{"id":35,"date":"2022-10-19T14:01:55","date_gmt":"2022-10-19T18:01:55","guid":{"rendered":"https:\/\/www.pregnancyloss.org\/?page_id=35"},"modified":"2023-07-24T11:58:04","modified_gmt":"2023-07-24T15:58:04","slug":"contact","status":"publish","type":"page","link":"https:\/\/www.pregnancyloss.org\/contact\/","title":{"rendered":"Contact"},"content":{"rendered":"\n\n\t<a href=\"https:\/\/www.pregnancyloss.org\/\">Home<\/a> \u00bb Contact\n\t<p>Please reach out to us with concerns or questions and we will get back to you as soon as we can.<\/p>\n\t\t\t\t\t\t\t&quot;*&quot; indicates required fields\n                        <form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2'  action='\/?page_id=35&#038;fl_builder#gf_2' data-formid='2'>\n                        <fieldset id=\"field_2_1\"   data-js-reload=\"field_2_1\"><legend class='gfield_label gform-field-label gfield_label_before_complex'>Name*<\/legend>\n                                           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  aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <label class='gfield_label gform-field-label' for='input_2_9'>Phone<\/label><input name='input_9' id='input_2_9' type='text' value='' class='large'   tabindex='107'   aria-invalid=\"false\"   \/> <label class='gfield_label gform-field-label' for='input_2_6'>How did you hear about Pregnancy Loss Support Program (PLSP)?<\/label><select name='input_6' id='input_2_6' class='large gfield_select' tabindex='108'    aria-invalid=\"false\"><option value='Friend\/Family\/Co-worker'>Friend\/Family\/Co-worker<\/option><option value='Google'>Google<\/option><option value='Doctor'>Doctor<\/option><option value='Hospital'>Hospital<\/option><option value='Therapist'>Therapist<\/option><option value='Other'>Other<\/option><\/select><label class='gfield_label gform-field-label' for='input_2_7'>Message<\/label><textarea name='input_7' id='input_2_7' class='textarea large' tabindex='109'     aria-invalid=\"false\"   rows='10' cols='50'><\/textarea>\n         <input type='submit' id='gform_submit_button_2' class='gform_button button' value='Submit' tabindex='110' onclick='if(window[\"gf_submitting_2\"]){return false;}  window[\"gf_submitting_2\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} window[\"gf_submitting_2\"]=true;  jQuery(\"#gform_2\").trigger(\"submit\",[true]); }' \/> <input type='hidden' name='gform_ajax' value='form_id=2&amp;title=&amp;description=&amp;tabindex=100' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsImZmNjViNGMzODM2NTYwMzkzNzViZDcxMmUwYWNjYjgxIl0=' \/>\n            <input type='hidden' class='gform_hidden' 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