{"id":163393,"date":"2025-05-23T09:21:15","date_gmt":"2025-05-23T13:21:15","guid":{"rendered":"https:\/\/morganly.com\/registration\/"},"modified":"2025-06-07T10:42:25","modified_gmt":"2025-06-07T14:42:25","slug":"registration","status":"publish","type":"page","link":"https:\/\/morganly.com\/?page_id=163393","title":{"rendered":"Patient Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"163393\" class=\"elementor elementor-163393\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-052d317 e-flex e-con-boxed e-con e-parent\" data-id=\"052d317\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9e45afc elementor-widget elementor-widget-html\" data-id=\"9e45afc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class='user-registration ur-frontend-form  ur-frontend-form--rounded ' id='user-registration-form-163389'>\n\t\t\t\t\t\t\t\t<form method='post' class='register' data-form-id=\"163389\"\n\t\t\t\tdata-enable-strength-password=\"1\" data-minimum-password-strength=\"3\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \"enctype=multipart\/form-data\" \"enctype=multipart\/form-data\" data-captcha-enabled=\"1\">\n\n\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"0\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_login\" class=\"ur-field-item field-user_login \" data-ref-id=\"user_login\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_login_field\" data-priority=\"\" ><label for=\"user_login\" class=\"ur-label\">Username <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_login\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"user_login\" id=\"user_login\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Username\" data-username-character=\"1\"\/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_email\" class=\"ur-field-item field-user_email \" data-ref-id=\"user_email\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_email_field\" data-priority=\"\" ><label for=\"user_email\" class=\"ur-label\">User Email <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_email\" type=\"email\" class=\"input-text  without_icon input-email ur-frontend-field  \" name=\"user_email\" id=\"user_email\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"User Email\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"1\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_pass\" class=\"ur-field-item field-user_pass \" data-ref-id=\"user_pass\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required hide_show_password\" id=\"user_pass_field\" data-priority=\"\"><label for=\"user_pass\" class=\"ur-label\">Password <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <span class=\"password-input-group input-form-field-icons\"><input data-rules=\"\" data-id=\"user_pass\" type=\"password\" class=\"input-text without_icon input-password ur-frontend-field  \" name=\"user_pass\" id=\"user_pass\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Password\" \/><\/span> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_confirm_password\" class=\"ur-field-item field-user_confirm_password \" data-ref-id=\"user_confirm_password\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required hide_show_password\" id=\"user_confirm_password_field\" data-priority=\"\"><label for=\"user_confirm_password\" class=\"ur-label\">Confirm Password <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <span class=\"password-input-group input-form-field-icons\"><input data-rules=\"\" data-id=\"user_confirm_password\" type=\"password\" class=\"input-text without_icon input-password ur-frontend-field  \" name=\"user_confirm_password\" id=\"user_confirm_password\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Confirm Password\" \/><\/span> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"2\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"privacy_policy_1749055053\" class=\"ur-field-item field-privacy_policy \" data-ref-id=\"privacy_policy_1749055053\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"privacy_policy_1749055053_field\" data-priority=\"\" ><label class=\"ur-label checkbox\" required=\"required\" data-label=\"I agree with our Terms &amp; Conditions\">\n\t\t\t\t\t\t\t<input data-rules=\"\" data-id=\"privacy_policy_1749055053\" required=\"required\" data-label=\"I agree with our Terms &amp; Conditions\" data-value=\"\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"privacy_policy_1749055053\" id=\"privacy_policy_1749055053\" value=\"1\"  \/> I agree with our Terms & Conditions <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div id=\"ur-recaptcha-node\"> <div id=\"node_recaptcha_register\" class=\"g-recaptcha-v3\" style=\"display:none\"><textarea id=\"g-recaptcha-response\" name=\"g-recaptcha-response\" ><\/textarea><\/div><\/div>\t\t\t\t\t\t<div class=\"ur-button-container \" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<button type=\"submit\" class=\"btn button ur-submit-button \"  conditional_rules=\"&quot;&quot;\">\n\t\t\t\t\t\t\t\t<span><\/span>\n\t\t\t\t\t\t\t\tSubmit\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"ur-registration-language\" value=\"en-US\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-user-form-id\" value=\"163389\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-redirect-url\" value=\"https:\/\/morganly.com\/\"\/>\n\t\t\t\t<input type=\"hidden\" id=\"ur_frontend_form_nonce\" name=\"ur_frontend_form_nonce\" value=\"32c7110ea1\" \/>\n\t\t\t\t\n\t\t\t<\/form>\n\t\t\t\n\t\t<div style=\"clear:both\"><\/div>\n\t<\/div>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-163393","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/morganly.com\/index.php?rest_route=\/wp\/v2\/pages\/163393","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/morganly.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/morganly.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/morganly.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/morganly.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=163393"}],"version-history":[{"count":16,"href":"https:\/\/morganly.com\/index.php?rest_route=\/wp\/v2\/pages\/163393\/revisions"}],"predecessor-version":[{"id":163927,"href":"https:\/\/morganly.com\/index.php?rest_route=\/wp\/v2\/pages\/163393\/revisions\/163927"}],"wp:attachment":[{"href":"https:\/\/morganly.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=163393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}