{"id":569,"date":"2025-06-24T04:47:02","date_gmt":"2025-06-23T18:47:02","guid":{"rendered":"https:\/\/ksdm.com.au\/pharmacy\/?page_id=569"},"modified":"2025-09-17T13:46:05","modified_gmt":"2025-09-17T03:46:05","slug":"rx-label","status":"publish","type":"page","link":"https:\/\/ksdm.com.au\/pharmacy\/rx-label\/","title":{"rendered":"Rx Label"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; 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gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_3' style='display:none'><style>#gform_wrapper_3[data-form-index=\"0\"].gform-theme{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: 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0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/pharmacy\/wp-json\/wp\/v2\/pages\/569#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><fieldset id=\"field_3_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d3741eb7\" data-field-span=\"12\"><legend id='gfield_label_3_1' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='true'     aria-labelledby=\"input_3_1_3_label gfield_label_3_1\"\/>\n                                                    <label for='input_3_1_3' id='input_3_1_3_label' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_6' id='input_3_1_6_label' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"17020e02\" data-field-span=\"6\"><label id='gfield_label_3_3' class='gfield_label gform-field-label' for='input_3_3'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_3_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-au gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"17020e02\" data-field-span=\"6\"><label id='gfield_label_3_4' class='gfield_label gform-field-label' for='input_3_4'><span class='gform-field-label__text'>Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_3_4' type='tel' value='' class='large'  placeholder='9999 999 999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"9999 999 999\" \/><\/div><\/div><fieldset id=\"field_3_5\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"295023a5\" data-field-span=\"12\"><legend id='gfield_label_3_5' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Please select type of items needed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_5'><div class='gchoice gchoice_3_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='Prescriptions'  id='choice_3_5_1'    aria-labelledby=\"label_3_5_1 gfield_label_3_5\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_1' id='label_3_5_1' class='gform-field-label gform-field-label--type-inline'>Prescriptions<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='Non-prescription Items'  id='choice_3_5_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_2' id='label_3_5_2' class='gform-field-label gform-field-label--type-inline'>Non-prescription Items<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_6\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"a2dcc21b\" data-field-span=\"12\"><label id='gfield_label_3_6' class='gfield_label gform-field-label' for='gform_browse_button_3_6'><span class='gform-field-label__text'>Prescription File Upload<\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_3_6' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_3_6&quot;,&quot;container&quot;:&quot;gform_multifile_upload_3_6&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_3_6&quot;,&quot;filelist&quot;:&quot;gform_preview_3_6&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/ksdm.com.au\\\/pharmacy\\\/?gf_page=64bcf64e0cc8feb&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/ksdm.com.au\\\/pharmacy\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/ksdm.com.au\\\/pharmacy\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;20971520b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:3,&quot;field_id&quot;:6,&quot;_gform_file_upload_nonce_3_6&quot;:&quot;33cd57b260&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;3&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_3_6&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;shtml&quot;,&quot;shtm&quot;,&quot;stm&quot;,&quot;stml&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_3_6' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_3_6' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_3_6 gfield_description_3_6\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_6'>Max. file size: 20 MB, Max. files: 3.