{"id":352,"date":"2019-04-02T05:34:58","date_gmt":"2019-04-02T05:34:58","guid":{"rendered":"http:\/\/drmasood.zapbuild.com\/?page_id=352"},"modified":"2020-04-16T21:18:20","modified_gmt":"2020-04-16T21:18:20","slug":"forms","status":"publish","type":"page","link":"https:\/\/lakesendo.com\/forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"352\" class=\"elementor elementor-352\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9ffe6e1 elementor-section-stretched elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"9ffe6e1\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;video&quot;,&quot;background_video_link&quot;:&quot;https:\\\/\\\/lakesendo.com\\\/wp-content\\\/uploads\\\/2020\\\/04\\\/Clouds-1154.mp4&quot;,&quot;background_play_on_mobile&quot;:&quot;yes&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-background-video-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<video class=\"elementor-background-video-hosted elementor-html5-video\" autoplay muted playsinline loop><\/video>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4b0fae0\" data-id=\"4b0fae0\" 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-18dd419 elementor-widget elementor-widget-heading\" data-id=\"18dd419\" data-element_type=\"widget\" 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\">Patient Forms<\/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-e5b0249 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e5b0249\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\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-33 elementor-top-column elementor-element elementor-element-dbc5e9d\" data-id=\"dbc5e9d\" 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-230c88e elementor-widget elementor-widget-image\" data-id=\"230c88e\" data-element_type=\"widget\" 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=\"525\" height=\"360\" src=\"https:\/\/lakesendo.com\/wp-content\/uploads\/2019\/03\/Endodontic-Surgery.jpg\" class=\"attachment-large size-large wp-image-266\" alt=\"Endodontic Surgery Chandler\" srcset=\"https:\/\/lakesendo.com\/wp-content\/uploads\/2019\/03\/Endodontic-Surgery.jpg 638w, https:\/\/lakesendo.com\/wp-content\/uploads\/2019\/03\/Endodontic-Surgery-300x206.jpg 300w\" sizes=\"100vw\" \/>\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\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-17e034b\" data-id=\"17e034b\" 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-74aa669 elementor-widget elementor-widget-image\" data-id=\"74aa669\" data-element_type=\"widget\" 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\t<a href=\"https:\/\/lakesendo.com\/wp-content\/uploads\/2020\/04\/Patient-Registration-form.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"70\" height=\"70\" src=\"https:\/\/lakesendo.com\/wp-content\/uploads\/2019\/04\/8.png\" class=\"attachment-large size-large wp-image-463\" alt=\"\" sizes=\"100vw\" \/>\t\t\t\t\t\t\t\t<\/a>\n\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\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-5dd46ef\" data-id=\"5dd46ef\" 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-df5f4db elementor-widget elementor-widget-heading\" data-id=\"df5f4db\" data-element_type=\"widget\" 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\">Patient Registration form<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab40761 elementor-widget elementor-widget-button\" data-id=\"ab40761\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/lakesendo.com\/wp-content\/uploads\/2020\/04\/Patient-Registration-form.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Click Here To Download The Patient Registration Form<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\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-68bce88c elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"68bce88c\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\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-1cde3d18\" data-id=\"1cde3d18\" 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-276fde9e elementor-widget elementor-widget-text-editor\" data-id=\"276fde9e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<!-- wp:html -->\r\n<div class=\"patient-forms-outer\">\r\n<div class=\"row custom-row\">\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Medical History\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/referral-form.png\" alt=\"Referral Form\" width=\"75\" height=\"75\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Medical History<\/div>\r\n<\/div>\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Dental History\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/patient-medical.png\" alt=\"Patient Medical\" width=\"75\" height=\"75\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Dental History \/ Insurance Forms<\/div>\r\n<\/div>\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Root Canal Informed consent\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/3.png\" alt=\"Informed Consent\" width=\"61\" height=\"75\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Root Canal Informed consent<\/div>\r\n<\/div>\r\n<\/div>\r\n<div class=\"row custom-row\">\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Apicoectomy\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/apicoectomy.png\" alt=\"Apicoectomy\" width=\"53\" height=\"74\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Apicoectomy Informed consent<\/div>\r\n<\/div>\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Oral Sedation\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/oral-sedation.png\" alt=\"Oral Sedation\" width=\"72\" height=\"72\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Oral Sedation (Anxiolysis) Informed Consent Form<\/div>\r\n<\/div>\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Office Policy\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/office-policy.png\" alt=\"Office Policy\" width=\"72\" height=\"72\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Office policy and financial Agreement<\/div>\r\n<\/div>\r\n<\/div>\r\n<div class=\"row custom-row\">\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Notice of Privacy\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/7.png\" alt=\"Office Policy\" width=\"61\" height=\"68\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Notice of Privacy Practices(HIPAA)<\/div>\r\n<\/div>\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Patient Signatures\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/8.png\" alt=\"Office Policy\" width=\"70\" height=\"70\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Patient Signatures<\/div>\r\n<\/div>\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Referral Form\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/informed-consent.png\" alt=\"Office Policy\" width=\"65\" height=\"75\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Referral Form<\/div>\r\n<\/div>\r\n<\/div>\r\n<div class=\"row custom-row\">\r\n<div class=\"col-sm-4 custom-col\"><a class=\"patient-forms\" title=\"Photo Consent\" href=\"https:\/\/www.paperlessconnection.com\/ocotillolakesendodontics\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"patient-form-icon\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/04\/10.png\" alt=\"Office Policy\" width=\"54\" height=\"68\" \/><\/span><\/a>\r\n<div class=\"patient-form-title\">Photo Consent Form<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<!-- \/wp:html -->\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>Patient Registration form Click Here To Download The Patient Registration Form Medical History Dental History \/ Insurance Forms Root Canal Informed consent Apicoectomy Informed consent Oral Sedation (Anxiolysis) Informed Consent Form Office policy and financial Agreement Notice of Privacy Practices(HIPAA) Patient Signatures Referral Form Photo Consent Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/lakesendo.com\/wp-json\/wp\/v2\/pages\/352"}],"collection":[{"href":"https:\/\/lakesendo.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lakesendo.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lakesendo.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lakesendo.com\/wp-json\/wp\/v2\/comments?post=352"}],"version-history":[{"count":47,"href":"https:\/\/lakesendo.com\/wp-json\/wp\/v2\/pages\/352\/revisions"}],"predecessor-version":[{"id":856,"href":"https:\/\/lakesendo.com\/wp-json\/wp\/v2\/pages\/352\/revisions\/856"}],"wp:attachment":[{"href":"https:\/\/lakesendo.com\/wp-json\/wp\/v2\/media?parent=352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}