{"id":28,"date":"2026-08-21T17:46:55","date_gmt":"2026-08-21T17:46:55","guid":{"rendered":"https:\/\/homeoxygencompany.com\/talk-to-a-specialist\/"},"modified":"2026-08-21T17:46:55","modified_gmt":"2026-08-21T17:46:55","slug":"talk-to-a-specialist","status":"publish","type":"page","link":"https:\/\/homeoxygencompany.com\/es\/talk-to-a-specialist\/","title":{"rendered":"Consulte a un especialista"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28\" class=\"elementor elementor-28\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-be9c878 e-con-full e-flex e-con e-parent\" data-id=\"be9c878\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-a1beeae e-con-full hox-hero-pad e-flex e-con e-parent\" data-id=\"a1beeae\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e62a56f elementor-widget elementor-widget-heading\" data-id=\"e62a56f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Talk to an Oxygen Specialist From Wherever You Are.<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07d4042 elementor-widget elementor-widget-text-editor\" data-id=\"07d4042\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Schedule a free virtual visit to get real answers about oxygen therapy, CPAP, and home medical equipment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b267da3 elementor-widget elementor-widget-text-editor\" data-id=\"b267da3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>You don&#8217;t have to figure this out alone. Our respiratory equipment specialists are available for online appointments to help you understand your options, your equipment, and your next steps.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8164d66 e-con-full e-flex e-con e-parent\" data-id=\"8164d66\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f391f4b hox-hero-img elementor-widget elementor-widget-image\" data-id=\"f391f4b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1600\" height=\"1066\" src=\"https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/cta-garden.jpg\" class=\"attachment-full size-full wp-image-97\" alt=\"\" srcset=\"https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/cta-garden.jpg 1600w, https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/cta-garden-300x200.jpg 300w, https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/cta-garden-1024x682.jpg 1024w, https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/cta-garden-768x512.jpg 768w, https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/cta-garden-1536x1023.jpg 1536w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1a96d1e e-con-boxed e-flex e-con e-parent\" data-id=\"1a96d1e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7cf2bff e-con-full e-flex e-con e-parent\" data-id=\"7cf2bff\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3c935e2 e-con-full e-flex e-con e-parent\" data-id=\"3c935e2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-76c3624 elementor-widget elementor-widget-text-editor\" data-id=\"76c3624\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong style=\"font-weight:600;font-size:24px;color:#042663\">What We Can Help With<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3fb2c0e e-con-full e-flex e-con e-parent\" data-id=\"3fb2c0e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-0a5bc54 e-con-full e-flex e-con e-parent\" data-id=\"0a5bc54\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3df538b hox-bullets-lg elementor-widget elementor-widget-text-editor\" data-id=\"3df538b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>Choosing the right portable or stationary oxygen unit<\/li><li>Understanding CPAP therapy and mask or supply options<\/li><li>Troubleshooting equipment you already own<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-415fc6b e-con-full e-flex e-con e-parent\" data-id=\"415fc6b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a6775aa hox-bullets-lg elementor-widget elementor-widget-text-editor\" data-id=\"a6775aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>Reviewing insurance and documentation questions<\/li><li>Preparing for a new prescription or physician referral<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-641a099 e-con-full e-flex e-con e-parent\" data-id=\"641a099\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bff0454 elementor-widget elementor-widget-button\" data-id=\"bff0454\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#visit-form\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Schedule Your Free Virtual Visit<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-058ebf8 elementor-widget elementor-widget-button\" data-id=\"058ebf8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"tel:+18777990202\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Call Us Instead<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-abd8134 e-con-boxed e-flex e-con e-parent\" data-id=\"abd8134\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b94fdcb elementor-widget elementor-widget-heading\" data-id=\"b94fdcb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How a Virtual Visit Works<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cd4d9ba e-con-full hox-row-3 hox-steps hox-steps-3 e-flex e-con e-parent\" data-id=\"cd4d9ba\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9a54ff1 e-con-full e-flex e-con e-parent\" data-id=\"9a54ff1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4760aaf elementor-widget elementor-widget-text-editor\" data-id=\"4760aaf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\"><strong>Step 1<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba2b78b elementor-widget elementor-widget-text-editor\" data-id=\"ba2b78b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\">Schedule a Time<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-436afc0 elementor-widget elementor-widget-text-editor\" data-id=\"436afc0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\">Pick a day and time that works for you.