{"id":128,"date":"2026-07-20T06:26:30","date_gmt":"2026-07-20T06:26:30","guid":{"rendered":"https:\/\/aaushealthcare.atharvprojects.in\/?page_id=128"},"modified":"2026-08-07T08:00:19","modified_gmt":"2026-08-07T08:00:19","slug":"book-appointment","status":"publish","type":"page","link":"https:\/\/aaushealthcare.com\/?page_id=128","title":{"rendered":"Book Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"128\" class=\"elementor elementor-128\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7768de0 e-flex e-con-boxed e-con e-parent\" data-id=\"7768de0\" data-element_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-d759cac e-con-full e-flex e-con e-child\" data-id=\"d759cac\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-9b5725f e-con-full e-flex e-con e-parent\" data-id=\"9b5725f\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-11b01a0 elementor-widget elementor-widget-html\" data-id=\"11b01a0\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<!-- Google Font -->\r\n<link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\r\n<link rel=\"preconnect\" href=\"https:\/\/fonts.gstatic.com\" crossorigin>\r\n<link\r\n  href=\"https:\/\/fonts.googleapis.com\/css2?family=Manrope:wght@400;500;600;700;800&display=swap\"\r\n  rel=\"stylesheet\"\r\n>\r\n\r\n<!-- Font Awesome -->\r\n<link\r\n  rel=\"stylesheet\"\r\n  href=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/font-awesome\/6.5.2\/css\/all.min.css\"\r\n>\r\n\r\n<style>\r\n.appointment-input-wrap > i {\r\n    display: none;}\r\n  :root {\r\n    --appointment-primary: #0d9488;\r\n    --appointment-dark: #08675f;\r\n    --appointment-soft: #e9fbf8;\r\n    --appointment-accent: #ffb45c;\r\n    --appointment-heading: #17353b;\r\n    --appointment-text: #667a80;\r\n    --appointment-white: #ffffff;\r\n    --appointment-border: #dcebea;\r\n    --appointment-bg: #f7fcfb;\r\n    --appointment-danger: #d94747;\r\n    --appointment-shadow: 0 24px 65px rgba(16, 83, 78, 0.14);\r\n  }\r\n\r\n  * {\r\n    box-sizing: border-box;\r\n  }\r\n\r\n  .appointment-section {\r\n    position: relative;\r\n    overflow: hidden;\r\n    padding: 95px 20px;\r\n    font-family: \"Manrope\", sans-serif;\r\n    background:\r\n      radial-gradient(\r\n        circle at 8% 10%,\r\n        rgba(13, 148, 136, 0.14),\r\n        transparent 25%\r\n      ),\r\n      radial-gradient(\r\n        circle at 92% 90%,\r\n        rgba(255, 180, 92, 0.16),\r\n        transparent 24%\r\n      ),\r\n      var(--appointment-bg);\r\n  }\r\n\r\n  .appointment-section::before {\r\n    content: \"\";\r\n    position: absolute;\r\n    top: 80px;\r\n    right: -160px;\r\n    width: 340px;\r\n    height: 340px;\r\n    border: 52px solid rgba(13, 148, 136, 0.05);\r\n    border-radius: 50%;\r\n  }\r\n\r\n  .appointment-container {\r\n    position: relative;\r\n    z-index: 2;\r\n    width: 100%;\r\n    max-width: 1180px;\r\n    margin: auto;\r\n  }\r\n\r\n  .appointment-header {\r\n    max-width: 760px;\r\n    margin: 0 auto 42px;\r\n    text-align: center;\r\n  }\r\n\r\n  .appointment-tag {\r\n    display: inline-flex;\r\n    align-items: center;\r\n    gap: 9px;\r\n    padding: 9px 16px;\r\n    margin-bottom: 18px;\r\n    border: 1px solid rgba(13, 148, 136, 0.2);\r\n    border-radius: 50px;\r\n    background: var(--appointment-soft);\r\n    color: var(--appointment-dark);\r\n    font-size: 13px;\r\n    font-weight: 800;\r\n    letter-spacing: 1px;\r\n    text-transform: uppercase;\r\n  }\r\n\r\n  .appointment-tag i {\r\n    color: var(--appointment-primary);\r\n  }\r\n\r\n  .appointment-header h2 {\r\n    margin: 0 0 16px;\r\n    color: var(--appointment-heading);\r\n    font-size: clamp(36px, 5vw, 58px);\r\n    line-height: 1.1;\r\n    letter-spacing: -2px;\r\n  }\r\n\r\n  .appointment-header h2 span {\r\n    color: var(--appointment-primary);\r\n  }\r\n\r\n  .appointment-header p {\r\n    margin: 0;\r\n    color: var(--appointment-text);\r\n    font-size: 16px;\r\n    line-height: 1.8;\r\n  }\r\n\r\n  .appointment-layout {\r\n    display: grid;\r\n    grid-template-columns: 0.78fr 1.22fr;\r\n    overflow: hidden;\r\n    border: 1px solid rgba(13, 148, 136, 0.12);\r\n    border-radius: 