{"id":6062,"date":"2025-11-28T17:21:19","date_gmt":"2025-11-28T17:21:19","guid":{"rendered":"https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062"},"modified":"2025-11-28T17:37:26","modified_gmt":"2025-11-28T17:37:26","slug":"test-form","status":"publish","type":"page","link":"https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062","title":{"rendered":"test form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css=&#8221;.vc_custom_1764351427726{padding-top: 200px !important;padding-bottom: 200px !important;}&#8221; woodmart_css_id=&#8221;6929ddbb9c3bf&#8221; responsive_spacing=&#8221;eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OTI5ZGRiYjljM2JmIiwic2hvcnRjb2RlIjoidmNfcm93IiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=&#8221; mobile_bg_img_hidden=&#8221;no&#8221; tablet_bg_img_hidden=&#8221;no&#8221; woodmart_parallax=&#8221;0&#8243; woodmart_gradient_switch=&#8221;no&#8221; woodmart_box_shadow=&#8221;no&#8221; wd_z_index=&#8221;no&#8221; woodmart_disable_overflow=&#8221;0&#8243; row_reverse_mobile=&#8221;0&#8243; row_reverse_tablet=&#8221;0&#8243;][vc_column]<script>\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<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_6' style='display:none'><style>#gform_wrapper_6[data-form-index=\"0\"].gform-theme,[data-parent-form=\"6_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_6' id='gform_6'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6062#gf_6' data-formid='6' novalidate><div id='gf_page_steps_6' class='gf_page_steps'><div id='gf_step_6_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Personal Information<\/span><\/div><div id='gf_step_6_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Responsible Party Information<\/span><\/div><div id='gf_step_6_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Insurance Information<\/span><\/div><div id='gf_step_6_4' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Visit Reason<\/span><\/div><\/div> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_page_6_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_86\" class=\"gfield gfield--type-hidden gfield--input-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_86' id='input_6_86' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_89\" class=\"gfield gfield--type-hidden gfield--input-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_89' id='input_6_89' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_92\" class=\"gfield gfield--type-hidden gfield--input-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_92' id='input_6_92' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_93\" class=\"gfield gfield--type-hidden gfield--input-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_93' id='input_6_93' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Personal Information<\/h2>\n\n<strong>Patient Contact Information<\/strong>\n<p>Please complete the following section with your legal information as it appears on your insurance card (if applicable):<\/p><\/div><div id=\"field_6_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half 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_6_11'>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_11' id='input_6_11' type='text' value='' class='large'    placeholder='First Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half 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_6_12'>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_12' id='input_6_12' type='text' value='' class='large'    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_13\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full dob-field 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_6_13'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_13' id='input_6_13' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_13_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_13_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_13' class='gform_hidden' value='https:\/\/safeharbour.agencypartnerinteractive.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_6_14\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half 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_6_14'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_6_14' type='tel' value='' class='large'  placeholder='Phone Number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_15\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half 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_6_15'>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_15' id='input_6_15' type='email' value='' class='large'   placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_6_17\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_6_17' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_17_1_container' >\n                                        <label for='input_6_17_1' id='input_6_17_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_17.1' id='input_6_17_1' value=''   placeholder='ABC Street' aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_17_3_container' >\n                                    <label for='input_6_17_3' id='input_6_17_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_17.3' id='input_6_17_3' value=''   placeholder='Texas' aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_17_4_container' >\n                                        <label for='input_6_17_4' id='input_6_17_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_17.4' id='input_6_17_4' value=''     placeholder='TX' aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_17_5_container' >\n                                    <label for='input_6_17_5' id='input_6_17_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_17.5' id='input_6_17_5' value=''   placeholder='01234' aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_17.6' id='input_6_17_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_6_18\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Patient Personal Information<\/strong><\/div><fieldset id=\"field_6_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Gender Assigned at Birth (sex)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_19'>\n\t\t\t<div class='gchoice gchoice_6_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Male'  id='choice_6_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_19_0' id='label_6_19_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Female'  id='choice_6_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_19_1' id='label_6_19_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half 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_6_20'>Gender Identity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_6_20' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='558' >Male<\/option><option value='559' >Female<\/option><option value='560' >Transgender Male \/ Trans Man \/ Female-to-Male<\/option><option value='561' >Transgender Female \/ Trans Woman \/ Male-to-Female<\/option><option value='562' >Genderqueer, neither exclusively male nor female<\/option><option value='563' >Decline to answer<\/option><\/select><\/div><\/div><div id=\"field_6_22\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half 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_6_22'>Sexual Orientation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_6_22' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='565' >Straight \/ Heterosexual<\/option><option value='566' >Lesbian \/ Gay<\/option><option value='567' >Bisexual<\/option><option value='568' >Don&#039;t know<\/option><option value='569' >Decline to answer<\/option><\/select><\/div><\/div><div id=\"field_6_23\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half 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_6_23'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_6_23' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >Single<\/option><option value='2' >Married<\/option><option value='3' >Divorced<\/option><option value='4' >Legally Separated<\/option><option value='5' >Widowed<\/option><option value='6' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_6_98\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Note: Please ensure all the details entered are accurate before submitting, as they cannot be changed afterward unless updated by your counselor or an administrator.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_6_3' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_2' class='gform_page' data-js='page-field-id-3' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_96\" class=\"gfield gfield--type-hidden gfield--input-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_96' id='input_6_96' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_94\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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' for='input_6_94'>Appointment date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_94' id='input_6_94' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='yyyy-mm-dd' aria-describedby=\"input_6_94_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_94_date_format' class='screen-reader-text'>YYYY dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_94' class='gform_hidden' value='https:\/\/safeharbour.agencypartnerinteractive.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_6_90\" class=\"gfield gfield--type-select gfield--input-type-select 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' for='input_6_90'>Available slots<\/label><div class='ginput_container ginput_container_select'><select name='input_90' id='input_6_90' class='large gfield_select'     aria-invalid=\"false\" ><option value='First Choice' >First Choice<\/option><option value='Second Choice' >Second Choice<\/option><option value='Third Choice' >Third Choice<\/option><\/select><\/div><\/div><div id=\"field_6_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Responsible Party Information<\/strong><\/div><fieldset id=\"field_6_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you completing this form for someone else?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_25'>\n\t\t\t<div class='gchoice gchoice_6_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Yes'  id='choice_6_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_25_0' id='label_6_25_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='No'  id='choice_6_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_25_1' id='label_6_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_73\" class=\"gfield gfield--type-select gfield--input-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_6_73'>What is your relationship to the patient?