{"id":22596,"date":"2021-12-10T00:08:09","date_gmt":"2021-12-10T07:08:09","guid":{"rendered":"https:\/\/sotadental.com\/formulario-de-paciente\/"},"modified":"2021-12-10T00:08:09","modified_gmt":"2021-12-10T07:08:09","slug":"formulario-de-paciente","status":"publish","type":"page","link":"https:\/\/ovhstaging.sotadental.com\/es\/formulario-de-paciente\/","title":{"rendered":"Formulario de Paciente"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' ><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">SOTA Dental Patient Form 2025<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/es\/wp-json\/wp\/v2\/pages\/22596#gf_2' data-formid='2' novalidate><input id=partial_entry_id_2 class=\"partial_entry_id\" type=hidden name=\"partial_entry_id\" value=\"pending\" data-form_id=\"2\"\/><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LcFhUoqAAAAAAGq4vLEkWw53hs0IcAuZlbKPd2D' data-tabindex='0'><input id=\"input_e2b319fd2e41264554e8d155ce5222e0\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_e2b319fd2e41264554e8d155ce5222e0\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_2' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Paso <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>8<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_12' style='width:12%;'><span>12%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_86\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_86\" ><SPAN STYLE=\"font-family:'Arial'\"><font size=3\">Please fill out the form below and upload files related to your case. This is not scheduling an appointment or a commitment of any kind. This is a required step for all local & international patients. Our doctors & patient managers review questions and new cases after 5pm each business day. All of your information is confidential and only shared with our doctors and patient managers. <br><br>If you have trouble attaching files, email them to: patients@sotadental.com<\/font><\/span><\/li><li id=\"field_2_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_41\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Choose which file(s) you will be uploading along with your form.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_41'><li class='gchoice gchoice_2_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='Smartphone images of mouth &amp; smile'  id='choice_2_41_1'   aria-describedby=\"gfield_description_2_41\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_2_41_1' id='label_2_41_1' class='gform-field-label gform-field-label--type-inline'>Smartphone images of mouth &amp; smile<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='X-rays or CT scan images'  id='choice_2_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_41_2' id='label_2_41_2' class='gform-field-label gform-field-label--type-inline'>X-rays or CT scan images<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_41_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.3' type='checkbox'  value='Treatment plan from your dentist'  id='choice_2_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_41_3' id='label_2_41_3' class='gform-field-label gform-field-label--type-inline'>Treatment plan from your dentist<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_41_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.4' type='checkbox'  value='I will upload later'  id='choice_2_41_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_41_4' id='label_2_41_4' class='gform-field-label gform-field-label--type-inline'>I will upload later<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_2_41'>If you do not have a treatment plan or x-rays, we accept smartphone images of your mouth. These are best taken in bright light, and with the help of someone else (or a mirror). Due to the volume of inquiries we receive, we move cases along more quickly if they contain smartphone photos or x-rays.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_43' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next Page'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-43' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_12\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_12\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email Address (for private information)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_12'>Please provide your email address for receiving medical information. SOTA Dental uses email to send private information related to your case. Please supply an email address that you feel comfortable receiving dental information with.<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_2_12_container'>\n                                <span id='input_2_12_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_12' id='input_2_12' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_2_12\" \/>\n                                    <label for='input_2_12' class='gform-field-label gform-field-label--type-sub '>Introduce un email<\/label>\n                                <\/span>\n                                <span id='input_2_12_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_12_2' id='input_2_12_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_2_12\" \/>\n                                    <label for='input_2_12_2' class='gform-field-label gform-field-label--type-sub '>Confirmar email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_75' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous Page'  \/> <input type='button' id='gform_next_button_2_75' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next Page'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' data-js='page-field-id-75' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_16\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_16\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_16'>\n                            \n                            <span id='input_2_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.3' id='input_2_16_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_16_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.6' id='input_2_16_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_16_6' class='gform-field-label gform-field-label--type-sub '>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_18\" class=\"gfield gfield--type-date gfield--input-type-datedropdown gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_18\" ><label class='gfield_label gform-field-label' >Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_2_18' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_18_1_container'><label for='input_2_18_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_18[]' id='input_2_18_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_18_2_container'><label for='input_2_18_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_18[]' id='input_2_18_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_18_3_container'><label for='input_2_18_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_18[]' id='input_2_18_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/div><\/li><li id=\"field_2_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_19\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sex<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_19'><li