{"id":64,"date":"2024-04-04T04:28:11","date_gmt":"2024-04-04T04:28:11","guid":{"rendered":"https:\/\/carrolltoncarerx.com\/?page_id=64"},"modified":"2024-05-06T15:00:03","modified_gmt":"2024-05-06T15:00:03","slug":"refill","status":"publish","type":"page","link":"https:\/\/carrolltoncarerx.com\/index.php\/refill\/","title":{"rendered":"Refill"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"64\" class=\"elementor elementor-64\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4cc7937 e-flex e-con-boxed e-con e-parent\" data-id=\"4cc7937\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-650bd4e e-flex e-con-boxed e-con e-child\" data-id=\"650bd4e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9995236 elementor-widget elementor-widget-heading\" data-id=\"9995236\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Refill<\/h2>\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\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c53472b e-flex e-con-boxed e-con e-parent\" data-id=\"c53472b\" data-element_type=\"container\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8b96bc9 elementor-widget elementor-widget-heading\" data-id=\"8b96bc9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-weight:600\">Home <\/span>><span style=\"color:black\"> Refill<\/span><\/h2>\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-115b5ab e-flex e-con-boxed e-con e-parent\" data-id=\"115b5ab\" data-element_type=\"container\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1e515ba elementor-widget elementor-widget-text-editor\" data-id=\"1e515ba\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>We will use the previous payment and delivery address details on file to complete your order. Please contact us immediately at the pharmacy if there are any changes to payment or delivery details at<\/p>\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b3ff4aa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b3ff4aa\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-35a858fd\" data-id=\"35a858fd\" 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-744fcad3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"744fcad3\" 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-inner-column elementor-element elementor-element-9e9b065\" data-id=\"9e9b065\" 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-4118ac6 elementor-widget elementor-widget-heading\" data-id=\"4118ac6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">* REQUIRED INFORMATION<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c5dbda elementor-widget elementor-widget-shortcode\" data-id=\"7c5dbda\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-283\"><form id=\"wpforms-form-283\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"283\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/64\" data-token=\"a57dfc159cf10b84a813ec7b8bb49be8\" data-token-time=\"1776380833\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-283-field_22-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_22\">FIRST NAME<\/label><input type=\"text\" id=\"wpforms-283-field_22\" class=\"wpforms-field-large\" name=\"wpforms[fields][22]\" placeholder=\"Enter First Name\" aria-errormessage=\"wpforms-283-field_22-error\" ><\/div><div id=\"wpforms-283-field_23-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_23\">LAST NAME<\/label><input type=\"text\" id=\"wpforms-283-field_23\" class=\"wpforms-field-large\" name=\"wpforms[fields][23]\" placeholder=\"Enter Last Name\" aria-errormessage=\"wpforms-283-field_23-error\" ><\/div><div id=\"wpforms-283-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_10\">DATE OF BIRTH<\/label><input type=\"text\" id=\"wpforms-283-field_10\" class=\"wpforms-field-large\" name=\"wpforms[fields][10]\" placeholder=\"Enter Date of Birth\" aria-errormessage=\"wpforms-283-field_10-error\" ><\/div><div id=\"wpforms-283-field_13-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_13\">EMAIL <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-283-field_13\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][13]\" placeholder=\"Enter Email\" spellcheck=\"false\" aria-errormessage=\"wpforms-283-field_13-error\" required><\/div><div id=\"wpforms-283-field_14-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_14\">Enter MOBILE NUMBER<\/label><input type=\"text\" id=\"wpforms-283-field_14\" class=\"wpforms-field-large\" name=\"wpforms[fields][14]\" placeholder=\"Mobile Number\" aria-errormessage=\"wpforms-283-field_14-error\" ><\/div><div id=\"wpforms-283-field_15-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-one-half wpforms-field-select-style-modern\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_15\">PICKUP METHOD<\/label><select id=\"wpforms-283-field_15\" class=\"wpforms-payment-price wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][15]\"><option value=\"\" class=\"placeholder\" disabled >Select Pickup Method<\/option><option value=\"1\" data-amount=\"0.00\" data-custom-properties=\"0.00\"  selected='selected'>PickUp<\/option><option value=\"2\" data-amount=\"0.00\" data-custom-properties=\"0.00\" >Delivery<\/option><\/select><\/div><div id=\"wpforms-283-field_18-container\" class=\"wpforms-field wpforms-field-repeater_start\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_18\">REFILL DETAILS<\/label>\t\t<div class=\"wpforms-field-repeater-start\">\r\n\t\t\t<textarea class=\"repeater-field-header-data hidden\"><div class=\"repeater-field-header wpforms-repeater-field-large\">\r\n\t\t\t\t<div class=\"repeater-field-header-title\"> <\/div>\r\n\t\t\t\t<div class=\"repeater-field-header-acctions\">\r\n\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t<li><i class=\"repeater-icon icon-down-open repeater-field-header-acctions-toogle\" aria-hidden=\"true\"><\/i><\/li>\r\n\t\t\t\t\t\t<li><i class=\"repeater-icon icon-cancel-1 repeater-field-header-acctions-remove\" aria-hidden=\"true\"><\/i><\/li>\r\n\t\t\t\t\t<\/ul>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div><\/textarea>\r\n\t\t<\/div>\r\n\t\t<\/div><div id=\"wpforms-283-field_16-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_16\">RX NUMBER<\/label><input type=\"text\" id=\"wpforms-283-field_16\" class=\"wpforms-field-large\" name=\"wpforms[fields][16]\" placeholder=\"Enter RX Number\" aria-errormessage=\"wpforms-283-field_16-error\" ><\/div><div id=\"wpforms-283-field_17-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-283-field_17\">NAME OF MEDICATION<\/label><input type=\"text\" id=\"wpforms-283-field_17\" class=\"wpforms-field-large\" name=\"wpforms[fields][17]\" placeholder=\"Enter Name of Medication\" aria-errormessage=\"wpforms-283-field_17-error\" ><\/div><div id=\"wpforms-283-field_21-container\" class=\"wpforms-field wpforms-field-repeater\" data-field-id=\"21\">\t\t<div class=\"repeater-field-warp-item-data\" data-initial_rows_map=\"\" data-map_id=\"\" data-initial_rows=\"1\" data-limit=\"10\">\n\t\t\t<div class=\"repeater-field-warp-item\">\n\t\t\t<\/div>\n\t\t\t<div class=\"repeater-field-footer\"><a href='#' class='wpforms-repeater-field-button-add' >Add more<\/a><\/div>\n\t\t\t<input type=\"hidden\" id=\"wpforms-283-field_21\" class=\"wpforms-field-repeater-data\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-283-field_21-error\">\t\t\t<textarea class=\"wpforms-field-repeater-data-html hidden\"><\/textarea>\n\t\t<\/div>\n\t\t<\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"283\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/pages\/64\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-283\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/carrolltoncarerx.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Refill Home > Refill We will use the previous payment and delivery address details on file to complete your order. Please contact us immediately at the pharmacy if there are any changes to payment or delivery details at * REQUIRED INFORMATION<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/pages\/64"}],"collection":[{"href":"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/comments?post=64"}],"version-history":[{"count":31,"href":"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/pages\/64\/revisions"}],"predecessor-version":[{"id":373,"href":"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/pages\/64\/revisions\/373"}],"wp:attachment":[{"href":"https:\/\/carrolltoncarerx.com\/index.php\/wp-json\/wp\/v2\/media?parent=64"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}