{"id":3201,"date":"2022-03-09T08:58:41","date_gmt":"2022-03-09T08:58:41","guid":{"rendered":"http:\/\/adam-knight.co.uk\/PYP\/?page_id=3201"},"modified":"2023-08-14T19:49:51","modified_gmt":"2023-08-14T19:49:51","slug":"referrals","status":"publish","type":"page","link":"https:\/\/adam-knight.co.uk\/PYP\/referrals\/","title":{"rendered":"Referrals"},"content":{"rendered":"<style>#kt-layout-id_80af6f-56 > .kt-row-column-wrap{align-content:start;}:where(#kt-layout-id_80af6f-56 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}#kt-layout-id_80af6f-56 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1600px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var( --global-kb-row-default-top, 25px );padding-bottom:var( --global-kb-row-default-bottom, 25px );padding-left:80px;padding-right:80px;grid-template-columns:minmax(0, calc(60% - ((var(--global-kb-gap-md, 2rem) * 1 )\/2)))minmax(0, calc(40% - ((var(--global-kb-gap-md, 2rem) * 1 )\/2)));}#kt-layout-id_80af6f-56 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){#kt-layout-id_80af6f-56 > .kt-row-column-wrap{padding-right:20px;padding-left:20px;grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){#kt-layout-id_80af6f-56 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style>\n<div class=\"wp-block-kadence-rowlayout alignnone\"><div id=\"kt-layout-id_80af6f-56\" class=\"kt-row-layout-inner kt-layout-id_80af6f-56\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-gutter-default kt-v-gutter-default kt-row-valign-top kt-row-layout-equal kt-tab-layout-inherit kt-m-colapse-left-to-right kt-mobile-layout-row  kt-custom-first-width-60  kt-custom-second-width-40 kt-inner-column-height-full kb-theme-content-width\"><style>.kadence-column_9f8271-10 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_9f8271-10 > .kt-inside-inner-col,.kadence-column_9f8271-10 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_9f8271-10 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_9f8271-10 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_9f8271-10 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_9f8271-10 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_9f8271-10{position:relative;}@media all and (max-width: 1024px){.kadence-column_9f8271-10 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column_9f8271-10 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-1 kadence-column_9f8271-10\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading has-large-font-size\">Please enter your details<\/h2>\n\n\n<style>.kadence-form-_165ea7-99 .kb-form .kadence-blocks-form-field > label{color:var(--global-palette2, #2B6CB0);font-family:Poppins;font-style:normal;font-weight:500;}.kadence-form-_165ea7-99 .kb-form .kadence-blocks-form-field .kb-forms-submit{color:var(--global-palette9, #ffffff);border-radius:10px;border-width:2px 2px 2px 2px;background:var(--global-palette2, #2B6CB0);border-color:var(--global-palette1, #3182CE);}.kb-form input.kadence-blocks-field.verify{opacity:0.0;position:absolute;top:0.0;left:0.0;width:0.0;height:0.0;z-index:-1;}<\/style>\n<div class=\"wp-block-kadence-form kadence-form-_165ea7-99 kb-form-wrap\"><form class=\"kb-form\" action=\"\" method=\"post\"><div class=\"kadence-blocks-form-field kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_0\">Name<span class=\"required\">*<\/span><\/label><input name=\"kb_field_0\" id=\"kb_field__165ea7-99_0\" data-label=\"Name\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-0\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-1 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_1\">Phone Number<span class=\"required\">*<\/span><\/label><input name=\"kb_field_1\" id=\"kb_field__165ea7-99_1\" data-label=\"Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-1\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-2 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_2\">Date of Birth<span class=\"required\">*<\/span><\/label><input name=\"kb_field_2\" id=\"kb_field__165ea7-99_2\" data-label=\"Date of Birth\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-2\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-3 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_3\">Street Address<span class=\"required\">*<\/span><\/label><input name=\"kb_field_3\" id=\"kb_field__165ea7-99_3\" data-label=\"Street Address\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-3\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-4 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_4\">Apt, Suite Etc<\/label><input name=\"kb_field_4\" id=\"kb_field__165ea7-99_4\" data-label=\"Apt, Suite