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_6_73' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='01' >Spouse<\/option><option value='04' >Grandfather or grandmother<\/option><option value='05' >Grandson or granddaughter<\/option><option value='07' >Nephew or niece<\/option><option value='09' >Adopted child<\/option><option value='10' >Foster child<\/option><option value='15' >Ward<\/option><option value='17' >Stepson or stepdaughter<\/option><option value='19' >Child<\/option><option value='20' >Employee<\/option><option value='21' >Unknown<\/option><option value='22' >Handicapped dependent<\/option><option value='23' >Sponsored dependent<\/option><option value='24' >Dependent of a minor dependent<\/option><option value='29' >Significant other<\/option><option value='32' >Mother<\/option><option value='33' >Father<\/option><option value='34' >Other adult<\/option><option value='36' >Emancipated minor<\/option><option value='39' >Organ donor<\/option><option value='40' >Cadaver donor<\/option><option value='41' >Injured plaintiff<\/option><option value='43' >Child where insured has no financial responsibility<\/option><option value='53' >Life partner<\/option><option value='G8' >Other relationship<\/option><\/select><\/div><\/div><fieldset id=\"field_6_74\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you the responsible party for billing?*<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_74'>\n\t\t\t<div class='gchoice gchoice_6_74_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='Yes'  id='choice_6_74_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_74_0' id='label_6_74_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_74_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='No'  id='choice_6_74_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_74_1' id='label_6_74_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half 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_6_28'>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_28' id='input_6_28' type='text' value='' class='large'    placeholder='First Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half 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_6_29'>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_29' id='input_6_29' type='text' value='' class='large'    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_31\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half 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_6_31'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_31' id='input_6_31' type='tel' value='' class='large'  placeholder='Phone Number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_32\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half 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_6_32'>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_32' id='input_6_32' type='email' value='' class='large'   placeholder='Email' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_6_33\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_6_33' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_33_1_container' >\n                                        <label for='input_6_33_1' id='input_6_33_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_33.1' id='input_6_33_1' value=''   placeholder='ABC street' aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_33_3_container' >\n                                    <label for='input_6_33_3' id='input_6_33_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_33.3' id='input_6_33_3' value=''   placeholder='Texas' aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_33_4_container' >\n                                        <label for='input_6_33_4' id='input_6_33_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_33.4' id='input_6_33_4' value=''     placeholder='TX' aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_33_5_container' >\n                                    <label for='input_6_33_5' id='input_6_33_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_33.5' id='input_6_33_5' value=''   placeholder='01234' aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_33.6' id='input_6_33_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_6_75\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Gender Assigned at Birth (sex)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_75'>\n\t\t\t<div class='gchoice gchoice_6_75_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='Male'  id='choice_6_75_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_75_0' id='label_6_75_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_75_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='Female'  id='choice_6_75_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_75_1' id='label_6_75_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_99\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Note: Please ensure all the details entered are accurate before submitting, as they cannot be changed afterward unless updated by your counselor or an administrator.