{"id":253,"date":"2023-12-06T19:47:14","date_gmt":"2023-12-06T19:47:14","guid":{"rendered":"https:\/\/natureandnurturecounseling.com\/?page_id=253"},"modified":"2023-12-06T19:47:14","modified_gmt":"2023-12-06T19:47:14","slug":"referrals","status":"publish","type":"page","link":"https:\/\/natureandnurturecounseling.com\/?page_id=253","title":{"rendered":"Referrals"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-7475cf6b-1fd6-4a91-b795-4a26d8742a44 wpforms-render-modern\" id=\"wpforms-248\"><form id=\"wpforms-form-248\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"248\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F253\" data-token=\"5f85709452224993683a0e537ff52ab5\" data-token-time=\"1776569460\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-248-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-248-field_8\">Referring Agency<\/label><input type=\"text\" id=\"wpforms-248-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-248-field_8-error\" ><\/div><div id=\"wpforms-248-field_9-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-248-field_9\">Referring Agency Phone<\/label><input type=\"tel\" id=\"wpforms-248-field_9\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][9]\" aria-label=\"Referring Agency Phone\" aria-errormessage=\"wpforms-248-field_9-error\" ><\/div><div id=\"wpforms-248-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Is the client aware and agreeable to this referral?<\/legend><ul id=\"wpforms-248-field_12\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-248-field_12_1\" name=\"wpforms[fields][12][]\" value=\"Yes\" aria-errormessage=\"wpforms-248-field_12_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-248-field_12_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-248-field_12_2\" name=\"wpforms[fields][12][]\" value=\"No\" aria-errormessage=\"wpforms-248-field_12_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-248-field_12_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-248-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Client Name <span 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