Array
(
    [0] => Array
        (
            [id] => 2746221
            [name] => COVID Immunization Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461477
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [1] => Array
                        (
                            [id] => 15461478
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [1] => Array
        (
            [id] => 3094723
            [name] => This will be a virtual appointment hosted on-site at Mint Health + Drugs: Viking.
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 85017559
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 17473077
                            [name] => This appointment is at Mint Health + Drugs Viking (default)
                            [required] => 1
                            [type] => checkboxlist
                            [options] => Array
                                (
                                    [0] => Special request to attend appointment virtually from home (restrictions may apply; requires strong internet connection)
                                )

                        )

                )

        )

    [2] => Array
        (
            [id] => 2746223
            [name] => Diabetes Management Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68218036
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461492
                            [name] => What Brings You In?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Diabetes Education & Diet Counselling
                                    [1] => Insulin Adjustments & Optimization
                                    [2] => Insulin Pumps & Supplies
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15461490
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461491
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [3] => Array
        (
            [id] => 2746226
            [name] => Flu Shot Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68561215
                    [1] => 68561226
                    [2] => 68561231
                    [3] => 68561240
                    [4] => 68561247
                    [5] => 68561255
                    [6] => 68561261
                    [7] => 68561270
                    [8] => 68561280
                    [9] => 68561286
                    [10] => 68561291
                    [11] => 68561299
                    [12] => 68272910
                    [13] => 68272895
                    [14] => 68272907
                    [15] => 68218090
                    [16] => 68218128
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15520826
                            [name] => By checking this box you acknowledge and accept that you will be required to stay in the pharmacy for fifteen (15) minutes after receiving your flu shot.
                            [required] => 1
                            [type] => checkbox
                            [options] => 
                        )

                    [1] => Array
                        (
                            [id] => 15461516
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461517
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [4] => Array
        (
            [id] => 2895071
            [name] => Netcare/Health Info Consent
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 85017681
                    [1] => 83821774
                    [2] => 83821978
                    [3] => 85017206
                    [4] => 83823452
                    [5] => 85017559
                    [6] => 83817029
                    [7] => 83823231
                    [8] => 83823700
                    [9] => 83821130
                    [10] => 83823824
                    [11] => 83823355
                    [12] => 83512922
                    [13] => 83823571
                    [14] => 83823893
                    [15] => 83822159
                    [16] => 83822593
                    [17] => 83824006
                    [18] => 83822839
                    [19] => 83822961
                    [20] => 83823102
                    [21] => 83823165
                    [22] => 69859384
                    [23] => 68273454
                    [24] => 85017437
                    [25] => 85016958
                    [26] => 84124356
                    [27] => 85017419
                    [28] => 83824212
                    [29] => 68273461
                    [30] => 83824416
                    [31] => 68218515
                    [32] => 83824504
                    [33] => 68218531
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 16329079
                            [name] => I consent to my Netcare and/or health information being accessed the purposes of this appointment.
                            [required] => 1
                            [type] => checkbox
                            [options] => 
                        )

                )

        )

