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Patient Intake Form - Fluent Forms
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and (max-width: 1024px){.loop-entry .entry-content-wrap{padding:2rem;}}@media all and (max-width: 767px){.loop-entry .entry-content-wrap{padding:1.5rem;}}button, .button, .wp-block-button__link, input[type="button"], input[type="reset"], input[type="submit"], .fl-button, .elementor-button-wrapper .elementor-button{font-style:normal;font-weight:500;font-size:20px;line-height:32px;font-family:Lexend, sans-serif;text-transform:uppercase;border-radius:5px;padding:13px 47px 13px 47px;border-color:#2c6cff;box-shadow:0px 10px 35px 0px rgba(64,89,255,0.3);}.wp-block-button.is-style-outline .wp-block-button__link{padding:13px 47px 13px 47px;}button:hover, button:focus, button:active, .button:hover, .button:focus, .button:active, .wp-block-button__link:hover, .wp-block-button__link:focus, .wp-block-button__link:active, input[type="button"]:hover, input[type="button"]:focus, input[type="button"]:active, input[type="reset"]:hover, input[type="reset"]:focus, input[type="reset"]:active, input[type="submit"]:hover, input[type="submit"]:focus, input[type="submit"]:active, .elementor-button-wrapper .elementor-button:hover, .elementor-button-wrapper .elementor-button:focus, .elementor-button-wrapper .elementor-button:active{border-color:var(--global-palette9);box-shadow:0px 0px 0px 0px rgba(0,0,0,0);}.kb-button.kb-btn-global-outline.kb-btn-global-inherit{padding-top:calc(13px - 2px);padding-right:calc(47px - 2px);padding-bottom:calc(13px - 2px);padding-left:calc(47px - 2px);}@media all and (max-width: 1024px){button, .button, .wp-block-button__link, input[type="button"], input[type="reset"], input[type="submit"], .fl-button, .elementor-button-wrapper .elementor-button{border-color:#2c6cff;}}@media all and (max-width: 767px){button, .button, .wp-block-button__link, input[type="button"], input[type="reset"], input[type="submit"], .fl-button, .elementor-button-wrapper .elementor-button{border-color:#2c6cff;}}@media all and (min-width: 1025px){.transparent-header .entry-hero .entry-hero-container-inner{padding-top:calc(80px + 80px);}}@media all and (max-width: 1024px){.mobile-transparent-header .entry-hero .entry-hero-container-inner{padding-top:calc(80px + 80px);}}@media all and (max-width: 767px){.mobile-transparent-header .entry-hero .entry-hero-container-inner{padding-top:calc(60px + 80px);}}.loop-entry.type-post h2.entry-title{font-style:normal;font-weight:600;font-size:20px;line-height:32px;font-family:Lexend, sans-serif;color:#273050;}.loop-entry.type-post .entry-taxonomies{font-style:normal;font-weight:300;font-size:12px;line-height:19px;}.loop-entry.type-post .entry-taxonomies, .loop-entry.type-post .entry-taxonomies a{color:#8c8c8c;}.loop-entry.type-post .entry-taxonomies .category-style-pill a{background:#8c8c8c;}.loop-entry.type-post .entry-taxonomies a:hover{color:#273050;}.loop-entry.type-post .entry-taxonomies .category-style-pill a:hover{background:#273050;}.loop-entry.type-post .entry-meta{font-style:normal;font-weight:300;font-size:12px;line-height:19px;}.loop-entry.type-post .entry-meta{color:#8c8c8c;}.loop-entry.type-post .entry-meta a:hover{color:#273050;}body.single-demoforms{background:var(--global-palette9);}body.single-demoforms .content-bg, body.content-style-unboxed.single-demoforms .site{background:var(--global-palette9);} /* Kadence Header CSS */ @media all and (max-width: 1024px){.mobile-transparent-header #masthead{position:absolute;left:0px;right:0px;z-index:100;}.kadence-scrollbar-fixer.mobile-transparent-header #masthead{right:var(--scrollbar-offset,0);}.mobile-transparent-header #masthead, .mobile-transparent-header .site-top-header-wrap .site-header-row-container-inner, .mobile-transparent-header .site-main-header-wrap .site-header-row-container-inner, .mobile-transparent-header .site-bottom-header-wrap .site-header-row-container-inner{background:transparent;}.site-header-row-tablet-layout-fullwidth, .site-header-row-tablet-layout-standard{padding:0px;}}@media all and (min-width: 1025px){.transparent-header #masthead{position:absolute;left:0px;right:0px;z-index:100;}.transparent-header.kadence-scrollbar-fixer #masthead{right:var(--scrollbar-offset,0);}.transparent-header #masthead, .transparent-header .site-top-header-wrap .site-header-row-container-inner, .transparent-header .site-main-header-wrap .site-header-row-container-inner, .transparent-header .site-bottom-header-wrap .site-header-row-container-inner{background:transparent;}}.site-branding a.brand img{max-width:190px;}.site-branding a.brand img.svg-logo-image{width:190px;}@media all and (max-width: 767px){.site-branding a.brand img{max-width:183px;}.site-branding a.brand img.svg-logo-image{width:183px;}}.site-branding{padding:0px 0px 0px 0px;}#masthead, #masthead .kadence-sticky-header.item-is-fixed:not(.item-at-start):not(.site-header-row-container):not(.site-main-header-wrap), #masthead .kadence-sticky-header.item-is-fixed:not(.item-at-start) > .site-header-row-container-inner{background:rgba(255,255,255,0);}.site-main-header-wrap .site-header-row-container-inner{border-bottom:0px none transparent;}.site-main-header-inner-wrap{min-height:80px;}.site-top-header-wrap .site-header-row-container-inner{background-image:url('https://fluentforms.com/wp-content/uploads/2024/11/ff-bfcm-top-banner--scaled.webp');background-position:50% 50%;background-size:cover;}.site-top-header-inner-wrap{min-height:80px;}@media all and (max-width: 767px){.site-top-header-inner-wrap{min-height:60px;}}.site-top-header-wrap .site-header-row-container-inner>.site-container{padding:0px 0px 0px 0px;}@media all and (max-width: 1024px){.site-top-header-wrap .site-header-row-container-inner>.site-container{padding:0px 0px 0px 0px;}}@media all and (max-width: 767px){.site-top-header-wrap .site-header-row-container-inner>.site-container{padding:0px 0px 0px 0px;}}.transparent-header #masthead .site-top-header-wrap .site-header-row-container-inner{background-color:#004192;background-image:url('https://fluentforms.com/wp-content/uploads/2024/11/ff-bfcm-top-banner--scaled.webp');background-repeat:no-repeat;background-position:50% 50%;background-size:cover;}#masthead .kadence-sticky-header.item-is-fixed:not(.item-at-start):not(.site-header-row-container):not(.item-hidden-above):not(.site-main-header-wrap), #masthead .kadence-sticky-header.item-is-fixed:not(.item-at-start):not(.item-hidden-above) > .site-header-row-container-inner{background-color:#004192;background-image:url('https://fluentforms.com/wp-content/uploads/2024/11/ff-bfcm-top-banner--scaled.webp');background-repeat:no-repeat;background-position:50% 50%;background-size:cover;}.header-navigation[class*="header-navigation-style-underline"] .header-menu-container.primary-menu-container>ul>li>a:after{width:calc( 100% - 1.2em);}.main-navigation .primary-menu-container > ul > li.menu-item > a{padding-left:calc(1.2em / 2);padding-right:calc(1.2em / 2);padding-top:0em;padding-bottom:0em;color:#273050;}.main-navigation .primary-menu-container > ul > li.menu-item .dropdown-nav-special-toggle{right:calc(1.2em / 2);}.main-navigation .primary-menu-container > ul li.menu-item > a{font-style:normal;font-weight:600;font-size:16px;line-height:26px;font-family:var(--global-primary-nav-font-family);text-transform:capitalize;}.main-navigation .primary-menu-container > ul > li.menu-item > a:hover{color:#0052ba;}.main-navigation .primary-menu-container > ul > li.menu-item.current-menu-item > a{color:#00387f;}.header-navigation .header-menu-container ul ul.sub-menu, .header-navigation .header-menu-container ul ul.submenu{background:var(--global-palette3);box-shadow:0px 2px 13px 0px rgba(0,0,0,0.1);}.header-navigation .header-menu-container ul ul li.menu-item, .header-menu-container ul.menu > li.kadence-menu-mega-enabled > ul > li.menu-item > a{border-bottom:1px solid rgba(255,255,255,0.1);}.header-navigation .header-menu-container ul ul li.menu-item > a{width:200px;padding-top:1em;padding-bottom:1em;color:var(--global-palette8);font-size:12px;}.header-navigation .header-menu-container ul ul li.menu-item > a:hover{color:var(--global-palette9);background:var(--global-palette4);}.header-navigation .header-menu-container ul ul li.menu-item.current-menu-item > a{color:var(--global-palette9);background:var(--global-palette4);}.mobile-toggle-open-container .menu-toggle-open{color:var(--global-palette5);padding:0.4em 0.6em 0.4em 0.6em;font-size:14px;}.mobile-toggle-open-container .menu-toggle-open.menu-toggle-style-bordered{border:1px solid currentColor;}.mobile-toggle-open-container .menu-toggle-open .menu-toggle-icon{font-size:20px;}.mobile-toggle-open-container .menu-toggle-open:hover, .mobile-toggle-open-container .menu-toggle-open:focus-visible{color:var(--global-palette-highlight);}.mobile-navigation ul li{font-size:14px;}.mobile-navigation ul li a{padding-top:1em;padding-bottom:1em;}.mobile-navigation ul li > a, .mobile-navigation ul li.menu-item-has-children > .drawer-nav-drop-wrap{color:var(--global-palette8);}.mobile-navigation ul li.current-menu-item > a, .mobile-navigation ul li.current-menu-item.menu-item-has-children > .drawer-nav-drop-wrap{color:var(--global-palette-highlight);}.mobile-navigation ul li.menu-item-has-children .drawer-nav-drop-wrap, .mobile-navigation ul li:not(.menu-item-has-children) a{border-bottom:1px solid rgba(255,255,255,0.1);}.mobile-navigation:not(.drawer-navigation-parent-toggle-true) ul li.menu-item-has-children .drawer-nav-drop-wrap button{border-left:1px solid rgba(255,255,255,0.1);}#mobile-drawer .drawer-header .drawer-toggle{padding:0.6em 0.15em 0.6em 0.15em;font-size:24px;}#main-header .header-button{font-style:normal;font-weight:600;font-size:15px;line-height:24px;text-transform:capitalize;margin:0px 0px 0px 40px;border-radius:29px 29px 29px 29px;color:#000000;background:#06efff;border:2px none transparent;box-shadow:0px 4px 4px 0px rgba(0,0,0,0.25);}#main-header .header-button.button-size-custom{padding:12px 32px 12px 32px;}#main-header .header-button:hover{color:#050505;background:var(--global-palette9);box-shadow:0px 15px 25px -7px rgba(0,0,0,0.1);}.header-html{font-style:normal;font-weight:700;font-size:28px;color:var(--global-palette9);margin:5px 0px 0px 0px;}.mobile-header-button-wrap .mobile-header-button-inner-wrap .mobile-header-button{font-style:normal;font-weight:600;font-size:14px;line-height:1.4;text-transform:capitalize;margin:0px 0px 0px 0px;border-radius:29px 29px 29px 29px;color:#000000;background:#161da1;border:2px none transparent;box-shadow:0px 4px 4px 0px rgba(0,0,0,0.25);}@media all and (max-width: 767px){.mobile-header-button-wrap .mobile-header-button-inner-wrap .mobile-header-button{font-size:12px;line-height:1;}}.mobile-header-button-wrap .mobile-header-button-inner-wrap .mobile-header-button:hover{color:#000000;background:var(--global-palette9);box-shadow:0px 15px 25px -7px rgba(0,0,0,0.1);}.mobile-html{font-style:normal;font-weight:700;font-size:19px;line-height:1.37;color:var(--global-palette9);margin:0px 0px 0px 5px;}@media all and (max-width: 767px){.mobile-html{font-size:12px;}} /* Kadence Footer CSS */ #colophon{background:#273050;}.site-middle-footer-wrap .site-footer-row-container-inner{font-style:normal;font-weight:normal;font-size:14px;line-height:40px;font-family:Lexend, sans-serif;color:var(--global-palette9);}.site-footer .site-middle-footer-wrap a:where(:not(.button):not(.wp-block-button__link):not(.wp-element-button)){color:var(--global-palette9);}.site-middle-footer-inner-wrap{padding-top:100px;padding-bottom:46px;grid-column-gap:20px;grid-row-gap:20px;}.site-middle-footer-inner-wrap .widget{margin-bottom:30px;}.site-middle-footer-inner-wrap .widget-area .widget-title{font-style:normal;font-weight:500;font-size:14px;line-height:28px;font-family:Lexend, sans-serif;color:var(--global-palette9);}.site-middle-footer-inner-wrap .site-footer-section:not(:last-child):after{right:calc(-20px / 2);}@media all and (max-width: 1024px){.site-middle-footer-inner-wrap .widget-area .widget-title{font-size:12px;}}@media all and (max-width: 767px){.site-middle-footer-wrap .site-footer-row-container-inner{font-size:14px;}.site-middle-footer-inner-wrap .widget-area .widget-title{font-size:18px;}.site-middle-footer-inner-wrap{padding-top:50px;padding-bottom:50px;grid-column-gap:15px;grid-row-gap:15px;}.site-middle-footer-inner-wrap .site-footer-section:not(:last-child):after{right:calc(-15px / 2);}}.site-bottom-footer-wrap .site-footer-row-container-inner{background:#001222;font-style:normal;font-weight:normal;color:var(--global-palette9);}.site-footer .site-bottom-footer-wrap a:where(:not(.button):not(.wp-block-button__link):not(.wp-element-button)){color:var(--global-palette9);}.site-bottom-footer-inner-wrap{min-height:0px;padding-top:20px;padding-bottom:20px;grid-column-gap:0px;}.site-bottom-footer-inner-wrap .widget{margin-bottom:30px;}.site-bottom-footer-inner-wrap .widget-area .widget-title{font-style:normal;font-weight:normal;color:var(--global-palette9);}.site-bottom-footer-inner-wrap .site-footer-section:not(:last-child):after{right:calc(-0px / 2);}@media all and (max-width: 767px){.site-bottom-footer-inner-wrap{padding-top:20px;padding-bottom:20px;}}.footer-social-wrap{margin:0px 0px 0px 0px;}.footer-social-wrap .footer-social-inner-wrap{font-size:1.25em;gap:0.25em;}.site-footer .site-footer-wrap .site-footer-section .footer-social-wrap .footer-social-inner-wrap .social-button{color:#273050;border:1px solid currentColor;border-color:var(--global-palette8);border-radius:100px;}.site-footer .site-footer-wrap .site-footer-section .footer-social-wrap .footer-social-inner-wrap .social-button:hover{color:var(--global-palette9);}#colophon .footer-html{font-style:normal;font-weight:normal;font-size:12px;color:var(--global-palette9);margin:0px 0px 0px 0px;}#colophon .site-footer-row-container .site-footer-row .footer-html a{color:#fcfcfc;}#colophon .footer-navigation .footer-menu-container > ul > li > a{padding-left:calc(1.2em / 2);padding-right:calc(1.2em / 2);padding-top:calc(0.6em / 2);padding-bottom:calc(0.6em / 2);color:var(--global-palette9);}#colophon .footer-navigation .footer-menu-container > ul li a{font-style:normal;font-size:14px;line-height:26px;}#colophon .footer-navigation .footer-menu-container > ul li a:hover{color:var(--global-palette-highlight);}#colophon .footer-navigation .footer-menu-container > ul li.current-menu-item > a{color:var(--global-palette9);} /* Kadence Pro Header CSS */ .header-navigation-dropdown-direction-left ul ul.submenu, .header-navigation-dropdown-direction-left ul ul.sub-menu{right:0px;left:auto;}.rtl .header-navigation-dropdown-direction-right ul ul.submenu, .rtl .header-navigation-dropdown-direction-right ul ul.sub-menu{left:0px;right:auto;}.header-account-button .nav-drop-title-wrap > .kadence-svg-iconset, .header-account-button > .kadence-svg-iconset{font-size:1.2em;}.site-header-item .header-account-button .nav-drop-title-wrap, .site-header-item .header-account-wrap > .header-account-button{display:flex;align-items:center;}.header-account-style-icon_label .header-account-label{padding-left:5px;}.header-account-style-label_icon .header-account-label{padding-right:5px;}.site-header-item .header-account-wrap .header-account-button{text-decoration:none;box-shadow:none;color:inherit;background:transparent;padding:0.6em 0em 0.6em 0em;}.header-mobile-account-wrap .header-account-button .nav-drop-title-wrap > .kadence-svg-iconset, .header-mobile-account-wrap .header-account-button > .kadence-svg-iconset{font-size:1.2em;}.header-mobile-account-wrap .header-account-button .nav-drop-title-wrap, .header-mobile-account-wrap > .header-account-button{display:flex;align-items:center;}.header-mobile-account-wrap.header-account-style-icon_label .header-account-label{padding-left:5px;}.header-mobile-account-wrap.header-account-style-label_icon .header-account-label{padding-right:5px;}.header-mobile-account-wrap .header-account-button{text-decoration:none;box-shadow:none;color:inherit;background:transparent;padding:0.6em 0em 0.6em 0em;}#login-drawer .drawer-inner .drawer-content{display:flex;justify-content:center;align-items:center;position:absolute;top:0px;bottom:0px;left:0px;right:0px;padding:0px;}#loginform p label{display:block;}#login-drawer #loginform{width:100%;}#login-drawer #loginform input{width:100%;}#login-drawer #loginform input[type="checkbox"]{width:auto;}#login-drawer .drawer-inner .drawer-header{position:relative;z-index:100;}#login-drawer .drawer-content_inner.widget_login_form_inner{padding:2em;width:100%;max-width:350px;border-radius:.25rem;background:var(--global-palette9);color:var(--global-palette4);}#login-drawer .lost_password a{color:var(--global-palette6);}#login-drawer .lost_password, #login-drawer .register-field{text-align:center;}#login-drawer .widget_login_form_inner p{margin-top:1.2em;margin-bottom:0em;}#login-drawer .widget_login_form_inner p:first-child{margin-top:0em;}#login-drawer .widget_login_form_inner label{margin-bottom:0.5em;}#login-drawer hr.register-divider{margin:1.2em 0;border-width:1px;}#login-drawer .register-field{font-size:90%;}@media all and (min-width: 1025px){#login-drawer hr.register-divider.hide-desktop{display:none;}#login-drawer p.register-field.hide-desktop{display:none;}}@media all and (max-width: 1024px){#login-drawer hr.register-divider.hide-mobile{display:none;}#login-drawer p.register-field.hide-mobile{display:none;}}@media all and (max-width: 767px){#login-drawer hr.register-divider.hide-mobile{display:none;}#login-drawer p.register-field.hide-mobile{display:none;}}.header-html2{font-style:normal;color:var(--global-palette9);margin:0px 0px 0px 30px;}.tertiary-navigation .tertiary-menu-container > ul > li.menu-item > a{padding-left:calc(1.2em / 2);padding-right:calc(1.2em / 2);padding-top:0.6em;padding-bottom:0.6em;color:var(--global-palette5);}.tertiary-navigation .tertiary-menu-container > ul > li.menu-item > a:hover{color:var(--global-palette-highlight);}.tertiary-navigation .tertiary-menu-container > ul > li.menu-item.current-menu-item > a{color:var(--global-palette3);}.header-navigation[class*="header-navigation-style-underline"] .header-menu-container.tertiary-menu-container>ul>li>a:after{width:calc( 100% - 1.2em);}.quaternary-navigation .quaternary-menu-container > ul > li.menu-item > a{padding-left:calc(1.2em / 2);padding-right:calc(1.2em / 2);padding-top:0.6em;padding-bottom:0.6em;color:var(--global-palette5);}.quaternary-navigation .quaternary-menu-container > ul > li.menu-item > a:hover{color:var(--global-palette-highlight);}.quaternary-navigation .quaternary-menu-container > ul > li.menu-item.current-menu-item > a{color:var(--global-palette3);}.header-navigation[class*="header-navigation-style-underline"] .header-menu-container.quaternary-menu-container>ul>li>a:after{width:calc( 100% - 1.2em);}#main-header .header-divider{border-right:1px solid var(--global-palette6);height:50%;}#main-header .header-divider2{border-right:1px solid var(--global-palette6);height:50%;}#main-header .header-divider3{border-right:1px solid var(--global-palette6);height:50%;}#mobile-header .header-mobile-divider, #mobile-drawer .header-mobile-divider{border-right:1px solid var(--global-palette6);height:50%;}#mobile-drawer .header-mobile-divider{border-top:1px solid var(--global-palette6);width:50%;}#mobile-header .header-mobile-divider2{border-right:1px solid var(--global-palette6);height:50%;}#mobile-drawer .header-mobile-divider2{border-top:1px solid var(--global-palette6);width:50%;}.header-item-search-bar form ::-webkit-input-placeholder{color:currentColor;opacity:0.5;}.header-item-search-bar form ::placeholder{color:currentColor;opacity:0.5;}.header-search-bar form{max-width:100%;width:240px;}.header-mobile-search-bar form{max-width:calc(100vw - var(--global-sm-spacing) - var(--global-sm-spacing));width:240px;}.header-widget-lstyle-normal .header-widget-area-inner a:not(.button){text-decoration:underline;}.element-contact-inner-wrap{display:flex;flex-wrap:wrap;align-items:center;margin-top:-0.6em;margin-left:calc(-0.6em / 2);margin-right:calc(-0.6em / 2);}.element-contact-inner-wrap .header-contact-item{display:inline-flex;flex-wrap:wrap;align-items:center;margin-top:0.6em;margin-left:calc(0.6em / 2);margin-right:calc(0.6em / 2);}.element-contact-inner-wrap .header-contact-item .kadence-svg-iconset{font-size:1em;}.header-contact-item img{display:inline-block;}.header-contact-item .contact-label{margin-left:0.3em;}.rtl .header-contact-item .contact-label{margin-right:0.3em;margin-left:0px;}.header-mobile-contact-wrap .element-contact-inner-wrap{display:flex;flex-wrap:wrap;align-items:center;margin-top:-0.6em;margin-left:calc(-0.6em / 2);margin-right:calc(-0.6em / 2);}.header-mobile-contact-wrap .element-contact-inner-wrap .header-contact-item{display:inline-flex;flex-wrap:wrap;align-items:center;margin-top:0.6em;margin-left:calc(0.6em / 2);margin-right:calc(0.6em / 2);}.header-mobile-contact-wrap .element-contact-inner-wrap .header-contact-item .kadence-svg-iconset{font-size:1em;}#main-header .header-button2{font-style:normal;font-weight:600;font-size:16px;line-height:26px;font-family:Lexend, sans-serif;text-transform:capitalize;margin:0px 0px 0px 0px;border-radius:5px 5px 5px 5px;color:#344199;background:var(--global-palette9);border:0px solid currentColor;border-color:var(--global-palette9);box-shadow:0px 2px 2px 0px rgba(10,24,40,0.1);}#main-header .header-button2.button-size-custom{padding:12px 30px 12px 55px;}#main-header .header-button2:hover{color:#344199;background:var(--global-palette9);border-color:var(--global-palette9);box-shadow:0px 10px 10px 0px rgba(10,24,40,0.2);}.mobile-header-button2-wrap .mobile-header-button-inner-wrap .mobile-header-button2{border:2px none transparent;box-shadow:0px 0px 0px -7px rgba(0,0,0,0);}.mobile-header-button2-wrap .mobile-header-button-inner-wrap .mobile-header-button2:hover{box-shadow:0px 15px 25px -7px rgba(0,0,0,0.1);}#widget-drawer.popup-drawer-layout-fullwidth .drawer-content .header-widget2, #widget-drawer.popup-drawer-layout-sidepanel .drawer-inner{max-width:400px;}#widget-drawer.popup-drawer-layout-fullwidth .drawer-content .header-widget2{margin:0 auto;}.widget-toggle-open{display:flex;align-items:center;background:transparent;box-shadow:none;}.widget-toggle-open:hover, .widget-toggle-open:focus{border-color:currentColor;background:transparent;box-shadow:none;}.widget-toggle-open .widget-toggle-icon{display:flex;}.widget-toggle-open .widget-toggle-label{padding-right:5px;}.rtl .widget-toggle-open .widget-toggle-label{padding-left:5px;padding-right:0px;}.widget-toggle-open .widget-toggle-label:empty, .rtl .widget-toggle-open .widget-toggle-label:empty{padding-right:0px;padding-left:0px;}.widget-toggle-open-container .widget-toggle-open{color:var(--global-palette5);padding:0.4em 0.6em 0.4em 0.6em;font-size:14px;}.widget-toggle-open-container .widget-toggle-open.widget-toggle-style-bordered{border:1px solid currentColor;}.widget-toggle-open-container .widget-toggle-open .widget-toggle-icon{font-size:20px;}.widget-toggle-open-container .widget-toggle-open:hover, .widget-toggle-open-container .widget-toggle-open:focus{color:var(--global-palette-highlight);}#widget-drawer .header-widget-2style-normal a:not(.button){text-decoration:underline;}#widget-drawer .header-widget-2style-plain a:not(.button){text-decoration:none;}#widget-drawer .header-widget2 .widget-title{color:var(--global-palette9);}#widget-drawer .header-widget2{color:var(--global-palette8);}#widget-drawer .header-widget2 a:not(.button), #widget-drawer .header-widget2 .drawer-sub-toggle{color:var(--global-palette8);}#widget-drawer .header-widget2 a:not(.button):hover, #widget-drawer .header-widget2 .drawer-sub-toggle:hover{color:var(--global-palette9);}#mobile-secondary-site-navigation ul li{font-size:14px;}#mobile-secondary-site-navigation ul li a{padding-top:1em;padding-bottom:1em;}#mobile-secondary-site-navigation ul li > a, #mobile-secondary-site-navigation ul li.menu-item-has-children > .drawer-nav-drop-wrap{color:var(--global-palette8);}#mobile-secondary-site-navigation ul li.current-menu-item > a, #mobile-secondary-site-navigation ul li.current-menu-item.menu-item-has-children > .drawer-nav-drop-wrap{color:var(--global-palette-highlight);}#mobile-secondary-site-navigation ul li.menu-item-has-children .drawer-nav-drop-wrap, #mobile-secondary-site-navigation ul li:not(.menu-item-has-children) a{border-bottom:1px solid rgba(255,255,255,0.1);}#mobile-secondary-site-navigation:not(.drawer-navigation-parent-toggle-true) ul li.menu-item-has-children .drawer-nav-drop-wrap button{border-left:1px solid rgba(255,255,255,0.1);} </style> <link rel='stylesheet' id='kadence-rankmath-css' href='https://fluentforms.com/wp-content/themes/kadence/assets/css/rankmath.min.css?ver=1.1.49' media='all' /> <style id='kadence-blocks-global-variables-inline-css'> :root {--global-kb-font-size-sm:clamp(0.8rem, 0.73rem + 0.217vw, 0.9rem);--global-kb-font-size-md:clamp(1.1rem, 