{"id":85,"date":"2019-02-08T16:36:00","date_gmt":"2019-02-08T16:36:00","guid":{"rendered":"https:\/\/herbapharmgroup.com\/?page_id=85"},"modified":"2020-06-10T13:53:47","modified_gmt":"2020-06-10T13:53:47","slug":"prescriptions-refills","status":"publish","type":"page","link":"https:\/\/herbapharmgroup.com\/en\/prescriptions-refills\/","title":{"rendered":"Prescriptions Refills"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"85\" class=\"elementor elementor-85\">\n\t\t\t\t\t\t<section data-animation-type=\"block\" class=\"elementor-section elementor-top-section elementor-element elementor-element-02a513b elementor-section-boxed elementor-section-height-default elementor-section-height-default animation_type_block sc_fly_static elementor-invisible\" data-id=\"02a513b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-c65642f sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"c65642f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-9aa6b69 sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"9aa6b69\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-38110a9 sc_fly_static elementor-widget elementor-widget-trx_sc_title\" data-id=\"38110a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"trx_sc_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div\t\tclass=\"sc_title sc_title_default\"><h5 class=\"sc_item_title sc_title_title sc_item_title_style_default sc_item_title_tag\"\n\t\t\t><span class=\"sc_item_title_text\">Tell us about you...<\/span><\/h5><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31404cd elementor-widget-divider--view-line sc_fly_static elementor-widget elementor-widget-divider\" data-id=\"31404cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4699a79 sc_fly_static elementor-widget elementor-widget-text-editor\" data-id=\"4699a79\" data-element_type=\"widget\" data-e-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>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f835-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"835\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/85#wpcf7-f835-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/85#wpcf7-f835-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"835\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f835-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"trx_addons_columns_wrap\">\n\t<div class=\"trx_addons_column-1_2\">\n\t\t<p><label class=\"wpcf7-validates-as-required\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name*\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"trx_addons_column-1_2\">\n\t\t<p><label class=\"wpcf7-validates-as-required\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-Last-Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name*\" value=\"\" type=\"text\" name=\"your-Last-Name\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"trx_addons_column-1\">\n\t\t<p><label class=\"wpcf7-validates-as-required\"><span class=\"wpcf7-form-control-wrap\" data-name=\"streetaddress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Street Address:\" value=\"\" type=\"text\" name=\"streetaddress\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"trx_addons_column-1_2\">\n\t\t<p><label class=\"wpcf7-validates-as-required\"><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"City\" value=\"\" type=\"text\" name=\"city\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"trx_addons_column-1_2\">\n\t\t<p><label class=\"wpcf7-validates-as-required\"><span class=\"wpcf7-form-control-wrap\" data-name=\"province\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Province\" value=\"\" type=\"text\" name=\"province\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"trx_addons_column-1\">\n\t\t<p><label class=\"wpcf7-validates-as-required\"><span class=\"wpcf7-form-control-wrap\" data-name=\"PostalCode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Postal Code\" value=\"\" type=\"text\" name=\"PostalCode\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"trx_addons_column-1\">\n\t\t<p><label class=\"wpcf7-validates-as-required\"><span class=\"wpcf7-form-control-wrap\" data-name=\"PhoneNumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone Number\" value=\"\" type=\"text\" name=\"PhoneNumber\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"trx_addons_column-1\">\n\t\t<p><label class=\"wpcf7-validates-as-required\"><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email*\" value=\"\" type=\"email\" name=\"email\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"trx_addons_column-1\">\n\t\t<p><label class=\"wpcf7-validates-as-required\">Upload Prescription Image* <span class=\"wpcf7-form-control-wrap\" data-name=\"prescription-image\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg,.png,.pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"prescription-image\" \/><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"trx_addons_columns_wrap\">\n\t<div class=\"trx_addons_column-1_1\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"wpgdprc\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"wpgdprc\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read and agreed the Terms, Conditions and <a href=\"\/en\/privacy-policy\/\">Privacy Policy<\/a>.<\/span><\/label><\/span><\/span><\/span><br \/>\n<button class=\"sc_button color_style_dark\"  type=\"submit\">Submit<\/button><button class=\"sc_button color_style_link3\" type=\"reset\">Reset form<\/button>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>\n<\/p>\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<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-9768f3a sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"9768f3a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Tell us about you&#8230;<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-85","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/herbapharmgroup.com\/en\/wp-json\/wp\/v2\/pages\/85","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/herbapharmgroup.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/herbapharmgroup.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/herbapharmgroup.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/herbapharmgroup.com\/en\/wp-json\/wp\/v2\/comments?post=85"}],"version-history":[{"count":0,"href":"https:\/\/herbapharmgroup.com\/en\/wp-json\/wp\/v2\/pages\/85\/revisions"}],"wp:attachment":[{"href":"https:\/\/herbapharmgroup.com\/en\/wp-json\/wp\/v2\/media?parent=85"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}