    [5] => Array
        (
            [id] => 2746227
            [name] => General Ailments Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68561316
                    [1] => 68561327
                    [2] => 68561335
                    [3] => 68561345
                    [4] => 68561351
                    [5] => 68561357
                    [6] => 68561361
                    [7] => 68561372
                    [8] => 68561379
                    [9] => 68561402
                    [10] => 68561422
                    [11] => 68561425
                    [12] => 68218240
                    [13] => 68218252
                    [14] => 68272932
                    [15] => 68272960
                    [16] => 68272947
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461523
                            [name] => What Brings You In?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Elbow Pain
                                    [1] => Acne
                                    [2] => Diaper Rash
                                    [3] => GERD/heartburn
                                    [4] => Headache
                                    [5] => Cold Sores
                                    [6] => Shingles
                                    [7] => Threadworms/Pinworms
                                    [8] => Insect Bites
                                    [9] => Smoking Cessation Consult
                                    [10] => Pink Eye
                                    [11] => Allergies
                                    [12] => Hemorrhoids
                                    [13] => Strep Throat Test
                                    [14] => Yeast Infection
                                    [15] => UTI (urinary tract infection)
                                    [16] => Contraception
                                    [17] => Other
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15503100
                            [name] => If Other, please describe the ailment
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461521
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [3] => Array
                        (
                            [id] => 15461522
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [6] => Array
        (
            [id] => 2746229
            [name] => Home Health / Senior Care Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461538
                            [name] => What Brings You In?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Home Health Supplies
                                    [1] => Wheelchair Rentals
                                    [2] => Compression Stockings & Fittings Consultation
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15461536
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461537
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [7] => Array
        (
            [id] => 2746235
            [name] => Immunization and vaccination Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68561481
                    [1] => 68561492
                    [2] => 68561501
                    [3] => 68561512
                    [4] => 68561523
                    [5] => 68561538
                    [6] => 68561544
                    [7] => 68561554
                    [8] => 68561563
                    [9] => 68561571
                    [10] => 68561582
                    [11] => 68561665
                    [12] => 69299928
                    [13] => 69300379
                    [14] => 69299914
                    [15] => 69299832
                    [16] => 69301797
                    [17] => 68218301
                    [18] => 68272992
                    [19] => 68218318
                    [20] => 68272976
                    [21] => 68272986
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461570
                            [name] => What Brings You In?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Haemophilus influenzae type B vaccine
                                    [1] => Hepatitis A and B Vaccination
                                    [2] => Hepatitis A Vaccination
                                    [3] => Hepatitis B Vaccination
                                    [4] => Hib vaccine
                                    [5] => HPV Vaccination
                                    [6] => Immunization/Vaccine - Misc
                                    [7] => Japanese Encephalitis Vaccination
                                    [8] => Measles/ Mumps/ Rubella Vaccination
                                    [9] => Measles/ Mumps/ Rubella/ Varicella (MMRV) Vaccination
                                    [10] => Meningitis Vaccine
                                    [11] => Meningococcal B Vaccine
                                    [12] => OncoTICE Vaccine
                                    [13] => Pediacel Injection
                                    [14] => Pneumococcal diseases Vaccine
                                    [15] => Pneumonia Vaccine
                                    [16] => Polio Vaccine
                                    [17] => Rabies Vaccine
                                    [18] => Respiratory Syncytial Virus Vaccination
                                    [19] => Shingles Vaccine
                                    [20] => Tetanus Vaccine
                                    [21] => Typhoid Fever Vaccine
                                    [22] => Vaccine: Diphtheria/Tetanus/Pertussis
                                    [23] => Varicella (Chicken Pox) Vaccine
                                    [24] => Yellow Fever Vaccine
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15461568
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461569
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [8] => Array
        (
            [id] => 2746236
            [name] => Injections Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68561685
                    [1] => 68561696
                    [2] => 68561708
                    [3] => 68561715
                    [4] => 68561730
                    [5] => 68561740
                    [6] => 68561752
                    [7] => 68561774
                    [8] => 68561790
                    [9] => 68561808
                    [10] => 68561817
                    [11] => 68561831
                    [12] => 68218378
                    [13] => 68218388
                    [14] => 68273002
                    [15] => 68273006
                    [16] => 68273012
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461577
                            [name] => What Brings You In?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Allergy Injection
                                    [1] => Anemia Injection
                                    [2] => Antithrombotic and anticoagulant injection
                                    [3] => Bipolar Treatment Injection
                                    [4] => Depo-provera Injection
                                    [5] => Eosinophillic Asthma Vaccination
                                    [6] => Methotrexate Injection
                                    [7] => Opioid use disorder Treatment
                                    [8] => Osteoporosis Injection
                                    [9] => Other - Injection - Misc
                                    [10] => Pain Relief - Ketorolac