0.995rem + 0.326vw, 1.25rem);--global-kb-font-size-lg:clamp(1.75rem, 1.576rem + 0.543vw, 2rem);--global-kb-font-size-xl:clamp(2.25rem, 1.728rem + 1.63vw, 3rem);--global-kb-font-size-xxl:clamp(2.5rem, 1.456rem + 3.26vw, 4rem);--global-kb-font-size-xxxl:clamp(2.75rem, 0.489rem + 7.065vw, 6rem);} </style> <style id='kadence_blocks_css-inline-css'> .kb-row-layout-id47913_b94cf4-41 > .kt-row-column-wrap{max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:80px;padding-bottom:80px;grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id47913_b94cf4-41{background-image:linear-gradient(0deg,rgb(250,251,252) 0%,rgb(255,255,255) 100%);}@media all and (max-width: 1024px){.kb-row-layout-id47913_b94cf4-41 > .kt-row-column-wrap{padding-top:60px;padding-bottom:60px;}}@media all and (max-width: 767px){.kb-row-layout-id47913_b94cf4-41 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}.kadence-column47913_3818b5-60 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column47913_3818b5-60 > .kt-inside-inner-col{flex-direction:column;}.kadence-column47913_3818b5-60 > .kt-inside-inner-col > .aligncenter{width:100%;}@media all and (max-width: 1024px){.kadence-column47913_3818b5-60 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column47913_3818b5-60 > .kt-inside-inner-col{flex-direction:column;}}.wp-block-kadence-advancedheading.kt-adv-heading47913_54499f-5e, .wp-block-kadence-advancedheading.kt-adv-heading47913_54499f-5e[data-kb-block="kb-adv-heading47913_54499f-5e"]{margin-top:0px;margin-bottom:0px;text-align:center;}.wp-block-kadence-advancedheading.kt-adv-heading47913_54499f-5e mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading47913_54499f-5e[data-kb-block="kb-adv-heading47913_54499f-5e"] mark.kt-highlight{-webkit-box-decoration-break:clone;box-decoration-break:clone;}.wp-block-kadence-advancedheading.kt-adv-heading47913_e17300-09, .wp-block-kadence-advancedheading.kt-adv-heading47913_e17300-09[data-kb-block="kb-adv-heading47913_e17300-09"]{margin-top:0px;margin-bottom:40px;text-align:center;}.wp-block-kadence-advancedheading.kt-adv-heading47913_e17300-09 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading47913_e17300-09[data-kb-block="kb-adv-heading47913_e17300-09"] mark.kt-highlight{-webkit-box-decoration-break:clone;box-decoration-break:clone;}.kadence-column47913_d04abe-11{max-width:1000px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column47913_d04abe-11{-webkit-flex:0 1 1000px;flex:0 1 1000px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column47913_d04abe-11 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column47913_d04abe-11 > .kt-inside-inner-col{flex-direction:column;}.kadence-column47913_d04abe-11 > .kt-inside-inner-col > .aligncenter{width:100%;}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column47913_d04abe-11{-webkit-flex:0 1 1000px;flex:0 1 1000px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column47913_d04abe-11 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column47913_d04abe-11{max-width:1000px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column47913_d04abe-11 > .kt-inside-inner-col{flex-direction:column;}}.wp-block-kadence-advancedheading.kt-adv-heading47913_4ed908-0b, .wp-block-kadence-advancedheading.kt-adv-heading47913_4ed908-0b[data-kb-block="kb-adv-heading47913_4ed908-0b"]{font-size:20px;}.wp-block-kadence-advancedheading.kt-adv-heading47913_4ed908-0b mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading47913_4ed908-0b[data-kb-block="kb-adv-heading47913_4ed908-0b"] mark.kt-highlight{-webkit-box-decoration-break:clone;box-decoration-break:clone;}.kb-row-layout-id9577_e2f5d2-e0 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-none, 0rem );row-gap:var(--global-kb-gap-none, 0rem );max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:80px;padding-bottom:100px;grid-template-columns:minmax(0, 1fr);}@media all and (max-width: 1024px){.kb-row-layout-id9577_e2f5d2-e0 > .kt-row-column-wrap{padding-top:60px;padding-bottom:65px;}}@media all and (max-width: 767px){.kb-row-layout-id9577_e2f5d2-e0 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}.kadence-column9577_e8c1e7-ff > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column9577_e8c1e7-ff > .kt-inside-inner-col{flex-direction:column;}.kadence-column9577_e8c1e7-ff > .kt-inside-inner-col > .aligncenter{width:100%;}@media all and (max-width: 1024px){.kadence-column9577_e8c1e7-ff > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column9577_e8c1e7-ff > .kt-inside-inner-col{flex-direction:column;}}.wp-block-kadence-advancedheading.kt-adv-heading9577_579995-42, .wp-block-kadence-advancedheading.kt-adv-heading9577_579995-42[data-kb-block="kb-adv-heading9577_579995-42"]{padding-bottom:40px;text-align:center;}.wp-block-kadence-advancedheading.kt-adv-heading9577_579995-42 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_579995-42[data-kb-block="kb-adv-heading9577_579995-42"] mark.kt-highlight{-webkit-box-decoration-break:clone;box-decoration-break:clone;}.kadence-column9577_5fc2f3-14 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column9577_5fc2f3-14 > .kt-inside-inner-col{flex-direction:column;}.kadence-column9577_5fc2f3-14 > .kt-inside-inner-col > .aligncenter{width:100%;}@media all and (max-width: 1024px){.kadence-column9577_5fc2f3-14 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column9577_5fc2f3-14 > 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.aligncenter{width:100%;}.kadence-column38346_7d7923-fa{z-index:200;position:relative;}.kadence-column38346_7d7923-fa, .kt-inside-inner-col > .kadence-column38346_7d7923-fa:not(.specificity){margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;}@media all and (max-width: 1024px){.kadence-column38346_7d7923-fa > .kt-inside-inner-col{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;border-top:0px solid #a71818;border-right:0px solid #a71818;border-bottom:0px solid #a71818;border-left:0px solid #a71818;flex-direction:column;}}@media all and (max-width: 1024px){.kadence-column38346_7d7923-fa, .kt-inside-inner-col > .kadence-column38346_7d7923-fa:not(.specificity){margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;}}@media all and (max-width: 767px){.kadence-column38346_7d7923-fa > .kt-inside-inner-col{border-top:0px solid #a71818;border-right:0px solid #a71818;border-bottom:0px solid #a71818;border-left:0px solid #a71818;flex-direction:column;}}.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id38346_7ec4b4-1b{margin-top:0px;margin-bottom:0px;}.kb-row-layout-id38346_7ec4b4-1b > .kt-row-column-wrap{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;grid-template-columns:minmax(0, calc(45% - ((var(--kb-default-row-gutter, var(--global-row-gutter-md, 2rem)) * 1 )/2)))minmax(0, calc(55% - ((var(--kb-default-row-gutter, var(--global-row-gutter-md, 2rem)) * 1 )/2)));}.kb-row-layout-id38346_7ec4b4-1b{border-top-left-radius:5px;border-top-right-radius:5px;border-bottom-right-radius:5px;border-bottom-left-radius:5px;overflow:clip;isolation:isolate;}.kb-row-layout-id38346_7ec4b4-1b > .kt-row-layout-overlay{border-top-left-radius:5px;border-top-right-radius:5px;border-bottom-right-radius:5px;border-bottom-left-radius:5px;}.kb-row-layout-id38346_7ec4b4-1b{border-top:0px solid rgba(75,12,12,0);border-right:0px solid rgba(75,12,12,0);border-bottom:0px solid 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#E1FF00 0%, #E6A202 100%); /*background: #FAFF00;*/ transition: all 0.3s ease-in-out; } #main-header .header-button:hover { background: linear-gradient(180deg, #E6A202 0%, #E1FF00 100%) !important; } /* use for just deal seasons*/ /*.site-main{ margin-top:150px; }*/ .single-demoforms .content-area{ margin-top:10rem; } /*End Css Header button*/ /*All are related css for summer deal*/ /*.transparent-header #masthead { top: 30px !important; padding-bottom:0px; }*/ /*@media only screen and (max-width: 820px) and (min-width: 413px) { /* .transparent-header #masthead{ /*top:8%; padding-bottom:20px; }*/ } /*@media only screen and (max-width: 412px) and (min-width: 280px) { /*.transparent-header #masthead{ top:96px !important; padding-bottom:20px; }*/ } /*.page-id-6082 .transparent-header #masthead { /*top: 20% !important; padding-bottom: 20px; }*/ /*.post-type-archive-demoforms .site-header-upper-inner-wrap.child-is-fixed { height: 100px !important; padding-bottom:20px; }*/ /*All are related css for summer deal*/ /*.page-id-6024.transparent-header #masthead,.page-id-14226.transparent-header #masthead{ top:140px!important; padding-bottom:0px!important; }*/ /* .page-id-9165 .site-top-header-wrap{ display: none; top: 0!important; height: 0!important; } .page-id-9165 .site-header-upper-inner-wrap.child-is-fixed { height: 0px !important; margin-top: 20px; } */ /*.page-id-9165 header#masthead { top: 61px!important; } .page-id-13996 header#masthead { top: 140px!important; padding-bottom:0px; }*/ /*.page-id-9165 .kb-row-layout-wrap.kb-row-layout-id_959d28-a5.alignnone.wp-block-kadence-rowlayout { visibility: hidden; display: none; } .page-id-4673.transparent-header #wrapper #masthead,.page-id-16677.transparent-header #wrapper #masthead,.page-id-24182.transparent-header #wrapper #masthead { border-bottom: 0px!important; } .page-id-16677 .wpsn-top-banner { display: none; top: 0 !important; height:auto!important; } .image-box{ display:none; } /*deal page money back*/ .money-back-image img{ width:180px; height:180px; margin:0 auto; } .fluentform-imagebox .kt-blocks-info-box-media{ box-shadow: 0px 15px 25px rgba(0, 52, 117, 0.22); border-radius: 10px; } .fluentform-watchvideo-image{ box-shadow:0px 19px 50px rgba(5, 37, 79, 0.52); border-radius: 15px; } .fluentform-watchvideo-icon .kt-svg-icon-wrap{ box-shadow:0px 10px 6px rgba(0, 0, 0, 0.25); border-radius: 50%; } .fluentform-imagebox-feature .kt-blocks-info-box-media { box-shadow: 0px 15px 25px rgba(0, 52, 117, 0.22); border-radius: 50px; } .search_result{ position:absolute; } .fluentform-custome-review,.ff-custom-review-rating{ margin-bottom:15px!important; } .fluentform-custome-review img{ box-shadow:0px 4px 4px rgba(0, 0, 0, 0.25); border-radius: 100%!important; } .fluentform-thirdparty-logo img{ box-shadow:0px 10px 10px rgba(0, 52, 117, 0.1); border-radius:15px; } form.fluent_form_92 .ff-btn-submit{ background-color: #0171ff!important; border-radius:10px; height:48px; line-height: 31px; background-image: url(https://fluentforms.com/wp-content/uploads/2024/03/email-footer-icon.png); font-size:0; width: 55px; border-top-left-radius: 0; border-bottom-left-radius: 0; background-position: 11px 11px; background-size: 31px; background-repeat: no-repeat; pointer-events: all; } form.fluent_form_92{ position:relative; } form.fluent_form_92 .ff_submit_btn_wrapper{ position: absolute; top:0; right:0px; } form.fluent_form_92 .ff-el-form-control{ border-radius:10px!important; } form.fluent_form_92 .ff-el-help-message { margin-top: 5px; font-style: Normal!important; font-size: 10px!important; line-height: 18px; color: #93c2ff!important; font-weight: 400!important; padding-top: 10px; } .site-footer-row.site-footer-row-columns-2.site-footer-row-column-layout-right-golden { grid-template-columns: 1fr 4fr; } .site-footer-row.site-footer-row-columns-5 { grid-template-columns: 1.2fr 1.3fr 1.1fr 0.9fr 0.6fr!important; } .ff-integration-post-item .entry-title { font-weight:500!important } @media screen and (max-width: 480px) and (min-width: 320px) { .fluentform-demos-button .kt-info-halign-left{ text-align: center; } } .search-archive{ margin-top:3rem!important; } .loop-entry.type-post .entry-taxonomies .category-style-pill a { color: #0171ff; border-radius:10px; padding:7px 10px 7px 10px; } .loop-entry.type-post .entry-taxonomies .category-style-pill a:hover{ color: #004192; } .site .post-thumbnail img{ border-radius:10px; } .site .post-thumbnail img { object-fit: cover; } .site .post-thumbnail.kadence-thumbnail-ratio-1-2 { padding-bottom: 50%; margin-left: -40px; } @media screen and (max-width: 480px) and (min-width: 320px) { #archive-container{ margin-top:-70px; margin-bottom:5rem; } .ff-footer-logo img{ margin:0 auto; } .site-footer-row.site-footer-row-columns-5 { grid-template-columns: 1fr !important; } } /*brand resource */ .fluentform-brand-list{ margin:0!important; padding-left:35px!important; } .fluentform-brand-list ::marker{ color:#9BABBF; font-size:23px; } .fluentform-brand-list li{ font-size: 16px; line-height: 40px; } .fluentforms-brand-logo img{ border-radius:10px!important; box-shadow:0px 4px 4px rgba(0, 65, 146, 0.2); } .fluentform-brand-icon