{"id":346,"date":"2024-08-01T10:12:22","date_gmt":"2024-08-01T09:12:22","guid":{"rendered":"https:\/\/maplepcn.co.uk\/?page_id=346"},"modified":"2024-08-01T10:16:04","modified_gmt":"2024-08-01T09:16:04","slug":"social-prescribing-self-referral","status":"publish","type":"page","link":"https:\/\/maplepcn.co.uk\/index.php\/social-prescribing-self-referral\/","title":{"rendered":"Social Prescribing Self-Referral"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"346\" class=\"elementor elementor-346\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-2d7330d3 elementor-section-height-min-height elementor-section-items-stretch elementor-section-content-middle elementor-reverse-mobile elementor-section-full_width elementor-section-height-default\" data-id=\"2d7330d3\" data-element_type=\"section\" id=\"service1\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7a673841\" data-id=\"7a673841\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-27b95be eael-wpforms-labels-yes eael-wpforms-form-button-custom elementor-widget elementor-widget-eael-wpforms\" data-id=\"27b95be\" data-element_type=\"widget\" data-widget_type=\"eael-wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t            <div class=\"eael-contact-form eael-wpforms eael-contact-form-align-default\">\n                                <div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-137\"><form id=\"wpforms-form-137\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"137\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/346\" data-token=\"35d86fd3e1004c7208f3e88929d386f1\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Social Prescribing Self-Referral Form<\/div><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-137-field_27-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"27\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-137-field_27\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][27][first]\" placeholder=\"First Name\" aria-errormessage=\"wpforms-137-field_27-error\" required><label for=\"wpforms-137-field_27\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-137-field_27-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][27][last]\" placeholder=\"Last Name\" aria-errormessage=\"wpforms-137-field_27-last-error\" required><label for=\"wpforms-137-field_27-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-137-field_26-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"26\"><fieldset><legend class=\"wpforms-field-label\">Which practice are you registered to?<\/legend><ul id=\"wpforms-137-field_26\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-137-field_26_1\" name=\"wpforms[fields][26]\" value=\"Oakfield Surgery\" aria-errormessage=\"wpforms-137-field_26_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_26_1\">Oakfield Surgery<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-137-field_26_2\" name=\"wpforms[fields][26]\" value=\"Mandeville Surgery\" aria-errormessage=\"wpforms-137-field_26_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_26_2\">Mandeville Surgery<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-137-field_26_3\" name=\"wpforms[fields][26]\" value=\"Poplar Grove Surgery\" aria-errormessage=\"wpforms-137-field_26_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_26_3\">Poplar Grove Surgery<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-137-field_4-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"4\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-137-field_4\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-137-field_28-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-137-field_28\">Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-137-field_28\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][28][date]\" placeholder=\"Select date of birth from dropdown\" aria-errormessage=\"wpforms-137-field_28-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-137-field_29-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"29\"><fieldset><legend class=\"wpforms-field-label\">Gender at Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-137-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-137-field_29_1\" name=\"wpforms[fields][29]\" value=\"Male\" aria-errormessage=\"wpforms-137-field_29_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_29_1\">Male<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-137-field_29_2\" name=\"wpforms[fields][29]\" value=\"Female\" aria-errormessage=\"wpforms-137-field_29_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_29_2\">Female<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-137-field_30-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-137-field_30\">NHS Number (if known)<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-137-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-137-field_30-error\" aria-describedby=\"wpforms-137-field_30-description\" ><div id=\"wpforms-137-field_30-description\" class=\"wpforms-field-description\">Retrieve your NHS number here: https:\/\/www.nhs.uk\/nhs-services\/online-services\/find-nhs-number\/<\/div><\/div><div id=\"wpforms-137-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-137-field_5\">Contact number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-137-field_5\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" placeholder=\"+44\" aria-errormessage=\"wpforms-137-field_5-error\" required><\/div><div id=\"wpforms-137-field_32-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-137-field_32\">Email address<\/label><input type=\"email\" id=\"wpforms-137-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" spellcheck=\"false\" aria-errormessage=\"wpforms-137-field_32-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><\/div><\/div><div id=\"wpforms-137-field_33-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-137-field_33\">Add a note (optional)<\/label><textarea id=\"wpforms-137-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" aria-errormessage=\"wpforms-137-field_33-error\" ><\/textarea><\/div><div id=\"wpforms-137-field_34-container\" class=\"wpforms-field wpforms-field-likert_scale\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">When is the best time for our social prescribing team to call you? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend>\n\t\t<table cellspacing=\"0\" cellpadding=\"0\" class=\"wpforms-field-large modern\">\n\t\t\t<thead>\n\t\t\t\t<tr>\n\t\t\t\t\t<th style=\"width:20%;\"><\/th><th style=\"width:26%;\">Morning (8am-12pm)<\/th><th style=\"width:26%;\">Afternoon (12pm-5pm)<\/th><th style=\"width:26%;\">All day (8am-5pm)<\/th>\t\t\t\t<\/tr>\n\t\t\t<\/thead>\n\t\t\t<tbody>\n\t\t\t\t<tr><th>Monday<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Morning (8am-12pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_1_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][1]\" value=\"1\" aria-errormessage=\"wpforms-137-field_34_1_1-error\" required><label for=\"wpforms-137-field_34_1_1\"><span class=\"wpforms-screen-reader-element\">Monday Morning (8am-12pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Afternoon (12pm-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_1_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][1]\" value=\"2\" aria-errormessage=\"wpforms-137-field_34_1_2-error\" required><label for=\"wpforms-137-field_34_1_2\"><span class=\"wpforms-screen-reader-element\">Monday Afternoon (12pm-5pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">All day (8am-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_1_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][1]\" value=\"3\" aria-errormessage=\"wpforms-137-field_34_1_3-error\" required><label for=\"wpforms-137-field_34_1_3\"><span class=\"wpforms-screen-reader-element\">Monday All day (8am-5pm)<\/span><\/label><\/div><\/td><\/tr><tr><th>Tuesday<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Morning (8am-12pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_2_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][2]\" value=\"1\" aria-errormessage=\"wpforms-137-field_34_2_1-error\" required><label for=\"wpforms-137-field_34_2_1\"><span class=\"wpforms-screen-reader-element\">Tuesday Morning (8am-12pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Afternoon (12pm-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_2_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][2]\" value=\"2\" aria-errormessage=\"wpforms-137-field_34_2_2-error\" required><label for=\"wpforms-137-field_34_2_2\"><span class=\"wpforms-screen-reader-element\">Tuesday Afternoon (12pm-5pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">All day (8am-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_2_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][2]\" value=\"3\" aria-errormessage=\"wpforms-137-field_34_2_3-error\" required><label for=\"wpforms-137-field_34_2_3\"><span class=\"wpforms-screen-reader-element\">Tuesday All day (8am-5pm)<\/span><\/label><\/div><\/td><\/tr><tr><th>Wednesday<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Morning (8am-12pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_3_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][3]\" value=\"1\" aria-errormessage=\"wpforms-137-field_34_3_1-error\" required><label for=\"wpforms-137-field_34_3_1\"><span class=\"wpforms-screen-reader-element\">Wednesday Morning (8am-12pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Afternoon (12pm-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_3_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][3]\" value=\"2\" aria-errormessage=\"wpforms-137-field_34_3_2-error\" required><label for=\"wpforms-137-field_34_3_2\"><span class=\"wpforms-screen-reader-element\">Wednesday Afternoon (12pm-5pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">All day (8am-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_3_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][3]\" value=\"3\" aria-errormessage=\"wpforms-137-field_34_3_3-error\" required><label for=\"wpforms-137-field_34_3_3\"><span class=\"wpforms-screen-reader-element\">Wednesday All day (8am-5pm)<\/span><\/label><\/div><\/td><\/tr><tr><th>Thursday<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Morning (8am-12pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_4_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][4]\" value=\"1\" aria-errormessage=\"wpforms-137-field_34_4_1-error\" required><label for=\"wpforms-137-field_34_4_1\"><span class=\"wpforms-screen-reader-element\">Thursday Morning (8am-12pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Afternoon (12pm-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_4_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][4]\" value=\"2\" aria-errormessage=\"wpforms-137-field_34_4_2-error\" required><label for=\"wpforms-137-field_34_4_2\"><span class=\"wpforms-screen-reader-element\">Thursday Afternoon (12pm-5pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">All day (8am-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_4_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][4]\" value=\"3\" aria-errormessage=\"wpforms-137-field_34_4_3-error\" required><label for=\"wpforms-137-field_34_4_3\"><span class=\"wpforms-screen-reader-element\">Thursday All day (8am-5pm)<\/span><\/label><\/div><\/td><\/tr><tr><th>Friday<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Morning (8am-12pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_5_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][5]\" value=\"1\" aria-errormessage=\"wpforms-137-field_34_5_1-error\" required><label for=\"wpforms-137-field_34_5_1\"><span class=\"wpforms-screen-reader-element\">Friday Morning (8am-12pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Afternoon (12pm-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_5_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][5]\" value=\"2\" aria-errormessage=\"wpforms-137-field_34_5_2-error\" required><label for=\"wpforms-137-field_34_5_2\"><span class=\"wpforms-screen-reader-element\">Friday Afternoon (12pm-5pm)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">All day (8am-5pm)<\/span><input type=\"radio\" id=\"wpforms-137-field_34_5_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][34][5]\" value=\"3\" aria-errormessage=\"wpforms-137-field_34_5_3-error\" required><label for=\"wpforms-137-field_34_5_3\"><span class=\"wpforms-screen-reader-element\">Friday All day (8am-5pm)<\/span><\/label><\/div><\/td><\/tr>\t\t\t<\/tbody>\n\t\t<\/table>\n\t\t<\/fieldset><\/div><div id=\"wpforms-137-field_35-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"35\"><fieldset><legend class=\"wpforms-field-label\">What support are you seeking from our social prescribing team? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-137-field_35\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-137-field_35_1\" name=\"wpforms[fields][35][]\" value=\"Housing Support\" aria-errormessage=\"wpforms-137-field_35_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_35_1\">Housing Support<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-137-field_35_2\" name=\"wpforms[fields][35][]\" value=\"Social Isolation\" aria-errormessage=\"wpforms-137-field_35_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_35_2\">Social Isolation<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-137-field_35_3\" name=\"wpforms[fields][35][]\" value=\"Fianances\/Debt\/Benefits\" aria-errormessage=\"wpforms-137-field_35_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_35_3\">Fianances\/Debt\/Benefits<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-137-field_35_4\" name=\"wpforms[fields][35][]\" value=\"Careers support\" aria-errormessage=\"wpforms-137-field_35_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_35_4\">Careers support<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-137-field_35_5\" name=\"wpforms[fields][35][]\" value=\"Non medical support for health and wellbeing\" aria-errormessage=\"wpforms-137-field_35_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_35_5\">Non medical support for health and wellbeing<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-137-field_35_6\" name=\"wpforms[fields][35][]\" value=\"Local support information\" aria-errormessage=\"wpforms-137-field_35_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_35_6\">Local support information<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-137-field_36-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-137-field_36\">GDPR Agreement <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><ul id=\"wpforms-137-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-137-field_36_1\" name=\"wpforms[fields][36][]\" value=\"I consent to having this website store my submitted information so they can respond to my inquiry.\" aria-errormessage=\"wpforms-137-field_36_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-137-field_36_1\">I consent to having this website store my submitted information so they can respond to my inquiry.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"137\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-137\" 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:\/\/maplepcn.co.uk\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->            <\/div>\n\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\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-c907d78 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c907d78\" data-element_type=\"section\">\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-ab1c600\" data-id=\"ab1c600\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6afa881 elementor-widget elementor-widget-heading\" data-id=\"6afa881\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.14.0 - 26-06-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Read About Us<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-426bdf0 elementor-widget elementor-widget-text-editor\" data-id=\"426bdf0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.14.0 - 26-06-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Read more about who we are and what we are looking to achieve&#8230;<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0486725 elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"0486725\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/library.elementor.com\/local-services-wireframe-3\/contact-us\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">About Maple PCN<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\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\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Social Prescribing Self-Referral FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Name * FirstLast Which practice are you registered to? Oakfield Surgery Mandeville Surgery Poplar Grove Surgery LayoutDate of Birth * Gender at Birth * Male Female NHS Number [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":183,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-346","page","type-page","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/346","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/comments?post=346"}],"version-history":[{"count":4,"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/346\/revisions"}],"predecessor-version":[{"id":350,"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/346\/revisions\/350"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/media\/183"}],"wp:attachment":[{"href":"https:\/\/maplepcn.co.uk\/index.php\/wp-json\/wp\/v2\/media?parent=346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}