{"id":38,"date":"2014-08-06T16:01:38","date_gmt":"2014-08-06T16:01:38","guid":{"rendered":"\/vein-center\/contact-us\/"},"modified":"2014-08-22T14:28:53","modified_gmt":"2014-08-22T14:28:53","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/www.uchealth.com\/vein-center\/contact-us\/","title":{"rendered":"Contact Us"},"content":{"rendered":"<p><span style=\"color: #464646\"><span style=\"color: #222222\"><span style=\"color: #464646\">7690 Discovery Drive, Suite 2000<br \/>\n<\/span><\/span><\/span>West Chester, OH 45069<\/p>\n<p><span style=\"color: #464646\">Phone: 513-558-3700<\/span><\/p>\n<form id='thoughts' method='post' name='thoughts' action='\/vein-center\/wp-json\/wp\/v2\/pages\/38'> <fieldset>\n\t\t\t\t\t\t<legend>Contact Information<\/legend>\n\t\t\t\t\t\t<input type='hidden' name='uch_contact_form' id='uch_contact_form' value='1' \/>\n\t\t\t\t\t\t<ul class='fieldlist'>\n\t\t\t\t\t\t\t<li class='field_name'>\n\t\t\t\t\t\t\t\t<label for='cfName'>Name:<\/label>\n\t\t\t\t\t\t\t\t<input type='text' name='cfName' id='cfName' required='required' value='' \/>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_email'>\n\t\t\t\t\t\t\t\t<label for='cfEmail'>Email:<\/label>\n\t\t\t\t\t\t\t\t<input type='email' name='cfEmail' id='cfEmail' required='required' value='' \/>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_address'>\n\t\t\t\t\t\t\t\t<label for='cfAddress'>Address:<\/label>\n\t\t\t\t\t\t\t\t<input type='text' name='cfAddress' id='cfAddress' value=''\/>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_city'>\n\t\t\t\t\t\t\t\t<label for='cfCity'>City:<\/label>\n\t\t\t\t\t\t\t\t<input type='text' name='cfCity' id='cfCity' value=''\/>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_state'>\n\t\t\t\t\t\t\t\t<label for='cfState'>State:<\/label>\n\t\t\t\t\t\t\t\t<input type='text' name='cfState' id='cfState' value=''\/>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_zip'>\n\t\t\t\t\t\t\t\t<label for='cfZip'>Zip:<\/label>\n\t\t\t\t\t\t\t\t<input type='text' name='cfZip' id='cfZip' maxlength='10' value=''\/>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_phone'>\n\t\t\t\t\t\t\t\t<label for='cfPhone'>Daytime Phone:<\/label>\n\t\t\t\t\t\t\t\t<input type='text' name='cfPhone' id='cfPhone' value=''\/>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/fieldset>\n\n\t\t\t\t\t<fieldset>\n\t\t\t\t\t\t<legend>Message<\/legend>\n\t\t\t\t\t\t<ul class='fieldlist'>\n\t\t\t\t\t\t\t<li class='field_subject'>\n\t\t\t\t\t\t\t\t<label for='cfSubject'>My Comment is a:<\/label>\n\t\t\t\t\t\t\t\t<select name='cfSubject' id='cfSubject'><option value='Please Select a Comment Type:'>Please Select a Comment Type:<\/option><option value='Compliment'>Compliment<\/option><option value='Patient Issue'>Patient Issue<\/option><option value='Careers or Human Resources'>Careers or Human Resources<\/option><option value='General Comment'>General Comment<\/option><option value='Complaint'>Complaint<\/option><option value='Billing Question'>Billing Question<\/option><option value='Appointment Information'>Appointment Information<\/option><\/select>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_location'>\n\t\t\t\t\t\t\t\t<label for='uchealthLocation'>UC Health Location:<\/label>\n\t\t\t\t\t\t\t\t<select name='uchealthLocation' id='uchealthLocation'><option value='Not Related to a Location'>Not Related to a Location<\/option><option value='University of Cincinnati Physicians'>University of Cincinnati Physicians<\/option><option value='University of Cincinnati Medical Center'>University of Cincinnati Medical Center<\/option><option value='West Chester Hospital'>West Chester Hospital<\/option><option value='Drake Center'>Drake Center<\/option><option value='Bridgeway Pointe'>Bridgeway Pointe<\/option><option value='Lindner Center of HOPE'>Lindner Center of HOPE<\/option><option value='UC Health Surgical Hospital'>UC Health Surgical Hospital<\/option><option value='UC Health Women&#039;s Center'>UC Health Women's Center<\/option><option value='University of Cincinnati Cancer Institute'>University of Cincinnati Cancer Institute<\/option><\/select>\n\t\t\t\t\t\t\t\t<!--<em>Location is required if this comment is a complaint, complement, or patient issue.<\/em>-->\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_physician'>\n\t\t\t\t\t\t\t\t<label for='cfPhysician'>Primary Care Physician:<\/label>\n\t\t\t\t\t\t\t\t<input type='text' name='cfPhysician' id='cfPhysician' value=''\/>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_comments'>\n\t\t\t\t\t\t\t\t<label for='cfComments' id='commentLabel'>Comments:<\/label>\n\t\t\t\t\t\t\t\t<textarea name='cfComments' id='cfComments' required='required'><\/textarea>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class='field_captcha'>\n\t\t\t\t\t\t\t\t<label>Are you a robot?<span class='required'>*<\/span><\/label>\n\t\t\t\t\t\t\t\t<div id='recaptcha-wrapper'><div id=\"recaptcha-wrapper\"><div class=\"g-recaptcha\" data-sitekey=\"6Lc8Tw8TAAAAAN_CANd6HYghBEYjnonpkb9o72kS\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<input type='submit' name='sendcomments' id='sendcomments' value='Submit Comments' \/>\n\t\t\t\t\t<\/fieldset>\n\t\t\t\t<\/form>\n<div class=\"clear\"><\/div>","protected":false},"excerpt":{"rendered":"<p>7690 Discovery Drive, Suite 2000 West Chester, OH 45069 Phone: 513-558-3700<\/p>\n","protected":false},"author":45,"featured_media":0,"parent":0,"menu_order":9,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-38","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.uchealth.com\/vein-center\/wp-json\/wp\/v2\/pages\/38","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uchealth.com\/vein-center\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.uchealth.com\/vein-center\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.uchealth.com\/vein-center\/wp-json\/wp\/v2\/users\/45"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uchealth.com\/vein-center\/wp-json\/wp\/v2\/comments?post=38"}],"version-history":[{"count":3,"href":"https:\/\/www.uchealth.com\/vein-center\/wp-json\/wp\/v2\/pages\/38\/revisions"}],"predecessor-version":[{"id":138,"href":"https:\/\/www.uchealth.com\/vein-center\/wp-json\/wp\/v2\/pages\/38\/revisions\/138"}],"wp:attachment":[{"href":"https:\/\/www.uchealth.com\/vein-center\/wp-json\/wp\/v2\/media?parent=38"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}