{"id":90,"date":"2016-05-18T14:43:03","date_gmt":"2016-05-18T18:43:03","guid":{"rendered":"http:\/\/hamiltonphysicaltherapy.net\/?page_id=90"},"modified":"2016-05-18T14:43:19","modified_gmt":"2016-05-18T18:43:19","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/contact-us\/","title":{"rendered":"Contact Us"},"content":{"rendered":"    <script type=\"text\/javascript\">      function contactformOnload10() {        if (navigator.userAgent.toLowerCase().indexOf('msie') != -1) {          if (parseInt(navigator.userAgent.toLowerCase().split('msie')[1]) === 8) {            jQuery(\"#contactform10\").find(jQuery(\"input[type='radio']\")).click(function() {jQuery(\"input[type='radio']+label\").removeClass('if-ie-div-label'); jQuery(\"input[type='radio']:checked+label\").addClass('if-ie-div-label')});\t            jQuery(\"#contactform10\").find(jQuery(\"input[type='radio']:checked+label\")).addClass('if-ie-div-label');            jQuery(\"#contactform10\").find(jQuery(\"input[type='checkbox']\")).click(function() {jQuery(\"input[type='checkbox']+label\").removeClass('if-ie-div-label'); jQuery(\"input[type='checkbox']:checked+label\").addClass('if-ie-div-label')});\t            jQuery(\"#contactform10\").find(jQuery(\"input[type='checkbox']:checked+label\")).addClass('if-ie-div-label');          }        }        jQuery(\"div[type='type_text'] input, div[type='type_number'] input, div[type='type_phone'] input, div[type='type_name'] input, div[type='type_submitter_mail'] input, div[type='type_textarea'] textarea\").focus(function() {delete_value(this)}).blur(function() {return_value(this)});        jQuery(\"div[type='type_number'] input, div[type='type_phone'] input\").keypress(function(evt) {return check_isnum(evt)});        jQuery('.wdform-element-section').each(function() {          if (!jQuery(this).parent()[0].style.width) {            if (parseInt(jQuery(this).width()) != 0) {              if (jQuery(this).css('display') == \"table-cell\") {                if (jQuery(this).parent().attr('type') != \"type_captcha\") {                  jQuery(this).parent().css('width', parseInt(jQuery(this).width()) + parseInt(jQuery(this).parent().find(jQuery(\".wdform-label-section\"))[0].style.width)+15);                }                else {                  jQuery(this).parent().css('width', (parseInt(jQuery(this).parent().find(jQuery(\".captcha_input\"))[0].style.width)*2+50) + parseInt(jQuery(this).parent().find(jQuery(\".wdform-label-section\"))[0].style.width)+15);                }              }            }          }          if(parseInt(jQuery(this)[0].style.width.replace('px', '')) < parseInt(jQuery(this).css('min-width').replace('px', '')))            jQuery(this).css('min-width', parseInt(jQuery(this)[0].style.width.replace('px', ''))-10);        });\t                jQuery('.wdform-label').each(function() {          if(parseInt(jQuery(this).height()) >= 2*parseInt(jQuery(this).css('line-height').replace('px', '')))          {            jQuery(this).parent().css('max-width',jQuery(this).parent().width());            jQuery(this).parent().css('width','');          }        });        if (jQuery(\".cfm_style\").parent().prop(\"tagName\") == \"P\") {          jQuery(\".cfm_style\").parent().css({padding: 0, margin: 0});        }        jQuery(\"#wd_captcha10\").click(function() {captcha_refresh(\"wd_captcha\",\"10\")});jQuery(\"#_element_refresh10\").click(function() {captcha_refresh(\"wd_captcha\",\"10\")});captcha_refresh(\"wd_captcha\", \"10\");if_gmap_init(\"wdform_33\", 10);add_marker_on_map(\"wdform_33\",0, \"-83.708421\", \"42.796941\", \"\", 10,false);      }      jQuery(window).load(function () {        contactformOnload10();      });      form_view_count10 = 0;      jQuery(document).ready(function () {        if (document.getElementById(10+'contactform_view1')) {          wdform_page = document.getElementById(10+'contactform_view1');          remove_whitespace(wdform_page);          n = wdform_page.childNodes.length - 2;          for (z = 0; z <= n; z++) {            if (wdform_page.childNodes[z]) {              if (wdform_page.childNodes[z].getAttribute(\"disabled\")) {                var wdform_section_break = wdform_page.childNodes[z];                move = wdform_section_break.nextSibling;                to = wdform_section_break.previousSibling;                l = move.childNodes.length;                for (k = 0; k < l; k++) {                  if (to.childNodes[k]) {                    while (move.childNodes[k].firstChild) {                      to.childNodes[k].appendChild(move.childNodes[k].firstChild);                    }                  }                  else if (typeof move.childNodes[k] != \"undefined\") {                    to.appendChild(move.childNodes[k]);                  }                }                wdform_section_break.parentNode.removeChild(wdform_section_break.nextSibling);                wdform_section_break.parentNode.removeChild(wdform_section_break);              }            }          }        }      });      function check_required10(but_type) {        if (but_type == 'reset') {          window.location = \"\/index.php\/wp-json\/wp\/v2\/pages\/90\";          return;        }        x = jQuery(\"#contactform10\");                        if (x.find(jQuery(\"div[wdid=2]\")).length != 0) {                  if (jQuery(\"#wdform_2_element10\").val()==\"\" || jQuery(\"#wdform_2_element10\").val()==\"\") {                    alert(\"Your Name: field is required.