{"id":170,"date":"2024-03-07T01:44:14","date_gmt":"2024-03-07T01:44:14","guid":{"rendered":"https:\/\/mytherapybiller.com\/?page_id=170"},"modified":"2024-03-07T01:45:08","modified_gmt":"2024-03-07T01:45:08","slug":"registration","status":"publish","type":"page","link":"https:\/\/mytherapybiller.com\/index.php\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"170\" class=\"elementor elementor-170\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c98c758 e-flex e-con-boxed e-con e-parent\" data-id=\"c98c758\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" 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-89860e7 elementor-widget elementor-widget-shortcode\" data-id=\"89860e7\" 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=\"registration\" id=\"wpuf-registration-form\">\n\n    \n            \n    <form name=\"registrationform\" class=\"wpuf-registration-form\" id=\"registrationform\" action=\"https:\/\/mytherapybiller.com\/index.php\/registration\/\" method=\"post\">\n\n        <ul class=\"wpuf-form form-label-above\">\n            <li>\n                <div class=\"wpuf-label\">Name <span class=\"required\">*<\/span><\/div>\n                <div class=\"wpuf-fields\">\n                    <div class=\"wpuf-name-field-wrap format-first-last\">\n                        <div class=\"wpuf-name-field-first-name\">\n                            <input type=\"text\" name=\"reg_fname\" id=\"wpuf-user_fname\" class=\"input\" value=\"\" size=\"\" \/>\n                            <label class=\"wpuf-form-sub-label\">First<\/label>\n                        <\/div>\n\n                        <div class=\"wpuf-name-field-last-name\">\n                            <input type=\"text\" name=\"reg_lname\" id=\"wpuf-user_lname\" class=\"input\" value=\"\" size=\"16\" \/>\n                            <label class=\"wpuf-form-sub-label\">Last<\/label>\n                        <\/div>\n                    <\/div>\n                <\/div>\n            <\/li>\n\n            <li>\n                <div class=\"wpuf-label\">Email <span class=\"required\">*<\/span><\/div>\n                <div class=\"wpuf-fields\">\n                    <input type=\"text\" name=\"reg_email\" id=\"wpuf-user_email\" class=\"input\" value=\"\" size=\"40\">\n                <\/div>\n            <\/li>\n\n            <li>\n                <div class=\"wpuf-label\">Username <span class=\"required\">*<\/span><\/div>\n                <div class=\"wpuf-fields\">\n                    <input type=\"text\" name=\"log\" id=\"wpuf-user_login\" class=\"input\" value=\"\" size=\"40\" \/>\n                <\/div>\n            <\/li>\n\n            <li>\n                <div class=\"wpuf-label\">Password <span class=\"required\">*<\/span><\/div>\n                <div class=\"wpuf-fields-inline\" style=\"position: relative; width: fit-content\">\n                    <input type=\"password\" name=\"pwd1\" id=\"wpuf-user_pass1\" class=\"input\" value=\"\" size=\"40\" \/>\n                    <img decoding=\"async\" class=\"wpuf-eye\" src=\"https:\/\/mytherapybiller.com\/wp-content\/plugins\/wp-user-frontend\/assets\/images\/eye.svg\" alt=\"\">\n                <\/div>\n            <\/li>\n\n            <li>\n                <div class=\"wpuf-label\">Confirm Password <span class=\"required\">*<\/span><\/div>\n                <div class=\"wpuf-fields-inline\" style=\"position: relative; width: fit-content\">\n                    <input type=\"password\" name=\"pwd2\" id=\"wpuf-user_pass2\" class=\"input\" value=\"\" size=\"40\" \/>\n                    <img decoding=\"async\" class=\"wpuf-eye\" src=\"https:\/\/mytherapybiller.com\/wp-content\/plugins\/wp-user-frontend\/assets\/images\/eye.svg\" alt=\"\">\n                <\/div>\n            <\/li>\n\n            <li class=\"wpuf-submit\">\n                <input type=\"submit\" name=\"wp-submit\" id=\"wp-submit\" value=\"Register\" \/>\n                <input type=\"hidden\" name=\"urhidden\" value=\"PxOzohBBQDQ19uoATgtzPg==\" \/>\n                <input type=\"hidden\" name=\"user_nonce\" value=\"yBt8RI4jcwbeTMH2pFATkL6X62zYNdtH\" \/>\n                <input type=\"hidden\" name=\"redirect_to\" value=\"\" \/>\n                <input type=\"hidden\" name=\"wpuf_registration\" value=\"true\" \/>\n                <input type=\"hidden\" name=\"action\" value=\"registration\" \/>\n\n                <input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"7ecdb4d403\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/170\" \/>            <\/li>\n\n            <li>\n                <a href=\"https:\/\/mytherapybiller.com\/index.php\/login\/\">Log In<\/a> | <a href=\"https:\/\/mytherapybiller.com\/index.php\/login\/?action=lostpassword\">Lost Password<\/a>            <\/li>\n\n            \n        <\/ul>\n    <\/form>\n<\/div>\n<\/div>\n\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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","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:\/\/mytherapybiller.com\/index.php\/wp-json\/wp\/v2\/pages\/170"}],"collection":[{"href":"https:\/\/mytherapybiller.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mytherapybiller.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mytherapybiller.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mytherapybiller.com\/index.php\/wp-json\/wp\/v2\/comments?post=170"}],"version-history":[{"count":3,"href":"https:\/\/mytherapybiller.com\/index.php\/wp-json\/wp\/v2\/pages\/170\/revisions"}],"predecessor-version":[{"id":173,"href":"https:\/\/mytherapybiller.com\/index.php\/wp-json\/wp\/v2\/pages\/170\/revisions\/173"}],"wp:attachment":[{"href":"https:\/\/mytherapybiller.com\/index.php\/wp-json\/wp\/v2\/media?parent=170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}