{"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=\"6.1.6\" \/><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>Register for a Consultation\n\t<\/h4>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_1\">\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=\"Full name*\" value=\"\" type=\"text\" name=\"your-name\" \/><\/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-tel\"><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=\"your-tel\" \/><\/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-age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Age (years)\" value=\"\" type=\"text\" name=\"your-age\" \/><\/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_1\">\n\t\t\t<p><label>Preferred branch<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-branch\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-branch\" value=\"Rama 9\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Rama 9<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-branch\" value=\"Rama 3\" \/><span class=\"wpcf7-list-item-label\">Rama 3<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-branch\" value=\"Ubon Ratchathani\" \/><span class=\"wpcf7-list-item-label\">Ubon Ratchathani<\/span><\/label><\/span><\/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_1\">\n\t\t\t<p><span class=\"style-line\"><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-service\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-service\"><option value=\"\">Service of interest*<\/option><option value=\"ICSI (IVF\/ICSI treatment)\">ICSI (IVF\/ICSI treatment)<\/option><option value=\"Egg Freezing\">Egg Freezing<\/option><option value=\"IUI (Intrauterine Insemination)\">IUI (Intrauterine Insemination)<\/option><option value=\"Check Up (fertility health check)\">Check Up (fertility health check)<\/option><option value=\"Consult (doctor consultation)\">Consult (doctor consultation)<\/option><option value=\"HPV Vaccine\">HPV Vaccine<\/option><option value=\"Other\">Other<\/option><\/select><\/span><br \/>\n<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"columns_wrap margin-bottom\">\n\t\t<div class=\"column-1_1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pdpa-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"pdpa-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I consent to Genesis Fertility Clinic collecting and using my personal data to contact me, in accordance with the Privacy Policy (PDPA).<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/div><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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":14,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_yoast_wpseo_metadesc":"","_yoast_wpseo_title":"","_yoast_wpseo_focuskw":"","rank_math_description":"","rank_math_title":"","rank_math_focus_keyword":""},"class_list":["post-31672","page","type-page","status-publish","hentry"],"acf":{},"_links":{"self":[{"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/pages\/31672","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/comments?post=31672"}],"version-history":[{"count":8,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/pages\/31672\/revisions"}],"predecessor-version":[{"id":31680,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/pages\/31672\/revisions\/31680"}],"wp:attachment":[{"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/media?parent=31672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}