{"id":414,"date":"2026-06-16T09:46:24","date_gmt":"2026-06-16T09:46:24","guid":{"rendered":"https:\/\/sinomedassist.com\/?page_id=414"},"modified":"2026-06-16T15:19:37","modified_gmt":"2026-06-16T15:19:37","slug":"pre-consultation-form","status":"publish","type":"page","link":"https:\/\/sinomedassist.com\/ar\/pre-consultation-form\/","title":{"rendered":"\u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u062a\u0643 \u0627\u0644\u0645\u062c\u0627\u0646\u064a\u0629"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"414\" class=\"elementor elementor-414\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-25d9c9a e-con e-atomic-element e-flexbox-base e-92c13d3 \" data-id=\"25d9c9a\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"25d9c9a\" data-e-type=\"e-flexbox\" data-id=\"25d9c9a\">\n    \t\t<div class=\"elementor-element elementor-element-ddf8d2a eael-contact-form-7-button-align-left eael-contact-form-7-button-custom elementor-widget elementor-widget-eael-contact-form-7\" data-id=\"ddf8d2a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-contact-form-7.default\">\n\t\t\t\t\t<div class=\"eael-contact-form-7-wrapper\">\n                <div class=\"eael-contact-form eael-contact-form-7 eael-contact-form-ddf8d2a placeholder-show eael-contact-form-align-default\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f416-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"416\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ar\/wp-json\/wp\/v2\/pages\/414#wpcf7-f416-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-auto-return-first-step cf7mls-no-moving-animation\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"416\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f416-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<style>\n\n\n\/* --- Global Form Resets & Theme Adaptation --- *\/\n.cf7-wizard-wrapper {\n width: 100%;\n max-width: 100%;\n box-sizing: border-box;\n font-family: inherit;\n color: #5E5D59;\n margin: 0 auto;\n padding: 15px 0;\n}\n\n.cf7-wizard-wrapper *, \n.cf7-wizard-wrapper *::before, \n.cf7-wizard-wrapper *::after {\n box-sizing: border-box;\n}\n\n\/* --- Global Placeholder Specifications --- *\/\n.cf7-wizard-wrapper ::placeholder {\n font-size: 14px !important;\n color: #b4b4b2 !important;\n opacity: 1 !important; \/* Overrides default browser opacity variations *\/\n}\n\n.cf7-wizard-wrapper input::-webkit-input-placeholder,\n.cf7-wizard-wrapper textarea::-webkit-input-placeholder {\n font-size: 14px !important;\n color: #b4b4b2 !important;\n}\n\n.cf7-wizard-wrapper input::-moz-placeholder,\n.cf7-wizard-wrapper textarea::-moz-placeholder {\n font-size: 14px !important;\n color: #b4b4b2 !important;\n opacity: 1 !important;\n}\n\n.cf7-wizard-wrapper input:-ms-input-placeholder,\n.cf7-wizard-wrapper textarea:-ms-input-placeholder {\n font-size: 14px !important;\n color: #b4b4b2 !important;\n}\n\n\/* --- Typography & Spacing --- *\/\n.cf7-wizard-wrapper h3 {\n color: #008cb1;\n font-size: 1.4rem;\n font-weight: 600;\n margin-top: 30px;\n margin-bottom: 24px;\n padding-bottom: 10px;\n border-bottom: 2px solid #f0f0f0;\n}\n\n.cf7-wizard-wrapper label {\n display: block;\n font-weight: 500;\n font-size: 0.95rem;\n margin-bottom: 8px;\n color: #5E5D59;\n}\n\n.cf7-wizard-wrapper label .req {\n color: #d93025;\n margin-left: 3px;\n}\n\n\/* --- Input Fields Styles --- *\/\n.cf7-wizard-wrapper input[type=\"text\"],\n.cf7-wizard-wrapper input[type=\"email\"],\n.cf7-wizard-wrapper input[type=\"tel\"],\n.cf7-wizard-wrapper input[type=\"date\"],\n.cf7-wizard-wrapper select {\n width: 100%;\n height: 42px;\n padding: 0 14px;\n border: 1px solid #dcdbd8;\n border-radius: 8px;\n font-family: inherit;\n font-size: 0.95rem;\n color: #5E5D59;\n background-color: #ffffff;\n transition: border-color 0.2s ease, box-shadow 0.2s ease;\n}\n\n.cf7-wizard-wrapper textarea {\n width: 100%;\n height: 80px;\n