{"id":12139,"date":"2026-05-20T11:50:05","date_gmt":"2026-05-20T06:20:05","guid":{"rendered":"https:\/\/d.ptpl.dev\/acarix\/register\/"},"modified":"2026-05-20T12:59:01","modified_gmt":"2026-05-20T07:29:01","slug":"registration","status":"publish","type":"page","link":"https:\/\/d.ptpl.dev\/acarix\/registration\/","title":{"rendered":"Register"},"content":{"rendered":"<div class=\"uwp-register-class bsui sdel-4febeb0a\" ><div class=\"uwp_widgets uwp_widget_register\"><div class=\"uwp_page wpbs\">    <div class=\"row\">\n        <div class=\"card mx-auto container-fluid p-0 border-0\" >\n\t\t\t            <div class=\"card-body\">\n\t\t\t\t<h3 class=\"card-title text-center mb-4\">Register<\/h3>\n                <form class=\"uwp-registration-form uwp_form\" method=\"post\" enctype=\"multipart\/form-data\">\n\t\t\t\t\t<div data-argument=\"first_name\" class=\"mb-3\" ><label for=\"first_name\" class=\"visually-hidden form-label\">First Name <span class=\"text-danger\">*<\/span><\/label><input type=\"text\"  name=\"first_name\"  id=\"first_name\"  placeholder=\"First Name *\"  title=\"First Name\"  required  class=\"form-control \" ><\/div><div data-argument=\"last_name\" class=\"mb-3\" ><label for=\"last_name\" class=\"visually-hidden form-label\">Last Name <span class=\"text-danger\">*<\/span><\/label><input type=\"text\"  name=\"last_name\"  id=\"last_name\"  placeholder=\"Last Name *\"  title=\"Last Name\"  required  class=\"form-control \" ><\/div><div data-argument=\"email\" class=\"mb-3\" ><label for=\"email\" class=\"visually-hidden form-label\">Email <span class=\"text-danger\">*<\/span><\/label><input type=\"email\"  name=\"email\"  id=\"email\"  placeholder=\"Email *\"  title=\"Email\"  required  class=\"form-control \" ><\/div><div data-argument=\"mobile\" class=\"mb-3\" ><label for=\"mobile\" class=\"visually-hidden form-label\">Mobile<\/label><input type=\"tel\"  name=\"mobile\"  id=\"mobile\"  placeholder=\"Mobile\"  title=\"Mobile\"  class=\"form-control \" ><\/div><div data-argument=\"password\" class=\"mb-3 uwp-password-wrap\" ><label for=\"password\" class=\"visually-hidden form-label\">Password <span class=\"text-danger\">*<\/span><\/label><div class=\"input-group\" ><input type=\"password\"  name=\"password\"  id=\"password\"  placeholder=\"Password *\"  title=\"Password\"  required  class=\"form-control \" ><span class=\"input-group-text top-0 end-0 c-pointer px-3\" \nonclick=\"var $el = jQuery(this).find('i');$el.toggleClass('fa-eye fa-eye-slash');\nvar $eli = jQuery(this).parent().parent().find('input');\nif($el.hasClass('fa-eye'))\n{$eli.attr('type','text');}\nelse{$eli.attr('type','password');}\"\n><i class=\"far fa-fw fa-width-fixed fa-eye-slash\"><\/i><\/span><\/div><\/div><div data-argument=\"confirm_password\" class=\"mb-3 uwp-password-wrap\" ><label for=\"confirm_password\" class=\"visually-hidden form-label\">Confirm Password <span class=\"text-danger\">*<\/span><\/label><div class=\"input-group\" ><input type=\"password\"  name=\"confirm_password\"  id=\"confirm_password\"  placeholder=\"Confirm Password *\"  title=\"Confirm Password\"  required  class=\"form-control \" ><span class=\"input-group-text top-0 end-0 c-pointer px-3\" \nonclick=\"var $el = jQuery(this).find('i');$el.toggleClass('fa-eye fa-eye-slash');\nvar $eli = jQuery(this).parent().parent().find('input');\nif($el.hasClass('fa-eye'))\n{$eli.attr('type','text');}\nelse{$eli.attr('type','password');}\"\n><i class=\"far fa-fw fa-width-fixed fa-eye-slash\"><\/i><\/span><\/div><\/div><div data-argument=\"membertype\" class=\"mb-3\" ><label for=\"membertype\" class=\"visually-hidden form-label\">Member Type <span class=\"text-danger\">*<\/span><\/label><select  style='width:100%;'  class=\"form-select aui-select2\"  name=\"membertype\"  id=\"membertype\"  title=\"Member Type\"  data-placeholder=\"Select any *\"  data-allow-clear=\"1\"  required><option><\/option><option value=\"Cardiology\"  >Cardiology<\/option><option value=\"PCP\"  >PCP<\/option><option value=\"ED\"  >ED<\/option><\/select><\/div><input type=\"hidden\" name=\"redirect_to\" value=\"https:\/\/d.ptpl.dev\/acarix\"\/><input type=\"hidden\" name=\"uwp_register_hash\" value=\"a5297e46caea47ab1eb3776ab\" style=\"display:none !important; visibility:hidden !important;\" \/><input type=\"hidden\" name=\"uwp_register_hp\" value=\"\" style=\"display:none !important; visibility:hidden !important;\" size=\"25\" autocomplete=\"off\" \/><input type=\"hidden\" name=\"uwp_register_nonce\" value=\"f1e9e2d14e\" \/><input type=\"hidden\" name=\"uwp_register_form_id\" value=\"4\"><button type=\"submit\"  name=\"uwp_register_submit\"  class=\"btn btn-primary w-100 text-uppercase uwp_register_submit\"  >Create account<\/button>\n                <\/form>\n\n                <div class=\"uwp-footer-links\">\n                    <div class=\"uwp-footer-link\">\n\t\t\t\t\t\t<a href=\"https:\/\/d.ptpl.dev\/acarix\/login\/\" class=\"d-block text-center mt-2 small uwp-login-link\"  rel=\"nofollow\"  >Login<\/a>\n                    <\/div>\n                <\/div>\n\n                <div class=\"mb-3 text-center mb-0 p-0\">\n\t\t\t\t\t                <\/div>\n\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div><\/div>\t<script>\n        jQuery( document ).ready( function( $ ) {\n\n            $( 'body' ).on( 'keyup', 'input[name=password], input[name=confirm_password]',\n                function( event ) {\n                    var $form = $(this).closest('form');\n                    if( ! $form.hasClass('uwp-login-form') ) {\n                        uwp_checkPasswordStrength(\n                            $form.find('input[name=password]'),\n                            $form.find('input[name=confirm_password]'),\n                            $form.find('#uwp-password-strength'),\n                            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