{"id":1840,"date":"2019-11-26T16:45:20","date_gmt":"2019-11-26T16:45:20","guid":{"rendered":"http:\/\/carevetdev.kinsta.cloud\/mulnixnew\/?page_id=1840"},"modified":"2023-11-22T18:42:49","modified_gmt":"2023-11-22T18:42:49","slug":"new-client-form","status":"publish","type":"page","link":"https:\/\/www.carevet.com\/mulnix\/new-client-form\/","title":{"rendered":"New Client Form"},"content":{"rendered":"<script>\nvar 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)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_7' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/mulnix\/wp-json\/wp\/v2\/pages\/1840' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_7_12\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"color--primary\">Client and Contact<\/h2><\/li><li id=\"field_7_1\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_1'>First and Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_7_1' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_2\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_7_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_7_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_7_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_7_2_1' id='input_7_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_7_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_7_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_7_2_2' id='input_7_2_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_7_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_7_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_7_2_3' id='input_7_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_7_2_4_container' >\n                                        <input type='text' name='input_2.4' id='input_7_2_4' value=''      aria-required='true'    \/>\n                                        <label for='input_7_2_4' id='input_7_2_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_7_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_7_2_5' value=''    aria-required='true'    \/>\n                                    <label for='input_7_2_5' id='input_7_2_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_7_2_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_7_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_3'>Home Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_7_3' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_4'>Cell Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_7_4' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_5\" class=\"gfield gfield--type-email gfield--input-type-email gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_5'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_7_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_7_26\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_26'>How did you become aware of this clinic?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_7_26' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Hospital Sign' >Hospital Sign<\/option><option value='Open House' >Open House<\/option><option value='Internet' >Internet<\/option><option value='Another Client' >Another Client<\/option><option value='Advertisement' >Advertisement<\/option><option value='Social Media' >Social Media<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_7_73\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_73'>Who can we thank?<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_7_73' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_27\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_27'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_7_27' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_32\" class=\"gfield gfield--type-text gfield--input-type-text gf_middle_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_32'>Name of Previous Veterinarian<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_7_32' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_33\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_33'>Phone of Previous Veterinarian<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_7_33' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_58\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"color--primary\">Spouse \/ Secondary Contact<\/h2><\/li><li id=\"field_7_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_59'>First and Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_7_59' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_60\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_60'>Home Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_60' id='input_7_60' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_61\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_61'>Cell Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_61' id='input_7_61' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_34\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br>\n<h2 class=\"color--primary\">Pet Information<\/h2>\n<h6>Pet 1<\/h6><\/li><li id=\"field_7_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_35'>Pet 1 Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_7_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sex<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_70'>\n\t\t\t<li class='gchoice gchoice_7_70_0'>\n\t\t\t\t<input name='input_70' type='radio' value='Male'  id='choice_7_70_0'    \/>\n\t\t\t\t<label for='choice_7_70_0' id='label_7_70_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_70_1'>\n\t\t\t\t<input name='input_70' type='radio' value='Male Neutered'  id='choice_7_70_1'    \/>\n\t\t\t\t<label for='choice_7_70_1' id='label_7_70_1' class='gform-field-label gform-field-label--type-inline'>Male Neutered<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_70_2'>\n\t\t\t\t<input name='input_70' type='radio' value='Female'  id='choice_7_70_2'    \/>\n\t\t\t\t<label for='choice_7_70_2' id='label_7_70_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_70_3'>\n\t\t\t\t<input name='input_70' type='radio' value='Female Spayed'  id='choice_7_70_3'    \/>\n\t\t\t\t<label for='choice_7_70_3' id='label_7_70_3' class='gform-field-label gform-field-label--type-inline'>Female Spayed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_44\" class=\"gfield gfield--type-select gfield--input-type-select gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_44'>Species<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_7_44' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Canine' >Canine<\/option><option value='Feline' >Feline<\/option><\/select><\/div><\/li><li id=\"field_7_38\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_38'>Breed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_7_38' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_39\" class=\"gfield gfield--type-text gfield--input-type-text gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_39'>Color<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_7_39' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_40\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_40'>Pet Age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_7_40' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_41\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br>\n<h6>Pet 2 (optional)<\/h6><\/li><li id=\"field_7_42\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_42'>Pet 2 Name<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_7_42' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sex<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_71'>\n\t\t\t<li class='gchoice gchoice_7_71_0'>\n\t\t\t\t<input name='input_71' type='radio' value='Male'  id='choice_7_71_0'    \/>\n\t\t\t\t<label for='choice_7_71_0' id='label_7_71_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_71_1'>\n\t\t\t\t<input name='input_71' type='radio' value='Male Neutered'  id='choice_7_71_1'    \/>\n\t\t\t\t<label for='choice_7_71_1' id='label_7_71_1' class='gform-field-label gform-field-label--type-inline'>Male Neutered<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_71_2'>\n\t\t\t\t<input name='input_71' type='radio' value='Female'  id='choice_7_71_2'    \/>\n\t\t\t\t<label for='choice_7_71_2' id='label_7_71_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_71_3'>\n\t\t\t\t<input name='input_71' type='radio' value='Female Spayed'  id='choice_7_71_3'    \/>\n\t\t\t\t<label for='choice_7_71_3' id='label_7_71_3' class='gform-field-label gform-field-label--type-inline'>Female Spayed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_37\" class=\"gfield gfield--type-select gfield--input-type-select gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_37'>Species<\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_7_37' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Canine' >Canine<\/option><option value='Feline' >Feline<\/option><\/select><\/div><\/li><li id=\"field_7_45\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_45'>Breed<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_7_45' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_46\" class=\"gfield gfield--type-text gfield--input-type-text gf_middle_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_46'>Color<\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_7_46' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_47\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_47'>Pet Age<\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_7_47' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_48\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br>\n<h6>Pet 3 (optional)<\/h6><\/li><li id=\"field_7_49\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_49'>Pet 3 Name<\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_7_49' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sex<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_72'>\n\t\t\t<li class='gchoice gchoice_7_72_0'>\n\t\t\t\t<input name='input_72' type='radio' value='Male'  id='choice_7_72_0'    \/>\n\t\t\t\t<label for='choice_7_72_0' id='label_7_72_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_72_1'>\n\t\t\t\t<input name='input_72' type='radio' value='Male Neutered'  id='choice_7_72_1'    \/>\n\t\t\t\t<label for='choice_7_72_1' id='label_7_72_1' class='gform-field-label gform-field-label--type-inline'>Male Neutered<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_72_2'>\n\t\t\t\t<input name='input_72' type='radio' value='Female'  id='choice_7_72_2'    \/>\n\t\t\t\t<label for='choice_7_72_2' id='label_7_72_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_72_3'>\n\t\t\t\t<input name='input_72' type='radio' value='Female Spayed'  id='choice_7_72_3'    \/>\n\t\t\t\t<label for='choice_7_72_3' id='label_7_72_3' class='gform-field-label gform-field-label--type-inline'>Female Spayed<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_51\" class=\"gfield gfield--type-select gfield--input-type-select gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_51'>Species<\/label><div class='ginput_container ginput_container_select'><select name='input_51' id='input_7_51' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Canine' >Canine<\/option><option value='Feline' >Feline<\/option><\/select><\/div><\/li><li id=\"field_7_52\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_52'>Breed<\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_7_52' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_53\" class=\"gfield gfield--type-text gfield--input-type-text gf_middle_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_53'>Color<\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_7_53' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_54\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_54'>Pet Age<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_7_54' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_62\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>Our Fee Policy<\/strong><\/p>\n<div class=\"gfield_description gfield_consent_description\">I understand that all fees are due at time of service. We accept Cash, Checks, Debit, Visa, MasterCard, American Express, Discover, CareCredit, Scratchpay, Trupanion, and Trupanion Express.<\/div><\/li><li id=\"field_7_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you understand the fee policy?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_63'>\n\t\t\t<li class='gchoice gchoice_7_63_0'>\n\t\t\t\t<input name='input_63' type='radio' value='Yes, I understand the fee policy.'  id='choice_7_63_0'    \/>\n\t\t\t\t<label for='choice_7_63_0' id='label_7_63_0' class='gform-field-label gform-field-label--type-inline'>Yes, I understand the fee policy.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_63_1'>\n\t\t\t\t<input name='input_63' type='radio' value='No, I do not understand the fee policy.'  