32px;\r\n    background: var(--appointment-white);\r\n    box-shadow: var(--appointment-shadow);\r\n  }\r\n\r\n  \/* Left Information Panel *\/\r\n\r\n  .appointment-info {\r\n    position: relative;\r\n    overflow: hidden;\r\n    padding: 48px 40px;\r\n    background: var(--appointment-dark);\r\n    color: var(--appointment-white);\r\n    isolation: isolate;\r\n  }\r\n\r\n  .appointment-info::before {\r\n    content: \"\";\r\n    position: absolute;\r\n    top: -90px;\r\n    right: -90px;\r\n    z-index: -1;\r\n    width: 230px;\r\n    height: 230px;\r\n    border-radius: 50%;\r\n    background: rgba(255, 255, 255, 0.08);\r\n  }\r\n\r\n  .appointment-info::after {\r\n    content: \"\";\r\n    position: absolute;\r\n    left: -80px;\r\n    bottom: -80px;\r\n    z-index: -1;\r\n    width: 210px;\r\n    height: 210px;\r\n    border-radius: 50%;\r\n    background: rgba(255, 180, 92, 0.12);\r\n  }\r\n\r\n  .appointment-info-image {\r\n    display: block;\r\n    width: 100%;\r\n    height: 245px;\r\n    margin-bottom: 30px;\r\n    object-fit: cover;\r\n    border: 6px solid rgba(255, 255, 255, 0.12);\r\n    border-radius: 24px;\r\n    box-shadow: 0 18px 38px rgba(0, 0, 0, 0.18);\r\n  }\r\n\r\n  .appointment-info h3 {\r\n    margin: 0 0 13px;\r\n    font-size: 28px;\r\n    line-height: 1.25;\r\n  }\r\n\r\n  .appointment-info > p {\r\n    margin: 0;\r\n    color: rgba(255, 255, 255, 0.76);\r\n    font-size: 14px;\r\n    line-height: 1.75;\r\n  }\r\n\r\n  .appointment-benefits {\r\n    display: grid;\r\n    gap: 15px;\r\n    margin-top: 28px;\r\n  }\r\n\r\n  .appointment-benefit {\r\n    display: flex;\r\n    align-items: center;\r\n    gap: 13px;\r\n    padding: 14px;\r\n    border: 1px solid rgba(255, 255, 255, 0.1);\r\n    border-radius: 15px;\r\n    background: rgba(255, 255, 255, 0.07);\r\n  }\r\n\r\n  .appointment-benefit-icon {\r\n    display: grid;\r\n    flex: 0 0 44px;\r\n    width: 44px;\r\n    height: 44px;\r\n    place-items: center;\r\n    border-radius: 13px;\r\n    background: var(--appointment-accent);\r\n    color: var(--appointment-heading);\r\n    font-size: 17px;\r\n  }\r\n\r\n  .appointment-benefit strong {\r\n    display: block;\r\n    margin-bottom: 2px;\r\n    font-size: 14px;\r\n  }\r\n\r\n  .appointment-benefit small {\r\n    display: block;\r\n    color: rgba(255, 255, 255, 0.67);\r\n    font-size: 11px;\r\n    line-height: 1.45;\r\n  }\r\n\r\n  \/* Form Panel *\/\r\n\r\n  .appointment-form-panel {\r\n    padding: 48px 46px;\r\n  }\r\n\r\n  .appointment-form-title {\r\n    display: flex;\r\n    align-items: center;\r\n    gap: 14px;\r\n    margin-bottom: 30px;\r\n  }\r\n\r\n  .appointment-form-title-icon {\r\n    display: grid;\r\n    flex: 0 0 52px;\r\n    width: 52px;\r\n    height: 52px;\r\n    place-items: center;\r\n    border-radius: 16px;\r\n    background: linear-gradient(\r\n      135deg,\r\n      var(--appointment-primary),\r\n      var(--appointment-dark)\r\n    );\r\n    color: var(--appointment-white);\r\n    font-size: 20px;\r\n    box-shadow: 0 12px 28px rgba(13, 148, 136, 0.23);\r\n  }\r\n\r\n  .appointment-form-title h3 {\r\n    margin: 0 0 3px;\r\n    color: var(--appointment-heading);\r\n    font-size: 25px;\r\n  }\r\n\r\n  .appointment-form-title p {\r\n    margin: 0;\r\n    color: var(--appointment-text);\r\n    font-size: 13px;\r\n  }\r\n\r\n  .appointment-form {\r\n    display: grid;\r\n    gap: 21px;\r\n  }\r\n\r\n  .appointment-row {\r\n    display: grid;\r\n    grid-template-columns: repeat(2, minmax(0, 1fr));\r\n    gap: 18px;\r\n  }\r\n\r\n  .appointment-field {\r\n    min-width: 0;\r\n  }\r\n\r\n  .appointment-field-full {\r\n    grid-column: 1 \/ -1;\r\n  }\r\n\r\n  .appointment-label {\r\n    display: block;\r\n    margin-bottom: 8px;\r\n    color: var(--appointment-heading);\r\n    font-size: 13px;\r\n    font-weight: 800;\r\n  }\r\n\r\n  .appointment-required {\r\n    color: var(--appointment-danger);\r\n  }\r\n\r\n  .appointment-input-wrap {\r\n    position: relative;\r\n  }\r\n\r\n  .appointment-input-wrap > i {\r\n    position: absolute;\r\n    top: 50%;\r\n    left: 16px;\r\n    color: var(--appointment-primary);\r\n    font-size: 14px;\r\n    transform: translateY(-50%);\r\n    