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_3_6'><\/ul> <div id='gform_preview_3_6' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_3_6'>Click in the box and upload or use your camera to take pictures of your prescriptions<\/div><\/div><div id=\"field_3_7\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"677a2116\" data-field-span=\"12\"><label id='gfield_label_3_7' class='gfield_label gform-field-label' for='input_3_7'><span class='gform-field-label__text'>Please list any non-prescription items here<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_3_7' class='textarea medium'  aria-describedby=\"gfield_description_3_7\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_7'>Feel free to write down any other details you wish to communicate to the pharmacy\n<\/div><\/div><div id=\"field_3_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"653e9fed\" data-field-span=\"12\"><p>Please choose the date and time of collection<\/p>\n<span class=\"selected-dt\"><\/span><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7d8b8310\" data-field-span=\"6\"><label id='gfield_label_3_8' class='gfield_label gform-field-label' for='input_3_8'><span class='gform-field-label__text'>Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd-mm-yyyy'\n\t\t\t\t\tid='input_3_8'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy_dash datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_8'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99-99-9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_3_8' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_3_8' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_3_8' aria-label='Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_3_9\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7d8b8310\" data-field-span=\"6\"><legend id='gfield_label_3_9' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Time<\/span><\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_3_9'>\n                            <input type='number' name='input_9[]' id='input_3_9_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'    aria-labelledby=\"input_3_9_1_label gfield_label_3_9\"\/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_3_9_1' id='input_3_9_1_label'>Hours<\/label>\n                        <\/div>\n                        <div class=\"above hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_9[]' id='input_3_9_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_3_9_2' id='input_3_9_2_label'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time above gform-grid-col' >\n                                \n                                <select name='input_9[]' id='input_3_9_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_3_9_3'>AM\/PM<\/label>\n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_3_11\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e1e8ed5b\" data-field-span=\"12\"><script>\n\/* \u2014 Gravity Forms form #3 \u2014 full JS date-and-time control \u2014 *\/\n\ngform.addFilter( 'gform_datepicker_options_pre_init', function ( opts, formId, fieldId ) {\n\tif ( formId == 3 && fieldId == 8 ) {\n\t\topts.minDate    = 0;          \/\/ no past dates\n\t\topts.dateFormat = 'dd-mm-yy'; \/\/ match placeholder\n\t}\n\treturn opts;\n} );\n\n( function ( $ ) {\n\n\t\/* opening hours (0 = Sun \u2026 6 = Sat) *\/\n\tconst OPEN = {\n\t\t0: { open: 10, close: 20 }, \/\/ Sun\n\t\t1: { open:  8, close: 18 }, \/\/ Mon\n\t\t2: { open:  8, close: 18 }, \/\/ Tue\n\t\t3: { open:  8, close: 18 }, \/\/ Wed\n\t\t4: { open:  8, close: 18 }, \/\/ Thu\n\t\t5: { open:  8, close: 18 }, \/\/ Fri\n\t\t6: { open: 10, close: 20 }  \/\/ Sat\n\t};\n\n\tconst $date   = $( '#input_3_8'  );\n\tconst $hour   = $( '#input_3_9_1' );\n\tconst $minute = $( '#input_3_9_2' );\n\tconst $ap     = $( '#input_3_9_3' );\n\tconst $span   = $( '.selected-dt' );\n\tconst $form   = $( '#gform_3' );\n\tconst $submit = $form.find( '.gform_button' );\n\n\tconst padMin = v => ( v < 10 ? '0' : '' ) + v;\n\n\tconst to24 = ( h12, ap ) => {\n\t\th12 = parseInt( h12, 10 );\n\t\tif ( isNaN( h12 ) ) return NaN;\n\t\tif ( ap === 'pm' && h12 < 12 ) return h12 + 12;\n\t\tif ( ap === 'am' && h12 === 12 ) return 0;\n\t\treturn h12;\n\t};\n\n\tconst readDate = () => {\n\t\tconst v = $date.val();\n\t\tif ( ! v ) return null;\n\t\tconst [ d, m, y ] = v.split( \/[-\\\/]\/ );\n\t\tif ( ! d || ! m || ! y ) return null;\n\t\treturn new Date( y, m - 1, d );\n\t};\n\n\tconst fmt = h => ( ( h % 12 ) || 12 ) + ':00 ' + ( h < 12 ? 'AM' : 'PM' );\n\n\tconst clearError = () => {\n\t\t$form.find( '.ksdm-dt-error' ).remove();\n\t\t$submit.prop( 'disabled', false );\n\t};\n\n\tconst showError = msg => {\n\t\tclearError();\n\t\t$( '<div class=\"validation_message ksdm-dt-error\" style=\"color:#dc3232;margin-top:4px;\">' + msg + '<\/div>' )\n\t\t\t.insertAfter( $ap.closest( '.ginput_container' ) );\n\t\t$submit.prop( 'disabled', true );\n\t};\n\n\tconst renderSelected = () => {\n\t\tconst d = $date.val();\n\t\tconst h = $hour.val();\n\t\tconst m = $minute.val();\n\t\tconst ap = ( $ap.val() || '' ).toUpperCase();\n\t\tlet txt = d || '';\n\t\tif ( d && h !== '' && m !