class='gchoice gchoice_2_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='Male'  id='choice_2_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_1' id='label_2_19_1' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='Female'  id='choice_2_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_19_2' id='label_2_19_2' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_13\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_13\" ><label class='gfield_label gform-field-label' for='input_2_13'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_13' id='input_2_13' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_23\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Language Spoken<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_23'><li class='gchoice gchoice_2_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='English'  id='choice_2_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_23_1' id='label_2_23_1' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='Spanish'  id='choice_2_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_23_2' id='label_2_23_2' class='gform-field-label gform-field-label--type-inline'>Spanish<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Other'  id='choice_2_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_23_3' id='label_2_23_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='I need communication assistance'  id='choice_2_23_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_23_4' id='label_2_23_4' class='gform-field-label gform-field-label--type-inline'>I need communication assistance<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_78\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_78\" ><label class='gfield_label gform-field-label' for='input_2_78'>Where are you traveling from?<\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_2_78' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Belgium' >Belgium<\/option><option value='Canada' >Canada<\/option><option value='Croatia' >Croatia<\/option><option value='Denmark' >Denmark<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='Germany' >Germany<\/option><option value='Ireland' >Ireland<\/option><option value='Italy' >Italy<\/option><option value='Mexico' >Mexico<\/option><option value='Netherlands' >Netherlands<\/option><option value='Norway' >Norway<\/option><option value='Portugal' >Portugal<\/option><option value='Slovenia' >Slovenia<\/option><option value='Spain' >Spain<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='Other' selected='selected'>Other<\/option><\/select><\/div><\/li><li id=\"field_2_26\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_26\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Which location(s) are you interested in?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_26'><li class='gchoice gchoice_2_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Cancun'  id='choice_2_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_26_1' id='label_2_26_1' class='gform-field-label gform-field-label--type-inline'>Cancun<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Playa del Carmen'  id='choice_2_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_26_2' id='label_2_26_2' class='gform-field-label gform-field-label--type-inline'>Playa del Carmen<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Los Algodones'  id='choice_2_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_26_3' id='label_2_26_3' class='gform-field-label gform-field-label--type-inline'>Los Algodones<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_26_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.4' type='checkbox'  value='Tijuana'  id='choice_2_26_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_26_4' id='label_2_26_4' class='gform-field-label gform-field-label--type-inline'>Tijuana<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_26_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.5' type='checkbox'  value='Unsure'  id='choice_2_26_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_26_5' id='label_2_26_5' class='gform-field-label gform-field-label--type-inline'>Unsure<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_56\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_56\" ><label class='gfield_label gform-field-label' for='input_2_56'>Explain your dental case.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_56' id='input_2_56' class='textarea medium'  aria-describedby=\"gfield_description_2_56\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_2_56'>Please explain your case in as much detail as possible. Our doctors rely on detailed information in order to properly help patients. Please be as clear and thorough as possible.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_50' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous Page'  \/> <input type='button' id='gform_next_button_2_50' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next Page'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' data-js='page-field-id-50' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_52\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_52\" ><label class='gfield_label gform-field-label' for='input_2_52'>Do you have any allergies?<\/label><div class='ginput_container ginput_container_select'><select name='input_52' id='input_2_52' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I do not have allergies.' >No, I do not have allergies.<\/option><option value='Yes, I have allergies.' >Yes, I have allergies.<\/option><option value='Unsure if I have allergies or not.' >Unsure if I have allergies or not.<\/option><\/select><\/div><\/li><li id=\"field_2_34\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_34\" ><label class='gfield_label gform-field-label' for='input_2_34'>Do you have active gum disease?<\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_2_34' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I do not have gum disease.' >No, I do not have gum disease.<\/option><option value='Yes, I have gum disease.' >Yes, I have gum disease.<\/option><option value='Unsure if I have gum disease or not.' >Unsure if I have gum disease or not.<\/option><\/select><\/div><\/li><li id=\"field_2_54\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_54\" ><label class='gfield_label gform-field-label' for='input_2_54'>Have you had any recent surgeries?<\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_2_54' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I have not had any recent surgeries.' selected='selected'>No, I have not had any recent surgeries.<\/option><option value='Yes, I have had a recent surgery' >Yes, I have had a recent surgery<\/option><option value='Unsure if I have had a recent surgery or not.' >Unsure if I have had a recent surgery or not.<\/option><\/select><\/div><\/li><li id=\"field_2_35\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_35\" ><label class='gfield_label gform-field-label' for='input_2_35'>Do you take blood thinners?<\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_2_35' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I do not take blood thinners.' >No, I do not take blood thinners.<\/option><option value='Yes, I take blood thinners.' >Yes, I take blood thinners.