{"id":40275,"date":"2021-05-27T21:30:19","date_gmt":"2021-05-28T01:30:19","guid":{"rendered":"https:\/\/www.nhchalton.com\/grimsby\/?page_id=40275"},"modified":"2023-01-03T19:45:37","modified_gmt":"2023-01-03T23:45:37","slug":"patient-referral-form","status":"publish","type":"page","link":"https:\/\/www.nhchalton.com\/grimsby\/patient-referral-form\/","title":{"rendered":"Patient Referral Form"},"content":{"rendered":"<p><div class=\"fusion-bg-parallax\" data-bg-align=\"center center\" data-direction=\"up\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.3\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"https:\/\/www.nhchalton.com\/grimsby\/wp-content\/uploads\/sites\/18\/2022\/05\/waterdrop-leaf-nhc.webp\" data-bg-repeat=\"false\" data-bg-color=\"rgba(0,0,0,0.5)\" data-bg-gradient-type=\"linear\" data-bg-gradient-angle=\"180\" data-bg-gradient-start-color=\"rgba(0,0,0,0.65)\" data-bg-gradient-start-position=\"0\" data-bg-gradient-end-color=\"rgba(0,0,0,0.65)\" data-bg-gradient-end-position=\"100\" data-bg-radial-direction=\"center center\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container fusion-parallax-up hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:14%;--awb-padding-right:5%;--awb-padding-bottom:14%;--awb-padding-left:5%;--awb-background-color:rgba(0,0,0,0.5);--awb-background-image:linear-gradient(180deg, rgba(0,0,0,0.65) 0%,rgba(0,0,0,0.65) 100%),url(https:\/\/www.nhchalton.com\/grimsby\/wp-content\/uploads\/sites\/18\/2022\/05\/waterdrop-leaf-nhc.webp);;--awb-background-size:cover;--awb-flex-wrap:wrap;\" data-preload-img=\"https:\/\/www.nhchalton.com\/grimsby\/wp-content\/uploads\/sites\/18\/2022\/05\/waterdrop-leaf-nhc.webp\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-center\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:#ffffff;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"--fontSize:80;line-height:1;\">Patient Referral Form<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:30px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Grimsby, ON<\/span><\/p><\/nav><\/div><\/div><\/div><\/div><div id=\"_main\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:100px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p>If you are patient and looking for <a href=\"https:\/\/www.nhchalton.com\/grimsby\/patient-forms\/\">Patient Forms, click here<\/a><\/p>\n<\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-40273\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;--awb-form-placeholder-color:rgba(71,71,71,0.5);--awb-form-text-color:#474747;\" data-form-id=\"40273\" data-config=\"{&quot;form_id&quot;:&quot;40273&quot;,&quot;form_post_id&quot;:&quot;40273&quot;,&quot;post_id&quot;:40275,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;patient_first_name&quot;:&quot;Patient First Name&quot;,&quot;Patient_last_name&quot;:&quot;Patient Last Name&quot;,&quot;patient_phone_number&quot;:&quot;Patient Phone Number&quot;,&quot;email_address&quot;:&quot;Email address&quot;,&quot;referral_for&quot;:&quot;Referral For&quot;,&quot;referring_physician_name&quot;:&quot;Referring Physician Name:&quot;,&quot;referring_physician_phone&quot;:&quot;Referring Physician Phone:&quot;,&quot;referring_physician_email_address&quot;:&quot;Referring Physician Email address&quot;,&quot;diagnosis_notes&quot;:&quot;Diagnosis\\\/Notes&quot;},&quot;field_logics&quot;:{&quot;patient_first_name&quot;:&quot;&quot;,&quot;Patient_last_name&quot;:&quot;&quot;,&quot;patient_phone_number&quot;:&quot;&quot;,&quot;email_address&quot;:&quot;&quot;,&quot;referral_for&quot;:&quot;&quot;,&quot;referring_physician_name&quot;:&quot;&quot;,&quot;referring_physician_phone&quot;:&quot;&quot;,&quot;referring_physician_email_address&quot;:&quot;&quot;,&quot;diagnosis_notes&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;patient_first_name&quot;:&quot;text&quot;,&quot;Patient_last_name&quot;:&quot;text&quot;,&quot;patient_phone_number&quot;:&quot;text&quot;,&quot;email_address&quot;:&quot;email&quot;,&quot;referral_for&quot;:&quot;checkbox&quot;,&quot;referring_physician_name&quot;:&quot;text&quot;,&quot;referring_physician_phone&quot;:&quot;text&quot;,&quot;referring_physician_email_address&quot;:&quot;email&quot;,&quot;diagnosis_notes&quot;:&quot;textarea&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;recaptcha_1&quot;:&quot;recaptcha&quot;,&quot;submit_1&quot;:&quot;submit&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/www.nhchalton.com\/grimsby\/patient-referral-form\/\" method=\"post\" class=\"fusion-form fusion-form-40273\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:103% !important;max-width:103% !important;margin-left: calc(-3% \/ 2 );margin-right: calc(-3% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><div class=\"fusion-form-label-wrapper\"><label for=\"patient_first_name\">Patient First Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"patient_first_name\" id=\"patient_first_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><div class=\"fusion-form-label-wrapper\"><label for=\"Patient_last_name\">Patient Last Name<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"Patient_last_name\" id=\"Patient_last_name\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><div class=\"fusion-form-label-wrapper\"><label for=\"patient_phone_number\">Patient Phone Number <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-form-tooltip\"><i class=\"awb-icon-question-circle\"><\/i><span class=\"fusion-form-tooltip-content\">Please enter Patient Phone Number<\/span><\/div><\/div><input type=\"text\" autocomplete=\"off\" name=\"patient_phone_number\" id=\"patient_phone_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address\">Email address <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email_address\" id=\"email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Referral For<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-0\" type=\"checkbox\" value=\"Naturopath\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-0\">Naturopath<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-1\" type=\"checkbox\" value=\"Osteopath\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-1\">Osteopath<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-2\" type=\"checkbox\" value=\"Holistic Nutrition\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-2\">Holistic Nutrition<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-3\" type=\"checkbox\" value=\"Cosmetics - Botox and Dermal Fillers\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-3\">Cosmetics - Botox and Dermal Fillers<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-4\" type=\"checkbox\" value=\"Massage Therapy\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-4\">Massage Therapy<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-5\" type=\"checkbox\" value=\"Acupuncture\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-5\">Acupuncture<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-6\" type=\"checkbox\" value=\"Laser Hair Removal Therapy\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-6\">Laser Hair Removal Therapy<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-7\" type=\"checkbox\" value=\"Psychotherapy\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-7\">Psychotherapy<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-referral_for-1-8\" type=\"checkbox\" value=\"Custom Orthotics\" name=\"referral_for[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-referral_for-1-8\">Custom Orthotics<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><div class=\"fusion-form-label-wrapper\"><label for=\"referring_physician_name\">Referring Physician Name: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"referring_physician_name\" id=\"referring_physician_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><div class=\"fusion-form-label-wrapper\"><label for=\"referring_physician_phone\">Referring Physician Phone: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"referring_physician_phone\" id=\"referring_physician_phone\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><div class=\"fusion-form-label-wrapper\"><label for=\"referring_physician_email_address\">Referring Physician Email address <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"referring_physician_email_address\" id=\"referring_physician_email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><label for=\"diagnosis_notes\">Diagnosis\/Notes <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"diagnosis_notes\" name=\"diagnosis_notes\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your message. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-recaptcha-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\">\t\t\t\t<div class=\"form-creator-recaptcha\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-form-recaptcha-wrapper\">\n\t\t\t\t\t\t\t\t\t\t<div\n\t\t\t\t\t\t\tid=\"g-recaptcha-id-form-40273\"\n\t\t\t\t\t\t\tclass=\"fusion-form-recaptcha-v3 recaptcha-container \"\n\t\t\t\t\t\t\tdata-sitekey=\"6LdD94EUAAAAAPukNFIzT1yFP-NBxVynQx4fUD19\"\n\t\t\t\t\t\t\tdata-badge=\"bottomright\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\t\t\tname=\"fusion-form-recaptcha-response\"\n\t\t\t\t\t\t\tclass=\"g-recaptcha-response\"\n\t\t\t\t\t\t\tid=\"fusion-form-recaptcha-response-40273\"\n\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"40273\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span  button-default form-form-submit\" data-form-number=\"40273\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Submit<\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><h4>Natural Health Clinic of Halton<\/h4>\n<p><div