pointer-events: none;\r\n  }\r\n\r\n  .appointment-input,\r\n  .appointment-select,\r\n  .appointment-textarea {\r\n    width: 100%;\r\n    border: 1px solid var(--appointment-border);\r\n    outline: none;\r\n    border-radius: 14px;\r\n    background: #fbfefe;\r\n    color: var(--appointment-heading);\r\n    font-family: inherit;\r\n    font-size: 14px;\r\n    transition: 0.25s ease;\r\n  }\r\n\r\n  .appointment-input,\r\n  .appointment-select {\r\n    height: 52px;\r\n    padding: 0 16px 0 45px;\r\n  }\r\n\r\n  .appointment-select {\r\n    cursor: pointer;\r\n  }\r\n\r\n  .appointment-textarea {\r\n    min-height: 115px;\r\n    padding: 15px 16px;\r\n    resize: vertical;\r\n    line-height: 1.7;\r\n  }\r\n\r\n  .appointment-input:focus,\r\n  .appointment-select:focus,\r\n  .appointment-textarea:focus {\r\n    border-color: var(--appointment-primary);\r\n    background: var(--appointment-white);\r\n    box-shadow: 0 0 0 4px rgba(13, 148, 136, 0.1);\r\n  }\r\n\r\n  \/* Gender *\/\r\n\r\n  .appointment-choice-grid {\r\n    display: grid;\r\n    grid-template-columns: repeat(3, 1fr);\r\n    gap: 10px;\r\n  }\r\n\r\n  .appointment-choice {\r\n    position: relative;\r\n  }\r\n\r\n  .appointment-choice input {\r\n    position: absolute;\r\n    opacity: 0;\r\n  }\r\n\r\n  .appointment-choice label {\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    gap: 8px;\r\n    min-height: 48px;\r\n    padding: 10px;\r\n    border: 1px solid var(--appointment-border);\r\n    border-radius: 13px;\r\n    background: #fbfefe;\r\n    color: var(--appointment-text);\r\n    font-size: 13px;\r\n    font-weight: 700;\r\n    cursor: pointer;\r\n    transition: 0.25s ease;\r\n  }\r\n\r\n  .appointment-choice label i {\r\n    color: var(--appointment-primary);\r\n  }\r\n\r\n  .appointment-choice input:checked + label {\r\n    border-color: var(--appointment-primary);\r\n    background: var(--appointment-soft);\r\n    color: var(--appointment-dark);\r\n    box-shadow: 0 0 0 3px rgba(13, 148, 136, 0.08);\r\n  }\r\n\r\n  \/* Location *\/\r\n\r\n  .appointment-location-options {\r\n    display: grid;\r\n    grid-template-columns: repeat(2, 1fr);\r\n    gap: 12px;\r\n  }\r\n\r\n  .appointment-location {\r\n    position: relative;\r\n  }\r\n\r\n  .appointment-location input {\r\n    position: absolute;\r\n    opacity: 0;\r\n  }\r\n\r\n  .appointment-location label {\r\n    display: flex;\r\n    align-items: center;\r\n    gap: 12px;\r\n    min-height: 64px;\r\n    padding: 13px 15px;\r\n    border: 1px solid var(--appointment-border);\r\n    border-radius: 15px;\r\n    background: #fbfefe;\r\n    cursor: pointer;\r\n    transition: 0.25s ease;\r\n  }\r\n\r\n  .appointment-location-icon {\r\n    display: grid;\r\n    flex: 0 0 38px;\r\n    width: 38px;\r\n    height: 38px;\r\n    place-items: center;\r\n    border-radius: 11px;\r\n    background: var(--appointment-soft);\r\n    color: var(--appointment-primary);\r\n  }\r\n\r\n  .appointment-location strong {\r\n    display: block;\r\n    color: var(--appointment-heading);\r\n    font-size: 13px;\r\n  }\r\n\r\n  .appointment-location small {\r\n    display: block;\r\n    color: var(--appointment-text);\r\n    font-size: 10px;\r\n  }\r\n\r\n  .appointment-location input:checked + label {\r\n    border-color: var(--appointment-primary);\r\n    background: var(--appointment-soft);\r\n    box-shadow: 0 0 0 3px rgba(13, 148, 136, 0.08);\r\n  }\r\n\r\n  .appointment-location input:checked + label .appointment-location-icon {\r\n    background: var(--appointment-primary);\r\n    color: var(--appointment-white);\r\n  }\r\n\r\n  \/* Submit *\/\r\n\r\n  .appointment-submit-area {\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: space-between;\r\n    gap: 18px;\r\n    padding-top: 5px;\r\n  }\r\n\r\n  .appointment-privacy {\r\n    display: flex;\r\n    align-items: flex-start;\r\n    gap: 8px;\r\n    max-width: 360px;\r\n    color: var(--appointment-text);\r\n    font-size: 11px;\r\n    line-height: 1.5;\r\n  }\r\n\r\n  .appointment-privacy i {\r\n    margin-top: 2px;\r\n    color: var(--appointment-primary);\r\n  }\r\n\r\n  .appointment-submit {\r\n    display: inline-flex;\r\n    