padding: 10px 14px;\n border: 1px solid #dcdbd8;\n border-radius: 8px;\n font-family: inherit;\n font-size: 0.95rem;\n color: #5E5D59;\n background-color: #ffffff;\n resize: vertical;\n transition: border-color 0.2s ease, box-shadow 0.2s ease;\n}\n\n.cf7-wizard-wrapper input:focus,\n.cf7-wizard-wrapper select:focus,\n.cf7-wizard-wrapper textarea:focus {\n outline: none;\n border-color: #6EC1E4;\n box-shadow: 0 0 0 3px rgba(110, 193, 228, 0.15);\n}\n\n\/* --- Complex Inputs (Checkbox \/ Radio) --- *\/\n.cf7-wizard-wrapper .complex-field .wpcf7-list-item {\n display: block;\n margin: 0 0 10px 0;\n}\n\n.cf7-wizard-wrapper .complex-field label {\n display: inline-flex;\n align-items: center;\n font-weight: 400;\n cursor: pointer;\n margin: 0;\n}\n\n.cf7-wizard-wrapper .complex-field input[type=\"radio\"],\n.cf7-wizard-wrapper .complex-field input[type=\"checkbox\"] {\n margin-right: 10px;\n width: 18px;\n height: 18px;\n accent-color: #6EC1E4;\n cursor: pointer;\n}\n\n\/* --- File Field Wrapper --- *\/\n.cf7-wizard-wrapper .file-upload-wrapper input[type=\"file\"] {\n width: 100%;\n padding: 8px;\n background: #fdfdfd;\n border: 1px dashed #6EC1E4;\n border-radius: 8px;\n font-size: 0.9rem;\n}\n\n\/* --- Layout Architecture (Desktop Mode) --- *\/\n.cf7-wizard-wrapper .form-grid {\n display: grid;\n gap: 24px;\n}\n\n.cf7-wizard-wrapper .grid-3-col {\n grid-template-columns: repeat(3, 1fr);\n}\n\n.cf7-wizard-wrapper .grid-1-col {\n grid-template-columns: 1fr;\n}\n\n.cf7-wizard-wrapper .span-2-col {\n grid-column: span 2;\n}\n\n.cf7-wizard-wrapper .span-3-col {\n grid-column: span 3;\n}\n\n\/* Side by Side layout for Step 3 Treatment Info & Interest on Desktop *\/\n.cf7-wizard-wrapper .row-split-2 {\n display: grid;\n grid-template-columns: repeat(2, 1fr);\n gap: 40px;\n}\n\n\/* --- Navigation Controls Layout --- *\/\n\/* Hide wizard headers on desktop completely *\/\n.cf7-wizard-wrapper .wizard-header {\n display: none;\n}\n\n\/* On Desktop: Hide Next and Previous buttons, keep only the Submit Container visible *\/\n.cf7-wizard-wrapper .btn-prev,\n.cf7-wizard-wrapper .btn-next {\n display: none !important;\n}\n\n.cf7-wizard-wrapper .wizard-navigation-controls {\n margin-top: 35px;\n border-top: 1px solid #f0f0f0;\n padding-top: 25px;\n display: block;\n}\n\n.cf7-wizard-wrapper .form-submit-container {\n display: block;\n}\n\n\/* --- Universal Button Styles --- *\/\n.cf7-wizard-wrapper .btn-wizard {\n display: inline-flex;\n align-items: center;\n justify-content: center;\n height: 44px;\n padding: 0 24px;\n font-size: 0.95rem;\n font-weight: 600;\n border-radius: 8px;\n border: none;\n cursor: pointer;\n transition: background-color 0.25s ease, color 0.25s ease;\n}\n\n.cf7-wizard-wrapper .btn-next,\n.cf7-wizard-wrapper .btn-submit {\n background-color: #6EC1E4;\n color: #ffffff;\n}\n\n.cf7-wizard-wrapper .btn-next:hover,\n.cf7-wizard-wrapper .btn-submit:hover {\n background-color: #5E5D59;\n color: #ffffff;\n}\n\n.cf7-wizard-wrapper .btn-prev {\n background-color: #e8e7e4;\n color: #5E5D59;\n}\n\n.cf7-wizard-wrapper .btn-prev:hover {\n background-color: #5E5D59;\n color: #ffffff;\n}\n\n\/* CF7 Validation Feedback Tips *\/\n.cf7-wizard-wrapper .wpcf7-not-valid-tip {\n color: #d93025;\n font-size: 0.85rem;\n margin-top: 5px;\n display: block;\n}\n\n.cf7-wizard-wrapper .input-validation-error {\n border-color: #d93025 !important;\n background-color: #fff8f8 !important;\n}\n\n\/* --- Responsive Layout (Mobile Mode Breakpoint: 767px) --- *\/\n@media screen and (max-width: 767px) {\n \n .cf7-wizard-wrapper .wizard-header {\n display: block;\n margin-bottom: 30px;\n }\n \n .cf7-wizard-wrapper .wizard-progress-bar {\n width: 100%;\n height: 6px;\n background-color: #e8e7e4;\n border-radius: 3px;\n overflow: hidden;\n margin-bottom: 8px;\n }\n \n .cf7-wizard-wrapper .progress-fill {\n height: 100%;\n width: 20%;\n background-color: #6EC1E4;\n transition: width 0.4s cubic-bezier(0.4, 0, 0.2, 1);\n }\n \n .cf7-wizard-wrapper .wizard-step-indicator {\n font-size: 0.85rem;\n font-weight: 600;\n color: #5E5D59;\n \n letter-spacing: 0.5px;\n }\n\n \/* Handle Step Visibility *\/\n .cf7-wizard-wrapper .wizard-section {\n display: none;\n opacity: 0;\n transform: translateY(10px);\n transition: opacity 0.35s ease, transform 0.35s ease;\n }\n \n .cf7-wizard-wrapper .wizard-section.active-step {\n display: block;\n opacity: 1;\n transform: translateY(0);\n }\n\n .cf7-wizard-wrapper .form-grid.grid-3-col,\n .cf7-wizard-wrapper .row-split-2 {\n grid-template-columns: 1fr !important;\n gap: 20px;\n }\n \n .cf7-wizard-wrapper .span-2-col,\n .cf7-wizard-wrapper .span-3-col {\n grid-column: span 1 !important;\n }\n \n .cf7-wizard-wrapper .row-split-2 .sub-section-block:last-child {\n margin-top: 15px;\n padding-top: 25px;\n border-top: 1px dashed #dcdbd8;\n }\n \n \/* Show Previous & Next controls inside the mobile layout only *\/\n .cf7-wizard-wrapper .wizard-navigation-controls {\n display: flex !important;\n justify-content: space-between;\n width: 100%;\n }\n\n .cf7-wizard-wrapper .btn-prev {\n display: inline-flex !important;\n }\n \n .cf7-wizard-wrapper .btn-next {\n display: inline-flex !important;\n flex: 1;\n max-width: 48%;\n }\n \n .cf7-wizard-wrapper .btn-prev {\n flex: 1;\n max-width: 48%;\n }\n \n .cf7-wizard-wrapper .form-submit-container {\n flex: 1;\n max-width: 48%;\n display: none; \/* Controlled contextually via JavaScript *\/\n }\n \n .cf7-wizard-wrapper .form-submit-container .btn-submit {\n width: 100%;\n max-width: 100%;\n }\n}\n\n\n\n\/* second form *\/\n \/* Main Wrapper *\/\n.bmc-medical-form {\n max-width: 900px;\n margin: 0 auto;\n}\n\n\/* Rows *\/\n.bmc-row {\n display: flex;\n gap: 20px;\n margin-bottom: 20px;\n}\n\n.bmc-field {\n flex: 1;\n}\n\n.bmc-field-full {\n width: 100%;\n}\n\n\/* Labels *\/\n.bmc-medical-form label {\n display: block;\n margin-bottom: 8px;\n font-size: 15px;\n font-weight: 600;\n color: #00202B;\n}\n\n\/* Inputs *\/\n.bmc-input,\n.bmc-textarea {\n width: 100%;\n height: 55px;\n padding: 0 18px;\n border: 1px solid #E5E7EB;\n border-radius: 12px;\n background: #fff;\n font-size: 15px;\n transition: all .3s ease;\n}\n\n.bmc-textarea {\n height: 180px;\n padding: 15px 18px;\n resize: vertical;\n}\n\n\/* Focus *\/\n.bmc-input:focus,\n.bmc-textarea:focus {\n outline: none;\n border-color: #FDC98A;\n box-shadow: 0 0 0 3px rgba(253, 201, 138, .25);\n}\n\n\/* File Upload *\/\n.bmc-file {\n width: 100%;\n padding: 18px;\n border: 2px dashed #FDC98A;\n border-radius: 12px;\n background: #F9E2D4;\n cursor: pointer;\n}\n\n\/* Note *\/\n.bmc-note {\n display: block;\n margin-top: 8px;\n font-size: 13px;\n color: #777;\n}\n\n\/* Submit *\/\n.bmc-submit-wrap {\n margin-top: 30px;\n}\n\n.bmc-submit {\n display: inline-flex !important;\n align-items: center;\n justify-content: center;\n min-width: 250px;\n height: 56px;\n padding: 0 30px;\n border: none;\n border-radius: 100px;\n background: #02678E;\n color: #fff;\n font-size: 16px;\n font-weight: 600;\n cursor: pointer;\n transition: all .3s ease;\n}\n\n.bmc-submit:hover {\n transform: translateY(-2px);\n background: #000;\n}\n\n\/* Validation Messages *\/\n.bmc-medical-form .wpcf7-not-valid-tip {\n margin-top: 6px;\n font-size: 13px;\n}\n\n.bmc-medical-form .wpcf7-response-output {\n margin: 20px 0 0 !important;\n border-radius: 10px;\n}\n<\/style>\n<div id=\"cf7-wizard-form\" class=\"cf7-wizard-wrapper\"><!-- Wizard Progress Bar & Indicator (Visible on Mobile Only) -->\n\t<div class=\"wizard-header\">\n\t\t<div class=\"wizard-progress-bar\">\n\t\t\t<div class=\"progress-fill\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"wizard-step-indicator\">\n\t\t\t<p>Step <span class=\"current-step-txt\">1<\/span> of 5\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"wizard-grid-container\"><!