== '' ) txt += ' ' + h + ':' + padMin( m ) + ' ' + ap;\n\t\t$span.text( txt );\n\t};\n\n\tconst validate = () => {\n\t\tclearError();\n\n\t\tconst dObj = readDate();\n\t\tconst h    = $hour.val();\n\t\tconst m    = $minute.val();\n\t\tconst ap   = $ap.val();\n\n\t\tif ( ! dObj || h === '' || m === '' ) return; \/\/ incomplete \u2192 don't block submit yet\n\n\t\tconst h24 = to24( h, ap );\n\t\tconst mm  = parseInt( m, 10 );\n\t\tif ( isNaN( h24 ) || isNaN( mm ) ) { showError( 'Please enter a valid time.' ); return; }\n\n\t\tconst dt  = new Date( dObj );\n\t\tdt.setHours( h24, mm, 0, 0 );\n\n\t\tconst now = new Date();\n\n\t\tif ( dt <= now ) { showError( 'Please choose a future date and time.' ); return; }\n\n\t\tconst dow   = dt.getDay();\n\t\tconst open  = OPEN[ dow ].open;\n\t\tconst close = OPEN[ dow ].close;\n\t\tconst mins  = h24 * 60 + mm;\n\n\t\tif ( mins < open * 60 || mins > close * 60 ) {\n\t\t\tshowError( 'Time must be between ' + fmt( open ) + ' and ' + fmt( close ) + '.' );\n\t\t}\n\t};\n\n\t$( document ).on(\n\t\t'change keyup',\n\t\t'#input_3_8, #input_3_9_1, #input_3_9_2, #input_3_9_3',\n\t\t() => { renderSelected(); validate(); }\n\t);\n\n\tgform.addAction( 'gform_post_render', () => { renderSelected(); validate(); } );\n\n\t$form.on( 'submit', function ( e ) {\n\t\tvalidate();\n\t\tif ( $submit.prop( 'disabled' ) ) e.preventDefault();\n\t} );\n\n} )( jQuery );\n\n<\/script><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-turnstile gfield--input-type-turnstile gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"86f211a6\" data-field-span=\"12\"><div class='ginput_container ginput_container_turnstile'><div class=\"cf-turnstile\" id=\"cf-turnstile_3\" data-js-turnstile data-response-field-name=\"cf-turnstile-response_3\" data-theme=\"auto\" data-size=\"\" data-sitekey=\"0x4AAAAAABz6EKBTmPgcoO3G\"><\/div><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='AUD' value='XnySBqdu4zmwDHM2oLy2EJ6M3copRG0RnUgAHaUbaV9qXmTQiGiHlXmF312MLz3YHx3ziGH8ANNo90GOkzGQ\/\/RmmHFQf2lASuPqvF5gs3QD5HU=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_3' value='' \/>\n        <\/div>\n                        <\/form>\n                        <\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Online Order Form\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_3' style='display:none'><style>#gform_wrapper_3[data-form-index=\"0\"].gform-theme{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/pharmacy\/wp-json\/wp\/v2\/pages\/569#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><fieldset id=\"field_3_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d3741eb7\" data-field-span=\"12\"><legend id='gfield_label_3_1' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='true'     aria-labelledby=\"input_3_1_3_label gfield_label_3_1\"\/>\n                                                    <label for='input_3_1_3' id='input_3_1_3_label' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_6' id='input_3_1_6_label' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"17020e02\" data-field-span=\"6\"><label id='gfield_label_3_3' class='gfield_label gform-field-label' for='input_3_3'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_3_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-au gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"17020e02\" data-field-span=\"6\"><label id='gfield_label_3_4' class='gfield_label gform-field-label' for='input_3_4'><span class='gform-field-label__text'>Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_3_4' type='tel' value='' class='large'  placeholder='9999 999 999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"9999 999 999\" \/><\/div><\/div><fieldset id=\"field_3_5\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"295023a5\" data-field-span=\"12\"><legend id='gfield_label_3_5' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Please select type of items needed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_5'><div class='gchoice gchoice_3_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='Prescriptions'  id='choice_3_5_1'    aria-labelledby=\"label_3_5_1 gfield_label_3_5\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_1' id='label_3_5_1' class='gform-field-label gform-field-label--type-inline'>Prescriptions<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='Non-prescription Items'  id='choice_3_5_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_5_2' id='label_3_5_2' class='gform-field-label gform-field-label--type-inline'>Non-prescription Items<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_6\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"a2dcc21b\" data-field-span=\"12\"><label id='gfield_label_3_6' class='gfield_label gform-field-label' for='gform_browse_button_3_6'><span