img{ border-radius:50px!important; box-shadow:0px 4px 4px rgba(0, 0, 0, 0.25); } .fluentform-brand-resource-menu { list-style:none; display:flex; margin:0 auto; text-decoration:none; } .fluentform-brand-resource-menu li{ padding-right:15px; color:#0164E3; font-size:14px; line-height:18px; } .fluentform-brand-resource-menu li a{ text-decoration:none; } /*Footer top widget */ footer .widget.widget_nav_menu li { line-height: 20px !important; margin-top: 10px; } .fluentform-flex-container { display: flex; align-items: stretch; } .avatar{ border-radius:50px; } .entry-author{ background-color:#E1EEFF; border-radius:5px; padding-top:40px; padding-bottom:40px; padding-left: 15px; padding-right:20px; } a.social-button{ background-color:#000000; color:#ffffff; } .widget_nav_menu li{ line-height:35px!important; } /* single block image */ .single-content .wp-block-image { margin-bottom: 25px; } .site .post-thumbnail.kadence-thumbnail-ratio-1-2 { margin-bottom: 40px; } .wp-block-pullquote{ padding:1em!important; } .wp-block-pullquote blockquote{ padding:1em!important; } /*deal sticky css*/ .ff-sticky-relative{ position:relative; } .ff-demo-search.wp-block-search.wp-block-search__button-inside .wp-block-search__inside-wrapper .wp-block-search__button { padding: 7px 0px; } .ff-demo-search.wp-block-search .wp-block-search__button{ border: 0px ; box-shadow: 0px 7px 22px 0px rgb(0 0 0 / 0%); } .demoforms-archive-hero-section .entry-hero-container-inner { border-top: 0px!important; } /*search bar css*/ .search_bar{ position:relative; } .search_bar input{ width:100%; } div.search_result { display: none; } .search_result{ background-color: #fff; width: 100%; height: auto; box-shadow: 0px 5px 10px 0px rgb(0 0 0 / 20%); } .search_result ul{ list-style: none; font-size: 18px; margin-left:0px; margin-right:0px; } .search_result li a{ color:#330030 !important; text-decoration:none; } .search_icon { width: 12px; height: 12px; border: 2px solid #002f6b; border-radius: 50%; position: absolute; } .search_icon:after { content:"\f002"; width: 7px; height: 2px; background: #002f6b; position: absolute; bottom: -3px; transform: rotate( 45deg ); left: 7px; } .search_bar button { border: none; position: absolute; top: 7px; background:#fff0; box-shadow: 0px 5px 10px 0px rgb(0 0 0 / 0%); right: 0px; } .ff-search-inline-content{ display:flex; border-bottom:1px solid #c9c9c9; } .ff-search-inline-content li{ padding:25px 5px 25px 30px; } .ff-search-inline-content li a{ position:relative; margin:0 auto; } .ff-search-inline-content li img{ width:180px; height:100px; border:1px solid #c9c9c9; border-radius:5px; box-shadow: 0px 5px 10px 0px rgb(0 0 0 / 10%); } .ff-search-inline-content li.ff-search-post-title{ padding-top: 50px; } .ff-search-inline-content:last-child{ border-bottom:0px solid #fff; } @media screen and (max-width: 1366px) and (min-width: 1024px) { .ff-integration .kt-tabs-title-list li{ margin:0px!important; } } @media screen and (min-width: 481px) and (max-width:768px) { #fluentform_widget-4 .widget-title{ font-size:12px!important; } .site-middle-footer-wrap .site-footer-row-container-inner { font-size: 10px!important; } .ff-footer-nav-menu-multiple .widgettitle{ font-size:12px!important; } } @media screen and (max-width: 480px) and (min-width: 320px) { .search_bar button { right:0px; } .search_result ul{ font-size:13px; } .ff-search-inline-content li{ padding:15px 5px 15px 10px; } .ff-search-inline-content li img{ width:80px; height:80px; } .fluentform-imagebox-feature a{ display: block!important; margin-left:auto; margin-right:auto; text-align:center; } .fluentform-imagebox-feature .kt-blocks-info-box-media { width:20%; margin-left: auto!important; margin-right: auto!important; } .fluentform-imagebox-feature .kt-blocks-info-box-title { margin-top:25px!important; } .site-header-upper-inner-wrap { height:auto !important; } .ff-mb-review-img img{ margin:0 auto; } .entry-author-profile{ padding-left:20px!important; } .entry-author-avatar { position: relative!important; left: 0; bottom:10px; } .kb-table-of-content-nav { padding:0px; } .fluentform-brand-resource-menu li{ font-size:9px; } .mobile-header-button-wrap .mobile-header-button-inner-wrap .mobile-header-button { font-size:13px!important; padding:9px 15px!important; text-align: center; } .site .post-thumbnail.kadence-thumbnail-ratio-1-2 { padding-bottom: 50%; margin-left: 0px; } .header-html{ font-size:13px!important; } .ff-integration-post-item .kb-post-filter-container{ position:inherit; } } .fluentform-paid-inner-video iframe{ border-radius:15px; } .post-archive-hero-section .entry-hero-container-inner{ margin-top:10px; } /* Conversational Form Key Text Hide */ .vff ul.f-radios li:focus .f-key-hint, .vff ul.f-radios li:hover .f-key-hint { width: max-content; } /* Header Countdown css */ /*Countdown style*/ #the-24h-countdown { text-align: center; font-size: 1.4rem; margin:0 auto; width:180px; } #the-24h-countdown span { background:#FFFFFF; color:#000000; width:40px; display:inline-block; height:40px; float:left; line-height:40px; margin-left:20px; border-radius:5px; } #the-24h-countdown .min:before, #the-24h-countdown .seg:before { content:':'; color:#FFFFFF; margin-left:-20px; margin-right:15px; } /* Tablet Device */ @media only screen and (max-width:1024px){ #the-24h-countdown { text-align: center; font-size: 1.2rem; margin:0 auto; width:150px; } #the-24h-countdown span { width:30px; height:30px; line-height:30px; margin-left:20px; } } /* Mobile Device */ @media only screen and (max-width:768px){ #the-24h-countdown { font-size: 0.85rem; margin:0 auto; width:85px; } #the-24h-countdown span { width:23px; height:23px; line-height:23px; margin-left:5px; } #the-24h-countdown .min:before, #the-24h-countdown .seg:before { display:none; } } @media only screen and (max-width:380px){ #the-24h-countdown { font-size: 0.7rem; margin:0 auto; margin-left:5px; width:70px; } #the-24h-countdown span { width:18px; height:18px; line-height:18px; margin-left:3px; } #the-24h-countdown .min:before, #the-24h-countdown .seg:before { display:none; } .site-header-item a.button.mobile-header-button { min-width: 90px; } .site-header-item{ margin-right: -5px; } } /* Countdown style end */ .customBlockSingle, .customBlockSingle.ff_CardItemScrolled{ transition: all 0.3s ease-in-out; } /* .fF_imgHoverEffect{ overflow: hidden; } */ .fF_imgHoverEffect img{ transition: all 0.3s ease-in-out; } .fF_imgHoverEffect:hover img{ transform: scale(1.1); } .heroSectionButtons button{ text-transform: capitalize !important; } @media only screen and (max-width: 1024px) { .heroSectionButtons .kt-blocks-modal-link { padding: 10px 30px 10px 30px !important; } #kt-modal4673_2599d1-b4 .kt-blocks-modal-link { font-size: 20px; } } @media only screen and (max-width: 767px) { .heroSectionButtons .kt-blocks-modal-link { padding: 8px 16px 8px 16px !important; font-size: 16px !important; } } /* Pricing Section css */ .ff-strikethrough, .ff-strikethroughs{ position: relative; } .ff-strikethroughs:before, .ff-strikethrough:before{ position: absolute; content: ""; left: 50% !important; top: 26%; right: 0; border-top: 1px solid; border-color: #FF000; transform: rotate(-12deg) translate(-50%, -50%) !important; width:78px; } .ff-sale-price sup{ font-size: 22px; font-style: normal; font-weight: 600; top: -0.9em!important; } .betterdocs-single-wrapper.betterdocs-single-layout-3 .betterdocs-toc .toc-list li a { display: flex; align-items: flex-start; } .betterdocs-single-wrapper.betterdocs-single-layout-3 .betterdocs-toc > .toc-list li a:before { padding-right: 3px; padding-top:1px; } .betterdocs-toc ul.toc-list.betterdocs-hierarchial-toc { overflow-x: scroll; } /* Integration Single Page Css */ .single-integration .content-area { margin-top: 0; } .single-integration .entry-content.single-content { padding-top: 50px; } .FF_Integrate_DOCButton { box-shadow: none !important; } @media only screen and (max-width: 1024px) { .single-integration .entry-content.single-content { padding-top: 0px; } } @media only screen and (max-width: 1024px) { .single-integration .content-area { margin-top: 2rem; } } </style> <style>.single-demoforms .content-area { margin-top: 0; } .single-demoforms .demo_pre_header { display: none; } .single-demoforms .entry-content-wrap { max-width: 1170px !important; margin: 0 auto; } .single-demoforms .entry-content.single-content { padding-top: 0; } .single-demoforms .demo_head_wrap { margin: 0 auto 30px; box-shadow: 0px 10px 30px 0px rgba(0, 0, 0, 0.10); border-radius: 0 0 10px 10px; } .single-demoforms .demo_head_wrap .demo_head { background: #ECEEF3; display: flex; padding: 15px 24px; border-top-left-radius: 10px; border-top-right-radius: 10px; align-items: center; justify-content: space-between; gap: 10px; } .single-demoforms .demo_head_wrap .demo_head h2 { font-size: 22px; color: #273050; font-weight: 600; line-height: normal; } .single-demoforms .demo_head_wrap a.demo_btn { background: #2C6CFF; color: #ffffff; border-radius: 5px; font-weight: 500; } .single-demoforms .site-main article { display: none; } .single-demoforms #download .wp-block-kadence-column.inner-column-1 { display: none !important; } .single-demoforms #download .wp-block-kadence-column.inner-column-2 .wp-block-kadence-advancedbtn.kt-btn-align-left { gap: 25px !important; display: flex; justify-content: center; flex-wrap: wrap; } .single-demoforms #download .wp-block-kadence-column.inner-column-2 h2{ text-align: center; } .single-demoforms .download_wrapper .inner-column-2 { flex: 100%; padding-left: 10%; padding-right: 10%; } .single-demoforms #download a.demo_btn { padding: 17px 35px; font-size: 20px; font-weight: 400; border-radius: 5px; border: 1px solid #2C6CFF; } .single-demoforms #download a.demo_btn:hover{ background: #324cf5 !important; border: 1px solid #324cf5 !important; color: #ffffff !important; } .single-demoforms #download a.demo_btn.buy_pro { background: var(--global-palette-btn-bg-hover); color: #2C6CFF; border: 1px solid #bacfff; } @media only screen and (max-width: 600px) { .single-demoforms .download_wrapper .inner-column-2 { padding-left: 0%; } .single-demoforms .demo_body { padding: 30px 16px; } .single-demoforms .download_wrapper .inner-column-2 { padding-left: 0%; padding-right: 0%; } .single-demoforms #download .wp-block-kadence-column.inner-column-2 .wp-block-kadence-advancedbtn.kt-btn-align-left { gap: 15px !important; } .single-demoforms #download a.demo_btn { padding: 10px 25px; } } /* Input Fields Styles */ .buttonsElement span.premium-field, .buttonsElement span{ position: relative; } .buttonsElement span.premium-field{ margin-right: 5px; padding-right: 30px; } .buttonsElement span.premium-field:after, .buttonsElement span:before{ background: url('https://fluentforms.com/wp-content/uploads/2025/01/premium-icon.png'); height: 31px; width: 31px; position: absolute; content: ""; top: -7px; right: -5px; background-size: cover; } .buttonsElement span:before { background-image: url(''); height: 26px; width: 26px; top: 50%; left: 25px; transform: translateY(-50%); } .buttonsElement span.name-fields:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Name-Fields-Icon.png');} .buttonsElement span.email:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Email-Icon.png');} .buttonsElement span.simple-text:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Simple-Text-Icon.png');} .buttonsElement span.mask-input:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Mask-Input-Icon.png');} .buttonsElement span.text-area:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Text-Area-Icon.png');} .buttonsElement span.address-fields:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Address-Fields-Icon.png');} .buttonsElement span.country-list:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Country-List-Icon.png');} .buttonsElement span.numeric-field:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Numeric-Field-Icon.png');} .buttonsElement span.dropdown:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Dropdown-Icon.png');} .buttonsElement span.radio-field:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Radio-Field-Icon.png');} .buttonsElement span.checkbox:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Checkbox-Icon.png');} .buttonsElement span.multiple-choice:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Multiple-Choice-Icon.png');} .buttonsElement span.website-url:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Website-URL-Icon.png');} .buttonsElement