{"id":1389,"date":"2025-06-11T23:18:22","date_gmt":"2025-06-11T23:18:22","guid":{"rendered":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/?page_id=1389"},"modified":"2025-07-14T21:37:53","modified_gmt":"2025-07-14T21:37:53","slug":"book-chiropractic-appointment","status":"publish","type":"page","link":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/book-chiropractic-appointment\/","title":{"rendered":"Book Chiropractic Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1389\" class=\"elementor elementor-1389\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ce2e6b1 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"ce2e6b1\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ce73374 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"ce73374\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-44ad248 elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"44ad248\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Book Chiropractic Appointment<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4be7238 elementor-widget elementor-widget-text-editor\" data-id=\"4be7238\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-1388 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1388\" data-uid=\"69e1d11970708\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1388\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1388 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1388\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69e1d11970708\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"First Name :\" id=\"forminator-field-name-1_69e1d11970708\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"Last Name :\" id=\"forminator-field-name-2_69e1d11970708\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Phone Number :\" id=\"forminator-field-phone-1_69e1d11970708\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-row-inside forminator-row-with-confirmation-email\"><div class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Email Address :\" id=\"forminator-field-email-1_69e1d11970708\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><div class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"email\" name=\"confirm_email-1\" value=\"\" placeholder=\"Confirm Email Address :\" id=\"forminator-field-confirm_email-1_69e1d11970708\" class=\"forminator-input forminator-name--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><select  id=\"forminator-form-1388__field--select-1_69e1d11970708\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select Services :\" data-search=\"false\" data-search-placeholder=\"Select Services :\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1388__field--select-1_69e1d11970708-label\"><option value=\"\"  >Select Services :<\/option><option value=\"Telemed\"  data-calculation=\"0\">Telemed<\/option><option value=\"Chiro\"  data-calculation=\"0\">Chiro<\/option><option value=\"Therapy\"  data-calculation=\"0\">Therapy<\/option><\/select><\/div><\/div><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><select  id=\"forminator-form-1388__field--select-4_69e1d11970708\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Provider Name :\" data-search=\"false\" data-search-placeholder=\"Provider Name :\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1388__field--select-4_69e1d11970708-label\"><option value=\"\"  >Provider Name :<\/option><option value=\"Dr. M. Dorchester DC\"  data-calculation=\"0\">Dr. M. Dorchester DC<\/option><option value=\"Dr. A. Sabal MD\"  data-calculation=\"0\">Dr. A. Sabal MD<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Type of Service<\/label><span class=\"forminator-description forminator-repeater-description\">Specific to Provider Selected Above<\/span><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-1388__field--select-2_69e1d11970708\" id=\"forminator-form-1388__field--select-2_69e1d11970708-label\" class=\"forminator-label\">Dr. M. Dorchester DC<\/label><select  id=\"forminator-form-1388__field--select-2_69e1d11970708\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select Service :\" data-search=\"false\" data-search-placeholder=\"Select Service :\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1388__field--select-2_69e1d11970708-label\"><option value=\"\"  >Select Service :<\/option><option value=\"Soft Tissue Adjustment $45.00\"  data-calculation=\"0\">Soft Tissue Adjustment $45.00<\/option><option value=\"Soft Tissue Adjustment with 19 min of Therapy $60.00\"  data-calculation=\"0\">Soft Tissue Adjustment with 19 min of Therapy $60.00<\/option><option value=\"Soft Tissue Adjustment with 29 min of Therapy $75.00\"  data-calculation=\"0\">Soft Tissue Adjustment with 29 min of Therapy $75.00<\/option><option value=\"Soft-Tissue-Exam-$120.00\"  data-calculation=\"0\">Soft Tissue Exam $120.00<\/option><option value=\"Automobile-Exam-$120.00---$490.00\"  data-calculation=\"0\">Automobile Exam $120.00 &#8211; $490.00<\/option><\/select><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-1388__field--select-3_69e1d11970708\" id=\"forminator-form-1388__field--select-3_69e1d11970708-label\" class=\"forminator-label\">Dr. A. Sabal MD<\/label><select  id=\"forminator-form-1388__field--select-3_69e1d11970708\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select Service :\" data-search=\"false\" data-search-placeholder=\"Select Service :\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1388__field--select-3_69e1d11970708-label\"><option value=\"\"  >Select Service :<\/option><option value=\"Telemedicine charge $99\"  data-calculation=\"0\">Telemedicine charge $99<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69e1d11970708\" id=\"forminator-field-date-1-picker_69e1d11970708-label\" class=\"forminator-label\">Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_69e1d11970708\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"time-1\" class=\"forminator-field-time forminator-col forminator-col-6 \"><div class=\"forminator-timepicker\" ><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"time-1-hours\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-1388__field--time-1-hours_69e1d11970708\" id=\"forminator-field-1388__field--time-1-hours_69e1d11970708-label\" class=\"forminator-label\">Hours<\/label><select name=\"time-1-hours\" id=\"forminator-field-1388__field--time-1-hours_69e1d11970708\" class=\"forminator-select2 time-hours \" data-field=\"hours\" data-placeholder=\"Select\" aria-labelledby=\"forminator-field-1388__field--time-1-hours_69e1d11970708-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">&#8211;<\/option><option value=\"12\" >12<\/option><option value=\"1\" >01<\/option><option value=\"2\" >02<\/option><option value=\"3\" >03<\/option><option value=\"4\" >04<\/option><option value=\"5\" >05<\/option><option value=\"6\" >06<\/option><option value=\"7\" >07<\/option><option value=\"8\" >08<\/option><option value=\"9\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><\/select><\/div><\/div><div id=\"time-1-minutes\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-1388__field--time-1-minutes_69e1d11970708\" id=\"forminator-field-1388__field--time-1-minutes_69e1d11970708-label\" class=\"forminator-label\">Minutes<\/label><select name=\"time-1-minutes\" id=\"forminator-field-1388__field--time-1-minutes_69e1d11970708\" class=\"forminator-select2 time-minutes \" data-field=\"minutes\" data-placeholder=\"Select\" aria-labelledby=\"forminator-field-1388__field--time-1-minutes_69e1d11970708-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">&#8211;<\/option><option value=\"0\" >00<\/option><option value=\"1\" >01<\/option><option value=\"2\" >02<\/option><option value=\"3\" >03<\/option><option value=\"4\" >04<\/option><option value=\"5\" >05<\/option><option value=\"6\" >06<\/option><option value=\"7\" >07<\/option><option value=\"8\" >08<\/option><option value=\"9\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><option value=\"32\" >32<\/option><option value=\"33\" >33<\/option><option value=\"34\" >34<\/option><option value=\"35\" >35<\/option><option value=\"36\" >36<\/option><option value=\"37\" >37<\/option><option value=\"38\" >38<\/option><option value=\"39\" >39<\/option><option value=\"40\" >40<\/option><option value=\"41\" >41<\/option><option value=\"42\" >42<\/option><option value=\"43\" >43<\/option><option value=\"44\" >44<\/option><option value=\"45\" >45<\/option><option value=\"46\" >46<\/option><option value=\"47\" >47<\/option><option value=\"48\" >48<\/option><option value=\"49\" >49<\/option><option value=\"50\" >50<\/option><option value=\"51\" >51<\/option><option value=\"52\" >52<\/option><option value=\"53\" >53<\/option><option value=\"54\" >54<\/option><option value=\"55\" >55<\/option><option value=\"56\" >56<\/option><option value=\"57\" >57<\/option><option value=\"58\" >58<\/option><option value=\"59\" >59<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-1388__field--time-1-ampm_69e1d11970708\" id=\"forminator-field-1388__field--time-1-ampm_69e1d11970708-label\" class=\"forminator-label\">AM\/PM<\/label><select name=\"time-1-ampm\" id=\"forminator-field-1388__field--time-1-ampm_69e1d11970708\" class=\"forminator-select2 time-ampm \" data-field=\"ampm\" aria-labelledby=\"forminator-field-1388__field--time-1-ampm_69e1d11970708-label\" data-default-value=\"\"><option value=\"am\" >AM<\/option><option value=\"pm\" >PM<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"790e9839ec\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/atmybesthealth.com\/wp-json\/wp\/v2\/pages\/1389\" \/><input type=\"hidden\" name=\"form_id\" value=\"1388\"><input type=\"hidden\" name=\"page_id\" value=\"1389\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/book-chiropractic-appointment\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/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\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Book Chiropractic Appointment<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_glsr_average":0,"_glsr_ranking":0,"_glsr_reviews":0,"footnotes":""},"class_list":["post-1389","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/wp-json\/wp\/v2\/pages\/1389","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/wp-json\/wp\/v2\/comments?post=1389"}],"version-history":[{"count":19,"href":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/wp-json\/wp\/v2\/pages\/1389\/revisions"}],"predecessor-version":[{"id":1537,"href":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/wp-json\/wp\/v2\/pages\/1389\/revisions\/1537"}],"wp:attachment":[{"href":"https:\/\/beta10.technodreamcenter.com\/atmybesthealth.com\/wp-json\/wp\/v2\/media?parent=1389"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}