flex-shrink: 0;\r\n    align-items: center;\r\n    justify-content: center;\r\n    gap: 10px;\r\n    min-height: 52px;\r\n    padding: 0 24px;\r\n    border: 0;\r\n    border-radius: 14px;\r\n    background: linear-gradient(\r\n      135deg,\r\n      var(--appointment-primary),\r\n      var(--appointment-dark)\r\n    );\r\n    color: var(--appointment-white);\r\n    font-family: inherit;\r\n    font-size: 14px;\r\n    font-weight: 800;\r\n    cursor: pointer;\r\n    box-shadow: 0 14px 30px rgba(13, 148, 136, 0.24);\r\n    transition: 0.3s ease;\r\n  }\r\n\r\n  .appointment-submit:hover {\r\n    transform: translateY(-3px);\r\n    box-shadow: 0 18px 36px rgba(13, 148, 136, 0.3);\r\n  }\r\n\r\n  .appointment-success {\r\n    display: none;\r\n    padding: 14px 16px;\r\n    border: 1px solid rgba(13, 148, 136, 0.22);\r\n    border-radius: 14px;\r\n    background: var(--appointment-soft);\r\n    color: var(--appointment-dark);\r\n    font-size: 13px;\r\n    font-weight: 700;\r\n  }\r\n\r\n  .appointment-success.show {\r\n    display: block;\r\n  }\r\n\r\n  @media (max-width: 980px) {\r\n    .appointment-layout {\r\n      grid-template-columns: 1fr;\r\n    }\r\n\r\n    .appointment-info {\r\n      display: grid;\r\n      grid-template-columns: 0.8fr 1.2fr;\r\n      gap: 28px;\r\n      align-items: center;\r\n    }\r\n\r\n    .appointment-info-image {\r\n      height: 290px;\r\n      margin-bottom: 0;\r\n    }\r\n  }\r\n\r\n  @media (max-width: 700px) {\r\n    .appointment-section {\r\n      padding: 65px 15px;\r\n    }\r\n\r\n    .appointment-layout {\r\n      border-radius: 24px;\r\n    }\r\n\r\n    .appointment-info {\r\n      display: block;\r\n      padding: 30px 22px;\r\n    }\r\n\r\n    .appointment-info-image {\r\n      height: 230px;\r\n      margin-bottom: 25px;\r\n    }\r\n\r\n    .appointment-form-panel {\r\n      padding: 32px 20px;\r\n    }\r\n\r\n    .appointment-row {\r\n      grid-template-columns: 1fr;\r\n      gap: 20px;\r\n    }\r\n\r\n    .appointment-field-full {\r\n      grid-column: auto;\r\n    }\r\n\r\n    .appointment-choice-grid,\r\n    .appointment-location-options {\r\n      grid-template-columns: 1fr;\r\n    }\r\n\r\n    .appointment-submit-area {\r\n      align-items: stretch;\r\n      flex-direction: column;\r\n    }\r\n\r\n    .appointment-submit {\r\n      width: 100%;\r\n    }\r\n  }\r\n<\/style>\r\n\r\n<section class=\"appointment-section\" id=\"book-appointment\">\r\n  <div class=\"appointment-container\">\r\n\r\n    <div class=\"appointment-header\">\r\n\r\n      <div class=\"appointment-tag\">\r\n        <i class=\"fa-solid fa-calendar-check\"><\/i>\r\n        Book Appointment\r\n      <\/div>\r\n\r\n      <h2>\r\n        Schedule Your\r\n        <span>Healthcare Service<\/span>\r\n      <\/h2>\r\n\r\n      <p>\r\n        Fill in the form below and share your preferred service, location,\r\n        date and time. Our care team will contact you to confirm the appointment.\r\n      <\/p>\r\n\r\n    <\/div>\r\n\r\n    <div class=\"appointment-layout\">\r\n\r\n      <!-- Left Side -->\r\n\r\n      <aside class=\"appointment-info\">\r\n\r\n        <img decoding=\"async\"\r\n          class=\"appointment-info-image\"\r\n          src=\"https:\/\/images.unsplash.com\/photo-1576091160399-112ba8d25d1d?auto=format&fit=crop&w=1000&q=85\"\r\n          alt=\"Healthcare professional assisting a patient\"\r\n        >\r\n\r\n        <div>\r\n\r\n          <h3>Care Designed Around You<\/h3>\r\n\r\n          <p>\r\n            Choose the service and location that suits the patient\u2019s needs.\r\n            Our team will contact you for appointment confirmation.