{"id":686,"date":"2018-11-15T10:04:55","date_gmt":"2018-11-15T10:04:55","guid":{"rendered":"https:\/\/smc.com.lb\/?page_id=686"},"modified":"2021-11-22T06:48:51","modified_gmt":"2021-11-22T06:48:51","slug":"appointment-form","status":"publish","type":"page","link":"https:\/\/smc.com.lb\/ar\/appointment-form\/","title":{"rendered":"Appointment Form"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"686\" class=\"elementor elementor-686\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a9ecbdd elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"a9ecbdd\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\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-50 elementor-top-column elementor-element elementor-element-db5e03d make-an-appointment\" data-id=\"db5e03d\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-83e542d elementor-widget elementor-widget-rt-title\" data-id=\"83e542d\" data-element_type=\"widget\" data-widget_type=\"rt-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"rt-el-title section-heading heading-dark heading-layout5 style3\">\r\n\t<h2 class=\"rtin-title\">Make an Appointment<\/h2>\r\n<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dffb470 elementor-widget elementor-widget-text-editor\" data-id=\"dffb470\" 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\t\t\t<p>\u0623\u0628\u062c\u062f \u0647\u0648\u0632 \u062d\u0637\u064a \u0643\u0644\u0645\u0646 \u0633\u0639\u0641\u0635 \u0642\u0631\u0634\u062a \u062b\u062e\u0630 \u0636\u0638\u063a<\/p>\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-be62598 elementor-widget elementor-widget-shortcode\" data-id=\"be62598\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f711-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"711\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ar\/wp-json\/wp\/v2\/pages\/686#wpcf7-f711-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/ar\/wp-json\/wp\/v2\/pages\/686#wpcf7-f711-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"711\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f711-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"appointment-box-layout1\">\n\t<div class=\"row gutters-15\">\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"department\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required select2\" aria-required=\"true\" aria-invalid=\"false\" name=\"department\"><option value=\"Select Department\">Select Department<\/option><option value=\"Gynaecology\">Gynaecology<\/option><option value=\"Cardiology\">Cardiology<\/option><option value=\"Orthopaedics\">Orthopaedics<\/option><option value=\"Medicine\">Medicine<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"doctor\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required select2\" aria-required=\"true\" aria-invalid=\"false\" name=\"doctor\"><option value=\"Choose Doctor by Name\">Choose Doctor by Name<\/option><option value=\"Dr. Mou\">Dr. Mou<\/option><option value=\"Dr. Kalvin\">Dr. Kalvin<\/option><option value=\"Mark Willy\">Mark Willy<\/option><option value=\"Dr. Zinia Zara\">Dr. Zinia Zara<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"form-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Patient Name *\" value=\"\" type=\"text\" name=\"form-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"form-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone *\" value=\"\" type=\"text\" name=\"form-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail*\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date form-control rt-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-6 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"time\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Time*\" value=\"\" type=\"text\" name=\"time\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea textarea form-control\" aria-invalid=\"false\" placeholder=\"Type Appintment Note\" name=\"message\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-12 form-group\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner item-btn\" type=\"submit\" value=\"Make an Appointment\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"ar\"\/><\/form>\n<\/div>\n<\/div>\n\t\t\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-top-column elementor-element elementor-element-7969598\" data-id=\"7969598\" 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-0a22211 elementor-widget elementor-widget-image\" data-id=\"0a22211\" 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\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"683\" height=\"1000\" src=\"https:\/\/smc.com.lb\/wp-content\/uploads\/2018\/11\/figure2.png\" class=\"attachment-full size-full wp-image-714\" alt=\"\" srcset=\"https:\/\/smc.com.lb\/wp-content\/uploads\/2018\/11\/figure2.png 683w, https:\/\/smc.com.lb\/wp-content\/uploads\/2018\/11\/figure2-205x300.png 205w, https:\/\/smc.com.lb\/wp-content\/uploads\/2018\/11\/figure2-600x878.png 600w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/>\t\t\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\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-5c231c67 elementor-section-stretched elementor-section-full_width elementor-section-content-middle elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5c231c67\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-538ad58d\" data-id=\"538ad58d\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-7ceaf2dd elementor-widget elementor-widget-rt-cta\" data-id=\"7ceaf2dd\" data-element_type=\"widget\" data-widget_type=\"rt-cta.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<div class=\"call-to-action-wrap-layout4\">\r\n    <div class=\"item-img\">\r\n           <\/div>\r\n    <div class=\"container\">\r\n        <div class=\"row\">\r\n            <div class=\"col-xl-12 col-lg-8 col-md-12 col-12\">\r\n                <div class=\"call-to-action-box-layout4\">\r\n                    <h2 class=\"item-title\">We Provide the highest level of satisfaction care &amp; services to our patients.<\/h2>\r\n                    <div class=\"call-to-action-phone\">\r\n                                                    <a href=\"tel:+123 44092 888\"><i class=\"fas fa-phone\"><\/i>+123 44092 888<\/a>\r\n                                            <\/div>\r\n\t\t\t\t\t\t                 \r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\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>","protected":false},"excerpt":{"rendered":"<p>Make an Appointment Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. We Provide the highest level of satisfaction care &amp; services to our patients. +123 44092 888<\/p>","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-686","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/smc.com.lb\/ar\/wp-json\/wp\/v2\/pages\/686","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/smc.com.lb\/ar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/smc.com.lb\/ar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/smc.com.lb\/ar\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/smc.com.lb\/ar\/wp-json\/wp\/v2\/comments?post=686"}],"version-history":[{"count":0,"href":"https:\/\/smc.com.lb\/ar\/wp-json\/wp\/v2\/pages\/686\/revisions"}],"wp:attachment":[{"href":"https:\/\/smc.com.lb\/ar\/wp-json\/wp\/v2\/media?parent=686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}