

{"id":2692,"date":"2024-12-18T05:58:36","date_gmt":"2024-12-18T05:58:36","guid":{"rendered":"https:\/\/enfolytics.com\/alphadental\/?page_id=2692"},"modified":"2025-08-26T11:44:32","modified_gmt":"2025-08-26T11:44:32","slug":"start-a-referral","status":"publish","type":"page","link":"https:\/\/enfolytics.com\/alphadental\/form-for-referring-doctors\/","title":{"rendered":"Form for Referring Doctors"},"content":{"rendered":"<div id=\"test\" class=\"referrals-forms-block\">\n  \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1763-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1763\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/alphadental\/wp-json\/wp\/v2\/pages\/2692#wpcf7-f1763-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1763\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1763-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:1763,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;alveoloplasty-selected&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-708&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;scaling-selected&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-40&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;exostosis-selected&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-845&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:&quot;200&quot;,&quot;animation_outtime&quot;:&quot;200&quot;,&quot;conditions_ui&quot;:&quot;text_only&quot;,&quot;notice_dismissed&quot;:&quot;&quot;}}\" \/>\n<\/div>\n<div class=\"referrals form-group\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Date of Referral<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"DateofReferral\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Date of Referral\" value=\"\" type=\"date\" name=\"DateofReferral\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Patient's First Name:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PatientsFirstName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Patient&#039;s First Name\" value=\"\" type=\"text\" name=\"PatientsFirstName\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Patient's Last Name:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PatientsLastName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Patient&#039;s Last Name\" value=\"\" type=\"text\" name=\"PatientsLastName\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Patient's DOB<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-300\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"MM\/DD\/YYYY\" value=\"\" type=\"date\" name=\"date-300\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group wpcf7-tel\">\n\t\t\t\t<p><label>Patient's Phone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-42\"><input size=\"40\" maxlength=\"10\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-42\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Name of Patient's Insurance<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PatientsInsurance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name of Patient&#039;s Insurance\" value=\"\" type=\"text\" name=\"PatientsInsurance\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Insurance ID #<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ID\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Insurance ID #\" value=\"\" type=\"text\" name=\"ID\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Is this a State Funded Medicaid Insurance?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-459\"><span class=\"wpcf7-form-control wpcf7-radio form-control\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-459\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-459\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-459\" value=\"Unsure\" \/><span class=\"wpcf7-list-item-label\">Unsure<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Name of Referring Doctor<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ReferringDoctor\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name of Referring Doctor\" value=\"\" type=\"text\" name=\"ReferringDoctor\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Name of Referring Facility<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ReferringFacility\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name of Referring Facility\" value=\"\" type=\"text\" name=\"ReferringFacility\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group wpcf7-tel\">\n\t\t\t\t<p><label>Referring Facility Phone #<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referring Facility Phone #\" value=\"\" type=\"text\" name=\"Phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-6 col-xs-12\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Referring Doctor's Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Referringdocemail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Referring Doctor&#039;s Email\" value=\"\" type=\"email\" name=\"Referringdocemail\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row cfselect-row\">\n\t\t<div class=\"col-md-6 col-sm-12 col-xs-12 cfselect-col1\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Please mark the teeth to be extracted with an \"X\" and those to be evaluated or treated with an \"O\"<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"teeth-container referralteeth-block\">\n\t\t\t\t\t<div class=\"teeth-row teeth-row-1\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/a.jpg\" alt=\"Tooth a\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/b.jpg\" alt=\"Tooth b\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/c.jpg\" alt=\"Tooth c\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/d.jpg\" alt=\"Tooth d\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/e.jpg\" alt=\"Tooth e\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/f.jpg\" alt=\"Tooth f\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/g.jpg\" alt=\"Tooth g\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/h.jpg\" alt=\"Tooth h\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/i.jpg\" alt=\"Tooth i\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/j.jpg\" alt=\"Tooth