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Back'  \/> <input type='button' id='gform_next_button_6_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_3' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_36\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Insurance Information<\/h2>\n<\/div><div id=\"field_6_97\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half 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_6_97'>Insurance Carrier<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_97' id='input_6_97' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Select Insurance Carrier' >Select Insurance Carrier<\/option><option value='A &amp; I BENEFIT PLAN ADMINI' >A &amp; I BENEFIT PLAN ADMINI<\/option><option value='AARP HEALTH CARE OPTIONS' >AARP HEALTH CARE OPTIONS<\/option><option value='ADVANCED BENEFIT ADMINIST' >ADVANCED BENEFIT ADMINIST<\/option><option value='AETNA' >AETNA<\/option><option value='AETNA \/ U.S. HEALTHCARE' >AETNA \/ U.S. HEALTHCARE<\/option><option value='AETNA HEALTH CARE' >AETNA HEALTH CARE<\/option><option value='AETNA HEALTH INC.' >AETNA HEALTH INC.<\/option><option value='AETNA TX' >AETNA TX<\/option><option value='AFFORDABLE BENEFIT ADMINI' >AFFORDABLE BENEFIT ADMINI<\/option><option value='AIG CLAIM SERVICES, INC' >AIG CLAIM SERVICES, INC<\/option><option value='ALLIED INSURANCE CO' >ALLIED INSURANCE CO<\/option><option value='ALLSTATE INSURANCE CO' >ALLSTATE INSURANCE CO<\/option><option value='ALTIUS HEALTH PLANS' >ALTIUS HEALTH PLANS<\/option><option value='AMERICAN FAMILY INSURANCE' >AMERICAN FAMILY INSURANCE<\/option><option value='AMERICAN INSURANCE ADMINI' >AMERICAN INSURANCE ADMINI<\/option><option value='AMERICAN MEDICAL SECURITY' >AMERICAN MEDICAL SECURITY<\/option><option value='AMERICAN NATIONAL PROPERT' >AMERICAN NATIONAL PROPERT<\/option><option value='AMERICAN PROGRESSIVE' >AMERICAN PROGRESSIVE<\/option><option value='AMERICAN PUBLIC LIFE INSU' >AMERICAN PUBLIC LIFE INSU<\/option><option value='AMICA MUTUAL INSURANCE' >AMICA MUTUAL INSURANCE<\/option><option value='APIPA' >APIPA<\/option><option value='ARGONAUT INSURANCE COMPAN' >ARGONAUT INSURANCE COMPAN<\/option><option value='ASSOCIATED AMERICAN MUTUA' >ASSOCIATED AMERICAN MUTUA<\/option><option value='ATTORNEY&#039;S LIABILITY PROT' >ATTORNEY&#039;S LIABILITY PROT<\/option><option value='BANKERS LIFE AND CASUALTY' >BANKERS LIFE AND CASUALTY<\/option><option value='BCBS FEDERAL EMPLOYEES' >BCBS FEDERAL EMPLOYEES<\/option><option value='BCBS MA' >BCBS MA<\/option><option value='BEAR RIVER MUTUAL INSURAN' >BEAR RIVER MUTUAL INSURAN<\/option><option value='BENCHOICE INC' >BENCHOICE INC<\/option><option value='BENEFIT PLAN ADMINISTRATO' >BENEFIT PLAN ADMINISTRATO<\/option><option value='BERKSHIRE LIFE INSURANCE' >BERKSHIRE LIFE INSURANCE<\/option><option value='BITUMINOUS INSURANCE CO' >BITUMINOUS INSURANCE CO<\/option><option value='BLUE CROSS BLUE SHIELD OF' >BLUE CROSS BLUE SHIELD OF<\/option><option value='BROTHERHOOD MUTUAL INSURA' >BROTHERHOOD MUTUAL INSURA<\/option><option value='BURKLEY RISK SERVICES' >BURKLEY RISK SERVICES<\/option><option value='CALIFORNIA CASUALTY INSUR' >CALIFORNIA CASUALTY INSUR<\/option><option value='CARE FIRST BCBS' >CARE FIRST BCBS<\/option><option value='CDPHP' >CDPHP<\/option><option value='CENTRAL INSURANCE CO' >CENTRAL INSURANCE CO<\/option><option value='CHUBB GROUP OF INSURANCE' >CHUBB GROUP OF INSURANCE<\/option><option value='CIGNA HEALTH CARE' >CIGNA HEALTH CARE<\/option><option value='CIGNA HEALTHCARE OF UTAH,' >CIGNA HEALTHCARE OF UTAH,<\/option><option value='CIGNA STATE OF VERMONT' >CIGNA STATE OF VERMONT<\/option><option value='CITY MARKET FOOD &amp; PHARMA' >CITY MARKET FOOD &amp; PHARMA<\/option><option value='CIVIL SERVICE EMPLOYEES I' >CIVIL SERVICE EMPLOYEES I<\/option><\/select><\/div><\/div><div id=\"field_6_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half 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_6_38'>Member ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_6_38' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_40\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half 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_6_40'>Group Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_40' id='input_6_40' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_6_41\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half 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_6_41'>Effective Date of Coverage (EDOC)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_41' id='input_6_41' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_41_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_41_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_41' class='gform_hidden' value='https:\/\/safeharbour.agencypartnerinteractive.