{"id":757,"date":"2020-09-17T09:45:46","date_gmt":"2020-09-17T09:45:46","guid":{"rendered":"https:\/\/ycardiology.com\/?page_id=757"},"modified":"2024-09-24T19:59:02","modified_gmt":"2024-09-24T19:59:02","slug":"make-an-appointment","status":"publish","type":"page","link":"https:\/\/ycardiology.com\/make-an-appointment\/","title":{"rendered":"Make an appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"757\" class=\"elementor elementor-757\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ff934fa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ff934fa\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ace3018\" data-id=\"ace3018\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8f6f3db elementor-widget elementor-widget-image\" data-id=\"8f6f3db\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/ycardiology.com\/wp-content\/uploads\/elementor\/thumbs\/logo-for-goerge-for-website-e1603941685710-oxm0v8ds8x0yhfo0edljiroo40gaeh0ujcpwkprqgw.png\" title=\"logo for goerge for website\" alt=\"logo for goerge for website\" loading=\"lazy\" \/>\t\t\t\t\t\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-7de104b elementor-widget elementor-widget-text-editor\" data-id=\"7de104b\" data-element_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\t3695 Keele St, Toronto, ON M3J 1N\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b3f7448 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b3f7448\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-edc8244\" data-id=\"edc8244\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-19edf48 elementor-position-left xcx elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"19edf48\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone-alt\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t<a href=\"tel:(416) 630-7540\">(416) 630-7540<\/a>\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5c4a5b5\" data-id=\"5c4a5b5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7987ca7 elementor-position-left xcx elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"7987ca7\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-envelope\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t<a href=\"mailto:\nadmin@ycardiology.com\">\nadmin@ycardiology.com<\/a>\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-099b50c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"099b50c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65cf384\" data-id=\"65cf384\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ba0fb3a elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"ba0fb3a\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;progress_bar&quot;,&quot;button_width&quot;:&quot;100&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Appointment\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"757\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"ba0fb3a\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-namex0 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-namex0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPATIENT NAME\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[namex0]\" id=\"form-field-namex0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First and Last\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-addressx0x elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-addressx0x\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tADDRESS\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[addressx0x]\" id=\"form-field-addressx0x\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-birthdaydatexx0 elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-birthdaydatexx0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDATE OF BIRTH \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[birthdaydatexx0]\" id=\"form-field-birthdaydatexx0\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"yyyy-mm-dd\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-Genderxx0 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-Genderxx0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGENDER\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"F\" id=\"form-field-Genderxx0-0\" name=\"form_fields[Genderxx0][]\"> <label for=\"form-field-Genderxx0-0\">F<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"M\" id=\"form-field-Genderxx0-1\" name=\"form_fields[Genderxx0][]\"> <label for=\"form-field-Genderxx0-1\">M<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-HEALTHxx0 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-HEALTHxx0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHEALTH CARD NUMBER\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[HEALTHxx0]\" id=\"form-field-HEALTHxx0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-vcodexx0 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vcodexx0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVERSION CODE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[vcodexx0]\" id=\"form-field-vcodexx0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-EMAILworkxx0 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-EMAILworkxx0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEMAIL ADDRESS \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[EMAILworkxx0]\" id=\"form-field-EMAILworkxx0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-home7x0 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-home7x0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHOME PHONE NUMBER\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[home7x0]\" id=\"form-field-home7x0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"(xxx) xxx-xxxx\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-home8xx elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-home8xx\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCELL PHONE NUMBER\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[home8xx]\" id=\"form-field-home8xx\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"(xxx) xxx-xxxx\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-Testrequiredxr elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-Testrequiredxr\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCLINICAL EVALUATION\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Consultation\" id=\"form-field-Testrequiredxr-0\" name=\"form_fields[Testrequiredxr][]\"> <label for=\"form-field-Testrequiredxr-0\">Consultation<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Consult, if abnormal\" id=\"form-field-Testrequiredxr-1\" name=\"form_fields[Testrequiredxr][]\"> <label for=\"form-field-Testrequiredxr-1\">Consult, if abnormal<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Consultation (Cardiology)\" id=\"form-field-Testrequiredxr-2\" name=\"form_fields[Testrequiredxr][]\"> <label for=\"form-field-Testrequiredxr-2\">Consultation (Cardiology)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Consultation (Internal Medicine)\" id=\"form-field-Testrequiredxr-3\" name=\"form_fields[Testrequiredxr][]\"> <label for=\"form-field-Testrequiredxr-3\">Consultation (Internal Medicine)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Hypertension &amp; Cardiac Risk Reduction Clinic (performed at affiliated sites)\" id=\"form-field-Testrequiredxr-4\" name=\"form_fields[Testrequiredxr][]\"> <label for=\"form-field-Testrequiredxr-4\">Hypertension & Cardiac Risk Reduction Clinic (performed at affiliated sites)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Video or Telemedicine Consult\" id=\"form-field-Testrequiredxr-5\" name=\"form_fields[Testrequiredxr][]\"> <label for=\"form-field-Testrequiredxr-5\">Video or Telemedicine Consult<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-trequiredrr elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-trequiredrr\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTESTS REQUIRED\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Echocardiogram\" id=\"form-field-trequiredrr-0\" name=\"form_fields[trequiredrr][]\"> <label for=\"form-field-trequiredrr-0\">Echocardiogram<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Stress Echo\" id=\"form-field-trequiredrr-1\" name=\"form_fields[trequiredrr][]\"> <label for=\"form-field-trequiredrr-1\">Stress Echo<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Treadmill Stress Test\" id=\"form-field-trequiredrr-2\" name=\"form_fields[trequiredrr][]\"> <label for=\"form-field-trequiredrr-2\">Treadmill Stress Test<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"12 Lead ECG\" id=\"form-field-trequiredrr-3\" name=\"form_fields[trequiredrr][]\"> <label for=\"form-field-trequiredrr-3\">12 Lead ECG<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"24 HR ABP Monitor - not covered by OHIP        (performed at affiliated sites)\" id=\"form-field-trequiredrr-4\" name=\"form_fields[trequiredrr][]\"> <label for=\"form-field-trequiredrr-4\">24 HR ABP Monitor - not covered by OHIP        (performed at affiliated sites)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Exercise Perfusion (performed at affiliated sites)\" id=\"form-field-trequiredrr-5\" name=\"form_fields[trequiredrr][]\"> <label for=\"form-field-trequiredrr-5\">Exercise Perfusion (performed at affiliated sites)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Pharmacologic Perfusion (performed at affiliated sites)\" id=\"form-field-trequiredrr-6\" name=\"form_fields[trequiredrr][]\"> <label for=\"form-field-trequiredrr-6\">Pharmacologic Perfusion (performed at affiliated sites)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-holterrx elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-holterrx\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHOLTER MONITOR (Indicate one)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"24hr\" id=\"form-field-holterrx-0\" name=\"form_fields[holterrx][]\"> <label for=\"form-field-holterrx-0\">24hr<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"48hr\" id=\"form-field-holterrx-1\" name=\"form_fields[holterrx][]\"> <label for=\"form-field-holterrx-1\">48hr<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"72hr\" id=\"form-field-holterrx-2\" name=\"form_fields[holterrx][]\"> <label for=\"form-field-holterrx-2\">72hr<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"7 days\" id=\"form-field-holterrx-3\" name=\"form_fields[holterrx][]\"> <label for=\"form-field-holterrx-3\">7 days<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"14 days\" id=\"form-field-holterrx-4\" name=\"form_fields[holterrx][]\"> <label for=\"form-field-holterrx-4\">14 days<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-reasonxxr elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-reasonxxr\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tREASON FOR VISIT \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[reasonxxr]\" id=\"form-field-reasonxxr\" rows=\"6\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-cardiologistrrx elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cardiologistrrx\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPROVIDERS\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"First Available\" id=\"form-field-cardiologistrrx-0\" name=\"form_fields[cardiologistrrx]\"> <label for=\"form-field-cardiologistrrx-0\">First Available<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-physicianxxr elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-physicianxxr\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tREFERRING PHYSICIAN\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"\" id=\"form-field-physicianxxr-0\" name=\"form_fields[physicianxxr]\"> <label for=\"form-field-physicianxxr-0\"><\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-NAMExr elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-NAMExr\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPHYSICIAN NAME\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[NAMExr]\" id=\"form-field-NAMExr\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First and Last\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-phonea7xr elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-phonea7xr\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPHYSICIAN NUMBER\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[phonea7xr]\" id=\"form-field-phonea7xr\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"(xxx) xxx-xxxx\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-FAX4r elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-FAX4r\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPHYSICIAN FAX\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[FAX4r]\" id=\"form-field-FAX4r\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"(xxx) xxx-xxxx\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email0r elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email0r\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPHYSICIAN EMAIL \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email0r]\" id=\"form-field-email0r\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha elementor-field-group elementor-column elementor-field-group-field_0ed6016 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_0ed6016\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LeLHLgpAAAAANLMga9Vmb313uJjVIKIzrbR9U5o\" data-type=\"v2_checkbox\" data-theme=\"light\" data-size=\"normal\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-md\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\" elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>3695 Keele St, Toronto, ON M3J 1N (416) 630-7540 admin@ycardiology.com<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-757","page","type-page","status-publish","hentry"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":6}},"_links":{"self":[{"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/pages\/757"}],"collection":[{"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/comments?post=757"}],"version-history":[{"count":49,"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/pages\/757\/revisions"}],"predecessor-version":[{"id":2903,"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/pages\/757\/revisions\/2903"}],"wp:attachment":[{"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/media?parent=757"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}