                                    [11] => Rheumatoid Arthritis/ Polyarticular Juvenile Idiopathic Arthritis/ Psoriatic Arthritis/ Ankylosing Spondylitis/ Crohn's Disease/ Ulcerative Colitis/ Hidradenitis Suppurativa/ Psoriasis
                                    [12] => Schizophrenia Treatment Injection
                                    [13] => Steroid Injection
                                    [14] => Testosterone Injection
                                    [15] => Ustekinumab (Stelara)
                                    [16] => Vitamin B12 Injection
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15461575
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461576
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [9] => Array
        (
            [id] => 2746233
            [name] => Injury Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68561851
                    [1] => 68561861
                    [2] => 68561884
                    [3] => 68561904
                    [4] => 68561908
                    [5] => 68561913
                    [6] => 68561917
                    [7] => 68561923
                    [8] => 68561928
                    [9] => 68561940
                    [10] => 68561947
                    [11] => 68561955
                    [12] => 68218407
                    [13] => 68218423
                    [14] => 68273025
                    [15] => 68273034
                    [16] => 68273039
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461563
                            [name] => What Brings You In?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Injury/Sprain
                                    [1] => Skin Concerns or Rash
                                    [2] => Fungal Infection
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15461561
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461562
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [10] => Array
        (
            [id] => 2746241
            [name] => Postpartum Care Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68218440
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461604
                            [name] => What Brings You In?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Nipple Pain
                                    [1] => Milk Supply/Lactation
                                    [2] => Diaper Rash
                                    [3] => Infant Formula
                                    [4] => Breast Pump Rentals
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15461602
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461603
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [11] => Array
        (
            [id] => 2746242
            [name] => Prescription Management Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68561966
                    [1] => 68561985
                    [2] => 68561990
                    [3] => 68561998
                    [4] => 68562006
                    [5] => 68562012
                    [6] => 68562021
                    [7] => 68562024
                    [8] => 68562032
                    [9] => 68562034
                    [10] => 68562038
                    [11] => 68562045
                    [12] => 68218458
                    [13] => 68218469
                    [14] => 68273055
                    [15] => 68273067
                    [16] => 68273073
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461607
                            [name] => What Brings You In?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Prescription Renewal
                                    [1] => Prescription Transfer
                                    [2] => Compounding or Personalized Compounded Meds
                                    [3] => Hormone Replacement/Functional Medicine
                                    [4] => Pre-exposure Prophylaxis (PrEP)
                                    [5] => Mifegymiso Medication Support
                                    [6] => Gender Affirming Medication Support
                                    [7] => Homecare Nurse Home Visits criteria dependant
                                    [8] => Glucometer Training
                                    [9] => Cont. Glucose Monitoring Training (Libre & Dexcom)
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15461605
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461606
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [12] => Array
        (
            [id] => 2746243
            [name] => Tetanus-3 Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68562066
                    [1] => 68562073
                    [2] => 68562082
                    [3] => 68562084
                    [4] => 68562086
                    [5] => 68562095
                    [6] => 68562102
                    [7] => 68562106
                    [8] => 68562112
                    [9] => 68562118
                    [10] => 68562120
                    [11] => 68562134
                    [12] => 68218490
                    [13] => 68218501
                    [14] => 68273095
                    [15] => 68273100
                    [16] => 68273112
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461608
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [1] => Array
                        (
                            [id] => 15461609
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [13] => Array
        (
            [id] => 2746244
            [name] => Additional Information required
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 83821774
                    [1] => 83821978
                    [2] => 83823452
                    [3] => 83817029
                    [4] => 83823231
                    [5] => 83823700
                    [6] => 83823824
                    [7] => 83823893
                    [8] => 83822159
                    [9] => 83824006
                    [10] => 83822839
                    [11] => 83823102
                    [12] => 69859384
                    [13] => 68273454
                    [14] => 84124356
                    [15] => 68273461
                    [16] => 83824416
                    [17] => 68218515
                    [18] => 83824504
                    [19] => 68218531
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461610
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [1] => Array
                        (
                            [id] => 15461611
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [14] => Array
        (
            [id] => 3057841
            [name] => Additional Information Required for Travel
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 85017681
                    [1] => 85017206
                    [2] => 85017559
                    [3] => 83821130
                    [4] => 83823355
                    [5] => 83512922
                    [6] => 83823571
                    [7] => 83822593
                    [8] => 83822961
                    [9] => 83823165
                    [10] => 83824212
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 17257241
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [1] => Array
                        (
                            [id] => 17257242
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 17257246
                            [name] => Additional comments or questions for our team.
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 4
                        )

