{"id":14,"date":"2016-11-02T02:28:04","date_gmt":"2016-11-02T02:28:04","guid":{"rendered":"https:\/\/thedoctorsberger.com\/?page_id=14"},"modified":"2022-10-10T18:54:29","modified_gmt":"2022-10-10T18:54:29","slug":"book-appointment","status":"publish","type":"page","link":"https:\/\/thedoctorsberger.com\/?page_id=14","title":{"rendered":"Book Appointment"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\"  style='background-color: #f7f7f7;background-position: center center;background-repeat: no-repeat;padding-top:60px;padding-right:0px;padding-bottom:80px;padding-left:0px;'><div class=\"fusion-builder-row fusion-row \"><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_1_2  fusion-one-half fusion-column-first 1_2\"  style='margin-top:2%;margin-bottom:2%;width:50%;width:calc(50% - ( ( 6% ) * 0.5 ) );margin-right: 6%;'>\n\t\t\t\t\t<div class=\"fusion-column-wrapper\" style=\"padding: 0px 0px 0px 0px;background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\"  data-bg-url=\"\">\n\t\t\t\t\t\t<div class=\"fusion-text\"><h2>Book Appointment<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator sep-single sep-solid\" style=\"border-color:#6487c2;border-top-width:2px;margin-top:;margin-bottom:35px;width:100%;max-width:100px;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep sep-none\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;\"><\/div><div class=\"fusion-text\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_1' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Patient Inquiry<\/h3>\n                            <span class='gform_description'>This is a form that a prospective patient will fill out for information.<\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F14' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_1_1\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_1\"><label class='gfield_label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_1_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_1_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_2\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_2\"><label class='gfield_label' for='input_1_2' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_1_2' type='text' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_3\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_3\"><label class='gfield_label' for='input_1_3' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_1_3' type='text' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_1_4\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_4\"><label class='gfield_label' for='input_1_4' >Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_1_4' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_1_4_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_4_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_4' class='gform_hidden' value='https:\/\/thedoctorsberger.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_1_5\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_5\"><label class='gfield_label' for='input_1_5' >Reason<\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_1_5' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Broken Tooth' >Broken Tooth<\/option><option value='Check-Up &amp; Cleaning' >Check-Up &amp; Cleaning<\/option><option value='General Consultation' >General Consultation<\/option><option value='Jaw Joint Pain (TMJ)' >Jaw Joint Pain (TMJ)<\/option><option value='Second Opinion' >Second Opinion<\/option><option value='Teeth Whitening' >Teeth Whitening<\/option><option value='Tooth Ache' >Tooth Ache<\/option><option value='Veneers' >Veneers<\/option><\/select><\/div><\/li><li id=\"field_1_6\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_6\"><label class='gfield_label' for='input_1_6' >Comments &amp; Questions<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_1_6' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_7\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_7\"><label class='gfield_label' for='input_1_7' >CAPTCHA<\/label><div id='input_1_7' class='ginput_container ginput_recaptcha' data-sitekey='6Ldm1wIhAAAAAOChsYc970WfS4jVe8Dgc9RDkNey'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_1_8\"  class=\"gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_1_8\"><label class='gfield_label' for='input_1_8' >Phone<\/label><div class='ginput_container'><input name='input_8' id='input_1_8' type='text' value='' \/><\/div><div class='gfield_description' id='gfield_description_1_8'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='WyJbXSIsIjk1NDcyYWM4MDdjZDkyOTkyMTJhZGUxMThhMmNiNDlmIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n<\/div><div class=\"fusion-clearfix\"><\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_1_2  fusion-one-half fusion-column-last fusion-column-no-min-height 1_2\"  style='margin-top:2%;margin-bottom:2%;width:50%;width:calc(50% - ( ( 6% ) * 0.5 ) );'>\n\t\t\t\t\t<div class=\"fusion-column-wrapper\" style=\"padding: 0px 0px 0px 0px;background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\"  data-bg-url=\"\">\n\t\t\t\t\t\t<div class=\"fusion-text\"><h2>Contact Info<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator sep-single sep-solid\" style=\"border-color:#6487c2;border-top-width:2px;margin-top:;margin-bottom:35px;width:100%;max-width:100px;\"><\/div><ul class=\"fusion-checklist fusion-checklist-1\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon  fa fa-home\" style=\"color:#88929d;\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">2404 Virginia Beach Blvd #106,<br \/>\nVirginia Beach, VA 23454<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon  fa fa-phone\" style=\"color:#88929d;\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">757-498-7878<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-envelope far\" style=\"color:#88929d;\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><a href=\"mailto:thedrsberger@gmail.com\">thedrsberger@gmail.com<\/a><\/p>\n<\/div><\/li><\/ul><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep sep-none\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;\"><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row \"><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_1_1  fusion-one-full fusion-column-first fusion-column-last fusion-spacing-no 1_1\"  style='margin-top: 0px;margin-bottom: 0px;'><div class=\"fusion-column-wrapper\" style=\"background-color:#6487c2;padding: 25px 20px 32px 20px;background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\"  data-bg-url=\"\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-text\"><span style=\"margin-right:25px;float:left;\" class=\"fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/thedoctorsberger.com\/wp-content\/uploads\/2016\/11\/emerency_icon.png\" width=\"65\" height=\"71\" alt=\"\" title=\"emerency_icon\" class=\"img-responsive wp-image-125\"\/><\/span>\n<p style=\"font-size: 22px; color: #fff; margin-bottom: 10px;\">Emergency 24\/7<\/p>\n<h2 style=\"color: #fff; margin: 0; font-size: 42px; line-height: 42px;\">757.498.7878<\/h2>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-14","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Book A Dentist Appointment \u2022 Berger Family Dentistry | 757-498-9898<\/title>\n<meta name=\"description\" content=\"Book A Dentist Appointment With Berger Family Dentistry \u2022 Virginia Beach Dentists | 757-498-7878. 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