\r\n          <\/p>\r\n\r\n          <div class=\"appointment-benefits\">\r\n\r\n            <div class=\"appointment-benefit\">\r\n              <div class=\"appointment-benefit-icon\">\r\n                <i class=\"fa-solid fa-user-doctor\"><\/i>\r\n              <\/div>\r\n\r\n              <div>\r\n                <strong>Qualified Professionals<\/strong>\r\n                <small>Experienced healthcare and patient-care staff<\/small>\r\n              <\/div>\r\n            <\/div>\r\n\r\n            <div class=\"appointment-benefit\">\r\n              <div class=\"appointment-benefit-icon\">\r\n                <i class=\"fa-solid fa-house-medical\"><\/i>\r\n              <\/div>\r\n\r\n              <div>\r\n                <strong>Clinic or Home Visit<\/strong>\r\n                <small>Select your preferred care location<\/small>\r\n              <\/div>\r\n            <\/div>\r\n\r\n            <div class=\"appointment-benefit\">\r\n              <div class=\"appointment-benefit-icon\">\r\n                <i class=\"fa-solid fa-shield-heart\"><\/i>\r\n              <\/div>\r\n\r\n              <div>\r\n                <strong>Safe &amp; Confidential<\/strong>\r\n                <small>Your details will remain private<\/small>\r\n              <\/div>\r\n            <\/div>\r\n\r\n          <\/div>\r\n        <\/div>\r\n\r\n      <\/aside>\r\n\r\n      <!-- Form -->\r\n\r\n      <div class=\"appointment-form-panel\">\r\n\r\n        <div class=\"appointment-form-title\">\r\n\r\n          <div class=\"appointment-form-title-icon\">\r\n            <i class=\"fa-solid fa-notes-medical\"><\/i>\r\n          <\/div>\r\n\r\n          <div>\r\n            <h3>Appointment Details<\/h3>\r\n            <p>Fields marked with * are required.<\/p>\r\n          <\/div>\r\n\r\n        <\/div>\r\n\r\n        <form\r\n          class=\"appointment-form\"\r\n          id=\"healthcareAppointmentForm\"\r\n          action=\"https:\/\/formsubmit.co\/Info@aaushealthcare.com\"\r\n          method=\"POST\"\r\n        >\r\n          <input type=\"hidden\" name=\"_subject\" value=\"New Appointment Request - AAUS Healthcare\">\r\n          <input type=\"hidden\" name=\"_template\" value=\"table\">\r\n          <input type=\"hidden\" name=\"_captcha\" value=\"false\">\r\n          <input type=\"hidden\" name=\"form_source\" value=\"AAUS Healthcare Website Appointment Form\">\r\n\r\n          <div class=\"appointment-row\">\r\n\r\n            <div class=\"appointment-field\">\r\n\r\n              <label class=\"appointment-label\" for=\"fullName\">\r\n                Full Name <span class=\"appointment-required\">*<\/span>\r\n              <\/label>\r\n\r\n              <div class=\"appointment-input-wrap\">\r\n                <i class=\"fa-solid fa-user\"><\/i>\r\n\r\n                <input\r\n                  class=\"appointment-input\"\r\n                  type=\"text\"\r\n                  id=\"fullName\"\r\n                  name=\"full_name\"\r\n                  placeholder=\"Enter your full name\"\r\n                  required\r\n                >\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n            <div class=\"appointment-field\">\r\n\r\n              <label class=\"appointment-label\" for=\"mobileNumber\">\r\n                Mobile Number <span class=\"appointment-required\">*<\/span>\r\n              <\/label>\r\n\r\n              <div class=\"appointment-input-wrap\">\r\n                <i class=\"fa-solid fa-phone\"><\/i>\r\n\r\n                <input\r\n                  class=\"appointment-input\"\r\n                  type=\"tel\"\r\n                  id=\"mobileNumber\"\r\n                  name=\"mobile_number\"\r\n                  placeholder=\"Enter mobile number\"\r\n                  pattern=\"[0-9+\\-\\s]{8,18}\"\r\n                  required\r\n                >\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n          <\/div>\r\n\r\n          <div class=\"appointment-row\">\r\n\r\n            <div class=\"appointment-field\">\r\n\r\n              <label class=\"appointment-label\" for=\"emailAddress\">\r\n                Email Address (Optional)\r\n              <\/label>\r\n\r\n              <div class=\"appointment-input-wrap\">\r\n                <i class=\"fa-solid fa-envelope\"><\/i>\r\n\r\n                <input\r\n                  class=\"appointment-input\"\r\n                  type=\"email\"\r\n                  id=\"emailAddress\"\r\n                  name=\"email_address\"\r\n                  placeholder=\"Enter email address\"\r\n                >\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n            <div class=\"appointment-field\">\r\n\r\n              <label class=\"appointment-label\" for=\"patientName\">\r\n                