                    [3] => Array
                        (
                            [id] => 17257275
                            [name] => I agree to fill out the pre-appointment form  (sent after booking) prior to your appointment.
                            [required] => 
                            [type] => checkbox
                            [options] => 
                        )

                    [4] => Array
                        (
                            [id] => 17323870
                            [name] => I agree that Alberta Health does not cover Travel services and I understand that there is a fee for this service. 
                            [required] => 
                            [type] => checkbox
                            [options] => 
                        )

                )

        )

    [15] => Array
        (
            [id] => 3071840
            [name] => Additional Information Required for Travel - Virtual AB
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 85017437
                    [1] => 85016958
                    [2] => 84124356
                    [3] => 85017419
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 17339567
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [1] => Array
                        (
                            [id] => 17339568
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 17339569
                            [name] => Additional comments or questions for our team.
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 4
                        )

                    [3] => Array
                        (
                            [id] => 17339570
                            [name] => I agree to fill out the pre-appointment form  (sent after booking) prior to your appointment.
                            [required] => 
                            [type] => checkbox
                            [options] => 
                        )

                    [4] => Array
                        (
                            [id] => 17339571
                            [name] => I agree that Alberta Health does not cover Travel services and I understand that there is a fee for this service. 
                            [required] => 
                            [type] => checkbox
                            [options] => 
                        )

                    [5] => Array
                        (
                            [id] => 17433494
                            [name] => Which of the following Mint Pharmacy Locations are closest to you to receive your injections & prescriptions?
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Edmonton  | 10631 96 St NW
                                    [1] => Edmonton | 15121 121 St NW
                                )

                        )

                    [6] => Array
                        (
                            [id] => 17339572
                            [name] => For Office Use Only
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 4
                        )

                )

        )

    [16] => Array
        (
            [id] => 2746245
            [name] => Tuberculin Skin Test Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68815017
                    [1] => 68218550
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461612
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [1] => Array
                        (
                            [id] => 15461613
                            [name] => (Optional) Health Care Number: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [17] => Array
        (
            [id] => 2746218
            [name] => the Form
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461470
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [1] => Array
                        (
                            [id] => 15461471
                            [name] => Health Care Number: 
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [18] => Array
        (
            [id] => 2746222
            [name] => the form with drop down
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461480
                            [name] => Please state your Date of Birth (MM/DD/YYYY)
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [1] => Array
                        (
                            [id] => 15461481
                            [name] => Health Care Number: 
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15461488
                            [name] => Select 
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => First
                                    [1] => Second
                                    [2] => Third
                                )

                        )

                )

        )

    [19] => Array
        (
            [id] => 2744502
            [name] => Immunizations and Vaccines | Meridian [test]
            [description] => This form is used specifically for the Meridian location for immunization. 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15451758
                            [name] => Select the vaccine
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Covid
                                    [1] => Flu
                                    [2] => Hep A
                                    [3] => Hep B
                                    [4] => Hep A + B
                                    [5] => ect...
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15451759
                            [name] => Date of Birth
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15451760
                            [name] => What is your Healthcare number
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [20] => Array
        (
            [id] => 2744503
            [name] => Immunizations and Vaccines | Sherwood [test]
            [description] => This form is used specifically for the Sherwood location for immunization. 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15451762
                            [name] => Select the vaccine
                            [required] => 1
                            [type] => dropdown
                            [options] => Array
                                (
                                    [0] => Covid
                                    [1] => Flu
                                    [2] => Hep A
                                    [3] => Hep B
                                    [4] => Hep A + B
                                    [5] => ect...
                                )

                        )

                    [1] => Array
                        (
                            [id] => 15451763
                            [name] => Date of Birth
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [2] => Array
                        (
                            [id] => 15451764
                            [name] => What is your Healthcare number
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                )

        )

    [21] => Array
        (
            [id] => 2737312
            [name] => Test Form (Parks Canada Process Changes)
            [description] => 
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15408485
                            [name] => Please list any known allergies:
                            [required] => 1
                            [type] => textbox
                            [options] => 
                            [lines] => 12
                        )

                    [1] => Array
                        (
                            [id] => 15408486
                            [name] => Please list all medications you are currently taking:
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 12
                        )

                    [2] => Array
                        (
                            [id] => 15408487
                            [name] => Please list any current medical conditions:
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 12
                        )

