{"id":1878,"date":"2017-07-06T21:26:45","date_gmt":"2017-07-06T21:26:45","guid":{"rendered":"http:\/\/www.medelit.com\/uk\/?p=1878"},"modified":"2026-10-04T19:24:05","modified_gmt":"2026-10-04T18:24:05","slug":"elderly-medicine-home-visit","status":"publish","type":"post","link":"https:\/\/www.medelit.com\/uk\/services\/elderly-medicine-home-visit\/","title":{"rendered":"Geriatrics and Elderly Medicine Doctor Home Visits"},"content":{"rendered":"<div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"mcp-text d5-sec d5-sec-c eld-sec-offers\" style=\"padding-top:0 !important\"><h2 class=\"psy-services-title\" style=\"margin-top:0 !important\">Conditions Our Geriatricians Care For<\/h2><p class=\"d5-lead psy-services-lead\">Growing older often brings several health problems at the same moment, and a geriatrician considers how they affect each other. Care also extends to Parkinson&rsquo;s disease, dementia, frailty and pressure ulcers.<\/p><div class=\"psy-offers\"><div class=\"psy-offer\"><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/oger-icons\/memory-cognitive-thin.webp\" alt=\"Memory Disorders\" width=\"110\" height=\"110\" loading=\"lazy\"><span class=\"psy-offer-name\">Memory Disorders<\/span><\/div><div class=\"psy-offer\"><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/oger-icons\/diabetes-thin.webp\" alt=\"Diabetes\" width=\"110\" height=\"110\" loading=\"lazy\"><span class=\"psy-offer-name\">Diabetes<\/span><\/div><div class=\"psy-offer\"><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/oger-icons\/hypertension-thin.webp\" alt=\"Hypertension\" width=\"110\" height=\"110\" loading=\"lazy\"><span class=\"psy-offer-name\">Hypertension<\/span><\/div><div class=\"psy-offer\"><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/oger-icons\/cardiovascular-thin.webp\" alt=\"Cardiovascular Disease\" width=\"110\" height=\"110\" loading=\"lazy\"><span class=\"psy-offer-name\">Cardiovascular Disease<\/span><\/div><div class=\"psy-offer\"><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/oger-icons\/stroke-thin.webp\" alt=\"Stroke\" width=\"110\" height=\"110\" loading=\"lazy\"><span class=\"psy-offer-name\">Stroke<\/span><\/div><div class=\"psy-offer\"><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/oger-icons\/arthritis-thin.webp\" alt=\"Arthritis\" width=\"110\" height=\"110\" loading=\"lazy\"><span class=\"psy-offer-name\">Arthritis<\/span><\/div><div class=\"psy-offer\"><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/oger-icons\/social-thin.webp\" alt=\"Social Interaction\" width=\"110\" height=\"110\" loading=\"lazy\"><span class=\"psy-offer-name\">Social Interaction<\/span><\/div><div class=\"psy-offer\"><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/oger-icons\/multiple-conditions-thin.webp\" alt=\"Multiple Conditions\" width=\"110\" height=\"110\" loading=\"lazy\"><span class=\"psy-offer-name\">Multiple Conditions<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"it-cta-wrap d5-cta\"><a href=\"#\" role=\"button\" class=\"it-cta-btn\" data-medelit-modal-open=\"booking\" style=\"--it-cta-bg:#4e6a78;--it-cta-hover:#b3c5cd;--it-cta-color:#fff\">Choose &amp; Book<\/a><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"eld-sep\" aria-hidden=\"true\" style=\"height:3px;width:min(900px,85%);margin:clamp(48px,6vw,72px) auto 0;background:linear-gradient(90deg,rgba(202,21,23,0) 0%,#ca1517 25%,#ca1517 75%,rgba(202,21,23,0) 100%);border-radius:3px;box-shadow:0 6px 14px -4px rgba(202,21,23,.45)\"><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"mcp-text d5-sec d5-sec-d\"><h2 class=\"psy-sec-title\">When to See a Geriatrician<\/h2><p class=\"d5-lead psy-sec-lead\">Consider a geriatric visit once health problems begin to outnumber the specialists treating them.<\/p><div class=\"d5-cards\"><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M17 21v-2a4 4 0 0 0-4-4H5a4 4 0 0 0-4 4v2\"\/><circle cx=\"9\" cy=\"7\" r=\"4\"\/><path d=\"M23 21v-2a4 4 0 0 0-3-3.87\"\/><path d=\"M16 3.13a4 4 0 0 1 0 7.75\"\/><\/svg><\/div><h3>Over 65 With Several Conditions<\/h3><p>Especially useful when physical illness and memory or thinking difficulties occur together.<\/p><\/div><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"22 12 18 12 15 21 9 3 6 12 2 12\"\/><\/svg><\/div><h3>Growing Frailty<\/h3><p>When frailty or lost independence means relying on family, friends or paid carers day to day.<\/p><\/div><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M9 2h6a1 1 0 0 1 1 1v1H8V3a1 1 0 0 1 1-1z\"\/><rect x=\"5\" y=\"4\" width=\"14\" height=\"18\" rx=\"2\"\/><line x1=\"9\" y1=\"11\" x2=\"15\" y2=\"11\"\/><line x1=\"9\" y1=\"15\" x2=\"15\" y2=\"15\"\/><\/svg><\/div><h3>Treatment That Needs Coordinating<\/h3><p>When several specialists are involved and the therapies are becoming hard to keep track of.<\/p><\/div><div class=\"d5-card d5-photo\"><p><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2017\/06\/senior-citizen-md.webp\" alt=\"Geriatric care at home\" width=\"276\" height=\"299\" loading=\"lazy\"><\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"mcp-text d5-sec d5-sec-a\"><h2 class=\"psy-sec-title\">What Happens at a Geriatric Home Visit<\/h2><p class=\"d5-lead psy-sec-lead\">Visits take place wherever the patient lives, with carers involved from the start.<\/p><div class=\"d5-cards\"><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M3 9l9-7 9 7v11a2 2 0 0 1-2 2H5a2 2 0 0 1-2-2z\"\/><polyline points=\"9 22 9 12 15 12 15 22\"\/><\/svg><\/div><h3>Wherever You Live<\/h3><p>Visits happen in a private residence, independent or assisted living, or a nursing home.<\/p><\/div><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M9 2h6a1 1 0 0 1 1 1v1H8V3a1 1 0 0 1 1-1z\"\/><rect x=\"5\" y=\"4\" width=\"14\" height=\"18\" rx=\"2\"\/><line x1=\"9\" y1=\"11\" x2=\"15\" y2=\"11\"\/><line x1=\"9\" y1=\"15\" x2=\"15\" y2=\"15\"\/><\/svg><\/div><h3>A Thorough First Visit<\/h3><p>Your geriatrician takes a full history, carries out an examination and reviews your current treatment, then discusses the findings and a plan with you. With your consent, carers are told about changes in therapy and any further tests.<\/p><\/div><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"17 1 21 5 17 9\"\/><path d=\"M3 11V9a4 4 0 0 1 4-4h14\"\/><polyline points=\"7 23 3 19 7 15\"\/><path d=\"M21 13v2a4 4 0 0 1-4 4H3\"\/><\/svg><\/div><h3>Follow-Ups at Home or Online<\/h3><p>Later appointments can be home visits or a video consultation with our <a href=\"https:\/\/www.medelit.com\/uk\/online-doctors-uk\/online-geriatrician\/\">online geriatrician service<\/a>.<\/p><\/div><div class=\"d5-card d5-photo\"><p><img decoding=\"async\" src=\"https:\/\/www.medelit.com\/uk\/wp-content\/uploads\/sites\/3\/2017\/07\/elderly-medicine-london.webp\" alt=\"Elderly medicine home visit in London\" width=\"800\" height=\"916\" loading=\"lazy\"><\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"mcp-text d5-sec d5-sec-b\"><h2 class=\"psy-sec-title\">A Team Around the Patient<\/h2><p class=\"d5-lead psy-sec-lead\">Geriatricians work with other professionals on memory loss, incontinence, the risk of falls and changes in mood or social contact.<\/p><div class=\"d5-cards\"><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M12 22s8-4 8-10V5l-8-3-8 3v7c0 6 8 10 8 10z\"\/><polyline points=\"9 12 11 14 15 10\"\/><\/svg><\/div><h3>Registered and Insured<\/h3><p>Every geriatrician is fully registered with the GMC and insured, and has been vetted with background and reference checks and an interview.