{"id":415,"date":"2026-10-18T06:18:49","date_gmt":"2026-10-18T06:18:49","guid":{"rendered":"https:\/\/wpfrank.com\/demo\/lead-generation-form-pro\/?page_id=415"},"modified":"2026-10-18T06:18:49","modified_gmt":"2026-10-18T06:18:49","slug":"dental-medical-appointment-booking","status":"publish","type":"page","link":"https:\/\/wpfrank.com\/demo\/lead-generation-form-pro\/20-pre-build-forms\/dental-medical-appointment-booking\/","title":{"rendered":"Dental &amp; Medical Appointment Booking"},"content":{"rendered":"\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class='wlgf-container' data-theme-bg='card' data-theme-mode='light' data-theme-field-size='default' data-theme-btn-width='auto' data-theme-input-style='bordered' data-theme-btn-shadow='default' data-theme-label-style='default' style='--wlgf-primary: #2563eb; --wlgf-radius: 6px; --wlgf-max-width: 640px; font-family: inherit;'><form id='wlgf-form-23' method='post' enctype='multipart\/form-data' novalidate><div class='wlgf-field-wrap mb-3 wlgf-col-12' data-field-type='header'><h3 class=''>Book Dental Consultation<\/h3><\/div><div class='wlgf-field-wrap mb-3 wlgf-col-12' data-field-name='patient_name' data-field-type='text' data-required=&#039;1&#039;><label for='patient_name_23' class='form-label'>Patient Full Name<span class=\"wlgf-required\">*<\/span> <\/label><input type='text' id='patient_name_23' name='patient_name' class='' value='' placeholder='' maxlength='' required><\/div><div class='wlgf-field-wrap mb-3 wlgf-col-12' data-field-name='email' data-field-type='text' data-required=&#039;1&#039;><label for='email_23' class='form-label'>Email Address<span class=\"wlgf-required\">*<\/span> <\/label><input type='email' id='email_23' name='email' class='' value='' placeholder='' maxlength='' required><\/div><div class='wlgf-field-wrap mb-3 wlgf-col-12' data-field-name='phone' data-field-type='text' data-required=&#039;1&#039;><label for='phone_23' class='form-label'>Mobile Phone<span class=\"wlgf-required\">*<\/span> <\/label><input type='tel' id='phone_23' name='phone' class='' value='' placeholder='' maxlength='' required><\/div><div class='wlgf-field-wrap mb-3 wlgf-col-12' data-field-name='treatment' data-field-type='select' ><label for='treatment_23' class='form-label'>Treatment \/ Concern <\/label><select id='treatment_23' name='treatment' class='' ><option value='' disabled selected>Select An Option<\/option><option value='cleaning' selected>Routine Cleaning &amp; Checkup<\/option><option value='whitening' >Teeth Whitening<\/option><option value='orthodontics' >Invisalign \/ Braces Consultation<\/option><option value='emergency' >Toothache \/ Urgent Dental Pain<\/option><\/select><\/div><div class='wlgf-field-wrap mb-3 wlgf-col-12' data-field-name='preferred_date' data-field-type='date' data-required='true'><label for='preferred_date_23' class='form-label'>Preferred Appointment Date<span class=\"wlgf-required\">*<\/span> <\/label><div class='wlgf-date-input-wrap'><input type='date' id='preferred_date_23' name='preferred_date' class='' value='' placeholder='' min='2026-10-29'  required><span class='wlgf-date-icon' role='button' tabindex='-1' aria-label='Choose date'><i class='fa-regular fa-calendar-days'><\/i><\/span><\/div><\/div><div class='wlgf-field-wrap mb-3 wlgf-col-12' data-field-name='patient_notes' data-field-type='textarea' ><label for='patient_notes_23' class='form-label'>Notes or Specific Symptoms <\/label><textarea id='patient_notes_23' name='patient_notes' class='' placeholder='' rows='' maxlength='' ><\/textarea><\/div><div class='wlgf-field-wrap wlgf-button-wrap wlgf-col-12 mb-3 wlgf-col-12' data-field-type='button'><button type='submit' id='button-1792233245123-0-23' class='wlgf-btn wlgf-btn--primary btn-primary btn' value=''>Confirm Appointment Request<\/button><\/div><div class='wlgf-col-12 wlgf-turnstile-wrap mb-3' style='margin-bottom: 15px;'><div class='cf-turnstile' data-sitekey='0x4AAAAAAFgk1DfrSWXJHf_p' data-theme='auto'><\/div><\/div><input type='hidden' name='wlgf_form_id' value='23'><input type='hidden' name='wlgf_form_nonce' value='8ad2a47909'><input type='hidden' name='wlgf_honeypot' value=''><div class='wlgf-hp-decoy-trap' style='position:absolute !important;left:-9999px !important;top:-9999px !important;opacity:0 !important;height:0 !important;width:0 !important;overflow:hidden !important;pointer-events:none !important;' aria-hidden='true'><label for='wlgf_hp_website_confirm_23'>Leave this field blank<\/label><input type='text' id='wlgf_hp_website_confirm_23' name='wlgf_hp_website_confirm' value='' tabindex='-1' autocomplete='off'><\/div><input type='hidden' name='wlgf_form_load_time' id='wlgf_form_load_time' value=''><div class='wlgf-spinner wlgf-spinner-wrap wlgf-col-12 text-center' style='width: 100%; 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