{"id":86,"date":"2012-07-31T02:17:58","date_gmt":"2012-07-31T02:17:58","guid":{"rendered":"http:\/\/theme-fusion.com\/avada\/?page_id=86"},"modified":"2025-02-01T12:59:22","modified_gmt":"2025-02-01T19:59:22","slug":"contact-2","status":"publish","type":"page","link":"https:\/\/wallachdermacenter.com\/?page_id=86","title":{"rendered":"Visit us Page"},"content":{"rendered":"<div class=\"title\"><h2><span style=\"color: #97b8b2;\">REGISTRATION FORMS <\/span><\/h2><div class=\"title-sep-container\"><div class=\"title-sep\"><\/div><\/div><\/div><div class=\"one_half\">Please complete, sign and bring the New Patient Information Form to your first appointment.<\/p>\n<ul>\n<li><a href=\"http:\/\/wallachdermacenter.com\/wp-content\/uploads\/2025\/01\/Jan-2025-WDC-FULL-REGISTRATION-FORMS4-2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"text-decoration: underline;\">Registration Form<\/span> &#8211; PDF<\/a><\/li>\n<li><a title=\"HIPPA patient information\" href=\"http:\/\/wallachdermacenter.com\/wp-content\/uploads\/2014\/05\/npp_WALLACH-DERMA-CENTER.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"text-decoration: underline;\">HIPPA Notice of Privacy\u00a0<\/span>&#8211; PDF<\/a><\/li>\n<\/ul>\n<p>Also, on the day of your appointment, please bring a photo id, your insurance card, and a valid form of payment for any co-pay required by your insurance.<br \/>\n<\/div>\n<div class=\"one_half last\">\n<img decoding=\"async\" src=\"http:\/\/wallachdermacenter.com\/wp-content\/uploads\/2025\/02\/AdamWallach_300px_B.png\" alt=\"\" \/><\/div><div class=\"clearboth\"><\/div>\n<div class=\"clearboth\"><\/div><div class=\"demo-sep sep-shadow\" style=\"margin-top:10px;margin-bottom:10px;\"><\/div>\n<p><span style=\"color: #97b8b2;\">To schedule an appointment by email,<\/span> please provide the following information and we will contact you.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>To schedule an appointment by email, please provide the following information and we will contact you.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"contact.php","meta":[],"_links":{"self":[{"href":"https:\/\/wallachdermacenter.com\/index.php?rest_route=\/wp\/v2\/pages\/86"}],"collection":[{"href":"https:\/\/wallachdermacenter.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wallachdermacenter.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wallachdermacenter.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wallachdermacenter.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=86"}],"version-history":[{"count":23,"href":"https:\/\/wallachdermacenter.com\/index.php?rest_route=\/wp\/v2\/pages\/86\/revisions"}],"predecessor-version":[{"id":5557,"href":"https:\/\/wallachdermacenter.com\/index.php?rest_route=\/wp\/v2\/pages\/86\/revisions\/5557"}],"wp:attachment":[{"href":"https:\/\/wallachdermacenter.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}