class=\"fusion-separator\" style=\"align-self: flex-start;margin-right:auto;margin-top:0px;margin-bottom:30px;width:100%;max-width:40px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#3bafbf;border-color:#3bafbf;border-top-width:2px;\"><\/div><\/div><ul style=\"--awb-size:16px;--awb-iconcolor:#3bafbf;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-1 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa fa-map-marker\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">243 North Service Rd W #106, Oakville, ON L6M 3E5<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa fa-phone\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">905-582-2360<\/div><\/li><\/ul><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><p>Monday:\u00a0 8a.m.\u20138p.m.<br \/>\nTuesday:\u00a0 8a.m.\u20138p.m.<br \/>\nWednesday:\u00a0 8a.m.\u20138p.m.<br \/>\nThursday:\u00a0 8a.m.\u20138p.m.<br \/>\nFriday:\u00a0 8a.m.\u20138p.m.<br \/>\nSaturday:\u00a0 8a.m.\u20135p.m.<br \/>\nSunday:\u00a0 Closed<\/p>\n<\/div><iframe class=\"lazyload\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27100%27%20height%3D%27450%27%20viewBox%3D%270%200%20100%20450%27%3E%3Crect%20width%3D%27100%27%20height%3D%27450%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d2896.5289116768113!2d-79.7689286842678!3d43.44955387359293!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x882b679f58503653%3A0xd429ea7fa5ec90bd!2sNatural%20Health%20Clinic%20of%20Halton%20-%20Oakville%20%7C%20Naturopath%20-%20Osteopath%20-%20Massage%20Therapy%20-%20Acupuncture!5e0!3m2!1sen!2sca!4v1618682963102!5m2!1sen!2sca\" width=\"100%\" height=\"450\" style=\"border:0;\" allowfullscreen=\"\" loading=\"lazy\"><\/iframe><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-four\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"--fontSize:18;--minFontSize:18;line-height:2;\"><a href=\"https:\/\/www.google.ca\/maps\/dir\/Grimsby,+Ontario\/3075+Hospital+Gate,+Grimsby,+Ontario\/@43.4502008,-79.7609035,13z\/data=!3m1!4b1!4m13!4m12!1m5!1m1!1s0x882b5b8b8f729979:0x5037b28c7231bd0!2m2!1d-79.6876659!2d43.467517!1m5!1m1!1s0x882b67a122dc9b43:0x89a74e3ce7316d97!2m2!1d-79.7668855!2d43.4494052\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Directions from Grimsby<\/a><\/h4><\/div><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-four\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"--fontSize:18;--minFontSize:18;line-height:2;\"><a href=\"https:\/\/www.google.ca\/maps\/dir\/Grimsby,+Ontario\/3075+Hospital+Gate,+Grimsby,+Ontario\/@43.3817702,-79.8587493,12z\/data=!3m1!4b1!4m13!4m12!1m5!1m1!1s0x882b63d2965d93b7:0xa44a27764c2b554f!2m2!1d-79.7990319!2d43.3255196!1m5!1m1!1s0x882b67a122dc9b43:0x89a74e3ce7316d97!2m2!1d-79.7668855!2d43.4494052\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Directions from Grimsby<\/a><\/h4><\/div><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-four\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"--fontSize:18;--minFontSize:18;line-height:2;\"><a href=\"https:\/\/www.google.com\/maps\/dir\/Mississauga,+Ontario\/3075+Hospital+Gate,+Grimsby,+Ontario\/@43.505355,-79.8172026,11z\/data=!3m1!4b1!4m13!4m12!1m5!1m1!1s0x882b469fe76b05b7:0x3146cbed75966db!2m2!1d-79.6441198!2d43.5890452!1m5!1m1!1s0x882b67a122dc9b43:0x89a74e3ce7316d97!2m2!1d-79.7668855!2d43.4494052\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Directions from Mississauga<\/a><\/h4><\/div><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-four\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"--fontSize:18;--minFontSize:18;line-height:2;\"><a href=\"https:\/\/www.google.com\/maps\/dir\/Grimsby,+Ontario\/3075+Hospital+Gate,+Grimsby,+Ontario\/@43.479527,-79.9007856,12z\/data=!3m1!4b1!4m13!4m12!1m5!1m1!1s0x882b6fa34a2371d5:0x60f4dd8775707432!2m2!1d-79.8774042!2d43.5182991!1m5!1m1!1s0x882b67a122dc9b43:0x89a74e3ce7316d97!2m2!1d-79.7668855!2d43.4494052\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Directions from Grimsby<\/a><\/h4><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>For general inquiries call (905) 582-2360, or fill the contact form.<\/p>\n","protected":false},"author":1,"featured_media":42743,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-40275","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/pages\/40275","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/comments?post=40275"}],"version-history":[{"count":0,"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/pages\/40275\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/media\/42743"}],"wp:attachment":[{"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/media?parent=40275"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/categories?post=40275"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nhchalton.com\/grimsby\/wp-json\/wp\/v2\/tags?post=40275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}