1<!DOCTYPE html> 2<!--[if lt IE 7]> <html lang="en" class="lt-ie10 lt-ie9 lt-ie8 lt-ie7"> <![endif]--> 3<!--[if IE 7]> <html lang="en" class="ie7 lt-ie10 lt-ie9 lt-ie8"> <![endif]--> 4<!--[if IE 8]> <html lang="en" class="ie8 lt-ie10 lt-ie9"> <![endif]--> 5<!--[if IE 9]> <html lang="en" class="ie9 lt-ie10"> <![endif]--> 6<!--[if gt IE 9]><!--> <html lang="en"> <!--<![endif]--> 7 8<head> 9<meta charset="utf-8"> 10<title>Appointment Request - Spangler, Lambert & Lipp Pediatric Dentistry | Winston-Salem Kernersville NC</title> 11<meta name="description" content="Spangler, Lambert & Lipp Pediatric Dentistry is your Winston-Salem and Kernersville, NC pediatric dentist, providing quality dental care for children and teens. Call today."> 12<meta name="HandheldFriendly" content="True"> 13<meta name="MobileOptimized" content="320"> 14<meta name="viewport" content="width=device-width, user-scalable=0"> 15<meta name="format-detection" content="telephone=no"/> 16<!--[if IEMobile]> <meta http-equiv="cleartype" content="on"> <![endif]--> 17 18 19<!-- Standard desktop and mobile favicons --> 20<link rel="shortcut icon" href="/assets/images/icons/favicon.png"> 21 22<!-- CSS Stylings (Default Base Stylings and Site Specific) --> 23<link rel="stylesheet" href="//srwd.sesamehub.com/assets/fonts/fontawesome-pro-5.8.1-web/css/all.min.css"> 24<link rel="stylesheet" href="//srwd.sesamehub.com/assets/v5.0/global-5.1.0.min.css"> 25<link rel="stylesheet" href="/assets/css/local.css"> 26 27<!-- Javascript Libraries -->
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44 45 46<div id="vertex"> 47<div class="sky two lax" data-paroller-factor="-0.3" data-paroller-direction="horizontal"></div> 48<!-- <div class="sky one lax" data-paroller-factor="-0.2" data-paroller-direction="horizontal"></div> --> 49<div class="sky nul lax" data-paroller-factor="-0.1" data-paroller-direction="horizontal"></div> 50 51<div id="hd"> 52 <div class="container row"> 53 54<div id="logo"><a href="/"> 55 <img src="/assets/images/logo.png" alt="spangler rohlfing and lambert pediatric dentistry creating happy kids smiles" width="175" height="136" /> 56</a></div> 57 58<div class="util"> 59 <div id="contact-info"> 60 <div class="office wisa"> 61 <a class="addy" href="/winston-salem-office">Winston-Salem:</a> 62 <a class="phone" href="tel:336-768-1332">(336) 768-1332</a> 63 </div><div class="office kville"> 64 <a class="addy" href="/kernersville-office">Kernersville:</a> 65 <a class="phone" href="tel:336-992-9222">(336) 992-9222</a> 66 </div> 67 </div><!--/contact-info--> 68 <a class="appointmentRequest" href="/appointment-request"> 69 <span class="info" data-letters="Schedule an Appointment">Schedule an Appointment 70 </span><span class="icon far fa-kite"></span> 71 </a> 72</div><!-- .util --> 73 74<div class="social-media"> 75 <div class="ib"> 76<a class="facebook" aria-label="facebook" href="https://www.facebook.com/SpanglerRohlfingLambert/"><span class="icon fab fa-fw fa-facebook-f" aria-hidden="true"></span></a> 77<a class="twitter" aria-label="twitter" href="https://twitter.com/SpanglerRohlfin"><span class="icon fab fa-fw fa-twitter" aria-hidden="true"></span></a> 78<a class="google" aria-label="google" href="https://goo.gl/maps/qrg7fJ1fQjkkYD2t7"><span class="icon fab fa-fw fa-google" aria-hidden="true"></span></a> 79<a class="instagram" aria-label="instagram" href="https://www.instagram.com/happykidssmiles/"><span class="icon fab fa-fw fa-instagram" aria-hidden="true"></span></a> 80<a class="youtube" aria-label="youtube" href="https://www.youtube.com/channel/UCfyYMSIbfsOac70WHTLm6Yg"><span class="icon fab fa-fw fa-youtube" aria-hidden="true"></span></a> 81<!