Patient Name <span class=\"appointment-required\">*<\/span>\r\n              <\/label>\r\n\r\n              <div class=\"appointment-input-wrap\">\r\n                <i class=\"fa-solid fa-hospital-user\"><\/i>\r\n\r\n                <input\r\n                  class=\"appointment-input\"\r\n                  type=\"text\"\r\n                  id=\"patientName\"\r\n                  name=\"patient_name\"\r\n                  placeholder=\"Enter patient name\"\r\n                  required\r\n                >\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n          <\/div>\r\n\r\n          <div class=\"appointment-row\">\r\n\r\n            <div class=\"appointment-field\">\r\n\r\n              <label class=\"appointment-label\" for=\"patientAge\">\r\n                Age <span class=\"appointment-required\">*<\/span>\r\n              <\/label>\r\n\r\n              <div class=\"appointment-input-wrap\">\r\n                <i class=\"fa-solid fa-cake-candles\"><\/i>\r\n\r\n                <input\r\n                  class=\"appointment-input\"\r\n                  type=\"number\"\r\n                  id=\"patientAge\"\r\n                  name=\"patient_age\"\r\n                  placeholder=\"Enter age\"\r\n                  min=\"0\"\r\n                  max=\"120\"\r\n                  required\r\n                >\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n            <div class=\"appointment-field\">\r\n\r\n              <span class=\"appointment-label\">\r\n                Gender <span class=\"appointment-required\">*<\/span>\r\n              <\/span>\r\n\r\n              <div class=\"appointment-choice-grid\">\r\n\r\n                <div class=\"appointment-choice\">\r\n                  <input\r\n                    type=\"radio\"\r\n                    id=\"genderMale\"\r\n                    name=\"gender\"\r\n                    value=\"Male\"\r\n                    required\r\n                  >\r\n\r\n                  <label for=\"genderMale\">\r\n                    <i class=\"fa-solid fa-mars\"><\/i>\r\n                    Male\r\n                  <\/label>\r\n                <\/div>\r\n\r\n                <div class=\"appointment-choice\">\r\n                  <input\r\n                    type=\"radio\"\r\n                    id=\"genderFemale\"\r\n                    name=\"gender\"\r\n                    value=\"Female\"\r\n                  >\r\n\r\n                  <label for=\"genderFemale\">\r\n                    <i class=\"fa-solid fa-venus\"><\/i>\r\n                    Female\r\n                  <\/label>\r\n                <\/div>\r\n\r\n                <div class=\"appointment-choice\">\r\n                  <input\r\n                    type=\"radio\"\r\n                    id=\"genderOther\"\r\n                    name=\"gender\"\r\n                    value=\"Other\"\r\n                  >\r\n\r\n                  <label for=\"genderOther\">\r\n                    <i class=\"fa-solid fa-genderless\"><\/i>\r\n                    Other\r\n                  <\/label>\r\n                <\/div>\r\n\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n          <\/div>\r\n\r\n          <div class=\"appointment-field appointment-field-full\">\r\n\r\n            <label class=\"appointment-label\" for=\"serviceOption\">\r\n              Select Service <span class=\"appointment-required\">*<\/span>\r\n            <\/label>\r\n\r\n            <div class=\"appointment-input-wrap\">\r\n              <i class=\"fa-solid fa-hand-holding-medical\"><\/i>\r\n\r\n              <select\r\n                class=\"appointment-select\"\r\n                id=\"serviceOption\"\r\n                name=\"service\"\r\n                required\r\n              >\r\n                <option value=\"\" selected disabled>\r\n                  Choose a healthcare service\r\n                <\/option>\r\n\r\n                <option value=\"Physiotherapy\">Physiotherapy<\/option>\r\n                <option value=\"Nursing Care\">Nursing Care<\/option>\r\n                <option value=\"Attendant Care\">Attendant Care<\/option>\r\n                <option value=\"ICU Setup at Home\">ICU