{"id":199,"date":"2021-01-22T19:50:03","date_gmt":"2021-01-22T19:50:03","guid":{"rendered":"https:\/\/dryinglueyeclinic.com\/?page_id=199"},"modified":"2021-02-09T15:30:30","modified_gmt":"2021-02-09T15:30:30","slug":"forms","status":"publish","type":"page","link":"https:\/\/dryinglueyeclinic.com\/zh\/forms\/","title":{"rendered":"\u8868\u683c"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.8.1″ _module_preset=”default” background_image=”https:\/\/dryinglueyeclinic.com\/wp-content\/uploads\/header-page.jpg” background_position=”top_center” height=”350px” height_tablet=”” height_phone=”150px” height_last_edited=”on|phone” custom_margin_tablet=”” custom_margin_phone=”55px||||false|false” custom_margin_last_edited=”on|phone”][et_pb_row _builder_version=”4.8.0″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.8.0″ _module_preset=”default”][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.8.2″ _module_preset=”default” custom_margin=”||||false|false” custom_padding=”10px||0px||false|false” hover_enabled=”0″ sticky_enabled=”0″][et_pb_row _builder_version=”4.8.2″ _module_preset=”default” max_width=”950px”][et_pb_column type=”4_4″ _builder_version=”4.8.0″ _module_preset=”default”][et_pb_image src=”https:\/\/dryinglueyeclinic.com\/wp-content\/uploads\/pattern.jpg” title_text=”pattern” _builder_version=”4.8.2″ _module_preset=”default” positioning=”absolute” vertical_offset=”-30px” z_index=”-1″ vertical_offset_tablet=”” vertical_offset_phone=”” vertical_offset_last_edited=”on|phone” horizontal_offset_tablet=”” horizontal_offset_phone=”-43px” horizontal_offset_last_edited=”on|phone” width=”100%” width_tablet=”” width_phone=”52%” width_last_edited=”on|phone” hover_enabled=”0″ sticky_enabled=”0″ locked=”off” admin_label=”Image” horizontal_offset=”-80px”][\/et_pb_image][et_pb_text _builder_version=”4.8.2″ _module_preset=”default” header_font=”|600|||||||” header_text_align=”center” header_text_color=”#333333″ custom_margin=”50px||||false|false” hover_enabled=”0″ sticky_enabled=”0″ custom_margin_last_edited=”on|phone” custom_margin_phone=”20px||||false|false”]<\/p>\n

Referral form<\/h2>\n

[\/et_pb_text][et_pb_text _builder_version=”4.8.2″ _module_preset=”default”]<\/p>\n

Two simple ways to make your referrals<\/h4>\n

Option 1:<\/strong> Fax your letter to 416-444-0025
\nSimply Fax your own standard referral Letters<\/p>\n

Option 2:<\/strong> Print out fillable referral form and Fax it to 416-444-0025<\/p>\n

Thank you for your trust and we are looking forward to hearing from you.[\/et_pb_text][et_pb_text module_id=”consent” _builder_version=”4.8.2″ _module_preset=”default” text_font=”||||||||” link_text_color=”#FFFFFF” background_layout=”dark” custom_margin=”||50px||false|false”]Download Referral form<\/a>[\/et_pb_text][et_pb_text _builder_version=”4.8.2″ _module_preset=”default” header_font=”|600|||||||” header_text_align=”center” header_text_color=”#333333″ custom_margin=”||||false|false”]<\/p>\n

Consent Form and Questionnaires<\/h2>\n

[\/et_pb_text][et_pb_text module_id=”consent” _builder_version=”4.8.2″ _module_preset=”default” text_font=”||||||||” link_text_color=”#FFFFFF” background_layout=”dark” custom_margin=”||10px||false|false” hover_enabled=”0″ sticky_enabled=”0″]Download Consent form<\/a><\/p>\n

Download Admission Questionnaire<\/a><\/p>\n

Download Medical Questionnaire<\/a>[\/et_pb_text][et_pb_image src=”https:\/\/dryinglueyeclinic.com\/wp-content\/uploads\/s_pattern2.jpg” title_text=”s_pattern2″ align=”right” disabled_on=”off|off|off” _builder_version=”4.8.2″ _module_preset=”default” vertical_offset=”307px” horizontal_offset=”812px” z_index=”-1″ width=”100%” width_tablet=”” width_phone=”45%” width_last_edited=”on|phone” locked=”off”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.8.1″ _module_preset=”default” background_color=”#f8f4f4″ custom_margin=”||||false|false” custom_padding=”10px||20px||false|false” global_module=”218″][et_pb_row _builder_version=”4.8.1″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.8.1″ _module_preset=”default”][et_pb_text _builder_version=”4.8.1″ _module_preset=”default” header_text_color=”#FFFFFF” header_2_text_align=”center” header_2_text_color=”#932314″ custom_margin=”20px||||false|false” locked=”off”]<\/p>\n

Your Vision, My Mission<\/h2>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Referral formTwo simple ways to make your referrals Option 1: Fax your letter to 416-444-0025 Simply Fax your own standard referral Letters Option 2: Print out fillable referral form and Fax it to 416-444-0025 Thank you for your trust and we are looking forward to hearing from you.Download Referral formConsent Form and QuestionnairesDownload Consent form […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-199","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dryinglueyeclinic.com\/zh\/wp-json\/wp\/v2\/pages\/199","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryinglueyeclinic.com\/zh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dryinglueyeclinic.com\/zh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dryinglueyeclinic.com\/zh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dryinglueyeclinic.com\/zh\/wp-json\/wp\/v2\/comments?post=199"}],"version-history":[{"count":0,"href":"https:\/\/dryinglueyeclinic.com\/zh\/wp-json\/wp\/v2\/pages\/199\/revisions"}],"wp:attachment":[{"href":"https:\/\/dryinglueyeclinic.com\/zh\/wp-json\/wp\/v2\/media?parent=199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}