-- <a class="blog" aria-label="blog" href="/blog"><span class="icon fas fa-fw fa-rss" aria-hidden="true"></span></a> --> 82<!-- <a class="healthgrades" aria-label="healthgrades" href="#"><span class="icon fa-fw fa-healthgrades2" aria-hidden="true"></span></a> --> 83 </div><!--.ib--> 84</div><!--/social-media--> 85 </div><!--/container--> 86</div><!--/hd--> 87 88 89<nav id="main-nav" class="horizontal clearfix"> 90 <div class="container row"> 91 92 <div class="collapsible"> 93 <a class="trigger" href="javascript:void(0)">Menu</a> 94 <ul><li class="home first"><a href="/home" id="home" class="home"><span>Home</span></a></li><li class="about-us"><a href="/meet-dr-gina-spangler" id="about-us" class="about-us"><span>About</span> <span>Us</span></a><ul><li class="meet-dr-gina-spangler first"><a href="/meet-dr-gina-spangler" class="meet-dr-gina-spangler"><span>Meet</span> <span>Dr.</span> <span>Gina</span> <span>Spangler</span></a></li><li class="meet-dr-gail-rohlfing"><a href="/meet-dr-gail-rohlfing" class="meet-dr-gail-rohlfing"><span>Meet</span> <span>Dr.</span> <span>Gail</span> <span>Rohlfing</span></a></li><li class="meet-dr-kate-lambert"><a href="/meet-dr-kate-lambert" class="meet-dr-kate-lambert"><span>Meet</span> <span>Dr.</span> <span>Kate</span> <span>Lambert</span></a></li><li class="meet-dr-kelly-lipp"><a href="/meet-dr-kelly-lipp" class="meet-dr-kelly-lipp"><span>Meet</span> <span>Dr.</span> <span>Kelly</span> <span>Lipp</span></a></li><li class="meet-dr-angela-baechtold"><a href="/meet-dr-angela-baechtold" class="meet-dr-angela-baechtold"><span>Meet</span> <span>Dr.</span> <span>Angela</span> <span>Baechtold</span></a></li><li class="meet-our-team"><a href="/meet-our-team" class="meet-our-team"><span>Meet</span> <span>Our</span> <span>Team</span></a></li><li class="what-sets-us-apart"><a href="/what-sets-us-apart" class="what-sets-us-apart"><span>What</span> <span>Sets</span> <span>Us</span> <span>Apart</span></a></li><li class="abpd-certification"><a href="/abpd-certification" class="abpd-certification"><span>ABPD</span> <span>Certification</span></a></li><li class="dental-blog"><a href="/dental-blog" class="dental-blog"><span>Dental</span> <span>Blog</span></a></li><li class="pre-dental-internship-program last"><a href="/pre-dental-internship-program" class="pre-dental-internship-program"><span>Pre-Dental</span> <span>Internship</span> <span>Program</span></a></li></ul></li><li class="new-patients"><a href="/office-visits" id="new-patients" class="new-patients"><span>New</span> <span>Patients</span></a><ul><li class="office-visits first"><a href="/office-visits" class="office-visits"><span>Office</span> <span>Visits</span></a></li><li class="patient-forms"><a href="/patient-forms" class="patient-forms"><span>Patient</span> <span>Forms</span></a></li><li class="financial-information"><a href="/financial-information" class="financial-information"><span>Financial</span> <span>Information</span></a></li><li class="office-tours"><a href="/office-tours" class="office-tours"><span>Office</span> <span>Tours</span></a></li><li class="testimonials last"><a href="/testimonials" class="testimonials"><span>Testimonials</span></a></li></ul></li><li class="pediatric-dentistry"><a href="/pediatric-dental-faqs" id="pediatric-dentistry" class="pediatric-dentistry"><span>Pediatric</span> <span>Dentistry</span></a><ul><li class="pediatric-dental-faqs first"><a href="/pediatric-dental-faqs" class="pediatric-dental-faqs"><span>Pediatric</span> <span>Dental</span> <span>FAQs</span></a></li><li