Records Request

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publish_datetime=”” expiry_datetime=”” responsive=””][/bt_header][bt_hr top_spaced=”not-spaced” bottom_spaced=”bottomSemiSpaced” transparent_border=”noBorder” el_class=”” el_style=”” publish_datetime=”” expiry_datetime=”” responsive=””][/bt_hr][/bt_column][/bt_row][bt_row][bt_column width=”1/1″ align=”left” vertical_align=”inherit” border=”btRightBorder” cell_padding=”btDoublePadding” animation=”no_animation” text_indent=”no_text_indent” highlight=”no_highlight” background_color=”” opacity=”” inner_background_color=”” background_image=”” el_class=”” el_style=””][bt_text][contact-form-7 id=”1126″ title=”Records Request”][/bt_text][/bt_column][/bt_row][/bt_section][bt_section layout=”boxed” top_spaced=”not-spaced” bottom_spaced=”not-spaced” skin=”inherit” full_screen=”no” vertical_align=”inherit” divider=”no” back_image=”” back_color=”” back_video=”” video_settings=”” parallax=”” parallax_offset=”” animation=”” animation_back=”” animation_impress=”” el_id=”” el_class=”” el_style=”margin-top: -6px;”][bt_row][bt_column width=”1/1″][bt_header superheadline=”” headline=”Have a new client you’d like us to see? refer them now!” headline_size=”large” dash=”no” dash_style=”btNormalDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_header][/bt_column][/bt_row][/bt_section][bt_section layout=”boxed” top_spaced=”topSpaced” bottom_spaced=”bottomSpaced” skin=”inherit” full_screen=”no” vertical_align=”inherit” divider=”no” back_image=”” back_color=”” back_video=”” video_settings=”” parallax=”” parallax_offset=”” animation=”” animation_back=”” animation_impress=”” el_id=”” el_class=”” el_style=””][bt_row][bt_column width=”1/1″ align=”left” vertical_align=”inherit” border=”no_border” cell_padding=”btDoublePadding” animation=”animate animate-fadein animate-moveleft” text_indent=”no_text_indent” highlight=”no_highlight” background_color=”” transparent=”” inner_background_color=”” background_image=”” el_class=”” el_style=”” opacity=””][bt_header superheadline=”” headline=”SEND US YOUR REFERRAL” headline_size=”large” dash=”top” subheadline=”” el_class=”” el_style=”” dash_style=”btAccentDash” publish_datetime=”” expiry_datetime=”” responsive=””][/bt_header][bt_hr top_spaced=”not-spaced” bottom_spaced=”bottomSemiSpaced” transparent_border=”noBorder” el_class=”” el_style=”” publish_datetime=”” expiry_datetime=”” responsive=””][/bt_hr][/bt_column][/bt_row][bt_row][bt_column width=”1/1″ align=”left” vertical_align=”inherit” border=”btRightBorder” cell_padding=”btDoublePadding” animation=”no_animation” text_indent=”no_text_indent” highlight=”no_highlight” background_color=”” opacity=”” inner_background_color=”” background_image=”” el_class=”” el_style=””][bt_text][contact-form-7 id=”338″ title=”Referral form”][/bt_text][/bt_column][/bt_row][/bt_section][bt_section layout=”wide” top_spaced=”not-spaced” bottom_spaced=”not-spaced” skin=”dark” full_screen=”no” vertical_align=”inherit” divider=”no” 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el_style=”” responsive=””][bt_icon icon=”s7_e638″ icon_title=”426 E Southern Ave, Suite 101, Tempe, AZ 85282″ icon_type=”btIcoDefaultType” icon_color=”btIcoDefaultColor” icon_size=”btIcoSmallSize” icon_animation=”” icon_outline=”” url=”/refer-a-patient/” target=”no_target” el_class=”” el_style=””][/bt_icon][/bt_icons][bt_hr top_spaced=”topExtraSmallSpaced” bottom_spaced=”bottomExtraSmallSpaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_hr][bt_icons position=”btIconsNormalPosition” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][bt_icon icon=”dg_e903″ icon_title=”Phone: 480-681-7979″ icon_type=”btIcoDefaultType” icon_color=”btIcoDefaultColor” icon_size=”btIcoSmallSize” icon_animation=”” icon_outline=”” url=”tel:+14806817979″ target=”no_target” el_class=”” el_style=””][/bt_icon][/bt_icons][/bt_column][bt_column width=”2/3″][bt_text]

