1<!DOCTYPE html> 2<html xmlns:fb="https://ogp.me/ns/fb#" xml:lang="en" lang="en"> 3 <head> 4 <title>Contact Bazzani Chiropractic Manchester | (603) 206-4346</title> 5 <meta charset="utf-8"> 6 <meta name="viewport" content="initial-scale=1.0,width=device-width" /> 7 <meta property="og:type" content="website" /><meta name="description" content="Find out what your true healing capabilities are with natural chiropractic care. Contact our friendly staff by phone or email to schedule your appointment! We have same-day appointments and offer late opening hours for your convenience. " /><link rel="canonical" href="https://www.yourchiropracticteam.com/contact-us/" /><meta property="og:image" content="https://doc.vortala.com/childsites/uploads/3573/files/sq-logo.jpg" /><meta property="og:image:width" content="250" /><meta property="og:image:height" content="250" /><meta property="og:url" content="https://www.yourchiropracticteam.com/contact-us/" /><meta property="og:title" content="Contact Bazzani Chiropractic Manchester | (603) 206-4346" /><meta property="og:description" content="Find out what your true healing capabilities are with natural chiropractic care. Contact our friendly staff by phone or email to schedule your appointment! We have same-day appointments and offer late opening hours for your convenience. " /> 8 <link rel="alternate" type="application/rss+xml" title="Bazzani Chiropractic Manchester » Feed" href="https://doc.vortala.com/gen/blogs-3667-feed.xml" /> 9 <link rel="icon" type="image/png" href="https://doc.vortala.com/childsites/uploads/3573/files/favicon.png" /> 10 <meta name="google-site-verification" content="N0RYYMNk6Xupz18WFGS4k_Jbw9Bxq3T5IGa1wnWEpYw" />
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83<!-- End Google Tag Manager (noscript) --> 84 <a id="top"></a> 85 <a href="#content" class="skip-to-content">Skip to content</a> 86 <div class="nav nav-utility nav-sb_before sticky-top"><div class="utility_wrap"><ul><li class="utility_item custom_button_1 util_left"><a class="button " href="https://www.yourchiropracticteam.com/contact-us/">Request An Appointment</a></li><li class="utility_item custom_button_2 util_left"><a class="button " target="_blank" href="https://www.yourchiropracticteam.com/contact-us/"><i class="fa-solid fa-map-marker" aria-hidden="true"></i>Manchester</a></li><li class="utility_item custom_button_3 util_left"><a class="button " href="https://www.bazzanichiropractic.com"><i class="fa-solid fa-map-marker" aria-hidden="true"></i>Nashua</a></li><li class="utility_item utility_social util_right"><a class="google_social" href="https://goo.gl/maps/RRba4K9qTyR2" target="_blank" style="text-indent:0;color:#333333;"><span class="visuallyhidden">google social button</span><i class="fa-brands fa-google"></i></a><a class="facebook_social" href="https://www.facebook.com/Bazzani-Chiropractic-Manchester-492177587894335/" target="_blank" style="text-indent:0;color:#333333;"><span class="visuallyhidden">facebook social button</span><i class="fa-brands fa-facebook"></i></a><a class="instagram_social" href="https://www.instagram.com/bazzanichiropractic/" target="_blank" style="text-indent:0;color:#333333;"><span class="visuallyhidden">instagram social button</span><i class="fa-brands fa-instagram"></i></a></li><li class="utility_item pt_btn plaintext_btn5 util_right">Nashua | <a tel:(603) 889-5400">(603) 889-5400</a></li><li class="utility_item pt_btn plaintext_btn4 util_right">Manchester | <a href="tel:(603) 206-4346">(603) 206-4346</a></li></ul></div></div><a class="sticky-button sticky-bottom-right" href="https://www.yourchiropracticteam.com/contact-us/" target="">HOLIDAY <i class="fas fa-tree-christmas"></i> HOURS</a> 87 <div id="containing_wrap"> 88 <div id="wrap"> 89 <div title="Main Menu" id="dd-primary_nav"><a href="#"><i class="fa-solid fa-bars" aria-hidden="true"></i>Menu</a></div><div class="nav nav-primary nav-sb_before_header center_menu" title=""><ul id="primary_nav" class="menu"><li class="first menu-item menu-item-home"><a href="/">Home</a></li><li id="menu-item-13" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-13"><a href="/about-us/">About Us</a> 90<ul class="sub-menu"> 91 <li id="menu-item-14" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-14"><a