j\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"teeth-row teeth-row-2\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/1.jpg\" alt=\"Tooth 1\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/2.jpg\" alt=\"Tooth 2\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/3.jpg\" alt=\"Tooth 3\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/4.jpg\" alt=\"Tooth 4\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/5.jpg\" alt=\"Tooth 5\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/6.jpg\" alt=\"Tooth 6\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/7.jpg\" alt=\"Tooth 7\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/8.jpg\" alt=\"Tooth 8\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/9.jpg\" alt=\"Tooth 9\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/10.jpg\" alt=\"Tooth 10\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/11.jpg\" alt=\"Tooth 11\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/12.jpg\" alt=\"Tooth 12\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/13.jpg\" alt=\"Tooth 13\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/14.jpg\" alt=\"Tooth 14\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/15.jpg\" alt=\"Tooth 15\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/16.jpg\" alt=\"Tooth 16\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n <!-- Add more teeth as needed -->\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"teeth-row teeth-row-3\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/32.jpg\" alt=\"Tooth 32\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/31.jpg\" alt=\"Tooth 31\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/30.jpg\" alt=\"Tooth 30\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/29.jpg\" alt=\"Tooth 29\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/28.jpg\" alt=\"Tooth 28\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/27.jpg\" alt=\"Tooth 27\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/26.jpg\" alt=\"Tooth 26\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/25.jpg\" alt=\"Tooth 25\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/24.jpg\" alt=\"Tooth 24\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/23.jpg\" alt=\"Tooth 23\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/22.jpg\" alt=\"Tooth 22\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/21.jpg\" alt=\"Tooth 21\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/20.jpg\" alt=\"Tooth 20\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/19.jpg\" alt=\"Tooth 19\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/18.jpg\" alt=\"Tooth 18\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/17.jpg\" alt=\"Tooth 17\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"teeth-row teeth-row-4\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/t.jpg\" alt=\"Tooth t\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/s.jpg\" alt=\"Tooth s\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/r.jpg\" alt=\"Tooth r\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/q.jpg\" alt=\"Tooth q\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/p.jpg\" alt=\"Tooth p\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/o.jpg\" alt=\"Tooth o\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/n.jpg\" alt=\"Tooth n\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/m.jpg\" alt=\"Tooth m\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/l.jpg\" alt=\"Tooth l\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p><img decoding=\"async\" src=\"https:\/\/alphadental.net\/wp-content\/uploads\/2024\/11\/k.jpg\" alt=\"Tooth k\" \/>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"popup referralteeth-popup\">\n\t\t\t\t\t<div class=\"popup-content\">\n\t\t\t\t\t\t<p><span class=\"close-popup\">&times;<\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div id=\"tooth-options\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><input type=\"hidden\" name=\"teeth-data\" value=\"\" \/>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6 col-sm-12 col-xs-12 cfselect-col2\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<p><label>Reason for Referral:<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-720\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-720[]\" value=\"Wisdom Teeth Extraction(s)\" \/><span class=\"wpcf7-list-item-label\">Wisdom Teeth Extraction(s)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-277\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-277[]\" value=\"Extraction(s)\" \/><span class=\"wpcf7-list-item-label\">Extraction(s)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-708\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-708[]\" value=\"Alveoloplasty with full mouth extractions\" \/><span class=\"wpcf7-list-item-label\">Alveoloplasty with full mouth extractions<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-id=\"alveoloplasty-selected\" data-orig_data_id=\"alveoloplasty-selected\"  data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<div id=\"alveoloplasty-checklist\" class=\"referrallist-subcheck\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-813\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-813[]\" value=\"UL\" \/><span class=\"wpcf7-list-item-label\">UL<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-813[]\" value=\"UR\" \/><span class=\"wpcf7-list-item-label\">UR<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-813[]\" value=\"LL\" \/><span class=\"wpcf7-list-item-label\">LL<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-813[]\" value=\"LR\" \/><span class=\"wpcf7-list-item-label\">LR<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-40\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"Scaling and Root Planing\" \/><span class=\"wpcf7-list-item-label\">Scaling and Root Planing<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-id=\"scaling-selected\" data-orig_data_id=\"scaling-selected\"  data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<div id=\"scaling-checklist\" class=\"referrallist-subcheck\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-107\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-107[]\" value=\"UL\" \/><span