<\/p><\/div><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"11\" cy=\"11\" r=\"8\"\/><line x1=\"21\" y1=\"21\" x2=\"16.65\" y2=\"16.65\"\/><\/svg><\/div><h3>Experienced in UK Practice<\/h3><p>Our geriatricians have worked within the NHS, in private practice, or both.<\/p><\/div><div class=\"d5-card\"><div class=\"d5-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M10 13a5 5 0 0 0 7.54.54l3-3a5 5 0 0 0-7.07-7.07l-1.72 1.71\"\/><path d=\"M14 11a5 5 0 0 0-7.54-.54l-3 3a5 5 0 0 0 7.07 7.07l1.71-1.71\"\/><\/svg><\/div><h3>Joined-Up Support<\/h3><p>Medical, social and emotional needs can be met together, with <a href=\"https:\/\/www.medelit.com\/uk\/services\/physiotherapy-home-visit\/\">physiotherapists<\/a>, <a href=\"https:\/\/www.medelit.com\/uk\/services\/speech-therapy-home-visit\/\">speech therapists<\/a> and <a href=\"https:\/\/www.medelit.com\/uk\/services\/psychologist-home-visit\/\">psychologists<\/a> alongside.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"it-cta-wrap d5-cta\"><a href=\"#\" role=\"button\" class=\"it-cta-btn\" data-medelit-modal-open=\"booking\" style=\"--it-cta-bg:#4e6a78;--it-cta-hover:#b3c5cd;--it-cta-color:#fff\">Choose &amp; Book<\/a><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"eld-sep\" aria-hidden=\"true\" style=\"height:3px;width:min(900px,85%);margin:clamp(8px,1.4vw,16px) auto 0;background:linear-gradient(90deg,rgba(202,21,23,0) 0%,#ca1517 25%,#ca1517 75%,rgba(202,21,23,0) 100%);border-radius:3px;box-shadow:0 6px 14px -4px rgba(202,21,23,.45)\"><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-adv-row\"><div class=\"d5-adv d5-adv2\"><h2><span style=\"color: #ca1517;\"><strong>Advantages<\/strong><\/span><\/h2><ul class=\"d5-adv-list\"><li><span class=\"d5-adv-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"20 6 9 17 4 12\"\/><\/svg><\/span><span>Consultant geriatricians come to you<\/span><\/li><li><span class=\"d5-adv-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"20 6 9 17 4 12\"\/><\/svg><\/span><span>Carers involved in every step<\/span><\/li><li><span class=\"d5-adv-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"20 6 9 17 4 12\"\/><\/svg><\/span><span>All the time you need<\/span><\/li><li><span class=\"d5-adv-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"20 6 9 17 4 12\"\/><\/svg><\/span><span>The same doctor at every visit<\/span><\/li><li><span class=\"d5-adv-ic\" aria-hidden=\"true\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><polyline points=\"20 6 9 17 4 12\"\/><\/svg><\/span><span>Support from a wider care team<\/span><\/li><\/ul><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"it-cta-wrap d5-cta\"><a href=\"#\" role=\"button\" class=\"it-cta-btn\" data-medelit-modal-open=\"booking\" style=\"--it-cta-bg:#4e6a78;--it-cta-hover:#b3c5cd;--it-cta-color:#fff\">Choose &amp; Book<\/a><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box d5-row\"><div class=\"mcp-builder-row mcp-row\"><div class=\"mcp-layout-column mcp_builder_column mcp_builder_column_1_1 1_1\"><div class=\"mcp-column-wrapper\"><div class=\"mcp-text d5-sec onc-crosslink\" style=\"text-align:center\"><p class=\"d5-lead\" style=\"max-width:680px;margin:0 auto\">Other medical needs at home? <a href=\"https:\/\/www.medelit.com\/uk\/services\/doctor-home-visit\/\">See our doctor home visits<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"mcp-fullwidth fullwidth-box eld-tables-wrap\"><table style=\"border-color: #ebebeb; height: 346px; background-color: #ffffff;\" border=\"1px\" width=\"100%\" cellspacing=\"3\" cellpadding=\"3px\">\n<tbody>\n<tr style=\"border-color: #000000; background-color: #f8f8f8;\">\n<td><span style=\"color: #ca1517;\"><strong>We&#8217;re preferred for our:<\/strong><\/span><\/td>\n<\/tr>\n<tr style=\"background-color: #ffffff;\">\n<td><span style=\"color: #ca1517;\">\u2665<\/span>\u00a0<b>High Standards<\/b><\/td>\n<\/tr>\n<tr style=\"background-color: #ffffff;\">\n<td><strong><span style=\"color: #ca1517;\">\u2665<\/span>\u00a0Courtesy<\/strong><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #ca1517;\">\u2665<\/span>\u00a0<strong>Comfort<\/strong><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #ca1517;\">\u2665\u00a0<\/span><b>Promptness<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #ca1517;\">\u2665\u00a0<\/span><b>Reliability<\/b><\/td>\n<\/tr>\n<tr style=\"background-color: #ffffff;\">\n<td><strong><span style=\"color: #ca1517;\">\u2665\u00a0<\/span>Dedication<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong><span style=\"color: #ca1517;\">\u2665\u00a0<\/span><\/strong><strong>Efficiency<\/strong><\/td>\n<\/tr>\n<tr style=\"background-color: #ffffff;\">\n<td><strong><span style=\"color: #ca1517;\">\u2665\u00a0<\/span><\/strong><strong>Availability<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n<table style=\"border-color: #ebebeb; height: 346px; background-color: #ffffff;\" border=\"1px\" width=\"100%\" cellspacing=\"3\" cellpadding=\"3px\">\n<tbody>\n<tr style=\"border-color: #000000; background-color: #f8f8f8; height: 33px;\">\n<td style=\"height: 33px;\"><span style=\"color: #ca1517;\"><strong>Medelit House Call Services<\/strong><\/span><\/td>\n<\/tr>\n<tr style=\"height: 33px;\">\n<td style=\"height: 33px;\"><span style=\"color: #ca1517;\"><strong>\u27e9<\/strong><\/span> <a href=\"https:\/\/www.medelit.com\/uk\/services\/doctor-home-visit\/\">Medical Services<\/a><\/td>\n<\/tr>\n<tr style=\"height: 34px;\">\n<td style=\"height: 34px;\"><strong><span style=\"color: #ca1517;\">\u27e9 <\/span><\/strong><a href=\"https:\/\/www.medelit.com\/uk\/services\/physiotherapy-home-visit\/\">Physiotherapy<\/a><\/td>\n<\/tr>\n<tr style=\"background-color: #f8f8f8; height: 34px;\">\n<td style=\"height: 34px;\"><strong><span style=\"color: #ca1517;\">\u27e9\u00a0<\/span><\/strong><a href=\"https:\/\/www.medelit.com\/uk\/services\/visiting-nursing-service\/\">Nursing services<\/a><\/td>\n<\/tr>\n<tr style=\"height: 34px;\">\n<td style=\"height: 34px;\"><strong><span style=\"color: #ca1517;\">\u27e9\u00a0<\/span><\/strong><span style=\"color: #ca1517;\"><a href=\"https:\/\/www.medelit.com\/uk\/services\/acupuncture-home-visit\/\">Acupuncture<\/a><\/span><\/td>\n<\/tr>\n<tr style=\"height: 34px;\">\n<td style=\"height: 34px;\"><strong><span style=\"color: #ca1517;\">\u27e9<\/span><\/strong><span style=\"color: #ca1517;\"><a style=\"color: #ca1517;\" href=\"https:\/\/www.medelit.com\/uk\/services\/speech-therapy-home-visit\/\">Speech Therapy<\/a><\/span><\/td>\n<\/tr>\n<tr style=\"height: 34px;\">\n<td style=\"height: 34px;\"><strong><strong><span style=\"color: #ca1517;\">\u27e9\u00a0<\/span><\/strong><\/strong><a href=\"https:\/\/www.medelit.com\/uk\/services\/podiatry-home-visit\/\"><span style=\"color: #ca1517;\">Podiatry &amp; Chiropody<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\n\n\n<div class=\"it-modal-overlay\" data-medelit-modal=\"booking\" hidden><div class=\"it-modal\" role=\"dialog\" aria-modal=\"true\" aria-label=\"Check Availability &amp; Fees\"><div class=\"it-modal-head\"><h3>Check Availability &amp; Fees<\/h3><button type=\"button\" class=\"it-modal-close\" data-medelit-modal-close aria-label=\"Close\">&times;<\/button><\/div><div class=\"it-modal-body\"><style 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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-btn-bg-color-hover-tertiary: #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_57' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_57' id='gform_57'  