href="/blog/">Blog</a></li> 92</ul> 93</li> 94<li id="menu-item-1043" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1043"><a href="/meet-the-doctors/">Meet The Doctors</a> 95<ul class="sub-menu"> 96 <li id="menu-item-15" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-15"><a href="/dr-lisa-lanzara-bazzani/">Dr. Lisa Lanzara-Bazzani</a></li> 97 <li id="menu-item-1044" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1044"><a href="/dr-tatiana-bazzani/">Dr. Tatiana Bazzani</a></li> 98</ul> 99</li> 100<li id="menu-item-1240" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1240"><a href="/our-services/">Our Services</a> 101<ul class="sub-menu"> 102 <li id="menu-item-443" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-443"><a href="/chiropractic-care/">Chiropractic Care</a></li> 103 <li id="menu-item-1242" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1242"><a href="/pregnancy-chiropractic/">Pregnancy Chiropractic</a></li> 104 <li id="menu-item-1241" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1241"><a href="/pediatric-chiropractic/">Pediatric Chiropractic</a></li> 105</ul> 106</li> 107<li id="menu-item-17" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-17"><a href="/new-patients/">New Patients</a></li> 108<li id="menu-item-18" class="last menu-item menu-item-type-post_type menu-item-object-page current-menu-item page_item page-item-12 current_page_item menu-item-18"><a href="/contact-us/">Contact Us</a></li> 109</ul></div> 110 <div id="header_wrap"><div id="header"> 111 <div id="logo" class="left"><span id="site-title"><a href="/" title="Welcome to Bazzani Chiropractic Manchester"><img src="https://doc.vortala.com/childsites/uploads/3573/files/[email protected]" width="886" height="238" alt="Bazzani Chiropractic Manchester logo - Home" /><span id="blog-title">Bazzani Chiropractic Manchester</span></a></span></div> 112 <div class="n-a-p"></div>
113 </div></div> 114 115 <div id="container_wrap"> 116 117 <div id="container"> 118 <div id="content"> 119 <div id="post-12" class="12 category- page"><div class="entry-content cf"><h1 align="center">Contact Bazzani Chiropractic Manchester</h1> 120<h2 align="center">Weâd Love to Hear from You! Call (603) 206-4346</h2> 121<p><img class="bldr_divider div9" alt="divider" src="https://doc.vortala.com/childsites/uploads/3573/files/Divider.png" /><br /> 122<style>.div9{margin:;}</style> 123<div class="column two_thirds"> 124<h2>APPOINTMENTS</h2> 125<div id='request_appointment_form-container' class='v_appt_form'> 126<div class='request_appointment_form-error' style='display:none'></div> 127<div class='request_appointment_form-success-message' style='display:none'>  Please wait, sending message      <img class='form-loading' alt='' src='https://doc.vortala.com/global/images/loading.gif' /></div> 128<div class='ui form request_appointment_form-content v_appt_form_content'> 129<div class='grouped fields radios patient_type'> 130<fieldset class='grouped fields'> 131<legend id='request_patient_type' class='visuallyhidden'>Patient Type</legend> 132<div class='field'> 133<div class='ui radio checkbox'> <input type='radio' class='request_appointment_form-patient_type' id='patient_new' name='patient_type' value='New Patient' /> <label for='patient_new'>New Patient</label> </div> 134</p></div> 135<div class='field'> 136<div class='ui radio checkbox'> <input type='radio' class='request_appointment_form-patient_type' id='patient_current' name='patient_type' value='Current Patient' /> <label for='patient_current'>Current Patient</label> </div> 137</p></div> 138<div class='field'> 139<div class='ui radio checkbox'> <input type='radio' class='request_appointment_form-patient_type' id='patient_returning' name='patient_type' value='Returning Patient' /> <label for='patient_returning'>Returning Patient</label> </div> 140</p></div> 141</fieldset></div> 142<div class='field'> 143<div class='two fields'> 144<div class='field'><label for='request_appointment_form-first_name' class='visuallyhidden'>First Name</label><input type='text' id='request_appointment_form-first_name' name='first_name' placeholder='First' /></div> 145<div class='field'><label for='request_appointment_form-last_name' class='visuallyhidden'>Last Name</label><input