class="why-choose-a-pediatric-dentist"><a href="/why-choose-a-pediatric-dentist" class="why-choose-a-pediatric-dentist"><span>Why</span> <span>Choose</span> <span>a</span> <span>Pediatric</span> <span>Dentist</span></a></li><li class="pediatric-dentistry"><a href="/pediatric-dentistry" class="pediatric-dentistry"><span>Pediatric</span> <span>Dentistry</span></a></li><li class="common-procedures"><a href="/common-procedures" class="common-procedures"><span>Common</span> <span>Procedures</span></a></li><li class="dental-exams-and-cleanings"><a href="/dental-exams-and-cleanings" class="dental-exams-and-cleanings"><span>Dental</span> <span>Exams</span> <span>and</span> <span>Cleanings</span></a></li><li class="nitrous-oxide"><a href="/nitrous-oxide" class="nitrous-oxide"><span>Nitrous</span> <span>Oxide</span></a></li><li class="emergency-dental-care"><a href="/emergency-dental-care" class="emergency-dental-care"><span>Emergency</span> <span>Dental</span> <span>Care</span></a></li><li class="special-needs-dentistry"><a href="/special-needs-dentistry" class="special-needs-dentistry"><span>Special</span> <span>Needs</span> <span>Dentistry</span></a></li><li class="silver-diamine-fluoride"><a href="/silver-diamine-fluoride" class="silver-diamine-fluoride"><span>Silver</span> <span>Diamine</span> <span>Fluoride</span></a></li><li class="hospital-based-dentistry"><a href="/hospital-based-dentistry" class="hospital-based-dentistry"><span>Hospital</span> <span>Based</span> <span>Dentistry</span></a></li><li class="after-visit-care-instructions"><a href="/after-visit-care-instructions" class="after-visit-care-instructions"><span>After</span> <span>Visit</span> <span>Care</span> <span>Instructions</span></a></li><li class="orthodontics-and-space-maintenance last"><a href="/orthodontics-and-space-maintenance" class="orthodontics-and-space-maintenance"><span>Orthodontics</span> <span>and</span> <span>Space</span> <span>Maintenance</span></a></li></ul></li><li class="infant-care"><a href="/dental-care-for-your-baby" id="infant-care" class="infant-care"><span>Infant</span> <span>Care</span></a><ul><li class="dental-care-for-your-baby first"><a href="/dental-care-for-your-baby" class="dental-care-for-your-baby"><span>Dental</span> <span>Care</span> <span>For</span> <span>
94Your</span> <span>Baby</span></a></li><li class="tongue-tie-lip-tie"><a href="/tongue-tie-lip-tie" class="tongue-tie-lip-tie"><span>Tongue-Tie/Lip-Tie</span></a></li><li class="first-dental-visit last"><a href="/first-dental-visit" class="first-dental-visit"><span>First</span> <span>Dental</span> <span>Visit</span></a></li></ul></li><li class="contact-us active last"><a href="/winston-salem-office" id="contact-us" class="contact-us"><span>Contact</span> <span>Us</span></a><ul><li class="winston-salem-office first"><a href="/winston-salem-office" class="winston-salem-office"><span>Winston-Salem</span> <span>Office</span></a></li><li class="kernersville-office"><a href="/kernersville-office" class="kernersville-office"><span>Kernersville</span> <span>Office</span></a></li><li class="appointment-request active last"><a href="/appointment-request" class="appointment-request"><span>Appointment</span> <span>Request</span></a></li></ul></li></ul> 95 </div><!--/collapsible --> 96 97 </div><!--/container--> 98</nav><!--/main-nav --> 99</div><!--/vertex--> 100 101 102<div id="ip-sub"> 103 <div class="container row"> 104 105 <div><p class="subnav"><a href="/winston-salem-office" class="winston-salem-office">Winston-Salem Office</a><span class="divider"> | </span><a href="/kernersville-office" class="kernersville-office">Kernersville Office</a><span class="divider"> | </span><a href="/appointment-request" class="appointment-request active">Appointment Request</a></p></div> 106 107 </div><!