{"id":56,"date":"2015-09-22T15:59:36","date_gmt":"2015-09-22T15:59:36","guid":{"rendered":"http:\/\/uchealth.com\/weightloss\/?page_id=56"},"modified":"2024-04-26T19:41:18","modified_gmt":"2024-04-26T19:41:18","slug":"contact","status":"publish","type":"page","link":"https:\/\/www.uchealth.com\/weightloss\/contact\/","title":{"rendered":"Contact"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<br \/>\n[\/vc_column_text][vc_column_text]<\/p>\n<h2><em>Contact<\/em> Us<\/h2>\n<p>Thank you for your interest in the UC Health Weight Loss Center. You can contact our office by phone at 513-939-2263 or complete the online form below. Once we receive your message, one of our dedicated patient advocates will contact you as soon as possible to answer your questions, discuss your options and outline your next steps.<\/p>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/12&#8243;][vc_column_text]<br \/>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;10\/12&#8243;]<form method=\"post\" action=\"#\" enctype=\"multipart\/form-data\" id=\"contactform\" class=\"bariatric form-horizontal\">\n\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-2 control-label\" for=\"tbName\">Name <span class=\"required\">*<\/span><\/label>\n\t\t\t\t\t\t<div class=\"col-sm-10\"><input type=\"text\" class=\"form-control\" id=\"tbName\" name=\"tbName\" required=\"required\" value=\"\" \/><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-2 control-label\"for=\"tbPhone\">Phone Number<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-10\"><input type=\"text\" class=\"form-control\" id=\"tbPhone\" name=\"tbPhone\" value=\"\" \/><\/div>\n\t\t\t\t\t<\/div>\n\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-2 control-label\"for=\"tbEmail\">Email Address <span class=\"required\">*<\/span><\/label>\n\t\t\t\t\t\t<div class=\"col-sm-10\"><input type=\"email\" class=\"form-control\" id=\"tbEmail\" name=\"tbEmail\" required=\"required\" value=\"\" \/><\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-2 control-label\">How did you hear about us?<span class=\"required\">*<\/span><\/label>\n\t\t\t\t\t\t<div class=\"col-sm-10\">\n                            <select name=\"tbHowHear\" id=\"tbHowHear\" required=\"required\" class=\"form-control\">\n                                <option value=\"\">- select below - <\/option>\n\t\t\t\t\t\t\t\t<option value=\"Billboard\">Billboard<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Flyer Brochure\">Flyer\/Brochure<\/option>\n                                <option value=\"Friend Family\">Friend\/Family (enter name below)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Insurance Provider\">Insurance Provider<\/option>\n                                <option value=\"Internet\">Internet<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Newspaper Magazine\">Newspaper\/Magazine<\/option>\n\t\t\t\t\t\t\t\t<option value=\"ObesityHelp.com\">ObesityHelp.com<\/option>\n                                <option value=\"Other\">Other (enter below)<\/option>\n                                <option value=\"Physician Referral\">Physician Referral(enter name below)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Postcard\">Postcard<\/option>\n                                <option value=\"TV\">TV<\/option>\n                            <\/select>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-2 control-label\"for=\"tbComments\">Comments<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-10\"><textarea class=\"form-control text bigtext\" id=\"tbComments\" name=\"tbComments\"><\/textarea><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-2 control-label\">Are you a robot? <span class=\"required\">*<\/span><\/label>\n\t\t\t\t\t\t<div class=\"col-sm-10\"><div id=\"recaptcha-wrapper\"><div id=\"recaptcha-wrapper\"><div class=\"g-recaptcha\" data-sitekey=\"6Lc8Tw8TAAAAAN_CANd6HYghBEYjnonpkb9o72kS\"><\/div><\/div><\/div><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<div class=\"col-sm-10  col-sm-offset-2\"><button class=\"btn btn-uchred\" type=\"submit\">Submit form<\/button>\n\t\t\t\t\t\t<input type=\"hidden\" value=\"1\" name=\"ucpbariatricform\"><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/ul>\n\t\t\t<\/form>[\/vc_column][vc_column width=&#8221;1\/12&#8243;][vc_column_text]<br \/>\n[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text] [\/vc_column_text][vc_column_text] Contact Us Thank you for your interest in the UC Health Weight Loss Center. You can contact our office by phone at 513-939-2263 or complete the online form below. Once we receive your message, one of our dedicated patient advocates will contact you as soon as possible to answer your questions, [&hellip;]<\/p>\n","protected":false},"author":107,"featured_media":0,"parent":0,"menu_order":15,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-56","page","type-page","status-publish","hentry"],"aioseo_notices":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.uchealth.com\/weightloss\/wp-json\/wp\/v2\/pages\/56","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uchealth.com\/weightloss\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.uchealth.com\/weightloss\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.uchealth.com\/weightloss\/wp-json\/wp\/v2\/users\/107"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uchealth.com\/weightloss\/wp-json\/wp\/v2\/comments?post=56"}],"version-history":[{"count":8,"href":"https:\/\/www.uchealth.com\/weightloss\/wp-json\/wp\/v2\/pages\/56\/revisions"}],"predecessor-version":[{"id":1002,"href":"https:\/\/www.uchealth.com\/weightloss\/wp-json\/wp\/v2\/pages\/56\/revisions\/1002"}],"wp:attachment":[{"href":"https:\/\/www.uchealth.com\/weightloss\/wp-json\/wp\/v2\/media?parent=56"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}