Setup at Home<\/option>\r\n                <option value=\"Home Healthcare\">Home Healthcare<\/option>\r\n                <option value=\"Medical Equipment\">Medical Equipment<\/option>\r\n              <\/select>\r\n\r\n            <\/div>\r\n\r\n          <\/div>\r\n\r\n          <div class=\"appointment-field appointment-field-full\">\r\n\r\n            <span class=\"appointment-label\">\r\n              Preferred Location <span class=\"appointment-required\">*<\/span>\r\n            <\/span>\r\n\r\n            <div class=\"appointment-location-options\">\r\n\r\n              <div class=\"appointment-location\">\r\n\r\n                <input\r\n                  type=\"radio\"\r\n                  id=\"locationClinic\"\r\n                  name=\"preferred_location\"\r\n                  value=\"Clinic\"\r\n                  required\r\n                >\r\n\r\n                <label for=\"locationClinic\">\r\n\r\n                  <span class=\"appointment-location-icon\">\r\n                    <i class=\"fa-solid fa-clinic-medical\"><\/i>\r\n                  <\/span>\r\n\r\n                  <span>\r\n                    <strong>Clinic<\/strong>\r\n                    <small>Visit our healthcare facility<\/small>\r\n                  <\/span>\r\n\r\n                <\/label>\r\n\r\n              <\/div>\r\n\r\n              <div class=\"appointment-location\">\r\n\r\n                <input\r\n                  type=\"radio\"\r\n                  id=\"locationHome\"\r\n                  name=\"preferred_location\"\r\n                  value=\"Home Visit\"\r\n                >\r\n\r\n                <label for=\"locationHome\">\r\n\r\n                  <span class=\"appointment-location-icon\">\r\n                    <i class=\"fa-solid fa-house-medical\"><\/i>\r\n                  <\/span>\r\n\r\n                  <span>\r\n                    <strong>Home Visit<\/strong>\r\n                    <small>Receive care at your address<\/small>\r\n                  <\/span>\r\n\r\n                <\/label>\r\n\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n          <\/div>\r\n\r\n          <div class=\"appointment-field appointment-field-full\">\r\n\r\n            <label class=\"appointment-label\" for=\"fullAddress\">\r\n              Full Address <span class=\"appointment-required\">*<\/span>\r\n            <\/label>\r\n\r\n            <textarea\r\n              class=\"appointment-textarea\"\r\n              id=\"fullAddress\"\r\n              name=\"full_address\"\r\n              placeholder=\"House number, street, area, city and PIN code\"\r\n              required\r\n            ><\/textarea>\r\n\r\n          <\/div>\r\n\r\n          <div class=\"appointment-row\">\r\n\r\n            <div class=\"appointment-field\">\r\n\r\n              <label class=\"appointment-label\" for=\"preferredDate\">\r\n                Preferred Date <span class=\"appointment-required\">*<\/span>\r\n              <\/label>\r\n\r\n              <div class=\"appointment-input-wrap\">\r\n                <i class=\"fa-solid fa-calendar-days\"><\/i>\r\n\r\n                <input\r\n                  class=\"appointment-input\"\r\n                  type=\"date\"\r\n                  id=\"preferredDate\"\r\n                  name=\"preferred_date\"\r\n                  required\r\n                >\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n            <div class=\"appointment-field\">\r\n\r\n              <label class=\"appointment-label\" for=\"preferredTime\">\r\n                Preferred Time <span class=\"appointment-required\">*<\/span>\r\n              <\/label>\r\n\r\n              <div class=\"appointment-input-wrap\">\r\n                <i class=\"fa-solid fa-clock\"><\/i>\r\n\r\n                <input\r\n                  class=\"appointment-input\"\r\n                  type=\"time\"\r\n                  id=\"preferredTime\"\r\n                  name=\"preferred_time\"\r\n                  required\r\n                >\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n          <\/div>\r\n\r\n          <div class=\"appointment-field appointment-field-full\">\r\n\r\n            <label