\");                    jQuery(\"#wdform_2_element10\").addClass( \"form-error\" );                    old_bg=x.find(jQuery(\"div[wdid=2]\")).css(\"background-color\");                    x.find(jQuery(\"div[wdid=2]\")).effect( \"shake\", {}, 500 ).css(\"background-color\",\"#FF8F8B\").animate({backgroundColor: old_bg}, {duration: 500, queue: false });                    jQuery(\"#wdform_2_element10\").focus();                    jQuery(\"#wdform_2_element10\").change(function() { if( jQuery(this).val()!=\"\" ) jQuery(this).removeClass(\"form-error\"); else jQuery(this).addClass(\"form-error\");});                    return false;                  }                }                if (x.find(jQuery(\"div[wdid=4]\")).length != 0) {                  if (jQuery(\"#wdform_4_element10\").val()==\"someone@example.com\" || jQuery(\"#wdform_4_element10\").val()==\"\") {                    alert(\"E-mail: field is required.\");                    jQuery(\"#wdform_4_element10\").addClass( \"form-error\" );                    old_bg=x.find(jQuery(\"div[wdid=4]\")).css(\"background-color\");                    x.find(jQuery(\"div[wdid=4]\")).effect( \"shake\", {}, 500 ).css(\"background-color\",\"#FF8F8B\").animate({backgroundColor: old_bg}, {duration: 500, queue: false });                    jQuery(\"#wdform_4_element10\").focus();                    jQuery(\"#wdform_4_element10\").change(function() { if( jQuery(this).val()!=\"\" ) jQuery(this).removeClass(\"form-error\"); else jQuery(this).addClass(\"form-error\");});                    return false;                  }                }              if (x.find(jQuery(\"div[wdid=4]\")).length != 0) {                if (jQuery(\"#wdform_4_element10\").val() != \"\") {                  if (cfm_check_email(\"wdform_4_element10\")) {                    alert(\"This is not a valid email address.\");                    old_bg=x.find(jQuery(\"div[wdid=4]\")).css(\"background-color\");                    x.find(jQuery(\"div[wdid=4]\")).effect( \"shake\", {}, 500 ).css(\"background-color\",\"#FF8F8B\").animate({backgroundColor: old_bg}, {duration: 500, queue: false });                    jQuery(\"#wdform_4_element10\").focus();                    return false;                  }                }              }                if (x.find(jQuery(\"div[wdid=22]\")).length != 0) {                  if (jQuery(\"#wdform_22_element10\").val()==\"\" || jQuery(\"#wdform_22_element10\").val()==\"\") {                    alert(\"Subject: field is required.\");                    jQuery(\"#wdform_22_element10\").addClass( \"form-error\" );                    old_bg=x.find(jQuery(\"div[wdid=22]\")).css(\"background-color\");                    x.find(jQuery(\"div[wdid=22]\")).effect( \"shake\", {}, 500 ).css(\"background-color\",\"#FF8F8B\").animate({backgroundColor: old_bg}, {duration: 500, queue: false });                    jQuery(\"#wdform_22_element10\").focus();                    jQuery(\"#wdform_22_element10\").change(function() { if( jQuery(this).val()!=\"\" ) jQuery(this).removeClass(\"form-error\"); else jQuery(this).addClass(\"form-error\");});                    return false;                  }                }                if (x.find(jQuery(\"div[wdid=23]\")).length != 0) {                  if (jQuery(\"#wdform_23_element10\").val()==\"\" || jQuery(\"#wdform_23_element10\").val()==\"\") {                    alert(\"Message: field is required.\");                    jQuery(\"#wdform_23_element10\").addClass( \"form-error\" );                    old_bg=x.find(jQuery(\"div[wdid=23]\")).css(\"background-color\");                    x.find(jQuery(\"div[wdid=23]\")).effect( \"shake\", {}, 500 ).css(\"background-color\",\"#FF8F8B\").animate({backgroundColor: old_bg}, {duration: 500, queue: false });                    jQuery(\"#wdform_23_element10\").focus();                    jQuery(\"#wdform_23_element10\").change(function() { if( jQuery(this).val()!=\"\" ) jQuery(this).removeClass(\"form-error\"); else jQuery(this).addClass(\"form-error\");});                    return false;                  }                }              if (x.find(jQuery(\"div[wdid=28]\")).length != 0) {                if (jQuery(\"#wd_captcha_input10\").val()==\"\") {                  alert(\"Type the characters you see here: field is required.\");                  old_bg=x.find(jQuery(\"div[wdid=28]\")).css(\"background-color\");                  x.find(jQuery(\"div[wdid=28]\")).effect( \"shake\", {}, 500 ).css(\"background-color\",\"#FF8F8B\").animate({backgroundColor: old_bg}, {duration: 500, queue: false });                  jQuery(\"#wd_captcha_input10\").focus();                  return false;                }              };        var a = [];        if (typeof a[10] !