{"id":8770,"date":"2025-04-07T17:02:06","date_gmt":"2025-04-07T09:02:06","guid":{"rendered":"https:\/\/asiamd.com\/?page_id=8770"},"modified":"2025-07-27T12:59:19","modified_gmt":"2025-07-27T12:59:19","slug":"make-an-appointment","status":"publish","type":"page","link":"https:\/\/asiamd.bqubetech.com\/hi\/make-an-appointment\/","title":{"rendered":"Make An Appointment"},"content":{"rendered":"<div class=\"contact-page make-an-appt\">\n<div class=\"contact-page-row\">\n<div class=\"contact-col-left\">\n<h1 style=\"text-align: center;\">Make An Appointment Request.<\/h1>\n<h2 style=\"text-align: center;\">Our doctors are here to help.<\/h2>\n<\/div>\n<div class=\"contact-col-right\"><img decoding=\"async\" src=\"https:\/\/asiamd.bqubetech.com\/wp-content\/uploads\/2023\/12\/find-a-doctor-banner-new.jpg\" \/><\/div>\n<\/div>\n<p style=\"text-align: center;\">Please fill out the form below to request a medical appointment.<\/p>\n<p style=\"text-align: center;\">Our team will review your submission and get in touch with you to confirm your appointment.<\/p>\n<p style=\"text-align: center;\">Thank you for choosing Asia MD.<\/p>\n<div class=\"row contact-pageform-section\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-8763 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-8763\" data-uid=\"6a07bfe52124f\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-8763\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-8763 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"8763\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\tdata-color-option=\"theme\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\tenctype=\"multipart\/form-data\"\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a07bfe52124f\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a07bfe52124f\" id=\"forminator-field-name-1_6a07bfe52124f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a07bfe52124f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a07bfe52124f\" id=\"forminator-field-email-1_6a07bfe52124f-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a07bfe52124f\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a07bfe52124f\" id=\"forminator-field-phone-1_6a07bfe52124f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a07bfe52124f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"sg\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a07bfe52124f\" id=\"forminator-field-textarea-1_6a07bfe52124f-label\" class=\"forminator-label\">Question <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6a07bfe52124f\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:80px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a07bfe52124f\" id=\"forminator-field-upload-1_6a07bfe52124f-label\" class=\"forminator-label\">Attachment(s)<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-1_6a07bfe52124f\"><input type=\"file\" name=\"upload-1[]\" id=\"forminator-field-upload-1_6a07bfe52124f\" class=\"forminator-input-file forminator-field-upload-1_6a07bfe52124f-8763\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"3\" data-limit-message=\"You can upload a maximum of 3 files.\" data-size=\"8000000\" data-size-message=\"Maximum file size allowed is 8 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-1_6a07bfe52124f\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-1_6a07bfe52124f\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-8763__field--select-1_6a07bfe52124f\" id=\"forminator-form-8763__field--select-1_6a07bfe52124f-label\" class=\"forminator-label\">Specialist Doctor<\/label><select  id=\"forminator-form-8763__field--select-1_6a07bfe52124f\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-8763__field--select-1_6a07bfe52124f-label\"><option value=\"timothy_lim\"  data-calculation=\"0\">Dr Timothy Lim<\/option><option value=\"lee_lip_seng\"  data-calculation=\"0\">Dr Lee Lip Seng<\/option><option value=\"henry_chan\"  data-calculation=\"0\">Dr Henry Chan<\/option><option value=\"chong_kian_tai\"  data-calculation=\"0\">Dr Chong Kian Tai<\/option><option value=\"tan_yik_kai\"  data-calculation=\"0\">Dr Tan Yik Kai<\/option><option value=\"melvin_look\"  data-calculation=\"0\">Dr Melvin Look<\/option><option value=\"samuel_yeak\"  data-calculation=\"0\">Dr Samuel Yeak<\/option><option value=\"wong_zeng_hao_joel\"  data-calculation=\"0\">Dr Wong Zeng Hao Joel<\/option><option value=\"tan_ter_chyan\"  data-calculation=\"0\">Dr Tan Ter Chyan<\/option><option