{"id":283,"date":"2022-06-13T20:44:38","date_gmt":"2022-06-13T20:44:38","guid":{"rendered":"http:\/\/ede.wrq.mybluehost.me\/?page_id=283"},"modified":"2024-12-13T14:42:44","modified_gmt":"2024-12-13T20:42:44","slug":"dsrinicasan","status":"publish","type":"page","link":"https:\/\/precina.com\/dsrinicasan\/","title":{"rendered":"Refer a Patient Deepika Srinicasan"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"283\" class=\"elementor elementor-283\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-64516921 elementor-section-full_width elementor-section-height-min-height elementor-section-stretched elementor-section-height-default elementor-section-items-middle\" data-id=\"64516921\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;,&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69cdcb4a\" data-id=\"69cdcb4a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-287dd9fd elementor-widget elementor-widget-heading\" data-id=\"287dd9fd\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Refer a Patient<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-315b25fa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"315b25fa\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-467ddb4c\" data-id=\"467ddb4c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-15edbb2a elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"15edbb2a\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<!-- Video on how to use this template: https:\/\/www.loom.com\/share\/6a968cc7bfae4d38b9ab368fe4358c95\n-->\n\n\n<h1>Refer a Patient: <b>Deepika Srinicasan<\/b><\/h1>\n<!-- Change the text inside the <b>...<\/b> tag above and replace it with the appropriate title or remove it (and the colon) -->\n\n\n<form action=\"https:\/\/webto.salesforce.com\/servlet\/servlet.WebToLead?encoding=UTF-8&#038;orgId=00DHp000003UrBe\"\n   method=\"POST\"\n   style=\"display: flex; flex-direction: column; gap: 1rem; box-shadow: 5px 5px 56px 0px rgba(0, 0, 0, .25); padding: 2rem\"\n>\n   <!-- Set the 'value' below to the email for the Contact in Salesforce that is referring on this form -->\n   <input\n       value=\"deepikasrinicasan@web2lead.idp.precina.com\"\n       type=\"hidden\"\n       name=\"00NQQ000007wbw1\"\n   \/>\n   <!-- DO NOT CHANGE THE \"name\" PROPERTY -->\n\n\n   <!-- Don't change anything below here (and don't change the \"name\" above)-->\n   <input type=\"hidden\" name=\"oid\" value=\"00DHp000003UrBe\" \/>\n   <input type=\"hidden\" name=\"retURL\" value=\"https:\/\/precina.com\/patient-referral-thankyou\/\" \/>\n   <div>\n       <label for=\"first_name\">Patient First Name<\/label>\n       <input id=\"first_name\" maxlength=\"40\" name=\"first_name\" size=\"20\" type=\"text\" autofocus \/>\n   <\/div>\n   <div>\n       <label for=\"last_name\">Patient Last Name<\/label>\n       <input id=\"last_name\" maxlength=\"80\" name=\"last_name\" size=\"20\" type=\"text\" \/>\n   <\/div>\n   <div>\n       <label for=\"mobile\">Patient Cell Phone<\/label>\n       <input id=\"mobile\" maxlength=\"40\" name=\"mobile\" size=\"20\" type=\"text\" \/>\n   <\/div>\n   <div>\n       <label for=\"00NQQ0000078UMf2AM\">Comments<\/label>\n       <textarea id=\"00NQQ0000078UMf2AM\" name=\"00NQQ0000078UMf2AM\" type=\"text\" wrap=\"soft\"><\/textarea>\n   <\/div>\n\n\n   <input type=\"submit\" name=\"submit\" \/>\n   <!-- ----------------------------------------------------------------------  -->\n   <!-- NOTE: These fields are optional debugging elements. Please uncomment    -->\n   <!--  these lines if you wish to test in debug mode.                          -->\n   <!-- <input type=\"hidden\" name=\"debug\" value=1>                             \n    <input type=\"hidden\" name=\"debugEmail\" value=\"josiahbryan@gmail.com\">   -->\n   <!--  ----------------------------------------------------------------------  -->\n<\/form>\n\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ea5b26 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ea5b26\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f731579\" data-id=\"f731579\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8ff16cf elementor-widget elementor-widget-image\" data-id=\"8ff16cf\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-300x300.png?wsr\" class=\"attachment-medium size-medium wp-image-161\" alt=\"\" srcset=\"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-300x300.png 300w, https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-1024x1024.png 1024w, https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-150x150.png 150w, https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-768x768.png 768w, https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-1536x1536.png 1536w, https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-2048x2048.png 2048w, https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-600x600.png 600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a5d43c elementor-widget elementor-widget-text-editor\" data-id=\"6a5d43c\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4 style=\"text-align: center; color: #000;\">Scan this QR code to add our office number to your phone<\/h4>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Refer a Patient Refer a Patient: Deepika Srinicasan Patient First Name Patient Last Name Patient Cell Phone Comments Scan this QR code to add our office number to your phone<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-283","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Refer a Patient Deepika Srinicasan - Precina Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/precina.com\/dsrinicasan\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Refer a Patient Deepika Srinicasan - Precina Health\" \/>\n<meta property=\"og:description\" content=\"Refer a Patient Refer a Patient: Deepika Srinicasan Patient First Name Patient Last Name Patient Cell Phone Comments Scan this QR code to add our office number to your phone\" \/>\n<meta property=\"og:url\" content=\"https:\/\/precina.com\/dsrinicasan\/\" \/>\n<meta property=\"og:site_name\" content=\"Precina Health\" \/>\n<meta property=\"article:modified_time\" content=\"2024-12-13T20:42:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_.png?wsr\" \/>\n\t<meta property=\"og:image:width\" content=\"3000\" \/>\n\t<meta property=\"og:image:height\" content=\"3000\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/precina.com\/dsrinicasan\/\",\"url\":\"https:\/\/precina.com\/dsrinicasan\/\",\"name\":\"Refer a Patient Deepika Srinicasan - Precina Health\",\"isPartOf\":{\"@id\":\"https:\/\/precina.