--/container--> 108</div><!--/ip-sub--> 109 110<div id="bd"> 111 112 113<!-- 114 <div id="covid" class="container row" 115 style="width: 100%; 116 margin: 10px auto ; 117 text-align: justify; 118 padding: 20px; 119 color: #d71671; 120 background: #fff; 121 border: 1px solid #d71671"> 122 123 <div> 124 As always, we are committed to patient safety. In response to the North Carolina Dental Board, The American Dental Association (ADA), and the Center for Disease Control (CDC), we have updated our personal protective equipment and infection control procedures to meet and exceed current OSHA guidelines. Our office will be undergoing a phased reopening beginning on Monday, May 18th 2020. To read more about how our office is keeping our patient families and coworkers safe, please see below. 125 </div> 126 </div> 127--> 128 129 <div class="container row"> 130 131 132 133 134 135 136 <div id="sidebar"> 137 <div id="hide-stock"> 138 <img src="/assets/uploads/images/appointment-request.jpg" class="static" alt="appointment request" /> <img class="clouds" src="/assets/images/sidebar/clouds.png" alt="" width="349" height="182" /> 139 </div> 140 141<!-- Blog --> 142 143</div><!--/sidebar--> 144 145<div id="content"> 146 <header><h1>Appointment Request</h1></header> 147 <div class="content-text"><p class="width2">The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.</p> 148 149<p class="note width2">Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.</p> 150 151<form action="/appointment-request" class="full validate" method="post"><input id="required_values" name="required_values" type="hidden" value="First_Name,Phone_Number,Email,Last_Name,Guardians_Name,Office_Location,Comment,Hear_About_Us" /> 152<fieldset class="width2"><legend>Contact Information:</legend> <label for="Web_Address"> <input id="Web_Address" name="sc_form[Web_Address]" type="hidden" /> </label> <label class="required first width1" for="First_Name"> <span>Patient's First Name</span> <input data-minlength="5" id="First_Name" name="sc_form[First_Name]" required="required" type="text" /></label> <label class="required first width1" for="Last_Name"> <span>Patient's Last Name</span> <input data-minlength="5" id="Last_Name" name="sc_form[Last_Name]" required="required" type="text" /></label> <label class="required first width1" for="Guardians_Name"> <span>Guardians' Full Name</span> <input data-minlength="5" id="Guardians_Name" name="sc_form[Guardians_Name]" required="required" type="text" /></label> <label class="required first width1" for="Phone_Number"> <span>Phone Number</span> <input data-minlength="2" id="Phone_Number" name="sc_form[Phone_Number]" required="required" type="text" /></label> <label class="first width1 required" for="Email"> <span>Email Address</span><br /> 153<input id="Email" name="sc_form[Email]" required="required" type="email" /> </label> <label class="first width1 required" for="Office_Location"> <span>Office Location Preference</span> <select id="Office_Location" name="sc_form[Office_Location]" required=""><option value="Winston-Salem Office">Winston-Salem Office</option><option value="Kernersville Office">Kernersville Office</option></select> </label> <label class="required first width1" for="Hear_About_Us"> <span>How did you hear about us?</span> <input data-minlength="5" id="Hear_About_Us" name="sc_form[Hear_About_Us]" required="required" type="text" /></label> 154 155<fieldset class="radio-group full"> 156<p class="loud"><span><strong>Which day(s) of the week are you available?