{"id":656,"date":"2025-12-29T08:42:54","date_gmt":"2025-12-29T08:42:54","guid":{"rendered":"https:\/\/drrajeev.webcomsolution.com\/?page_id=656"},"modified":"2025-12-30T05:58:38","modified_gmt":"2025-12-30T05:58:38","slug":"book-appointment","status":"publish","type":"page","link":"https:\/\/drrajeev.webcomsolution.com\/index.php\/book-appointment\/","title":{"rendered":"Book Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"656\" class=\"elementor elementor-656\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b04fc37 e-flex e-con-boxed e-con e-parent\" data-id=\"b04fc37\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-07ef784 elementor-widget elementor-widget-heading\" data-id=\"07ef784\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">BOOK APPOINTMENT<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f7f6a61 e-flex e-con-boxed e-con e-parent\" data-id=\"f7f6a61\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-d32538c e-con-full e-flex e-con e-child\" data-id=\"d32538c\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-99f6e96 elementor-widget elementor-widget-shortcode\" data-id=\"99f6e96\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f670-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"670\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/656#wpcf7-f670-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=\"670\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f670-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h2>Book an Appointment\n<\/h2>\n<p>Fill in your details and our team will contact you for confirmation.\n<\/p>\n<h3>Patient Information\n<\/h3>\n<p><label>Full Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"full-name\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Email Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email Address\" value=\"\" type=\"email\" name=\"email\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone Number\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Age<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Age\" value=\"\" type=\"number\" name=\"age\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Gender<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"gender\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><option value=\"Other\">Other<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<h3>Appointment Details\n<\/h3>\n<p><label>Appointment Date<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"dd-mm-yyyy\" value=\"\" type=\"date\" name=\"appointment-date\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Time Slot<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"time-slot\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"time-slot\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"09:00 AM - 10:00 AM\">09:00 AM - 10:00 AM<\/option><option value=\"10:00 AM - 11:00 AM\">10:00 AM - 11:00 AM<\/option><option value=\"11:00 AM - 12:00 PM\">11:00 AM - 12:00 PM<\/option><option value=\"12:00 PM - 01:00 PM\">12:00 PM - 01:00 PM<\/option><option value=\"02:00 PM - 03:00 PM\">02:00 PM - 03:00 PM<\/option><option value=\"03:00 PM - 04:00 PM\">03:00 PM - 04:00 PM<\/option><option value=\"04:00 PM - 05:00 PM\">04:00 PM - 05:00 PM<\/option><option value=\"05:00 PM - 06:00 PM\">05:00 PM - 06:00 PM<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Department<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"department\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"department\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"General Consultation\">General Consultation<\/option><option value=\"Depressive Disorders\">Depressive Disorders<\/option><option value=\"Anxiety Disorders\">Anxiety Disorders<\/option><option value=\"Mania\">Mania<\/option><option value=\"Sleep Disorders\">Sleep Disorders<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>Mode of Appointment<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-mode\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"appointment-mode\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"In-Clinic\">In-Clinic<\/option><option value=\"Online Consultation\">Online Consultation<\/option><option value=\"Video Call\">Video Call<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Book Appointment\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n    <div class=\"xs_social_share_widget xs_share_url after_content \t\tmain_content  wslu-style-1 wslu-share-box-shaped wslu-fill-colored wslu-none wslu-share-horizontal wslu-theme-font-no wslu-main_content\">\n\n\t\t\n        <ul>\n\t\t\t        <\/ul>\n    <\/div> \n","protected":false},"excerpt":{"rendered":"<p>BOOK APPOINTMENT<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-656","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drrajeev.webcomsolution.com\/index.php\/wp-json\/wp\/v2\/pages\/656","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drrajeev.webcomsolution.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drrajeev.webcomsolution.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drrajeev.webcomsolution.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drrajeev.webcomsolution.com\/index.php\/wp-json\/wp\/v2\/comments?post=656"}],"version-history":[{"count":19,"href":"https:\/\/drrajeev.webcomsolution.com\/index.php\/wp-json\/wp\/v2\/pages\/656\/revisions"}],"predecessor-version":[{"id":807,"href":"https:\/\/drrajeev.webcomsolution.com\/index.php\/wp-json\/wp\/v2\/pages\/656\/revisions\/807"}],"wp:attachment":[{"href":"https:\/\/drrajeev.webcomsolution.com\/index.php\/wp-json\/wp\/v2\/media?parent=656"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}