                    [3] => Array
                        (
                            [id] => 15408488
                            [name] => Full name of your family doctor:
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [4] => Array
                        (
                            [id] => 15408489
                            [name] => Where are you currently located?
                            [required] => 
                            [type] => address
                            [options] => 
                        )

                    [5] => Array
                        (
                            [id] => 15408490
                            [name] => Are you currently pregnant or breastfeeding? 
                            [required] => 
                            [type] => yesno
                            [options] => 
                        )

                    [6] => Array
                        (
                            [id] => 15408491
                            [name] => If yes, please provide details: 
                            [required] => 
                            [type] => textbox
                            [options] => 
                            [lines] => 1
                        )

                    [7] => Array
                        (
                            [id] => 15408492
                            [name] =>  By completing this form, you confirm that the information provided is accurate to the best of your knowledge.
                            [required] => 
                            [type] => yesno
                            [options] => 
                        )

                )

        )

    [22] => Array
        (
            [id] => 2746248
            [name] => Terms & Conditions
            [description] => By using our online booking system, you agree to these Terms and Conditions. If you disagree, please do not use our service. To book, provide accurate information including your name and contact details. You will receive a confirmation email; review it and contact us if there are any errors.

You may cancel or reschedule through our system or by contacting us. Cancellation policies and fees may apply. All applicable fees will be disclosed at booking, and payments will be processed securely. Refunds, if applicable, follow our refund policy, available on our website or by contacting us.
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 68561215
                    [1] => 68561226
                    [2] => 68561231
                    [3] => 68561240
                    [4] => 68561247
                    [5] => 68561255
                    [6] => 68561261
                    [7] => 68561270
                    [8] => 68561280
                    [9] => 68561286
                    [10] => 68561291
                    [11] => 68561299
                    [12] => 68561316
                    [13] => 68561327
                    [14] => 68561335
                    [15] => 68561345
                    [16] => 68561351
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                    [18] => 68561361
                    [19] => 68561372
                    [20] => 68561379
                    [21] => 68561402
                    [22] => 68561422
                    [23] => 68561425
                    [24] => 68561481
                    [25] => 68561492
                    [26] => 68561501
                    [27] => 68561512
                    [28] => 68561523
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                    [34] => 68561582
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                    [83] => 68562102
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                    [111] => 69859384
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                    [129] => 68218388
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                    [133] => 68218407
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                    [140] => 68273055
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                    [142] => 68273073
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                    [149] => 85017419
                    [150] => 83824212
                    [151] => 68273461
                    [152] => 83824416
                    [153] => 68218515
                    [154] => 83824504
                    [155] => 68218531
                    [156] => 68218036
                    [157] => 68218440
                    [158] => 68218550
                    [159] => 68260217
                    [160] => 66579538
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 15461625
                            [name] => I have read and agree to the terms above
                            [required] => 1
                            [type] => checkbox
                            [options] => 
                        )

                )

        )

    [23] => Array
        (
            [id] => 3092740
            [name] => Terms & Conditions (Virtual)
            [description] => By using our online booking system, you agree to these Terms and Conditions. If you disagree, please do not use our service. To book, provide accurate information including your name and contact details. You will receive a confirmation email; review it and contact us if there are any errors.

You may cancel or reschedule through our system or by contacting us. Cancellation policies and fees may apply. All applicable fees will be disclosed at booking, and payments will be processed securely. Refunds, if applicable, follow our refund policy, available on our website or by contacting us.

The Alberta College of Pharmacy's standards of practice permit pharmacists to provide virtual care if in-person services are not readily accessible within a reasonable distance of the patient's location. By agreeing to our terms, you confirm that specialty travel health services are unavailable from a pharmacy in your geographical area.
            [hidden] => 
            [appointmentTypeIDs] => Array
                (
                    [0] => 85017437
                    [1] => 85016958
                    [2] => 84124356
                    [3] => 85017419
                )

            [fields] => Array
                (
                    [0] => Array
                        (
                            [id] => 17461675
                            [name] => I have read and agree to the terms above
                            [required] => 1
                            [type] => checkbox
                            [options] => 
                        )

                )

        )

)