class=\"appointment-label\" for=\"healthMessage\">\r\n              Brief Health Problem \/ Message\r\n            <\/label>\r\n\r\n            <textarea\r\n              class=\"appointment-textarea\"\r\n              id=\"healthMessage\"\r\n              name=\"health_problem\"\r\n              placeholder=\"Describe the patient's condition or care requirements\"\r\n            ><\/textarea>\r\n\r\n          <\/div>\r\n\r\n          <div\r\n            class=\"appointment-success\"\r\n            id=\"appointmentSuccessMessage\"\r\n          >\r\n            <i class=\"fa-solid fa-circle-check\"><\/i>\r\n            Your appointment details are ready to be submitted.\r\n          <\/div>\r\n\r\n          <div class=\"appointment-submit-area\">\r\n\r\n            <div class=\"appointment-privacy\">\r\n              <i class=\"fa-solid fa-lock\"><\/i>\r\n\r\n              <span>\r\n                Your personal and medical information will remain private.\r\n              <\/span>\r\n            <\/div>\r\n\r\n            <button class=\"appointment-submit\" type=\"submit\">\r\n              Book Appointment\r\n              <i class=\"fa-solid fa-arrow-right\"><\/i>\r\n            <\/button>\r\n\r\n          <\/div>\r\n\r\n        <\/form>\r\n\r\n      <\/div>\r\n\r\n    <\/div>\r\n\r\n  <\/div>\r\n<\/section>\r\n\r\n<script>\r\n  (function () {\r\n    const form = document.getElementById(\"healthcareAppointmentForm\");\r\n    const preferredDate = document.getElementById(\"preferredDate\");\r\n    const successMessage = document.getElementById(\r\n      \"appointmentSuccessMessage\"\r\n    );\r\n\r\n    const today = new Date();\r\n    const year = today.getFullYear();\r\n    const month = String(today.getMonth() + 1).padStart(2, \"0\");\r\n    const day = String(today.getDate()).padStart(2, \"0\");\r\n\r\n    preferredDate.min = year + \"-\" + month + \"-\" + day;\r\n\r\n    form.addEventListener(\"submit\", function (event) {\r\n      if (!form.checkValidity()) {\r\n        event.preventDefault();\r\n        form.reportValidity();\r\n        return;\r\n      }\r\n\r\n      successMessage.innerHTML =\r\n        '<i class=\"fa-solid fa-circle-check\"><\/i> Submitting your appointment request...';\r\n      successMessage.classList.add(\"show\");\r\n\r\n      const submitButton = form.querySelector(\".appointment-submit\");\r\n      if (submitButton) {\r\n        submitButton.disabled = true;\r\n        submitButton.innerHTML =\r\n          'Sending... <i class=\"fa-solid fa-spinner fa-spin\"><\/i>';\r\n      }\r\n\r\n      \/*\r\n        IMPORTANT:\r\n        Is form ka data FormSubmit service ke through\r\n        Info@aaushealthcare.com par send hoga.\r\n        Pehli submission par FormSubmit recipient email par\r\n        activation\/confirmation email bhej sakta hai.\r\n      *\/\r\n    });\r\n  })();\r\n<\/script>\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","protected":false},"excerpt":{"rendered":"<p>Book Appointment Schedule Your Healthcare Service Fill in the form below and share your preferred service, location, date and time. Our care team will contact you to confirm the appointment. Care Designed Around You Choose the service and location that suits the patient\u2019s needs. Our team will contact you for appointment confirmation. Qualified Professionals Experienced [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-128","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/aaushealthcare.com\/index.php?rest_route=\/wp\/v2\/pages\/128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aaushealthcare.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aaushealthcare.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aaushealthcare.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/aaushealthcare.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=128"}],"version-history":[{"count":16,"href":"https:\/\/aaushealthcare.com\/index.php?rest_route=\/wp\/v2\/pages\/128\/revisions"}],"predecessor-version":[{"id":481,"href":"https:\/\/aaushealthcare.com\/index.php?rest_route=\/wp\/v2\/pages\/128\/revisions\/481"}],"wp:attachment":[{"href":"https:\/\/aaushealthcare.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}