Etc\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-4\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-5 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_5\">City<span class=\"required\">*<\/span><\/label><input name=\"kb_field_5\" id=\"kb_field__165ea7-99_5\" data-label=\"City\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-5\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-6 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_6\">Zip\/Postcode<span class=\"required\">*<\/span><\/label><input name=\"kb_field_6\" id=\"kb_field__165ea7-99_6\" data-label=\"Zip\/Postcode\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-6\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-7 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_7\">Email<span class=\"required\">*<\/span><\/label><input name=\"kb_field_7\" id=\"kb_field__165ea7-99_7\" data-label=\"Email\" type=\"email\" placeholder=\"\" value=\"\" data-type=\"email\" class=\"kb-field kb-text-style-field kb-email-field kb-field-7\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-8 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_8\">Main treatment provider<span class=\"required\">*<\/span><\/label><input name=\"kb_field_8\" id=\"kb_field__165ea7-99_8\" data-label=\"Main treatment provider\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-8\" data-required=\"yes\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-9 kb-field-desk-width-50 kb-input-size-standard\"><label for=\"kb_field__165ea7-99_9\">Partner Agency Client ID No.<span class=\"required\">*<\/span><\/label><input name=\"kb_field_9\" id=\"kb_field__165ea7-99_9\" data-label=\"Partner Agency Client ID No.\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-9\" data-required=\"yes\"\/><\/div><input type=\"hidden\" name=\"_kb_form_id\" value=\"_165ea7-99\"\/><input type=\"hidden\" name=\"_kb_form_post_id\" value=\"3201\"\/><input type=\"hidden\" name=\"action\" value=\"kb_process_ajax_submit\"\/><label class=\"kadence-verify-label\">Email<input class=\"kadence-blocks-field verify\" type=\"text\" name=\"_kb_verify_email\" autocomplete=\"new-password\" aria-hidden=\"true\" placeholder=\"Email\" tabindex=\"-1\" data-1p-ignore=\"true\" data-lpignore=\"true\" \/><\/label><div class=\"kadence-blocks-form-field kb-submit-field kb-field-desk-width-100\"><button class=\"kb-forms-submit button kb-button-size-large kb-button-width-auto\">submit<\/button><\/div><\/form><\/div>\n<noscript><div class=\"kadence-blocks-form-message kadence-blocks-form-warning\">Please enable JavaScript in your browser to submit the form<\/div><style>.kadence-form-_165ea7-99 .kadence-blocks-form-field.kb-submit-field { display: none; }<\/style><\/noscript><\/div><\/div>\n\n\n<style>.kadence-column_66deee-a6 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_66deee-a6 > .kt-inside-inner-col,.kadence-column_66deee-a6 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_66deee-a6 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_66deee-a6 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_66deee-a6 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_66deee-a6 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_66deee-a6{position:relative;}@media all and (max-width: 1024px){.kadence-column_66deee-a6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column_66deee-a6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-2 kadence-column_66deee-a6\"><div class=\"kt-inside-inner-col\"><\/div><\/div>\n<\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Please enter your details<\/p>\n","protected":false},"author":1,"featured_media":3035,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":true,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"class_list":["post-3201","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"taxonomy_info":[],"featured_image_src_large":["https:\/\/adam-knight.co.uk\/PYP\/wp-content\/uploads\/2021\/10\/blog-banner.svg",1169,792,true],"author_info":{"display_name":"bonnix","author_link":"https:\/\/adam-knight.co.uk\/PYP\/author\/bonnix\/"},"comment_info":0,"_links":{"self":[{"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/pages\/3201","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/comments?post=3201"}],"version-history":[{"count":9,"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/pages\/3201\/revisions"}],"predecessor-version":[{"id":3355,"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/pages\/3201\/revisions\/3355"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/media\/3035"}],"wp:attachment":[{"href":"https:\/\/adam-knight.co.uk\/PYP\/wp-json\/wp\/v2\/media?parent=3201"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}