{"id":96138,"date":"2018-08-22T05:30:31","date_gmt":"2018-08-22T05:30:31","guid":{"rendered":"http:\/\/divifinance.divi-childthemes.com\/?page_id=32540"},"modified":"2026-05-28T04:39:16","modified_gmt":"2026-05-28T04:39:16","slug":"contact-us-v5","status":"publish","type":"page","link":"https:\/\/divithemeshub.com\/medicaltheme\/contact-us-v5\/","title":{"rendered":"Contact Us v5"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_pb_fullwidth_section et_section_regular et_block_section\">\n<section class=\"et_pb_fullwidth_header_0 et_pb_fullwidth_header et_pb_bg_layout_dark et_pb_text_align_left et_pb_module et_flex_module dct-header-title\"><div class=\"et_pb_fullwidth_header_container left\"><div class=\"header-content-container center\"><div class=\"header-content et_flex_module\"><div class=\"et_pb_header_content_wrapper\"><h1>Get in touch<span> V5<\/span><\/h1>\n<\/div><div class=\"et_pb_header_button_wrapper\"><\/div><\/div><\/div><\/div><div class=\"et_pb_fullwidth_header_overlay\"><\/div><div class=\"et_pb_fullwidth_header_scroll\"><\/div><\/section>\n<\/div>\n\n<div class=\"et_pb_section_1 et_pb_section et_section_regular et_block_section et_animated dct_ft_sec\">\n<div class=\"et_pb_row_0 et_pb_row et_pb_equal_columns et_pb_gutters2 et_block_row\">\n<div class=\"et_pb_column_0 et_pb_column et_pb_column_1_3 et_block_column et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_block_module et_pb_text_align_center\"><div class=\"et_pb_text_inner\"><h4>Address<\/h4>\n<p>Lorem Ipsum is simply dummy text of the printing and typesetting industry.<\/p>\n<p><span><strong>0124 567 89 00<\/strong><\/span><\/p>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_1 et_pb_column et_pb_column_1_3 et_block_column et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_block_module et_pb_text_align_center\"><div class=\"et_pb_text_inner\"><h4>Career<\/h4>\n<p>Lorem Ipsum is simply dummy text of the printing and typesetting industry.<\/p>\n<p><span><strong>abc@gmail.com<\/strong><\/span><\/p>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_2 et_pb_column et_pb_column_1_3 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_2 et_pb_text et_pb_bg_layout_light et_animated et_pb_module et_block_module et_pb_text_align_center\"><div class=\"et_pb_text_inner\"><h4>MAIL<\/h4>\n<p>Lorem Ipsum is simply dummy text of the printing and typesetting industry.<\/p>\n<p><strong>abc@gmail.com<\/strong><\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_2 et_pb_section et_section_regular et_block_section\">\n<div class=\"et_pb_row_1 et_pb_row et_block_row\">\n<div class=\"et_pb_column_3 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_3 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module et_pb_text_align_center\"><div class=\"et_pb_text_inner\"><div class=\"dct-title clearfix\">\n<h2 class=\"hadding\">\nGet appointment<\/h2>\n<p>To Provide Comprehensive Quality Care\n<\/p><\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_3 et_pb_section et_section_regular et_block_section\">\n<div class=\"et_pb_row_2 et_pb_row et_block_row\">\n<div class=\"et_pb_column_4 et_pb_column et_pb_column_1_2 et_block_column et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_4 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module et_pb_text_align_center\"><div class=\"et_pb_text_inner\"><div class=\"dct-title clearfix\">\n<h2 class=\"hadding\">\nMake an Appointment<\/h2>\n<p>We are here for you.<\/p><\/div>\n<\/div><\/div>\n\n<div class=\"et_pb_contact_form_0 et_pb_contact_form_container clearfix et_pb_module et_flex_module dct_aptm_1\" data-form_unique_num=\"0\" data-form_unique_id=\"9388e13f-21f9-42c5-977b-b024b4374ecf\" id=\"et_pb_contact_form_0\"><div class=\"et-pb-contact-message\"><\/div><div class=\"et_pb_contact\"><form class=\"et_pb_contact_form et_flex_module\" method=\"post\" action=\"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/pages\/96138\">\n<div class=\"et_pb_contact_field_0 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\" data-id=\"first_name\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_first_name_0\">First Name<\/label><input type=\"text\" name=\"et_pb_contact_0_first_name_0\" id=\"et_pb_contact_0_first_name_0\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"first_name\" placeholder=\"First Name\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_1 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\" data-id=\"last_name\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_last_name_1\">Last Name<\/label><input type=\"text\" name=\"et_pb_contact_0_last_name_1\" id=\"et_pb_contact_0_last_name_1\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"last_name\" placeholder=\"Last Name\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_2 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\" data-id=\"email\" data-type=\"email\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_email_2\">Email<\/label><input