[/bt_text][/bt_column][/bt_row][/bt_section][bt_section layout=”boxed” top_spaced=”not-spaced” bottom_spaced=”not-spaced” skin=”inherit” full_screen=”no” vertical_align=”inherit” divider=”no” back_image=”” back_color=”” back_video=”” video_settings=”” parallax=”” parallax_offset=”” animation=”” animation_back=”” animation_impress=”” el_id=”” el_class=”” el_style=”margin-top: -6px;”][bt_row][bt_column width=”1/1″ align=”center” vertical_align=”inherit” border=”no_border” cell_padding=”btNoPadding” animation=”no_animation” text_indent=”no_text_indent” highlight=”no_highlight” background_color=”” opacity=”” inner_background_color=”” background_image=”” el_class=”” el_style=””][bt_hr top_spaced=”topExtraSmallSpaced” bottom_spaced=”bottomExtraSmallSpaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_hr][/bt_column][/bt_row][/bt_section][bt_section layout=”wide” top_spaced=”not-spaced” bottom_spaced=”not-spaced” skin=”dark” full_screen=”no” vertical_align=”inherit” divider=”no” back_image=”” back_color=”” back_video=”” video_settings=”” parallax=”” parallax_offset=”” animation=”” animation_back=”” animation_impress=”” el_id=”contact” el_class=”” el_style=””][bt_row][bt_column width=”1/3″ align=”center” vertical_align=”btMiddleVertical” border=”no_border” cell_padding=”default” animation=”no_animation” text_indent=”no_text_indent” highlight=”no_highlight” background_color=”rgb(35,33,0)” opacity=”” inner_background_color=”” background_image=”” el_class=”” el_style=””][bt_header superheadline=”” headline=”West Phoenix” headline_size=”extralarge” dash=”no” dash_style=”btNormalDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_header][bt_hr top_spaced=”topExtraSmallSpaced” bottom_spaced=”bottomExtraSmallSpaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_hr][bt_icons position=”btIconsNormalPosition” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][bt_icon icon=”s7_e638″ icon_title=”2330 No 75th Ave, Ste 113, Phoenix, AZ 85035″ icon_type=”btIcoDefaultType” icon_color=”btIcoDefaultColor” icon_size=”btIcoSmallSize” icon_animation=”” icon_outline=”” url=”/refer-a-patient/” target=”no_target” el_class=”” el_style=””][/bt_icon][/bt_icons][bt_hr top_spaced=”topExtraSmallSpaced” bottom_spaced=”bottomExtraSmallSpaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_hr][bt_icons position=”btIconsNormalPosition” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][bt_icon icon=”dg_e903″ icon_title=”Phone: 480-681-7979″ icon_type=”btIcoDefaultType” icon_color=”btIcoDefaultColor” icon_size=”btIcoSmallSize” icon_animation=”” icon_outline=”” url=”tel:+14806817979″ target=”no_target” el_class=”” el_style=””][/bt_icon][/bt_icons][/bt_column][bt_column width=”2/3″][bt_text]

[/bt_text][/bt_column][/bt_row][/bt_section][bt_section layout=”wide” top_spaced=”not-spaced” bottom_spaced=”not-spaced” skin=”dark” full_screen=”no” vertical_align=”inherit” divider=”no” back_image=”” back_color=”” back_video=”” video_settings=”” parallax=”” parallax_offset=”” animation=”” animation_back=”” animation_impress=”” el_id=”contact” el_class=”” el_style=””][bt_row][bt_column width=”1/3″ align=”center” vertical_align=”btMiddleVertical” border=”no_border” cell_padding=”default” animation=”no_animation” text_indent=”no_text_indent” highlight=”no_highlight” background_color=”rgb(35,33,0)” opacity=”” inner_background_color=”” background_image=”” el_class=”” el_style=””][bt_header superheadline=”” headline=”North Phoenix” headline_size=”extralarge” dash=”no” dash_style=”btNormalDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_header][bt_hr top_spaced=”topExtraSmallSpaced” bottom_spaced=”bottomExtraSmallSpaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_hr][bt_icons position=”btIconsNormalPosition” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][bt_icon icon=”s7_e638″ icon_title=”3329 E. Bell Rd. Suite #A1-A5 Phoenix, AZ 85032″ icon_type=”btIcoDefaultType” icon_color=”btIcoDefaultColor” icon_size=”btIcoSmallSize” icon_animation=”” icon_outline=”” url=”/refer-a-patient/” target=”no_target” el_class=”” el_style=””][/bt_icon][/bt_icons][bt_hr top_spaced=”topExtraSmallSpaced” bottom_spaced=”bottomExtraSmallSpaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][/bt_hr][bt_icons position=”btIconsNormalPosition” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][bt_icon icon=”dg_e903″ icon_title=”Phone: 480-681-7979″ icon_type=”btIcoDefaultType” icon_color=”btIcoDefaultColor” icon_size=”btIcoSmallSize” icon_animation=”” icon_outline=”” url=”tel:+14806817979″ target=”no_target” el_class=”” el_style=””][/bt_icon][/bt_icons][/bt_column][bt_column width=”2/3″][bt_text]

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