{"id":9734,"date":"2025-12-26T12:00:10","date_gmt":"2025-12-26T03:00:10","guid":{"rendered":"https:\/\/mrclinic.tokyo\/en\/?page_id=9734"},"modified":"2025-12-26T15:03:31","modified_gmt":"2025-12-26T06:03:31","slug":"inquiry-form","status":"publish","type":"page","link":"https:\/\/mrclinic.tokyo\/en\/inquiry-form\/","title":{"rendered":"Inquiry Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9734\" class=\"elementor elementor-9734\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6fa0ec25 e-flex e-con-boxed e-con e-parent\" data-id=\"6fa0ec25\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-16b91f2 e-con-full e-flex e-con e-child\" data-id=\"16b91f2\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6fe18dbe elementor-widget elementor-widget-spacer\" data-id=\"6fe18dbe\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d046ebd elementor-widget elementor-widget-heading\" data-id=\"d046ebd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Inquiry Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b0668e9 elementor-widget elementor-widget-text-editor\" data-id=\"5b0668e9\" 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<p>Let people know what to reach out about and what to expect after contacting you. Don\u2019t forget to choose a storage option for submissions.<\/p>\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-2a76e1ff elementor-widget elementor-widget-spacer\" data-id=\"2a76e1ff\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-632be00 elementor-widget elementor-widget-contact-form-7\" data-id=\"632be00\" data-element_type=\"widget\" data-widget_type=\"contact-form-7.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-contact-form-7 jet-elements\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f9739-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"9739\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/9734#wpcf7-f9739-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"9739\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f9739-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"mrc-contact-form\">\n\t<p><label class=\"required\">Full Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"required\">Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"required\">Phone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"required\">Preferred Treatment<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-treatment\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-treatment\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Stem Cell Treatment\">Stem Cell Treatment<\/option><option value=\"Anti Aging Treatment\">Anti Aging Treatment<\/option><option value=\"Cancer Treatment\">Cancer Treatment<\/option><option value=\"Health Consultation\">Health Consultation<\/option><option value=\"Health Checkup\">Health Checkup<\/option><option value=\"Other Treatments\">Other Treatments<\/option><\/select><\/span>\n\t<\/p>\n\t<p><label class=\"required\">Preferred Reservation Date<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"reservation-date-first\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"date\" name=\"reservation-date-first\" \/><\/span>\n\t<\/p>\n\t<p><label>Preferred Secondary Reservation Date<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"reservation-date-second\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"date\" name=\"reservation-date-second\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"required\">Message<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n\t<\/p>\n\t<p><label>Attachment file<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpeg,.jpg,.png,.gif,.bmp,.pdf\" aria-invalid=\"false\" type=\"file\" name=\"your-file\" \/><\/span>\n\t<\/p>\n\t<p><div class=\"cf7-cf-turnstile\" style=\"margin-top: 0px; margin-bottom: -15px;\"> <div id=\"cf-turnstile-cf7-3681026753\" class=\"cf-turnstile\" data-sitekey=\"0x4AAAAAABuDPzjTEgcGuVnP\" data-theme=\"auto\" data-language=\"auto\" data-size=\"normal\" data-retry=\"auto\" data-retry-interval=\"1000\" data-refresh-expired=\"auto\" data-action=\"contact-form-7\" data-appearance=\"always\"><\/div> <script>document.addEventListener(\"DOMContentLoaded\", function() { setTimeout(function(){ var e=document.getElementById(\"cf-turnstile-cf7-3681026753\"); e&&!e.innerHTML.trim()&&(turnstile.remove(\"#cf-turnstile-cf7-3681026753\"), turnstile.render(\"#cf-turnstile-cf7-3681026753\", {sitekey:\"0x4AAAAAABuDPzjTEgcGuVnP\"})); }, 100); });<\/script> <br class=\"cf-turnstile-br cf-turnstile-br-cf7-3681026753\"> <style>#cf-turnstile-cf7-3681026753 { margin-left: -15px; }<\/style> <script>document.addEventListener(\"DOMContentLoaded\",function(){document.querySelectorAll('.wpcf7-form').forEach(function(e){e.addEventListener('submit',function(){if(document.getElementById('cf-turnstile-cf7-3681026753')){setTimeout(function(){turnstile.reset('#cf-turnstile-cf7-3681026753');},1000)}})})});<\/script> <\/div><br\/><input class=\"wpcf7-form-control wpcf7-submit has-spinner mrc-input-submit\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\t\t\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\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cda716d e-flex e-con-boxed e-con e-parent\" data-id=\"cda716d\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3944109 elementor-widget elementor-widget-spacer\" data-id=\"3944109\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Inquiry Form Let people know what to reach out about and what to expect after contacting you. Don\u2019t forget to choose a storage option for submissions. Full Name Email Phone Number Preferred Treatment &#8212;Please choose an option&#8212;Stem Cell TreatmentAnti Aging TreatmentCancer TreatmentHealth ConsultationHealth CheckupOther Treatments Preferred Reservation Date Preferred Secondary Reservation Date Message Attachment file<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-9734","page","type-page","status-publish","hentry","no-thumb"],"_links":{"self":[{"href":"https:\/\/mrclinic.tokyo\/en\/wp-json\/wp\/v2\/pages\/9734","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mrclinic.tokyo\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mrclinic.tokyo\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mrclinic.tokyo\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mrclinic.tokyo\/en\/wp-json\/wp\/v2\/comments?post=9734"}],"version-history":[{"count":15,"href":"https:\/\/mrclinic.tokyo\/en\/wp-json\/wp\/v2\/pages\/9734\/revisions"}],"predecessor-version":[{"id":10642,"href":"https:\/\/mrclinic.tokyo\/en\/wp-json\/wp\/v2\/pages\/9734\/revisions\/10642"}],"wp:attachment":[{"href":"https:\/\/mrclinic.tokyo\/en\/wp-json\/wp\/v2\/media?parent=9734"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}