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/precina.com\/dsrinicasan\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/precina.com\/dsrinicasan\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-300x300.png?wsr\",\"datePublished\":\"2022-06-13T20:44:38+00:00\",\"dateModified\":\"2024-12-13T20:42:44+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/precina.com\/dsrinicasan\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/precina.com\/dsrinicasan\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/precina.com\/dsrinicasan\/#primaryimage\",\"url\":\"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_.png?wsr\",\"contentUrl\":\"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_.png?wsr\",\"width\":3000,\"height\":3000},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/precina.com\/dsrinicasan\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/precina.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Refer a Patient Deepika Srinicasan\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/precina.com\/#website\",\"url\":\"https:\/\/precina.com\/\",\"name\":\"Precina Health\",\"description\":\"Precina Health\",\"publisher\":{\"@id\":\"https:\/\/precina.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/precina.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/precina.com\/#organization\",\"name\":\"Precina Health\",\"url\":\"https:\/\/precina.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/precina.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/precina.com\/wp-content\/uploads\/2021\/10\/Precina@3x.png?wsr\",\"contentUrl\":\"https:\/\/precina.com\/wp-content\/uploads\/2021\/10\/Precina@3x.png?wsr\",\"width\":736,\"height\":226,\"caption\":\"Precina Health\"},\"image\":{\"@id\":\"https:\/\/precina.com\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Refer a Patient Deepika Srinicasan - Precina Health","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/precina.com\/dsrinicasan\/","og_locale":"en_US","og_type":"article","og_title":"Refer a Patient Deepika Srinicasan - Precina Health","og_description":"Refer a Patient Refer a Patient: Deepika Srinicasan Patient First Name Patient Last Name Patient Cell Phone Comments Scan this QR code to add our office number to your phone","og_url":"https:\/\/precina.com\/dsrinicasan\/","og_site_name":"Precina Health","article_modified_time":"2024-12-13T20:42:44+00:00","og_image":[{"width":3000,"height":3000,"url":"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_.png?wsr","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/precina.com\/dsrinicasan\/","url":"https:\/\/precina.com\/dsrinicasan\/","name":"Refer a Patient Deepika Srinicasan - Precina Health","isPartOf":{"@id":"https:\/\/precina.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/precina.com\/dsrinicasan\/#primaryimage"},"image":{"@id":"https:\/\/precina.com\/dsrinicasan\/#primaryimage"},"thumbnailUrl":"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_-300x300.png?wsr","datePublished":"2022-06-13T20:44:38+00:00","dateModified":"2024-12-13T20:42:44+00:00","breadcrumb":{"@id":"https:\/\/precina.com\/dsrinicasan\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/precina.com\/dsrinicasan\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/precina.com\/dsrinicasan\/#primaryimage","url":"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_.png?wsr","contentUrl":"https:\/\/precina.com\/wp-content\/uploads\/2022\/04\/Precina_Health_.png?wsr","width":3000,"height":3000},{"@type":"BreadcrumbList","@id":"https:\/\/precina.com\/dsrinicasan\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/precina.com\/"},{"@type":"ListItem","position":2,"name":"Refer a Patient Deepika Srinicasan"}]},{"@type":"WebSite","@id":"https:\/\/precina.com\/#website","url":"https:\/\/precina.com\/","name":"Precina Health","description":"Precina Health","publisher":{"@id":"https:\/\/precina.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/precina.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/precina.com\/#organization","name":"Precina Health","url":"https:\/\/precina.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/precina.com\/#\/schema\/logo\/image\/","url":"https:\/\/precina.com\/wp-content\/uploads\/2021\/10\/Precina@3x.png?wsr","contentUrl":"https:\/\/precina.com\/wp-content\/uploads\/2021\/10\/Precina@3x.png?wsr","width":736,"height":226,"caption":"Precina Health"},"image":{"@id":"https:\/\/precina.com\/#\/schema\/logo\/image\/"}}]}},"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/precina.com\/wp-json\/wp\/v2\/pages\/283","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/precina.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/precina.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/precina.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/precina.com\/wp-json\/wp\/v2\/comments?post=283"}],"version-history":[{"count":3,"href":"https:\/\/precina.com\/wp-json\/wp\/v2\/pages\/283\/revisions"}],"predecessor-version":[{"id":2910,"href":"https:\/\/precina.com\/wp-json\/wp\/v2\/pages\/283\/revisions\/2910"}],"wp:attachment":[{"href":"https:\/\/precina.com\/wp-json\/wp\/v2\/media?parent=283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}