{"id":5650,"date":"2019-09-12T02:34:37","date_gmt":"2019-09-12T02:34:37","guid":{"rendered":"http:\/\/www.neosmedspa.com\/stage\/?page_id=5650"},"modified":"2022-07-09T20:06:16","modified_gmt":"2022-07-09T20:06:16","slug":"request-an-appointment","status":"publish","type":"page","link":"http:\/\/www.neosmedspa.com\/stage\/request-an-appointment\/","title":{"rendered":"Request An Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5650\" class=\"elementor elementor-5650\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2f140e09 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2f140e09\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-75c1f4fd\" data-id=\"75c1f4fd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-99fb3a0 elementor-widget elementor-widget-heading\" data-id=\"99fb3a0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">REQUEST AN APPOINTMENT<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15b41e3d elementor-widget elementor-widget-shortcode\" data-id=\"15b41e3d\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f5646-o1\" lang=\"en\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/stage\/wp-json\/wp\/v2\/pages\/5650#wpcf7-f5646-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5646\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5646-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input type=\"text\" name=\"first-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input type=\"text\" name=\"last-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input type=\"email\" name=\"email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"Phone\"><input type=\"tel\" name=\"Phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"Acquisition\"><select name=\"Acquisition\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"How did you hear about us?\">How did you hear about us?<\/option><option value=\"Existing Patient\">Existing Patient<\/option><option value=\"Online Search\">Online Search<\/option><option value=\"Online Ad\">Online Ad<\/option><option value=\"Billboard\">Billboard<\/option><option value=\"Radio Ad\">Radio Ad<\/option><option value=\"Magazine Ad\">Magazine Ad<\/option><option value=\"Social Media\">Social Media<\/option><option value=\"Referral\">Referral<\/option><option value=\"Website\">Website<\/option><option value=\"Email\">Email<\/option><option value=\"Direct Mail\">Direct Mail<\/option><option value=\"Walk-in\">Walk-in<\/option><option value=\"Other\">Other<\/option><\/select><\/span><br \/>\n<label> What treatments are you interested in? (Check all boxes that apply) <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"treatment-type\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"treatment-type[]\" value=\"Weight Loss\" \/><span class=\"wpcf7-list-item-label\">Weight Loss<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"treatment-type[]\" value=\"Laser Hair Removal\" \/><span class=\"wpcf7-list-item-label\">Laser Hair Removal<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"treatment-type[]\" value=\"Injectables\" \/><span class=\"wpcf7-list-item-label\">Injectables<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"treatment-type[]\" value=\"Skin Treatments\" \/><span class=\"wpcf7-list-item-label\">Skin Treatments<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"treatment-type[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span><br \/>\n<font size=\"1\">*Med Spa services available at Tempe location only<\/font><\/p>\n<p><label> Preferred appointment: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input type=\"date\" name=\"date\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"time\"><select name=\"time\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Time\">Time<\/option><option value=\"10:00 AM\">10:00 AM<\/option><option value=\"11:00 AM\">11:00 AM<\/option><option value=\"12:00 PM\">12:00 PM<\/option><option value=\"1:00 PM\">1:00 PM<\/option><option value=\"2:00 PM\">2:00 PM<\/option><option value=\"3:00 PM\">3:00 PM<\/option><option value=\"4:00 PM\">4:00 PM<\/option><\/select><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"location\"><select name=\"location\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Location\">Location<\/option><option value=\"Tempe\">Tempe<\/option><option value=\"Peoria\">Peoria<\/option><\/select><\/span><font size=\"1\">*We will contact you to schedule. This information will speed up the process for you, but does not guarantee your preferred appointment date and time.<\/font><\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"message\"><textarea name=\"message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Message\"><\/textarea><\/span><\/p>\n<p><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<p><font size=\"1\">By clicking the \u201cSubmit\u201d button, I expressly authorize NEOS Med Spa to contact me at the information I entered above, about their services, including through the possible use of an auto dialer, prerecorded and text messages. I understand that I am not required to consent in order to make a purchase and I may opt out at any time. We take your privacy very seriously and never share your information. For more information on privacy, read our full\u00a0<a href=\"http:\/\/www.neosmedspa.com\/stage\/privacy-policy\">Privacy Policy<\/a>.<\/font><\/p>\n<p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"74\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>REQUEST AN APPOINTMENT<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":69,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Request an Appointment | NEOS Med Spa of Tempe &amp; Peoria<\/title>\n<meta name=\"description\" content=\"Request an appointment with NEOS Med Spa in Tempe or Peoria. 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