span.time-date:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Time-Date-Icon.png');} .buttonsElement span.custom-html:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Custom-HTML-Icon.png');} .buttonsElement span.hidden-field:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Hidden-Field-Icon.png');} .buttonsElement span.section-break:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Section-Break-Icon.png');} .buttonsElement span.recaptcha:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/reCAPTCHA-Icon.png');} .buttonsElement span.hcaptcha:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/hCaptcha-Icon.png');} .buttonsElement span.turnstile:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Turnstile-Icon.png');} .buttonsElement span.terms-conditions:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Terms-Conditions-Icon.png');} .buttonsElement span.gdpr-agreement:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/GDPR-Agreement-Icon.png');} .buttonsElement span.password-field:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Password-Field-Icon.png');} .buttonsElement span.custom-submit-button:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Custom-Submit-Button-Icon.png');} .buttonsElement span.one-column-container:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/One-Column-Container-Icon.png');} .buttonsElement span.two-column-container:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Two-Column-Container-Icon.png');} .buttonsElement span.three-column-container:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Three-Column-Container-Icon.png');} .buttonsElement span.four-column-container:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Four-Column-Container-Icon.png');} .buttonsElement span.five-column-container:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Five-Column-Container-Icon.png');} .buttonsElement span.six-column-container:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Six-Column-Container-Icon.png');} /* Premium Icos */ .buttonsElement span.image-upload:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Image-Upload-Icon.png');} .buttonsElement span.file-upload:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/File-Upload-Icon.png');} .buttonsElement span.phone-mobile:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Mobile-Icon.png');} .buttonsElement span.shortcode:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Shortcode-Icon.png');} .buttonsElement span.action-hook:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Action-Hook-Icon.png');} .buttonsElement span.form-step:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Form-Steps-Icon-1.png');} .buttonsElement span.ratings:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Ratings-Icon.png');} .buttonsElement span.checkable-grid:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Checkable-Grid-Icon.png');} .buttonsElement span.range-slider:before {background-image: 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.buttonsElement span.payment-method:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Payment-Method-Icon-1.png');} .buttonsElement span.payment-summary:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Payment-Summary-Icon.png');} .buttonsElement span.coupon:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Coupon-Icon.png');} .buttonsElement span.post-title:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Simple-Text-Icon.png');} .buttonsElement span.post-content:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Text-Area-Icon.png');} .buttonsElement span.post-excerpt:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Post-Excerpt-Icon.png');} .buttonsElement span.featured-image:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Image-Upload-Icon.png');} .buttonsElement span.post-update:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Simple-Text-Icon.png');} .buttonsElement span.categories:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Categories-Icon.png');} .buttonsElement span.tags:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Tags-Icon.png');} .buttonsElement span.formats:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Format-Icon.png');} .buttonsElement span.repeater-container-field:before {background-image: url('https://fluentforms.com/wp-content/uploads/2025/01/Repeater-Container-Field-Icon.png');} @media only screen and (max-width: 600px) { .buttonsElement span { background: #ECEEF3; color: #273050; padding: 10px 15px 10px 45px; border-radius: 10px; } .buttonsElement span:before { height: 20px; width: 20px; left: 15px; } .buttonsElement span.premium-field:after, .buttonsElement span:before { height: 24px; width: 24px; } } </style> <link rel="preload" id="kadence-header-preload" href="https://fluentforms.com/wp-content/themes/kadence/assets/css/header.min.css?ver=1.1.49" as="style"> <link rel="preload" id="kadence-content-preload" href="https://fluentforms.com/wp-content/themes/kadence/assets/css/content.min.css?ver=1.1.49" as="style"> <link rel="preload" id="kadence-author-box-preload" href="https://fluentforms.com/wp-content/themes/kadence/assets/css/author-box.min.css?ver=1.1.49" as="style"> <link rel="preload" id="kadence-related-posts-preload" href="https://fluentforms.com/wp-content/themes/kadence/assets/css/related-posts.min.css?ver=1.1.49" as="style"> <link rel="preload" id="kad-splide-preload" href="https://fluentforms.com/wp-content/themes/kadence/assets/css/kadence-splide.min.css?ver=1.1.49" as="style"> <link rel="preload" id="kadence-footer-preload" href="https://fluentforms.com/wp-content/themes/kadence/assets/css/footer.min.css?ver=1.1.49" as="style"> <style 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position:relative; } .ff-free-download-form .ff_submit_btn_wrapper{ position:absolute; top:0; right:112px; } .ff-free-download-form .ff_btn_style{ height:60px; border-radius:0px 5px 5px 0px; }</style> <link rel="preload" href="https://fluentforms.com/wp-content/fonts/lexend/wlpwgwvFAVdoq2_v-6QU.woff2" as="font" type="font/woff2" crossorigin><link rel="preload" href="https://fluentforms.com/wp-content/fonts/nunito/XRXI3I6Li01BKofiOc5wtlZ2di8HDLshdTQ3jw.woff2" as="font" type="font/woff2" crossorigin><link rel='stylesheet' id='kadence-fonts-css' href='https://fluentforms.com/wp-content/fonts/1dfbfd74bd3274d083d0c67d95f321c0.css?ver=1.1.49' media='all' /> <link rel="icon" href="https://fluentforms.com/wp-content/uploads/2019/11/cropped-screenshot-try.gutendev.com-2019.11.08-12_18_01-11-1-32x32.png" sizes="32x32" /> <link rel="icon" href="https://fluentforms.com/wp-content/uploads/2019/11/cropped-screenshot-try.gutendev.com-2019.11.08-12_18_01-11-1-192x192.png" sizes="192x192" /> <link 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header-navigation-layout-fill-stretch-false" data-section="kadence_customizer_primary_navigation"> <nav id="site-navigation" class="main-navigation header-navigation nav--toggle-sub header-navigation-style-standard header-navigation-dropdown-animation-none" role="navigation" aria-label="Primary Navigation"> <div class="primary-menu-container header-menu-container"> <ul id="primary-menu" class="menu"><li id="menu-item-6363" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-6363"><a href="https://fluentforms.com/pricing/">Pricing</a></li> <li id="menu-item-6387" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-6387"><a href="https://fluentforms.com/features/">Features</a></li> <li id="menu-item-357" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-357"><a href="https://fluentforms.com/form-templates/">Templates</a></li> <li id="menu-item-35863" class="menu-item menu-item-type-post_type menu-item-object-page 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site-header-focus-item" data-section="kadence_customizer_header_button2"> <div class="header-button2-wrap"><div class="header-button-inner-wrap"><a href="https://wpmanageninja.com/account/dashboard/#/" target="_blank" rel="noopener noreferrer" class="button header-button2 button-size-custom button-style-filled">Sign in</a></div></div></div><!-- data-section="header_button2" --> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div id="mobile-header" class="site-mobile-header-wrap"> <div class="site-header-inner-wrap"> <div class="site-header-upper-wrap"> <div class="site-header-upper-inner-wrap"> <div class="site-top-header-wrap site-header-focus-item site-header-row-layout-standard site-header-row-tablet-layout-default site-header-row-mobile-layout-standard "> <div class="site-header-row-container-inner"> <div class="site-container"> <div class="site-top-header-inner-wrap site-header-row site-header-row-only-center-column site-header-row-center-column"> <div class="site-header-top-section-center site-header-section site-header-section-center"> <div class="site-header-item site-header-focus-item" data-section="kadence_customizer_mobile_html"> <div class="mobile-html inner-link-style-normal"><div class="mobile-html-inner"><p><img class="alignnone wp-image-37415" src="https://fluentforms.com/wp-content/uploads/2024/02/fluentforms-spcial-deal.png" alt="" width="250" height="34" /></p> </div></div></div><!-- data-section="mobile_html" --> <div class="site-header-item site-header-focus-item" data-section="kadence_customizer_mobile_button"> <div class="mobile-header-button-wrap"><div class="mobile-header-button-inner-wrap"><a href="https://fluentforms.com/discount-deal/?utm_source=ffsite&utm_medium=banner&utm_campaign=special&utm_id=special+deal" target="_self" class="button mobile-header-button button-size-large button-style-filled">Get Discount</a></div></div></div><!-- data-section="mobile_button" --> </div> </div> </div> </div> </div> <div class="site-main-header-wrap site-header-focus-item site-header-row-layout-standard site-header-row-tablet-layout-default site-header-row-mobile-layout-standard "> <div class="site-header-row-container-inner"> <div class="site-container"> <div class="site-main-header-inner-wrap site-header-row site-header-row-has-sides site-header-row-no-center"> <div class="site-header-main-section-left site-header-section site-header-section-left"> <div class="site-header-item site-header-focus-item" data-section="title_tagline"> <div class="site-branding mobile-site-branding branding-layout-standard branding-tablet-layout-inherit site-brand-logo-only branding-mobile-layout-inherit"><a class="brand has-logo-image" href="https://fluentforms.com/" rel="home"><img width="273" height="60" src="https://fluentforms.com/wp-content/uploads/2021/04/fluent_forms_Logo.png" class="custom-logo" alt="Formidable Forms alternatives" decoding="async" /></a></div></div><!-- data-section="title_tagline" --> </div> <div class="site-header-main-section-right site-header-section site-header-section-right"> <div class="site-header-item site-header-focus-item site-header-item-navgation-popup-toggle" data-section="kadence_customizer_mobile_trigger"> <div class="mobile-toggle-open-container"> <button id="mobile-toggle" class="menu-toggle-open drawer-toggle menu-toggle-style-default" aria-label="Open menu" data-toggle-target="#mobile-drawer" data-toggle-body-class="showing-popup-drawer-from-right" aria-expanded="false" data-set-focus=".menu-toggle-close" > <span class="menu-toggle-icon"><span class="kadence-svg-iconset"><svg aria-hidden="true" class="kadence-svg-icon kadence-menu-svg" fill="currentColor" version="1.1" xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24"><title>Toggle Menu</title><path d="M3 13h18c0.552 0 1-0.448 1-1s-0.448-1-1-1h-18c-0.552 0-1 0.448-1 1s0.448 1 1 1zM3 7h18c0.552 0 1-0.448 1-1s-0.448-1-1-1h-18c-0.552 0-1 0.448-1 1s0.448 1 1 1zM3 19h18c0.552 0 1-0.448 1-1s-0.448-1-1-1h-18c-0.552 0-1 0.448-1 1s0.448 1 1 1z"></path> </svg></span></span> </button> </div> </div><!-- data-section="mobile_trigger" --> </div> </div> </div> </div> </div> </div> </div> </div> </div> </header><!-- #masthead --> <!