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_6_85\" class=\"gfield gfield--type-select gfield--input-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_6_85'>Coverage Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_6_85' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >Primary<\/option><option value='2' >Secondary<\/option><option value='3' >Tertiary<\/option><option value='4' >Workers<\/option><option value='5' >Auto<\/option><option value='6' >DME<\/option><\/select><\/div><\/div><div id=\"field_6_42\" class=\"gfield gfield--type-text gfield--input-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_6_42'>Group 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_6_42' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_43\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half 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_6_43'>Relationship to Patient<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_43' id='input_6_43' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='18' >Self<\/option><option value='01' >Spouse<\/option><option value='04' >Grandfather or Grandmother<\/option><option value='05' >Grandson or Granddaughter<\/option><option value='07' >Nephew or Niece<\/option><option value='09' >Adopted Child<\/option><option value='10' >Foster Child<\/option><option value='15' >Ward<\/option><option value='17' >Stepson or Stepdaughter<\/option><option value='19' >Child<\/option><option value='20' >Employee<\/option><option value='21' >Unknown<\/option><option value='22' >Handicapped Dependent<\/option><option value='23' >Sponsored Dependent<\/option><option value='24' >Dependent of a Minor Dependent<\/option><option value='29' >Significant Other<\/option><option value='32' >Mother<\/option><option value='33' >Father<\/option><option value='34' >Other Adult<\/option><option value='36' >Emancipated Minor<\/option><option value='39' >Organ Donor<\/option><option value='40' >Cadaver Donor<\/option><option value='41' >Injured Plaintiff<\/option><option value='43' >Child Where Insured Has No Financial Responsibility<\/option><option value='53' >Life Partner<\/option><option value='G8' >Other Relationship<\/option><\/select><\/div><\/div><div id=\"field_6_44\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half 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_6_44'>Insurance Carrier 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_44' id='input_6_44' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_100\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Note: Please ensure all the details entered are accurate before submitting, as they cannot be changed afterward unless updated by your counselor or an administrator.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_57' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Back'  \/> <input type='button' id='gform_next_button_6_57' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_4' class='gform_page' data-js='page-field-id-57' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_70\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Visit Reason<\/h2>\n\n<strong>May we let your provider know the reason for your visit?<\/strong><\/div><div id=\"field_6_102\" class=\"gfield gfield--type-select gfield--input-type-select 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' for='input_6_102'>Visit Type<\/label><div class='ginput_container ginput_container_select'><select name='input_102' id='input_6_102' class='large gfield_select'     aria-invalid=\"false\" ><option value='In-Person' >In-Person<\/option><option value='Virtual' >Virtual<\/option><\/select><\/div><\/div><div id=\"field_6_71\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_71'>What are you going through?<\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_6_71' class='large gfield_select'     aria-invalid=\"false\" ><option value='I\u2019m a new patient seeking therapy.' >I\u2019m a new patient seeking therapy.<\/option><option value='I\u2019m feeling anxious.' >I\u2019m feeling anxious.<\/option><option value='I\u2019m feeling depressed.' >I\u2019m feeling depressed.<\/option><option value='I need help in my relationship.' >I need help in my relationship.<\/option><option value='I need help with a divorce.' >I need help with a divorce.<\/option><option value='I\u2019ve experienced a traumatic event.' >I\u2019ve experienced a traumatic event.<\/option><option value='I need help in my parenting.' >I need help in my parenting.<\/option><option value='I\u2019m dealing with grief or loss.' >I\u2019m dealing with grief or loss.<\/option><option value='I\u2019m feeling lonely.' >I\u2019m feeling lonely.<\/option><option value='I\u2019m struggling with food.' >I\u2019m struggling with food.<\/option><option value='I\u2019m feeling angry often.' >I\u2019m feeling angry often.<\/option><option value='I need help with LGBTQIA+' >I need help with LGBTQIA+<\/option><option value='I\u2019m battling health problems.' >I\u2019m battling health problems.<\/option><option value='I\u2019m struggling with my identity.' >I\u2019m struggling with my identity.<\/option><option value='I\u2019m going through a lot of change right now.' >I\u2019m going through a lot of change right now.<\/option><option value='I\u2019m feeling burn out.' >I\u2019m feeling burn out.<\/option><option value='I need to talk about something else.' >I need to talk about something else.<\/option><\/select><\/div><\/div><fieldset id=\"field_6_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How did you hear about us?