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b9cd9f1 e-con-full e-flex e-con e-parent\" data-id=\"b9cd9f1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2d6244a elementor-widget elementor-widget-text-editor\" data-id=\"2d6244a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\"><strong>Step 2<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eee754e elementor-widget elementor-widget-text-editor\" data-id=\"eee754e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\">Meet With a Specialist<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2b5e6e elementor-widget elementor-widget-text-editor\" data-id=\"d2b5e6e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\">Talk one-on-one with a specialist, 15\u201330 minutes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-acf64d0 e-con-full e-flex e-con e-parent\" data-id=\"acf64d0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cffdcc2 elementor-widget elementor-widget-text-editor\" data-id=\"cffdcc2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\"><strong>Step 3<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d9551a0 elementor-widget elementor-widget-text-editor\" data-id=\"d9551a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\">Get a Clear Plan<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c97cb5 elementor-widget elementor-widget-text-editor\" data-id=\"6c97cb5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align:center\">Leave the call with clear next steps, whether that&#8217;s equipment, insurance, or a referral.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aa15b74 e-con-full e-flex e-con e-parent\" data-id=\"aa15b74\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-d6771b4 e-con-full e-flex e-con e-parent\" data-id=\"d6771b4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ab56425 hox-cover-img elementor-widget elementor-widget-image\" data-id=\"ab56425\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1600\" height=\"1388\" src=\"https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/insurance-photo.jpg\" class=\"attachment-full size-full wp-image-96\" alt=\"\" srcset=\"https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/insurance-photo.jpg 1600w, https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/insurance-photo-300x260.jpg 300w, https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/insurance-photo-1024x888.jpg 1024w, https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/insurance-photo-768x666.jpg 768w, https:\/\/homeoxygencompany.com\/wp-content\/uploads\/2026\/08\/insurance-photo-1536x1332.jpg 1536w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-01bbd62 e-con-full e-flex e-con e-parent\" data-id=\"01bbd62\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b6a6345 elementor-widget elementor-widget-heading\" data-id=\"b6a6345\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Who You'll Talk To<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-622ba37 elementor-widget elementor-widget-text-editor\" data-id=\"622ba37\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Our specialists work with oxygen and CPAP patients every day. They know the equipment, the insurance process, and the questions that come up when you&#8217;re managing respiratory therapy at home, because it&#8217;s what they do full-time, not a side task.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0905ffe e-con-boxed hox-form hox-form--navy e-flex e-con e-parent\" data-id=\"0905ffe\" data-element_type=\"container\" data-e-type=\"container\" id=\"visit-form\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a1ca643 e-con-full e-flex e-con e-parent\" data-id=\"a1ca643\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6928104 e-con-full e-flex e-con e-parent\" data-id=\"6928104\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element 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32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/es\/wp-json\/wp\/v2\/pages\/28#gf_3' data-formid='3' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Led6uMtAAAAAHD8oNJdby0wQSsZ1FXJQwJWAmef' data-tabindex='0'><input id=\"input_758befbaf0db4f55f79edb12dec25966\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_758befbaf0db4f55f79edb12dec25966\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_above description_above validation_below' data-column-layout='fill'><div id=\"field_3_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_3_1' class='gfield_label gform-field-label' for='input_3_1'><span class='gform-field-label__text'>First name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_3_8' class='gfield_label gform-field-label' for='input_3_8'><span class='gform-field-label__text'>Last name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_3_8' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_2\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_3_2' class='gfield_label gform-field-label' for='input_3_2'><span class='gform-field-label__text'>Phone number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_3_2' type='tel' value='' class=''  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_3_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_3_3' class='gfield_label gform-field-label' for='input_3_3'><span class='gform-field-label__text'>Email address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_3_3' type='email' value='' class=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_3_5' class='gfield_label gform-field-label' for='input_3_5'><span class='gform-field-label__text'>Are you the patient, or scheduling on behalf of someone else?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_3_5' class='gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choose an option<\/option><option value='I am the patient' >I am the patient<\/option><option value='I&#039;m scheduling on behalf of someone else' >I&#039;m scheduling on behalf of someone else<\/option><\/select><\/div><\/div><div id=\"field_3_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_3_7' class='gfield_label gform-field-label' for='input_3_7'><span class='gform-field-label__text'>Preferred day<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_3_7'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_7'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_3_7' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_3_7' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_3_7' aria-label='Preferred day: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_3_9\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"d098b520\" data-field-span=\"12\"><div class='ginput_container ginput_container_text'><input name='input_9' id='input_3_9' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Schedule a Virtual Visit' \/><\/div><\/div><div id=\"field_3_10\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"><div class='ginput_container ginput_container_text'><input name='input_10' id='input_3_10' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Schedule My Free Visit<\/button> <input type='hidden' name='gform_ajax' value='form_id=3&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=a0ada09e9ae4b8e1824f044f2a4df2dc' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='lxT5MEPRrd9odEuLtK\/xq019CbiKnCGagjKgweIAUyBdLV0vJUJf++D2w\/UoHr8n8097hbNX3n2GtawZGNzaxkhxe4tF6Q2NT1IZKD+qD4IMrjI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n           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