== 'undefined') {          if (a[10] == 1) {            return;          }        }                        jQuery(\"<input type=\\\"hidden\\\" name=\\\"wdform_25_allow_other10\\\" value = \\\"no\\\" \/>\").appendTo(\"#contactform10\");                jQuery(\"<input type=\\\"hidden\\\" name=\\\"wdform_25_allow_other_num10\\\" value = \\\"0\\\" \/>\").appendTo(\"#contactform10\");                jQuery(\"<input type=\\\"hidden\\\" name=\\\"wdform_26_allow_other10\\\" value = \\\"no\\\" \/>\").appendTo(\"#contactform10\");                jQuery(\"<input type=\\\"hidden\\\" name=\\\"wdform_26_allow_other_num10\\\" value = \\\"0\\\" \/>\").appendTo(\"#contactform10\");              if (!jQuery(\"#wdform_27_element10\").is(\":checked\")) {                jQuery(\"<input type=\\\"hidden\\\" name=\\\"wdform_send_copy_10\\\" value = \\\"1\\\" \/>\").appendTo(\"#contactform10\");              }                jQuery(\"<input type=\\\"hidden\\\" name=\\\"captcha_improve_10\\\" value = \\\"1\\\" \/>\").appendTo(\"#contactform10\");              ;        a[10] = 1;        document.getElementById(\"contactform\"+10).submit();      }    <\/script>    <style class=\"cfm_style\">.contactform10 .wdform-page-and-images .other_input{max-width: none;}.contactform10 button, .contactform10input, .contactform10select, .contactform10textarea{font-size:14px;}.contactform10 .warning, .contactform10.error{background-color: #F0EFEF;border: 1px solid #000000;border-radius: 5px;color: #000000;padding: 5px;}.contactform10 .warning *, .contactform10.error *{margin:0;}.contactform10 .recaptcha_input_area input{height:initial !important;}.contactform10 input[type=\"radio\"]{border:none !important;outline:none !important;}.contactform10 input[type=\"checkbox\"]{border:none !important;outline:none !important;}.contactform10 a.ui-spinner-button{border-radius:0px !important;background: none!important;}.contactform10 a.ui-slider-handle {width: 13px;height: 13px;top: -4px;border: 0px;border-radius: 13px;background: #FAFAFA;border: 3px solid #B1B1B1;outline: none;}.contactform10 .ui-slider {\theight: 6px;\tbackground: #F5F5F5 !important;\tmargin: 7px 0px;}.contactform10 .wdform_grading input {\twidth: 100px;}.contactform10 .wdform-matrix-cell input[type=\"text\"] {\twidth: 100px;}.contactform10 .wdform-matrix-cell select {\twidth: 60px;}.contactform10 .wdform_section .wdform_column:last-child {\tpadding-right: 0px !important;}.contactform10 .wdform_preload {\tdisplay: none;}.contactform10 .wdform_grading {\tpadding: 3px 0px;}.contactform10 .wdform-matrix-table {\tdisplay: table;\tborder-spacing: 0px;}.contactform10 .wdform-matrix-column {\ttext-align: left;\tdisplay: table-cell;}.contactform10 .wdform-matrix-cell {\ttext-align: center;\tdisplay: table-cell;\tpadding: 6px 10px;}.contactform10 .wdform-matrix-head>div {\tdisplay: table-cell;\ttext-align: center;}.contactform10 .wdform-matrix-head {\tdisplay: table-row;}.contactform10 .wdform-matrix-row0 {\tbackground: #DFDFDF;\tdisplay: table-row;}.contactform10 .wdform-matrix-row1 {\tbackground: #E9E9E9;\tdisplay: table-row;}.contactform10 .selected-text {\ttext-align: left;\tcolor: #000;}.contactform10 .wdform-quantity {\twidth: 30px;\tmargin: 2px 0px;}.contactform10 .wdform_scale_rating label {\tvertical-align: middle;}.contactform10 .ui-corner-all {\tborder-radius: 0px;}.contactform10 .ui-widget-content {\tborder: 0px;\tbackground: transparent;}.contactform10 .ui-slider-range {\tbackground: #8A8A8A !important;}.contactform10 .wdform_map {\tborder: 6px solid #fff;}.contactform10 .wdform-page-and-images {\twidth: 100%;\tborder: 0px solid #000 !important;padding-left:10px;}.contactform10 .paypal-property {\tdisplay: inline-block;\tmargin-right: 15px;\tvertical-align: middle;}.contactform10 .sel-wrap {\tdisplay: inline-block;\tvertical-align: middle;\twidth:100%;}.contactform10 .sel-imul {\tdisplay: none;}.contactform10 .sel-imul .sel-selected {\tcursor: pointer;\tposition: relative;\tdisplay: inline-block;\tborder-radius: 0px;\tpadding: 0px 0px 0px 2px;\tfont-size: 13px;\theight: 22px;\tline-height: 22px;\toverflow: hidden;\tbackground: #F8F8F8;\tborder: 0px solid #D3D3D3;\tbackground-position: right 2px center;\twidth: 100%;}.contactform10 .sel-imul.act .sel-selected {\tbackground: #fff;}.contactform10 .sel-selected .sel-arraw {\theight: 23px;\twidth: 30px;\tbackground: url(https:\/\/hamiltonphysicaltherapy.net\/wp-content\/plugins\/contact-form-builder\/images\/09\/01.png) 50% 50% no-repeat;\tposition: absolute;\ttop: 0px;\tright: 0px;\tpadding: 0px;}.contactform10 .sel-imul .sel-options {\tbackground: #fff;\tborder: 1px solid #dbdbdb;\tborder-top: none;\tposition: absolute;\twidth: inherit;\tdisplay: none;\tz-index: 10;\tmax-height: 200px;\toverflow-y: auto;\toverflow-x: hidden;}.contactform10 .sel-options .sel-option {\tpadding: 3px 4px;\tfont-size: 13px;\tborder: 1px solid #fff;\tborder-right: none;\tborder-left: none;\ttext-align: left;}.contactform10 .sel-options .sel-option:hover {\tborder-color: #dbdbdb;\tcursor: pointer;}.contactform10 .sel-options .sel-option.sel-ed {\tbackground: #dbdbdb;\tborder-color: #dbdbdb;}.contactform10 input[type=text]{\tmargin: 0px;}.contactform10 input[type=password]{\tmargin: 0px;}.contactform10 input[type=url]{\tmargin: 0px;}.contactform10 input[type=email]{\tmargin: 0px;}.contactform10 input.text{\tmargin: 