id='choice_1_3_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_3_1' id='label_1_3_1'>Phone<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice_1_3_2'>\n\t\t\t\t\t\t\t\t<input name='input_3.2' type='checkbox'  value='Email'  id='choice_1_3_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_3_2' id='label_1_3_2'>Email<\/label>\n\t\t\t\t\t\t\t<\/li>\n<li class='gchoice_1_3_3'>\n\t\t\t\t\t\t\t\t<input name='input_3.3' type='checkbox'  value='Fax'  id='choice_1_3_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_3_3' id='label_1_3_3'>Fax<\/label>\n\t\t\t\t\t\t\t<\/li>\n<\/ul>\n<\/div>\n<\/li>\n<li id='field_1_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_4' >Phone<span class='gfield_required'>*<\/span><\/label>\n<div class='ginput_container ginput_container_phone'><input name='input_4' id='input_1_4' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div>\n<\/li>\n<li id='field_1_5'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_5' >Email<span class='gfield_required'>*<\/span><\/label>\n<div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_1_5' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div>\n<\/li>\n<li id='field_1_6'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_6' >Fax<\/label>\n<div class='ginput_container ginput_container_phone'><input name='input_6' id='input_1_6' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div>\n<\/li>\n<li id='field_1_7'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_7' >Comments<\/label>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_1_7' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/li>\n<\/ul>\n<\/div>\n<div class='gform_footer top_label'> <input type=\"submit\" id=\"gform_submit_button_1\" class=\"gform_button button uk-button uk-button-primary\" value=\"Submit\" onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }'><br \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/><\/p>\n<p>            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='WyJbXSIsIjk1NDUxY2NlMmJjZjE0NThiM2Q3NWU5N2FhZGI3MmMwIl0=' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/><br \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/><br \/>\n            <input type='hidden' name='gform_field_values' value='' \/><\/p><\/div>\n<\/p><\/form>\n<\/p><\/div>\n<\/p>\n<\/div>\n<\/div>\n<p><!-- 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Complete the form below and a care coordinator will reach you at a convenient time. We can customize a care plan based on your home care needs assessment results. Add your information below: Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/prestigioushcs.com\/wp-json\/wp\/v2\/pages\/19"}],"collection":[{"href":"https:\/\/prestigioushcs.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/prestigioushcs.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/prestigioushcs.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prestigioushcs.com\/wp-json\/wp\/v2\/comments?post=19"}],"version-history":[{"count":0,"href":"https:\/\/prestigioushcs.com\/wp-json\/wp\/v2\/pages\/19\/revisions"}],"wp:attachment":[{"href":"https:\/\/prestigioushcs.com\/wp-json\/wp\/v2\/media?parent=19"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}