{"id":12,"date":"2021-08-19T16:59:38","date_gmt":"2021-08-19T16:59:38","guid":{"rendered":"https:\/\/statushealthcare.com\/app\/?page_id=12"},"modified":"2021-08-19T17:20:52","modified_gmt":"2021-08-19T17:20:52","slug":"home","status":"publish","type":"page","link":"https:\/\/statushealthcare.com\/app\/","title":{"rendered":"Home"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme' id='gform_wrapper_1' ><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Leads<\/h2>\n                            <span class='gform_description'><\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/app\/wp-json\/wp\/v2\/pages\/12#gf_1' novalidate>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper'>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>7<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_14' style='width:14%;'><span>14%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body gform-body'><div id='gform_page_1_1' class='gform_page' >\n                                    <div class='gform_page_fields'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_1_5\" class=\"gfield gfield--width-full test gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><img decoding=\"async\" src=\"https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/download.jpg\"  width=\"\" height=\"\"><\/div><fieldset id=\"field_1_7\" class=\"gfield gfield--width-full custom_radio ctm trigger-next-zzd hide-next-button test gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >What type of care do you need?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_7'>\n\t\t\t<div class='gchoice gchoice_1_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='In-home care'  id='choice_1_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_0' id='label_1_7_0'>In-home care<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Senior Living Community'  id='choice_1_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_1' id='label_1_7_1'>Senior Living Community<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Not yet decided'  id='choice_1_7_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_2' id='label_1_7_2'>Not yet decided<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_1' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page  test' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_1_4\" class=\"gfield gfield--width-full custom_check hide-previous-button test gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >What do you need help with?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_1_4'><div class='gchoice gchoice_1_4_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.1' type='checkbox'  value='Personal Care'  id='choice_1_4_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_1' id='label_1_4_1'>Personal Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_4_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.2' type='checkbox'  value='Household Tasks'  id='choice_1_4_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_2' id='label_1_4_2'>Household Tasks<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_4_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.3' type='checkbox'  value='Mobility Assistance'  id='choice_1_4_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_3' id='label_1_4_3'>Mobility Assistance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_4_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.4' type='checkbox'  value='Companionship'  id='choice_1_4_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_4' id='label_1_4_4'>Companionship<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_4_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.5' type='checkbox'  value='Specialized Care'  id='choice_1_4_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_5' id='label_1_4_5'>Specialized Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_4_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.6' type='checkbox'  value='Transportation'  id='choice_1_4_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_6' id='label_1_4_6'>Transportation<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_8' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='image' src='https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/btn.jpg' id='gform_next_button_1_8' class='gform_next_button gform_image_button' alt='Next Page'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page custom_btn test' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_1_9\" class=\"gfield gfield--width-full custom_radio trigger-next-zzd hide-next-button hide-previous-button hide-submit-button test gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >How do you plan to pay for care?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_9'>\n\t\t\t<div class='gchoice gchoice_1_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Personal finances'  id='choice_1_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_9_0' id='label_1_9_0'>Personal finances<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Long-term care'  id='choice_1_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_9_1' id='label_1_9_1'>Long-term care<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Government funds'  id='choice_1_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_9_2' id='label_1_9_2'>Government funds<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='I&#039;m not sure yet'  id='choice_1_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_9_3' id='label_1_9_3'>I&#8217;m not sure yet<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_10' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_10' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page custom_zip test' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_1_12\" class=\"gfield gfield--width-full cstm_bdr hide-previous-button test gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_12' >Where do you need care?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_1_12' type='text' value='' class='large'    placeholder='Zip Code' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_13' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='image' src='https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/btn.jpg' id='gform_next_button_1_13' class='gform_next_button gform_image_button' alt='Next Page'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_5' class='gform_page  test' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_5' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_1_16\" class=\"gfield gfield--width-full animate-content test gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><h3 class=\"page5\" style=\" font-size: 18px; font-weight: 700;\">We have searched and found caregivers in your area.