{"id":125,"date":"2023-06-27T07:24:03","date_gmt":"2023-06-27T07:24:03","guid":{"rendered":"https:\/\/healthwrighttechnologies.com\/?page_id=125"},"modified":"2023-07-20T18:22:32","modified_gmt":"2023-07-20T18:22:32","slug":"supplies-order-form","status":"publish","type":"page","link":"https:\/\/healthwrighttechnologies.com\/supplies-order-form\/","title":{"rendered":"Supply Order Form"},"content":{"rendered":"<style>.kb-row-layout-id_3e3ddd-31 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id_3e3ddd-31 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id_3e3ddd-31 > .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, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:75px;padding-bottom:75px;grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id_3e3ddd-31{background-image:url('https:\/\/healthwrighttechnologies.com\/wp-content\/uploads\/2023\/06\/young-handsome-physician-medical-robe-with-stethoscope-scaled.jpg');background-size:cover;background-position:center center;background-attachment:scroll;background-repeat:no-repeat;}.kb-row-layout-id_3e3ddd-31 > .kt-row-layout-overlay{opacity:1;background:linear-gradient(90deg,var(--global-palette1,#0b2a4a) 0%,rgba(255,255,255,0) 100%);}@media all and (max-width: 1024px){.kb-row-layout-id_3e3ddd-31 > .kt-row-column-wrap{padding-top:50px;padding-bottom:50px;grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id_3e3ddd-31 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id_3e3ddd-31 > .kt-row-layout-overlay{opacity:0.55;background:var(--global-palette1, #3182CE);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id_3e3ddd-31 alignnone kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-layout-overlay kt-row-overlay-gradient\"><\/div><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column_193b8e-55 > .kt-inside-inner-col,.kadence-column_193b8e-55 > .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_193b8e-55 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_193b8e-55 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_193b8e-55 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_193b8e-55 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_193b8e-55{position:relative;}@media all and (max-width: 1024px){.kadence-column_193b8e-55 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_193b8e-55 > 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767px){.wp-block-kadence-advancedheading.kt-adv-heading_4ee3a8-6b, .wp-block-kadence-advancedheading.kt-adv-heading_4ee3a8-6b[data-kb-block=\"kb-adv-heading_4ee3a8-6b\"]{font-size:var(--global-kb-font-size-xxxl, 5rem);}}<\/style>\n<h1 class=\"kt-adv-heading_4ee3a8-6b wp-block-kadence-advancedheading has-theme-palette-9-color has-text-color\" data-kb-block=\"kb-adv-heading_4ee3a8-6b\"><strong>Supply Order Form<\/strong><\/h1>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id_06567e-f8 > .kt-row-column-wrap{align-content:center;}:where(.kb-row-layout-id_06567e-f8 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:center;}.kb-row-layout-id_06567e-f8 > .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, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:50px;padding-bottom:50px;grid-template-columns:minmax(0, calc(50% - ((var(--global-kb-gap-md, 2rem) * 1 )\/2))) minmax(0, calc(50% - ((var(--global-kb-gap-md, 2rem) * 1 )\/2)));}.kb-row-layout-id_06567e-f8 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id_06567e-f8 > .kt-row-column-wrap{padding-top:35px;padding-bottom:35px;grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id_06567e-f8 > .kt-row-column-wrap{padding-top:35px;padding-bottom:35px;grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id_06567e-f8 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-row kt-mobile-layout-row kt-row-valign-middle kb-theme-content-width\">\n<style>.kadence-column_01a7c5-6b > .kt-inside-inner-col{box-shadow:0px 0px 14px 0px rgba(0, 0, 0, 0.2);}.kadence-column_01a7c5-6b > .kt-inside-inner-col,.kadence-column_01a7c5-6b > .kt-inside-inner-col:before{border-top-left-radius:5px;border-top-right-radius:5px;border-bottom-right-radius:5px;border-bottom-left-radius:5px;}.kadence-column_01a7c5-6b > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_01a7c5-6b > .kt-inside-inner-col{flex-direction:column;}.kadence-column_01a7c5-6b > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_01a7c5-6b > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_01a7c5-6b{position:relative;}@media all and (max-width: 1024px){.kadence-column_01a7c5-6b > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_01a7c5-6b > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column_01a7c5-6b\"><div class=\"kt-inside-inner-col\">\n<iframe\n  src=\"https:\/\/api.leadconnectorhq.com\/widget\/form\/ev74krsAvstIivEe4X4o\"\n  style=\"width:100%;height:100%;border:none;border-radius:0px\"\n  id=\"inline-ev74krsAvstIivEe4X4o\" \n  data-layout=\"{'id':'INLINE'}\"\n  data-trigger-type=\"alwaysShow\"\n  data-trigger-value=\"\"\n  data-activation-type=\"alwaysActivated\"\n  data-activation-value=\"\"\n  data-deactivation-type=\"neverDeactivate\"\n  data-deactivation-value=\"\"\n  data-form-name=\"Electrode Order Form\"\n  data-height=\"780\"\n  data-layout-iframe-id=\"inline-ev74krsAvstIivEe4X4o\"\n  data-form-id=\"ev74krsAvstIivEe4X4o\"\n  title=\"Electrode Order Form\"\n      >\n<\/iframe>\n<script src=\"https:\/\/link.msgsndr.com\/js\/form_embed.js\"><\/script>\n<\/div><\/div>\n\n\n<style>.kadence-column_1907b6-c0 > .kt-inside-inner-col,.kadence-column_1907b6-c0 > .