action='\/uk\/wp-json\/wp\/v2\/posts\/1878#gf_57' data-formid='57' novalidate><input type=\"hidden\" name=\"gpuid_existing_value_24\" id=\"gpuid_existing_value_24\" value=\"7e3e2dc7086e13f14d146a36118ef35a\" \/><input type=\"hidden\" name=\"gpuid_existing_value_50\" id=\"gpuid_existing_value_50\" value=\"7e3e2dc7086e13f14d146a36118ef35a\" \/>\n        <div id='gf_progressbar_wrapper_57' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>8<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_12' style='width:12%;'><span>12%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_57_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_57' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_57_304\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_57_304' class='gfield_label gform-field-label' for='input_57_304'><span class='gform-field-label__text'>Comments<\/span><\/label><div class='ginput_container'><input name='input_304' id='input_57_304' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_57_304'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_57_19\" 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 gfield--choice-align-vertical\" data-group-id=\"454e73e4\" data-field-span=\"12\"><legend id='gfield_label_57_19' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>I am a\u2026<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_57_19'>\n\t\t\t<div class='gchoice gchoice_57_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='New'  id='choice_57_19_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_57_19_0 gfield_label_57_19\"   \/>\n\t\t\t\t\t<label for='choice_57_19_0' id='label_57_19_0' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_57_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Returning'  id='choice_57_19_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_57_19_1' id='label_57_19_1' class='gform-field-label gform-field-label--type-inline'>Returning<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_57_300\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_57_300' class='gfield_label gform-field-label' for='input_57_300'><span class='gform-field-label__text'>Email address (used on your previous booking)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_300' id='input_57_300' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_57_301\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_57_301' class='gfield_label gform-field-label' for='input_57_301'><span class='gform-field-label__text'>Date of birth<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/yyyy'\n\t\t\t\t\tid='input_57_301'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_301'\n\t\t\t\t value=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_57_301' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_57_301' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_57_301' aria-label='Date of birth: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_57_60\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"4f4841a7\" data-field-span=\"12\"><label id='gfield_label_57_60' class='gfield_label gform-field-label' for='input_57_60'><span class='gform-field-label__text'>incomingurl<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_57_60' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"94165bc9\" data-field-span=\"12\"><label id='gfield_label_57_28' class='gfield_label gform-field-label' for='input_57_28'><span class='gform-field-label__text'>actualurl<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_57_28' type='text' value='https:\/\/www.medelit.com\/uk\/wp-json\/wp\/v2\/posts\/1878' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_61\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"e2beb877\" data-field-span=\"12\"><label id='gfield_label_57_61' class='gfield_label gform-field-label' for='input_57_61'><span class='gform-field-label__text'>full url<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_57_61' type='text' value='https:\/\/www.medelit.com\/uk\/wp-json\/wp\/v2\/posts\/1878' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"f4c51e3d\" data-field-span=\"12\"><label id='gfield_label_57_43' class='gfield_label gform-field-label' for='input_57_43'><span class='gform-field-label__text'>Returning PT ID<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_57_43' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"cf94c778\" data-field-span=\"12\"><label id='gfield_label_57_58' class='gfield_label gform-field-label' for='input_57_58'><span class='gform-field-label__text'>SERV TYPE<\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_58' id='input_57_58' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_62\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"895e6e4e\" data-field-span=\"12\"><label id='gfield_label_57_62' class='gfield_label gform-field-label' for='input_57_62'><span class='gform-field-label__text'>FIELD<\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_62' id='input_57_62' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"1c6c9d02\" data-field-span=\"12\"><label id='gfield_label_57_63' class='gfield_label gform-field-label' for='input_57_63'><span class='gform-field-label__text'>SUBFIELD<\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_63' id='input_57_63' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_54\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"542e307f\" data-field-span=\"12\"><label id='gfield_label_57_54' class='gfield_label gform-field-label' for='input_57_54'><span class='gform-field-label__text'>NEW\/RETURNING PT @new_returning<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_57_54' type='text' value='Returning' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_57_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 gfield--choice-align-vertical\" data-group-id=\"3feb2f7e\" data-field-span=\"12\"><legend id='gfield_label_57_25' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>I am interested in\u2026<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_57_25'>\n\t\t\t<div class='gchoice gchoice_57_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='HOME VISIT'  id='choice_57_25_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_57_25_0 gfield_label_57_25\"   \/>\n\t\t\t\t\t<label for='choice_57_25_0' id='label_57_25_0' class='gform-field-label gform-field-label--type-inline'>HOME VISIT<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_57_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='VIDEO CONSULTATION'  id='choice_57_25_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_57_25_1' id='label_57_25_1' class='gform-field-label gform-field-label--type-inline'>VIDEO CONSULTATION<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_57_69' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_57_2' class='gform_page' data-js='page-field-id-69' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_57_2' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_57_56\" 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\" data-group-id=\"773616a0\" data-field-span=\"12\"><p style=\"text-align: justify; font-size: 18px; color: #CA1517;\">\n    No patient found in our system with these details.<br>\n    Go back with \u00abBack\u00bb and select \u00abNew\u00bb to continue with your booking.\n<\/p><\/div><div id=\"field_57_303\" class=\"gfield gfield--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\"><h3>Welcome back!<\/h3><p>We found your details in our system. Click <strong>Next<\/strong> to continue with your stored information.