0px;}.contactform10 input.title{\tmargin: 0px;}.contactform10 textarea{\tmargin: 0px;}.contactform10 select {\tmargin: 0px;}.contactform10 .form-error {\tborder-color: red !important;}.contactform10 .form-error:focus {\tborder-color: red !important;}.contactform10 .wdform-field {\tdisplay: table-cell;\tpadding: 5px 0px;}.contactform10 .wdform-label-section{\ttext-align: left;\tdisplay: table-cell;}.contactform10 .wdform-element-section {\ttext-align: left;\tdisplay: table-cell;\tmin-width: 140px;}.contactform10 .file-upload input {\tposition: absolute;\tvisibility: hidden;}.contactform10 .file-upload-status {\tmargin-left: 10px;\tmax-width: 200px;\tfont-weight: bold;\tfont-size: 16px;\tcolor: #888;\tposition: absolute;\tborder-radius: 0px;\theight: 23px;\tpadding-left: 5px;\tpadding-right: 5px;\twhite-space: nowrap;\toverflow: hidden;\t}.contactform10 .file-picker {\twidth: 41px;\theight: 32px;\tbackground: url(https:\/\/hamiltonphysicaltherapy.net\/wp-content\/plugins\/contact-form-builder\/images\/10\/02\/upload.png) no-repeat;\tdisplay: inline-block;}.contactform10 .next-page div.wdform-page-button {color: #FFF;cursor: pointer;display: inline-block;height: 38px;line-height: 35px;background:url(https:\/\/hamiltonphysicaltherapy.net\/wp-content\/plugins\/contact-form-builder\/images\/10\/next.png) no-repeat right #000;padding: 0px 36px 0 20px;vertical-align: middle;font-size: 18px;border-top-right-radius: 7px;border-bottom-right-radius: 7px;}.contactform10 .previous-page div.wdform-page-button {color: #A2A2A2;cursor: pointer;display: inline-block;height: 37px;line-height: 35px;background:url(https:\/\/hamiltonphysicaltherapy.net\/wp-content\/plugins\/contact-form-builder\/images\/09\/previous.png) no-repeat left #F1F1F1;padding: 0 20px 0 36px;vertical-align: middle;font-size: 18px;border-top-left-radius: 7px;border-bottom-left-radius: 7px;}.contactform10 .button-submit {\tcolor: #ffffff;\tcursor: pointer;\tdisplay: inline-block;\tline-height: 35px;\tbackground: #000;\tpadding: 0px 20px;\tvertical-align: middle;\tfont-size: 18px;\tmin-width: 80px;\tmin-height: 35px;\tfont-family: Segoe UI;\t\tborder: 1px solid transparent;\tmargin: 5px;}.contactform10 .button-reset {\tcolor: #787878;\tcursor: pointer;\tdisplay: inline-block;\tline-height: 35px;\tbackground: #F0EFEF;\tpadding: 0px 20px;\tvertical-align: middle;\tfont-size: 18px;\tmin-width: 80px;\tmin-height: 35px;\tfont-family: Segoe UI;\tfloat: right;\tborder: 1px solid transparent;\tmargin: 5px;}.contactform10 .wdform_page {\tbackground: transparent;\tborder-radius: 0px;\tfont-family: Segoe UI;}.contactform10 .wdform_column {\tpadding-right: 50px !important;\tfloat: left;\tborder-spacing: 2px;\tborder-collapse: separate !important;}.contactform10 .wdform_section_break2 {\tcolor: #000;\tdisplay: inline-block;\ttext-align: left;\tfont-size: 23px;margin: 16px 10px 40px 0px;}.contactform10 .wdform_section_break {\tcolor: #000;\tfont-size: 23px;margin: 16px 0px;}.contactform10 .wdform_section {\tdisplay: inline-block;}.contactform10 select {\tpadding: 2px;\theight: 26px;\tborder: 1px solid #B7B7B7;background: #F8F8F8;}.contactform10 input[type=\"text\"]{\tborder-radius: 0px;\theight: 22px;\tpadding:0 3px !important;\tbackground: #F8F8F8;border:1px solid #B7B7B7;}.contactform10 input[type=\"password\"]{\tborder-radius: 0px;\theight: 22px;\tpadding:0 3px !important;\tbackground: #F8F8F8;border:1px solid #B7B7B7;}.contactform10 textarea {\tborder-radius: 0px;\theight: 22px;\tpadding:0 3px !important;\tbackground: #F8F8F8;border:1px solid #B7B7B7;}.contactform10 input[type=\"text\"]:focus{\toutline: none;}.contactform10 input[type=\"password\"]:focus{\toutline: none;}.contactform10 textarea:focus{\toutline: none;}.contactform10 select {\toutline: none;}.contactform10 .input_deactive {\tcolor: #999999;\tfont-style: italic;}.contactform10 .input_active {\tcolor: #000000;\tfont-style: normal;}.contactform10 .am_pm_select {\twidth: 30px;\tvertical-align: middle;}.contactform10 .wdform-calendar-button, .contactform10.wdform-calendar-button:hover {  display:inline-block;\tbackground: transparent url(https:\/\/hamiltonphysicaltherapy.net\/wp-content\/plugins\/contact-form-builder\/images\/03\/date.png) no-repeat !important;\tborder: 0px;\tcolor: transparent;\twidth: 22px;\theight: 22px;\tposition: relative;\tleft: -22px;\tvertical-align: top;\toutline: none;}.contactform10 .forlabs {\tfloat: right;\tmargin-right: 20px;}.contactform10 .if-ie-div-label {\t-ms-filter: \"progid:DXImageTransform.Microsoft.Alpha(Opacity=100)\" !important;\tfilter: alpha(opacity=100) !important;\topacity: 1 !important;}.contactform10 .wdform-ch-rad-label {\tdisplay: inline;\tmargin: -4px 5px 5px 5px;\tfloat: left;\tcolor: #000;\tcursor: pointer}.contactform10 textarea {\tpadding-top: 5px;}.contactform10 .wdform-date {  display:inline-block;\twidth: 105px}.contactform10 .wdform_footer {\tmargin-top: 15px;}.contactform10 .page-numbers {\tvertical-align: middle;}.contactform10 .time_box {\ttext-align: right;\twidth: 30px;\tvertical-align: middle}.contactform10 .mini_label {\tfont-size: 10px;\tfont-family: \"Lucida Grande\", Tahoma, Arial, Verdana, sans-serif;\tcolor: #8A8A8A;}.contactform10 .wdform-label {\tborder: none;\tcolor: #000;\tvertical-align: top;\tline-height: 17px;}.contactform10 .wdform_colon {\tcolor: #000}.contactform10 .wdform_separator {\tfont-style: bold;\tvertical-align: middle;\tcolor: #000;}.contactform10 .wdform_line {\tcolor: #000}.contactform10 .wdform-required {\tborder: none;\tcolor: red;\tvertical-align: top;}.contactform10 .captcha_img {\tborder-width: 0px;\tmargin: 0px;\tpadding: 0px;\tcursor: pointer;\tborder-radius: 0px;}.contactform10 .captcha_refresh {\twidth: 30px;\theight: 30px;\tborder-width: 0px;\tmargin: 0px;\tpadding: 0px;\tvertical-align: middle;\tcursor: pointer;\tbackground-image: url(https:\/\/hamiltonphysicaltherapy.net\/wp-content\/plugins\/contact-form-builder\/images\/refresh_black.png);}.contactform10 .captcha_input {\theight: 20px;\tborder-width: 1px;\tmargin: 0px;\tpadding: 0px;\tvertical-align: middle;}.contactform10 .file_upload {\tborder: 0px solid white;\tborder-radius: 0px;\tmargin: 0px;\tpadding: 0px;\tcolor: black;\tbackground-color: white;}.contactform10 .page_deactive {color: #000;background-color: #FFF;cursor: pointer;display: inline-block;height: 29px;text-align: center;vertical-align: bottom;padding: 5px 25px 0px 25px;font-size: 16px;font-weight:bold;}.contactform10 .page_active {color: #FFF;cursor: pointer;background-color: #000;display: inline-block;vertical-align: bottom;height: 29px;text-align: center;font-size: 20px;padding: 5px 25px 0px 25px;line-height: 26px;font-weight:bold;}.contactform10 .page_percentage_active {padding: 0px;margin: 0px;border-spacing: 0px;height: 16px;line-height: 16px;font-size: 15px;float: left;text-align: right !important;z-index: 1;position: relative;vertical-align: middle;background: #000;color: #fff;border-top-left-radius: 5px;border-bottom-left-radius: 5px;}.contactform10 .page_percentage_deactive {height: 16px;line-height: 16px;background-color: #F1F1F1;text-align: left !important;margin-bottom: 1px;border-radius: 5px;}.contactform10 .page_numbers {\tfont-size: 14px;\tcolor: #000;}.contactform10 .phone_area_code {\twidth: 50px;}.contactform10 .phone_number {\twidth: 100px;}.contactform10 button {\tcursor: pointer;}.contactform10 .other_input {\tborder-radius: 0px;\tborder-width: 1px;\theight: 16px;\tfont-size: 12px;\tpadding: 1px;\tmargin: 1px;\tmargin-left: 25px;\tz-index: 100;\tposition: absolute;}.contactform10 .wdform_page_navigation {\ttext-align: right !important;}.contactform10 .wdform_percentage_text {margin: 3px 5px 3px 9px;color: #FFF;font-size: 12px;}.contactform10 .wdform_percentage_title {\tcolor: #6E6E6E;\tfont-style: italic;\tmargin: 0px 0px 0px 40px;\tdisplay: inline-block;\tline-height: 27px;\theight: 27px;\tvertical-align: middle;}.contactform10 .wdform_button button {\tbackground: #4D792C;\tcursor: pointer;\tfont-size: 17px;\tborder-radius: 0px;\tmin-width: 80px;\tmin-height: 31px;\tcolor: #fff;\tborder: 2px solid #68943B;\tmargin: 5px;\tbox-shadow: 0px 0px 2px #c9c9c9;\tfont-family: Segoe UI;}.contactform10 <\/style><form name=\"contactform10\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/90\" method=\"post\" id=\"contactform10\" class=\"contactform10\" enctype=\"multipart\/form-data\" onsubmit=\"check_required('submit', '10'); return false;\">      <input type=\"hidden\" id=\"counter10\" value=\"34\" name=\"counter10\" \/>      <input type=\"hidden\" id=\"Itemid10\" value=\"\" name=\"Itemid10\" \/>    <input type=\"text\" class=\"cfm-hide\" id=\"cfm_bot_validation10\" value=\"\" name=\"cfm_bot_validation10\" \/><input type=\"hidden\" id=\"cfm_nonce10\" name=\"cfm_nonce10\" value=\"f2a2fdc11c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/90\" \/><div class=\"wdform-page-and-images\" style=\"display:table; border-top:0px solid black;\"><div id=\"10contactform_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"false\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><\/div><div wdid=\"1\" type=\"type_section_break\" class=\"wdform_tr_section_break\"><div type=\"type_section_break\" class=\"wdform-field-section-break\"><div class=\"wdform_section_break\"><h2 style=\"font-size: 30px; font-family: Bitter,Georgia,serif; clear: both; line-height: 1.3; margin: 25px 0px; text-align: center;\" data-mce-style=\"font-size: 30px; font-family: Bitter,Georgia,serif; clear: both; line-height: 1.3; margin: 25px 0px; text-align: center;\">Contact Us<\/h2><div style=\"color: rgb(20, 20, 18); font-family: Source Sans Pro, Helvetica, sans-serif; font-size: 16px; line-height: 24px;\">\u00a0Interested in learning more about our physical therapists? Have any questions concerning insurance or scheduling an appointment? Please feel free to contact our offices by phone or email with any questions or comments. Thank you!