{"id":2526,"date":"2019-08-20T10:39:31","date_gmt":"2019-08-20T00:39:31","guid":{"rendered":"http:\/\/regentmg.com\/?page_id=2526"},"modified":"2026-03-03T23:14:41","modified_gmt":"2026-03-03T12:14:41","slug":"new-patient-registration-form","status":"publish","type":"page","link":"https:\/\/regentmg.com\/?page_id=2526","title":{"rendered":"Patient Registration Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2526\" class=\"elementor elementor-2526\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-154d34a elementor-section-stretched elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"154d34a\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\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-68d2361\" data-id=\"68d2361\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-af61c73 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"af61c73\" 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-50 elementor-inner-column elementor-element elementor-element-5cc5c79\" data-id=\"5cc5c79\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-48cf12a elementor-widget elementor-widget-heading\" data-id=\"48cf12a\" 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<div class=\"elementor-heading-title elementor-size-default\"><a href=\"#\">Registration Form<\/a><\/div>\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<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b35737c\" data-id=\"b35737c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9c5c52b elementor-widget elementor-widget-heading\" data-id=\"9c5c52b\" 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<div class=\"elementor-heading-title elementor-size-default\"><a href=\"http:\/\/regentmg.com\/\">You are here: Home \/ Registration Form<\/a><\/div>\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<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c12c023 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c12c023\" 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-50 elementor-top-column elementor-element elementor-element-aec6da5\" data-id=\"aec6da5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3a5c4fa elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"3a5c4fa\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"http:\/\/regentmg.com\/wp-content\/uploads\/2019\/09\/New-patient-form.pdf\" tabindex=\"-1\"><img decoding=\"async\" width=\"54\" height=\"66\" src=\"https:\/\/regentmg.com\/wp-content\/uploads\/2019\/08\/PDFsmall.png\" class=\"elementor-animation-pulse-shrink attachment-full size-full wp-image-2693\" alt=\"\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h6 class=\"elementor-image-box-title\"><a href=\"http:\/\/regentmg.com\/wp-content\/uploads\/2019\/09\/New-patient-form.pdf\"><strong>Click icon to download pen version<\/strong><\/a><\/h6><\/div><\/div>\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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d08d819\" data-id=\"d08d819\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dd2ff78 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"dd2ff78\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"http:\/\/regentmg.com\/wp-content\/uploads\/2021\/07\/New-patient-form-editable.pdf\" tabindex=\"-1\"><img decoding=\"async\" width=\"54\" height=\"66\" src=\"https:\/\/regentmg.com\/wp-content\/uploads\/2019\/08\/PDFsmall.png\" class=\"elementor-animation-pulse-shrink attachment-full size-full wp-image-2693\" alt=\"\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h6 class=\"elementor-image-box-title\"><a href=\"http:\/\/regentmg.com\/wp-content\/uploads\/2021\/07\/New-patient-form-editable.pdf\"><strong>Click icon to download editable version<\/strong><\/a><\/h6><\/div><\/div>\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<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fc37d95 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fc37d95\" 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-748c536\" data-id=\"748c536\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ce5cc67 elementor-widget elementor-widget-text-editor\" data-id=\"ce5cc67\" 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<h1>Please note, We have closed our book for new patient until further notice.<\/h1>\n<p>Welcome to The Regent Medical Group.<\/p>\n<p>Please download the above link file, complete it to your best ability at home, email to <strong>reception@regentmg.com<\/strong> (please call to make us aware that you have done so) or bring it with you on your visit.<br><\/p>\n<p><b>Please note we cannot provide you an appointment over the phone until you have completed the form and present this to the receptionist.<\/b><br><\/p>\n<p>Our receptionist will assist you with the history transfer from your previous GP if necessary.<\/p>\t\t\t\t\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<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Registration Form You are here: Home \/ Registration Form Click icon to download pen version Click icon to download editable version Please [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2218,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-2526","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/regentmg.com\/index.php?rest_route=\/wp\/v2\/pages\/2526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/regentmg.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/regentmg.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/regentmg.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/regentmg.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2526"}],"version-history":[{"count":49,"href":"https:\/\/regentmg.com\/index.php?rest_route=\/wp\/v2\/pages\/2526\/revisions"}],"predecessor-version":[{"id":3848,"href":"https:\/\/regentmg.com\/index.php?rest_route=\/wp\/v2\/pages\/2526\/revisions\/3848"}],"up":[{"embeddable":true,"href":"https:\/\/regentmg.com\/index.php?rest_route=\/wp\/v2\/pages\/2218"}],"wp:attachment":[{"href":"https:\/\/regentmg.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}