-- STEP 1: Personal Information -->\n\t\t<div class=\"wizard-section\" data-step=\"1\">\n\t\t\t<h3>Personal Information\n\t\t\t<\/h3>\n\t\t\t<div class=\"form-grid grid-3-col\">\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Full Name <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your full name\" value=\"\" type=\"text\" name=\"full-name\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Gender <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"gender\"><option value=\"\">Select Gender<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><option value=\"Other\">Other<\/option><option value=\"Prefer not to say\">Prefer not to say<\/option><\/select><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Date of Birth <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birth-date\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Nationality <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nationality\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your nationality\" value=\"\" type=\"text\" name=\"nationality\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Country of Residence <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"country\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Current country\" value=\"\" type=\"text\" name=\"country\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Phone \/ WhatsApp Number <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"+1 234 567 8900\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Email Address <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"example@domain.com\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Preferred Language <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-language\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"English, Chinese, etc.\" value=\"\" type=\"text\" name=\"preferred-language\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><!-- STEP 2: Medical Information -->\n\t\t<div class=\"wizard-section\" data-step=\"2\">\n\t\t\t<h3>Medical Information\n\t\t\t<\/h3>\n\t\t\t<div class=\"form-grid grid-3-col\">\n\t\t\t\t<div class=\"form-field full-width-sm\">\n\t\t\t\t\t<p><label>What medical condition would you like us to review? <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"medical-condition\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Primary medical concern\" value=\"\" type=\"text\" name=\"medical-condition\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field complex-field\">\n\t\t\t\t\t<p><label>Have you already received a diagnosis? <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"received-diagnosis\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"received-diagnosis\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"received-diagnosis\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>When were you diagnosed?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"diagnosis-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"diagnosis-date\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field span-2-col\">\n\t\t\t\t\t<p><label>If yes, please provide details:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"diagnosis-details\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Provide details on diagnosis results\" name=\"diagnosis-details\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><!-- STEP 3: Treatment & Interest (Side-by-Side Context) -->\n\t\t<div class=\"wizard-section row-split-2\" data-step=\"3\"><!-- Treatment Information Sub-block -->\n\t\t\t<div class=\"sub-section-block\">\n\t\t\t\t<h3>Treatment Information\n\t\t\t\t<\/h3>\n\t\t\t\t<div class=\"form-grid grid-1-col\">\n\t\t\t\t\t<div class=\"form-field complex-field\">\n\t\t\t\t\t\t<p><label>Have you received treatment before?