{"id":222,"date":"2016-02-16T00:34:53","date_gmt":"2016-02-16T00:34:53","guid":{"rendered":"http:\/\/localhost\/hipclinic\/en\/?page_id=222"},"modified":"2018-07-20T11:51:54","modified_gmt":"2018-07-20T11:51:54","slug":"appointment","status":"publish","type":"page","link":"https:\/\/www.vandeneedenhipclinic.eu\/en\/appointment\/","title":{"rendered":"Appointment"},"content":{"rendered":"<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  \" style='border-radius:0px; '><p><div style='padding-bottom:10px;' class='av-special-heading av-special-heading-h2    '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Appointment<\/h2><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock '   itemprop=\"text\" ><p>To make an appointment please submit this 4-step contact form:<\/p>\n\n                <div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_5' ><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/en\/wp-json\/wp\/v2\/pages\/222\/'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Contact form EN<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id='field_5_19'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Which hip joint is painful?<\/h2><\/li><li id='field_5_15'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  ><span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_15'><li class='gchoice_5_15_0'><input name='input_15' type='radio' value='My right side'  id='choice_5_15_0'    \/><label for='choice_5_15_0' id='label_5_15_0'>My right side<\/label><\/li><li class='gchoice_5_15_1'><input name='input_15' type='radio' value='My left side'  id='choice_5_15_1'    \/><label for='choice_5_15_1' id='label_5_15_1'>My left side<\/label><\/li><li class='gchoice_5_15_2'><input name='input_15' type='radio' value='Both sides'  id='choice_5_15_2'    \/><label for='choice_5_15_2' id='label_5_15_2'>Both sides<\/label><\/li><\/ul><\/div><\/li><li id='field_5_20'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Do you have a referral of your GP or treating physician?<\/h2><\/li><li id='field_5_16'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  ><span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_16'><li class='gchoice_5_16_0'><input name='input_16' type='radio' value='Yes, I have a referral of my GP\/ treating physician'  id='choice_5_16_0'    \/><label for='choice_5_16_0' id='label_5_16_0'>Yes, I have a referral of my GP\/ treating physician<\/label><\/li><li class='gchoice_5_16_1'><input name='input_16' type='radio' value='No, not yet'  id='choice_5_16_1'    \/><label for='choice_5_16_1' id='label_5_16_1'>No, not yet<\/label><\/li><\/ul><\/div><\/li><li id='field_5_8'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  ><span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix no_first_name no_middle_name has_last_name no_suffix 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   <input name='input_21' id='input_5_21' type='text' value='' class='datepicker medium dmy datepicker_with_icon'   placeholder='Date of birth' aria-describedby='input_5_21_date_format' \/>\n                            <span id='input_5_21_date_format' class='screen-reader-text'>Date Format: DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_21' class='gform_hidden' value='https:\/\/www.vandeneedenhipclinic.eu\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_5_12'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  ><span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street ginput_container_address' id='input_5_12' >\n                         <span class='ginput_full address_line_1' id='input_5_12_1_container' >\n                                        <input type='text' name='input_12.1' id='input_5_12_1' value=''   placeholder='Address' aria-required=\"true\"\/>\n                                        <label for='input_5_12_1' id='input_5_12_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><input type='hidden' class='gform_hidden' name='input_12.4' id='input_5_12_4' value=''\/><input type='hidden' class='gform_hidden' name='input_12.6' id='input_5_12_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_5_10'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_10' ><span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input 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