{"id":38096,"date":"2022-07-22T14:40:15","date_gmt":"2022-07-22T14:40:15","guid":{"rendered":"https:\/\/theme-dev.cmsmasters.net\/mental-care\/?page_id=37991"},"modified":"2025-03-11T10:12:39","modified_gmt":"2025-03-11T15:12:39","slug":"appointment","status":"publish","type":"page","link":"https:\/\/virgiliogalvis.com\/en\/appointment\/","title":{"rendered":"Appointment\u00a0"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"38096\" class=\"elementor elementor-38096\">\n\t\t\t\t<section class=\"elementor-element elementor-element-48bf120 cmsmasters-section-for-header-yes e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"48bf120\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e69bbdd e-con-full e-flex cmsmasters-block-default e-con e-child\" data-id=\"e69bbdd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4da089c cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"4da089c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Request your appointment\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-332d653 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"332d653\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Easily schedule your appointment with our specialists. Fill out the form with your information and we will contact you to confirm your appointment. Our team is ready to provide you with the best care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f97a75 elementor-widget__width-inherit cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-cmsmasters-forminator\" data-id=\"7f97a75\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;form_list&quot;:&quot;9709&quot;}\" data-widget_type=\"cmsmasters-forminator.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-widget-cmsmasters-contact-form__wrapper elementor-widget-cmsmasters-contact-form cmsmasters-default-color cmsmasters-default-font\" id=\"cmsmasters-widget-form-7f97a75\">\n\t\t\t<div class=\"elementor-widget-cmsmasters-contact-form__inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-9709 forminator-design--default forminator-custom forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-9709\" data-uid=\"69ea5aedf370c\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-9709\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-9709 forminator-design--default forminator-custom forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"9709\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"custom\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69ea5aedf370c\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69ea5aedf370c\" id=\"forminator-field-name-1_69ea5aedf370c-label\" class=\"forminator-label\">Full name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Full name\" id=\"forminator-field-name-1_69ea5aedf370c\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ea5aedf370c\" id=\"forminator-field-phone-1_69ea5aedf370c-label\" class=\"forminator-label\">Contact Telephone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Contact Telephone\" id=\"forminator-field-phone-1_69ea5aedf370c\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ea5aedf370c\" id=\"forminator-field-email-1_69ea5aedf370c-label\" class=\"forminator-label\">Email<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Ex: john@gmail.com\" id=\"forminator-field-email-1_69ea5aedf370c\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-9709__field--select-1_69ea5aedf370c\" id=\"forminator-form-9709__field--select-1_69ea5aedf370c-label\" class=\"forminator-label\">Type of request<\/label><select  id=\"forminator-form-9709__field--select-1_69ea5aedf370c\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Tipo de solicitud\" data-search=\"false\" data-search-placeholder=\"Tipo de solicitud\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-9709__field--select-1_69ea5aedf370c-label\"><option value=\"\"  >Type of request<\/option><option value=\"Oftalmolog\u00eda-General\"  data-calculation=\"0\">General Ophthalmology<\/option><option value=\"Catarata\"  data-calculation=\"0\">Cataract<\/option><option value=\"Cirug\u00eda-Refractiva\"  data-calculation=\"0\">Refractive Surgery<\/option><option value=\"Retina-y-Vitreo\"  data-calculation=\"0\">Retina and Vitreous<\/option><option value=\"Glaucoma\"  data-calculation=\"0\">Glaucoma<\/option><option value=\"Oftalmolog\u00eda-Pedi\u00e1trica\"  data-calculation=\"0\">Pediatric Ophthalmology<\/option><option value=\"Cirug\u00eda-Pl\u00e1stica-Ocular\"  data-calculation=\"0\">Ocular Plastic Surgery<\/option><option value=\"Estrabismo\"  data-calculation=\"0\">Squint<\/option><option value=\"Neuro-oftalmolog\u00eda\"  data-calculation=\"0\">Neuro-ophthalmology<\/option><option value=\"Optometr\u00eda\"  data-calculation=\"0\">Optometry<\/option><option value=\"Cirug\u00eda\"  data-calculation=\"0\">Surgery<\/option><option value=\"Ex\u00e1menes\"  data-calculation=\"0\">Exams<\/option><option value=\"Plan-Visual-(Apoyo-social)\"  data-calculation=\"0\">Visual Plan (Social Support)<\/option><option value=\"Plan-Visual-Universitario\"  data-calculation=\"0\">University Visual Plan<\/option><option value=\"Otros\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69ea5aedf370c\" id=\"forminator-field-textarea-1_69ea5aedf370c-label\" class=\"forminator-label\">Message<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69ea5aedf370c\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69ea5aedf370c-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69ea5aedf370c-label\" class=\"forminator-label\">Privacy Policy<\/span><label id=\"forminator-field-checkbox-1-1-69ea5aedf370c-label\" for=\"forminator-field-checkbox-1-1-69ea5aedf370c\" class=\"forminator-checkbox\" title=\"I agree that my data is being collected and stored. For more information about the handling of user data, please see our privacy policy\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Estoy de acuerdo en que mis datos se est\u00e1n recopilando y almacenando. Para obtener m\u00e1s informaci\u00f3n sobre el manejo de datos de usuarios, consulte nuestra pol\u00edtica de privacidad\" id=\"forminator-field-checkbox-1-1-69ea5aedf370c\" aria-labelledby=\"forminator-field-checkbox-1-1-69ea5aedf370c-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I agree that my data is being collected and stored. For more information about the handling of user data, please see our privacy policy<\/span><\/label><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Request an appointment<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"f35c93a394\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/38096\" \/><input type=\"hidden\" name=\"form_id\" value=\"9709\"><input type=\"hidden\" name=\"page_id\" value=\"38096\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/virgiliogalvis.com\/en\/appointment\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>\n\t\t<\/div>\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-5a68e5e elementor-hidden-tablet elementor-hidden-phone e-con-full e-flex cmsmasters-bg-hide-none cmsmasters-bg-hide-none cmsmasters-block-default e-con e-child\" data-id=\"5a68e5e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-26075dc cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-spacer\" data-id=\"26075dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Request your appointment Easily schedule your appointment with our specialists. Fill out the form with your information and we will contact you to confirm your appointment. Our team is ready to provide you with the best care.<\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-38096","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/virgiliogalvis.com\/en\/wp-json\/wp\/v2\/pages\/38096","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/virgiliogalvis.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/virgiliogalvis.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/virgiliogalvis.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/virgiliogalvis.com\/en\/wp-json\/wp\/v2\/comments?post=38096"}],"version-history":[{"count":13,"href":"https:\/\/virgiliogalvis.com\/en\/wp-json\/wp\/v2\/pages\/38096\/revisions"}],"predecessor-version":[{"id":43819,"href":"https:\/\/virgiliogalvis.com\/en\/wp-json\/wp\/v2\/pages\/38096\/revisions\/43819"}],"wp:attachment":[{"href":"https:\/\/virgiliogalvis.com\/en\/wp-json\/wp\/v2\/media?parent=38096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}