{"id":787,"date":"2019-05-24T18:20:58","date_gmt":"2019-05-24T11:20:58","guid":{"rendered":"http:\/\/repoffice.rafflesmedical.com.kh\/?page_id=787"},"modified":"2024-03-22T15:29:16","modified_gmt":"2024-03-22T08:29:16","slug":"make-appointment","status":"publish","type":"page","link":"https:\/\/repoffice.rafflesmedical.com.kh\/en\/make-appointment\/","title":{"rendered":"Make appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"787\" class=\"elementor elementor-787\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a0039b4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a0039b4\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;23d8f38&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f203c57\" data-id=\"f203c57\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4ff4d43 elementor-widget elementor-widget-image\" data-id=\"4ff4d43\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/repoffice.rafflesmedical.com.kh\/wp-content\/uploads\/elementor\/thumbs\/doctor-diagnose-cure-disease-patient-heart-stethoscope-medical-health-check-up-healt-scaled-q5jf6ovnewv95th4dhvckd2tnqm6qhm2010zukujo0.jpg\" title=\"Doctor diagnose to cure disease on patient. Heart and stethoscop\" alt=\"Doctor diagnose to cure disease on patient. Heart and stethoscop\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-18721a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"18721a4\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;cd81aee&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c122322\" data-id=\"c122322\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-319f327 elementor-widget elementor-widget-text-editor\" data-id=\"319f327\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5><strong><span style=\"color: #187f6b;\">1. Telephone Appointment<\/span><\/strong><\/h5>\n<p>Please contact our <strong>Customer Service<\/strong> Representative to schedule an appointment:<\/p>\n<ul>\n<li><strong>#161, Street 51 (Pasteur), Sangkat Boeung Raing, Khan Daun Penh 120204, Phnom Penh , Kingdom of Cambodia.<\/strong><\/li>\n<li><strong><a href=\"tel:85523216911\">+855 70 919494 \/ +855 11 219977 \/ +855 12 816 911<\/a><\/strong><\/li>\n<li><strong><a href=\"mailto:enquiries_phnompenh@rafflesmedical.com\">enquiries_phnompenh@rafflesmedical.com<\/a>; samat_iem@rafflesmedical.com<\/strong><\/li>\n<\/ul>\n<h5>&nbsp;<\/h5>\n<h5><strong><span style=\"color: #187f6b;\">2. Online Appointment<br><\/span><\/strong><\/h5>\n<p>Please fill in the following form to request an appointment. After successful submission, our staff will contact you to confirm your appointment within four (04) working hours.<\/p>\n<p><strong>Note:<\/strong><\/p>\n<ul>\n<li>All fields marked with * are required.<\/li>\n<li>Online appointment should be made 24 hours in advance. For same day appointment, please call the clinic directly.<\/li>\n<li>Please read our Terms and Conditions of Use.<\/li>\n<li>In case of EMERGENCY, please CALL <a href=\"tel:85523216911\"><strong>855 12 816 911<\/strong><\/a><\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e958f29 elementor-widget elementor-widget-wp-widget-ipt_fsqm_form_widget\" data-id=\"e958f29\" data-element_type=\"widget\" data-widget_type=\"wp-widget-ipt_fsqm_form_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ipt_fsqm_form_widget_inner\"><style type=\"text\/css\">#ipt_fsqm_form_wrap_67 .ipt_fsqm_form_logo img,\n\t#ipt_fsqm_form_wrap_67 .ipt-eform-width-restrain,\n\t#ipt_fsqm_form_wrap_67 .ipt_fsqm_form_message_restore,\n\t#ipt_fsqm_form_wrap_67 .ipt_fsqm_form_message_success,\n\t#ipt_fsqm_form_wrap_67 .ipt_fsqm_form_message_error,\n\t#ipt_fsqm_form_wrap_67 .ipt_fsqm_form_message_process,\n\t#ipt_fsqm_form_wrap_67 .ipt_fsqm_form_validation_error,\n\t#ipt_fsqm_form_wrap_67 .eform-ui-estimator {\n\t\tmax-width: 980px;\n\t\tmin-width: 240px;\n\t}\n\n\t\/**\/<\/style><div\nid=\"ipt_fsqm_form_wrap_67\"\nclass=\"ipt_uif_front ipt_uif_common ipt_fsqm_form type_2 ui-front eform-ltr eform-override-element-boxy eform-override-alignment-inherit\"\ndata-fsqmsayt=\"{&quot;auto_save&quot;:false,&quot;show_restore&quot;:true,&quot;restore&quot;:false,&quot;admin_override&quot;:false,&quot;user_update&quot;:false,&quot;interval_save&quot;:false,&quot;interval&quot;:&quot;30&quot;}\"\ndata-ui-type=\"2\"\ndata-ui-theme=\"[&quot;https:\\\/\\\/repoffice.rafflesmedical.com.kh\\\/wp-content\\\/plugins\\\/wp-fsqm-pro\\\/static\\\/front\\\/css\\\/material-themes\\\/light-themes\\\/teal.css?ver=4.18.0&quot;]\"\ndata-ui-theme-id=\"material-default\"\ndata-eformanim=\"1\"\ndata-fsqmga=\"{&quot;enabled&quot;:false,&quot;manual_load&quot;:false,&quot;tracking_id&quot;:&quot;&quot;,&quot;cookie&quot;:&quot;auto&quot;,&quot;user_update&quot;:false,&quot;name&quot;:&quot;Make An