type='text' id='request_appointment_form-last_name' name='last_name' placeholder='Last' /></div> 146</p></div> 147</p></div> 148<div class='field'> 149<div class='field'><label for='request_appointment_form-email' class='visuallyhidden'>Email Address</label><input type='text' id='request_appointment_form-email' name='email' placeholder='Email Address' /></div> 150<div class='field'><label for='request_appointment_form-phone' class='visuallyhidden'>Phone Number</label><input type='text' id='request_appointment_form-phone' name='phone' placeholder='Phone Number' /></div> 151</p></div> 152<fieldset class='form-fieldset'> 153<div class='inline fields radios'> 154<legend class='form-label respond_label'>Respond to me via:</legend> 155<div class='field'> 156<div class='ui radio checkbox'> <input type='radio' name='req_form_respond' id='request_appointment_form-respond_email' /> <label for='request_appointment_form-respond_email'>Email</label> </div> 157</p></div> 158<div class='field'> 159<div class='ui radio checkbox'> <input type='radio' name='req_form_respond' id='request_appointment_form-respond_phone' /> <label for='request_appointment_form-respond_phone'>Phone</label> </div> 160</p></div> 161</p></div> 162</fieldset> 163<div class='equal width field pickdate'>
163 <span class='form-label'>Preferred Day/Time:</span> 164<div class='fields'> 165<div class='field' id='request_appointment_form-date_container'> <label for='request_appointment_form-thickbox_datepicker' class='visuallyhidden'>Date</label><input type='text' value='' name='thickbox_datepicker' id='request_appointment_form-thickbox_datepicker' /><i class='fa-solid fa-calendar' id='apptDateId' aria-hidden='true'></i> </div> 166<div class='field'> <label for='request_appointment_form-appt_hour' class='visuallyhidden'>Hour</label> <select id='request_appointment_form-appt_hour' name='appt_hour'><option value=''>H</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option><option value='10'>10</option><option value='11'>11</option><option value='12'>12</option></select> </div> 167<div class='field'> <label for='request_appointment_form-appt_min' class='visuallyhidden'>Hour</label> <select id='request_appointment_form-appt_min' name='appt_min'><option value=''>M</option><option value='00'>00</option><option value='15'>15</option><option value='30'>30</option><option value='45'>45</option></select> </div> 168<fieldset> 169<div class='fields time-radios'> 170<legend class='visuallyhidden' id='time_radios'>AM or PM</legend> 171<div class='field'> 172<div class='ui radio checkbox'> <input type='radio' name='time' id='request_appointment_form-time_am' value='am' /> <label for='request_appointment_form-time_am'>AM</label> </div> 173</p></div> 174<div class='field'> 175<div class='ui radio checkbox'> <input type='radio' name='time' id='request_appointment_form-time_pm' value='pm' /> <label for='request_appointment_form-time_pm'>PM</label> </div> 176</p></div> 177</p></div> 178</fieldset></div> 179</p></div> 180<div class='field'> <label for='request_appointment_form-message' class='visuallyhidden'>Comments or Questions</label><textarea id='request_appointment_form-message' placeholder='Comments or Questions' name='message'></textarea> </div> 181<div class='field'> 182<div class='ui checkbox'> <input type='checkbox' name='phi_check' id='request_appointment_form-no_phi_agree_check' value='' /> <label for='request_appointment_form-no_phi_agree_check'>I agree to refrain from including any personally identifiable information or protected health information in the comment field. For more info, <a class='phi_info info-popup-hover' href='#'>read disclaimer</a>.</label> 183<div class='info-popup' style='display:none;'><i class='fa-solid fa-times'></i>Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties or unauthorized individuals. Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us. Communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner. 184<div class='pointer'></div> 185<div class='pointerBorder'></div> 186</div></div> 187</p></div> 188<div class='field'> 189<div class='ui checkbox'> <input type='checkbox' name='consent' id='request_appointment_form-consent_check' value='' /> <label class='privacy_consent_message' for='request_appointment_form-consent_check'>I consent to having this website store my submitted information so they can respond to my inquiry. For more info, read our <a target='_blank' class='privacy-link' href='/info/privacy/' rel='nofollow'>privacy policy</a>.