{"id":110,"date":"2019-06-09T06:12:30","date_gmt":"2019-06-09T06:12:30","guid":{"rendered":"https:\/\/ahgeorgia.fm1.dev\/request-appointment\/"},"modified":"2021-04-30T14:04:08","modified_gmt":"2021-04-30T18:04:08","slug":"request-appointment","status":"publish","type":"page","link":"https:\/\/advancedhearingga.com\/resources\/request-appointment\/","title":{"rendered":"Request Appointment"},"content":{"rendered":"\n<section class=\"get-in-touch-section contain\">\n    <div class=\"get-in-touch-section-container\">\n        <div class=\"get-in-touch-section-col-left\">\n            <h2 class=\"get-in-touch-section-col-left-title\">Get In Touch With Us!<\/h2>\n            <div class=\"get-in-touch-section-col-text\">\n                To request an appointment or to connect with our team, please complete the form. Our team will contact you during our regular business hours. For a medical emergency, please call 911.\n            <\/div>\n        <\/div>\n        <div class=\"get-in-touch-section-col-right\">\n            <script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script><div class=\"fuel-gf-wrapper\">\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_1' ><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Contact<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/wp-json\/wp\/v2\/pages\/110\/#gf_1' data-formid='1' novalidate><div class=\"fuel-gf-alert\" role=\"alert\"><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_1\" ><label class='gfield_label gform-field-label' for='input_1_1'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input 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data-js-reload=\"field_1_5\" ><label class='gfield_label gform-field-label' for='input_1_5'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_8\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_1_8\" ><label class='gfield_label gform-field-label' for='input_1_8'>Location<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_1_8' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please Select<\/option><option value='Alpharetta' >Alpharetta<\/option><option value='Atlanta \u2013 Pediatrics Only' >Atlanta \u2013 Pediatrics Only<\/option><option value='Atlanta \u2013 St. Joseph' >Atlanta \u2013 St. Joseph<\/option><option value='Cartersville' >Cartersville<\/option><option value='Decatur' >Decatur<\/option><option value='Johns Creek \u2013 Suwanee' >Johns Creek \u2013 Suwanee<\/option><option value='Lawrenceville' >Lawrenceville<\/option><option value='Marietta \u2013 East Cobb' >Marietta \u2013 East Cobb<\/option><option value='Roswell' >Roswell<\/option><option value='Roswell - Pediatrics Only' >Roswell &#8211; Pediatrics Only<\/option><option value='Sandy Springs' >Sandy Springs<\/option><option value='Snellville' >Snellville<\/option><option value='Suwanee' >Suwanee<\/option><\/select><\/div><\/li><li id=\"field_1_6\" class=\"gfield gfield--type-gfic field_sublabel_below gfield--no-description 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