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and Events","bg_color":"#ccdaed","button":""},"experts":{"title_tag":"div","title":"","button":"","experts_block":false},"contact_heading":{"title_tag":"div","title":"GET TO KNOW THE ERGO-SERIES TODAY"},"contact_form":{"ID":224,"post_author":"1","post_date":"2020-02-26 11:29:39","post_date_gmt":"2020-02-26 11:29:39","post_content":"<div class=\"row\">\r\n<div class=\"form-item form-select\">\r\n   <label>Enquiry type*<\/label>\r\n   [select* inquiry_type id:inquirytype first_as_label \"---\" \"Eye Care Professional|wwwomniouscontactus@sightsciences.com\"]\r\n<\/div>\r\n<div class=\"form-item form-select\">\r\n[group group-doctor]\r\n<label><strong>Specialty*<\/strong><\/label>\r\n[select* Specialty first_as_label \"---\" \"Ophthalmologist\" \"Optometrist\/Referrer\" \"Surgical Administrator\" \"Other\"]\r\n[\/group]\r\n<\/div>\r\n<div class=\"form-item width-2\" style=\"margin-top: 20px;\">\r\n   <label>First Name*<\/label>\r\n   [text* first-name class:input]\r\n<\/div>\r\n<div class=\"form-item width-2\" style=\"margin-top: 20px;\">\r\n   <label>Last Name*<\/label>\r\n   [text* last-name class:input]\r\n<\/div>\r\n<div class=\"form-item width-2\">\r\n   <label>Email Address*<\/label>\r\n   [email* user-email class:input]\r\n<\/div>\r\n<div class=\"form-item width-2\">\r\n   <label>City\/Hospital*<\/label>\r\n   [text* city class:input]\r\n<\/div>\r\n<div class=\"form-item form-select width-2\">\r\n  <label>Country*<\/label>\r\n   [select* state first_as_label \r\n                            \"Country\"\r\n\"United States\"\r\n\"Afghanistan\"\r\n\"Albania\"\r\n\"Algeria\"\r\n\"American Samoa\"\r\n\"Andorra\"\r\n\"Angola\"\r\n\"Anguilla\"\r\n\"Antarctica\"\r\n\"Antigua and Barbuda\"\r\n\"Argentina\"\r\n\"Armenia\"\r\n\"Aruba\"\r\n\"Australia\"\r\n\"Austria\"\r\n\"Azerbaijan\" \r\n\"Bahamas\"\r\n\"Bahrain\"\r\n\"Bangladesh\"\r\n\"Barbados\"\r\n\"Belarus\"\r\n\"Belgium\"\r\n\"Belize\"\r\n\"Benin\"\r\n\"Bermuda\"\r\n\"Bhutan\"\r\n\"Bolivia\"\r\n\"Bosnia and Herzegovina\"\r\n\"Botswana\"\r\n\"Bouvet Island\"\r\n\"Brazil\"\r\n\"British Indian Ocean Territory\"\r\n\"Brunei Darussalam\"\r\n\"Bulgaria\" \r\n\"Burkina Faso\"\r\n\"Burundi\"\r\n\"Cambodia\"\r\n\"Cameroon\"\r\n\"Canada\"\r\n\"Cape Verde\"\r\n\"Cayman Islands\"\r\n\"Central African Republic\"\r\n\"Chad\"\r\n\"Chile\"\r\n\"China\"\r\n\"Christmas Island\"\r\n\"Cocos (Keeling) Islands\"\r\n\"Colombia\"\r\n\"Comoros\"\r\n\"Congo\"\r\n\"Congo, The Democratic Republic of The\"\r\n\"Cook Islands\"\r\n\"Costa Rica\"\r\n\"Cote D\u00b4ivoire\"\r\n\"Croatia\"\r\n\"Cuba\"\r\n\"Cyprus\"\r\n\"Czech Republic\"\r\n\"Denmark\"\r\n\"Djibouti\"\r\n\"Dominica\"\r\n\"Dominican Republic\"\r\n\"Ecuador\"\r\n\"Egypt\"\r\n\"El Salvador\"\r\n\"Equatorial Guinea\"\r\n\"Eritrea\"\r\n\"Estonia\"\r\n\"Ethiopia\"\r\n\"Falkland Islands (Malvinas)\"\r\n\"Faroe Islands\"\r\n\"Fiji\"\r\n\"Finland\"\r\n\"France\"\r\n\"French Guiana\"\r\n\"French