{"id":23,"date":"2014-10-22T12:54:56","date_gmt":"2014-10-22T19:54:56","guid":{"rendered":"http:\/\/www.surfcityfootandankle.com\/?page_id=23"},"modified":"2014-12-03T09:46:30","modified_gmt":"2014-12-03T16:46:30","slug":"patients","status":"publish","type":"page","link":"https:\/\/www.surfcityfootandankle.com\/patients\/","title":{"rendered":"Patients"},"content":{"rendered":"<div class=\"flex_column av_one_half  flex_column_div first  \" ><section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p>Surf City Foot and Ankle wants your first time in our office to be a pleasant, seamless experience. Online forms and the possibility to set up an appointment is available directly from this website.<\/p>\n<p>Please complete and submit the form online and you will be contacted by our office to confirm your appointment and answer any questions you may have.<\/p>\n<p>For immediate help, please contact us between 8:00 am and 5: 00 pm, Monday \u00ad- Friday<\/p>\n<p>Huntington Beach location \u00ad (714) 841-\u00ad1963<\/p>\n<p>Laguna Woods location \u00ad (949) 855-\u00ad4414<\/p>\n<\/div><\/section><br \/>\n<div style='height:20px' class='hr hr-invisible  '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\n<div class='avia-button-wrap avia-button-left '><a href='\/wp-content\/uploads\/personal-information-form.pdf' class='avia-button   avia-icon_select-yes-left-icon avia-color-theme-color avia-size-medium avia-position-left '  target=\"_blank\"   ><span class='avia_button_icon avia_button_icon_left ' aria-hidden='true' data-av_icon='\ue82d' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Download Personal Information Form<\/span><\/a><\/div><br \/>\n<div style='height:20px' class='hr hr-invisible  '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\n<div class='avia-button-wrap avia-button-left '><a href='\/wp-content\/uploads\/Medical-Podiatric-History.pdf' class='avia-button   avia-icon_select-yes-left-icon avia-color-theme-color avia-size-medium avia-position-left '  target=\"_blank\"   ><span class='avia_button_icon avia_button_icon_left ' aria-hidden='true' data-av_icon='\ue82d' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Download Medical History Form<\/span><\/a><\/div><br \/>\n<div style='height:20px' class='hr hr-invisible  '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\n<div class='avia-button-wrap avia-button-left '><a href='\/wp-content\/uploads\/conset-to-use-and-disclose-health.pdf' class='avia-button   avia-icon_select-yes-left-icon avia-color-theme-color avia-size-medium avia-position-left '  target=\"_blank\"   ><span class='avia_button_icon avia_button_icon_left ' aria-hidden='true' data-av_icon='\ue82d' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Download Consent &amp; Disclosure Form<\/span><\/a><\/div><br \/>\n<div style='height:20px' class='hr hr-invisible  '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\n<div class='avia-button-wrap avia-button-left '><a href='\/wp-content\/uploads\/punj-work-form.pdf' class='avia-button   avia-icon_select-yes-left-icon avia-color-theme-color avia-size-medium avia-position-left '  target=\"_blank\"   ><span class='avia_button_icon avia_button_icon_left ' aria-hidden='true' data-av_icon='\ue82d' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Download Punj Work Form<\/span><\/a><\/div><br \/>\n<div style='height:20px' class='hr hr-invisible  '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\n<div class='avia-button-wrap avia-button-left '><a href='\/wp-content\/uploads\/Missed-Appointments.pdf' class='avia-button   avia-icon_select-yes-left-icon avia-color-theme-color avia-size-medium avia-position-left '  target=\"_blank\"   ><span class='avia_button_icon avia_button_icon_left ' aria-hidden='true' data-av_icon='\ue82d' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Download Missed Appointments Form<\/span><\/a><\/div><\/p><\/div><div class=\"flex_column av_one_half  flex_column_div   \" ><p><div style='padding-bottom:10px;' class='av-special-heading av-special-heading-h3     '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Schedule An Appointment<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<form action=\"https:\/\/www.surfcityfootandankle.com\/patients\/\" method=\"post\"  class=\"avia_ajax_form av-form-labels-visible    \" data-avia-form-id=\"1\" data-avia-redirect=''><fieldset><p class=' first_form  form_element form_fullwidth' id='element_avia_1_1'><label for=\"avia_1_1\">Name <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_1_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_1_1\" value=\"\" \/><\/p><p class=' first_form  form_element form_fullwidth' id='element_avia_2_1'><label for=\"avia_2_1\">Phone <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_2_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_2_1\" value=\"\" \/><\/p><p class=' first_form  form_element form_fullwidth' id='element_avia_3_1'><label for=\"avia_3_1\">E-Mail <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_3_1\" class=\"text_input is_email\" type=\"text\" id=\"avia_3_1\" value=\"\" \/><\/p><p class=' first_form  form_element form_fullwidth' id='element_avia_4_1'><label for=\"avia_4_1\"><\/label> <input name=\"avia_4_1\" class=\"avia_datepicker text_input \" type=\"text\" id=\"avia_4_1\" value=\"\" placeholder=\"DD \/ MM \/ YY\" \/><\/p><p class=' first_form  form_element form_fullwidth av-last-visible-form-element' id='element_avia_5_1'>\t <label for=\"avia_5_1\" class=\"textare_label hidden textare_label_avia_5_1\">Message <abbr class=\"required\" title=\"required\">*<\/abbr><\/label>\t <textarea  name=\"avia_5_1\" class=\"text_area is_empty\" cols=\"40\" rows=\"7\" id=\"avia_5_1\" ><\/textarea><\/p><p class=\"hidden\"><input type=\"text\" name=\"avia_6_1\" class=\"hidden \" id=\"avia_6_1\" value=\"\" \/><\/p><p class=\"form_element \"><input type=\"hidden\" value=\"1\" name=\"avia_generated_form1\" \/><input type=\"submit\" value=\"Submit\" class=\"button\"  data-sending-label=\"Sending\"\/><\/p><\/fieldset><\/form><div id=\"ajaxresponse_1\" class=\"ajaxresponse ajaxresponse_1 hidden\"><\/div><\/p><\/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":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.surfcityfootandankle.com\/wp-json\/wp\/v2\/pages\/23"}],"collection":[{"href":"https:\/\/www.surfcityfootandankle.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.surfcityfootandankle.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.surfcityfootandankle.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.surfcityfootandankle.com\/wp-json\/wp\/v2\/comments?post=23"}],"version-history":[{"count":0,"href":"https:\/\/www.surfcityfootandankle.com\/wp-json\/wp\/v2\/pages\/23\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.surfcityfootandankle.com\/wp-json\/wp\/v2\/media?parent=23"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}