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_72'>\n\t\t\t<div class='gchoice gchoice_6_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Friend or Family Member'  id='choice_6_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_0' id='label_6_72_0' class='gform-field-label gform-field-label--type-inline'>Friend or Family Member<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='My Doctor'  id='choice_6_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_1' id='label_6_72_1' class='gform-field-label gform-field-label--type-inline'>My Doctor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='My Church'  id='choice_6_72_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_2' id='label_6_72_2' class='gform-field-label gform-field-label--type-inline'>My Church<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='My Insurance Provider'  id='choice_6_72_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_3' id='label_6_72_3' class='gform-field-label gform-field-label--type-inline'>My Insurance Provider<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='A Mental Health Provider'  id='choice_6_72_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_4' id='label_6_72_4' class='gform-field-label gform-field-label--type-inline'>A Mental Health Provider<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Google'  id='choice_6_72_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_5' id='label_6_72_5' class='gform-field-label gform-field-label--type-inline'>Google<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='AI Search (ChatGPT, etc)'  id='choice_6_72_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_6' id='label_6_72_6' class='gform-field-label gform-field-label--type-inline'>AI Search (ChatGPT, etc)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Social Media'  id='choice_6_72_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_7' id='label_6_72_7' class='gform-field-label gform-field-label--type-inline'>Social Media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Radio Ad'  id='choice_6_72_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_8' id='label_6_72_8' class='gform-field-label gform-field-label--type-inline'>Radio Ad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_72_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Other'  id='choice_6_72_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_72_9' id='label_6_72_9' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_101\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Note: Please ensure all the details entered are accurate before submitting, as they cannot be changed afterward unless updated by your counselor or an administrator.<\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_6' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_6' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <input type='hidden' name='gform_ajax' value='form_id=6&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=aa091873ca3db0beef428d4e4c0e09a0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_6' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_6' id='gform_theme_6' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_6' id='gform_style_settings_6' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='["{\"19\":[\"049eff94d6029024d04f43e47c8d7585\",\"685b3c9cefe22535075c7b4f6815f6fc\"],\"20\":[\"43a28fea19f607fa5edea39889de7283\",\"c89af6a673d588ba492069d70997aa21\",\"c3b3e3fcab3c7b75498cf01eb6dedb25\",\"b494886b03b8eef81d85c44d9cf32296\",\"3f2a76d62334a95013ac2099de24726f\",\"14a7e8d669e805bed671c78906510716\"],\"22\":[\"22b5dda65a4cf734aa41c5af8a06ed1c\",\"274eb5d4d84c1a7b0887bce5a5afe431\",\"2ffa45a6c93eac6b94753a34a239cbc6\",\"61c525cec4bdb03ee79e1e1ca162310d\",\"26770ebb9a2ff8529c2170ddc43a84ee\"],\"23\":[\"29a13d66effbed80117986f1e2b2a98d\",\"954b66d0b2defca4ecf81bbd86240c30\",\"b5c802f9917969b8b43069ca8425b761\",\"e963594e7d54b90192ef6d32142112b3\",\"d21c531774905d6d64234b1466fec97d\",\"bdd098ed9462013f5f99ff456afd5d1e\"],\"90\":[\"9a8d1f42c1b7ab031393dad361b236a9\",\"50aa58b5229b67de88a26790b90f1bfd\",\"c06fee873cf6549f5225eb45d34de07d\"],\"25\":[\"9aa08f5bcc6ab14a80ad35f1295405d1\",\"81c78457ad835cfbd18ba3984015d43c\"],\"73\":[\"10a89d526635151159a8103c9db9571c\",\"ce31c90e7f8ec6f096150dddd77ee978\",\"5d90d19d43ad16bde58ea976887e0170\",\"e59e6d5b5c0210399ba3f24e722b8712\",\"d01d37ed058f09ff589591d83da019a5\",\"4583324cc55756cfc04a310f7b40dc30\",\"0547a1e3355a77b1b405fbc2bfd1df59\",\"03e4822267f4d0b5dcbb0909aceea373\",\"35cc1c32db3de516fdbdc1adb166efea\",\"08af5b1eacfc9e41e063944277b0d15e\",\"57e5cd6f4804cc7a31fddd86f2714057\",\"eb72f8eeb68eb18a079fec393a815f78\",\"292b1b548aedb2636a84aa846cb90313\",\"61b5fa57edfc443f952834e2edf75807\",\"f879fbb778c21cda5728f8378ed07439\",\"c7c4a1f26009cacd89d2bc8c744289bc\",\"7c2ddafedaa247c3112c500a8c10e8c3\",\"c9c85b31e9fed1d360cb9273899ffb6c\",\"66f619a523ca61eea66b842a6b52e88f\",\"f61c43f0eefcacc811d95bccb9eda05e\",\"5e968aa89446fb8b57ddae9fe7edb8f7\",\"d4eac1fd488db3b1fbb41841a40d2978\",\"94867ea9c01e7ae1d0471f76e306ba6b\",\"8a1f7fb60cf0795b2657e04afa127d14\",\"de3860b0b132a1b43ee1d4699372ac36\"],\"74\":[\"9aa08f5bcc6ab14a80ad35f1295405d1\",\"81c78457ad835cfbd18ba3984015d43c\"],\"75\":[\"049eff94d6029024d04f43e47c8d7585\",\"685b3c9cefe22535075c7b4f6815f6fc\"],\"97\":[\"99758adea4dc103b41756f22783f993c\",\"f9147a5595e97277a88c72fc9ae574fc\",\"56df4dfd8d3da9ccf30479c390059113\",\"5f5dbf3a0eb5aa708cb97be808027358\",\"09c9fc4aa7f06cdc86b83d779ecc96d7\",\"b386e6ce4bb4966f34379d06f4d56aa6\",\"fc7176cc734aa8a826d0177d62a87879\",\"0781959f478a61cb1c154105cd0bbd97\",\"f69d0bd5567d48eec64e549044ac2081\",\"66dd4c258b6d79e718ec31f3ccc458d8\",\"710b6fc864b4e772b4cd631e40b1c9e1\",\"75c41d607ee2279906a0c28a7b3cf97f\",\"84e21bca742575200466057