value=\"james_tan_siah_heng\"  data-calculation=\"0\">Dr James Tan Siah Heng<\/option><option value=\"denis_cheong\"  data-calculation=\"0\">Dr Denis Cheong<\/option><option value=\"lim_chong_hee\"  data-calculation=\"0\">Dr Lim Chong Hee<\/option><option value=\"mona_tan\"  data-calculation=\"0\">Dr Mona Tan<\/option><option value=\"sam_peh\"  data-calculation=\"0\">Dr Sam Peh<\/option><option value=\"john_c_wang\"  data-calculation=\"0\">Dr John C. Wang<\/option><option value=\"keith_goh_yu_ching\"  data-calculation=\"0\">Dr Keith Goh Yu-Ching<\/option><option value=\"tan_seang_beng\"  data-calculation=\"0\">Dr Tan Seang Beng<\/option><option value=\"kua_ee_heok\"  data-calculation=\"0\">Kua Ee Heok<\/option><option value=\"alvin_ng_choon_yong\"  data-calculation=\"0\">Dr Alvin Ng Choon Yong<\/option><option value=\"jacob_cheng_yen_chuan\"  data-calculation=\"0\">Dr Jacob Cheng Yen Chuan<\/option><option value=\"lai_choon_hin\"  data-calculation=\"0\">Dr Lai Choon Hin<\/option><option value=\"ooi_pei_ling\"  data-calculation=\"0\">Dr Ooi Pei Ling<\/option><option value=\"raymond_lee_kok_keong\"  data-calculation=\"0\">Dr Raymond Lee Kok Keong<\/option><option value=\"wee_chee_keong\"  data-calculation=\"0\">Dr Wee Chee Keong<\/option><option value=\"ong_sea_hing\"  data-calculation=\"0\">Dr Ong Sea Hing<\/option><option value=\"andrew_yam\"  data-calculation=\"0\">Dr Andrew Yam<\/option><option value=\"matthew_tan_zhen_wei\"  data-calculation=\"0\">Dr Matthew Tan Zhen-Wei<\/option><option value=\"goh_kian_peng\"  data-calculation=\"0\">Dr Goh Kian Peng<\/option><option value=\"timothy_shim\"  data-calculation=\"0\">Dr Timothy Shim<\/option><option value=\"khoo_chong_kiat\"  data-calculation=\"0\">Dr Khoo Chong Kiat<\/option><option value=\"leong_hoe_nam\"  data-calculation=\"0\">Dr Leong Hoe Nam<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit Request<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"db34894c72\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/hi\/wp-json\/wp\/v2\/pages\/8770\" \/><input type=\"hidden\" name=\"form_id\" value=\"8763\"><input type=\"hidden\" name=\"page_id\" value=\"8770\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/asiamd.bqubetech.com\/hi\/make-an-appointment\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"forminator-multifile-hidden\" class=\"forminator-multifile-hidden\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Make An Appointment Request. Our doctors are here to help. Please fill out the form below to request a medical appointment. Our team will review your submission and get in touch with you to confirm your appointment. Thank you for choosing Asia MD.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"class_list":["post-8770","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"hi","enabled_languages":["en","zh","ko","ja","mn","vi","ta","th","ms","km","id","my","hi"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"zh":{"title":false,"content":false,"excerpt":false},"ko":{"title":false,"content":false,"excerpt":false},"ja":{"title":false,"content":false,"excerpt":false},"mn":{"title":false,"content":false,"excerpt":false},"vi":{"title":false,"content":false,"excerpt":false},"ta":{"title":false,"content":false,"excerpt":false},"th":{"title":false,"content":false,"excerpt":false},"ms":{"title":false,"content":false,"excerpt":false},"km":{"title":false,"content":false,"excerpt":false},"id":{"title":false,"content":false,"excerpt":false},"my":{"title":false,"content":false,"excerpt":false},"hi":{"title":false,"content":false,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/asiamd.bqubetech.com\/hi\/wp-json\/wp\/v2\/pages\/8770","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/asiamd.bqubetech.com\/hi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/asiamd.bqubetech.com\/hi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/asiamd.bqubetech.com\/hi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/asiamd.bqubetech.com\/hi\/wp-json\/wp\/v2\/comments?post=8770"}],"version-history":[{"count":2,"href":"https:\/\/asiamd.bqubetech.com\/hi\/wp-json\/wp\/v2\/pages\/8770\/revisions"}],"predecessor-version":[{"id":9894,"href":"https:\/\/asiamd.bqubetech.com\/hi\/wp-json\/wp\/v2\/pages\/8770\/revisions\/9894"}],"wp:attachment":[{"href":"https:\/\/asiamd.bqubetech.com\/hi\/wp-json\/wp\/v2\/media?parent=8770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}