{"id":98,"date":"2014-02-06T15:58:16","date_gmt":"2014-02-06T15:58:16","guid":{"rendered":"http:\/\/primaryclinic.ca\/?page_id=98"},"modified":"2015-09-16T20:10:05","modified_gmt":"2015-09-16T20:10:05","slug":"book-an-appointment","status":"publish","type":"page","link":"https:\/\/primaryclinic.ca\/?page_id=98","title":{"rendered":"Book An Appointment"},"content":{"rendered":"<p><strong><span style=\"color: red; font-size: 150%;\">PATIENTS PLEASE NOTE: We only book appointments for travel Consults or Physicals (Only if your GP is at our clinics).<br \/>\n<\/span><\/strong><span style=\"color: red; font-size: 150%;\"><br \/>\n<strong>If you would like to visit our clinic for walk in hours, we do not take appointments. We take patients on a first come first serve basis. <\/strong><\/span><\/p>\n<div class=\"row \"><div class=\"wpv-grid grid-1-1  wpv-first-level first has-background unextended\" style=\"\n\t\t\t\tbackground: url( 'http:\/\/primaryclinic.ca\/wp-content\/uploads\/2014\/02\/Medical-Appointment.jpg' ) no-repeat right center;\n\t\t\t\tbackground-size: auto;\n\t\t\t\tbackground-attachment: scroll;\n\t\t\tpadding-top:0px;padding-bottom:0px\" id=\"wpv-column-496bf96515923d294d53029419f6e623\" ><p>\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_4' ><a id='gf_4' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F98#gf_4'>\n                    <div id='gf_page_steps_4' class='gf_page_steps'>\n                        <div id='gf_step_4_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span>&nbsp;<span class='gf_step_label'>Personal Information<\/span><\/div>\n                        <div id='gf_step_4_2' class='gf_step gf_step_last gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span>&nbsp;<span class='gf_step_label'>Booking Informration<\/span><\/div>\n                        <div class='gf_step_clear'><\/div>\n                    <\/div>\n                        <div class='gform_body'><div id='gform_page_4_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below'><li id='field_4_11' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_11' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                                    <input name='input_11' id='input_4_11' type='text' value='' class='medium' tabindex='1'  \/>\n                                <\/div><\/li><li id='field_4_2' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_2' >Mobile<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                                    <input name='input_2' id='input_4_2' type='text' value='' class='medium' tabindex='2'  \/>\n                                <\/div><\/li><li id='field_4_3' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_3' >Home Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_3' id='input_4_3' type='text' value='' class='medium' tabindex='3'   \/><\/div><\/li><li id='field_4_4' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_4' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                            <input name='input_4' id='input_4_4' type='text' value='' class='medium' tabindex='4'   \/>\n                        <\/div><\/li><li id='field_4_5' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_5_1' >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country' id='input_4_5' >\n                         <span class='ginput_full address_line_1' id='input_4_5_1_container' >\n                                        <input type='text' name='input_5.1' id='input_4_5_1' value='' tabindex='5'  \/>\n                                        <label for='input_4_5_1' id='input_4_5_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_4_5_3_container' >\n                                    <input type='text' name='input_5.3' id='input_4_5_3' value='' tabindex='6'  \/>\n                                    <label for='input_4_5_3' id='input_4_5_3_label' >City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_5.4' id='input_4_5_4' value='Ontario'\/><span class='ginput_right address_zip' id='input_4_5_5_container' >\n                                    <input type='text' name='input_5.5' id='input_4_5_5' value='' tabindex='7'  \/>\n                                    <label for='input_4_5_5' id='input_4_5_5_label' >Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_5.6' id='input_4_5_6' value='Canada'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_4_1' class='gform_next_button button' value='Next' tabindex='8' onclick='jQuery(\"#gform_target_page_number_4\").val(\"2\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_4_8' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_8' >Select Appointment Location<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><select name='input_8' id='input_4_8'  class='medium gfield_select' tabindex='9' ><option value='' selected='selected'><\/option><option value='Nebo Walk-In Clinic' >Nebo Walk-In Clinic<\/option><option value='Aldershot Walk-In Clinic' >Aldershot Walk-In Clinic<\/option><option value='Main West Walk-In