</label> </div> 190</p></div> 191<div class='field'> 192<div class='ui checkbox'> <input type='checkbox' name='sms' id='request_appointment_sms_check' value='' /> <label class='privacy_consent_message' for='request_appointment_sms_check'>By providing your phone number, you consent to receive text messages from Bazzani Chiropractic Manchester, including appointment reminders and care-related communications. Message and data rates may apply. Message frequency varies. Reply STOP to opt out at any time.</label> </div> 193</p></div> 194<div class='antispam'> <label for='url'>Leave this empty:</label><input id='url' name='url' class='request_appointment-input' value=''/> </div> 195<div class='request_appointment_form-error' style='display:none'></div> 196<div class='request_appointment_form-success-message' style='display:none'>  Please wait, sending message      <img class='form-loading' alt='' src='https://doc.vortala.com/global/images/loading.gif' /></div> 197<p> <button type='submit' class='request_appointment-button request_appointment-send ui button'>Send Message</button> 198<div class='request-links'><a href='/info/privacy'>Privacy Policy</a> | <a href='/info/terms-of-service'>Terms of Service</a></div> 199<p> <input type='hidden' name='token' value='a8d786356eda9fffd9c7eaa1cf66c148'/> </div> 200</p></div> 201</div> 202<div class="column one_third last"> 203<h2>CONTACT</h2> 204<p>Bazzani Chiropractic Manchester<br />
2051361 Elm St, Ste 104<br /> 206Manchester, NH 03101</p> 207<p style="padding-bottom: 15px;"><b>T:</b> (603) 206-4346</p> 208<h3 class="office_hours-title">Office Hours</h3> 209<div class="office_hours_small"> 210<div class="headerDiv headerRow fullRow"> 211<div class="wholeDayTitleCol">Day</div> 212<div class="wholeHoursTitleCol">Hours</div> 213</p></div> 214<div class="monDiv even_day_row fullRow"> 215<div class="dayCol">Mon</div> 216<div class="hoursCol">7:30 am â 6:00 pm</div> 217</p></div> 218<div class="wedDiv odd_day_row fullRow"> 219<div class="dayCol">Wed</div> 220<div class="hoursCol">7:30 am â 6:00 pm</div> 221</p></div> 222<div class="thuDiv even_day_row fullRow"> 223<div class="dayCol">Thu</div> 224<div class="hoursCol">7:30 am â 6:00 pm</div> 225</p></div> 226<div class="footerDiv footerRow"> 227<div class="footerCol oh_phone"><span class="oh_phone_call">Call <a href="tel:(603)206-4346">(603) 206-4346 </a></span></div> 228</p></div> 229</div> 230</div> 231<div class="cb"></div> 232<p><img class="aligncenter wp-image-624 size-full" src="https://doc.vortala.com/static/uploads/9/2015/09/divider-dotted.png" alt="" width="980" height="30" /></p> 233<h2>FIND US</h2> 234<div class="bldr_callout co27" style=""><a href="/about-us/">Bazzani Chiropractic Manchester</a> is in the Bedford Building by the Granite State Credit Union. We have plenty of free parking available!</div> 235<style>.co27{border-width: ; border-style: ; border-color: ; font-size:; color:;}</style> 236<div class="banner" id="banner-426" style="overflow: hidden"> 237<div class="center "><iframe src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d2918.080361317887!2d-71.46554978452338!3d42.9976423791493!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x89e24f9aa996e0d7%3A0xfb7d45db5703ec0a!2sBazzani+Chiropractic+Manchester!5e0!3m2!1sen!2sus!4v1539182757159" width="100%" height="450" frameborder="0" style="border:0" allowfullscreen></iframe></div> 238</div> 239</div></div> 240 241 </div> 242 </div> 243 244 </div> 245 </div> 246 247 <div id="footer_wrap"> 248 <div id="footer"> 249 250 <div id="wp_footer"> 251 252 <div style='display:none;'><div id='contact_practitioner-container' class='v_contact_form'><div id='contact_practitioner-content'> 253 <div class='contact_practitioner-content'> 254 <div class='contact_practitioner-title'>Email Bazzani Chiropractic Manchester</div> 255 <div class='contact_practitioner-loading' style='display:none'></div> 256 <div class='contact_practitioner-message' style='display:none'></div> 257 <form class='ui form' method='post' action=''> 258 <div class='field'> 259 <label