<\/option><option value='Unsure if I take blood thinners or not.' >Unsure if I take blood thinners or not.<\/option><\/select><\/div><\/li><li id=\"field_2_36\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_36\" ><label class='gfield_label gform-field-label' for='input_2_36'>Do you have osteoporosis?<\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_2_36' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I do not have osteoporosis.' >No, I do not have osteoporosis.<\/option><option value='Yes, I have osteoporosis.' >Yes, I have osteoporosis.<\/option><option value='Unsure if I have osteoporosis or not.' >Unsure if I have osteoporosis or not.<\/option><\/select><\/div><\/li><li id=\"field_2_57\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_57\" ><label class='gfield_label gform-field-label' for='input_2_57'>If you answered yes to any of the questions above, please explain in detail.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_57' id='input_2_57' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_76' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous Page'  \/> <input type='button' id='gform_next_button_2_76' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next Page'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_5' class='gform_page' data-js='page-field-id-76' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_33\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_33\" ><label class='gfield_label gform-field-label' for='input_2_33'>Do you drink alcohol?<\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_2_33' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I do not drink alcohol.' >No, I do not drink alcohol.<\/option><option value='Yes, I drink alcohol.' >Yes, I drink alcohol.<\/option><\/select><\/div><\/li><li id=\"field_2_53\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_53\" ><label class='gfield_label gform-field-label' for='input_2_53'>If yes, how often do you drink?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_53' id='input_2_53' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_39\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_39\" ><label class='gfield_label gform-field-label' for='input_2_39'>Have you smoked in the last 5 years?<\/label><div class='ginput_container ginput_container_select'><select name='input_39' id='input_2_39' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I have not smoked in the last 5 years.' >No, I have not smoked in the last 5 years.<\/option><option value='Yes, I have smoked in the last 5 years.' >Yes, I have smoked in the last 5 years.<\/option><option value='Unsure' >Unsure<\/option><\/select><\/div><\/li><li id=\"field_2_38\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_38\" ><label class='gfield_label gform-field-label' for='input_2_38'>If yes, explain your smoking habits.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_38' id='input_2_38' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous Page'  \/> <input type='button' id='gform_next_button_2_58' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next Page'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_6' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_65\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_65\" ><label class='gfield_label gform-field-label' for='input_2_65'>Are you specifically interested in the All-on-X Treatment?<\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_2_65' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I am not interested in All-on-X.' selected='selected'>No, I am not interested in All-on-X.<\/option><option value='Yes, I am interested in All-on-X.' >Yes, I am interested in All-on-X.<\/option><option value='Unsure if I am a candidate for All-on-X.' >Unsure if I am a candidate for All-on-X.<\/option><\/select><\/div><\/li><li id=\"field_2_74\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_74\" ><label class='gfield_label gform-field-label' for='input_2_74'>Do you request Ozone, IV Vitamin C, or metal free dentistry?<\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_2_74' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I am not interested in Ozone, IV Vitamin C, or metal free dentistry.' selected='selected'>No, I am not interested in Ozone, IV Vitamin C, or metal free dentistry.<\/option><option value='Yes, I am interested in Ozone, IV Vitamin C, or metal free dentistry.' >Yes, I am interested in Ozone, IV Vitamin C, or metal free dentistry.<\/option><option value='Unsure if I am interested in Ozone, IV Vitamin C, or metal free dentistry.' >Unsure if I am interested in Ozone, IV Vitamin C, or metal free dentistry.<\/option><\/select><\/div><\/li><li id=\"field_2_73\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_73\" ><label class='gfield_label gform-field-label' for='input_2_73'>Have you traveled abroad for dental before?<\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_2_73' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I have never travelled for dental work.' selected='selected'>No, I have never travelled for dental work.<\/option><option value='Yes, I have travelled abroad for dental work' >Yes, I have travelled abroad for dental work<\/option><option value='Unsure' >Unsure<\/option><\/select><\/div><\/li><li id=\"field_2_63\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_63\" ><label class='gfield_label gform-field-label' for='input_2_63'>Do you require immediate care (RAPID CARE)?<\/label><div class='ginput_container ginput_container_select'><select name='input_63' id='input_2_63' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No, I am not in a hurry' selected='selected'>No, I am not in a hurry<\/option><option value='Yes, I am looking to get an appointment this month.' >Yes, I am looking to get an appointment this month.<\/option><option value='Yes, I am in pain, and need a dentist.' >Yes, I am in pain, and need a dentist.<\/option><option value='I am possibly looking to get an appointment this month.' >I am possibly looking to get an appointment this month.<\/option><\/select><\/div><\/li><li id=\"field_2_64\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_64\" ><label class='gfield_label gform-field-label' for='input_2_64'>What date (roughly) are you interested in?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_64' id='input_2_64' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_2_64_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_2_64_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_64' class='gform_hidden' value='https:\/\/ovhstaging.sotadental.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_2_79\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_79\" ><label class='gfield_label gform-field-label' for='input_2_79'>How do you plan to travel to us?<\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_2_79' class='large gfield_select'     aria-invalid=\"false\" ><option value='I do not need travel assistance.' >I do not need travel assistance.<\/option><option value='I am flying. I do not need assistance.' >I am flying. I do not need assistance.<\/option><option value='I am flying. I would like transportation assistance once I arrive.' >I am flying. I would like transportation assistance once I arrive.