ed2167110\",\"08a8355fb684659fe30c3fc2c02fbc87\",\"67b562c4ec24dd0020931d01f16f8e6b\",\"57f429f1a05394ea8f66305de64f80aa\",\"ad90f82929f063858227b2b08708d91b\",\"9314ed36a3e2482c7145dba18e304342\",\"ffdb78f1267abbe6bcabddb016488c4f\",\"4cb650f98be51e9ffe8bcbee1d4382c8\",\"ce8e88651740effa608349731b1def1f\",\"8adfcf00474fce9140feacb642475770\",\"51eda7912b7f74e6d685cac8f47297d6\",\"3017afff8a9ab0bb320d736ceca643ce\",\"dc83504367c0feff67190adb57e9c0f7\",\"01292f01cdd7e313b116cf59ee7ca897\",\"737696320a96eef9cf7e68117fd8bc9d\",\"22c5150670ea73b3abb72a6081d98296\",\"679b6af5ce5ea6dd84cc4398682eb500\",\"265f9737f47c58f77872577d34cac86e\",\"b98ad686d4d727b294c5cad515d71358\",\"c14ba2386b8ad8d8d4dc362d148a63dc\",\"cb09928c53ecca39be74cf7e41f66674\",\"1ce3e9508c8bec2723c760074391f976\",\"030b7e7d60be6747b6f552710d3496a0\",\"2e9883937b4be111916be4bf1954b6dd\",\"cbcdeeb9ec1e7eb13e12127ff2d2b99a\",\"4686686aa2b47240bdb91436be23ea5c\",\"7a42ec2624fcc5709dbf808b45de68e3\",\"82dd8b4e3523100c45dd9c278bc5abf9\",\"d4490d481bf07ccbf5461607bc67c75e\",\"b0227d26b5d706d614741276008056ae\",\"31e26c9d5b9d2e302554ea251bd3f25f\",\"b35c3aff074e4bda456b193470b7cf17\",\"d54499c32d51beb7354b1ab2a321720f\",\"cf3f0282fb8ef12bb14f05c6238714e2\"],\"85\":[\"29a13d66effbed80117986f1e2b2a98d\",\"954b66d0b2defca4ecf81bbd86240c30\",\"b5c802f9917969b8b43069ca8425b761\",\"e963594e7d54b90192ef6d32142112b3\",\"d21c531774905d6d64234b1466fec97d\",\"bdd098ed9462013f5f99ff456afd5d1e\"],\"43\":[\"59e6527fd170fc949786145fcc57c82a\",\"10a89d526635151159a8103c9db9571c\",\"ce31c90e7f8ec6f096150dddd77ee978\",\"5d90d19d43ad16bde58ea976887e0170\",\"e59e6d5b5c0210399ba3f24e722b8712\",\"d01d37ed058f09ff589591d83da019a5\",\"4583324cc55756cfc04a310f7b40dc30\",\"0547a1e3355a77b1b405fbc2bfd1df59\",\"03e4822267f4d0b5dcbb0909aceea373\",\"35cc1c32db3de516fdbdc1adb166efea\",\"08af5b1eacfc9e41e063944277b0d15e\",\"57e5cd6f4804cc7a31fddd86f2714057\",\"eb72f8eeb68eb18a079fec393a815f78\",\"292b1b548aedb2636a84aa846cb90313\",\"61b5fa57edfc443f952834e2edf75807\",\"f879fbb778c21cda5728f8378ed07439\",\"c7c4a1f26009cacd89d2bc8c744289bc\",\"7c2ddafedaa247c3112c500a8c10e8c3\",\"c9c85b31e9fed1d360cb9273899ffb6c\",\"66f619a523ca61eea66b842a6b52e88f\",\"f61c43f0eefcacc811d95bccb9eda05e\",\"5e968aa89446fb8b57ddae9fe7edb8f7\",\"d4eac1fd488db3b1fbb41841a40d2978\",\"94867ea9c01e7ae1d0471f76e306ba6b\",\"8a1f7fb60cf0795b2657e04afa127d14\",\"de3860b0b132a1b43ee1d4699372ac36\"],\"102\":[\"303cd08220372c23dfb5e03755606f0e\",\"a2a1082f1f2ed67eb01afa0992970ab9\"],\"71\":[\"36ca60672f8e40642e2a64b1aca79e0f\",\"768d6b2a4680f9230e17bf3bb4e39ffb\",\"87c4aeb7a52dc18bd15c78485e7bcccc\",\"3a23b25bdbb771f784793e5d3e940972\",\"147b2a9064462fdc914a7f8f885d6309\",\"85a4a289ea46c00294ec074a8f0d162d\",\"f30ae73acf1eddcd21a1f9b431e623dc\",\"3545260a1111c922eee3ca69e5ba80da\",\"b03fac2b0644e57d6aa43abee4717f41\",\"b40dcf7e723bd4a0ee94c240afa83177\",\"041bfa31f32ee64b9221c8d390e23882\",\"2c9df57661b92c780b3658d34d8fbe4f\",\"1af11ab73ca6b611951efb258e61cbf2\",\"f8c63521954a188ca8b6656b889d39dd\",\"d87cafe82e238c56d497c27f9e81e9ae\",\"586565e93d5ed5867a6236ba5575dfc3\",\"807f186f4725fd35e5643a1b925f8e78\"],\"72\":[\"1994f8e980d401617841f8adac07557f\",\"2e425a9070b9abff547ebb5167578d3f\",\"e6b7c22c74307887df6b39c8f679080b\",\"c2a169d84b8a185698f00aa3e16a0e63\",\"4643aea1fa23e6cb0f9fc6c3cd8a16c6\",\"69066aa00c8db83a56fd059718790614\",\"8f2a6119a5938a03b8505c646969620d\",\"2b46933da82ff3da76b06fbe06c84eec\",\"4d1b2f872992f9e136d4a58c9d60dd0a\",\"219ff37b985921eaf308dd5bc73c4687\"]}","16046c2de34796875b4bcb756ed15e96"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_6' id='gform_ajax_frame_6' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 6, 'https:\/\/safeharbour.agencypartnerinteractive.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_6').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_6');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_6').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_6').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_6').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_6').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_6').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_6').val();gformInitSpinner( 6, 'https:\/\/safeharbour.agencypartnerinteractive.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [6, current_page]);window['gf_submitting_6'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_6').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_6').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [6]);window['gf_submitting_6'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_6').text());}else{jQuery('#gform_6').