{"id":4804,"date":"2023-12-28T19:12:57","date_gmt":"2023-12-28T19:12:57","guid":{"rendered":"https:\/\/laveterinarycenter.com\/?page_id=4804"},"modified":"2024-03-29T02:24:13","modified_gmt":"2024-03-29T02:24:13","slug":"virtual-exam-request","status":"publish","type":"page","link":"https:\/\/laveterinarycenter.com\/jeffersonpark\/virtual-exam-request\/","title":{"rendered":"Virtual Exam Request"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4804\" class=\"elementor elementor-4804\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b0dd65c elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"b0dd65c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bf8fbd1\" data-id=\"bf8fbd1\" data-element_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-763d6d6 elementor-widget elementor-widget-heading\" data-id=\"763d6d6\" 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<h2 class=\"elementor-heading-title elementor-size-default\">Virtual Exam Request <\/h2>\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-859a477 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"859a477\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9d6238e\" data-id=\"9d6238e\" data-element_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-4eecbed elementor-widget elementor-widget-spacer\" data-id=\"4eecbed\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\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-c7f70fd elementor-widget elementor-widget-wpforms\" data-id=\"c7f70fd\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-4948\"><form id=\"wpforms-form-4948\" class=\"wpforms-validate wpforms-form\" data-formid=\"4948\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/jeffersonpark\/wp-json\/wp\/v2\/pages\/4804?wpforms_form_id=4948\" data-token=\"23e0772904acba8521dbf48e3f7634c8\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-4948-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_16\">Name of patient (your pet&#039;s name) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4948-field_16\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-4948-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_2\">Name of Existing Client (Your name) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4948-field_2\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-4948-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_3\">Phone Number on File <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4948-field_3\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-4948-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_4\">Reason for Virtual Visit: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4948-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-4948-field_9-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"9\"><h3 id=\"wpforms-4948-field_9\" name=\"wpforms[fields][9]\">Please Upload Pictures of Our Patient (Your Pet). Please include the following Photos<\/h3><\/div><div id=\"wpforms-4948-field_14-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"14\"><div id=\"wpforms-4948-field_14\"><img decoding=\"async\" src=\"https:\/\/laveterinarycenter.com\/wp-content\/uploads\/2024\/01\/cats.jpg\" width=\"60%\" height=\"600\">\r\n<\/div><\/div><div id=\"wpforms-4948-field_15-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"15\"><\/div><div id=\"wpforms-4948-field_5-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_5\">Front of Pet (Face\/Chest\/Front Legs) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-uploader\"\n\tdata-field-id=\"5\"\n\tdata-form-id=\"4948\"\n\tdata-input-name=\"wpforms_4948_5\"\n\tdata-extensions=\"png,jpg\"\n\tdata-max-size=\"134217728\"\n\tdata-max-file-number=\"10\"\n\tdata-post-max-size=\"134217728\"\n    data-max-parallel-uploads=\"4\"\n    data-parallel-uploads=\"true\"\n\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" class=\"\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#B1B1B1\" aria-hidden=\"true\"><path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path><\/svg>\n\t\t<span class=\"modern-title\">\n\t\t\tClick or drag files to this area to upload.\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">\n\t\t\t\tYou can upload up to 10 files.\t\t\t<\/span>\n\t\t\t<\/div>\n<\/div>\n<input type=\"text\" class=\"dropzone-input\"\n\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\tid=\"wpforms-4948-field_5\"\n\tname=\"wpforms_4948_5\" required>\n<\/div><div id=\"wpforms-4948-field_10-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_10\">Back of Pet (Tail\/Back Legs) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-uploader\"\n\tdata-field-id=\"10\"\n\tdata-form-id=\"4948\"\n\tdata-input-name=\"wpforms_4948_10\"\n\tdata-extensions=\"png,jpg\"\n\tdata-max-size=\"134217728\"\n\tdata-max-file-number=\"10\"\n\tdata-post-max-size=\"134217728\"\n    data-max-parallel-uploads=\"4\"\n    data-parallel-uploads=\"true\"\n\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" class=\"\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#B1B1B1\" aria-hidden=\"true\"><path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path><\/svg>\n\t\t<span class=\"modern-title\">\n\t\t\tClick or drag files to this area to upload.