{"id":47,"date":"2013-06-21T03:03:53","date_gmt":"2013-06-21T03:03:53","guid":{"rendered":"http:\/\/diabendo.com\/wordpress\/?page_id=47"},"modified":"2013-10-23T05:36:38","modified_gmt":"2013-10-23T05:36:38","slug":"directions","status":"publish","type":"page","link":"https:\/\/www.diabendo.com\/?page_id=47","title":{"rendered":"Contact Us"},"content":{"rendered":"<div class=\"contact-box\"><div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_contact2\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"contact2\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"cd6fe0812b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=\/wp\/v2\/pages\/47\" \/><div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_left_half\">\r\n    <label  class=\"frm_primary_label\">First Name:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_eszn5q2\" name=\"item_meta[8]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"First Name: is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_left_half\">\r\n    <label  class=\"frm_primary_label\">Last Name:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_cadft82\" name=\"item_meta[9]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last Name: is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_left_half\">\r\n    <label  class=\"frm_primary_label\">Date of Birth:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jcgvm7\" name=\"item_meta[15]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date of Birth: is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_11_container\" class=\"frm_form_field form-field  frm_top_container frm_left_half\">\r\n    <label  class=\"frm_primary_label\">Address:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ge5bti2\" name=\"item_meta[11]\" value=\"\"  data-invmsg=\"Address: is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_top_container frm_left_half\">\r\n    <label  class=\"frm_primary_label\">City:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j67bwz\" name=\"item_meta[17]\" value=\"\"  data-invmsg=\"City: is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_top_container frm_left_half\">\r\n    <label  class=\"frm_primary_label\">State:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[19]\" id=\"field_state\"  data-frmval=\"Select State\" data-invmsg=\"State: is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option value=\"Select State\"  selected=\"selected\" class=\"\">\n\t\t\tSelect State\t\t<\/option>\n\t\t\t<option value=\"Alabama\"  class=\"\">\n\t\t\tAlabama\t\t<\/option>\n\t\t\t<option value=\"Alaska\"  class=\"\">\n\t\t\tAlaska\t\t<\/option>\n\t\t\t<option value=\"Arkansas\"  class=\"\">\n\t\t\tArkansas\t\t<\/option>\n\t\t\t<option value=\"Arizona\"  class=\"\">\n\t\t\tArizona\t\t<\/option>\n\t\t\t<option value=\"California\"  class=\"\">\n\t\t\tCalifornia\t\t<\/option>\n\t\t\t<option value=\"Colorado\"  class=\"\">\n\t\t\tColorado\t\t<\/option>\n\t\t\t<option value=\"Connecticut\"  class=\"\">\n\t\t\tConnecticut\t\t<\/option>\n\t\t\t<option value=\"Delaware\"  class=\"\">\n\t\t\tDelaware\t\t<\/option>\n\t\t\t<option value=\"Florida\"  class=\"\">\n\t\t\tFlorida\t\t<\/option>\n\t\t\t<option value=\"Georgia\"  class=\"\">\n\t\t\tGeorgia\t\t<\/option>\n\t\t\t<option value=\"Hawaii\"  class=\"\">\n\t\t\tHawaii\t\t<\/option>\n\t\t\t<option value=\"Idaho\"  class=\"\">\n\t\t\tIdaho\t\t<\/option>\n\t\t\t<option value=\"Illinois\"  class=\"\">\n\t\t\tIllinois\t\t<\/option>\n\t\t\t<option value=\"Indiana\"  class=\"\">\n\t\t\tIndiana\t\t<\/option>\n\t\t\t<option value=\"Iowa\"  class=\"\">\n\t\t\tIowa\t\t<\/option>\n\t\t\t<option value=\"Kansas\"  