-- [element-47971] --><div class="kb-row-layout-wrap kb-row-layout-id47971_50b695-20 alignnone wp-block-kadence-rowlayout"><div class="kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top"> <div class="wp-block-kadence-column kadence-column47971_9e0f01-db"><div class="kt-inside-inner-col"> <h1 class="kt-adv-heading47971_dbbc68-db wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading47971_dbbc68-db">Patient Intake Form</h1> <div class="wp-block-kadence-dynamichtml kb-dynamic-html kb-dynamic-html-id-47971_4a6321-94 kb-dynamic-html-alignment-center"> <p>A patient intake form or medical intake form is a vital tool used by healthcare providers to gather a patient’s medical history, genetics, past surgeries, and current symptoms. It allows for a secure and convenient way to collect crucial information about patients. By using an online medical intake form, patients can easily provide their information from the comfort of their homes, saving time and hassle. And with Fluent Forms, healthcare providers can customize the form to their specific needs and ensure that all patient information is organized and easily accessible. Simplify your medical intake process and provide better care with our user-friendly patient intake form!</p> </div></div></div> </div></div><!-- [/element-47971] --> <div id="inner-wrap" class="wrap hfeed kt-clear"> <link rel='stylesheet' id='kadence-content-css' href='https://fluentforms.com/wp-content/themes/kadence/assets/css/content.min.css?ver=1.1.49' media='all' /> <div id="primary" class="content-area"> <div class="content-container site-container"> <main id="main" class="site-main" role="main"> <div style="text-align: center;" class="demo_pre_header"> <span>Fluent Forms Template Library</span> <h1>Patient Intake Form Template</h1> <p style="margin-top: 5px;">Take this form to investigate your patient before admission</p> </div> <div class="demo_head_wrap"> <div class="demo_head"> <h2>Patient Intake Form</h2> <div class="demo_action"> <a class="demo_btn" href="#download">Download</a> </div> </div> <div class="demo_body"> <div class='fluentform ff-default fluentform_wrapper_71 ffs_custom_wrap'><form data-form_id="71" id="fluentform_71" class="frm-fluent-form fluent_form_71 ff-el-form-top ff_form_instance_71_1 ff-form-loading ffs_custom" data-form_instance="ff_form_instance_71_1" method="POST" ><fieldset style="border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;"> <legend class="ff_screen_reader_title" style="display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;">Patient Intake Form (#71)</legend><input type='hidden' name='__fluent_form_embded_post_id' value='906' /><input type="hidden" id="_fluentform_71_fluentformnonce" name="_fluentform_71_fluentformnonce" value="91ce52ddcc" /><input type="hidden" name="_wp_http_referer" value="/forms/patient-intake-form/" /><div class='ff-el-group ff-custom_html' data-name="custom_html-71_1" ><p><img class="alignnone wp-image-32151 size-full" src="https://fluentforms.com/wp-content/uploads/2023/10/Asset-1@4x-100-scaled.jpg" alt="" width="100%" height="100%" /></p></div><div class='ff-el-group ff-custom_html' data-name="custom_html-71_2" ><h2 style="text-align: center">Medical History </h2> <p style="text-align: center">Please complete the form. If there are questions that you would prefer not to answer or you do not know the answer then just leave them blank.</p> <hr></div><div data-name="ff_cn_id_1" class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 19.06%;'><div class='ff-el-group ff-custom_html' data-name="custom_html-71_3" ><h4>Name <span style="color: #ff0000">*</span></h4></div></div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 80.94%;'><div data-type="name-element" data-name="names" class=" ff-field_container ff-name-field-wrapper" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-hide_label'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_names_first_name_' >First Name</label></div><div class='ff-el-input--content'><input type="text" name="names[first_name]" id="ff_71_names_first_name_" class="ff-el-form-control" placeholder="First Name" aria-invalid="false" aria-required=true></div></div></div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-hide_label'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_names_last_name_' >Last Name</label></div><div class='ff-el-input--content'><input type="text" name="names[last_name]" id="ff_71_names_last_name_" class="ff-el-form-control" placeholder="Last Name" aria-invalid="false" aria-required=true></div></div></div></div></div></div></div><div data-name="ff_cn_id_2" class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 19.06%;'><div class='ff-el-group ff-custom_html' data-name="custom_html-71_4" ><h4>Date of Birth <span style="color: #ff0000">*</span></h4></div></div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 80.94%;'><div class='ff-el-group ff-el-form-hide_label'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_datetime_2' aria-label="Date / Time">Date / Time</label></div><div class='ff-el-input--content'><input aria-label='Date / Time Use arrow keys to navigate dates. Press enter to select a date.' aria-haspopup='dialog' data-type-datepicker data-format='d/m/Y' type="text" name="datetime_2" id="ff_71_datetime_2" class="ff-el-form-control ff-el-datepicker" data-name="datetime_2" aria-invalid='false' aria-required=true></div></div></div></div><div data-name="ff_cn_id_3" class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 19.21%;'><div class='ff-el-group ff-custom_html' data-name="custom_html-71_5" ><h4>Patient's Sex <span style="color: #ff0000">*</span></h4></div></div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 80.79%;'><div class='ff-el-group ff-el-form-hide_label'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_dropdown' aria-label="Patient Gender">Patient Gender</label></div><div class='ff-el-input--content'><select name="dropdown" id="ff_71_dropdown" class="ff-el-form-control" data-name="dropdown" data-calc_value="0" aria-invalid="false" aria-required=true><option value="">- Select -</option><option value="Male" >Male</option><option value="Female" >Female</option><option value="Prefer not to say" >Prefer not to say</option></select></div></div></div></div><div class='ff-el-group ff-custom_html' data-name="custom_html-71_6" ><h3 style="text-align: center">Contact Information</h3></div><div class="ff-name-address-wrapper fluent-address" data-type="address-element" data-name="address_1" ><div class='ff-el-input--label'><label aria-label=Your Address>Your Address</label></div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_address_1_address_line_1_' aria-label="Address Line 1">Address Line 1</label></div><div class='ff-el-input--content'><input type="text" name="address_1[address_line_1]" id="ff_71_address_1_address_line_1_" class="ff-el-form-control" placeholder="Address Line 1" data-key_name="address_line_1" aria-invalid="false" aria-required=true></div></div></div><div class='ff-t-cell'><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_address_1_city_' aria-label="City">City</label></div><div class='ff-el-input--content'><input type="text" name="address_1[city]" id="ff_71_address_1_city_" class="ff-el-form-control" placeholder="City" data-key_name="city" aria-invalid="false" aria-required=true></div></div></div></div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_address_1_state_' aria-label="State">State</label></div><div class='ff-el-input--content'><input type="text" name="address_1[state]" id="ff_71_address_1_state_" class="ff-el-form-control" placeholder="State" data-key_name="state" aria-invalid="false" aria-required=true></div></div></div><div class='ff-t-cell'><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_address_1_zip_' aria-label="Zip Code">Zip Code</label></div><div class='ff-el-input--content'><input type="text" name="address_1[zip]" id="ff_71_address_1_zip_" class="ff-el-form-control" placeholder="Zip" data-key_name="zip" aria-invalid="false" aria-required=true></div></div></div></div></div></div><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_phone' aria-label="Mobile Number">Mobile Number</label></div><div class='ff-el-input--content'><input name="phone" class="ff-el-form-control ff-el-phone ff_el_with_extended_validation" type="tel" placeholder="Mobile Number" data-name="phone" id="ff_71_phone" inputmode="tel" aria-invalid='false' aria-required=true></div></div><div class='ff-el-group ff-custom_html' data-name="custom_html-71_7" ><h3 style="text-align: center">Medical Information</h3></div><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label aria-label="Do You Have Any Disability?">Do You Have Any Disability?</label></div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_2_18229d8669a676ffd1fed8b623359e56><input type="radio" name="input_radio_2" data-name="input_radio_2" class="ff-el-form-check-input ff-el-form-check-radio" value="yes" id='input_radio_2_18229d8669a676ffd1fed8b623359e56' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes</span></label></div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_2_8461e1e3008c91adc89f4cc74e5ef6d0><input type="radio" name="input_radio_2" data-name="input_radio_2" class="ff-el-form-check-input ff-el-form-check-radio" value="no" id='input_radio_2_8461e1e3008c91adc89f4cc74e5ef6d0' aria-label='No' aria-invalid='false' aria-required=true> <span>No</span></label></div></div></div><div class='ff-el-group has-conditions'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_input_text_6' aria-label="What Type of Disability Do You Have?">What Type of Disability Do You Have?</label></div><div class='ff-el-input--content'><input type="text" name="input_text_6" class="ff-el-form-control" data-name="input_text_6" id="ff_71_input_text_6" aria-invalid="false" aria-required=true></div></div><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label aria-label="Are You Allergic to Any Medication?">Are You Allergic to Any Medication?</label></div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_b9489734a94a37c3d29fb250069956a9><input type="radio" name="input_radio_3" data-name="input_radio_3" class="ff-el-form-check-input ff-el-form-check-radio" value="yes" id='input_radio_3_b9489734a94a37c3d29fb250069956a9' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes</span></label></div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_3cd07557531289319c844a37c3a85bd5><input type="radio" name="input_radio_3" data-name="input_radio_3" class="ff-el-form-check-input ff-el-form-check-radio" value="no" id='input_radio_3_3cd07557531289319c844a37c3a85bd5' aria-label='No' aria-invalid='false' aria-required=true> <span>No</span></label></div></div></div><div class='ff-el-group has-conditions'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_71_input_text_7' aria-label="Which Medication(s) Are You Allergic to?">Which Medication(s) Are You Allergic to?</label></div><div class='ff-el-input--content'><input type="text" name="input_text_7" class="ff-el-form-control" data-name="input_text_7" id="ff_71_input_text_7" aria-invalid="false" aria-required=true></div></div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type="submit" class="ff-btn ff-btn-submit ff-btn-md ff_btn_style" >Submit</button></div></fieldset></form><div id='fluentform_71_errors' class='ff-errors-in-stack ff_form_instance_71_1 ff-form-loading_errors ff_form_instance_71_1_errors'></div></div> <script type="text/javascript"> window.fluent_form_ff_form_instance_71_1 = {"id":"71","settings":{"layout":{"labelPlacement":"top","helpMessagePlacement":"with_label","errorMessagePlacement":"inline","cssClassName":""},"restrictions":{"denyEmptySubmission":{"enabled":false}}},"form_instance":"ff_form_instance_71_1","form_id_selector":"fluentform_71","rules":{"names[first_name]":{"required":{"value":true,"message":"This field is required"}},"names[middle_name]":{"required":{"value":false,"message":"This field is required"}},"names[last_name]":{"required":{"value":true,"message":"This field is required"}},"datetime_2":{"required":{"value":true,"message":"This field is required"}},"dropdown":{"required":{"value":true,"message":"This field is required"}},"address_1[address_line_1]":{"required":{"value":true,"message":"This field is required"}},"address_1[address_line_2]":{"required":{"value":false,"message":"This field is required"}},"address_1[city]":{"required":{"value":true,"message":"This field is required"}},"address_1[state]":{"required":{"value":true,"message":"This field is required"}},"address_1[zip]":{"required":{"value":true,"message":"This field is required"}},"address_1[country]":{"required":{"value":false,"message":"This field is required"}},"phone":{"required":{"value":true,"message":"This field is required"},"valid_phone_number":{"value":true,"message":"Phone number is not valid"}},"input_radio_2":{"required":{"value":true,"message":"This field is required"}},"input_text_6":{"required":{"value":true,"message":"This field is required"}},"input_radio_3":{"required":{"value":true,"message":"This field is required"}},"input_text_7":{"required":{"value":true,"message":"This field is required"}}},"debounce_time":300,"conditionals":{"input_text_6":{"type":"any","status":true,"conditions":[{"field":"input_radio_2","value":"yes","operator":"="}]},"input_text_7":{"type":"any","status":true,"conditions":[{"field":"input_radio_3","value":"yes","operator":"="}]}}}; </script> </div> </div> <div class="wp-block-kadence-rowlayout alignfull"> <div class="content-wrap"> <article id="post-906" class="entry content-bg single-entry post-906 demoforms type-demoforms status-publish has-post-thumbnail hentry form_category-healthcare"> <div class="entry-content-wrap"> <header class="entry-header demoforms-title title-align-inherit title-tablet-align-inherit title-mobile-align-inherit"> <h2>About this template...