Appointment&quot;,&quot;form_id&quot;:&quot;67&quot;}\"\ndata-fsqmreset=\"{&quot;reset&quot;:false,&quot;delay&quot;:10}\"\ndata-eformreg=\"{&quot;enabled&quot;:false,&quot;username_id&quot;:&quot;ipt_fsqm_form_67_pinfo_&quot;,&quot;password_id&quot;:&quot;ipt_fsqm_form_67_pinfo_&quot;,&quot;hide_pinfo&quot;:true,&quot;hide_meta&quot;:false,&quot;meta&quot;:[]}\"\ndata-eformscroll=\"{&quot;progress&quot;:true,&quot;message&quot;:true,&quot;offset&quot;:&quot;0&quot;,&quot;scrollOnError&quot;:true}\"\ndata-eform-cookie=\"0\"\ndata-subscription-form=\"false\"\ndata-instant-subscription=\"{&quot;doable&quot;:true,&quot;config&quot;:{&quot;enabled&quot;:false,&quot;min_tab&quot;:&quot;&quot;,&quot;debounce&quot;:&quot;3000&quot;},&quot;nonce&quot;:&quot;2b951dfa4a&quot;}\"\n>\n<noscript><div\nclass=\"ipt_fsqm_form_message_noscript ui-widget ui-widget-content ui-corner-all\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div>Javascript is disabled<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-bottom\"><p>Javascript is disabled on your browser. 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horizontal\"><div\nclass=\"ipt-eform-tab-nav-wrap\"><ul><li\nid=\"ipt_fsqm_form_67_tab_0_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_67_tab_0\"><span\nclass=\"eform-tab-labels\">Raffles Medical Phnom Penh <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_67_tab_1_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_67_tab_1\"><span\nclass=\"eform-tab-labels\"> <\/span><\/a><\/li><\/ul>\n<i\nclass=\"eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple\"><\/i>\n<i\nclass=\"eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple\"><\/i>\n<span\nclass=\"eform-tab-passive-notifier\"><\/span>\n<span\nclass=\"eform-tab-active-notifier\"><\/span><\/div><div\nid=\"ipt_fsqm_form_67_tab_0\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_67_layout_0_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nRaffles Medical Phnom Penh<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][1][m_type]\" id=\"ipt_fsqm_form_67_mcq_1_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][1][type]\" id=\"ipt_fsqm_form_67_mcq_1_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_67_mcq_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\" check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_67[mcq][1][options][]\" id=\"ipt_fsqm_form_67_mcq_1_options_\" data-placeholder=\"Reason for visit\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Reason for visit<\/option><option\nvalue=\"3\" data-num=\"\">Reason for visit<\/option><option\nvalue=\"0\" data-num=\"\">See a Doctor<\/option><option\nvalue=\"1\" data-num=\"\">Australia Visa Check Up<\/option><option\nvalue=\"4\" data-num=\"\">Others Visa Check Up<\/option><option\nvalue=\"5\" data-num=\"\">Corporate Health Check<\/option><option\nvalue=\"6\" data-num=\"\">OGUK Health Check<\/option><option\nvalue=\"9\" data-num=\"\">School Enrollment Health Check<\/option><option\nvalue=\"7\" data-num=\"\">Annual Health Check<\/option><option\nvalue=\"8\" data-num=\"\">Vaccinations<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][2][m_type]\" id=\"ipt_fsqm_form_67_design_2_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][2][type]\" id=\"ipt_fsqm_form_67_design_2_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_2\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][3][m_type]\" id=\"ipt_fsqm_form_67_mcq_3_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][3][type]\" id=\"ipt_fsqm_form_67_mcq_3_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_67_mcq_3\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\" check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_67[mcq][3][options][]\" id=\"ipt_fsqm_form_67_mcq_3_options_\" data-placeholder=\"Preferred specialist\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Preferred specialist<\/option><option\nvalue=\"0\" data-num=\"\">Paediatrician<\/option><option\nvalue=\"1\" data-num=\"\">General Practitioner<\/option><option\nvalue=\"2\" data-num=\"\">ENT Doctor<\/option><option\nvalue=\"4\" data-num=\"\">Dermatologist<\/option><option\nvalue=\"5\" data-num=\"\">Obstetrician & Gynaecologist<\/option><option\nvalue=\"6\" data-num=\"\">Endocrinologist<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][17][m_type]\" id=\"ipt_fsqm_form_67_design_17_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][17][type]\" id=\"ipt_fsqm_form_67_design_17_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_17\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][4][m_type]\" id=\"ipt_fsqm_form_67_freetype_4_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][4][type]\" id=\"ipt_fsqm_form_67_freetype_4_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_4\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_67_freetype_4_value\">Enter a doctor name (not required)<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][4][value]\"\nid=\"ipt_fsqm_form_67_freetype_4_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<label\nfor=\"ipt_fsqm_form_67_freetype_4_value\"> Write a doctor name here <\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][12][m_type]\" id=\"ipt_fsqm_form_67_design_12_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][12][type]\" id=\"ipt_fsqm_form_67_design_12_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_12\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][1][m_type]\" id=\"ipt_fsqm_form_67_freetype_1_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][1][type]\" id=\"ipt_fsqm_form_67_freetype_1_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][1][value]\"\nid=\"ipt_fsqm_form_67_freetype_1_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0f7;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_freetype_1_value\">Company Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][13][m_type]\" id=\"ipt_fsqm_form_67_design_13_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][13][type]\" id=\"ipt_fsqm_form_67_design_13_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_13\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][2][m_type]\" id=\"ipt_fsqm_form_67_freetype_2_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][2][type]\" id=\"ipt_fsqm_form_67_freetype_2_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_2\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][2][value]\"\nid=\"ipt_fsqm_form_67_freetype_2_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe80c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_freetype_2_value\">School Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][14][m_type]\" id=\"ipt_fsqm_form_67_design_14_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][14][type]\" id=\"ipt_fsqm_form_67_design_14_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_14\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][3][m_type]\" id=\"ipt_fsqm_form_67_freetype_3_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][3][type]\" id=\"ipt_fsqm_form_67_freetype_3_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_3\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][3][value]\"\nid=\"ipt_fsqm_form_67_freetype_3_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe118;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_freetype_3_value\">Requested Vaccines<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][7][m_type]\" id=\"ipt_fsqm_form_67_design_7_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][7][type]\" id=\"ipt_fsqm_form_67_design_7_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_7\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][0][m_type]\" id=\"ipt_fsqm_form_67_freetype_0_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][0][type]\" id=\"ipt_fsqm_form_67_freetype_0_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_0\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][0][value]\"\nid=\"ipt_fsqm_form_67_freetype_0_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0f0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_freetype_0_value\">HAP ID Number For Visa Health Check only *<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][8][m_type]\" id=\"ipt_fsqm_form_67_design_8_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][8][type]\" id=\"ipt_fsqm_form_67_design_8_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_8\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][9][m_type]\" id=\"ipt_fsqm_form_67_design_9_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][9][type]\" id=\"ipt_fsqm_form_67_design_9_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_67_design_9\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][6][m_type]\" id=\"ipt_fsqm_form_67_pinfo_6_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][6][type]\" id=\"ipt_fsqm_form_67_pinfo_6_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_67_pinfo_6\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,future[2026-05-04]] is-empty ipt_uif_text\"\ndata-dateFormat=\"yy-mm-dd\" data-timeFormat=\"HH:mm:ss\" data-future=\"2026-05-04\" data-year_range=\"50\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_67[pinfo][6][value]\"\nid=\"ipt_fsqm_form_67_pinfo_6_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_6_value\">Select Date (Off on Weekends)<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Clear\">&times;<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][11][m_type]\" id=\"ipt_fsqm_form_67_design_11_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][11][type]\" id=\"ipt_fsqm_form_67_design_11_type\" value=\"embed\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_embed\" id=\"ipt_fsqm_form_67_design_11\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_fsqm_embed\"> <script type=\"text\/javascript\">jQuery(document).on( 'completedUI.eform', function() {\n    jQuery('#ipt_fsqm_form_67_pinfo_6_value').datepicker( 'option', 'beforeShowDay', jQuery.datepicker.noWeekends );\n} );<\/script><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][10][m_type]\" id=\"ipt_fsqm_form_67_design_10_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][10][type]\" id=\"ipt_fsqm_form_67_design_10_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_67_design_10\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][8][m_type]\" id=\"ipt_fsqm_form_67_mcq_8_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][8][type]\" id=\"ipt_fsqm_form_67_mcq_8_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_67_mcq_8\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\" check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_67[mcq][8][options][]\" id=\"ipt_fsqm_form_67_mcq_8_options_\" data-placeholder=\"Choose time\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Choose time<\/option><option\nvalue=\"3\" data-num=\"\">Choose time<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option><option\nvalue=\"17\" data-num=\"\">16:30 - 17:00<\/option><option\nvalue=\"18\" data-num=\"\">17:00 - 17:30<\/option><option\nvalue=\"19\" data-num=\"\">17:30 - 18:00<\/option><option\nvalue=\"20\" data-num=\"\">18:30 - 19:00<\/option><option\nvalue=\"21\" data-num=\"\">19:00 - 19:30<\/option><option\nvalue=\"22\" data-num=\"\">19:30 - 20:00<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_67_tab_1\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_67_layout_1_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][15][m_type]\" id=\"ipt_fsqm_form_67_design_15_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][15][type]\" id=\"ipt_fsqm_form_67_design_15_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_15\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][10][m_type]\" id=\"ipt_fsqm_form_67_pinfo_10_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][10][type]\" id=\"ipt_fsqm_form_67_pinfo_10_type\" value=\"f_name\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_f_name\" id=\"ipt_fsqm_form_67_pinfo_10\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[personName]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[pinfo][10][value]\"\nid=\"ipt_fsqm_form_67_pinfo_10_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf007;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_10_value\">First Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][12][m_type]\" id=\"ipt_fsqm_form_67_pinfo_12_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][12][type]\" id=\"ipt_fsqm_form_67_pinfo_12_type\" value=\"email\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_email\" id=\"ipt_fsqm_form_67_pinfo_12\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[email]] ipt_uif_text\"\ntype=\"email\"\nname=\"ipt_fsqm_form_67[pinfo][12][value]\"\nid=\"ipt_fsqm_form_67_pinfo_12_value\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0e0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_12_value\">Email Address<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][13][m_type]\" id=\"ipt_fsqm_form_67_pinfo_13_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][13][type]\" id=\"ipt_fsqm_form_67_pinfo_13_type\" value=\"phone\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_phone\" id=\"ipt_fsqm_form_67_pinfo_13\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[phone]] ipt_uif_text\"\ntype=\"tel\"\nname=\"ipt_fsqm_form_67[pinfo][13][value]\"\nid=\"ipt_fsqm_form_67_pinfo_13_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe08c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_13_value\">Phone<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][14][m_type]\" id=\"ipt_fsqm_form_67_pinfo_14_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][14][type]\" id=\"ipt_fsqm_form_67_pinfo_14_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_67_pinfo_14\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,past[2026-05-04]] is-empty ipt_uif_text\"\ndata-dateFormat=\"yy-mm-dd\" data-timeFormat=\"HH:mm:ss\" data-past=\"2026-05-04\" data-year_range=\"50\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_67[pinfo][14][value]\"\nid=\"ipt_fsqm_form_67_pinfo_14_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_14_value\">Select Birthday<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Clear\">&times;<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][15][m_type]\" id=\"ipt_fsqm_form_67_pinfo_15_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][15][type]\" id=\"ipt_fsqm_form_67_pinfo_15_type\" value=\"s_checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_s_checkbox\" id=\"ipt_fsqm_form_67_pinfo_15\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_label_column column_1\">\n<input\ntype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in  ipt_uif_s_checkbox\"\nname=\"ipt_fsqm_form_67[pinfo][15][value]\" id=\"ipt_fsqm_form_67_pinfo_15_value_1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_67_pinfo_15_value_1\" data-labelcon=\"&#xe18e;\">\nI agree with the Terms and Conditions of Use\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][16][m_type]\" id=\"ipt_fsqm_form_67_pinfo_16_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][16][type]\" id=\"ipt_fsqm_form_67_pinfo_16_type\" value=\"s_checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_s_checkbox\" id=\"ipt_fsqm_form_67_pinfo_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_label_column column_1\">\n<input\ntype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in  ipt_uif_s_checkbox\"\nname=\"ipt_fsqm_form_67[pinfo][16][value]\" id=\"ipt_fsqm_form_67_pinfo_16_value_1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_67_pinfo_16_value_1\" data-labelcon=\"&#xe18e;\">\nI agree that Raffles Medical Phnom Penh may collect, use and disclose my personal data to contact me in accordance with RM\u2019s data protection policy.