Polynesia\"\r\n\"French Southern Territories\"\r\n\"Gabon\"\r\n\"Gambia\"\r\n\"Georgia\"\r\n\"Germany\"\r\n\"Ghana\"\r\n\"Gibraltar\"\r\n\"Greece\"\r\n\"Greenland\"\r\n\"Grenada\"\r\n\"Guadeloupe\"\r\n\"Guam\"\r\n\"Guatemala\"\r\n\"Guinea\"\r\n\"Guinea-bissau\"\r\n\"Guyana\"\r\n\"Haiti\"\r\n\"Heard Island and Mcdonald Islands\"\r\n\"Holy See (Vatican City State)\"\r\n\"Honduras\"\r\n\"Hong Kong\"\r\n\"Hungary\"\r\n\"Iceland\"\r\n\"India\"\r\n\"Indonesia\"\r\n\"Iran, Islamic Republic of\"\r\n\"Iraq\"\r\n\"Ireland\"\r\n\"Israel\"\r\n\"Italy\"\r\n\"Jamaica\"\r\n\"Japan\"\r\n\"Jordan\"\r\n\"Kazakhstan\"\r\n\"Kenya\"\r\n\"Kiribati\"\r\n\"Korea, Democratic People\u00b4s Republic of\"\r\n\"Korea, Republic of\"\r\n\"Kuwait\"\r\n\"Kyrgyzstan\"\r\n\"Lao People\u00b4s Democratic Republic\"\r\n\"Latvia\"\r\n\"Lebanon\"\r\n\"Lesotho\"\r\n\"Liberia\"\r\n\"Libyan Arab Jamahiriya\"\r\n\"Liechtenstein\"\r\n\"Lithuania\"\r\n\"Luxembourg\"\r\n\"Macao\"\r\n\"Macedonia, The Former Yugoslav Republic of\"\r\n\"Madagascar\"\r\n\"Malawi\"\r\n\"Malaysia\"\r\n\"Maldives\"\r\n\"Mali\"\r\n\"Malta\"\r\n\"Marshall Islands\"\r\n\"Martinique\"\r\n\"Mauritania\"\r\n\"Mauritius\"\r\n\"Mayotte\"\r\n\"Mexico\"\r\n\"Micronesia, Federated States of\"\r\n\"Moldova, Republic of\"\r\n\"Monaco\"\r\n\"Mongolia\"\r\n\"Montserrat\"\r\n\"Morocco\"\r\n\"Mozambique\"\r\n\"Myanmar\"\r\n\"Namibia\"\r\n\"Nauru\"\r\n\"Nepal\"\r\n\"Netherlands\"\r\n\"Netherlands Antilles\"\r\n\"New Caledonia\"\r\n\"New Zealand\"\r\n\"Nicaragua\"\r\n\"Niger\"\r\n\"Nigeria\"\r\n\"Niue\"\r\n\"Norfolk Island\"\r\n\"Northern Mariana Islands\"\r\n\"Norway\"\r\n\"Oman\"\r\n\"Pakistan\"\r\n\"Palau\"\r\n\"Palestinian Territory, Occupied\"\r\n\"Panama\"\r\n\"Papua New Guinea\"\r\n\"Paraguay\"\r\n\"Peru\"\r\n\"Philippines\"\r\n\"Pitcairn\"\r\n\"Poland\"\r\n\"Portugal\"\r\n\"Puerto Rico\"\r\n\"Qatar\"\r\n\"Reunion\"\r\n\"Romania\"\r\n\"Russian Federation\"\r\n\"Rwanda\"\r\n\"Saint Helena\"\r\n\"Saint Kitts and Nevis\"\r\n\"Saint Lucia\"\r\n\"Saint Pierre and Miquelon\"\r\n\"Saint Vincent and The Grenadines\"\r\n\"Samoa\"\r\n\"San Marino\"\r\n\"Sao Tome and Principe\"\r\n\"Saudi Arabia\"\r\n\"Senegal\"\r\n\"Serbia and Montenegro\"\r\n\"Seychelles\"\r\n\"Sierra Leone\"\r\n\"Singapore\"\r\n\"Slovakia\"\r\n\"Slovenia\"\r\n\"Solomon Islands\"\r\n\"Somalia\"\r\n\"South Africa\"\r\n\"South Georgia and The South Sandwich Islands\"\r\n\"Spain\"\r\n\"Sri Lanka\"\r\n\"Sudan\"\r\n\"Suriname\"\r\n\"Svalbard and Jan Mayen\"\r\n\"Swaziland\"\r\n\"Sweden\"\r\n\"Switzerland\"\r\n\"Syrian Arab Republic\"\r\n\"Taiwan, Province of China\"\r\n\"Tajikistan\"\r\n\"Tanzania, United Republic of\"\r\n\"Thailand\"\r\n\"Timor-leste\"\r\n\"Togo\"\r\n\"Tokelau\"\r\n\"Tonga\"\r\n\"Trinidad and Tobago\"\r\n\"Tunisia\"\r\n\"Turkey\"\r\n\"Turkmenistan\"\r\n\"Turks and Caicos Islands\"\r\n\"Tuvalu\"\r\n\"Uganda\"\r\n\"Ukraine\"\r\n\"United Arab Emirates\"\r\n\"United Kingdom\"\r\n\"United States Minor Outlying Islands \"\r\n\"Uruguay\"\r\n\"Uzbekistan\"\r\n\"Vanuatu\"\r\n\"Venezuela\"\r\n\"Viet Nam\"\r\n\"Virgin Islands, British\"\r\n\"Virgin Islands, U.S.