class=\"\">\n\t\t\tKansas\t\t<\/option>\n\t\t\t<option value=\"Kentucky\"  class=\"\">\n\t\t\tKentucky\t\t<\/option>\n\t\t\t<option value=\"Louisiana\"  class=\"\">\n\t\t\tLouisiana\t\t<\/option>\n\t\t\t<option value=\"Maine\"  class=\"\">\n\t\t\tMaine\t\t<\/option>\n\t\t\t<option value=\"Maryland\"  class=\"\">\n\t\t\tMaryland\t\t<\/option>\n\t\t\t<option value=\"Massachusetts\"  class=\"\">\n\t\t\tMassachusetts\t\t<\/option>\n\t\t\t<option value=\"Michigan\"  class=\"\">\n\t\t\tMichigan\t\t<\/option>\n\t\t\t<option value=\"Minnesota\"  class=\"\">\n\t\t\tMinnesota\t\t<\/option>\n\t\t\t<option value=\"Mississippi\"  class=\"\">\n\t\t\tMississippi\t\t<\/option>\n\t\t\t<option value=\"Missouri\"  class=\"\">\n\t\t\tMissouri\t\t<\/option>\n\t\t\t<option value=\"Montana\"  class=\"\">\n\t\t\tMontana\t\t<\/option>\n\t\t\t<option value=\"Nebraska\"  class=\"\">\n\t\t\tNebraska\t\t<\/option>\n\t\t\t<option value=\"Nevada\"  class=\"\">\n\t\t\tNevada\t\t<\/option>\n\t\t\t<option value=\"New Hampshire\"  class=\"\">\n\t\t\tNew Hampshire\t\t<\/option>\n\t\t\t<option value=\"New Jersey\"  class=\"\">\n\t\t\tNew Jersey\t\t<\/option>\n\t\t\t<option value=\"New Mexico\"  class=\"\">\n\t\t\tNew Mexico\t\t<\/option>\n\t\t\t<option value=\"New York\"  class=\"\">\n\t\t\tNew York\t\t<\/option>\n\t\t\t<option value=\"North Carolina\"  class=\"\">\n\t\t\tNorth Carolina\t\t<\/option>\n\t\t\t<option value=\"North Dakota\"  class=\"\">\n\t\t\tNorth Dakota\t\t<\/option>\n\t\t\t<option value=\"Ohio\"  class=\"\">\n\t\t\tOhio\t\t<\/option>\n\t\t\t<option value=\"Oklahoma\"  class=\"\">\n\t\t\tOklahoma\t\t<\/option>\n\t\t\t<option value=\"Oregon\"  class=\"\">\n\t\t\tOregon\t\t<\/option>\n\t\t\t<option value=\"Pennsylvania\"  class=\"\">\n\t\t\tPennsylvania\t\t<\/option>\n\t\t\t<option value=\"Rhode Island\"  class=\"\">\n\t\t\tRhode Island\t\t<\/option>\n\t\t\t<option value=\"South Carolina\"  class=\"\">\n\t\t\tSouth Carolina\t\t<\/option>\n\t\t\t<option value=\"South Dakota\"  class=\"\">\n\t\t\tSouth Dakota\t\t<\/option>\n\t\t\t<option value=\"Tennessee\"  class=\"\">\n\t\t\tTennessee\t\t<\/option>\n\t\t\t<option value=\"Texas\"  class=\"\">\n\t\t\tTexas\t\t<\/option>\n\t\t\t<option value=\"Utah\"  class=\"\">\n\t\t\tUtah\t\t<\/option>\n\t\t\t<option value=\"Vermont\"  class=\"\">\n\t\t\tVermont\t\t<\/option>\n\t\t\t<option value=\"Virginia\"  class=\"\">\n\t\t\tVirginia\t\t<\/option>\n\t\t\t<option value=\"Washington\"  class=\"\">\n\t\t\tWashington\t\t<\/option>\n\t\t\t<option value=\"West Virginia\"  class=\"\">\n\t\t\tWest Virginia\t\t<\/option>\n\t\t\t<option value=\"Wisconsin\"  class=\"\">\n\t\t\tWisconsin\t\t<\/option>\n\t\t\t<option value=\"Wyoming\"  class=\"\">\n\t\t\tWyoming\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_97_container\" class=\"frm_form_field form-field  frm_top_container frm_left_half\">\r\n    <label for=\"field_zipcode\" class=\"frm_primary_label\">Zip Code:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zipcode\" name=\"item_meta[97]\" value=\"\"  maxlength=\"5\" data-invmsg=\"Zip Code: is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_96_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_left_half\">\r\n    <label for=\"field_5b645m\" class=\"frm_primary_label\">Phone:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_5b645m\" name=\"item_meta[96]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone: is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_left_half\">\r\n    <label  class=\"frm_primary_label\">Email:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_x2qus12\" name=\"item_meta[10]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email: is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">Best Time to Call\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_99-0\"><label for=\"field_besttimetocall-0\"><input type=\"checkbox\" name=\"item_meta[99][]\" id=\"field_besttimetocall-0\" value=\"Morning\"  data-invmsg=\"Best Time to Call is invalid\" aria-invalid=\"false\"   \/> Morning<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_99-1\"><label for=\"field_besttimetocall-1\"><input type=\"checkbox\" name=\"item_meta[99][]\" id=\"field_besttimetocall-1\" value=\"Afternoon\"  data-invmsg=\"Best Time to Call is invalid\" aria-invalid=\"false\"   \/> Afternoon<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_99-2\"><label for=\"field_besttimetocall-2\"><input type=\"checkbox\" name=\"item_meta[99][]\" id=\"field_besttimetocall-2\" value=\"Evening\"  data-invmsg=\"Best Time to Call is invalid\" aria-invalid=\"false\"   \/> Evening<\/label><\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field form-field  frm_none_container horizontal_radio\">\r\n    <label  class=\"frm_primary_label\">Untitled\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_100-0\"><label for=\"field_untitled-0\"><input type=\"checkbox\" name=\"item_meta[100][]\" id=\"field_untitled-0\" value=\"I would prefer to be contacted by email\"  data-invmsg=\"Untitled is invalid\" aria-invalid=\"false\"   \/> I would prefer to be contacted by email<\/label><\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_left_full\">\r\n    <label  class=\"frm_primary_label\">Message\/Reason\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[13]\" id=\"field_7akpv82\" rows=\"5\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Message\/Reason is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_none_container frm_left_full\">\r\n    <label  class=\"frm_primary_label\">Captcha\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div id=\"field_5u6hu32\" class=\"g-recaptcha\" data-sitekey=\"6LefMeQSAAAAAMzXfE-dXAGAJqkW6Z0oLNVi6IFm\" data-size=\"normal\" data-theme=\"light\"><\/div>\r\n    \r\n    \r\n<\/div>\n<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\n\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit<\/button>\n\n<\/div><div class=\"frm_verify\" aria-hidden=\"true\">\n\t<label for=\"frm_verify_2\">\n\t\tIf you are human, leave this field blank.\t<\/label>\n\t<input type=\"text\" class=\"frm_verify\" id=\"frm_verify_2\" name=\"frm_verify\" value=\"\"  \/>\n<\/div>\n<\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n<\/div>\n<div class=\"contact-box\">\n<img loading=\"lazy\" src=\"\/wp-content\/uploads\/2013\/06\/medical-operator.jpg\" alt=\"\" title=\"medical-operator\" width=\"480\" height=\"424\" class=\"\" \/>\n<\/div>\n ","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"full-width-page-with-widgets.php","meta":[],"_links":{"self":[{"href":"https:\/\/www.diabendo.com\/index.php?rest_route=\/wp\/v2\/pages\/47"}],"collection":[{"href":"https:\/\/www.diabendo.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.diabendo.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.diabendo.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.diabendo.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=47"}],"version-history":[{"count":87,"href":"https:\/\/www.diabendo.com\/index.php?rest_route=\/wp\/v2\/pages\/47\/revisions"}],"predecessor-version":[{"id":689,"href":"https:\/\/www.diabendo.com\/index.php?rest_route=\/wp\/v2\/pages\/47\/revisions\/689"}],"wp:attachment":[{"href":"https:\/\/www.diabendo.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=47"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}