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"6\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_6\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_6\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_6\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 6, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1764351427726{padding-top: 200px !important;padding-bottom: 200px !important;}&#8221; woodmart_css_id=&#8221;6929ddbb9c3bf&#8221; responsive_spacing=&#8221;eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OTI5ZGRiYjljM2JmIiwic2hvcnRjb2RlIjoidmNfcm93IiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=&#8221; mobile_bg_img_hidden=&#8221;no&#8221; tablet_bg_img_hidden=&#8221;no&#8221; woodmart_parallax=&#8221;0&#8243; woodmart_gradient_switch=&#8221;no&#8221; woodmart_box_shadow=&#8221;no&#8221; wd_z_index=&#8221;no&#8221; woodmart_disable_overflow=&#8221;0&#8243; row_reverse_mobile=&#8221;0&#8243; row_reverse_tablet=&#8221;0&#8243;][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6062","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>test form - Safe Harbor<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"test form - Safe Harbor\" \/>\n<meta property=\"og:description\" content=\"[vc_row css=&#8221;.vc_custom_1764351427726{padding-top: 200px !important;padding-bottom: 200px !important;}&#8221; woodmart_css_id=&#8221;6929ddbb9c3bf&#8221; responsive_spacing=&#8221;eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OTI5ZGRiYjljM2JmIiwic2hvcnRjb2RlIjoidmNfcm93IiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=&#8221; mobile_bg_img_hidden=&#8221;no&#8221; tablet_bg_img_hidden=&#8221;no&#8221; woodmart_parallax=&#8221;0&#8243; woodmart_gradient_switch=&#8221;no&#8221; woodmart_box_shadow=&#8221;no&#8221; wd_z_index=&#8221;no&#8221; woodmart_disable_overflow=&#8221;0&#8243; row_reverse_mobile=&#8221;0&#8243; row_reverse_tablet=&#8221;0&#8243;][vc_column][\/vc_column][\/vc_row]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062\" \/>\n<meta property=\"og:site_name\" content=\"Safe Harbor\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-28T17:37:26+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/?page_id=6062\",\"url\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/?page_id=6062\",\"name\":\"test form - Safe Harbor\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/#website\"},\"datePublished\":\"2025-11-28T17:21:19+00:00\",\"dateModified\":\"2025-11-28T17:37:26+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/?page_id=6062#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/?page_id=6062\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/?page_id=6062#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"test form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/#website\",\"url\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/\",\"name\":\"Safe Harbor\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/safeharbour.agencypartnerinteractive.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"test form - Safe Harbor","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"test form - Safe Harbor","og_description":"[vc_row css=&#8221;.vc_custom_1764351427726{padding-top: 200px !important;padding-bottom: 200px !important;}&#8221; woodmart_css_id=&#8221;6929ddbb9c3bf&#8221; responsive_spacing=&#8221;eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OTI5ZGRiYjljM2JmIiwic2hvcnRjb2RlIjoidmNfcm93IiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=&#8221; mobile_bg_img_hidden=&#8221;no&#8221; tablet_bg_img_hidden=&#8221;no&#8221; woodmart_parallax=&#8221;0&#8243; woodmart_gradient_switch=&#8221;no&#8221; woodmart_box_shadow=&#8221;no&#8221; wd_z_index=&#8221;no&#8221; woodmart_disable_overflow=&#8221;0&#8243; row_reverse_mobile=&#8221;0&#8243; row_reverse_tablet=&#8221;0&#8243;][vc_column][\/vc_column][\/vc_row]","og_url":"https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062","og_site_name":"Safe Harbor","article_modified_time":"2025-11-28T17:37:26+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062","url":"https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062","name":"test form - Safe Harbor","isPartOf":{"@id":"https:\/\/safeharbour.agencypartnerinteractive.com\/#website"},"datePublished":"2025-11-28T17:21:19+00:00","dateModified":"2025-11-28T17:37:26+00:00","breadcrumb":{"@id":"https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/safeharbour.agencypartnerinteractive.com\/?page_id=6062#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/safeharbour.agencypartnerinteractive.com\/"},{"@type":"ListItem","position":2,"name":"test form"}]},{"@type":"WebSite","@id":"https:\/\/safeharbour.agencypartnerinteractive.com\/#website","url":"https:\/\/safeharbour.agencypartnerinteractive.com\/","name":"Safe Harbor","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/safeharbour.agencypartnerinteractive.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/safeharbour.agencypartnerinteractive.com\/index.php?rest_route=\/wp\/v2\/pages\/6062","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/safeharbour.agencypartnerinteractive.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/safeharbour.agencypartnerinteractive.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/safeharbour.agencypartnerinteractive.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/safeharbour.agencypartnerinteractive.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6062"}],"version-history":[{"count":3,"href":"https:\/\/safeharbour.agencypartnerinteractive.com\/index.php?rest_route=\/wp\/v2\/pages\/6062\/revisions"}],"predecessor-version":[{"id":6065,"href":"https:\/\/safeharbour.agencypartnerinteractive.com\/index.php?rest_route=\/wp\/v2\/pages\/6062\/revisions\/6065"}],"wp:attachment":[{"href":"https:\/\/safeharbour.agencypartnerinteractive.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6062"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}