\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][16][m_type]\" id=\"ipt_fsqm_form_67_design_16_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][16][type]\" id=\"ipt_fsqm_form_67_design_16_type\" value=\"iconbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_iconbox\" id=\"ipt_fsqm_form_67_design_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt-eform-material-button-container align-center size-medium ipt_fsqm_form_button_container--flat eform-material-rounded-pb\"><div\nclass=\"eform-button-container-inner\">\n<a\nhref=\"#eform-submit\"  class=\"ipt_uif_button eform-material-button eform-ripple eform-manual-nav-button-submit\">\n<i\nclass=\"ipticm\" data-ipt-icomoon=\"&#xe0d7;\"><\/i>\t\tSubmit\t<\/a><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear\"><\/div><div\nclass=\"ipt_fsqm_terms_wrap ui-widget-content\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_label_column column_1\">\n<input\ntype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in  ipt_uif_s_checkbox\"\nname=\"ipt_fsqm_terms_67\" id=\"ipt_fsqm_terms_67_1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_terms_67_1\" data-labelcon=\"&#xe18e;\">\nBy submitting this form, you hereby agree to accept our <a\nhref=\"https:\/\/repoffice.rafflesmedical.com.kh\/en\/make-appointment\/\" target=\"_blank\">Terms & Conditions<\/a>. Your IP address <strong>198.143.32.51<\/strong> will be stored in our database.\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><div\nid=\"ipt_fsqm_form_67_button_container\" class=\"ipt_fsqm_form_button_container ipt_fsqm_form_button_container--classic ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_prev medium primary-button\" name=\"ipt_fsqm_form_67_button_prev\" id=\"ipt_fsqm_form_67_button_prev\"> Previous<\/button>\n<button\ntype=\"submit\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_submit medium primary-button\" name=\"ipt_fsqm_form_67_button_submit\" id=\"ipt_fsqm_form_67_button_submit\"> Submit<\/button>\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_next medium primary-button\" name=\"ipt_fsqm_form_67_button_next\" id=\"ipt_fsqm_form_67_button_next\"> Next<\/button><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/form><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_success ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-checkmark-circle ipticm prefix\"><\/i>\nYour form has been submitted<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all ipt_fsqm_success_wrap\"><p>Thank you for giving your answers<\/p><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\" ipt-icomoon-laptop ipticm prefix\"><\/i>\nServer Side Error<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p>We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.<\/p><p>If the problem persists, then check your internet connectivity. If all other sites open fine, then please contact the administrator of this website with the following information.<\/p><p\nclass=\"jqXHR\">\n<strong>TextStatus: <\/strong><span\nclass=\"textStatus\">undefined<\/span><br\n\/>\n<strong>HTTP Error: <\/strong><span\nclass=\"errorThrown\">undefined<\/span><\/p><\/div><\/div><div\nstyle=\"display: none\" class=\"ipt_uif_widget_box ipt_fsqm_form_message_process\"><div\nclass=\"ui-widget ui-widget-header ui-corner-all\"><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Processing your request<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_validation_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\" ipt-icomoon-warning2 ipticm prefix\"><\/i>\n<span\nclass=\"fsqm_ve_text\">Error<\/span><\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p\nclass=\"fsqm_ve_msg\">Some error has occured.<\/p><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>1. Telephone Appointment Please contact our Customer Service Representative to schedule an appointment: #161, Street 51 (Pasteur), Sangkat Boeung Raing, Khan Daun Penh 120204, Phnom Penh , Kingdom of Cambodia. +855 70 919494 \/ +855 11 219977 \/ +855 12 816 911 enquiries_phnompenh@rafflesmedical.com; samat_iem@rafflesmedical.com 2. Online Appointment Please fill in the following form to request [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2415,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-787","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Make appointment - Rep Office Raffle Medical<\/title>\n<meta name=\"description\" content=\"Make your health check appointment hassle-free with our convenient online booking system. 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