{"id":1267,"date":"2020-12-18T16:18:43","date_gmt":"2020-12-18T16:18:43","guid":{"rendered":"https:\/\/enc.dev.techguys.io\/contact-copy\/"},"modified":"2021-11-12T03:06:27","modified_gmt":"2021-11-12T03:06:27","slug":"request-an-appointment","status":"publish","type":"page","link":"https:\/\/encinodentistry.com\/request-an-appointment\/","title":{"rendered":"Schedule your next appointment today"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-genesis-blocks-gb-columns gb-layout-contact-1 gb-layout-columns-2 gb-2-col-wideleft gb-columns-center\" style=\"padding-top:2%;padding-right:5%;padding-bottom:5%;padding-left:5%\"><div class=\"gb-layout-column-wrap gb-block-layout-column-gap-1 gb-is-responsive-column\" style=\"max-width:1200px\">\n<div class=\"wp-block-genesis-blocks-gb-column gb-block-layout-column gb-is-vertically-aligned-center\"><div class=\"gb-block-layout-column-inner\">\n<h2 class=\"wp-block-heading\">Schedule an appointment with Encino Dentistry<\/h2>\n\n\n\n<p> The first step towards a beautiful, healthy smile is to schedule an appointment.&nbsp;<\/p>\n\n\n\n<p style=\"font-size:18px\"><strong><strong>Phone (Call or Text):<\/strong><\/strong> <a onclick=\"return gtag_report_conversion('https:\/\/l.encinodentistry.com\/call')\" href=\"https:\/\/l.encinodentistry.com\/call\" data-type=\"tel\" data-id=\"tel:818-918-6070\">818-918-6070<\/a><\/p>\n\n\n\n<p style=\"font-size:18px\"><strong>Email: <\/strong>info@encinodentistry.com<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Request an appointment form: <\/h3>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block encappointment\" id=\"wpforms-1156\"><form id=\"wpforms-form-1156\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1156\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/1267\" data-token=\"f49c45afcc06e988105782bd03d55118\" data-token-time=\"1713881762\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1156-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_0\">Full Name<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1156-field_0\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][0][first]\" ><label for=\"wpforms-1156-field_0\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1156-field_0-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][0][last]\" ><label for=\"wpforms-1156-field_0-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1156-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1156-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1156-field_5-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_5\">Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1156-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><div class=\"wpforms-field-description\">Exmaple: 8189186070<\/div><\/div><div id=\"wpforms-1156-field_6-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_6\">Is it ok for us to text you for appointment confirmation<\/label><ul id=\"wpforms-1156-field_6\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-1156-field_6_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][6][]\" value=\"Yes\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-1156-field_6_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1156-field_6_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][6][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1156-field_6_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1156-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_3\">Preferred day of the week to visit us <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1156-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select One<\/option><option value=\"Monday\" >Monday<\/option><option value=\"Tuesday\" >Tuesday<\/option><option value=\"Wednesday\" >Wednesday<\/option><option value=\"Thursday\" >Thursday<\/option><option value=\"Friday\" >Friday<\/option><option value=\"Saturday\" >Saturday<\/option><\/select><\/div><div id=\"wpforms-1156-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_4\">Preferred time <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1156-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select One<\/option><option value=\"Morning\" >Morning<\/option><option value=\"Afternoon\" >Afternoon<\/option><\/select><\/div><div id=\"wpforms-1156-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_7\">How did you hear about us? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1156-field_7\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select One<\/option><option value=\"Search Engine\" >Search Engine<\/option><option value=\"Family\/Friend\" >Family\/Friend<\/option><option value=\"Social Media\" >Social Media<\/option><option value=\"Promotion\" >Promotion<\/option><option value=\"Other\" >Other<\/option><\/select><\/div><div id=\"wpforms-1156-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_2\">Reason for Appointment <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1156-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><\/div><div id=\"wpforms-1156-field_8-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1156-field_8\"> I&#039;m interested in receiving special offers, tips, and updates from Encino Dentistry.