for='contact_practitioner-message' class='visuallyhidden'>Comments, Requests, Questions, or Suggestions</label><textarea id='contact_practitioner-message' class='' placeholder='Comments, Requests, Questions, or Suggestions' name='message'></textarea><br/> 260 </div> 261 <div class='field'> 262 <div class='two fields'> 263 <div class='field'><label for='contact_practitioner-first_name' class='visuallyhidden'>First Name</label><input type='text' id='contact_practitioner-first_name' name='first_name' placeholder='First' /></div> 264 <div class='field'><label for='contact_practitioner-last_name' class='visuallyhidden'>Last Name</label><input type='text' id='contact_practitioner-last_name' name='last_name' placeholder='Last' /></div> 265 </div> 266 </div> 267 <fieldset class='form-fieldset'> 268 <div class='inline fields radios'> 269 <legend class='form-label'>Respond to me via:</legend> 270 <div class='field'> 271 <div class='ui radio checkbox'> 272 <input type='radio' name='popup_respond_contact' id='popup_respond_email' /> 273 <label for='popup_respond_email'>Email</label> 274 </div> 275 </div> 276 <div class='field'> 277 <div class='ui radio checkbox'> 278 <input type='radio' name='popup_respond_contact' id='popup_respond_phone' /> 279 <label for='popup_respond_phone'>Phone</label> 280 </div> 281 </div> 282 <div class='field'> 283 <div class='ui radio checkbox'> 284 <input type='radio' name='popup_respond_contact' id='popup_respond_none' /> 285 <label for='popup_respond_none'>No Response</label> 286 </div> 287 </div> 288 </div> 289 </fieldset> 290 <div class='field'> 291 <div class='field'><label for='contact_practitioner-email' class='visuallyhidden'>Email Address</label><input type='text' id='contact_practitioner-email' name='email' placeholder='Email Address' /></div> 292 <div class='field'><label for='contact_practitioner-phone' class='visuallyhidden'>Phone Number</label><input type='text' id='contact_practitioner-phone' name='phone' placeholder='Phone Number' /></div> 293 </div> 294 <div class='field'> 295 <div class='ui checkbox'> 296 <input type='checkbox' name='phi_agree' id='contact_practitioner-no_phi_agree_check' value='' /> 297 <label for='contact_practitioner-no_phi_agree_check'>I agree to refrain from including any personally identifiable information or protected health information in the comment field. For more info, <a class='phi_info info-popup-hover' href='#'>read disclaimer</a>.</label> 298 <div class='info-popup' style='display:none;'><i class='fa-solid fa-times'></i>Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties or unauthorized individuals. Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us. Communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner.<div class='pointer'></div><div class='pointerBorder'></div></div> 299 </div> 300 </div> 301 <div class='field'> 302 <div class='ui checkbox'> 303 <input type='checkbox' name='consent' id='contact_practitioner-consent_check' value='' /> 304 <label class='privacy_consent_message' for='contact_practitioner-consent_check'>I consent to having this website store my submitted information so they can respond to my inquiry. For more info, read our <a class='privacy-link' href='/info/privacy/' rel='nofollow'>privacy policy</a>.</label> 305 </div> 306 </div> 307 <div class='field'> <div class='ui checkbox'> <input type='checkbox' name='sms' id='contact_practitioner-sms_check' value='' /> <label class='privacy_consent_message' for='contact_practitioner-sms_check'>By providing your phone number, you consent to receive text messages from Bazzani Chiropractic Manchester, including appointment reminders and care-related communications. Message and data rates may apply. Message frequency varies. Reply STOP to opt out at any time.