id='choice_7_63_1'    \/>\n\t\t\t\t<label for='choice_7_63_1' id='label_7_63_1' class='gform-field-label gform-field-label--type-inline'>No, I do not understand the fee policy.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_64\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>Consent<\/strong><\/p>\n<div class=\"gfield_description gfield_consent_description\">I hereby authorize the veterinarian to examine, prescribe for or treat the above described pet(s). I understand that all animals must be current on vaccinations and testing for surgical and hospital procedures. I assume all responsibility for all charges incurred in the care of my animals. I also understand that these charges will be paid for at the time of release and that a deposit may be required for surgical treatments or hospitalization.<\/div><\/li><li id=\"field_7_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you accept the consent agreement?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_65'>\n\t\t\t<li class='gchoice gchoice_7_65_0'>\n\t\t\t\t<input name='input_65' type='radio' value='I accept the consent agreement.'  id='choice_7_65_0'    \/>\n\t\t\t\t<label for='choice_7_65_0' id='label_7_65_0' class='gform-field-label gform-field-label--type-inline'>I accept the consent agreement.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_65_1'>\n\t\t\t\t<input name='input_65' type='radio' value='I do not accept the consent agreement.'  id='choice_7_65_1'    \/>\n\t\t\t\t<label for='choice_7_65_1' id='label_7_65_1' class='gform-field-label gform-field-label--type-inline'>I do not accept the consent agreement.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_67\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>Photo Release<\/strong><\/p>\n<div class=\"gfield_description gfield_consent_description\">I agree that CareVet Mulnix Animal Clinic may use such photographs of me and\/or my pet(s) with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, web content, or social media sites. \u2028\u2028I have read the above statement and by submitting this form, I understand and agree to the conditions above.*<\/div><\/li><li id=\"field_7_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you accept the photo release agreement?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_68'>\n\t\t\t<li class='gchoice gchoice_7_68_0'>\n\t\t\t\t<input name='input_68' type='radio' value='I accept the photo release agreement.'  id='choice_7_68_0'    \/>\n\t\t\t\t<label for='choice_7_68_0' id='label_7_68_0' class='gform-field-label gform-field-label--type-inline'>I accept the photo release agreement.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_68_1'>\n\t\t\t\t<input name='input_68' type='radio' value='I do not accept the photo release agreement.'  id='choice_7_68_1'    \/>\n\t\t\t\t<label for='choice_7_68_1' id='label_7_68_1' class='gform-field-label gform-field-label--type-inline'>I do not accept the photo release agreement.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_66\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"color:red\"><strong>You cannot submit this form until you agree to the fee policy and consent agreement.<\/p><\/li><li id=\"field_7_57\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_57'>CAPTCHA<\/label><div id='input_7_57' class='ginput_container ginput_recaptcha' data-sitekey='6Lfch2MpAAAAAB3fl2wjMx9Y_ph2b8uqYUXt-mR-'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_7' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_7' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_7' id='gform_theme_7' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_7' id='gform_style_settings_7' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_7' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='7' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='z2eRCgrugLfKi+iVxQ8B9pVLBNVXK1euVMbd89EN72\/dhGuDFJkyFtvp\/4QHfPArKo3bFHVas4LEerIr\/lJs6Bcw803DhDrkPNj+eYmQSHMplkQ=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_7' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_7' id='gform_target_page_number_7' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_7' id='gform_source_page_number_7' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"122\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 7, 'https:\/\/www.carevet.com\/mulnix\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_7').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_7');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_7').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_7').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_7').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_7').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_7').val();gformInitSpinner( 7, 'https:\/\/www.carevet.com\/mulnix\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [7, current_page]);window['gf_submitting_7'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_7').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [7]);window['gf_submitting_7'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_7').text());}else{jQuery('#gform_7').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"7\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_7\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_7\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_7\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 7, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1840","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.carevet.com\/mulnix\/wp-json\/wp\/v2\/pages\/1840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.carevet.com\/mulnix\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.carevet.com\/mulnix\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.carevet.com\/mulnix\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.carevet.com\/mulnix\/wp-json\/wp\/v2\/comments?post=1840"}],"version-history":[{"count":4,"href":"https:\/\/www.carevet.com\/mulnix\/wp-json\/wp\/v2\/pages\/1840\/revisions"}],"predecessor-version":[{"id":2769,"href":"https:\/\/www.carevet.com\/mulnix\/wp-json\/wp\/v2\/pages\/1840\/revisions\/2769"}],"wp:attachment":[{"href":"https:\/\/www.carevet.com\/mulnix\/wp-json\/wp\/v2\/media?parent=1840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}