{"id":153,"date":"2025-10-20T16:44:26","date_gmt":"2025-10-20T03:44:26","guid":{"rendered":"https:\/\/www.nzradvet.co.nz\/?page_id=153"},"modified":"2025-10-20T16:50:24","modified_gmt":"2025-10-20T03:50:24","slug":"ct-outpatient-request-form","status":"publish","type":"page","link":"https:\/\/www.nzradvet.co.nz\/index.php\/ct-outpatient-request-form\/","title":{"rendered":"CT Outpatient Request Form"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; theme_builder_area=&#8221;post_content&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; type=&#8221;4_4&#8243; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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sticky_enabled=&#8221;0&#8243;][\/wpforms_selector][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"et_pb_module wpforms_selector wpforms_selector_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-144\">\n\t\t\t\t#wpforms-144 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-144\"><form id=\"wpforms-form-144\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"144\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/153?wpforms_form_id=144\" data-token=\"d2a60b22299c5b23bd74cbef9b03f144\" data-token-time=\"1778067434\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-144-field_3-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"3\"><div class=\"wpforms-field-layout-rows 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wpforms-field-required\" data-disable-suggestions=\"1\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-144-field_2-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-144-field_4-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_4\">Clinic Phone<\/label><input type=\"tel\" id=\"wpforms-144-field_4\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][4]\" aria-label=\"Clinic Phone\" aria-errormessage=\"wpforms-144-field_4-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-144-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_5\">Veterinarian\u2019s Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-144-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-144-field_5-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-144-field_6-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_6\">Veterinarian\u2019s Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-144-field_6\" class=\"wpforms-field-medium wpforms-field-required\" data-disable-suggestions=\"1\" name=\"wpforms[fields][6]\" spellcheck=\"false\" aria-errormessage=\"wpforms-144-field_6-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-144-field_7-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_7\">Veterinarian\u2019s Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-144-field_7\" class=\"wpforms-field-medium wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][7]\" aria-label=\"Veterinarian\u2019s Phone\" aria-errormessage=\"wpforms-144-field_7-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-144-field_8-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"8\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_9\">Patient Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-144-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-144-field_9-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_10\">Owner&#039;s Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-144-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-144-field_10-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_11-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_11\">Owner&#039;s Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-144-field_11\" class=\"wpforms-field-medium wpforms-field-required\" data-disable-suggestions=\"1\" name=\"wpforms[fields][11]\" spellcheck=\"false\" aria-errormessage=\"wpforms-144-field_11-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_12-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_12\">Owner&#039;s Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-144-field_12\" class=\"wpforms-field-medium wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][12]\" aria-label=\"Owner&#039;s Phone\" aria-errormessage=\"wpforms-144-field_12-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_13\">Species <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-144-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-144-field_13-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_14\">Breed <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-144-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-144-field_14-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_15\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-144-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-144-field_15-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_18-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"18\"><fieldset><legend class=\"wpforms-field-label\">Sex <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-144-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-144-field_18_1\" name=\"wpforms[fields][18]\" value=\"F\" aria-errormessage=\"wpforms-144-field_18_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_18_1\">F<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-144-field_18_2\" name=\"wpforms[fields][18]\" value=\"M\" aria-errormessage=\"wpforms-144-field_18_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_18_2\">M<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-144-field_18_3\" name=\"wpforms[fields][18]\" value=\"FS\" aria-errormessage=\"wpforms-144-field_18_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_18_3\">FS<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-144-field_18_4\" name=\"wpforms[fields][18]\" value=\"MN\" aria-errormessage=\"wpforms-144-field_18_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_18_4\">MN<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-144-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_16\">Weight <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-144-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-144-field_16-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><\/div><\/div><\/div>\t\t<div id=\"wpforms-144-field_17-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"17\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-144-field_17\" >Breed Species Owner&#039;s<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-144-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-144-field_26-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_26\">Relevant