{"id":218,"date":"2013-08-07T14:23:24","date_gmt":"2013-08-07T18:23:24","guid":{"rendered":"http:\/\/sportsmednyc.com\/?page_id=218"},"modified":"2023-11-03T23:46:37","modified_gmt":"2023-11-04T03:46:37","slug":"healthcare-forms","status":"publish","type":"page","link":"http:\/\/sportsmednyc.com\/?page_id=218","title":{"rendered":"Patient Forms"},"content":{"rendered":"<p>These are forms you can print, complete, and either email, fax or bring with you to your appointment.<\/p>\n<p><a href=\"http:\/\/sportsmednyc.com\/wp-content\/uploads\/2013\/08\/Confidential-Patient-History.pdf\">Confidential Patient History<\/a><\/p>\n<p><a href=\"http:\/\/sportsmednyc.com\/wp-content\/uploads\/2013\/11\/HIPAA-Notice.pdf\">HIPAA Notice<\/a><\/p>\n<p><a href=\"http:\/\/sportsmednyc.com\/wp-content\/uploads\/2013\/11\/HIPAA-acknowledgement.pdf\">HIPAA acknowledgement<\/a><\/p>\n<p>If you have any questions, please inquire. <code><form id=\"commentform\" class=\"contactform\" method=\"post\" action=\"#commentform\">\r\n\t<input type=\"hidden\" id=\"contact_nonce\" name=\"contact_nonce\" value=\"2ca3b37d48\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F218\" \/>\t\t<p class=\"content_name\">\r\n\t\t<input type=\"text\"\r\n\t\t\tid=\"contact_name\"\r\n\t\t\tname=\"contact[name]\"\r\n\t\t\ttabindex=\"1\"\r\n\t\t\tsize=\"22\"\r\n\t\t\tvalue=\"\" \/>\r\n\t\t<label for=\"contact_name\">\r\n\t\t\t<small>Name (required)<\/small>\r\n\t\t<\/label>\r\n\t<\/p>\r\n\t<p class=\"content_email\">\r\n\t\t<input type=\"text\"\r\n\t\t\tid=\"contact_email\"\r\n\t\t\tname=\"contact[email]\"\r\n\t\t\ttabindex=\"2\"\r\n\t\t\tsize=\"22\"\r\n\t\t\tvalue=\"\" \/>\r\n\t\t<label for=\"contact_email\">\r\n\t\t\t<small>Email (required)<\/small>\r\n\t\t<\/label>\r\n\t<\/p>\r\n\t<p class=\"content_phone\">\r\n\t\t<input type=\"text\"\r\n\t\t\tid=\"contact_phone\"\r\n\t\t\tname=\"contact[phone]\"\r\n\t\t\ttabindex=\"3\"\r\n\t\t\tsize=\"22\"\r\n\t\t\tvalue=\"\" \/>\r\n\t\t<label for=\"contact_phone\">\r\n\t\t\t<small>Phone<\/small>\r\n\t\t<\/label>\r\n\t<\/p>\r\n\t<p class=\"content_message\">\r\n\t\t<textarea\r\n\t\t\tid=\"contact_message\"\r\n\t\t\tname=\"contact[message]\"\r\n\t\t\ttabindex=\"4\"\r\n\t\t\trows=\"10\"\r\n\t\t\tcols=\"100%\"><\/textarea>\r\n\t<\/p>\r\n\t<p class=\"content_submit\">\r\n\t\t<input type=\"submit\"\r\n\t\t\ttabindex=\"5\"\r\n\t\t\tid=\"submit\"\r\n\t\t\tname=\"contact[submit]\"\r\n\t\t\tvalue=\"Send Message\" \/>\r\n\t<\/p>\r\n<\/form><\/code><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>These are forms you can print, complete, and either email, fax or bring with you to your appointment. Confidential Patient History HIPAA Notice HIPAA acknowledgement If you have any questions, please inquire. &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":6,"comment_status":"open","ping_status":"open","template":"page-templates\/full-width.php","meta":[],"_links":{"self":[{"href":"http:\/\/sportsmednyc.com\/index.php?rest_route=\/wp\/v2\/pages\/218"}],"collection":[{"href":"http:\/\/sportsmednyc.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/sportsmednyc.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/sportsmednyc.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/sportsmednyc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=218"}],"version-history":[{"count":12,"href":"http:\/\/sportsmednyc.com\/index.php?rest_route=\/wp\/v2\/pages\/218\/revisions"}],"predecessor-version":[{"id":316,"href":"http:\/\/sportsmednyc.com\/index.php?rest_route=\/wp\/v2\/pages\/218\/revisions\/316"}],"wp:attachment":[{"href":"http:\/\/sportsmednyc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=218"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}