\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">\n\t\t\t\tYou can upload up to 10 files.\t\t\t<\/span>\n\t\t\t<\/div>\n<\/div>\n<input type=\"text\" class=\"dropzone-input\"\n\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\tid=\"wpforms-4948-field_10\"\n\tname=\"wpforms_4948_10\" required>\n<\/div><div id=\"wpforms-4948-field_11-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_11\">Top of Pet (Bird&#039;s Eye View of Back\/Neck\/Head) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-uploader\"\n\tdata-field-id=\"11\"\n\tdata-form-id=\"4948\"\n\tdata-input-name=\"wpforms_4948_11\"\n\tdata-extensions=\"png,jpg\"\n\tdata-max-size=\"134217728\"\n\tdata-max-file-number=\"10\"\n\tdata-post-max-size=\"134217728\"\n    data-max-parallel-uploads=\"4\"\n    data-parallel-uploads=\"true\"\n\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" class=\"\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#B1B1B1\" aria-hidden=\"true\"><path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path><\/svg>\n\t\t<span class=\"modern-title\">\n\t\t\tClick or drag files to this area to upload.\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">\n\t\t\t\tYou can upload up to 10 files.\t\t\t<\/span>\n\t\t\t<\/div>\n<\/div>\n<input type=\"text\" class=\"dropzone-input\"\n\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\tid=\"wpforms-4948-field_11\"\n\tname=\"wpforms_4948_11\" required>\n<\/div><div id=\"wpforms-4948-field_12-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_12\">Bottom of Pet (Belly\/Chest\/Neck\/Chin) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-uploader\"\n\tdata-field-id=\"12\"\n\tdata-form-id=\"4948\"\n\tdata-input-name=\"wpforms_4948_12\"\n\tdata-extensions=\"png,jpg\"\n\tdata-max-size=\"134217728\"\n\tdata-max-file-number=\"10\"\n\tdata-post-max-size=\"134217728\"\n    data-max-parallel-uploads=\"4\"\n    data-parallel-uploads=\"true\"\n\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" class=\"\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#B1B1B1\" aria-hidden=\"true\"><path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path><\/svg>\n\t\t<span class=\"modern-title\">\n\t\t\tClick or drag files to this area to upload.\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">\n\t\t\t\tYou can upload up to 10 files.\t\t\t<\/span>\n\t\t\t<\/div>\n<\/div>\n<input type=\"text\" class=\"dropzone-input\"\n\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\tid=\"wpforms-4948-field_12\"\n\tname=\"wpforms_4948_12\" required>\n<\/div><div id=\"wpforms-4948-field_13-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_13\">Areas of Concern <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-uploader\"\n\tdata-field-id=\"13\"\n\tdata-form-id=\"4948\"\n\tdata-input-name=\"wpforms_4948_13\"\n\tdata-extensions=\"png,jpg\"\n\tdata-max-size=\"134217728\"\n\tdata-max-file-number=\"10\"\n\tdata-post-max-size=\"134217728\"\n    data-max-parallel-uploads=\"4\"\n    data-parallel-uploads=\"true\"\n\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" class=\"\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#B1B1B1\" aria-hidden=\"true\"><path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path><\/svg>\n\t\t<span class=\"modern-title\">\n\t\t\tClick or drag files to this area to upload.\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">\n\t\t\t\tYou can upload up to 10 files.\t\t\t<\/span>\n\t\t\t<\/div>\n<\/div>\n<input type=\"text\" class=\"dropzone-input\"\n\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\tid=\"wpforms-4948-field_13\"\n\tname=\"wpforms_4948_13\" required>\n<\/div><div id=\"wpforms-4948-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_6\">Please provide the best phone number to contact you <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4948-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-4948-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_7\">Please provide the best email address to contact you <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4948-field_7\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-4948-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-4948-field_8\">Please provide an alternate phone number in case we are disconnected during your consultation <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4948-field_8\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4948\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-4948\" value=\"wpforms-submit\" aria-live=\"assertive\" data-alt-text=\"Requesting.....\" data-submit-text=\"Request Virtual Examination\">Request Virtual Examination<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Virtual Exam Request<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4804","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Virtual Exam Request - Los Angeles Veterinary Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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