</label> </div> </div> 308 <div class='antispam'><label for='popup_contact_form_url'>Leave this empty:</label><input id='popup_contact_form_url' name='url' class='' value=''/></div> 309 <button type='submit' class='contact_practitioner-button contact_practitioner-send ui button'>Send Message</button> 310 <input type='hidden' name='token' value='635d6d7d657d51e62984d383542256df'/> 311 <br/> 312 </form> 313 </div> 314 </div></div></div> 315 <div style='display:none;'><div id='request_appointment-container' class='v_appt_form'><div id='request_appointment-content'> 316 <div class='request_appointment-content'> 317 <div class='request_appointment-title'>Request Appointment <span class='request_appointment-subtitle'>(pending confirmation)</span></div> 318 <div class='request_appointment-loading' style='display:none'></div> 319 <div class='request_appointment-message' style='display:none'></div> 320 <form class='ui form' method='post' action=''> 321 <div class='grouped fields radios patient_type'> 322 <fieldset class='grouped fields'> 323 <legend class='visuallyhidden'>Patient Type</legend> 324 <div class='field'> 325 <div class='ui radio checkbox'> 326 <input id='popup_appt_new' type='radio' name='patient_type' value='New Patient' /> 327 <label for='popup_appt_new'>New Patient</label> 328 </div> 329 </div> 330 <div class='field first_radio'> 331 <div class='ui radio checkbox'> 332 <input id='popup_appt_current' type='radio' name='patient_type' value='Current Patient' /> 333 <label for='popup_appt_current'>Current Patient</label> 334 </div> 335 </div> 336 <div class='field'> 337 <div class='ui radio checkbox'> 338 <input id='popup_appt_returning' type='radio' name='patient_type' value='Returning Patient' /> 339 <label for='popup_appt_returning'>Returning Patient</label> 340 </div> 341 </div> 342 </fieldset> 343 </div> 344 <div class='field'>
345 <div class='two fields'> 346 <div class='field'><label for='request_appointment-first_name' class='visuallyhidden'>First Name</label><input type='text' id='request_appointment-first_name' name='first_name' placeholder='First' /></div> 347 <div class='field'><label for='request_appointment-last_name' class='visuallyhidden'>Last Name</label><input type='text' id='request_appointment-last_name' name='last_name' placeholder='Last' /></div> 348 </div> 349 </div> 350 <div class='field'> 351 <div class='field'><label for='request_appointment-email' class='visuallyhidden'>Email Address</label><input type='text' id='request_appointment-email' name='email' placeholder='Email Address' /></div> 352 <div class='field'><label for='request_appointment-phone' class='visuallyhidden'>Phone Number</label><input type='text' id='request_appointment-phone' name='phone' placeholder='Phone Number' /></div> 353 </div> 354 <fieldset class='form-fieldset'> 355 <div class='inline fields radios'> 356 <legend class='form-label'>Respond to me via:</legend> 357 <div class='field'> 358 <div class='ui radio checkbox'> 359 <input type='radio' name='popup_request_respond' id='request_respond_email' /> 360 <label for='request_respond_email'>Email</label> 361 </div> 362 </div> 363 <div class='field'> 364 <div class='ui radio checkbox'> 365 <input type='radio' name='popup_request_respond' id='request_respond_phone' /> 366 <label for='request_respond_phone'>Phone</label> 367 </div> 368 </div> 369 </div> 370 </fieldset> 371 <div class='equal width field pickdate'> 372 <span class='form-label'>Preferred Day/Time:</span> 373 <div class='fields'> 374 <div class='field'> 375 <label for='thickbox_datepicker' class='visuallyhidden'>Date</label><input type='text' value='' name='thickbox_datepicker' id='thickbox_datepicker' /><i class='fa-solid fa-calendar' id='popup_apptDateId' aria-hidden='true'></i> 376 </div> 377 <div class='field'> 378 <label for='appt_hour' class='visuallyhidden'>Appointment Hour</label> 379 <select id='appt_hour' name='appt_hour'> 380 <option value=''>H</option> 381 <option value='1'>1</option> 382 <option value='2'>2</option> 383 <option value='3'>3</option> 384 <option value='4'>4</option> 385 <option value='5'>5</option> 386 <option value='6'>6</option> 387 <option value='7'>7</option> 388 <option value='8'>8</option> 389 <option value='9'>9</option> 390 <option value='10'>10</option> 391 <option value='11'>11</option> 392 <option value='12'>12</option> 393 </select> 394 </div> 395 <div class='field'> 396 <label for='appt_min' class='visuallyhidden'>Appointment Minute</label> 397 <select id='appt_min' name='appt_min'> 398 <option value=''>M</option> 399 <option value='00'>00</option> 400 <option value='15'>15</option> 401 <option value='30'>30</option> 402 <option value='45'>45</option> 403 </select> 404 </div> 405 <fieldset> 406 <div class='fields time-radios'> 407 <legend class='visuallyhidden'>AM or PM</legend> 408 <div class='field'> 409 <div