{"id":292,"date":"2026-04-07T08:10:10","date_gmt":"2026-04-07T08:10:10","guid":{"rendered":"http:\/\/shthemes.net\/demosd\/medifine\/?page_id=292"},"modified":"2026-05-11T07:43:51","modified_gmt":"2026-05-11T07:43:51","slug":"book-appointment-form","status":"publish","type":"page","link":"https:\/\/shthemes.net\/demosd\/medifine\/?page_id=292","title":{"rendered":"Book Appointment Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"292\" class=\"elementor elementor-292\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b3de1eb e-con-full e-flex e-con e-parent\" data-id=\"b3de1eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-91f0704 elementor-widget elementor-widget-bdevs-breadcrumb\" data-id=\"91f0704\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdevs-breadcrumb.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"basic-breadcrumb-area bg-opacity bg-1 ptb-100\">\r\n            <div class=\"container\">\r\n                <div class=\"basic-breadcrumb text-center\">\r\n                                            <h3>book appointment form<\/h3>\r\n                                        <ol class=\"breadcrumb text-xs\">\r\n                                                    <li><a href=\"https:\/\/shthemes.net\/demosd\/medifine\/\">Home<\/a><\/li>\r\n                                                                            <li class=\"active\">Book Appointment Form<\/li>\r\n                                            <\/ol>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3565e45 e-con-full e-flex e-con e-parent\" data-id=\"3565e45\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e8bdac6 elementor-widget elementor-widget-bdevs-suggestions\" data-id=\"e8bdac6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdevs-suggestions.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"suggestions-area gray-bg pt-90 pb-60\">\r\n            <div class=\"container\">\r\n                <div class=\"row\">\r\n                    <div class=\"col-md-7 mb-30\">\r\n                        <div class=\"area-title2\">\r\n                                                            <h2>Suggestions<\/h2>\r\n                                                                                        <p>Top tips from doctors<\/p>\r\n                                                    <\/div>\r\n                                                    <div class=\"tabs-menu\">\r\n                                <ul class=\"custom-tab\" role=\"tablist\">\r\n                                                                            <li role=\"presentation\" class=\"active\">\r\n                                            <a href=\"#tab-e8bdac6-0\" role=\"tab\" data-toggle=\"tab\">\r\n                                                Teeth                                            <\/a>\r\n                                        <\/li>\r\n                                                                            <li role=\"presentation\" class=\"\">\r\n                                            <a href=\"#tab-e8bdac6-1\" role=\"tab\" data-toggle=\"tab\">\r\n                                                Cardio                                            <\/a>\r\n                                        <\/li>\r\n                                                                            <li role=\"presentation\" class=\"\">\r\n                                            <a href=\"#tab-e8bdac6-2\" role=\"tab\" data-toggle=\"tab\">\r\n                                                Neurology                                            <\/a>\r\n                                        <\/li>\r\n                                                                            <li role=\"presentation\" class=\"\">\r\n                                            <a href=\"#tab-e8bdac6-3\" role=\"tab\" data-toggle=\"tab\">\r\n                                                Pregnacy                                            <\/a>\r\n                                        <\/li>\r\n                                                                    <\/ul>\r\n                            <\/div>\r\n                            <div class=\"tab-content suggestions\">\r\n                                                                    <div role=\"tabpanel\" class=\"tab-pane fade in active\" id=\"tab-e8bdac6-0\">\r\n                                        <div class=\"content\">\r\n                                                                                                                                                <p>Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry&#039;s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book.<\/p>\r\n                                                    <br>                                                                                                    <p>It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.<\/p>\r\n                                                                                                                                                                                                                                            <a href=\"?page_id=776\" class=\"btn border small\">\r\n                                                    Read More                                                <\/a>\r\n                                                                                    <\/div>\r\n                                        <div class=\"image\">\r\n                                                                                            <img decoding=\"async\" src=\"https:\/\/shthemes.net\/demosd\/medifine\/wp-content\/uploads\/2026\/04\/profile-1.jpg\" alt=\"\">\r\n                                                                                                                                        <p class=\"name\">Milan Markovic<\/p>\r\n                                                                                                                                        <p class=\"spec\">General Dentist<\/p>\r\n                                                                                    <\/div>\r\n                                        <span class=\"clearfix\"><\/span>\r\n                                    <\/div>\r\n                                                                    <div role=\"tabpanel\" class=\"tab-pane fade \" id=\"tab-e8bdac6-1\">\r\n                                        <div class=\"content\">\r\n                                                                                                                                                <p>Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry&#039;s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book.<\/p>\r\n                                                    <br>                                                                                                    <p>It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.<\/p>\r\n                                                                                                                                                                                                                                            <a href=\"?page_id=776\" class=\"btn border small\">\r\n                                                    Read More                                                <\/a>\r\n                                                                                    <\/div>\r\n                                        <div class=\"image\">\r\n                                                                                            <img decoding=\"async\" src=\"https:\/\/shthemes.net\/demosd\/medifine\/wp-content\/uploads\/2026\/04\/profile-2.jpg\" alt=\"\">\r\n                                                                                                                                        <p class=\"name\">Milan Markovic<\/p>\r\n                                                                                                                                        <p class=\"spec\">General Dentist<\/p>\r\n                                                                                    <\/div>\r\n                                        <span class=\"clearfix\"><\/span>\r\n                                    <\/div>\r\n                                                                    <div role=\"tabpanel\" class=\"tab-pane fade \" id=\"tab-e8bdac6-2\">\r\n                                        <div class=\"content\">\r\n                                                                                                                                                <p>Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry&#039;s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book.