</strong></span></p> 157<label class="first unitx3" for="Days_Available_No_Preference"><input id="Days_Available_No_Preference" name="sc_form[Preferred_Day]" type="checkbox" value="None" /> <span>No Preference</span></label> <label class="unitx3" for="Days_Available_Monday"> <input id="Days_Available_Monday" name="sc_form[Monday]" type="checkbox" value="Available" /> <span>Monday</span></label> <label class="first unitx3" for="Days_Available_Tuesday"> <input id="Days_Available_Tuesday" name="sc_form[Tuesday]" type="checkbox" value="Available" /> <span>Tuesday</span></label> <label class="unitx3" for="Days_Available_Wednesday"> <input id="Days_Available_Wednesday" name="sc_form[Wednesday]" type="checkbox" value="Available" /> <span>Wednesday</span></label> <label class="first unitx3" for="Days_Available_Thursday"> <input id="Days_Available_Thursday" name="sc_form[Thursday]" type="checkbox" value="Available" /> <span>Thursday</span></label></fieldset> 158 159 160<label class="first width1 required" for="Comment"> <span>Is there any info the doctor needs to be aware of?</span><textarea cols="30" data-minlength="10" id="Comment" name="sc_form[Comment]" required="" rows="10"></textarea> </label></fieldset> 161 162<p> </p> 163 164<fieldset><button class="button button-medium site-button-color box-round box-shadow" type="submit">Submit Request</button></fieldset> 165</form> 166</div> 167 </div><!--/content--> 168 169 </div><!--/container--> 170 <div class="ornament"> 171 <svg class="bd sub" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="409" height="371" viewB
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vendor: 2 bytes, line 246
246
247<script src="//srwd.sesamehub.com/assets/js/vendor/cycle2-v2.1.6/jquery.cycle2.swipe.js"></script>
vendor: 2 bytes, line 247
247
248<script src="//srwd.sesamehub.com/assets/v5.0/helpers.js"></script>
vendor: 2 bytes, line 248
248
249<script src="//srwd.sesamehub.com/assets/v5.0/global-5.1.0.min.js"></script>
249 250
251<script src="/assets/js/local.js"></script>
251 252
253<script> 254jQuery(document).ready(function() { 255var windowWidth = window.innerWidth; 256var navItems = $('#ip-sub a').length; 257var welcomeVid = $('.welcomeVid'); 258var smallVid = "<source type='video/mp4' src='/assets/video/welcome.small.mp4' />"; 259var largeVid = "<source type='video/mp4' src='/assets/video/welcome.mp4' />"; 260var vidSrc = (windowWidth > 1023) ? welcomeVid.append(largeVid) : welcomeVid.append(smallVid); 261 262//line breaks on ip-sub for desktop layouts 263if((windowWidth > '1023') && (navItems > 5)){ $("#ip-sub span:eq(3)").replaceWith("<br />"); } 264 265//change ornamental image for pediatric dentistry category 266if($('#main-nav ul li.pediatric-dentistry').hasClass('active')){ $("#bd .ornament").addClass("pedo"); } 267 268//fun with slideshow ovelay 269// $(window).on("scroll touchmove", function () { 270 // $('#slideshow .slogan').toggleClass('active', $(document).scrollTop() > 80); 271// }); 272 273//hide hide-stock 274if(!$('img.static').length) { 275 $('#hide-stock').hide(); 276} 277 278// paroller 279$('.nul').paroller(); 280$('.one').paroller(); 281$('.two').paroller(); 282$('.spot_01').paroller(); 283 284}); 285</script>
285 286 287</body> 288</html>
Line numbers count LF bytes from the start of the resource, as the search results do. Vendor segments are library code the classifier recognised; they are stored but not indexed. Bytes are shown as Latin1 characters, one per byte.