<br><\/div><\/div><\/div><\/div><div class=\"wdform_section\"><div class=\"wdform_column ui-sortable\"><div wdid=\"2\" class=\"wdform_row ui-sortable-handle\" style=\"opacity: 1;\"><div type=\"type_text\" class=\"wdform-field\" style=\"width:290px\"><div class=\"wdform-label-section\" style=\"float: left; width: 100px;\"><span class=\"wdform-label\">Your Name:<\/span><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section\" style=\" width: 180px;\"  ><input type=\"text\" class=\"input_deactive\" id=\"wdform_2_element10\" name=\"wdform_2_element10\" value=\"\" title=\"\"  style=\"width: 100%;\" ><\/div><\/div><\/div><div wdid=\"3\" class=\"wdform_row ui-sortable-handle\" disabled=\"yes\" style=\"opacity: 0.4;\"><\/div><div wdid=\"4\" class=\"wdform_row ui-sortable-handle\"><div type=\"type_submitter_mail\" class=\"wdform-field\"  style=\"width:280px\"><div class=\"wdform-label-section\" style=\"float: left;; width: 100px;\"><span class=\"wdform-label\">E-mail:<\/span><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section \" style=\" width: 180px;\"><input type=\"text\" class=\"input_deactive\" id=\"wdform_4_element10\" name=\"wdform_4_element10\" value=\"someone@example.com\" title=\"someone@example.com\"  style=\"width: 100%;\" ><\/div><\/div><\/div><div wdid=\"5\" class=\"wdform_row ui-sortable-handle\" disabled=\"yes\" style=\"opacity: 0.4;\"><\/div><div wdid=\"6\" class=\"wdform_row ui-sortable-handle\" disabled=\"yes\" style=\"opacity: 0.4;\"><\/div><div wdid=\"7\" class=\"wdform_row ui-sortable-handle\"><div type=\"type_phone\" class=\"wdform-field\" style=\"width:265px\"><div class=\"wdform-label-section \" style=\"float: left;; width: 100px;\"><span class=\"wdform-label\" >Phone:<\/span>              <\/div>              <div class=\"wdform-element-section \" style=\" width: 165px;\">                <div style=\"display: table-cell;vertical-align: middle;\">                  <div><input type=\"text\" class=\"input_deactive\" id=\"wdform_7_element_first10\" name=\"wdform_7_element_first10\" value=\"\" title=\"\" style=\"width: 50px;\" ><\/div>                  <div><label class=\"mini_label\">Area<\/label><\/div>                <\/div>                <div style=\"display: table-cell;vertical-align: middle;\">                  <div class=\"wdform_line\" style=\"margin: 0px 4px 10px 4px; padding: 0px;\">-<\/div>                <\/div>                <div style=\"display: table-cell;vertical-align: middle; width:100%;\">                  <div><input type=\"text\" class=\"input_deactive\" id=\"wdform_7_element_last10\" name=\"wdform_7_element_last10\" value=\"\" title=\"\" style=\"width: 100%;\" ><\/div>                  <div><label class=\"mini_label\">Phone Number<\/label><\/div>                <\/div>              <\/div>              <\/div><\/div><div wdid=\"8\" class=\"wdform_row ui-sortable-handle\" disabled=\"yes\" style=\"opacity: 0.4;\"><\/div><div wdid=\"9\" class=\"wdform_row ui-sortable-handle\" style=\"opacity: 1;\"><div type=\"type_address\" class=\"wdform-field\"  style=\"width:280px\"><div class=\"wdform-label-section\" style=\"; width: 100px;\"><span class=\"wdform-label\">Address:<\/span><\/div><div class=\"wdform-element-section wdform_address\" style=\"display: block; width: 280px;\"><div>              <span style=\"float: left; width: 100%; padding-bottom: 8px; display: block;\"><input type=\"text\" id=\"wdform_9_street110\" name=\"wdform_9_street110\" value=\"\" style=\"width: 100%;\" ><label class=\"mini_label\" >Street Address<\/label><\/span><span style=\"float: left; width: 100%; padding-bottom: 8px; display: block;\"><input type=\"text\" id=\"wdform_9_street210\" name=\"wdform_10_street210\" value=\"\" style=\"width: 100%;\" ><label class=\"mini_label\" >Street Address Line 2<\/label><\/span><span style=\"float: left; width: 48%; padding-bottom: 8px;\"><input type=\"text\" id=\"wdform_9_city10\" name=\"wdform_11_city10\" value=\"\" style=\"width: 100%;\" ><label class=\"mini_label\" >City<\/label><\/span><span style=\"float: right; width: 48%; padding-bottom: 8px;\"><input type=\"text\" id=\"wdform_9_state10\" name=\"wdform_12_state10\" value=\"\" style=\"width: 100%;\" ><label class=\"mini_label\">State \/ Province \/ Region<\/label><\/span><span style=\"float: left; width: 48%; padding-bottom: 8px;\"><input type=\"text\" id=\"wdform_9_postal10\" name=\"wdform_13_postal10\" value=\"\" style=\"width: 100%;\" ><label class=\"mini_label\">Postal \/ Zip Code<\/label><\/span><span style=\"float: right; width: 48%; padding-bottom: 8px;display: inline-block;\"><select type=\"text\" id=\"wdform_9_country10\" name=\"wdform_14_country10\" style=\"width:100%\" ><option value=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Australia\" >Australia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Chile\" >Chile<\/option><option value=\"China\" >China<\/option><option value=\"Colombi\" >Colombi<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo (Brazzaville)\" >Congo (Brazzaville)<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cote d'Ivoire\" >Cote d'Ivoire<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"East Timor (Timor Timur)\" >East Timor (Timor Timur)<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia, The\" >Gambia, The<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, North\" >Korea, North<\/option><option value=\"Korea, South\" >Korea, South<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepa\" >Nepa<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent\" >Saint Vincent<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Serbia and Montenegro\" >Serbia and Montenegro<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"United