<\/option><option value='I am driving with my own car.' >I am driving with my own car.<\/option><option value='I am renting a car.' >I am renting a car.<\/option><\/select><\/div><\/li><li id=\"field_2_69\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_69\" ><label class='gfield_label gform-field-label' for='input_2_69'>If travel assistance is needed, please explain details here.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_69' id='input_2_69' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_77' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous Page'  \/> <input type='button' id='gform_next_button_2_77' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next Page'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_7' class='gform_page' data-js='page-field-id-77' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_92\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_92\" ><label class='gfield_label gform-field-label' for='input_2_92'>Did you already speak with someone at SOTA Dental?<\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_2_92' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_92\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_92'>If you already spoke with someone on our team, and remember their name, please write it here. This will help speed your case along.<\/div><\/li><li id=\"field_2_70\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_70\" ><label class='gfield_label gform-field-label' for='input_2_70'>Do you have any specific questions?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_70' id='input_2_70' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_49' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous Page'  \/> <input type='button' id='gform_next_button_2_49' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next Page'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_8' class='gform_page' data-js='page-field-id-49' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_44\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_44\" ><label class='gfield_label gform-field-label' for='gform_browse_button_2_44'>Upload : X-rays, panoramics, &amp; ct scans<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_44' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_44&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_44&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_44&quot;,&quot;filelist&quot;:&quot;gform_preview_2_44&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/?gf_page=7eb6e93c1f93b83&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Archivos permitidos&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;2147483648b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:44},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_2_44&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_44' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Suelta archivos aqu\u00ed o <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_44' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_44 gfield_description_2_44\"  >Selecciona archivos<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_44'>Tama\u00f1o m\u00e1ximo de archivo: 2 GB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_44'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_2_44' class='ginput_preview_list'><\/div><div class='gfield_description' id='gfield_description_2_44'>Files can take a while to upload if they are large. Please wait until you see a confirmation page.<\/div><\/li><li id=\"field_2_46\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_46\" ><label class='gfield_label gform-field-label' for='gform_browse_button_2_46'>Upload : Treatment plan from dentist<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_46' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_46&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_46&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_46&quot;,&quot;filelist&quot;:&quot;gform_preview_2_46&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/?gf_page=7eb6e93c1f93b83&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Archivos permitidos&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;2147483648b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:46},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_2_46&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_46' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Suelta archivos aqu\u00ed o <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_46' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_46 gfield_description_2_46\"  >Selecciona archivos<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_46'>Tama\u00f1o m\u00e1ximo de archivo: 2 GB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_46'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_2_46' class='ginput_preview_list'><\/div><div class='gfield_description' id='gfield_description_2_46'>Files can take a while to upload if they are large. Please wait until you see a confirmation page.<\/div><\/li><li id=\"field_2_47\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_47\" ><label class='gfield_label gform-field-label' for='gform_browse_button_2_47'>Upload : Smartphone photos of mouth &amp; smile<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_47' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_47&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_47&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_47&quot;,&quot;filelist&quot;:&quot;gform_preview_2_47&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/?gf_page=7eb6e93c1f93b83&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/ovhstaging.sotadental.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Archivos permitidos&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;2147483648b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:47},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_2_47&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_47' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Suelta archivos aqu\u00ed o <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_47' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_47 gfield_description_2_47\"  >Selecciona archivos<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_47'>Tama\u00f1o m\u00e1ximo de archivo: 2 GB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_47'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_2_47' class='ginput_preview_list'><\/div><div class='gfield_description' id='gfield_description_2_47'>Files can take a while to upload if they are large. Please wait until you see a confirmation page.<\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsImI4OGU1NDMxMWYyOGY5OTM1ZWNiNWQwYzNkNmJmMTUxIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_2' value='' \/>\n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 2, 'https:\/\/ovhstaging.sotadental.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_2').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_2');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_2').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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