</h2></header><!-- .entry-header --> <div class="entry-content single-content"> <p>A patient intake form or medical intake form is a vital tool used by healthcare providers to gather a patient’s medical history, genetics, past surgeries, and current symptoms. It allows for a secure and convenient way to collect crucial information about patients. By using an online medical intake form, patients can easily provide their information from the comfort of their homes, saving time and hassle. And with Fluent Forms, healthcare providers can customize the form to their specific needs and ensure that all patient information is organized and easily accessible. Simplify your medical intake process and provide better care with our user-friendly patient intake form!</p> </div><!-- .entry-content --> </div> </article><!-- #post-906 --> </div> <div id="download" class="kt-row-layout-inner download_wrapper wp-block-kadence-rowlayout alignfull"> <div class="kt-row-column-wrap kt-has-2-columns kt-gutter-default kt-v-gutter-default kt-row-valign-middle kt-row-layout-equal kt-tab-layout-inherit kt-m-colapse-left-to-right kt-mobile-layout-row kt-custom-first-width-30 kt-custom-second-width-70"> <div class="wp-block-kadence-column inner-column-1"> <div class="kt-inside-inner-col"> <div class="wp-block-image"> <figure class="alignleft size-large is-resized"> <img width="768" height="512" src="https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form-768x512.jpg" class="attachment-medium_large size-medium_large wp-post-image" alt="Patient Intake Form" decoding="async" loading="lazy" srcset="https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form-768x512.jpg 768w, https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form-300x200.jpg 300w, https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form-1024x683.jpg 1024w, https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form-360x240.jpg 360w, https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form-1536x1024.jpg 1536w, https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form-1200x800.jpg 1200w, https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form-600x400.jpg 600w, https://fluentforms.com/wp-content/uploads/2020/01/Patient-Intake-Form.jpg 1825w" sizes="(max-width: 768px) 100vw, 768px" /> </figure> </div> </div> </div> <div class="wp-block-kadence-column inner-column-2"> <div class="kt-inside-inner-col"> <h2 style="margin-bottom: 20px;">Features of this Template</h2> <ul> <li style="font-weight: 400"><span style="font-weight: 400">Collects patient medical history, past surgeries, genetics, and symptoms</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Secure online form for easy and convenient access</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Helps healthcare providers make informed decisions for patient care</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Customizable fields to fit the specific needs of healthcare providers</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Saves time and improves efficiency in the intake process.</span></li> </ul> <div class="wp-block-kadence-advancedbtn kt-btn-align-left"> <a class="demo_btn download_btn" download href="https://fluentforms.com/forms/patient-intake-form/?ff_download=71&demo_id=906"><span class="kt-btn-inner-text">Download Template</span></a> <a class="buy_pro demo_btn" href="/#pricing"><span class="kt-btn-inner-text">Buy Fluent Forms</span></a> </div> </div> </div> </div> </div> </div> </main><!-- #main --> </div> </div><!-- #primary --> </div><!-- #inner-wrap --> <!-- [element-9577] --> <div class="kb-row-layout-wrap kb-row-layout-id9577_e2f5d2-e0 alignnone wp-block-kadence-rowlayout"><div class="kt-row-column-wrap kt-has-2-columns kt-row-layout-row kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width"> <div class="wp-block-kadence-column kadence-column9577_e8c1e7-ff"><div class="kt-inside-inner-col"> <h2 class="kt-adv-heading9577_579995-42 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_579995-42">Related Forms</h2> </div></div> <div class="wp-block-kadence-column kadence-column9577_5fc2f3-14"><div class="kt-inside-inner-col"><div class="wp-block-kadence-query wp-block-kadence-query9577_cd7dc7-79 kadence-query-init kb-query-basic-style animation-overlay kb-query wp-block-kadence-query" data-id="47927" data-infinite-scroll=""> <style>.wp-block-kadence-query-card9577_d9b7b7-23.wp-block-kadence-query-card .kb-query-grid-wrap.kb-query-grid-wrap{grid-template-columns:repeat(4, 1fr);row-gap:var(--global-kb-gap-md, 2rem);column-gap:var(--global-kb-gap-md, 2rem);}.wp-block-kadence-query-card9577_d9b7b7-23 .kb-query-grid-wrap .kb-query-item.kb-query-block-post{box-shadow:0px 8px 8px -4px rgba(0, 0, 0, 0.05);border-top:1px solid #e8e8e8;border-right:1px solid #e8e8e8;border-bottom:1px solid #e8e8e8;border-left:1px solid #e8e8e8;border-top-left-radius:4px;border-top-right-radius:4px;border-bottom-right-radius:4px;border-bottom-left-radius:4px;overflow:hidden;}@media all and (max-width: 1024px){.wp-block-kadence-query-card9577_d9b7b7-23.wp-block-kadence-query-card .kb-query-grid-wrap.kb-query-grid-wrap{grid-template-columns:repeat(2, 1fr);}}@media all and (max-width: 1024px){.wp-block-kadence-query-card9577_d9b7b7-23 .kb-query-grid-wrap .kb-query-item.kb-query-block-post{border-top:1px solid #e8e8e8;border-right:1px solid #e8e8e8;border-bottom:1px solid #e8e8e8;border-left:1px solid #e8e8e8;}}@media all and (max-width: 767px){.wp-block-kadence-query-card9577_d9b7b7-23.wp-block-kadence-query-card .kb-query-grid-wrap.kb-query-grid-wrap{grid-template-columns:repeat(1, 1fr);}.wp-block-kadence-query-card9577_d9b7b7-23 .kb-query-grid-wrap .kb-query-item.kb-query-block-post{border-top:1px solid #e8e8e8;border-right:1px solid #e8e8e8;border-bottom:1px solid #e8e8e8;border-left:1px solid #e8e8e8;}}</style><div class="wp-block-kadence-query-card9577_d9b7b7-23 wp-block-kadence-query-card" data-max-num-pages="19"><div class="overlay"></div><ul class="kb-query-grid-wrap"><li class="kb-query-item kb-query-block-post post-196 demoforms type-demoforms status-publish has-post-thumbnail hentry form_category-business form_category-service form_category-social"><div class="kb-query-item-flip-back"></div> <div class="wp-block-kadence-column kadence-column9577_782e3d-ac"><div class="kt-inside-inner-col"><style>.wp-block-kadence-image.kb-image9577_da1263-63:not(.kb-specificity-added):not(.kb-extra-specificity-added){margin-bottom:0px;}.wp-block-kadence-image.kb-image9577_da1263-63{position:relative;z-index:9;}.kb-image9577_da1263-63 .kb-image-has-overlay:after{opacity:0.01;background-color:#004192;}</style> <figure class="wp-block-kadence-image kb-image9577_da1263-63 kb-image-is-ratio-size"><div class="kb-is-ratio-image kb-image-ratio-land169 kb-image-has-overlay"><img loading="lazy" decoding="async" src="https://fluentforms.com/wp-content/uploads/2019/11/Tell-a-Friend-Form-Template.png" alt="Tell a Friend Form Template" width="438" height="292" class="kb-img wp-image-6860 " srcset="https://fluentforms.com/wp-content/uploads/2019/11/Tell-a-Friend-Form-Template.png 438w, https://fluentforms.com/wp-content/uploads/2019/11/Tell-a-Friend-Form-Template-300x200.png 300w" sizes="(max-width: 438px) 100vw, 438px" /></div></figure> <div class="wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns9577_8fa11c-60 fF_viewDemoBtn"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button{color:#273050;background:var(--global-palette9, #ffffff);font-size:10px;line-height:19px;border-top-left-radius:3px;border-top-right-radius:3px;border-bottom-right-radius:3px;border-bottom-left-radius:3px;padding-top:8px;padding-right:20px;padding-bottom:8px;padding-left:20px;}.wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button:focus{color:#2c6cff;background:var(--global-palette9, #ffffff);}@media all and (max-width: 1024px){.kb-btn9577_0c64f0-30.kb-button .kb-svg-icon-wrap{display:block;}}</style><a class="kb-button kt-button button kb-btn9577_0c64f0-30 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn" href="https://fluentforms.com/forms/tell-a-friend-form/"><span class="kt-btn-inner-text">View Demo</span></a></div> </div></div> <div class="wp-block-kadence-column kadence-column9577_78e8e2-62"><div class="kt-inside-inner-col"><style>.wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74, .wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74[data-kb-block="kb-adv-heading9577_c3bdf1-74"]{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-top:0px;margin-right:0px;margin-bottom:var(--global-kb-spacing-xs, 1rem);margin-left:0px;text-align:left;font-size:19px;line-height:29px;font-weight:500;font-style:normal;font-family:Lexend;color:var(--global-palette4, #2D3748);}.wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74[data-kb-block="kb-adv-heading9577_c3bdf1-74"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}</style> <h2 class="kt-adv-heading9577_c3bdf1-74 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_c3bdf1-74">Tell A Friend Form</h2> <style>.wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06, .wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06[data-kb-block="kb-adv-heading9577_b77bdd-06"]{font-size:14px;line-height:22px;font-weight:400;font-style:normal;font-family:Lexend;color:#696f84;}.wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06[data-kb-block="kb-adv-heading9577_b77bdd-06"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}</style> <p class="kt-adv-heading9577_b77bdd-06 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_b77bdd-06">Use a Tell A Friend Form Template to collect messages from your friends/clients</p> </div></div> </li><li class="kb-query-item kb-query-block-post post-11594 demoforms type-demoforms status-publish has-post-thumbnail hentry form_category-application"><div class="kb-query-item-flip-back"></div> <div class="wp-block-kadence-column kadence-column9577_782e3d-ac"><div class="kt-inside-inner-col"><style>.wp-block-kadence-image.kb-image9577_da1263-63:not(.kb-specificity-added):not(.kb-extra-specificity-added){margin-bottom:0px;}.wp-block-kadence-image.kb-image9577_da1263-63{position:relative;z-index:9;}.kb-image9577_da1263-63 .kb-image-has-overlay:after{opacity:0.01;background-color:#004192;}</style> <figure class="wp-block-kadence-image kb-image9577_da1263-63 kb-image-is-ratio-size"><div class="kb-is-ratio-image kb-image-ratio-land169 kb-image-has-overlay"><img loading="lazy" decoding="async" src="https://fluentforms.com/wp-content/uploads/2021/08/Job-Application-Form.png" alt="Job Application Form - Fluent Forms" width="438" height="292" class="kb-img wp-image-26160 " srcset="https://fluentforms.com/wp-content/uploads/2021/08/Job-Application-Form.png 438w, https://fluentforms.com/wp-content/uploads/2021/08/Job-Application-Form-300x200.png 300w, https://fluentforms.com/wp-content/uploads/2021/08/Job-Application-Form-360x240.png 360w" sizes="(max-width: 438px) 100vw, 438px" /></div></figure> <div class="wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns9577_8fa11c-60 fF_viewDemoBtn"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button{color:#273050;background:var(--global-palette9, #ffffff);font-size:10px;line-height:19px;border-top-left-radius:3px;border-top-right-radius:3px;border-bottom-right-radius:3px;border-bottom-left-radius:3px;padding-top:8px;padding-right:20px;padding-bottom:8px;padding-left:20px;}.wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button:focus{color:#2c6cff;background:var(--global-palette9, #ffffff);}@media all and (max-width: 1024px){.kb-btn9577_0c64f0-30.kb-button .kb-svg-icon-wrap{display:block;}}</style><a class="kb-button kt-button button kb-btn9577_0c64f0-30 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn" href="https://fluentforms.com/forms/job-application-form/"><span class="kt-btn-inner-text">View Demo</span></a></div> </div></div> <div class="wp-block-kadence-column kadence-column9577_78e8e2-62"><div class="kt-inside-inner-col"><style>.wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74, .wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74[data-kb-block="kb-adv-heading9577_c3bdf1-74"]{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-top:0px;margin-right:0px;margin-bottom:var(--global-kb-spacing-xs, 1rem);margin-left:0px;text-align:left;font-size:19px;line-height:29px;font-weight:500;font-style:normal;font-family:Lexend;color:var(--global-palette4, #2D3748);}.wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74[data-kb-block="kb-adv-heading9577_c3bdf1-74"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}</style> <h2 class="kt-adv-heading9577_c3bdf1-74 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_c3bdf1-74">Job Application Form</h2> <style>.wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06, .wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06[data-kb-block="kb-adv-heading9577_b77bdd-06"]{font-size:14px;line-height:22px;font-weight:400;font-style:normal;font-family:Lexend;color:#696f84;}.wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06[data-kb-block="kb-adv-heading9577_b77bdd-06"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}</style> <p class="kt-adv-heading9577_b77bdd-06 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_b77bdd-06">Use the job application form to find out the best employee for your company.