\"\r\n\"Wallis and Futuna\"\r\n\"Western Sahara\"\r\n\"Yemen\"\r\n\"Zambia\"\r\n\"Zimbabwe\"]\r\n<\/div>\r\n<div class=\"form-item form-select width-2\">\r\n[group group-patient class=\"form-item form-select width-2\"]\r\n   <label><strong>Information Requested*<\/strong><\/label>\r\n   [select* inforeq first_as_label \"---\" \"Find an OMNI surgeon\" \"OMNI product information\" \"Other\"]\r\n<\/div>\r\n[\/group]\r\n<div class=\"form-item width-2\">\r\n[group group-patient-other]\r\n   <label><strong>Other Information Requested*<\/strong><\/label>\r\n   [text* info class:input]\r\n<\/div>\r\n[\/group]\r\n<div class=\"form-group\">\r\n[group group-doctor]\r\n<div class=\"radio-list form-buttons\">\r\n   <div class=\"radio-item\">\r\n      <div class=\"title\">Are you a Cataract surgeon?*<\/div>\r\n      <div style=\"display:flex\">[radio cataract_surgeon class:radio use_label_element \"Yes\" \"No\"]<\/div>\r\n   <\/div>      \r\n   <div class=\"radio-item\">\r\n      <div class=\"title\">Do you provide post-op care?*<\/div>\r\n      <div style=\"display:flex\">[radio post-op_care class:radio use_label_element \"Yes\" \"No\"]<\/div>\r\n   <\/div>\r\n<\/div>\r\n[\/group]\r\n<div class=\"form-item\"><label>Referral source*<\/label>[text* where_here class:input placeholder \"Where did you hear about the OMNI\u00ae Surgical System?\"]<\/div>\r\n<div class=\"checkbox-list form-buttons checkbox_button_footer\">\r\n   <div class=\"checkbox-item\">\r\n      <div class=\"title\"><\/div>\r\n      <div style=\"display:inline-flex\" class=\"tearcare_checkbox ergo_checkbox\">\r\n           <div style=\"width:20px\">\r\n              [checkbox checkbox-329 id:check1 class:cbwidth use_label_element \"\"]\r\n           <\/div>\r\n        <label for=\"check1\" style=\"display: block;margin-top: -5px; margin-left: 10px;\">By selecting the opt-in box and submitting information here, you acknowledge and \r\n        agree to the terms of our Privacy Policy and understand that you may be contacted by Sight Sciences using the contact information provided.<\/label>\r\n      <\/div>\r\n    \r\n   <\/div>\r\n<\/div>\r\n<div class=\"form-btn-wrap text-center\">\r\n   <div class=\"btn btn-primary btn-sm\">\r\n<span>[submit \"submit\"]Submit<\/span>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\n1\nOMNI [user-email]\nOMNI <noreply@omnisurgical.com>\n[inquiry_type]\nOMNI Surgical ECP Site (OUS)<br\/>\r\n<br\/>\r\n<b>From<\/b>: [first-name] [last-name]<br\/>\r\n<b>Mail<\/b>: [user-email]<br\/>\r\n<b>Address (Country \/ City (or Hospital))<\/b>: [state] \/ [city]<br\/>\r\n<b>Enquiry Type<\/b>: [_raw_inquiry_type]<br\/>\r\n<b>Specialty<\/b>: [Specialty]<br\/><br\/>\r\n\r\n<b>INFO:<\/b><br\/>\r\nCATARACT SURGEON?: [cataract_surgeon]<br\/>\r\nMIGS TRAINED?: [migs]<br\/>\r\nGLAUCOMA SPECIALIST?: [glaucoma_spl]<br\/>\r\nPROVIDE POST-OP CARE?: [post-op_care]<br\/>\r\nWhere did you hear about OMNI\u00ae Surgical?: [where_here]<br\/>\r\nINTERESTED IN OTHER SIGHT SCIENCES PRODUCTS (TearCare\u00ae System means Yes)?: [checkbox-329]<br\/>\r\nINFORMATION REQUESTED?: [inforeq]<br\/>\r\nOTHER INFO?: [info]\n\n\n1\n1\n\nOmni \"[your-subject]\"\nOmni <wordpress@omnisurgical-stg.itwdev2.info>\n[your-email]\nMessage Body:\r\n[your-message]\r\n\r\n-- \r\nThis e-mail was sent from a contact form on Omni (https:\/\/omnisurgical.com)\nReply-To: web.wp.developer@gmail.com\n\n\n\nThank you for your message. It has been sent.\nThere was an error trying to send your message. Please try again later.\nOne or more fields have an error. Please check and try again.\nThere was an error trying to send your message. Please try again later.\nYou must accept the terms and conditions before sending your message.\nThe field is required.\nThe field is too long.\nThe field is too short.\nThere was an unknown error uploading the file.\nYou are not allowed to upload files of this type.\nThe file is too big.\nThere was an error uploading the file.\nThe date format is incorrect.\nThe date is before the earliest one allowed.\nThe date is after the latest one allowed.\nThe number format is invalid.\nThe number is smaller than the minimum allowed.\nThe number is larger than the maximum allowed.\nThe answer to the quiz is incorrect.\nThe e-mail address entered is invalid.\nThe URL is invalid.\nThe telephone number is invalid.","post_title":"Contact form Main Page","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"untitled","to_ping":"","pinged":"","post_modified":"2024-02-13 10:01:44","post_modified_gmt":"2024-02-13 10:01:44","post_content_filtered":"","post_parent":0,"guid":"https:\/\/omnisurgical.com\/?post_type=wpcf7_contact_form&#038;p=224","menu_order":0,"post_type":"wpcf7_contact_form","post_mime_type":"","comment_count":"0","filter":"raw"},"background_phto_banner":false,"banner_title":"","banner_subtitle":"","banner_button":"","image_challenge":false,"title_challenge":"","description_challenge":"","description_bottom_challenge":"","solution_image":false,"solution_title":"","solution_subtitle":"","solution_step":false,"solution_bottom_description":"","solution_button":"","data_icon":false,"data_title":"","data_study_list":false,"surgical_system_title":"","surgical_system_subtitle":"","surgical_system_image":false,"procedures_title":"","procedures_decription":"","procedures_items":false,"video_content_title":"","video_content_image":false,"video_content_vidoe_link":"","patient_selection_image":false,"patient_selection_title":"","patient_selection_list":false,"reimbursement_title":"","description_reimbursement":"","reimbursement_button":"","reimbursement_file":false,"title_events":"","title_news":"","title_contactform":"","chose_contact_form":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - 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