class=\"wpcf7-list-item-label\">UL<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-107[]\" value=\"UR\" \/><span class=\"wpcf7-list-item-label\">UR<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-107[]\" value=\"LL\" \/><span class=\"wpcf7-list-item-label\">LL<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-107[]\" value=\"LR\" \/><span class=\"wpcf7-list-item-label\">LR<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-688\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-688[]\" value=\"Anterior \/ Premolar Root Canal (will not accept re-treats)\" \/><span class=\"wpcf7-list-item-label\">Anterior \/ Premolar Root Canal (will not accept re-treats)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-1688\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-1688[]\" value=\"Fillings \/ Restorative\" \/><span class=\"wpcf7-list-item-label\">Fillings \/ Restorative<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-197\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-197[]\" value=\"Crowns or Bridges\" \/><span class=\"wpcf7-list-item-label\">Crowns or Bridges<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-845\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-845[]\" value=\"Exostosis Removal\" \/><span class=\"wpcf7-list-item-label\">Exostosis Removal<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-id=\"exostosis-selected\" data-orig_data_id=\"exostosis-selected\"  data-class=\"wpcf7cf_group\">\n\t\t\t\t\t<div id=\"exostosis-Removal-checklist\" class=\"referrallist-subcheck\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-501\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-501[]\" value=\"UL\" \/><span class=\"wpcf7-list-item-label\">UL<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-501[]\" value=\"UR\" \/><span class=\"wpcf7-list-item-label\">UR<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-501[]\" value=\"LL\" \/><span class=\"wpcf7-list-item-label\">LL<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-501[]\" value=\"LR\" \/><span class=\"wpcf7-list-item-label\">LR<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-968\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-968[]\" value=\"Tori Removal (with full mouth extractions only)\" \/><span class=\"wpcf7-list-item-label\">Tori Removal (with full mouth extractions only)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-681\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-681[]\" value=\"Requires IV Sedation\" \/><span class=\"wpcf7-list-item-label\">Requires IV Sedation<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"referrallist-check\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-908\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-908[]\" value=\"Other (specify below)\" \/><span class=\"wpcf7-list-item-label\">Other (specify below)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"cfbottom-blck mt-0\">\n\t\t\t<div class=\"row gy-3\">\n\t\t\t\t<div class=\"col-md-12\">\n\t\t\t\t\t<p><label>Specific Concerns:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-932\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-932\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"uploaddoclable\">\n\t\t\t\t\t<p><label class=\"uploaddoc\">Upload Relevant Documents Here if Available (e.g. X-rays, written referral, medical history, medication list):<\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"col-md-12 referral-files referralfile_onlybtn\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mfile-257\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"mfile-257\" data-type=\"jpeg|png|pdf|doc|mp4|tiff|docx|jpg\" data-limit=\"20971520\" data-max=\"5\" data-id=\"1763\" data-version=\"free version 1.3.8.5\" accept=\".jpeg, .png, .pdf, .doc, .mp4, .tiff, .docx, .jpg\" \/><\/span><br \/>\n<span class=\"upload-disclaim\">(However Many Pages)<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"col-lg-9 col-sm-12 col-xs-12\">\n\t\t\t\t\t<p><label>Significant Medical History:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-909\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-909\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"col-lg-3 col-sm-12 col-xs-12\">\n\t\t\t\t\t<p><label>Signature of Referring Doctor: <a class=\"referral-signlink refdocbtnlink\" href=\"javascript:void(0)\" id=\"open-signature-modal\">Sign Here<\/a><\/label><br \/>\n<input type=\"hidden\" id=\"signature-data\" name=\"signature\" required \/>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"sign-preview\">\n\t\t\t\t\t\t<div id=\"preview\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<p><a class=\"delete-btn\" style=\"display:none;\"><i class=\"fa-regular fa-circle-xmark\"><\/i><\/a>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"col-md-12 col-sm-12 col-xs-12 pagebooksubmitbar\">\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<p>[recaptcha]<br \/>\n\t\t\t\t\t\t<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"location-field\" \/><br \/>\n<button class=\"button\" type=\"submit\" >Submit<\/button>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-parts\/default-template.php","meta":{"footnotes":""},"class_list":["post-2692","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/enfolytics.com\/alphadental\/wp-json\/wp\/v2\/pages\/2692","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/enfolytics.com\/alphadental\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/enfolytics.com\/alphadental\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/enfolytics.com\/alphadental\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/enfolytics.com\/alphadental\/wp-json\/wp\/v2\/comments?post=2692"}],"version-history":[{"count":3,"href":"https:\/\/enfolytics.com\/alphadental\/wp-json\/wp\/v2\/pages\/2692\/revisions"}],"predecessor-version":[{"id":2949,"href":"https:\/\/enfolytics.com\/alphadental\/wp-json\/wp\/v2\/pages\/2692\/revisions\/2949"}],"wp:attachment":[{"href":"https:\/\/enfolytics.com\/alphadental\/wp-json\/wp\/v2\/media?parent=2692"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}