class='gform-field-label__text'>Prescription File Upload<\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_3_6' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_3_6&quot;,&quot;container&quot;:&quot;gform_multifile_upload_3_6&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_3_6&quot;,&quot;filelist&quot;:&quot;gform_preview_3_6&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/ksdm.com.au\\\/pharmacy\\\/?gf_page=64bcf64e0cc8feb&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/ksdm.com.au\\\/pharmacy\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/ksdm.com.au\\\/pharmacy\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;20971520b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:3,&quot;field_id&quot;:6,&quot;_gform_file_upload_nonce_3_6&quot;:&quot;33cd57b260&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;3&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_3_6&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;shtml&quot;,&quot;shtm&quot;,&quot;stm&quot;,&quot;stml&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_3_6' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_3_6' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_3_6 gfield_description_3_6\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_6'>Max. file size: 20 MB, Max. files: 3.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_3_6'><\/ul> <div id='gform_preview_3_6' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_3_6'>Click in the box and upload or use your camera to take pictures of your prescriptions<\/div><\/div><div id=\"field_3_7\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"677a2116\" data-field-span=\"12\"><label id='gfield_label_3_7' class='gfield_label gform-field-label' for='input_3_7'><span class='gform-field-label__text'>Please list any non-prescription items here<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_3_7' class='textarea medium'  aria-describedby=\"gfield_description_3_7\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_7'>Feel free to write down any other details you wish to communicate to the pharmacy\n<\/div><\/div><div id=\"field_3_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"653e9fed\" data-field-span=\"12\"><p>Please choose the date and time of collection<\/p>\n<span class=\"selected-dt\"><\/span><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7d8b8310\" data-field-span=\"6\"><label id='gfield_label_3_8' class='gfield_label gform-field-label' for='input_3_8'><span class='gform-field-label__text'>Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd-mm-yyyy'\n\t\t\t\t\tid='input_3_8'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy_dash datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_8'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99-99-9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_3_8' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_3_8' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_3_8' aria-label='Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_3_9\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7d8b8310\" data-field-span=\"6\"><legend id='gfield_label_3_9' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Time<\/span><\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_3_9'>\n                            <input type='number' name='input_9[]' id='input_3_9_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'    aria-labelledby=\"input_3_9_1_label gfield_label_3_9\"\/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_3_9_1' id='input_3_9_1_label'>Hours<\/label>\n                        <\/div>\n                        <div class=\"above hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_9[]' id='input_3_9_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_3_9_2' id='input_3_9_2_label'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time above gform-grid-col' >\n                                \n                                <select name='input_9[]' id='input_3_9_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_3_9_3'>AM\/PM<\/label>\n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_3_11\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e1e8ed5b\" data-field-span=\"12\"><script>\n\/* \u2014 Gravity Forms form #3 \u2014 full JS date-and-time control \u2014 *\/\n\ngform.addFilter( 'gform_datepicker_options_pre_init', function ( opts, formId, fieldId ) {\n\tif ( formId == 3 && fieldId == 8 ) {\n\t\topts.minDate    = 0;          \/\/ no past dates\n\t\topts.dateFormat = 'dd-mm-yy'; \/\/ match placeholder\n\t}\n\treturn opts;\n} );\n\n( function ( $ ) {\n\n\t\/* opening hours (0 = Sun \u2026 6 = Sat) *\/\n\tconst OPEN = {\n\t\t0: { open: 10, close: 20 }, \/\/ Sun\n\t\t1: { open:  8, close: 18 }, \/\/ Mon\n\t\t2: { open:  8, close: 18 }, \/\/ Tue\n\t\t3: { open:  8, close: 18 }, \/\/ Wed\n\t\t4: { open:  8, close: 18 }, \/\/ Thu\n\t\t5: { open:  8, close: 18 }, \/\/ Fri\n\t\t6: { open: 10, close: 20 }  \/\/ Sat\n\t};\n\n\tconst $date   = $( '#input_3_8'  );\n\tconst $hour   = $( '#input_3_9_1' );\n\tconst $minute = $( '#input_3_9_2' );\n\tconst $ap     = $( '#input_3_9_3' );\n\tconst $span   = $( '.selected-dt' );\n\tconst $form   = $( '#gform_3' );\n\tconst $submit = $form.find( '.gform_button' );\n\n\tconst padMin = v => ( v < 10 ? '0' : '' ) + v;\n\n\tconst to24 = ( h12, ap ) => {\n\t\th12 = parseInt( h12, 10 );\n\t\tif ( isNaN( h12 ) ) return NaN;\n\t\tif ( ap === 'pm' && h12 < 12 ) return h12 + 12;\n\t\tif ( ap === 'am' && h12 === 12 ) return 0;\n\t\treturn h12;\n\t};\n\n\tconst readDate = () => {\n\t\tconst v = $date.val();\n\t\tif ( ! v ) return null;\n\t\tconst [ d, m, y ] = v.split( \/[-\\\/]\/ );\n\t\tif ( ! d || ! m || ! y ) return null;\n\t\treturn new Date( y, m - 1, d );\n\t};\n\n\tconst fmt = h => ( ( h % 12 ) || 12 ) + ':00 ' + ( h < 12 ? 'AM' : 'PM' );\n\n\tconst clearError = () => {\n\t\t$form.find( '.ksdm-dt-error' ).remove();\n\t\t$submit.prop( 'disabled', false );\n\t};\n\n\tconst showError = msg => {\n\t\tclearError();\n\t\t$( '<div class=\"validation_message ksdm-dt-error\" style=\"color:#dc3232;margin-top:4px;\">' + msg + '<\/div>' )\n\t\t\t.insertAfter( $ap.closest( '.ginput_container' ) );\n\t\t$submit.prop( 'disabled', true );\n\t};\n\n\tconst renderSelected = () => {\n\t\tconst d = $date.val();\n\t\tconst h = $hour.val();\n\t\tconst m = $minute.val();\n\t\tconst ap = ( $ap.val() || '' ).toUpperCase();\n\t\tlet txt = d || '';\n\t\tif ( d && h !== '' && m !== '' ) txt += ' ' + h + ':' + padMin( m ) + ' ' + ap;\n\t\t$span.text( txt );\n\t};\n\n\tconst validate = () => {\n\t\tclearError();\n\n\t\tconst dObj = readDate();\n\t\tconst h    = $hour.val();\n\t\tconst m    = $minute.val();\n\t\tconst ap   = $ap.val();\n\n\t\tif ( ! dObj || h === '' || m === '' ) return; \/\/ incomplete \u2192 don't block submit yet\n\n\t\tconst h24 = to24( h, ap );\n\t\tconst mm  = parseInt( m, 10 );\n\t\tif ( isNaN( h24 ) || isNaN( mm ) ) { showError( 'Please enter a valid time.' ); return; }\n\n\t\tconst dt  = new Date( dObj );\n\t\tdt.setHours( h24, mm, 0, 0 );\n\n\t\tconst now = new Date();\n\n\t\tif ( dt <= now ) { showError( 'Please choose a future date and time.' ); return; }\n\n\t\tconst dow   = dt.getDay();\n\t\tconst open  = OPEN[ dow ].open;\n\t\tconst close = OPEN[ dow ].close;\n\t\tconst mins  = h24 * 60 + mm;\n\n\t\tif ( mins < open * 60 || mins > close * 60 ) {\n\t\t\tshowError( 'Time must be between ' + fmt( open ) + ' and ' + fmt( close ) + '.' );\n\t\t}\n\t};\n\n\t$( document ).on(\n\t\t'change keyup',\n\t\t'#input_3_8, #input_3_9_1, #input_3_9_2, #input_3_9_3',\n\t\t() => { renderSelected(); validate(); }\n\t);\n\n\tgform.addAction( 'gform_post_render', () => { renderSelected(); validate(); } );\n\n\t$form.on( 'submit', function ( e ) {\n\t\tvalidate();\n\t\tif ( $submit.prop( 'disabled' ) ) e.preventDefault();\n\t} );\n\n} )( jQuery );\n\n<\/script><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-turnstile gfield--input-type-turnstile gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"86f211a6\" data-field-span=\"12\"><div class='ginput_container ginput_container_turnstile'><div class=\"cf-turnstile\" id=\"cf-turnstile_3\" data-js-turnstile data-response-field-name=\"cf-turnstile-response_3\" data-theme=\"auto\" data-size=\"\" data-sitekey=\"0x4AAAAAABz6EKBTmPgcoO3G\"><\/div><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='AUD' value='cY0Lwdu1XfFG417aoJ+dOBihJgWytbG4fKvxTG5KIGIn5DlJSmDXvAZSXlWp1zIXYpfT2SLSj5I54ALricPGm0xsMXIjeJnQtvAyVEObrNML68w=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_3' value='' \/>\n        <\/div>\n                        <\/form>\n                        <\/div><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-569","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ksdm.com.au\/pharmacy\/wp-json\/wp\/v2\/pages\/569","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ksdm.com.au\/pharmacy\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ksdm.com.au\/pharmacy\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ksdm.com.au\/pharmacy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ksdm.com.au\/pharmacy\/wp-json\/wp\/v2\/comments?post=569"}],"version-history":[{"count":2,"href":"https:\/\/ksdm.com.au\/pharmacy\/wp-json\/wp\/v2\/pages\/569\/revisions"}],"predecessor-version":[{"id":571,"href":"https:\/\/ksdm.com.au\/pharmacy\/wp-json\/wp\/v2\/pages\/569\/revisions\/571"}],"wp:attachment":[{"href":"https:\/\/ksdm.com.au\/pharmacy\/wp-json\/wp\/v2\/media?parent=569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}