{"id":31672,"date":"2022-01-31T12:46:43","date_gmt":"2022-01-31T05:46:43","guid":{"rendered":"https:\/\/genesisfertility.co.th\/?page_id=31672"},"modified":"2023-07-05T13:52:07","modified_gmt":"2023-07-05T06:52:07","slug":"appointment","status":"publish","type":"page","link":"https:\/\/genesisfertility.co.th\/en\/appointment\/","title":{"rendered":"Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"31672\" class=\"elementor elementor-31672\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-062d95c elementor-section-boxed elementor-section-height-default elementor-section-height-default sc_fly_static\" data-id=\"062d95c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4ad0868 sc_inner_width_none sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"4ad0868\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b00c176 elementor-section-boxed elementor-section-height-default elementor-section-height-default sc_fly_static\" data-id=\"b00c176\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8d3cb47 sc_inner_width_none sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"8d3cb47\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3b8e8de sc_fly_static elementor-widget elementor-widget-shortcode\" data-id=\"3b8e8de\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f24476-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"24476\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/31672#wpcf7-f24476-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=\"24476\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f24476-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"form-style-1\">\n\t<h4>Patient Information\n\t<\/h4>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prefix\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"prefix\" value=\"Mr.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Mr.<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"prefix\" value=\"Mrs.\" \/><span class=\"wpcf7-list-item-label\">Mrs.<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"prefix\" value=\"Miss\" \/><span class=\"wpcf7-list-item-label\">Miss<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"prefix\" value=\"Master\" \/><span class=\"wpcf7-list-item-label\">Master<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"prefix\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><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\" placeholder=\"Name*\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-middle-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Middle Name\" value=\"\" type=\"text\" name=\"your-middle-name\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-lastname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Last Name\" value=\"\" type=\"text\" name=\"your-lastname\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"date\" name=\"your-date\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Age year(s)*\" value=\"\" type=\"text\" name=\"your-age\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-sex\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Sex*\" value=\"\" type=\"text\" name=\"your-sex\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<h4>Address\n\t<\/h4>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-house\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"House\/Building\" value=\"\" type=\"text\" name=\"your-house\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-no\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"No.\" value=\"\" type=\"text\" name=\"your-no\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-Street\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Street\" value=\"\" type=\"text\" name=\"your-Street\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-Sub-district\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Sub-district\" value=\"\" type=\"text\" name=\"your-Sub-district\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-District\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"District\" value=\"\" type=\"text\" name=\"your-District\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-Province\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Province\" value=\"\" type=\"text\" name=\"your-Province\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-ZipCode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Zip Code\" value=\"\" type=\"text\" name=\"your-ZipCode\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_3\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-Country\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Country\" value=\"\" type=\"text\" name=\"your-Country\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-Mobile-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Mobile phone No.\" value=\"\" type=\"text\" name=\"your-Mobile-phone\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><span class=\"style-line \"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-Home-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Home phone No.\" value=\"\" type=\"text\" name=\"your-Home-phone\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"column-1_2\">\n\t\t<p><span class=\"style-line \"><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\" placeholder=\"Email Address\" value=\"\" type=\"email\" name=\"your-email\" 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