States\" >United States<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican City\" >Vatican City<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><label class=\"mini_label\">Country<\/label><\/span><\/div><\/div><\/div><\/div><div wdid=\"15\" class=\"wdform_row ui-sortable-handle\" disabled=\"yes\" style=\"opacity: 0.4;\"><\/div><div wdid=\"16\" class=\"wdform_row ui-sortable-handle\" disabled=\"yes\" style=\"opacity: 0.4;\"><\/div><div disabled=\"yes\" wdid=\"24\" class=\"wdform_row ui-sortable-handle\" style=\"opacity: 0.4;\"><\/div><div wdid=\"22\" class=\"wdform_row ui-sortable-handle\"><div type=\"type_text\" class=\"wdform-field\" style=\"width:290px\"><div class=\"wdform-label-section\" style=\"float: left; width: 100px;\"><span class=\"wdform-label\">Subject:<\/span><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section\" style=\" width: 180px;\"  ><input type=\"text\" class=\"input_deactive\" id=\"wdform_22_element10\" name=\"wdform_22_element10\" value=\"\" title=\"\"  style=\"width: 100%;\" ><\/div><\/div><\/div><div wdid=\"23\" class=\"wdform_row ui-sortable-handle\"><div type=\"type_textarea\" class=\"wdform-field\"  style=\"width:290px\"><div class=\"wdform-label-section\" style=\"; width: 120px;\"><span class=\"wdform-label\">Message:<\/span><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section \" style=\"display:block; width: 290px\"><textarea class=\"input_deactive\" id=\"wdform_23_element10\" name=\"wdform_23_element10\" title=\"\"  style=\"width: 100%; height: 100px;\" ><\/textarea><\/div><\/div><\/div><div wdid=\"25\" class=\"wdform_row ui-sortable-handle\" style=\"opacity: 1;\"><div type=\"type_checkbox\" class=\"wdform-field\"><div class=\"wdform-label-section\" style=\"float: left;; width: 100px;\"><span class=\"wdform-label\">When is the best time to contact you:<\/span><\/div><div class=\"wdform-element-section \" style=\";\"><div style=\"display: table-row; vertical-align:top\"><div style=\"display: table-cell;\"><label class=\"wdform-ch-rad-label\" for=\"wdform_25_element100\">Morning<\/label><div class=\"checkbox-div forlabs\"><input type=\"checkbox\"  id=\"wdform_25_element100\" name=\"wdform_25_element100\" value=\"Morning\"   ><label for=\"wdform_25_element100\"><\/label><\/div><\/div><\/div><div style=\"display: table-row;  vertical-align:top\"><div style=\"display: table-cell;\"><label class=\"wdform-ch-rad-label\" for=\"wdform_25_element101\">Afternoon<\/label><div class=\"checkbox-div forlabs\"><input type=\"checkbox\"  id=\"wdform_25_element101\" name=\"wdform_25_element101\" value=\"Afternoon\"   ><label for=\"wdform_25_element101\"><\/label><\/div><\/div><\/div><div style=\"display: table-row;  vertical-align:top\"><div style=\"display: table-cell;\"><label class=\"wdform-ch-rad-label\" for=\"wdform_25_element102\">Evening<\/label><div class=\"checkbox-div forlabs\"><input type=\"checkbox\"  id=\"wdform_25_element102\" name=\"wdform_25_element102\" value=\"Evening\"   ><label for=\"wdform_25_element102\"><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div wdid=\"26\" class=\"wdform_row ui-sortable-handle\" style=\"opacity: 1;\"><div type=\"type_radio\" class=\"wdform-field\"><div class=\"wdform-label-section\" style=\"; width: 280px;\"><span class=\"wdform-label\">Which topic best describes your question?<\/span><\/div><div class=\"wdform-element-section \" style=\"display:block;;\"><div style=\"display: table-row; vertical-align: top;\"><div style=\"display: table-cell;\"><label class=\"wdform-ch-rad-label\" for=\"wdform_26_element100\">Insurance Information<\/label><div class=\"radio-div forlabs\"><input type=\"radio\"  id=\"wdform_26_element100\" name=\"wdform_26_element10\" value=\"Insurance Information\" onclick=\"set_default(&quot;wdform_26&quot;,&quot;0&quot;,&quot;10&quot;); \"  ><label for=\"wdform_26_element100\"><\/label><\/div><\/div><\/div><div style=\"display: table-row;  vertical-align:top\"><div style=\"display: table-cell;\"><label class=\"wdform-ch-rad-label\" for=\"wdform_26_element101\">Scheduling an Appointment<\/label><div class=\"radio-div forlabs\"><input type=\"radio\"  id=\"wdform_26_element101\" name=\"wdform_26_element10\" value=\"Scheduling an Appointment\" onclick=\"set_default(&quot;wdform_26&quot;,&quot;1&quot;,&quot;10&quot;); \"  ><label for=\"wdform_26_element101\"><\/label><\/div><\/div><\/div><div style=\"display: table-row;  vertical-align:top\"><div style=\"display: table-cell;\"><label class=\"wdform-ch-rad-label\" for=\"wdform_26_element102\">Diagnosis Treated<\/label><div class=\"radio-div forlabs\"><input type=\"radio\"  id=\"wdform_26_element102\" name=\"wdform_26_element10\" value=\"Diagnosis Treated\" onclick=\"set_default(&quot;wdform_26&quot;,&quot;2&quot;,&quot;10&quot;); \"  ><label for=\"wdform_26_element102\"><\/label><\/div><\/div><\/div><div style=\"display: table-row;  vertical-align:top\"><div style=\"display: table-cell;\"><label class=\"wdform-ch-rad-label\" for=\"wdform_26_element103\">Other<\/label><div class=\"radio-div forlabs\"><input type=\"radio\"  id=\"wdform_26_element103\" name=\"wdform_26_element10\" value=\"Other\" onclick=\"set_default(&quot;wdform_26&quot;,&quot;3&quot;,&quot;10&quot;); \"  ><label for=\"wdform_26_element103\"><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div wdid=\"27\" class=\"wdform_row ui-sortable-handle\"><div type=\"type_send_copy\" class=\"wdform-field\"><div class=\"wdform-label-section\" style=\"float: left; width: 260px;\"><span class=\"wdform-label\"><label for=\"wdform_27_element10\">Send a copy of this message to yourself:<\/label><\/span><\/div>              <div class=\"wdform-element-section\" style=\"min-width:inherit !important; \" >                <div class=\"checkbox-div\" style=\"left:3px\">                <input type=\"checkbox\" id=\"wdform_27_element10\" name=\"wdform_27_element10\"  \/>                <label for=\"wdform_27_element10\"><\/label>                <\/div>              <\/div><\/div><\/div><div wdid=\"28\" class=\"wdform_row ui-sortable-handle\" style=\"opacity: 1;\"><div type=\"type_captcha\" class=\"wdform-field\"><div class=\"wdform-label-section\" style=\" width: 250px;\"><span class=\"wdform-label\">Type the characters you see here:<\/span><\/div><div class=\"wdform-element-section \" style=\"display: block;\"><div style=\"display: table;\"><div style=\"display: table-cell;vertical-align: middle;\"><div valign=\"middle\" style=\"display: table-cell; text-align: center;\"><img decoding=\"async\" type=\"captcha\" digit=\"6\" src=\" https:\/\/hamiltonphysicaltherapy.net\/wp-admin\/admin-ajax.php?action=ContactFormmakerwdcaptcha&nonce=52bd6fd5cc&digit=6&i=10\" id=\"wd_captcha10\" class=\"captcha_img\" style=\"display:none\" ><\/div><div valign=\"middle\" style=\"display: table-cell;\"><div class=\"captcha_refresh\" id=\"_element_refresh10\" ><\/div><\/div><\/div><div style=\"display: table-cell;vertical-align: middle;\"><div style=\"display: table-cell;\"><input type=\"text\" class=\"captcha_input\" id=\"wd_captcha_input10\" name=\"captcha_input\" style=\"width: 75px;\" ><\/div><\/div><\/div><\/div><\/div><\/div><div wdid=\"29\" class=\"wdform_row ui-sortable-handle\" style=\"opacity: 0.4;\" disabled=\"yes\"><\/div><div wdid=\"30\" class=\"wdform_row ui-sortable-handle\" style=\"\"><div type=\"type_submit_reset\" class=\"wdform-field\"><div class=\"wdform-label-section\" style=\"display: table-cell;\"><\/div><div class=\"wdform-element-section \" style=\"display: table-cell;\"><button type=\"button\" class=\"button-submit\" onclick=\"check_required10(&quot;submit&quot;, &quot;10&quot;);\" >Submit<\/button><button type=\"button\" class=\"button-reset\" onclick=\"check_required10(&quot;reset&quot;);\"  >Reset<\/button><\/div><\/div><\/div><div wdid=\"31\" class=\"wdform_row ui-sortable-handle\" disabled=\"yes\" style=\"opacity: 0.4;\"><\/div><\/div><div class=\"wdform_column ui-sortable\"><div wdid=\"32\" class=\"wdform_row ui-sortable-handle\"><div type=\"type_editor\" class=\"wdform-field\"><p><strong>Hamilton Physical Therapy, LLC<br><\/strong><\/p><p>102 N. Adelaide Street<br><\/p><p>Suite B<br data-mce-bogus=\"1\"><\/p><p>Fenton, MI 48430<br><\/p><p><strong><em>Phone:<\/em><\/strong> (810) 354-8900<br><\/p><p><strong><em>Fax:<\/em><\/strong> (810) 354-8902<br><\/p><hr><p><em><strong>HOURS:<\/strong><\/em><br data-mce-bogus=\"1\"><\/p><p>Monday thru Friday: 8:00 AM - 5:00 PM<br data-mce-bogus=\"1\"><\/p><p>We schedule appointments outside of our<\/p><p>usual hours of service <em>by appointment <strong>only<\/strong>.<\/em><br data-mce-bogus=\"1\"><\/p><p><strong><span data-mce-style=\"color: #999999;\" style=\"color: rgb(153, 153, 153);\">CLOSED ALL MAJOR HOLIDAYS<\/span><\/strong><br data-mce-bogus=\"1\"><\/p><\/div><\/div><div wdid=\"33\" class=\"wdform_row ui-sortable-handle\"><div type=\"type_map\" class=\"wdform-field\"  style=\"width:300px\"><div class=\"wdform-label-section\" style=\"display: table-cell;\"><span id=\"wdform_33_element_label10\" style=\"display: none;\">map_33<\/span><\/div><div class=\"wdform-element-section wdform_map\" style=\"width: 300px;\"><div id=\"wdform_33_element10\" zoom=\"3\" center_x=\"-83.70842099999999\" center_y=\"42.7969412\" style=\"width: 100%; height: 400px;\" long0=\"-83.708421\" lat0=\"42.796941\" info0=\"\" ><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><div class=\"wdform_column ui-sortable\"><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"10contactpage_nav1\" style=\"display: table-row;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><\/form>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"two_page_speed":[],"footnotes":""},"class_list":["post-90","page","type-page","status-publish","hentry","post"],"_links":{"self":[{"href":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/wp-json\/wp\/v2\/pages\/90","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/wp-json\/wp\/v2\/comments?post=90"}],"version-history":[{"count":2,"href":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/wp-json\/wp\/v2\/pages\/90\/revisions"}],"predecessor-version":[{"id":146,"href":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/wp-json\/wp\/v2\/pages\/90\/revisions\/146"}],"wp:attachment":[{"href":"https:\/\/hamiltonphysicaltherapy.net\/index.php\/wp-json\/wp\/v2\/media?parent=90"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}