class='ui radio checkbox'> 410 <input type='radio' name='time' id='time_am' value='am' /> 411 <label for='time_am'>AM</label> 412 </div> 413 </div> 414 <div class='field'> 415 <div class='ui radio checkbox'> 416 <input type='radio' name='time' id='time_pm' value='pm' /> 417 <label for='time_pm'>PM</label> 418 </div> 419 </div> 420 </div> 421 </fieldset> 422 </div> 423 </div> 424 <div class='field'> 425 <label for='popup_request_appointment-message' class='visuallyhidden'>Comments or Questions</label><textarea id='popup_request_appointment-message' placeholder='Comments or Questions' name='message'></textarea> 426 </div> 427 <div class='field'> 428 <div class='ui checkbox'> 429 <input type='checkbox' name='phi_check' id='no_phi_agree_check' value='' /> 430 <label for='no_phi_agree_check'>I agree to refrain from including any personally identifiable information or protected health information in the comment field. For more info, <a class='phi_info info-popup-hover' href='#'>read disclaimer</a>.</label> 431 <div class='info-popup' style='display:none;'><i class='fa-solid fa-times'></i>Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties or unauthorized individuals. Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us. Communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner.<div class='pointer'></div><div class='pointerBorder'></div></div> 432 </div> 433 </div> 434 <div class='field'> 435 <div class='ui checkbox'> 436 <input type='checkbox' name='consent' id='consent_check' value='' /> 437 <label class='privacy_consent_message' for='consent_check'>I consent to having this website store my submitted information so they can respond to my inquiry. For more info, read our <a class='privacy-link' href='/info/privacy/' rel='nofollow'>privacy policy</a>.</label> 438 </div> 439 </div> 440 <div class='field'> <div class='ui checkbox'> <input type='checkbox' name='sms' id='sms_check' value='' /> <label class='privacy_consent_message' for='sms_check'>By providing your phone number, you consent to receive text messages from Bazzani Chiropractic Manchester, including appointment reminders and care-related communications. Message and data rates may apply. Message frequency varies. Reply STOP to opt out at any time.</label> </div> </div> 441 <div class='antispam'><label for='request_appointment-url'>Leave this empty:</label><input id='request_appointment-url' name='url' class='request_appointment-input' value=''/></div> 442 <div class='request_appointment-message' style='display:none'></div> 443 <button type='submit' class='request_appointment-button request_appointment-send ui button'>Send Message</button> 444 <input type='hidden' name='token' value='a8d786356eda9fffd9c7eaa1cf66c148'/> 445 <br/> 446 </form> 447 </div> 448 </div></div></div> 449 </div>
450 </div> 451 </div> 452 </div><div id="utility_credit_wrap"><div id="centered_footer"><div class="nav nav-utility nav-footer"><div class="footer_utility_wrap"><ul></ul></div></div><div class="footer_schema"><div><span class="schema-practice-name">Bazzani Chiropractic Manchester</span><br /> 453 <span class="schema-practice-info"><span class="schema-practice-address">1361 Elm St, Ste 104</span><br /><span class="schema-practice-city">Manchester</span>, <span class="schema-practice-state">NH</span><span class="schema-practice-zip"> 03101</span></span><br /> 454 Phone: <span class="schema-practice-phone"><a href="tel:(603)206-4346">(603) 206-4346</a></span></div></div><div id="credit_wrap"><div id="footer_right" class="right"><div title="Footer Links" class="nav nav-footer"><ul><li class="first"><a rel="nofollow" href="/info/copyright/">Copyright</a></li><li class="legal"><a rel="nofollow" href="/info/legal-disclaimer/">Legal</a></li><li class="privacy"><a rel="nofollow" href="/info/privacy/">Privacy</a></li><li class="cookies"><a href="#" onclick="CookieConsent.reset(); return false;">Cookies</a></li><li class="accessibility"><a rel="nofollow" href="/info/accessibility/">Accessibility</a></li><li class="terms"><a href="/info/terms-of-service/">Terms of Service</a></li><li class="last"><a href="/sitemap/">Sitemap</a></li></ul></div><div id="credits">Chiropractic Websites by Perfect Patients</div></div></div></div></div>
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