<\/label><ul id=\"wpforms-1156-field_8\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-1156-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Yes\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-1156-field_8_1\">Yes<\/label><\/li><\/ul><div class=\"wpforms-field-description\">We respect your privacy and do not tolerate spam and will never sell, rent, lease or give away your information (name, address, email, etc.) to any third party. <\/div><\/div><div id=\"wpforms-1156-field_10-container\" class=\"wpforms-field wpforms-field-text hiddenfield\" data-field-id=\"10\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1156-field_10\">Referred Code<\/label><input type=\"text\" id=\"wpforms-1156-field_10\" class=\"wpforms-field-small\" name=\"wpforms[fields][10]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1156\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/pages\/1267\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1156\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/encinodentistry.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p>Please note: Our office <strong>does not participate<\/strong>&nbsp;with any&nbsp;<strong>DMO<\/strong>,&nbsp;<strong>HMO<\/strong>,&nbsp;<strong><strong>Medi<\/strong>\u2013<strong>Cal&nbsp;<\/strong><\/strong>or&nbsp;<strong>Denti-Cal<\/strong>&nbsp;dental insurance policies.&nbsp;<\/p>\n\n\n\n<a onclick=\"show('modal')\">View Our Appointment Policy<\/a>\n\n<div class=\"modal has-text-align-left\">\n    <h3>Appointment policy<\/h3>\n    <p>Our scheduled appointment time has been reserved specifically for you. We request you notifying us 24 hours in advance of your appointment if you need to cancel your appointment. We are aware that unforeseen events sometimes require missing an appointment. After missing your first appointment without notifying us 48 hours in advance, you are subject to being charged an additional fee. The amount of the fee is determined by the amount of time we had scheduled for you.<\/p>\n    <button onclick=\"hide('modal')\">Close Window<\/button>\n\n<\/div>\n\n\n\n<div class=\"wp-block-genesis-blocks-gb-container gb-block-container\"><div class=\"gb-container-inside\"><div class=\"gb-container-content\" style=\"max-width:1600px\"><\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-genesis-blocks-gb-column gb-block-layout-column gb-is-vertically-aligned-top\"><div class=\"gb-block-layout-column-inner\">\n<p style=\"font-size:18px\"><strong>Map &amp; Direction: <\/strong><br><br>16133 Ventura Blvd Ste 445<br>Encino CA, 91436 &#8211; <a rel=\"noreferrer noopener\" href=\"https:\/\/maps.google.com\/maps?ll=34.156868,-118.485075&amp;z=16&amp;t=m&amp;hl=en-US&amp;gl=US&amp;mapclient=embed&amp;cid=14217121643885082783\" target=\"_blank\"><strong>View Map<\/strong><\/a><\/p>\n\n\n\n<iframe loading=\"lazy\" title=\"Encino Dentistry Google Maps\" src=\"https:\/\/www.google.com\/maps\/embed\/v1\/place?q=Encino%20Dentistry&amp;key=AIzaSyCkc7wCttwqMRg_qhSxgiWEhj_3_uE2rvg\" style=\"border:0\" allowfullscreen=\"\" width=\"600\" height=\"650\" frameborder=\"0\"><\/iframe>\n\n\n\n<p><\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator aligncenter is-style-default\" id=\"appointment-form\"\/>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":893,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_genesis_hide_title":true,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":true,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"full-width-content","footnotes":""},"featured_image_src":"https:\/\/encinodentistry.com\/wp-content\/uploads\/2020\/03\/testimonials-right-600x400.jpg","featured_image_src_square":"https:\/\/encinodentistry.com\/wp-content\/uploads\/2020\/03\/testimonials-right-600x600.jpg","_links":{"self":[{"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/pages\/1267"}],"collection":[{"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/comments?post=1267"}],"version-history":[{"count":21,"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/pages\/1267\/revisions"}],"predecessor-version":[{"id":4998,"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/pages\/1267\/revisions\/4998"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/media\/893"}],"wp:attachment":[{"href":"https:\/\/encinodentistry.com\/wp-json\/wp\/v2\/media?parent=1267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}