<\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_57_68' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Back<\/button> <button type='button' id='gform_next_button_57_68' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_57_3' class='gform_page' data-js='page-field-id-68' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_57_3' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><fieldset id=\"field_57_45\" 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 gfield--choice-align-vertical\" data-group-id=\"60ac0634\" data-field-span=\"12\"><legend id='gfield_label_57_45' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Is the visit address still the same as last time?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_57_45'>\n\t\t\t<div class='gchoice gchoice_57_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='YES'  id='choice_57_45_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_57_45_0 gfield_label_57_45\"   \/>\n\t\t\t\t\t<label for='choice_57_45_0' id='label_57_45_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_57_45_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='NO \/ I&#039;M NOT SURE'  id='choice_57_45_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_57_45_1' id='label_57_45_1' class='gform-field-label gform-field-label--type-inline'>NO \/ I'M NOT SURE<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_57_48\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"1160782f\" data-field-span=\"12\"><legend id='gfield_label_57_48' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>RETURNING PT SYSTEM VISIT ADDRESS<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_57_48' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_57_48_1_container' >\n                                        <input type='text' name='input_48.1' id='input_57_48_1' value=''    aria-required='true'    aria-labelledby=\"input_57_48_1_label gfield_label_57_48\"\/>\n                                        <label for='input_57_48_1' id='input_57_48_1_label' class='gform-field-label gform-field-label--type-sub '>Street and HOUSE NUMBER<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_57_48_3_container' >\n                                    <input type='text' name='input_48.3' id='input_57_48_3' value=''    aria-required='true'    \/>\n                                    <label for='input_57_48_3' id='input_57_48_3_label' class='gform-field-label gform-field-label--type-sub '>Town \/ City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_48.4' id='input_57_48_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_57_48_5_container' >\n                                    <input type='text' name='input_48.5' id='input_57_48_5' value=''    aria-required='true'    \/>\n                                    <label for='input_57_48_5' id='input_57_48_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_57_48_6_container' >\n                                        <select name='input_48.6' id='input_57_48_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CV' >Cape Verde<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia and the South Sandwich Islands<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' selected='selected'>United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_57_48_6' id='input_57_48_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_57_55' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Back<\/button> <button type='button' id='gform_next_button_57_55' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_57_4' class='gform_page' data-js='page-field-id-55' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_57_4' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><fieldset id=\"field_57_15\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"fb03d56d\" data-field-span=\"12\"><legend id='gfield_label_57_15' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Visit address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_57_15' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_57_15_1_container' >\n                                        <input type='text' name='input_15.1' id='input_57_15_1' value=''   placeholder='Type your visit address here' aria-required='true'    aria-labelledby=\"input_57_15_1_label gfield_label_57_15\"\/>\n                                        <label for='input_57_15_1' id='input_57_15_1_label' class='gform-field-label gform-field-label--type-sub '>Street and HOUSE NUMBER<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_57_15_3_container' >\n                                    <input type='text' name='input_15.3' id='input_57_15_3' value=''    aria-required='true'    \/>\n                                    <label for='input_57_15_3' id='input_57_15_3_label' class='gform-field-label gform-field-label--type-sub '>Town \/ City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_15.4' id='input_57_15_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_57_15_5_container' >\n                                    <input type='text' name='input_15.5' id='input_57_15_5' value=''    aria-required='true'    \/>\n                                    <label for='input_57_15_5' id='input_57_15_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_57_15_6_container' >\n                                        <select name='input_15.6' id='input_57_15_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CV' >Cape Verde<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia and the South Sandwich Islands<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' selected='selected'>United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_57_15_6' id='input_57_15_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><input type=\"hidden\" name=\"gpaa_place_15\" class=\"gform_hidden\" value=\"\"><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_57_81' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Back<\/button> <button type='button' id='gform_next_button_57_81' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_57_5' class='gform_page' data-js='page-field-id-81' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_57_5' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><fieldset id=\"field_57_47\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"1454a830\" data-field-span=\"12\"><legend id='gfield_label_57_47' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Current visit address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_57_47' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_57_47_1_container' >\n                                        <input type='text' name='input_47.1' id='input_57_47_1' value=''    aria-required='true'    aria-labelledby=\"input_57_47_1_label gfield_label_57_47\"\/>\n                                        <label for='input_57_47_1' id='input_57_47_1_label' class='gform-field-label gform-field-label--type-sub '>Street and HOUSE NUMBER<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_57_47_3_container' >\n                                    <input type='text' name='input_47.3' id='input_57_47_3' value=''    aria-required='true'    \/>\n                                    <label for='input_57_47_3' id='input_57_47_3_label' class='gform-field-label gform-field-label--type-sub '>Town \/ City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_47.4' id='input_57_47_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_57_47_5_container' >\n                                    <input type='text' name='input_47.5' id='input_57_47_5' value=''    aria-required='true'    \/>\n                                    <label for='input_57_47_5' id='input_57_47_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_57_47_6_container' >\n                                        <select name='input_47.6' id='input_57_47_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CV' >Cape Verde<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia and the South Sandwich Islands<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' selected='selected'>United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_57_47_6' id='input_57_47_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><input type=\"hidden\" name=\"gpaa_place_47\" class=\"gform_hidden\" value=\"\"><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_57_72' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Back<\/button> <button type='button' id='gform_next_button_57_72' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_57_6' class='gform_page' data-js='page-field-id-72' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_57_6' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_57_67\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full sn37uk-fallback gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"847a0601\" data-field-span=\"12\"><label id='gfield_label_57_67' class='gfield_label gform-field-label' for='input_57_67'><span class='gform-field-label__text'>REQUESTED HOME VISIT<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_67' id='input_57_67' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a service<\/option><option value='ALM101' >ACUPUNCTURE 1ST VISIT<\/option><option value='MEN105' >DIABETES 1ST VISIT<\/option><option value='MEN101' >ENDOCRINOLOGY 1ST VISIT<\/option><option value='MFE101' >FERTILITY VISIT<\/option><option value='FTM101' >FUNCTIONAL MEDICINE 1ST VISIT HOME VISIT<\/option><option value='MGP101' >GP HOME VISIT<\/option><option value='MGP102' >GP HOME VISIT WITH CERTIFICATE<\/option><option value='MGE101' >GERIATRIC 1ST VISIT<\/option><option value='MGY101' >GYNAECOLOGY VISIT<\/option><option value='MOR101' >ORTHOPAEDIC SURGEON 1ST VISIT<\/option><option value='MPA101' >PALLIATIVE CARE DOCTOR HOME VISIT<\/option><option value='MPR101' >PHYSICAL MED AND REHABILITATION HOME VISIT<\/option><option value='MPR106' >PHYSICAL MED BOTULIN INJECTION<\/option><option value='MPS101' >PSYCHIATRY 1ST VISIT<\/option><option value='NRS104' >BLOOD TEST (INCLUDING LAB TESTS)<\/option><option value='NRS128' >BLOOD TEST (WITHDRAWAL ONLY - NO LAB TRANSPORT)<\/option><option value='NRS120' >ENEMA<\/option><option value='NRS121' >INJECTION<\/option><option value='NRS116' >STANDARD IV DRIP (&lt; 1HR)<\/option><option value='NRS117' >1 - 2 HOUR IV DRIP<\/option><option value='NRS118' >2 - 3 HOUR IV DRIP<\/option><option value='NRS101' >NURSING CARE &lt; 3HRS (FEE\/HR)<\/option><option value='NRS102' >NURSING CARE 3-6 HRS (FEE\/HR)<\/option><option value='NRS103' >NURSING CARE &gt;6 HRS (FEE\/HR)<\/option><option value='NRS126' >EAR IRRIGATION<\/option><option value='NRS127' >PERSONAL HYGIENE<\/option><option value='NRS122' >STOMA CARE<\/option><option value='NRS119' >URINARY CATHETER CARE<\/option><option value='NRS124' >PICC CARE<\/option><option value='NRS123' >PORT-A-CATH CARE<\/option><option value='NRS125' >MIDLINE CARE<\/option><option value='NRS115' >WOUND DRESSING<\/option><option value='NRS129' >TISSUE VIABILITY 1ST VISIT<\/option><option value='NTT101' >NUTRITIONAL THERAPY 1S VISIT<\/option><option value='PGL101' >LYMPHATIC MASSAGE 1ST TREATMENT<\/option><option value='PGE106' >NEURO - PHYSIOTHERAPY FIRST SESSION<\/option><option value='PGE101' >PHYSIO - ORTHOPAEDIC &amp; SPORTS - FIRST SESSION<\/option><option value='PRE101' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY FIRST SESSION<\/option><option value='POD101' >PODIATRY 1ST VISIT<\/option><option value='POD107' >DIABETIC FOOT SCREENING + INITIAL ASSESSMENT<\/option><option value='PSY101' >PSYCHOLOGICAL 1ST CONSULTATION<\/option><option value='SPT101' >SPEECH THERAPY ADULT 1ST VISIT<\/option><option value='SPT107' >SPEECH THERAPY CHILDREN 1ST VISIT<\/option><\/select><\/div><\/div><div id=\"field_57_36\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full sn37uk-fallback gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"234594c1\" data-field-span=\"12\"><label id='gfield_label_57_36' class='gfield_label gform-field-label' for='input_57_36'><span class='gform-field-label__text'>REQUESTED HOME-VISIT SERVICE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_57_36' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a service<\/option><option value='ALM101' >ACUPUNCTURE 1ST VISIT<\/option><option value='MEN105' >DIABETES 1ST VISIT<\/option><option value='MEN101' >ENDOCRINOLOGY 1ST VISIT<\/option><option value='MFE101' >FERTILITY VISIT<\/option><option value='FTM101' >FUNCTIONAL MEDICINE 1ST VISIT HOME VISIT<\/option><option value='MGP101' >GP HOME VISIT<\/option><option value='MGP102' >GP HOME VISIT WITH CERTIFICATE<\/option><option value='MGE101' >GERIATRIC 1ST VISIT<\/option><option value='MGY101' >GYNAECOLOGY VISIT<\/option><option value='MOR101' >ORTHOPAEDIC SURGEON 1ST VISIT<\/option><option value='MPA101' >PALLIATIVE CARE DOCTOR HOME VISIT<\/option><option value='MPR101' >PHYSICAL MED AND REHABILITATION HOME VISIT<\/option><option value='MPR106' >PHYSICAL MED BOTULIN INJECTION<\/option><option value='MPS101' >PSYCHIATRY 1ST VISIT<\/option><option value='NRS104' >BLOOD TEST (INCLUDING LAB TESTS)<\/option><option value='NRS128' >BLOOD TEST (WITHDRAWAL ONLY - NO LAB TRANSPORT)<\/option><option value='NRS120' >ENEMA<\/option><option value='NRS121' >INJECTION<\/option><option value='NRS116' >STANDARD IV DRIP (&lt; 1HR)<\/option><option value='NRS117' >1 - 2 HOUR IV DRIP<\/option><option value='NRS118' >2 - 3 HOUR IV DRIP<\/option><option value='NRS101' >NURSING CARE &lt; 3HRS (FEE\/HR)<\/option><option value='NRS102' >NURSING CARE 3-6 HRS (FEE\/HR)<\/option><option value='NRS103' >NURSING CARE &gt;6 HRS (FEE\/HR)<\/option><option value='NRS126' >EAR IRRIGATION<\/option><option value='NRS127' >PERSONAL HYGIENE<\/option><option value='NRS122' >STOMA CARE<\/option><option value='NRS119' >URINARY CATHETER CARE<\/option><option value='NRS124' >PICC CARE<\/option><option value='NRS123' >PORT-A-CATH CARE<\/option><option value='NRS125' >MIDLINE CARE<\/option><option value='NRS115' >WOUND DRESSING<\/option><option value='NRS129' >TISSUE VIABILITY 1ST VISIT<\/option><option value='NTT101' >NUTRITIONAL THERAPY 1S VISIT<\/option><option value='PGL101' >LYMPHATIC MASSAGE 1ST TREATMENT<\/option><option value='PGE106' >NEURO - PHYSIOTHERAPY FIRST SESSION<\/option><option value='PGE101' >PHYSIO - ORTHOPAEDIC &amp; SPORTS - FIRST SESSION<\/option><option value='PRE101' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY FIRST SESSION<\/option><option value='POD101' >PODIATRY 1ST VISIT<\/option><option value='POD107' >DIABETIC FOOT SCREENING + INITIAL ASSESSMENT<\/option><option value='PSY101' >PSYCHOLOGICAL 1ST CONSULTATION<\/option><option value='SPT101' >SPEECH THERAPY ADULT 1ST VISIT<\/option><option value='SPT107' >SPEECH THERAPY CHILDREN 1ST VISIT<\/option><\/select><\/div><\/div><div id=\"field_57_76\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full sn37uk-fallback gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9d82ae0b\" data-field-span=\"12\"><label id='gfield_label_57_76' class='gfield_label gform-field-label' for='input_57_76'><span class='gform-field-label__text'>REQUESTED VIDEO-CONSULTATION