{"id":1053,"date":"2026-10-26T18:48:12","date_gmt":"2026-10-26T13:18:12","guid":{"rendered":"https:\/\/www.34care.com\/?page_id=1053"},"modified":"2026-10-26T18:48:12","modified_gmt":"2026-10-26T13:18:12","slug":"request-appointment","status":"publish","type":"page","link":"https:\/\/www.34care.com\/?page_id=1053","title":{"rendered":"Request an Appointment"},"content":{"rendered":"    <section class=\"care34-form-card\" aria-label=\"Appointment request\"><div class=\"care34-form-intro\"><span class=\"care34-kicker\">GET IN TOUCH<\/span><h2>Request an Appointment<\/h2><p>Tell us when you would prefer to visit. Our team will contact you to discuss availability. <strong>This form does not confirm an appointment.<\/strong><\/p><p class=\"care34-form-note\">Please do not enter symptoms, reports or other sensitive medical information in this form. If you have urgent chest pain or other emergency symptoms, contact local emergency services.<\/p><\/div>\n        <script type=\"application\/json\" 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   <form class=\"care34-form\" action=\"https:\/\/www.34care.com\/wp-admin\/admin-post.php\" method=\"post\">\n      <input type=\"hidden\" name=\"action\" value=\"care34_booking\" \/><input type=\"hidden\" id=\"care34_nonce\" name=\"care34_nonce\" value=\"a0dbba8117\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1053\" \/>      <div class=\"care34-honey\" aria-hidden=\"true\"><label>Leave blank <input type=\"text\" name=\"website\" tabindex=\"-1\" autocomplete=\"off\" \/><\/label><\/div>\n      <div class=\"care34-form-grid\"><label>Full name <span aria-hidden=\"true\">*<\/span><input name=\"name\" maxlength=\"120\" autocomplete=\"name\" required \/><\/label><label>Email address <span aria-hidden=\"true\">*<\/span><input type=\"email\" name=\"email\" maxlength=\"190\" autocomplete=\"email\" required \/><\/label><label>Telephone \/ WhatsApp <span aria-hidden=\"true\">*<\/span><input type=\"tel\" name=\"phone\" maxlength=\"32\" autocomplete=\"tel\" required \/><\/label><label>Service <span aria-hidden=\"true\">*<\/span><select name=\"service\" required><option value=\"\">Select a service<\/option><optgroup label=\"General enquiries\"><option value=\"general-consultation\">General consultation request<\/option><option value=\"other-enquiry\">Other service enquiry<\/option><\/optgroup><optgroup label=\"Treatments\"><option value=\"catalog:1068\">Diabetes Consultation<\/option><option value=\"catalog:1074\">Physiotherapy<\/option><option value=\"catalog:1066\">ECP \/ EECP Treatment<\/option><option value=\"catalog:1070\">Bio Chemical Angioplasty<\/option><option value=\"catalog:1069\">Weight Loss Consultation<\/option><\/optgroup><\/select><\/label><label>Doctor <span aria-hidden=\"true\">*<\/span><select name=\"doctor_id\" id=\"care34-doctor\" required><option value=\"\">Select a doctor<\/option><option value=\"1059\">Dr. Surya Aggarwal - MBBS, MD.<\/option><\/select><\/label><label>Preferred date (India time) <span aria-hidden=\"true\">*<\/span><select name=\"requested_date\" id=\"care34-date\" required><option value=\"\">Select a date<\/option><\/select><\/label><label>Preferred time (India time) <span aria-hidden=\"true\">*<\/span><select name=\"requested_time\" id=\"care34-time\" required><option value=\"\">Select a doctor and date<\/option><\/select><\/label><\/div>\n      <label class=\"care34-consent\"><input type=\"checkbox\" name=\"consent\" value=\"1\" required \/> I agree that 34 Heart Care may contact me about this appointment request. <a href=\"https:\/\/www.34care.com\/?page_id=837\" target=\"_blank\" rel=\"noopener\">Read our Privacy Policy<\/a>.<\/label>\n            <button type=\"submit\" class=\"care34-button\" >Send appointment request<\/button><p class=\"care34-fineprint\">No payment or WordPress account is required.<\/p>\n    <\/form><script>(function(){\n       const host=document.currentScript.parentElement, form=host.querySelector('form');if(!form)return;\n       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})();<\/script><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1053","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.34care.com\/index.php?rest_route=\/wp\/v2\/pages\/1053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.34care.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.34care.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.34care.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.34care.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1053"}],"version-history":[{"count":0,"href":"https:\/\/www.34care.com\/index.php?rest_route=\/wp\/v2\/pages\/1053\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.34care.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}