Clinic' >Main West Walk-In Clinic<\/option><option value='Caledonia Medical Plex' >Caledonia Medical Plex<\/option><\/select><\/div><\/li><li id='field_4_6' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_6' >Date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                            <input name='input_6' id='input_4_6' type='text' value='' class='datepicker medium mdy datepicker_with_icon' tabindex='10'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_6' class='gform_hidden' value='https:\/\/primaryclinic.ca\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_4_7' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_7_1' >Time<span class='gfield_required'>*<\/span><\/label><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container' id='input_4_7'>\n                            <input type='text' maxlength='2' name='input_7[]' id='input_4_7_1' value='' tabindex='11'   \/> <i>:<\/i>\n                            <label for='input_4_7_1' >HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container'>\n                            <input type='text' maxlength='2' name='input_7[]' id='input_4_7_2' value='' tabindex='12'   \/>\n                            <label for='input_4_7_2' >MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container' >\n                                                            <select name='input_7[]' id='input_4_7_3' tabindex='13' >\n                                                                <option value='am' >AM<\/option>\n                                                                <option value='pm' >PM<\/option>\n                                                            <\/select>\n                                                          <\/div>\n                    <\/div><\/li><li id='field_4_9' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_9' >Additional Comments or Questions?<\/label><div class='ginput_container'>\n\t\t\t\t\t<textarea name='input_9' id='input_4_9' class='textarea medium' tabindex='14'    rows='10' cols='50'><\/textarea>\n\t\t\t\t<\/div><\/li><li id='field_4_12' class='gfield gform_validation_container field_sublabel_below field_description_below' ><label class='gfield_label' for='input_4_12' >Name<\/label><div class='ginput_container'><input name='input_12' id='input_4_12' type='text' value='' \/><\/div><div class='gfield_description'>This field is for validation purposes and should be left unchanged.<\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_4' class='gform_previous_button button' value='Previous' tabindex='15' onclick='if(window[\"gf_submitting_4\"]){return false;}  window[\"gf_submitting_4\"]=true;  ' \/> <input type='submit' id='gform_submit_button_4' class='gform_button button' value='Submit' tabindex='16' onclick='if(window[\"gf_submitting_4\"]){return false;}  window[\"gf_submitting_4\"]=true;  ' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsIjUzMjlmMDBiMWQ0YTU1MTY0YTQ2OGMxOTA3MTBjOThmIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div><script type='text\/javascript'> if(typeof gf_global == 'undefined') var gf_global = {\"gf_currency_config\":{\"name\":\"Canadian Dollar\",\"symbol_left\":\"$\",\"symbol_right\":\"CAD\",\"symbol_padding\":\" \",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2},\"base_url\":\"https:\\\/\\\/primaryclinic.ca\\\/wp-content\\\/plugins\\\/gravityforms\",\"number_formats\":[],\"spinnerUrl\":\"https:\\\/\\\/primaryclinic.ca\\\/wp-content\\\/plugins\\\/gravityforms\\\/images\\\/spinner.gif\"};jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 4) {if(!\/(android)\/i.test(navigator.userAgent)){jQuery('#input_4_3').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );}} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} );<\/script><script type='text\/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [4, 1]) } ); <\/script><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>PATIENTS PLEASE NOTE: We only book appointments for travel Consults or Physicals (Only if your GP is at our clinics). If you would like to visit our clinic for walk in hours, we do not take appointments. We take patients on a first come first serve basis.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/primaryclinic.ca\/index.php?rest_route=\/wp\/v2\/pages\/98"}],"collection":[{"href":"https:\/\/primaryclinic.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/primaryclinic.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/primaryclinic.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/primaryclinic.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=98"}],"version-history":[{"count":13,"href":"https:\/\/primaryclinic.ca\/index.php?rest_route=\/wp\/v2\/pages\/98\/revisions"}],"predecessor-version":[{"id":8110,"href":"https:\/\/primaryclinic.ca\/index.php?rest_route=\/wp\/v2\/pages\/98\/revisions\/8110"}],"wp:attachment":[{"href":"https:\/\/primaryclinic.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=98"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}