</p> </div></div> </li><li class="kb-query-item kb-query-block-post post-145 demoforms type-demoforms status-publish has-post-thumbnail hentry form_category-it form_category-marketing"><div class="kb-query-item-flip-back"></div> <div class="wp-block-kadence-column kadence-column9577_782e3d-ac"><div class="kt-inside-inner-col"><style>.wp-block-kadence-image.kb-image9577_da1263-63:not(.kb-specificity-added):not(.kb-extra-specificity-added){margin-bottom:0px;}.wp-block-kadence-image.kb-image9577_da1263-63{position:relative;z-index:9;}.kb-image9577_da1263-63 .kb-image-has-overlay:after{opacity:0.01;background-color:#004192;}</style> <figure class="wp-block-kadence-image kb-image9577_da1263-63 kb-image-is-ratio-size"><div class="kb-is-ratio-image kb-image-ratio-land169 kb-image-has-overlay"><img loading="lazy" decoding="async" src="https://fluentforms.com/wp-content/uploads/2019/11/Website-Feedback-Form-Template.png" alt="Website Feedback Form Template" width="438" height="292" class="kb-img wp-image-6882 " srcset="https://fluentforms.com/wp-content/uploads/2019/11/Website-Feedback-Form-Template.png 438w, https://fluentforms.com/wp-content/uploads/2019/11/Website-Feedback-Form-Template-300x200.png 300w" sizes="(max-width: 438px) 100vw, 438px" /></div></figure> <div class="wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns9577_8fa11c-60 fF_viewDemoBtn"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button{color:#273050;background:var(--global-palette9, #ffffff);font-size:10px;line-height:19px;border-top-left-radius:3px;border-top-right-radius:3px;border-bottom-right-radius:3px;border-bottom-left-radius:3px;padding-top:8px;padding-right:20px;padding-bottom:8px;padding-left:20px;}.wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button:focus{color:#2c6cff;background:var(--global-palette9, #ffffff);}@media all and (max-width: 1024px){.kb-btn9577_0c64f0-30.kb-button .kb-svg-icon-wrap{display:block;}}</style><a class="kb-button kt-button button kb-btn9577_0c64f0-30 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn" href="https://fluentforms.com/forms/website-feedback/"><span class="kt-btn-inner-text">View Demo</span></a></div> </div></div> <div class="wp-block-kadence-column kadence-column9577_78e8e2-62"><div class="kt-inside-inner-col"><style>.wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74, .wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74[data-kb-block="kb-adv-heading9577_c3bdf1-74"]{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-top:0px;margin-right:0px;margin-bottom:var(--global-kb-spacing-xs, 1rem);margin-left:0px;text-align:left;font-size:19px;line-height:29px;font-weight:500;font-style:normal;font-family:Lexend;color:var(--global-palette4, #2D3748);}.wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74[data-kb-block="kb-adv-heading9577_c3bdf1-74"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}</style> <h2 class="kt-adv-heading9577_c3bdf1-74 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_c3bdf1-74">Website Feedback Form</h2> <style>.wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06, .wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06[data-kb-block="kb-adv-heading9577_b77bdd-06"]{font-size:14px;line-height:22px;font-weight:400;font-style:normal;font-family:Lexend;color:#696f84;}.wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06[data-kb-block="kb-adv-heading9577_b77bdd-06"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}</style> <p class="kt-adv-heading9577_b77bdd-06 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_b77bdd-06">Use a Website Feedback Template to collect feedback from your website visitors</p> </div></div> </li><li class="kb-query-item kb-query-block-post post-109 demoforms type-demoforms status-publish has-post-thumbnail hentry form_category-service"><div class="kb-query-item-flip-back"></div> <div class="wp-block-kadence-column kadence-column9577_782e3d-ac"><div class="kt-inside-inner-col"><style>.wp-block-kadence-image.kb-image9577_da1263-63:not(.kb-specificity-added):not(.kb-extra-specificity-added){margin-bottom:0px;}.wp-block-kadence-image.kb-image9577_da1263-63{position:relative;z-index:9;}.kb-image9577_da1263-63 .kb-image-has-overlay:after{opacity:0.01;background-color:#004192;}</style> <figure class="wp-block-kadence-image kb-image9577_da1263-63 kb-image-is-ratio-size"><div class="kb-is-ratio-image kb-image-ratio-land169 kb-image-has-overlay"><img loading="lazy" decoding="async" src="https://fluentforms.com/wp-content/uploads/2019/11/Multi-file-Upload-Form-Template.png" alt="Multi-file Upload Form Template" width="438" height="292" class="kb-img wp-image-6917 " srcset="https://fluentforms.com/wp-content/uploads/2019/11/Multi-file-Upload-Form-Template.png 438w, https://fluentforms.com/wp-content/uploads/2019/11/Multi-file-Upload-Form-Template-300x200.png 300w" sizes="(max-width: 438px) 100vw, 438px" /></div></figure> <div class="wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns9577_8fa11c-60 fF_viewDemoBtn"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button{color:#273050;background:var(--global-palette9, #ffffff);font-size:10px;line-height:19px;border-top-left-radius:3px;border-top-right-radius:3px;border-bottom-right-radius:3px;border-bottom-left-radius:3px;padding-top:8px;padding-right:20px;padding-bottom:8px;padding-left:20px;}.wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button:hover, .wp-block-kadence-advancedbtn .kb-btn9577_0c64f0-30.kb-button:focus{color:#2c6cff;background:var(--global-palette9, #ffffff);}@media all and (max-width: 1024px){.kb-btn9577_0c64f0-30.kb-button .kb-svg-icon-wrap{display:block;}}</style><a class="kb-button kt-button button kb-btn9577_0c64f0-30 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn" href="https://fluentforms.com/forms/multi-file-upload-form/"><span class="kt-btn-inner-text">View Demo</span></a></div> </div></div> <div class="wp-block-kadence-column kadence-column9577_78e8e2-62"><div class="kt-inside-inner-col"><style>.wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74, .wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74[data-kb-block="kb-adv-heading9577_c3bdf1-74"]{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-top:0px;margin-right:0px;margin-bottom:var(--global-kb-spacing-xs, 1rem);margin-left:0px;text-align:left;font-size:19px;line-height:29px;font-weight:500;font-style:normal;font-family:Lexend;color:var(--global-palette4, #2D3748);}.wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_c3bdf1-74[data-kb-block="kb-adv-heading9577_c3bdf1-74"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}</style> <h2 class="kt-adv-heading9577_c3bdf1-74 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_c3bdf1-74">Multi-file Upload Form</h2> <style>.wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06, .wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06[data-kb-block="kb-adv-heading9577_b77bdd-06"]{font-size:14px;line-height:22px;font-weight:400;font-style:normal;font-family:Lexend;color:#696f84;}.wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading9577_b77bdd-06[data-kb-block="kb-adv-heading9577_b77bdd-06"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}</style> <p class="kt-adv-heading9577_b77bdd-06 wp-block-kadence-advancedheading" data-kb-block="kb-adv-heading9577_b77bdd-06">Use a Multi File Upload Form Template to collect numerous files in a single webform</p> </div></div> </li></ul></div> <input type='hidden' name='47927_query_exclude_post_id' value='906' /></div></div></div> </div></div> <div class="kb-row-layout-wrap kb-row-layout-id38346_d9ecb8-b9 alignfull has-theme-palette9-background-color kt-row-has-bg et-highlightable wp-block-kadence-rowlayout"><div class="kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width"> <div class="wp-block-kadence-column kadence-column38346_7d7923-fa et-highlightable" id="actionScale"><div class="kt-inside-inner-col"><div class="kb-row-layout-wrap kb-row-layout-id38346_7ec4b4-1b alignnone kt-row-has-bg wp-block-kadence-rowlayout"><div class="kt-row-column-wrap kt-has-2-columns kt-row-layout-right-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top"> <div class="wp-block-kadence-column kadence-column38346_7bcf66-07"><div class="kt-inside-inner-col"> <h2 class="kt-adv-heading38346_ccbd4e-d0 ff-footer-cta wp-block-kadence-advancedheading has-theme-palette-9-color has-text-color" data-kb-block="kb-adv-heading38346_ccbd4e-d0">Join <mark id="bottomcalltoaction" class="kt-highlight">500K+</mark> happy customers globally</h2> <div class="wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns38346_9bcef0-57"><a class="kb-button kt-button button kb-btn38346_9edd5c-9a kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-inherit kt-btn-has-text-true kt-btn-has-svg-false wp-block-button__link wp-block-kadence-singlebtn" href="https://fluentforms.com/#pricing"><span class="kt-btn-inner-text">Buy Now</span></a></div> </div></div> <div class="wp-block-kadence-column kadence-column38346_d0a50a-46 kvs-sm-false"><div class="kt-inside-inner-col"> <figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="1024" height="684" src="https://fluentforms.com/wp-content/uploads/2023/09/Group-1000015722-1-1024x684-1.png" alt="" class="wp-image-30716" srcset="https://fluentforms.com/wp-content/uploads/2023/09/Group-1000015722-1-1024x684-1.png 1024w, https://fluentforms.com/wp-content/uploads/2023/09/Group-1000015722-1-1024x684-1-300x200.png 300w, https://fluentforms.com/wp-content/uploads/2023/09/Group-1000015722-1-1024x684-1-768x513.png 768w, https://fluentforms.com/wp-content/uploads/2023/09/Group-1000015722-1-1024x684-1-360x240.png 360w, https://fluentforms.com/wp-content/uploads/2023/09/Group-1000015722-1-1024x684-1-600x400.png 600w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure> </div></div> </div></div></div></div> <div class="wp-block-kadence-column kadence-column38346_f27b6d-62"><div class="kt-inside-inner-col"> <span class="et-highlighted-overlay"></span> </div></div> </div></div><!-- [/element-9577] --><link rel='stylesheet' id='kadence-footer-css' href='https://fluentforms.com/wp-content/themes/kadence/assets/css/footer.min.css?ver=1.1.49' media='all' /> <footer id="colophon" class="site-footer" role="contentinfo"> <div class="site-footer-wrap"> <div class="site-middle-footer-wrap site-footer-row-container site-footer-focus-item site-footer-row-layout-standard site-footer-row-tablet-layout-default site-footer-row-mobile-layout-default" data-section="kadence_customizer_footer_middle"> <div class="site-footer-row-container-inner"> <div class="site-container"> <div class="site-middle-footer-inner-wrap site-footer-row site-footer-row-columns-5 site-footer-row-column-layout-equal site-footer-row-tablet-column-layout-equal site-footer-row-mobile-column-layout-row ft-ro-dir-column ft-ro-collapse-normal ft-ro-t-dir-default 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