{"id":7924,"date":"2022-09-18T13:45:13","date_gmt":"2022-09-18T13:45:13","guid":{"rendered":"https:\/\/noor-hc.ir\/?page_id=7924"},"modified":"2025-09-15T06:19:27","modified_gmt":"2025-09-15T06:19:27","slug":"registration","status":"publish","type":"page","link":"https:\/\/noor-hc.ir\/en\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7924\" class=\"elementor elementor-7924\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e1bb3f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3e1bb3f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-761ce08\" data-id=\"761ce08\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c6d746 elementor-widget elementor-widget-text-editor\" data-id=\"2c6d746\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>If you would like to be visited by the physicians of Noor Heart Center, please complete the form below. Our team will contact you as soon as possible.<\/h3><p style=\"text-align: center;\"><span style=\"color: #0000ff;\">You can also email our International Patient Department if you need.\u00a0 Email: ipd.noorhc@gmail.com<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-12f633e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"12f633e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8f231bb\" data-id=\"8f231bb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0cc6106 elementor-widget__width-inherit elementor-widget elementor-widget-shortcode\" data-id=\"0cc6106\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7943-o1\" lang=\"fa-IR\" dir=\"rtl\" data-wpcf7-id=\"7943\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/7924#wpcf7-f7943-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u0641\u0631\u0645 \u062a\u0645\u0627\u0633\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"7943\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fa_IR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7943-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p align=\"left\"><label> First Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Last Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Nationality (required)<br \/>\n<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\" value=\"\" type=\"text\" name=\"Nationality\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Do you need translator? (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-28\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"yes\" \/><span class=\"wpcf7-list-item-label\">yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"no\" \/><span class=\"wpcf7-list-item-label\">no<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Date of Birth<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Sex <span class=\"wpcf7-form-control-wrap\" data-name=\"sex\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"sex\"><option value=\"male\">male<\/option><option value=\"female\">female<\/option><\/select><\/span><\/label>\n<\/p>\n<p align=\"left\"><label> Passport Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"passport\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"passport\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Country<br \/>\n<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\" value=\"\" type=\"text\" name=\"Country\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Postal code<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Postal\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Postal\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Residence address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Residence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Residence\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><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\" value=\"\" type=\"email\" name=\"phone\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Email<br \/>\n<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\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Illness<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"illness\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"illness\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Drug<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Drugs\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Drugs\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Description of Disease<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Disease\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Disease\" \/><\/span> <\/label>\n<\/p>\n<p align=\"left\"><label> Attach File<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Attach\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"Attach\" \/><\/span><\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-aa28092\" data-id=\"aa28092\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5cffd64 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5cffd64\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8a03229\" data-id=\"8a03229\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>If you would like to be visited by the physicians of Noor Heart Center, please complete the form below. Our team will contact you as soon as possible. You can also email our International Patient Department if you need.\u00a0 Email: ipd.noorhc@gmail.com<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7924","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/noor-hc.ir\/en\/wp-json\/wp\/v2\/pages\/7924"}],"collection":[{"href":"https:\/\/noor-hc.ir\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/noor-hc.ir\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/noor-hc.ir\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/noor-hc.ir\/en\/wp-json\/wp\/v2\/comments?post=7924"}],"version-history":[{"count":13,"href":"https:\/\/noor-hc.ir\/en\/wp-json\/wp\/v2\/pages\/7924\/revisions"}],"predecessor-version":[{"id":9870,"href":"https:\/\/noor-hc.ir\/en\/wp-json\/wp\/v2\/pages\/7924\/revisions\/9870"}],"wp:attachment":[{"href":"https:\/\/noor-hc.ir\/en\/wp-json\/wp\/v2\/media?parent=7924"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}