{"id":690,"date":"2022-05-23T06:17:05","date_gmt":"2022-05-23T06:17:05","guid":{"rendered":"https:\/\/medmiamiconcierge.com\/?page_id=690"},"modified":"2023-09-17T09:47:50","modified_gmt":"2023-09-17T09:47:50","slug":"guest-speakers","status":"publish","type":"page","link":"https:\/\/medmiamiconcierge.com\/guest-speakers\/","title":{"rendered":"Guest Speakers"},"content":{"rendered":"\r\n\r\n\t<p><a href=\"https:\/\/maps.app.goo.gl\/3SbPf7quezHgN5xe6\" target=\"_blank\" rel=\"noopener\">Med Miami<\/a> Home Health Agency &#8211; Guest Speakers<\/p>\r\n<h2>\r\n\t\tGuest\r\n\t\tSpeakers\r\n\t\t\t\t<\/h2>\t\r\n<h3>\r\n\t\tInterested in becoming Med Miami&#8217;s next Guest Speaker or Vendor? Fill out the inquiry below and we will give you a call with all the details\r\n\t<\/h3>\r\n\t\r\n<style>\r\n\tform.clinic_form label, \r\n\tform.clinic_form h3,\r\n\tform.clinic_form p{\r\n\t\tcolor: #000000 !important;\r\n\t}\r\n\t\r\n\tform.clinic_form label{\r\n\t\tfont-size: 14px !important;\r\n\t}\r\n<\/style>\r\n<form action=\"https:\/\/medmiamiconcierge.com\/wp-admin\/admin-ajax.php\" class=\"clinic_form\" method=\"POST\">\r\n\t<input type=\"hidden\" id=\"form_code\" name=\"form_code\" value=\"FORM CODE HERE\"><input type=\"hidden\" name=\"st\" id=\"st\" value=\"nZbsG98TnMNNLtF\">\r\n\t<input type=\"hidden\" name=\"action\" value=\"prb_scripts\">\r\n    <div class=\"clearfix\">\r\n\t\t<div class=\"clearfix row\">\r\n\t\t\t<div class=\"col-md-4\">\r\n\t\t\t\t<div class=\"form-group\">\r\n\t\t\t\t\t<label for=\"name\">Your Name:<\/label>\r\n\t\t\t\t\t<input autocomplete=\"off\" type=\"text\" class=\"form-control required\" name=\"name\" id=\"name\">\r\n\t\t\t\t\t<span class=\"help-block\">This field is required<\/span>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t\t<div class=\"col-md-4\">\r\n\t\t\t\t<div class=\"form-group\">\r\n\t\t\t\t\t<label for=\"customer_email\">Your Email:<\/label>\r\n\t\t\t\t\t<input autocomplete=\"off\" type=\"text\" class=\"form-control required\" name=\"email\" id=\"email\">\r\n\t\t\t\t\t<span class=\"help-block\">This field is required<\/span>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t\t<div class=\"col-md-4\">\r\n\t\t\t\t<div class=\"form-group\">\r\n\t\t\t\t\t<label for=\"phone\">Your Phone:<\/label>\r\n\t\t\t\t\t<input autocomplete=\"off\" type=\"text\" class=\"form-control required\" name=\"phone\" id=\"phone\">\r\n\t\t\t\t\t<span class=\"help-block\">This field is required<\/span>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\r\n\t<div class=\"clearfix row\">\r\n\t\t<div class=\"col-md-6\">\r\n\t\t\t<div class=\"form-group\">\r\n\t\t\t\t<label for=\"service_type\">Service Type:<\/label>\r\n\t\t\t\t<select autocomplete=\"off\" class=\"form-control required\" name=\"service_type\" id=\"service_type\">\r\n\t\t\t\t\t<option><\/option>\r\n\t\t\t\t\t<option value=\"Cosmetic Post-op\">Cosmetic Post-op<\/option>\r\n\t\t\t\t\t<option value=\"Minor Medical Post-op\">Minor Medical Post-op<\/option>\r\n\t\t\t\t\t<option value=\"Post-Partum Services\">Post-Partum Services<\/option>\r\n\t\t\t\t\t<option value=\"Concierge Services\">Concierge Services<\/option>\r\n\t\t\t\t<\/select>\r\n\t\t\t\t<span class=\"help-block\">This field is required<\/span>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t<div class=\"col-md-6\">\r\n\t\t\t<div class=\"form-group\">\r\n\t\t\t\t<label for=\"procedure_date\">Procedure Date:<\/label>\r\n\t\t\t\t<input autocomplete=\"off\" type=\"text\" class=\"form-control required\" name=\"procedure_date\" id=\"procedure_date\">\r\n\t\t\t\t<span class=\"help-block\">This field is required<\/span>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t\r\n\t<div class=\"clearfix row\">\r\n\t\t<div class=\"col-md-12\">\r\n\t\t\t<div class=\"form-group\">\r\n\t\t\t\t<label for=\"description\">Additional information:<\/label>\r\n\t\t\t\t<textarea autocomplete=\"off\" class=\"form-control\" name=\"description\" id=\"description\"><\/textarea>\r\n\t\t\t\t<span class=\"help-block\">This field is required<\/span>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\r\n\t<div class=\"g-recaptcha\" data-sitekey=\"6Ld-0sMcAAAAAIvIB12-A8LIfD8tqgrGdxl9z55g\"><\/div>\r\n\r\n\t<div class=\"clearfix row\">\r\n\t\t<div class=\"col-md-12\">\r\n\t\t\t<div class=\"text-center\">\r\n\t\t\t\t<button class=\"btn btn-danger\" style='color: #ffffff !important;background: #000000;color:#FFF;border:1px solid #000000;font-size: 14px !important;'>Submit<\/button>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/form>\r\n\r\n\r\n","protected":false},"excerpt":{"rendered":"<p>Med Miami Home Health Agency &#8211; Guest Speakers Guest Speakers Interested in becoming Med Miami&#8217;s next Guest Speaker or Vendor? Fill out the inquiry below and we will give you a call with all the details<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/medmiamiconcierge.com\/wp-json\/wp\/v2\/pages\/690"}],"collection":[{"href":"https:\/\/medmiamiconcierge.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medmiamiconcierge.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medmiamiconcierge.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medmiamiconcierge.com\/wp-json\/wp\/v2\/comments?post=690"}],"version-history":[{"count":18,"href":"https:\/\/medmiamiconcierge.com\/wp-json\/wp\/v2\/pages\/690\/revisions"}],"predecessor-version":[{"id":1321,"href":"https:\/\/medmiamiconcierge.com\/wp-json\/wp\/v2\/pages\/690\/revisions\/1321"}],"wp:attachment":[{"href":"https:\/\/medmiamiconcierge.com\/wp-json\/wp\/v2\/media?parent=690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}