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"treatment-before\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"treatment-before\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"treatment-before\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-field complex-field\">\n\t\t\t\t\t\t<p><label>If yes, treatments received:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"treatments-received\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"treatments-received[]\" value=\"Surgery\" \/><span class=\"wpcf7-list-item-label\">Surgery<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"treatments-received[]\" value=\"Chemotherapy\" \/><span class=\"wpcf7-list-item-label\">Chemotherapy<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"treatments-received[]\" value=\"Radiation Therapy\" \/><span class=\"wpcf7-list-item-label\">Radiation Therapy<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"treatments-received[]\" value=\"Medication\" \/><span class=\"wpcf7-list-item-label\">Medication<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"treatments-received[]\" value=\"IVF Treatment\" \/><span class=\"wpcf7-list-item-label\">IVF Treatment<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"treatments-received[]\" value=\"Traditional Chinese Medicine\" \/><span class=\"wpcf7-list-item-label\">Traditional Chinese Medicine<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"treatments-received[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t\t<p><label>Please explain \/ provide details:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"treatment-explanation\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Describe prior procedures, dosages, timelines\" name=\"treatment-explanation\"><\/textarea><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div><!-- Treatment Interest Sub-block -->\n\t\t\t<div class=\"sub-section-block\">\n\t\t\t\t<h3>Treatment Interest\n\t\t\t\t<\/h3>\n\t\t\t\t<div class=\"form-grid grid-1-col\">\n\t\t\t\t\t<div class=\"form-field complex-field\">\n\t\t\t\t\t\t<p><label>Which healthcare service are you interested in? <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"healthcare-service\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Cancer Treatment\" \/><span class=\"wpcf7-list-item-label\">Cancer Treatment<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Fertility &amp; IVF\" \/><span class=\"wpcf7-list-item-label\">Fertility &amp; IVF<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Traditional Chinese Medicine (TCM)\" \/><span class=\"wpcf7-list-item-label\">Traditional Chinese Medicine (TCM)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Cardiology\" \/><span class=\"wpcf7-list-item-label\">Cardiology<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Orthopedics\" \/><span class=\"wpcf7-list-item-label\">Orthopedics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Neurology\" \/><span class=\"wpcf7-list-item-label\">Neurology<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Rehabilitation\" \/><span class=\"wpcf7-list-item-label\">Rehabilitation<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Health Check-Up\" \/><span class=\"wpcf7-list-item-label\">Health Check-Up<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"healthcare-service[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><!-- STEP 4: Medical Documents Upload -->\n\t\t<div class=\"wizard-section\" data-step=\"4\">\n\t\t\t<h3>Medical Documents Upload\n\t\t\t<\/h3>\n\t\t\t<div class=\"form-grid grid-3-col\">\n\t\t\t\t<div class=\"form-field span-2-col complex-field\">\n\t\t\t\t\t<p><label>Please select types of available documents to attach: <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"document-types\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"document-types[]\" value=\"Medical Reports\" \/><span class=\"wpcf7-list-item-label\">Medical Reports<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"document-types[]\" value=\"Imaging Scans (MRI, CT, PET-CT, X-Ray)\" \/><span