<br> Click the next button to continue<\/h3>\n<div class=\"overlay\">\n<div id=\"loader\"><\/div>\n <br\/>\nSearching for care in your area&#8230;\n<\/div>\n<p class=\"checkmark\">\n<span style=\" color:#43d8f8; font-weight: 900;\">\u2713<\/span> 100% background checked<br>\n<span style=\" color:#43d8f8; font-weight: 900;\">\u2713<\/span> CDC guidelines educated<br>\n<span style=\" color:#43d8f8; font-weight: 900;\">\u2713<\/span> CPR and first aid trained\n<\/p><\/div><div id=\"field_1_27\" class=\"gfield gfield--width-full hide-previous-button test gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><ul>\n<li><img decoding=\"async\" class=\"imgradio\" src=\"https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/qq.jpg\"  width=\"\" height=\"\"><br>Jane T.<img decoding=\"async\" class=\"imgradio\" src=\"https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/download-2.jpg\"  width=\"\" height=\"\"><\/li>\n<li><img decoding=\"async\" class=\"imgradio\" src=\"https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/ww.jpg\"  width=\"\" height=\"\"><br>Kara J.<img decoding=\"async\" class=\"imgradio\" src=\"https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/download-2.jpg\"  width=\"\" height=\"\"><\/li>\n<li><img decoding=\"async\" class=\"imgradio\" src=\"https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/ee.jpg\"  width=\"\" height=\"\"><br>Luoisa M.<img decoding=\"async\" class=\"imgradio\" src=\"https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/download-2.jpg\"  width=\"\" height=\"\"><\/li>\n<\/ul><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_17' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='image' src='https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/btn.jpg' id='gform_next_button_1_17' class='gform_next_button gform_image_button' alt='Next Page'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_6' class='gform_page custom_zip trigger-next-zzd hide-previous-button test' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_6' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_1_28\" class=\"gfield gfield--width-full test gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><div class=\"custom_text_button\"><span><img decoding=\"async\" draggable=\"false\" role=\"img\" class=\"emoji\" alt=\"\u2714\" src=\"https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/tick.jpg\"><\/span>Hooray!! We have caregivers near you.<\/div><\/div><div id=\"field_1_19\" class=\"gfield gfield--width-full custom_zip cstm_bdr test gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_19' >Provide your contacts to get more details about your selected care options.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_19' id='input_1_19' type='email' value='' class='large'   placeholder='Email' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_21\" class=\"gfield gfield--width-full cstm_bdr custom_phone test gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible\" ><label class='gfield_label' for='input_1_21' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_21' id='input_1_21' type='tel' value='' class='large'  placeholder='Phone' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_22\" class=\"gfield gfield--width-full cstm_bdr custom_font hide-previous-button test field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_22' >How did you hear about us?<\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_1_22' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select Option<\/option><option value='Banner Ad' >Banner Ad<\/option><option value='Parenting Group or Forum' >Parenting Group or Forum<\/option><option value='Press Coverage (News, Magazine, Blog)' >Press Coverage (News, Magazine, Blog)<\/option><option value='Search Engine (Google, Bing)' >Search Engine (Google, Bing)<\/option><option value='Online Video (Hulu, Youtube)' >Online Video (Hulu, Youtube)<\/option><option value='Facebook' >Facebook<\/option><option value='TV Ad' >TV Ad<\/option><option value='Other Social Media (Twitter, Instagram, Pinterest, Linkedln)' >Other Social Media (Twitter, Instagram, Pinterest, Linkedln)<\/option><option value='Friends or Family' >Friends or Family<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_23' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='image' src='https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/btn2.jpg' id='gform_next_button_1_23' class='gform_next_button gform_image_button' alt='Next Page'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_7' class='gform_page custom_zip test' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_7' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_1_25\" class=\"gfield gfield--width-full cstm_bdr test gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_25' >What&#039;s your name?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_1_25' type='text' value='' class='large'    placeholder='First Name' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_1_26\" class=\"gfield gfield--width-full cstm_bdr custom_name hide-previous-button test gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible\" ><label class='gfield_label' for='input_1_26' >Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_1_26' type='text' value='' class='large'    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button button' value='Previous'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> <input type='image' src='https:\/\/statushealthcare.com\/app\/wp-content\/uploads\/2021\/08\/btn3.jpg' id='gform_submit_button_1' class='gform_button gform_image_button' alt='Submit'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='WyJbXSIsImJkYTJhNGFkNDEwMjc0NGZkZGNkYzBlY2YzNTUyMjBjIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div>","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-12","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/statushealthcare.com\/app\/wp-json\/wp\/v2\/pages\/12","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/statushealthcare.com\/app\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/statushealthcare.com\/app\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/statushealthcare.com\/app\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/statushealthcare.com\/app\/wp-json\/wp\/v2\/comments?post=12"}],"version-history":[{"count":2,"href":"https:\/\/statushealthcare.com\/app\/wp-json\/wp\/v2\/pages\/12\/revisions"}],"predecessor-version":[{"id":14,"href":"https:\/\/statushealthcare.com\/app\/wp-json\/wp\/v2\/pages\/12\/revisions\/14"}],"wp:attachment":[{"href":"https:\/\/statushealthcare.com\/app\/wp-json\/wp\/v2\/media?parent=12"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}