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_1907b6-c0 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_1907b6-c0 > 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.wp-block-kadence-advancedheading.kt-adv-heading_b82a47-b6[data-kb-block=\"kb-adv-heading_b82a47-b6\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading_b82a47-b6, .wp-block-kadence-advancedheading.kt-adv-heading_b82a47-b6[data-kb-block=\"kb-adv-heading_b82a47-b6\"]{font-size:28px;}}<\/style>\n<h2 class=\"kt-adv-heading_b82a47-b6 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading_b82a47-b6\"><strong><strong><strong>Pricing<\/strong><\/strong><\/strong><\/h2>\n\n\n<style>.wp-block-kadence-iconlist.kt-svg-icon-list-items_f529e2-7d:not(.this-stops-third-party-issues){margin-top:0px;margin-bottom:0px;}.wp-block-kadence-iconlist.kt-svg-icon-list-items_f529e2-7d ul.kt-svg-icon-list:not(.this-prevents-issues):not(.this-stops-third-party-issues):not(.tijsloc){margin-top:0px;margin-right:0px;margin-bottom:var(--global-kb-spacing-sm, 1.5rem);margin-left:0px;}.wp-block-kadence-iconlist.kt-svg-icon-list-items_f529e2-7d ul.kt-svg-icon-list{grid-row-gap:5px;}.wp-block-kadence-iconlist.kt-svg-icon-list-items_f529e2-7d .kb-svg-icon-wrap{color:var(--global-palette1, #3182CE);}.wp-block-kadence-iconlist.kt-svg-icon-list-items_f529e2-7d ul.kt-svg-icon-list .kt-svg-icon-list-item-wrap .kt-svg-icon-list-single{margin-right:10px;}.kt-svg-icon-list-items_f529e2-7d ul.kt-svg-icon-list .kt-svg-icon-list-item-wrap, .kt-svg-icon-list-items_f529e2-7d ul.kt-svg-icon-list .kt-svg-icon-list-item-wrap a{color:var(--global-palette1, #3182CE);color:var(--global-palette1, #3182CE);}.kt-svg-icon-list-items_f529e2-7d ul.kt-svg-icon-list .kt-svg-icon-list-level-0 .kt-svg-icon-list-single svg{font-size:20px;}@media all and (max-width: 1024px){.wp-block-kadence-iconlist.kt-svg-icon-list-items_f529e2-7d ul.kt-svg-icon-list{grid-row-gap:5px;}}@media all and (max-width: 767px){.wp-block-kadence-iconlist.kt-svg-icon-list-items_f529e2-7d ul.kt-svg-icon-list{grid-row-gap:5px;}}<\/style>\n<div class=\"wp-block-kadence-iconlist kt-svg-icon-list-items kt-svg-icon-list-items_f529e2-7d kt-svg-icon-list-columns-1 alignnone kt-list-icon-aligntop\"><ul class=\"kt-svg-icon-list\">\n<li class=\"wp-block-kadence-listitem kt-svg-icon-list-item-wrap kt-svg-icon-list-item-_154072-c1\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fas_long-arrow-alt-right kt-svg-icon-list-single\"><svg viewBox=\"0 0 448 512\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M313.941 216H12c-6.627 0-12 5.373-12 12v56c0 6.627 5.373 12 12 12h301.941v46.059c0 21.382 25.851 32.09 40.971 16.971l86.059-86.059c9.373-9.373 9.373-24.569 0-33.941l-86.059-86.059c-15.119-15.119-40.971-4.411-40.971 16.971V216z\"\/><\/svg><\/span><span class=\"kt-svg-icon-list-text\">Electrodes <strong>(Pack of 120) &#8211; $180<\/strong><\/span><\/li>\n\n\n\n<li class=\"wp-block-kadence-listitem kt-svg-icon-list-item-wrap kt-svg-icon-list-item-_8559f1-19\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fas_long-arrow-alt-right kt-svg-icon-list-single\"><svg viewBox=\"0 0 448 512\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M313.941 216H12c-6.627 0-12 5.373-12 12v56c0 6.627 5.373 12 12 12h301.941v46.059c0 21.382 25.851 32.09 40.971 16.971l86.059-86.059c9.373-9.373 9.373-24.569 0-33.941l-86.059-86.059c-15.119-15.119-40.971-4.411-40.971 16.971V216z\"\/><\/svg><\/span><span class=\"kt-svg-icon-list-text\">Mouth Pieces <strong>(Pack of 250) &#8211; $190<\/strong><\/span><\/li>\n<\/ul><\/div>\n<\/div><\/div>\n\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Supply Order Form Pricing<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_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":""},"taxonomy_info":[],"featured_image_src_large":false,"author_info":{"display_name":"Anthony","author_link":"https:\/\/healthwrighttechnologies.com\/author\/anthony\/"},"comment_info":0,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/healthwrighttechnologies.com\/wp-json\/wp\/v2\/pages\/125"}],"collection":[{"href":"https:\/\/healthwrighttechnologies.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/healthwrighttechnologies.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/healthwrighttechnologies.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthwrighttechnologies.com\/wp-json\/wp\/v2\/comments?post=125"}],"version-history":[{"count":8,"href":"https:\/\/healthwrighttechnologies.com\/wp-json\/wp\/v2\/pages\/125\/revisions"}],"predecessor-version":[{"id":234,"href":"https:\/\/healthwrighttechnologies.com\/wp-json\/wp\/v2\/pages\/125\/revisions\/234"}],"wp:attachment":[{"href":"https:\/\/healthwrighttechnologies.com\/wp-json\/wp\/v2\/media?parent=125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}