{"id":4945,"date":"2026-06-08T11:02:28","date_gmt":"2026-06-08T11:02:28","guid":{"rendered":"https:\/\/telemedix.io\/website_2b08e1f0\/?page_id=4945"},"modified":"2026-06-08T11:07:10","modified_gmt":"2026-06-08T11:07:10","slug":"provider-contact-us","status":"publish","type":"page","link":"https:\/\/telemedix.io\/website_2b08e1f0\/provider-contact-us\/","title":{"rendered":"Provider Contact Us"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4945\" class=\"elementor elementor-4945\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f0fdb05 bdt-particles-yes e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"f0fdb05\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;section_particles_on&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-93fba7b e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-child\" data-id=\"93fba7b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-efcbcce elementor-widget elementor-widget-heading\" data-id=\"efcbcce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Contact Us<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64af862 elementor-widget elementor-widget-heading\" data-id=\"64af862\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Home - Contact Us<\/h2>\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 class=\"elementor-section elementor-top-section elementor-element elementor-element-bc6fb99 bdt-particles-yes elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"bc6fb99\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;,&quot;section_particles_on&quot;:&quot;yes&quot;,&quot;section_particles_js&quot;:&quot;{\\n  \\&quot;particles\\&quot;: {\\n    \\&quot;number\\&quot;: {\\n      \\&quot;value\\&quot;: 120,\\n      \\&quot;density\\&quot;: {\\n        \\&quot;enable\\&quot;: true,\\n        \\&quot;value_area\\&quot;: 900\\n      }\\n    },\\n    \\&quot;color\\&quot;: {\\n      \\&quot;value\\&quot;: \\&quot;#116EBF\\&quot;\\n    },\\n    \\&quot;shape\\&quot;: {\\n      \\&quot;type\\&quot;: \\&quot;circle\\&quot;\\n    },\\n    \\&quot;opacity\\&quot;: {\\n      \\&quot;value\\&quot;: 0.4,\\n      \\&quot;random\\&quot;: true,\\n      \\&quot;anim\\&quot;: {\\n        \\&quot;enable\\&quot;: true,\\n        \\&quot;speed\\&quot;: 0.8,\\n        \\&quot;opacity_min\\&quot;: 0.1,\\n        \\&quot;sync\\&quot;: false\\n      }\\n    },\\n    \\&quot;size\\&quot;: {\\n      \\&quot;value\\&quot;: 3,\\n      \\&quot;random\\&quot;: true,\\n      \\&quot;anim\\&quot;: {\\n        \\&quot;enable\\&quot;: true,\\n        \\&quot;speed\\&quot;: 3,\\n        \\&quot;size_min\\&quot;: 0.5,\\n        \\&quot;sync\\&quot;: false\\n      }\\n    },\\n    \\&quot;line_linked\\&quot;: {\\n      \\&quot;enable\\&quot;: true,\\n      \\&quot;distance\\&quot;: 150,\\n      \\&quot;color\\&quot;: \\&quot;#5581CE\\&quot;,\\n      \\&quot;opacity\\&quot;: 0.18,\\n      \\&quot;width\\&quot;: 1\\n    },\\n    \\&quot;move\\&quot;: {\\n      \\&quot;enable\\&quot;: true,\\n      \\&quot;speed\\&quot;: 2.5,\\n      \\&quot;direction\\&quot;: \\&quot;none\\&quot;,\\n      \\&quot;random\\&quot;: true,\\n      \\&quot;straight\\&quot;: false,\\n      \\&quot;out_mode\\&quot;: \\&quot;out\\&quot;,\\n      \\&quot;bounce\\&quot;: false,\\n      \\&quot;attract\\&quot;: {\\n        \\&quot;enable\\&quot;: true,\\n        \\&quot;rotateX\\&quot;: 1000,\\n        \\&quot;rotateY\\&quot;: 1200\\n      }\\n    }\\n  },\\n  \\&quot;interactivity\\&quot;: {\\n    \\&quot;detect_on\\&quot;: \\&quot;canvas\\&quot;,\\n    \\&quot;events\\&quot;: {\\n      \\&quot;onhover\\&quot;: {\\n        \\&quot;enable\\&quot;: false\\n      },\\n      \\&quot;onclick\\&quot;: {\\n        \\&quot;enable\\&quot;: true,\\n        \\&quot;mode\\&quot;: \\&quot;push\\&quot;\\n      },\\n      \\&quot;resize\\&quot;: true\\n    },\\n    \\&quot;modes\\&quot;: {\\n      \\&quot;push\\&quot;: {\\n        \\&quot;particles_nb\\&quot;: 6\\n      }\\n    }\\n  },\\n  \\&quot;retina_detect\\&quot;: true\\n}&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-e0fcb23\" data-id=\"e0fcb23\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-b0e5bae wpr-dual-heading-icon-top elementor-widget elementor-widget-wpr-dual-color-heading\" data-id=\"b0e5bae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpr-dual-color-heading.default\">\n\t\t\t\t\t\t\t\t<div class=\"wpr-dual-heading-wrap\">\n\t\t\t\t<div class=\"wpr-dual-title-wrap\">\n\t\t\t\t\t<h2 class=\"wpr-dual-title\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"first\">Contact<\/span>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"second\">us<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/h2>\n\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ad416e elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"3ad416e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Support, guidance, and answers \u2014 just a message away.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;#&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-c633da9 elementor-position-left elementor-vertical-align-middle elementor-widget__width-auto bdt-icon-type-icon bdt-icon-effect-none elementor-widget elementor-widget-bdt-advanced-icon-box\" data-id=\"c633da9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdt-advanced-icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box\">\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box-icon\">\n\t\t\t\t<span class=\"bdt-ep-advanced-icon-box-icon-wrap\">\n\n\n\t\t\t\t\t\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-envelope\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z\"><\/path><\/svg>\n\n\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\n\t\t\t\t\n\t\t\t<div class=\"bdt-ep-advanced-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<h4 class=\"bdt-ep-advanced-icon-box-title ep-title-\">\n\t\t\t\t<span >\n\t\t\t\t\tEmail Us\t\t\t\t<\/span>\n\t\t\t<\/h4>\n\t\t\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box-description\">\n\t\t\t\t\t\t<p>support@telemedix.net<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\t\t\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e477a53 elementor-widget elementor-widget-spacer\" data-id=\"e477a53\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;#&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-8919c11 elementor-position-left elementor-vertical-align-middle elementor-widget__width-auto bdt-icon-type-icon bdt-icon-effect-none elementor-widget elementor-widget-bdt-advanced-icon-box\" data-id=\"8919c11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdt-advanced-icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box\">\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box-icon\">\n\t\t\t\t<span class=\"bdt-ep-advanced-icon-box-icon-wrap\">\n\n\n\t\t\t\t\t\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-phone-alt\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg>\n\n\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\n\t\t\t\t\n\t\t\t<div class=\"bdt-ep-advanced-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<h4 class=\"bdt-ep-advanced-icon-box-title ep-title-\">\n\t\t\t\t<span >\n\t\t\t\t\tCall Us\t\t\t\t<\/span>\n\t\t\t<\/h4>\n\t\t\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box-description\">\n\t\t\t\t\t\t<p>+1 (888) 338-8305<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\t\t\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-872d7db elementor-widget elementor-widget-spacer\" data-id=\"872d7db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;#&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-9fa5d33 elementor-position-left elementor-vertical-align-middle elementor-widget__width-auto bdt-icon-type-icon bdt-icon-effect-none elementor-widget elementor-widget-bdt-advanced-icon-box\" data-id=\"9fa5d33\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdt-advanced-icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box\">\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box-icon\">\n\t\t\t\t<span class=\"bdt-ep-advanced-icon-box-icon-wrap\">\n\n\n\t\t\t\t\t\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-map-marker-alt\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M172.268 501.67C26.97 291.031 0 269.413 0 192 0 85.961 85.961 0 192 0s192 85.961 192 192c0 77.413-26.97 99.031-172.268 309.67-9.535 13.774-29.93 13.773-39.464 0zM192 272c44.183 0 80-35.817 80-80s-35.817-80-80-80-80 35.817-80 80 35.817 80 80 80z\"><\/path><\/svg>\n\n\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\n\t\t\t\t\n\t\t\t<div class=\"bdt-ep-advanced-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<h4 class=\"bdt-ep-advanced-icon-box-title ep-title-\">\n\t\t\t\t<span >\n\t\t\t\t\tUnited States Office\t\t\t\t<\/span>\n\t\t\t<\/h4>\n\t\t\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box-description\">\n\t\t\t\t\t\t<p>260 Newport Center Drive, Suite 100 Newport Beach, CA 92660<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\t\t\n\t\t\t\t<\/div>\n\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;#&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-49e9989 elementor-position-left elementor-vertical-align-middle elementor-widget__width-initial bdt-icon-type-icon bdt-icon-effect-none elementor-widget elementor-widget-bdt-advanced-icon-box\" data-id=\"49e9989\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdt-advanced-icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box\">\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box-icon\">\n\t\t\t\t<span class=\"bdt-ep-advanced-icon-box-icon-wrap\">\n\n\n\t\t\t\t\t\n\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-map-marker-alt\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M172.268 501.67C26.97 291.031 0 269.413 0 192 0 85.961 85.961 0 192 0s192 85.961 192 192c0 77.413-26.97 99.031-172.268 309.67-9.535 13.774-29.93 13.773-39.464 0zM192 272c44.183 0 80-35.817 80-80s-35.817-80-80-80-80 35.817-80 80 35.817 80 80 80z\"><\/path><\/svg>\n\n\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\n\t\t\t\t\n\t\t\t<div class=\"bdt-ep-advanced-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<h4 class=\"bdt-ep-advanced-icon-box-title ep-title-\">\n\t\t\t\t<span >\n\t\t\t\t\tNetherlands Office\t\t\t\t<\/span>\n\t\t\t<\/h4>\n\t\t\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"bdt-ep-advanced-icon-box-description\">\n\t\t\t\t\t\t<p>3971 ME, Driebergen-Rijsenburg The Netherlands<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\t\t\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-236efee\" data-id=\"236efee\" 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-5b65baf elementor-button-align-stretch elementor-widget elementor-widget-bdt-contact-form\" data-id=\"5b65baf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdt-contact-form.default\">\n\t\t\t\t\t\t\t<div class=\"bdt-contact-form bdt-contact-form-skin-default\">\n\t\t\t<div class=\"elementor-form-fields-wrapper\">\n\t\t\t\t\t\t<div class=\"bdt-contact-form-wrapper\">\n\t\t\t<form class=\"bdt-contact-form-form bdt-form-stacked bdt-grid bdt-grid-small without-recaptcha\" data-bdt-grid=\"\" action=\"https:\/\/telemedix.io\/website_2b08e1f0\/wp-admin\/admin-ajax.php\" method=\"post\">\n\n\t\t\t\t\n\t\t\t\t\t<div class=\"bdt-field-group elementor-field-required bdt-width-1-2@m bdt-name-email-inline\">\n\t\t\t\t\t\t<label for=\"user_name5b65baf\" class=\"bdt-form-label\">Name<\/label><div class=\"bdt-form-controls\"><input type=\"text\" name=\"name\" id=\"user_name5b65baf\" placeholder=\"Your Name\" class=\"bdt-input bdt-form-default\" required =\"required\"><\/div>\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div 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