{"id":149,"date":"2022-04-13T21:42:31","date_gmt":"2022-04-13T21:42:31","guid":{"rendered":"https:\/\/newcrossmedicalcentre.com\/ncmc\/?page_id=149"},"modified":"2022-04-29T14:25:41","modified_gmt":"2022-04-29T14:25:41","slug":"appointment-booking","status":"publish","type":"page","link":"https:\/\/newcrossmedicalcentre.com\/ncmc\/appointment-booking\/","title":{"rendered":"Book Appointment"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-contact-form-7-contact-form-selector\"><div class=\"cf7sg-container\"><div id=\"cf7sg-form-book-appointment\" class=\"cf7-smart-grid has-grid key_book-appointment\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f266-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"266\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ncmc\/wp-json\/wp\/v2\/pages\/149#wpcf7-f266-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=\"266\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f266-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_key\" value=\"book-appointment\" \/><input type=\"hidden\" name=\"_cf7sg_toggles\" value=\"\" \/><input type=\"hidden\" name=\"_cf7sg_version\" value=\"4.18.0\" \/><input type=\"hidden\" name=\"_wpnonce\" value=\"7338b4151b\" \/>\n<\/fieldset>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field text required\"><label>Your Name<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n        <p class=\"info-tip\">Enter Full Name<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field email required\"><label>Your Email<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-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\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n        <p class=\"info-tip\">Enter Valid Email<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field tel required\"><label>Your Phone Number<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-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\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n        <p class=\"info-tip\">Enter Correct Phone Number<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field select required\"><label>Gender<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-gender\"><option value=\"Select Gender\">Select Gender<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span>\n        <p class=\"info-tip\">Choose Gender<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field text required\"><label>Your Location<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-location\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-location\" \/><\/span>\n        <p class=\"info-tip\">Enter Location<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field\"><label for=\"\">Location<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-locate\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-locate\"><option value=\"Select Facility Location\">Select Facility Location<\/option><option value=\"Shukura\">Shukura<\/option><\/select><\/span>\n        <p class=\"info-tip\">Select Facility Location<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field text required\"><label>Appointment Date<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-860\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required walcf7-datetimepicker\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-860\" \/><\/span>\n        <p class=\"info-tip\">Pick Your Date &amp; Time<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field select required\"><label>Department<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-954\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-954\"><option value=\"Select Department\">Select Department<\/option><option value=\"Any\">Any<\/option><option value=\"Gynaecology Department\">Gynaecology Department<\/option><option value=\"Medical Laboratory Department\">Medical Laboratory Department<\/option><option value=\"Radiological Department\">Radiological Department<\/option><option value=\"Surgery Department\">Surgery Department<\/option><option value=\"Pharmacy Department\">Pharmacy Department<\/option><\/select><\/span>\n        <p class=\"info-tip\">Select Department<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field select required\"><label>Doctor<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-955\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-955\"><option value=\"Select Doctor\">Select Doctor<\/option><option value=\"Any\">Any<\/option><option value=\"Dr. Kwamena Gyan Acqueye (General)\">Dr. Kwamena Gyan Acqueye (General)<\/option><option value=\"Dr. A. Kwakye (Gyaecologist)\">Dr. A. Kwakye (Gyaecologist)<\/option><option value=\"Dr. E. Adofo (Gyaecologist)\">Dr. E. Adofo (Gyaecologist)<\/option><option value=\"Dr. Y. O. Nsiah (Surgeon)\">Dr. Y. O. Nsiah (Surgeon)<\/option><option value=\"Dr. Eugenia Agyei Marfo (Pediatrician)\">Dr. Eugenia Agyei Marfo (Pediatrician)<\/option><\/select><\/span>\n        <p class=\"info-tip\">Select Doctor<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field text required\"><label>Subject<em>*<\/em><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-subject\" \/><\/span>\n        <p class=\"info-tip\">Enter Subject<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field textarea\"><label>Message<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n        <p class=\"info-tip\">Tell Us Something<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field cf7ic\"><label><\/label><span class=\"wpcf7-form-control-wrap kc_captcha\" data-name=\"kc_captcha\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"captcha-image\" ><span class=\"cf7ic_instructions\">Please prove you are human by selecting the<span> star<\/span>.<\/span><label><input aria-label=\"1\" type=\"radio\" name=\"kc_captcha\" value=\"kc_human\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path fill=\"currentColor\" d=\"M259 18l-65 132-146 22c-26 3-37 36-18 54l106 103-25 146c-5 26 23 46 46 33l131-68 131 68c23 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16-16v-32c0-9-7-16-16-16zM160 464a48 48 0 110-96 48 48 0 010 96zm320 0a48 48 0 110-96 48 48 0 010 96zm80-208H416V144h44l100 100v12z\"\/><\/svg><\/label>\r\n    <\/span>\r\n    <span style=\"display:none\">\r\n        <input type=\"text\" name=\"kc_honeypot\">\r\n    <\/span><\/span><\/span>\n        <p class=\"info-tip\"><\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field acceptance\"><label><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-605\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-605\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I consent to the form condition.<\/span><\/label><\/span><\/span><\/span>\n        <p class=\"info-tip\"><\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"row\">\n    <div class=\"columns full\">\n      <div class=\"field\"><label><\/label><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Book Now\" \/>\n        <p class=\"info-tip\"><\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"184\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"369\" height=\"369\" src=\"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-content\/uploads\/2022\/04\/booking.png\" alt=\"\" class=\"wp-image-150\" srcset=\"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-content\/uploads\/2022\/04\/booking.png 369w, https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-content\/uploads\/2022\/04\/booking-300x300.png 300w, https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-content\/uploads\/2022\/04\/booking-150x150.png 150w\" sizes=\"auto, (max-width: 369px) 100vw, 369px\" \/><\/figure>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"without-sidebar.php","meta":{"footnotes":""},"class_list":["post-149","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-json\/wp\/v2\/pages\/149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-json\/wp\/v2\/comments?post=149"}],"version-history":[{"count":7,"href":"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-json\/wp\/v2\/pages\/149\/revisions"}],"predecessor-version":[{"id":274,"href":"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-json\/wp\/v2\/pages\/149\/revisions\/274"}],"wp:attachment":[{"href":"https:\/\/newcrossmedicalcentre.com\/ncmc\/wp-json\/wp\/v2\/media?parent=149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}