type=\"text\" name=\"et_pb_contact_0_email_2\" id=\"et_pb_contact_0_email_2\" class=\"input\" data-required_mark=\"required\" data-field_type=\"email\" data-original_id=\"email\" placeholder=\"Email\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_3 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\" data-id=\"phone\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_phone_3\">Phone Number<\/label><input type=\"text\" name=\"et_pb_contact_0_phone_3\" id=\"et_pb_contact_0_phone_3\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"phone\" placeholder=\"Phone Number\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_4 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\" data-id=\"department\" data-type=\"select\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_department_4\">Select Department<\/label><select name=\"et_pb_contact_0_department_4\" id=\"et_pb_contact_0_department_4\" class=\"et_pb_contact_select input\" data-required_mark=\"required\" data-field_type=\"select\" data-original_id=\"department\"><option value=\"\">Select Department<\/option><option value=\"Cardiology\" data-id=\"\">Cardiology<\/option><option value=\"Endocrinology\" data-id=\"\">Endocrinology<\/option><option value=\"General Surgery\" data-id=\"\">General Surgery<\/option><option value=\"X-Ray\" data-id=\"\">X-Ray<\/option><option value=\"\" data-id=\"\"><\/option><\/select><\/div>\n\n<div class=\"et_pb_contact_field_5 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\" data-id=\"doctor\" data-type=\"select\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_doctor_5\">Select Doctor<\/label><select name=\"et_pb_contact_0_doctor_5\" id=\"et_pb_contact_0_doctor_5\" class=\"et_pb_contact_select input\" data-required_mark=\"required\" data-field_type=\"select\" data-original_id=\"doctor\"><option value=\"\">Select Doctor<\/option><option value=\"\" data-id=\"\"><\/option><\/select><\/div>\n\n<div class=\"et_pb_contact_field_6 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\" data-id=\"date\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_date_6\">Date<\/label><input type=\"text\" name=\"et_pb_contact_0_date_6\" id=\"et_pb_contact_0_date_6\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"date\" placeholder=\"Date\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_7 et_pb_contact_field et_pb_module et_flex_module et_flex_column_12_24 et_flex_column_12_24_tablet et_flex_column_24_24_phone\" data-id=\"time\" data-type=\"input\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_time_7\">Time<\/label><input type=\"text\" name=\"et_pb_contact_0_time_7\" id=\"et_pb_contact_0_time_7\" class=\"input\" data-required_mark=\"required\" data-field_type=\"input\" data-original_id=\"time\" placeholder=\"Time\" title=\"\" value=\"\" \/><\/div>\n\n<div class=\"et_pb_contact_field_8 et_pb_contact_field et_pb_module et_flex_module et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\" data-id=\"message\" data-type=\"text\"><label class=\"et_pb_contact_form_label\" for=\"et_pb_contact_0_message_8\">Special Request....<\/label><textarea name=\"et_pb_contact_0_message_8\" id=\"et_pb_contact_0_message_8\" class=\"et_pb_contact_message input\" data-required_mark=\"required\" data-field_type=\"text\" data-original_id=\"message\" placeholder=\"Special Request....\"><\/textarea><\/div>\n<input type=\"hidden\" name=\"et_pb_contactform_submit_9388e13f-21f9-42c5-977b-b024b4374ecf\" value=\"et_contact_proccess\" \/><div class=\"et_contact_bottom_container\"><div class=\"et_pb_button_wrapper\"><button type=\"submit\" name=\"et_builder_submit_button\" class=\"et_pb_button et_pb_contact_submit\" data-icon=\"$\">Book Appointment<\/button><\/div><\/div><input type=\"hidden\" id=\"_wpnonce-et-pb-contact-form-submitted-9388e13f-21f9-42c5-977b-b024b4374ecf\" name=\"_wpnonce-et-pb-contact-form-submitted-9388e13f-21f9-42c5-977b-b024b4374ecf\" value=\"fe12904c4e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/medicaltheme\/wp-json\/wp\/v2\/pages\/96138\" \/><\/form><\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_5 et_pb_column et_pb_column_1_2 et-last-child et_block_column et_pb_column_empty et_pb_css_mix_blend_mode_passthrough\"><\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-96138","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/pages\/96138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/comments?post=96138"}],"version-history":[{"count":2,"href":"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/pages\/96138\/revisions"}],"predecessor-version":[{"id":101422,"href":"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/pages\/96138\/revisions\/101422"}],"wp:attachment":[{"href":"https:\/\/divithemeshub.com\/medicaltheme\/wp-json\/wp\/v2\/media?parent=96138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}