{"id":1902,"date":"2021-06-23T07:54:06","date_gmt":"2021-06-23T12:54:06","guid":{"rendered":"https:\/\/ameriplan.wpengine.com\/?page_id=1902"},"modified":"2022-07-29T14:46:12","modified_gmt":"2022-07-29T19:46:12","slug":"healthcare-provider-contact","status":"publish","type":"page","link":"https:\/\/www.ameriplanusa.com\/healthcare-provider-contact\/","title":{"rendered":"Healthcare Provider Contact"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0 0 0 0;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-1{margin-top:0px!important; margin-right:!important;margin-bottom:10px!important;margin-left:!important;}}<\/style><div class=\"fusion-title title fusion-title-1 fusion-no-small-visibility fusion-no-medium-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"font-size:56px;margin-top:0px;margin-bottom:10px;\"><h2 class=\"title-heading-center fusion-responsive-typography-calculated\" style=\"font-family:Impact, Charcoal, sans-serif;font-weight:700;margin:0;font-size:1em;--fontSize:56;line-height:1;\"><h1>Please fill out our form<\/h1><\/h2><\/div><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-2{margin-top:0px!important; margin-right:!important;margin-bottom:10px!important;margin-left:!important;}}<\/style><div class=\"fusion-title title fusion-title-2 fusion-no-medium-visibility fusion-no-large-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"font-size:56px;margin-top:0px;margin-bottom:10px;\"><h2 class=\"title-heading-center fusion-responsive-typography-calculated\" style=\"font-family:&quot;Oswald&quot;;font-weight:700;margin:0;font-size:1em;--fontSize:56;line-height:1;\">Please fill out our form<\/h2><\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_7' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/wp-json\/wp\/v2\/pages\/1902' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_7_64\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_64'>Name<\/label><div class='ginput_container'><input name='input_64' id='input_7_64' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_7_64'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_7_40\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_40'>Contact Me About:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_40' id='input_7_40' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >- Select One -<\/option><option value='Becoming a Member' >Becoming a Member<\/option><option value='Becoming an BC' >Becoming an BC<\/option><option value='Becoming a Healthcare Provider' >Becoming a Healthcare Provider<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_7_41\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_41'>Provider Type:<\/label><div class='gfield_description' id='gfield_description_7_41'>Only for Healthcare Providers,\nplease select Provider Type:<\/div><div class='ginput_container ginput_container_select'><select name='input_41' id='input_7_41' class='large gfield_select'  aria-describedby=\"gfield_description_7_41\"   aria-invalid=\"false\" ><option value='' >- Select One -<\/option><option value='General Dentist' >General Dentist<\/option><option value='Dental Specialist' >Dental Specialist<\/option><option value='Vision Care' >Vision Care<\/option><option value='Chiropractor' >Chiropractor<\/option><option value='Pharmacy' >Pharmacy<\/option><option value='Primary Care Physician' >Primary Care Physician<\/option><option value='Physician Specialist' >Physician Specialist<\/option><option value='Ancillary Healthcare' >Ancillary Healthcare<\/option><\/select><\/div><\/li><li id=\"field_7_1\" class=\"gfield gfield--type-text gf-legal-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_7_1' type='text' value='' class='large'    placeholder='First Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_42\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_42'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_7_42' type='text' value='' class='large'    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_44\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_7_44' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_7_44_1_container' >\n                                        <input type='text' name='input_44.1' id='input_7_44_1' value=''   placeholder='Street Address' aria-required='true'    \/>\n                                        <label for='input_7_44_1' id='input_7_44_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>address1<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_7_44_2_container' >\n                                        <input type='text' name='input_44.2' id='input_7_44_2' value=''   placeholder='Address Line 2'  aria-required='false'   \/>\n                                        <label for='input_7_44_2' id='input_7_44_2_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>address2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_7_44_3_container' >\n                                    <input type='text' name='input_44.3' id='input_7_44_3' value=''   placeholder='City' aria-required='true'    \/>\n                                    <label for='input_7_44_3' id='input_7_44_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>city<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_7_44_4_container' >\n                                        <select name='input_44.4' id='input_7_44_4'     aria-required='true'    ><option value='' selected='selected'>State \/ Province<\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_7_44_4' id='input_7_44_4_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>state<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_7_44_5_container' >\n                                    <input type='text' name='input_44.5' id='input_7_44_5' value=''   placeholder='ZIP \/ Postal Code' aria-required='true'    \/>\n                                    <label for='input_7_44_5' id='input_7_44_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>zip<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_44.6' id='input_7_44_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_7_60\" class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_60'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_60' id='input_7_60' type='tel' value='' class='large'  placeholder='Phone' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_61\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_61'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_61' id='input_7_61' type='email' value='' class='large'   placeholder='Email' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_7_45\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_45'>Referred By:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_7_45' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >- Select One -<\/option><option value='A BC' >A BC<\/option><option value='A Colleague' >A Colleague<\/option><option value='A Patient' >A Patient<\/option><option value='A Friend' >A Friend<\/option><option value='A Customer' >A Customer<\/option><option value='Facebook' >Facebook<\/option><option value='Twitter' >Twitter<\/option><option value='Linkedin' >Linkedin<\/option><option value='Search Engine' >Search Engine<\/option><option value='E-mail' >E-mail<\/option><option value='Newspaper' >Newspaper<\/option><option value='Magazine' >Magazine<\/option><option value='Radio' >Radio<\/option><option value='TV' >TV<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_7_46\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_46'>Comment<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_46' id='input_7_46' class='textarea large'    placeholder='Comments'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_7_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are you working with or have you been contacted by an AmeriPlan USA\u00ae BC?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_59'>\n\t\t\t<li class='gchoice gchoice_7_59_0'>\n\t\t\t\t<input name='input_59' type='radio' value='Yes'  id='choice_7_59_0'    \/>\n\t\t\t\t<label for='choice_7_59_0' id='label_7_59_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_59_1'>\n\t\t\t\t<input name='input_59' type='radio' value='No'  id='choice_7_59_1'    \/>\n\t\t\t\t<label for='choice_7_59_1' id='label_7_59_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_49\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_49'>If yes, what is their name or number?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_7_49' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_62\" class=\"gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_7_62'><\/label><div id='input_7_62' class='ginput_container ginput_recaptcha' data-sitekey='6LddI_EbAAAAADnwIkDKdEIg5Qxasev9h3hpDB-4'  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div><\/li><li id=\"field_7_63\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_63' id='input_7_63' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Intellibright-WebsiteContactForm' \/><\/div><\/li><li id=\"field_7_27\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_27' id='input_7_27' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_7_28\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_28' id='input_7_28' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_7_29\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_29' id='input_7_29' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_7_30\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_30' id='input_7_30' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_7_31\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_31' id='input_7_31' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_7_32\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below 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