class=\"wpcf7-list-item-label\">Imaging Scans (MRI, CT, PET-CT, X-Ray)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"document-types[]\" value=\"Pathology Reports\" \/><span class=\"wpcf7-list-item-label\">Pathology Reports<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"document-types[]\" value=\"Laboratory Results\" \/><span class=\"wpcf7-list-item-label\">Laboratory Results<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"document-types[]\" value=\"Treatment History\" \/><span class=\"wpcf7-list-item-label\">Treatment History<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"document-types[]\" value=\"Other Medical Documents\" \/><span class=\"wpcf7-list-item-label\">Other Medical Documents<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field\">\n\t\t\t\t\t<p><label>Upload Files (PDF, Images, ZIP Max 20MB) <span class=\"req\">*<\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"file-upload-wrapper\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"medical-files\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.doc,.docx,.jpg,.jpeg,.png,.zip\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"medical-files\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><!-- STEP 5: Travel & Additional Info -->\n\t\t<div class=\"wizard-section\" data-step=\"5\">\n\t\t\t<h3>Travel & Additional Information\n\t\t\t<\/h3>\n\t\t\t<div class=\"form-grid grid-3-col\">\n\t\t\t\t<div class=\"form-field complex-field\">\n\t\t\t\t\t<p><label>Have you previously traveled to China? <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"travel-china\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"travel-china\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"travel-china\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field complex-field\">\n\t\t\t\t\t<p><label>Do you currently have a valid Chinese visa? <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"valid-visa\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"valid-visa\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"valid-visa\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-field complex-field\">\n\t\t\t\t\t<p><label>How soon are you considering treatment? <span class=\"req\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"treatment-timeline\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"treatment-timeline\" value=\"As soon as possible\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">As soon as possible<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"treatment-timeline\" value=\"Within 1 month\" \/><span class=\"wpcf7-list-item-label\">Within 1 month<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"treatment-timeline\" value=\"Within 3 months\" \/><span 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[&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-414","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pre-Consultation Form | SinoMed Assist \u2013 Medical Treatment in China | \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0637\u0628\u064a \u0641\u064a \u0627\u0644\u0635\u064a\u0646<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sinomedassist.com\/ar\/pre-consultation-form\/\" \/>\n<meta property=\"og:locale\" content=\"ar_AR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pre-Consultation Form | SinoMed Assist \u2013 Medical Treatment in China | \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0637\u0628\u064a \u0641\u064a \u0627\u0644\u0635\u064a\u0646\" \/>\n<meta property=\"og:description\" content=\"Step 1 of 5 Personal Information Full Name * Gender * Select GenderMaleFemaleOtherPrefer not to say Date of Birth * Nationality * Country of Residence * Phone \/ WhatsApp Number * Email Address * Preferred Language * Medical Information What medical condition would you like us to review? * Have you already received a diagnosis? 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