SERVICE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_57_76' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a service<\/option><option value='MEN107' >DIABETES VIDEO 1ST<\/option><option value='MEN103' >ENDOCRINOLOGY VIDEO 1ST<\/option><option value='MFE102' >FERTILITY VIDEO CONSULTATION NEW PATIENT<\/option><option value='FTM103' >FUNCTIONAL MEDICINE VIDEO 1ST CONSULTATION<\/option><option value='MGP103' >GP VIDEO CONSULTATION<\/option><option value='MGP104' >GP VIDEO CONSULTATION WITH CERTIFICATE<\/option><option value='MGE103' >GERIATRIC VIDEO 1ST CONSULTATION<\/option><option value='MGY103' >GYNAECOLOGY VIDEO CONSULTATION<\/option><option value='MOR103' >ORTHOPAEDIC SURGEON VIDEO CONSULTATION<\/option><option value='MPA102' >PALLIATIVE CARE DOCTOR VIDEO CONSULTATION<\/option><option value='MPR102' >PHYSICAL MED AND REHABILITATION VIDEO 1ST CONSULTATION<\/option><option value='MPS106' >PSYCHIATRY 1st VISIT VIDEO<\/option><option value='NRS132' >NURSE VIDEO CONSULTATION<\/option><option value='NRS133' >TISSUE VIABILITY VIDEO CONSULTATION<\/option><option value='NTT103' >NUTRITIONAL THERAPY VIDEO 1ST VISIT<\/option><option value='PVI101' >PHYSIO VIDEO CONSULTATION<\/option><option value='PSY105' >PSYCHOLOGY FULL VIDEO CONSULTATION (60 MIN)<\/option><option value='SPT105' >SPEECH THERAPY ADULT VIDEO 1ST VISIT<\/option><option value='SPT111' >SPEECH THERAPY CHILDREN VIDEO 1ST VISIT<\/option><\/select><\/div><\/div><div id=\"field_57_74\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full sn37uk-fallback gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b2f8ddf4\" data-field-span=\"12\"><label id='gfield_label_57_74' class='gfield_label gform-field-label' for='input_57_74'><span class='gform-field-label__text'>REQUESTED VIDEO-CONSULTATION SERVICE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_57_74' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a service<\/option><option value='MEN107' >DIABETES VIDEO 1ST<\/option><option value='MEN103' >ENDOCRINOLOGY VIDEO 1ST<\/option><option value='MFE102' >FERTILITY VIDEO CONSULTATION NEW PATIENT<\/option><option value='FTM103' >FUNCTIONAL MEDICINE VIDEO 1ST CONSULTATION<\/option><option value='MGP103' >GP VIDEO CONSULTATION<\/option><option value='MGP104' >GP VIDEO CONSULTATION WITH CERTIFICATE<\/option><option value='MGE103' >GERIATRIC VIDEO 1ST CONSULTATION<\/option><option value='MGY103' >GYNAECOLOGY VIDEO CONSULTATION<\/option><option value='MOR103' >ORTHOPAEDIC SURGEON VIDEO CONSULTATION<\/option><option value='MPA102' >PALLIATIVE CARE DOCTOR VIDEO CONSULTATION<\/option><option value='MPR102' >PHYSICAL MED AND REHABILITATION VIDEO 1ST CONSULTATION<\/option><option value='MPS106' >PSYCHIATRY 1st VISIT VIDEO<\/option><option value='NRS132' >NURSE VIDEO CONSULTATION<\/option><option value='NRS133' >TISSUE VIABILITY VIDEO CONSULTATION<\/option><option value='NTT103' >NUTRITIONAL THERAPY VIDEO 1ST VISIT<\/option><option value='PVI101' >PHYSIO VIDEO CONSULTATION<\/option><option value='PSY105' >PSYCHOLOGY FULL VIDEO CONSULTATION (60 MIN)<\/option><option value='SPT105' >SPEECH THERAPY ADULT VIDEO 1ST VISIT<\/option><option value='SPT111' >SPEECH THERAPY CHILDREN VIDEO 1ST VISIT<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_57_73' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Back<\/button> <button type='button' id='gform_next_button_57_73' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_57_7' class='gform_page' data-js='page-field-id-73' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_57_7' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_57_77\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full sn37uk-fallback gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9d67b3b9\" data-field-span=\"12\"><label id='gfield_label_57_77' class='gfield_label gform-field-label' for='input_57_77'><span class='gform-field-label__text'>REQUESTED HOME VISIT<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_77' id='input_57_77' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a service<\/option><option value='ALM101' >ACUPUNCTURE 1ST VISIT<\/option><option value='ALM103' >ACUPUNCTURE 5 TREATMENT PACKAGE<\/option><option value='ALM102' >ACUPUNCTURE FOLLOW UP<\/option><option value='MEN105' >DIABETES 1ST VISIT<\/option><option value='MEN106' >DIABETES FOLLOW UP<\/option><option value='MEN101' >ENDOCRINOLOGY 1ST VISIT<\/option><option value='MEN102' >ENDOCRINOLOGY FOLLOW UP<\/option><option value='MFE101' >FERTILITY VISIT<\/option><option value='FTM101' >FUNCTIONAL MEDICINE 1ST VISIT HOME VISIT<\/option><option value='FTM102' >FUNCTIONAL MEDICINE FOLLOW UP HOME VISIT<\/option><option value='MGP101' >GP HOME VISIT<\/option><option value='MGP102' >GP HOME VISIT WITH CERTIFICATE<\/option><option value='MGE101' >GERIATRIC 1ST VISIT<\/option><option value='MGY101' >GYNAECOLOGY VISIT<\/option><option value='MOR101' >ORTHOPAEDIC SURGEON 1ST VISIT<\/option><option value='MOR102' >ORTHOPAEDIC SURGEON FOLLOW UP<\/option><option value='MPA101' >PALLIATIVE CARE DOCTOR HOME VISIT<\/option><option value='MPR101' >PHYSICAL MED AND REHABILITATION HOME VISIT<\/option><option value='MPR106' >PHYSICAL MED BOTULIN INJECTION<\/option><option value='MPR105' >PHYSICAL MED AND REHABILITATION MEDICAL-LEGAL (FEE\/HR)<\/option><option value='MPS101' >PSYCHIATRY 1ST VISIT<\/option><option value='MPS102' >PSYCHIATRY FOLLOW UP<\/option><option value='NRS104' >BLOOD TEST (INCLUDING LAB TESTS)<\/option><option value='NRS128' >BLOOD TEST (WITHDRAWAL ONLY - NO LAB TRANSPORT)<\/option><option value='NRS120' >ENEMA<\/option><option value='NRS121' >INJECTION<\/option><option value='NRS116' >STANDARD IV DRIP (&lt; 1HR)<\/option><option value='NRS117' >1 - 2 HOUR IV DRIP<\/option><option value='NRS118' >2 - 3 HOUR IV DRIP<\/option><option value='NRS101' >NURSING CARE &lt; 3HRS (FEE\/HR)<\/option><option value='NRS102' >NURSING CARE 3-6 HRS (FEE\/HR)<\/option><option value='NRS103' >NURSING CARE &gt;6 HRS (FEE\/HR)<\/option><option value='NRS126' >EAR IRRIGATION<\/option><option value='NRS127' >PERSONAL HYGIENE<\/option><option value='NRS122' >STOMA CARE<\/option><option value='NRS119' >URINARY CATHETER CARE<\/option><option value='NRS124' >PICC CARE<\/option><option value='NRS123' >PORT-A-CATH CARE<\/option><option value='NRS125' >MIDLINE CARE<\/option><option value='NRS115' >WOUND DRESSING<\/option><option value='NRS129' >TISSUE VIABILITY 1ST VISIT<\/option><option value='NRS130' >TISSUE VIABILITY FOLLOW UP VISIT<\/option><option value='NRS131' >TISSUE VIABILITY 5 VISIT PACKAGE<\/option><option value='NTT101' >NUTRITIONAL THERAPY 1S VISIT<\/option><option value='NTT102' >NUTRITIONAL THERAPY FOLLOW UP<\/option><option value='PGL101' >LYMPHATIC MASSAGE 1ST TREATMENT<\/option><option value='PGL102' >LYMPHATIC MASSAGE FOLLOW UP<\/option><option value='PGE106' >NEURO - PHYSIOTHERAPY FIRST SESSION<\/option><option value='PGE110' >NEURO-PHYSIOTHERAPY PACKAGE 5 SESSION 60 MIN<\/option><option value='PGE109' >NEURO-PHYSIOTHERAPY PACKAGE 5 SESSIONS 45 MIN<\/option><option value='PGE107' >NEURO - PHYSIOTHERAPY FOLLOW UP (45 MIN)<\/option><option value='PGE108' >NEURO - PHYSIOTHERAPY FOLLOW UP (60 MIN)<\/option><option value='PGE101' >PHYSIO - ORTHOPAEDIC &amp; SPORTS - FIRST SESSION<\/option><option value='PGE104' >PHYSIO - ORTHOPAEDIC &amp; SPORTS - PACKAGE 5 SESSIONS - 45 MIN<\/option><option value='PGE105' >PHYSIO - ORTHOPAEDIC &amp; SPORTS - PACKAGE 5 SESSIONS - 60 MIN<\/option><option value='PGE102' >PHYSIO ORTHOPAEDIC &amp; SPORTS - FOLLOW UP (45 MIN)<\/option><option value='PGE103' >PHYSIO ORTHOPAEDIC &amp; SPORTS - FOLLOW UP (60 MIN)<\/option><option value='PRE101' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY FIRST SESSION<\/option><option value='PRE104' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY PACKAGE 5 SESSION<\/option><option value='PRE102' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY FOLLOW UP (45 MIN)<\/option><option value='PRE103' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY FOLLOW UP (60 MIN)<\/option><option value='POD101' >PODIATRY 1ST VISIT<\/option><option value='POD107' >DIABETIC FOOT SCREENING + INITIAL ASSESSMENT<\/option><option value='POD102' >PODIATRY FOLLOW UP<\/option><option value='POD104' >PODIATRY 5 VISIT PACKAGE<\/option><option value='PSY101' >PSYCHOLOGICAL 1ST CONSULTATION<\/option><option value='PSY102' >PSYCHOLOGICAL FOLLOW UP CONSULTATION<\/option><option value='SPT101' >SPEECH THERAPY ADULT 1ST VISIT<\/option><option value='SPT103' >SPEECH THERAPY ADULT PACKAGE 5 SESSIONS<\/option><option value='SPT102' >SPEECH THERAPY ADULT FOLLOW UP<\/option><option value='SPT107' >SPEECH THERAPY CHILDREN 1ST VISIT<\/option><option value='SPT109' >SPEECH THERAPY CHILDREN PACKAGE 5 SESSIONS<\/option><option value='SPT108' >SPEECH THERAPY CHILDREN FOLLOW UP<\/option><\/select><\/div><\/div><div id=\"field_57_70\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full sn37uk-fallback gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"cb2233e6\" data-field-span=\"12\"><label id='gfield_label_57_70' class='gfield_label gform-field-label' for='input_57_70'><span class='gform-field-label__text'>REQUESTED HOME-VISIT SERVICE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_70' id='input_57_70' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a service<\/option><option value='ALM101' >ACUPUNCTURE 1ST VISIT<\/option><option value='ALM103' >ACUPUNCTURE 5 TREATMENT PACKAGE<\/option><option value='ALM102' >ACUPUNCTURE FOLLOW UP<\/option><option value='MEN105' >DIABETES 1ST VISIT<\/option><option value='MEN106' >DIABETES FOLLOW UP<\/option><option value='MEN101' >ENDOCRINOLOGY 1ST VISIT<\/option><option value='MEN102' >ENDOCRINOLOGY FOLLOW UP<\/option><option value='MFE101' >FERTILITY VISIT<\/option><option value='FTM101' >FUNCTIONAL MEDICINE 1ST VISIT HOME VISIT<\/option><option value='FTM102' >FUNCTIONAL MEDICINE FOLLOW UP HOME VISIT<\/option><option value='MGP101' >GP HOME VISIT<\/option><option value='MGP102' >GP HOME VISIT WITH CERTIFICATE<\/option><option value='MGE101' >GERIATRIC 1ST VISIT<\/option><option value='MGY101' >GYNAECOLOGY VISIT<\/option><option value='MOR101' >ORTHOPAEDIC SURGEON 1ST VISIT<\/option><option value='MOR102' >ORTHOPAEDIC SURGEON FOLLOW UP<\/option><option value='MPA101' >PALLIATIVE CARE DOCTOR HOME VISIT<\/option><option value='MPR101' >PHYSICAL MED AND REHABILITATION HOME VISIT<\/option><option value='MPR106' >PHYSICAL MED BOTULIN INJECTION<\/option><option value='MPR105' >PHYSICAL MED AND REHABILITATION MEDICAL-LEGAL (FEE\/HR)<\/option><option value='MPS101' >PSYCHIATRY 1ST VISIT<\/option><option value='MPS102' >PSYCHIATRY FOLLOW UP<\/option><option value='NRS104' >BLOOD TEST (INCLUDING LAB TESTS)<\/option><option value='NRS128' >BLOOD TEST (WITHDRAWAL ONLY - NO LAB TRANSPORT)<\/option><option value='NRS120' >ENEMA<\/option><option value='NRS121' >INJECTION<\/option><option value='NRS116' >STANDARD IV DRIP (&lt; 1HR)<\/option><option value='NRS117' >1 - 2 HOUR IV DRIP<\/option><option value='NRS118' >2 - 3 HOUR IV DRIP<\/option><option value='NRS101' >NURSING CARE &lt; 3HRS (FEE\/HR)<\/option><option value='NRS102' >NURSING CARE 3-6 HRS (FEE\/HR)<\/option><option value='NRS103' >NURSING CARE &gt;6 HRS (FEE\/HR)<\/option><option value='NRS126' >EAR IRRIGATION<\/option><option value='NRS127' >PERSONAL HYGIENE<\/option><option value='NRS122' >STOMA CARE<\/option><option value='NRS119' >URINARY CATHETER CARE<\/option><option value='NRS124' >PICC CARE<\/option><option value='NRS123' >PORT-A-CATH CARE<\/option><option value='NRS125' >MIDLINE CARE<\/option><option value='NRS115' >WOUND DRESSING<\/option><option value='NRS129' >TISSUE VIABILITY 1ST VISIT<\/option><option value='NRS130' >TISSUE VIABILITY FOLLOW UP VISIT<\/option><option value='NRS131' >TISSUE VIABILITY 5 VISIT PACKAGE<\/option><option value='NTT101' >NUTRITIONAL THERAPY 1S VISIT<\/option><option value='NTT102' >NUTRITIONAL THERAPY FOLLOW UP<\/option><option value='PGL101' >LYMPHATIC MASSAGE 1ST TREATMENT<\/option><option value='PGL102' >LYMPHATIC MASSAGE FOLLOW UP<\/option><option value='PGE106' >NEURO - PHYSIOTHERAPY FIRST SESSION<\/option><option value='PGE110' >NEURO-PHYSIOTHERAPY PACKAGE 5 SESSION 60 MIN<\/option><option value='PGE109' >NEURO-PHYSIOTHERAPY PACKAGE 5 SESSIONS 45 MIN<\/option><option value='PGE107' >NEURO - PHYSIOTHERAPY FOLLOW UP (45 MIN)<\/option><option value='PGE108' >NEURO - PHYSIOTHERAPY FOLLOW UP (60 MIN)<\/option><option value='PGE101' >PHYSIO - ORTHOPAEDIC &amp; SPORTS - FIRST SESSION<\/option><option value='PGE104' >PHYSIO - ORTHOPAEDIC &amp; SPORTS - PACKAGE 5 SESSIONS - 45 MIN<\/option><option value='PGE105' >PHYSIO - ORTHOPAEDIC &amp; SPORTS - PACKAGE 5 SESSIONS - 60 MIN<\/option><option value='PGE102' >PHYSIO ORTHOPAEDIC &amp; SPORTS - FOLLOW UP (45 MIN)<\/option><option value='PGE103' >PHYSIO ORTHOPAEDIC &amp; SPORTS - FOLLOW UP (60 MIN)<\/option><option value='PRE101' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY FIRST SESSION<\/option><option value='PRE104' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY PACKAGE 5 SESSION<\/option><option value='PRE102' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY FOLLOW UP (45 MIN)<\/option><option value='PRE103' >CARDIOVASCULAR &amp; RESPIRATORY PHYSIOTHERAPY FOLLOW UP (60 MIN)<\/option><option value='POD101' >PODIATRY 1ST VISIT<\/option><option value='POD107' >DIABETIC FOOT SCREENING + INITIAL ASSESSMENT<\/option><option value='POD102' >PODIATRY FOLLOW UP<\/option><option value='POD104' >PODIATRY 5 VISIT PACKAGE<\/option><option value='PSY101' >PSYCHOLOGICAL 1ST CONSULTATION<\/option><option value='PSY102' >PSYCHOLOGICAL FOLLOW UP CONSULTATION<\/option><option value='SPT101' >SPEECH THERAPY ADULT 1ST VISIT<\/option><option value='SPT103' >SPEECH THERAPY ADULT PACKAGE 5 SESSIONS<\/option><option value='SPT102' >SPEECH THERAPY ADULT FOLLOW UP<\/option><option value='SPT107' >SPEECH THERAPY CHILDREN 1ST VISIT<\/option><option value='SPT109' >SPEECH THERAPY CHILDREN PACKAGE 5 SESSIONS<\/option><option value='SPT108' >SPEECH THERAPY CHILDREN FOLLOW UP<\/option><\/select><\/div><\/div><div id=\"field_57_65\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full sn37uk-fallback gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e7af96d0\" data-field-span=\"12\"><label id='gfield_label_57_65' class='gfield_label gform-field-label' for='input_57_65'><span class='gform-field-label__text'>REQUESTED VIDEO-CONSULTATION SERVICE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_57_65' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a service<\/option><option value='MEN107' >DIABETES VIDEO 1ST<\/option><option value='MEN108' >DIABETES VIDEO FOLLOW UP<\/option><option value='MEN103' >ENDOCRINOLOGY VIDEO 1ST<\/option><option value='MEN104' >ENDOCRINOLOGY VIDEO FOLLOW UP<\/option><option value='MFE103' >FERTILITY VIDEO CONSULTATION FOLLOW UP<\/option><option value='MFE102' >FERTILITY VIDEO CONSULTATION NEW PATIENT<\/option><option value='FTM103' >FUNCTIONAL MEDICINE VIDEO 1ST CONSULTATION<\/option><option