<\/p>\r\n                                                    <br>                                                                                                    <p>It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.<\/p>\r\n                                                                                                                                                                                                                                            <a href=\"?page_id=776\" class=\"btn border small\">\r\n                                                    Read More                                                <\/a>\r\n                                                                                    <\/div>\r\n                                        <div class=\"image\">\r\n                                                                                            <img decoding=\"async\" src=\"https:\/\/shthemes.net\/demosd\/medifine\/wp-content\/uploads\/2026\/04\/profile-3.jpg\" alt=\"\">\r\n                                                                                                                                        <p class=\"name\">Milan Markovic<\/p>\r\n                                                                                                                                        <p class=\"spec\">General Dentist<\/p>\r\n                                                                                    <\/div>\r\n                                        <span class=\"clearfix\"><\/span>\r\n                                    <\/div>\r\n                                                                    <div role=\"tabpanel\" class=\"tab-pane fade \" id=\"tab-e8bdac6-3\">\r\n                                        <div class=\"content\">\r\n                                                                                                                                                <p>Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry&#039;s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book.<\/p>\r\n                                                    <br>                                                                                                    <p>It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.<\/p>\r\n                                                                                                                                                                                                                                            <a href=\"?page_id=776\" class=\"btn border small\">\r\n                                                    Read More                                                <\/a>\r\n                                                                                    <\/div>\r\n                                        <div class=\"image\">\r\n                                                                                            <img decoding=\"async\" src=\"https:\/\/shthemes.net\/demosd\/medifine\/wp-content\/uploads\/2026\/04\/profile-1.jpg\" alt=\"\">\r\n                                                                                                                                        <p class=\"name\">Milan Markovic<\/p>\r\n                                                                                                                                        <p class=\"spec\">General Dentist<\/p>\r\n                                                                                    <\/div>\r\n                                        <span class=\"clearfix\"><\/span>\r\n                                    <\/div>\r\n                                                            <\/div>\r\n                                            <\/div>\r\n                    <div class=\"col-md-5 mb-30\">\r\n                        <div class=\"area-title2\">\r\n                                                            <h2>FAQ<\/h2>\r\n                                                                                        <p>Fast answers questions<\/p>\r\n                                                    <\/div>\r\n                                                    <div class=\"panel-group\" id=\"accordion-e8bdac6\">\r\n                                                                    <div class=\"panel panel-default\">\r\n                                        <div class=\"panel-heading\">\r\n                                            <h4 class=\"panel-title\">\r\n                                                <a data-toggle=\"collapse\" data-parent=\"#accordion-e8bdac6\"\r\n                                                   href=\"#collapse-e8bdac6-0\">\r\n                                                    <i class=\"fa fa-heartbeat\" aria-hidden=\"true\"><\/i>Cardio health                                                <\/a>\r\n                                            <\/h4>\r\n                                        <\/div>\r\n                                        <div id=\"collapse-e8bdac6-0\" class=\"panel-collapse collapse in\">\r\n                                            <div class=\"panel-body\">\r\n                                                                                                    Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat.                                                \r\n                                            <\/div>\r\n                                        <\/div>\r\n                                    <\/div>\r\n                                                                    <div class=\"panel panel-default\">\r\n                                        <div class=\"panel-heading\">\r\n                                            <h4 class=\"panel-title\">\r\n                                                <a data-toggle=\"collapse\" data-parent=\"#accordion-e8bdac6\"\r\n                                                   href=\"#collapse-e8bdac6-1\">\r\n                                                    <i class=\"fa fa-medkit\" aria-hidden=\"true\"><\/i>Teeth whitening                                                <\/a>\r\n                                            <\/h4>\r\n                                        <\/div>\r\n                                        <div id=\"collapse-e8bdac6-1\" class=\"panel-collapse collapse \">\r\n                                            <div class=\"panel-body\">\r\n                                                                                                    Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat.                                                \r\n                                            <\/div>\r\n                                        <\/div>\r\n                                    <\/div>\r\n                                                                    <div class=\"panel panel-default\">\r\n                                        <div class=\"panel-heading\">\r\n                                            <h4 class=\"panel-title\">\r\n                                                <a data-toggle=\"collapse\" data-parent=\"#accordion-e8bdac6\"\r\n                                                   href=\"#collapse-e8bdac6-2\">\r\n                                                    <i class=\"fa fa-user-md\" aria-hidden=\"true\"><\/i>Oral exams                                                <\/a>\r\n                                            <\/h4>\r\n                                        <\/div>\r\n                                        <div id=\"collapse-e8bdac6-2\" class=\"panel-collapse collapse \">\r\n                                            <div class=\"panel-body\">\r\n                                                                                                    Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat.                                                \r\n                                            <\/div>\r\n                                        <\/div>\r\n                                    <\/div>\r\n                                                                    <div class=\"panel panel-default\">\r\n                                        <div class=\"panel-heading\">\r\n                                            <h4 class=\"panel-title\">\r\n                                                <a data-toggle=\"collapse\" data-parent=\"#accordion-e8bdac6\"\r\n                                                   href=\"#collapse-e8bdac6-3\">\r\n                                                    <i class=\"fa fa-user-md\" aria-hidden=\"true\"><\/i>Dental exams                                                <\/a>\r\n                                            <\/h4>\r\n                                        <\/div>\r\n                                        <div id=\"collapse-e8bdac6-3\" class=\"panel-collapse collapse \">\r\n                                            <div class=\"panel-body\">\r\n                                                                                                    Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat.                                                \r\n                                            <\/div>\r\n                                        <\/div>\r\n                                    <\/div>\r\n                                                            <\/div>\r\n                                            <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b9bb032 e-con-full e-flex e-con e-parent\" data-id=\"b9bb032\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3283b47 elementor-widget elementor-widget-bdevs-contact\" data-id=\"3283b47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdevs-contact.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n    <div class=\"appointment-area bg-2\">\r\n        <div class=\"container-fluid\">\r\n            <div class=\"row\">\r\n                <div class=\"col-sm-6 col-sm-offset-6 no-gutter\">\r\n                    <div class=\"quick-appointment-form\">\r\n                                                    <h3>Book Appointment<\/h3>\r\n                                                                            <p class=\"text-muted\">\r\n                                Behind the word mountains, far from the countries Vokalia and Consonantia, there live the blind texts. Separated they live in Bookmarksgrove right at the coast of the Semantics.                            <\/p>\r\n                                                <br\/>\r\n                                                    \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f160-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"160\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/demosd\/medifine\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F292#wpcf7-f160-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"160\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f160-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div>\n    <div class=\"row\">\n        <div class=\"col-sm-6\">\n            <div class=\"form-group\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"your-text\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your First Name\" value=\"\" type=\"text\" name=\"your-text\" \/><\/span>\n            <\/div>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <div class=\"form-group\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"your-text\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Last Name\" value=\"\" type=\"text\" name=\"your-text\" \/><\/span>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"row\">\n        <div class=\"col-sm-6\">\n            <div class=\"form-group\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" autocomplete=\"tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Phone Number\" value=\"\" type=\"tel\" name=\"your-tel\" \/><\/span>\n            <\/div>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <div class=\"form-group\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Email ID\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"row\">\n        <div class=\"col-sm-6\">\n            <div class=\"form-group\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"your-text\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control date-select\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Date of Birth\" value=\"\" type=\"text\" name=\"your-text\" \/><\/span>\n            <\/div>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <div class=\"form-group\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"select-908\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-908\"><option value=\"\">Select Appointment Slot<\/option><option value=\"9:00 p.m. - 12:00 p.m.\">9:00 p.m. - 12:00 p.m.<\/option><option value=\"12:00 p.m. - 4:00 p.m.\">12:00 p.m. - 4:00 p.m.<\/option><option value=\"4:00 p.m. - 8:00 p.m.\">4:00 p.m. - 8:00 p.m.<\/option><\/select><\/span>\n            <\/div>\n        <\/div>\n        <div class=\"col-sm-12\">\n            <div class=\"form-group\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"your-textarea\"><textarea cols=\"40\" rows=\"5\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Message\" name=\"your-textarea\"><\/textarea><\/span>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"form-group\">\n        <button class=\"btn btn-black\" type=\"submit\"><i class=\"fa fa-paper-plane\"><\/i> Book Appointment<\/button>\n    <\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"71\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n                                            <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>book appointment form Home Book Appointment Form Suggestions Top tips from doctors Teeth Cardio Neurology Pregnacy Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry&#039;s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/medifine-template.php","meta":{"footnotes":""},"class_list":["post-292","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/shthemes.net\/demosd\/medifine\/index.php?rest_route=\/wp\/v2\/pages\/292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shthemes.net\/demosd\/medifine\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shthemes.net\/demosd\/medifine\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shthemes.net\/demosd\/medifine\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/shthemes.net\/demosd\/medifine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=292"}],"version-history":[{"count":41,"href":"https:\/\/shthemes.net\/demosd\/medifine\/index.php?rest_route=\/wp\/v2\/pages\/292\/revisions"}],"predecessor-version":[{"id":1239,"href":"https:\/\/shthemes.net\/demosd\/medifine\/index.php?rest_route=\/wp\/v2\/pages\/292\/revisions\/1239"}],"wp:attachment":[{"href":"https:\/\/shthemes.net\/demosd\/medifine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}