Clinical History:<\/label><textarea id=\"wpforms-144-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" aria-errormessage=\"wpforms-144-field_26-error\" ><\/textarea><\/div><div id=\"wpforms-144-field_19-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"19\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-144-field_19\" aria-hidden=\"false\">Relevant Clinical History:<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"19\"\n\t\tdata-form-id=\"144\"\n\t\tdata-input-name=\"wpforms_144_19\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"16777216\"\n\t\tdata-max-file-number=\"5\"\n\t\tdata-post-max-size=\"16777216\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" 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files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-144-field_19\"\n\t\tname=\"wpforms_144_19\" \t\tvalue=\"\">\n<div id=\"wpforms-144-field_19-description\" class=\"wpforms-field-description\">(Please include any attachments or recent blood results, histology etc)<\/div><\/div><div id=\"wpforms-144-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-144-field_27\">Study Required<\/label><input type=\"text\" id=\"wpforms-144-field_27\" class=\"wpforms-field-large\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-144-field_27-error\" ><\/div><div id=\"wpforms-144-field_20-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">NZRadVet Report Required (extra cost) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-144-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-144-field_20_1\" name=\"wpforms[fields][20]\" value=\"YES\" aria-errormessage=\"wpforms-144-field_20_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_20_1\">YES<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-144-field_20_2\" name=\"wpforms[fields][20]\" value=\"NO\" aria-errormessage=\"wpforms-144-field_20_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_20_2\">NO<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-144-field_21-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"21\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\"><\/legend><ul id=\"wpforms-144-field_21\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-144-field_21_1\" name=\"wpforms[fields][21][]\" value=\"Stat\" aria-errormessage=\"wpforms-144-field_21_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_21_1\">Stat<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-144-field_21_2\" name=\"wpforms[fields][21][]\" value=\"Routine\" aria-errormessage=\"wpforms-144-field_21_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_21_2\">Routine<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-144-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Contrast (Omnipaque): <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-144-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-144-field_22_1\" name=\"wpforms[fields][22][]\" value=\"By ticking this you consent to NZRadVet administering contrast (Omnipaque) if it is indicated. Please see contrast information below before ticking the box.\" aria-errormessage=\"wpforms-144-field_22_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_22_1\">By ticking this you consent to NZRadVet administering contrast (Omnipaque) if it is indicated. Please see contrast information below before ticking the box.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-144-field_25-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"25\"><div id=\"wpforms-144-field_25\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-144-field_25-error\"><p><strong>Contrast (Omnipaque)<\/strong><\/p>\n<p>Omnipaque is an iodine-based contrast agent commonly used during a patients CT. A bolus is administered intravenously during the CT scan which enhances blood vessels, organs, and other tissue which will help with differentiating between different structures within the body. Omnipaque is exclusively excreted via the kidneys.<\/p>\n<p>As with any drug - the administration of a contrast agent does have risks associated with it. To help you mitigate these risks we would suggest that the following is performed and included in the history when you submit a CT referral.<\/p>\n<ol>\n<li>Blood work \u2013 Kidney function<\/li>\n<li>Urinalysis \u2013 Urine specific gravity (USG)<\/li>\n<li>Prior adverse drug reactions<\/li>\n<\/ol>\n<p>When discussing a possible CT referral with your client please ensure that they are informed of the risks associated with the administration of contrast.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-144-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><fieldset><legend class=\"wpforms-field-label\">Would you like us to<\/legend><ul id=\"wpforms-144-field_28\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-144-field_28_1\" name=\"wpforms[fields][28][]\" value=\"Discuss the case\/ estimate with referring veterinarian first\" aria-errormessage=\"wpforms-144-field_28_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_28_1\">Discuss the case\/ estimate with referring veterinarian first<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-144-field_28_2\" name=\"wpforms[fields][28][]\" value=\"Contact the owner directly to arrange referral\" aria-errormessage=\"wpforms-144-field_28_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-144-field_28_2\">Contact the owner directly to arrange referral<\/label><\/li><\/ul><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-144-field_17-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-144-field_17-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-144-field_17-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"144\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/pages\/153\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-144\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.nzradvet.co.nz\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\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-153","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/pages\/153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/comments?post=153"}],"version-history":[{"count":3,"href":"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/pages\/153\/revisions"}],"predecessor-version":[{"id":160,"href":"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/pages\/153\/revisions\/160"}],"wp:attachment":[{"href":"https:\/\/www.nzradvet.co.nz\/index.php\/wp-json\/wp\/v2\/media?parent=153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}