value='FTM107' >FUNCTIONAL MEDICINE COACHING PLAN + FUP SKYPE<\/option><option value='FTM104' >FUNCTIONAL MEDICINE VIDEO FOLLOW UP<\/option><option value='MGP103' >GP VIDEO CONSULTATION<\/option><option value='MGP104' >GP VIDEO CONSULTATION WITH CERTIFICATE<\/option><option value='MGE103' >GERIATRIC VIDEO 1ST CONSULTATION<\/option><option value='MGE104' >GERIATRIC VIDEO FOLLOW UP<\/option><option value='MGY103' >GYNAECOLOGY VIDEO CONSULTATION<\/option><option value='MOR103' >ORTHOPAEDIC SURGEON VIDEO CONSULTATION<\/option><option value='MPA102' >PALLIATIVE CARE DOCTOR VIDEO CONSULTATION<\/option><option value='MPR102' >PHYSICAL MED AND REHABILITATION VIDEO 1ST CONSULTATION<\/option><option value='MPR104' >PHYSICAL MED AND REHABILITATION VIDEO FOLLOW UP<\/option><option value='MPS106' >PSYCHIATRY 1st VISIT VIDEO<\/option><option value='MPS105' >PSYCHIATRY FOLLOW UP VIDEO<\/option><option value='NRS132' >NURSE VIDEO CONSULTATION<\/option><option value='NRS133' >TISSUE VIABILITY VIDEO CONSULTATION<\/option><option value='NTT103' >NUTRITIONAL THERAPY VIDEO 1ST VISIT<\/option><option value='NTT104' >NUTRITIONAL THERAPY VIDEO FOLLOW UP<\/option><option value='PVI102' >PHYSIO VIDEO PACKAGE OF 5<\/option><option value='PSY105' >PSYCHOLOGY FULL VIDEO CONSULTATION (60 MIN)<\/option><option value='PSY106' >PSYCHOLOGY 30 MIN FOLLOW UP VIDEO CONSULTATION<\/option><option value='SPT105' >SPEECH THERAPY ADULT VIDEO 1ST VISIT<\/option><option value='SPT114' >SPEECH THERAPY ADULT VIDEO PACKAGE of 5<\/option><option value='SPT106' >SPEECH THERAPY ADULT VIDEO FOLLOW UP VISIT<\/option><option value='SPT111' >SPEECH THERAPY CHILDREN VIDEO 1ST VISIT<\/option><option value='SPT113' >SPEECH THERAPY CHILDREN VIDEO PACKAGE of 5<\/option><option value='SPT112' >SPEECH THERAPY CHILDREN VIDEO FOLLOW UP VISIT<\/option><\/select><\/div><\/div><div id=\"field_57_49\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full sn37uk-fallback gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"89892485\" data-field-span=\"12\"><label id='gfield_label_57_49' class='gfield_label gform-field-label' for='input_57_49'><span class='gform-field-label__text'>REQUESTED VIDEO-CONSULTATION SERVICE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_49' id='input_57_49' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a service<\/option><option value='MEN107' >DIABETES VIDEO 1ST<\/option><option value='MEN108' >DIABETES VIDEO FOLLOW UP<\/option><option value='MEN103' >ENDOCRINOLOGY VIDEO 1ST<\/option><option value='MEN104' >ENDOCRINOLOGY VIDEO FOLLOW UP<\/option><option value='MFE103' >FERTILITY VIDEO CONSULTATION FOLLOW UP<\/option><option value='MFE102' >FERTILITY VIDEO CONSULTATION NEW PATIENT<\/option><option value='FTM103' >FUNCTIONAL MEDICINE VIDEO 1ST CONSULTATION<\/option><option value='FTM107' >FUNCTIONAL MEDICINE COACHING PLAN + FUP SKYPE<\/option><option value='FTM104' >FUNCTIONAL MEDICINE VIDEO FOLLOW UP<\/option><option value='MGP103' >GP VIDEO CONSULTATION<\/option><option value='MGP104' >GP VIDEO CONSULTATION WITH CERTIFICATE<\/option><option value='MGE103' >GERIATRIC VIDEO 1ST CONSULTATION<\/option><option value='MGE104' >GERIATRIC VIDEO FOLLOW UP<\/option><option value='MGY103' >GYNAECOLOGY VIDEO CONSULTATION<\/option><option value='MOR103' >ORTHOPAEDIC SURGEON VIDEO CONSULTATION<\/option><option value='MPA102' >PALLIATIVE CARE DOCTOR VIDEO CONSULTATION<\/option><option value='MPR102' >PHYSICAL MED AND REHABILITATION VIDEO 1ST CONSULTATION<\/option><option value='MPR104' >PHYSICAL MED AND REHABILITATION VIDEO FOLLOW UP<\/option><option value='MPS106' >PSYCHIATRY 1st VISIT VIDEO<\/option><option value='MPS105' >PSYCHIATRY FOLLOW UP VIDEO<\/option><option value='NRS132' >NURSE VIDEO CONSULTATION<\/option><option value='NRS133' >TISSUE VIABILITY VIDEO CONSULTATION<\/option><option value='NTT103' >NUTRITIONAL THERAPY VIDEO 1ST VISIT<\/option><option value='NTT104' >NUTRITIONAL THERAPY VIDEO FOLLOW UP<\/option><option value='PVI102' >PHYSIO VIDEO PACKAGE OF 5<\/option><option value='PSY105' >PSYCHOLOGY FULL VIDEO CONSULTATION (60 MIN)<\/option><option value='PSY106' >PSYCHOLOGY 30 MIN FOLLOW UP VIDEO CONSULTATION<\/option><option value='SPT105' >SPEECH THERAPY ADULT VIDEO 1ST VISIT<\/option><option value='SPT114' >SPEECH THERAPY ADULT VIDEO PACKAGE of 5<\/option><option value='SPT106' >SPEECH THERAPY ADULT VIDEO FOLLOW UP VISIT<\/option><option value='SPT111' >SPEECH THERAPY CHILDREN VIDEO 1ST VISIT<\/option><option value='SPT113' >SPEECH THERAPY CHILDREN VIDEO PACKAGE of 5<\/option><option value='SPT112' >SPEECH THERAPY CHILDREN VIDEO FOLLOW UP VISIT<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_57_79' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Back<\/button> <button type='button' id='gform_next_button_57_79' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_57_8' class='gform_page' data-js='page-field-id-79' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_57_8' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_57_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"eb64c49c\" data-field-span=\"12\"><label id='gfield_label_57_59' class='gfield_label gform-field-label' for='input_57_59'><span class='gform-field-label__text'>Video pseudo-address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_57_59' type='text' value='XXXXVID' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"9362f0fa\" data-field-span=\"12\"><label id='gfield_label_57_37' class='gfield_label gform-field-label' for='input_57_37'><span class='gform-field-label__text'>servcode<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_57_37' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_80\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8c577d9e\" data-field-span=\"12\"><label id='gfield_label_57_80' class='gfield_label gform-field-label' for='input_57_80'><span class='gform-field-label__text'>YOU HAVE SELECTED:<\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_80' id='input_57_80' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_24\" class=\"gfield gfield--type-uid gfield--input-type-uid gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"12d4f624\" data-field-span=\"12\"><label id='gfield_label_57_24' class='gfield_label gform-field-label' for='input_57_24'><span class='gform-field-label__text'>cnn<\/span><\/label><div class='ginput_container ginput_container_hidden'><input name='input_24' id='input_57_24' type='hidden' value=''  \/><\/div><\/div><div id=\"field_57_50\" class=\"gfield gfield--type-uid gfield--input-type-uid gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"771dddea\" data-field-span=\"12\"><label id='gfield_label_57_50' class='gfield_label gform-field-label' for='input_57_50'><span class='gform-field-label__text'>PATIENT ID<\/span><\/label><div class='ginput_container ginput_container_hidden'><input name='input_50' id='input_57_50' type='hidden' value=''  \/><\/div><\/div><div id=\"field_57_40\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"f9a27dee\" data-field-span=\"12\"><label id='gfield_label_57_40' class='gfield_label gform-field-label' for='input_57_40'><span class='gform-field-label__text'>CONNECTED SERVICES servocde<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_57_40' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_57_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"2cb207b8\" data-field-span=\"12\"><label id='gfield_label_57_38' class='gfield_label gform-field-label' for='input_57_38'><span 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