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230						            <div class='field'>
231				                        <div class='two fields'>
232				                            <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>
233				                            <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>
234				                        </div>
235				                    </div>
236						            <div class='field'>
237						                <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>
238						                <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>
239						            </div>
240						            <fieldset class='form-fieldset'>
241							            <div class='inline fields radios'>
242							                <legend class='form-label'>Respond to me via:</legend>
243							                <div class='field'>
244							                    <div class='ui radio checkbox'>
245							                        <input type='radio' name='popup_request_respond' id='request_respond_email' />
246							                        <label for='request_respond_email'>Email</label>
247							                    </div>
248							                </div>
249							                <div class='field'>
250							                    <div class='ui radio checkbox'>
251							                        <input type='radio' name='popup_request_respond' id='request_respond_phone' />
252							                        <label for='request_respond_phone'>Phone</label>
253							                    </div>
254							                </div>
255							            </div>
256							        </fieldset>
257						            <div class='equal width field pickdate'>
258						                <span class='form-label'>Preferred Day/Time:</span>
259						                <div class='fields'>
260						                    <div class='field'>
261						                        <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>
262						                    </div>
263						                    <div class='field'>
264							                    <label for='appt_hour' class='visuallyhidden'>Appointment Hour</label>
265						                        <select id='appt_hour' name='appt_hour'>
266						                            <option value=''>H</option>
267						                            <option value='1'>1</option>
268						                            <option value='2'>2</option>
269						                            <option value='3'>3</option>
270						                            <option value='4'>4</option>
271						                            <option value='5'>5</option>
272						                            <option value='6'>6</option>
273						                            <option value='7'>7</option>
274						                            <option value='8'>8</option>
275						                            <option value='9'>9</option>
276						                            <option value='10'>10</option>
277						                            <option value='11'>11</option>
278						                            <option value='12'>12</option>
279						                        </select>
280						                    </div>
281						                    <div class='field'>
282						                    	<label for='appt_min' class='visuallyhidden'>Appointment Minute</label>
283						                        <select id='appt_min' name='appt_min'>
284						                            <option value=''>M</option>
285						                            <option value='00'>00</option>
286						                            <option value='15'>15</option>
287						                            <option value='30'>30</option>
288						                            <option value='45'>45</option>
289						                        </select>
290						                    </div>
291						                    <fieldset>
292							                    <div class='fields time-radios'>
293					                                <legend class='visuallyhidden'>AM or PM</legend>
294					                                <div class='field'>
295					                                    <div class='ui radio checkbox'>
296					                                        <input type='radio' name='time' id='time_am' value='am' />
297					                                        <label for='time_am'>AM</label>
298					                                    </div>
299					                                </div>
300					                                <div class='field'>
301					                                    <div class='ui radio checkbox'>
302					                                        <input type='radio' name='time' id='time_pm' value='pm' />
303					                                        <label for='time_pm'>PM</label>
304					                                    </div>
305					                                </div>
306					                            </div>
307				                            </fieldset>
308						                </div>
309						            </div>
310						            <div class='field'>
311				                        <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>
312				                    </div>
313				                    <div class='field'>
314						                <div class='ui checkbox'>
315						                    <input type='checkbox' name='phi_check' id='no_phi_agree_check' value='' />
316						                    <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>
317						                    <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>
318						                </div>
319						            </div>
320				                    <div class='field'>
321						                <div class='ui checkbox'>
322						                    <input type='checkbox' name='consent' id='consent_check' value='' />
323						                    <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>
324						                </div>
325						            </div>
326						            <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 Atlantic Coast Chiropractic, 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>
327						            <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>
328									<div class='request_appointment-message' style='display:none'></div>
329						            <button type='submit' class='request_appointment-button request_appointment-send ui button'>Send Message</button>
330						            <input type='hidden' name='token' value='59f9a9de15565f194039dd7450ee4310'/>
331						            <br/>
332						        </form>
333						    </div>
334						</div></div></div>
335					</div>
336				</div>
337			</div>
338			</div><div id="utility_credit_wrap"><div id="centered_footer"><div class="nav nav-utility nav-footer"><div class="footer_utility_wrap"><ul><li class="utility_item utility_email"><a class="contact_practitioner-link button" title="Contact" href="#"><i class="fa-solid fa-envelope" aria-hidden="true"></i>Email Us</a></li></ul></div></div><div class="footer_schema"><div><span class="schema-practice-name">Atlantic Coast Chiropractic</span><br />
339		<span class="schema-practice-info"><span class="schema-practice-address">5267 Greenwich Rd, Ste 201</span><br /><span class="schema-practice-city">Virginia Beach</span>, <span class="schema-practice-state">VA</span><span class="schema-practice-zip"> 23462</span></span><br />
340		Phone: <span class="schema-practice-phone"><a href="tel:+17573136723">(757) 313-6723</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>
340<script type='text/javascript'>var _userway_config = {position: 2, color: '#053e67', language: 'en',  account: 'DZTwsqFRmq'};</script>
340
341                        
341<script type='text/javascript' defer src='https://cdn.userway.org/widget.js'></script>
341
342                        
342<script type='text/javascript'>
343                            function userWayTitle(){
344                                if (document.querySelector('.userway') !== null) {
345                                    var uw = document.getElementsByClassName('userway')[0];
346                                    uw.getElementsByClassName('userway_accessibility_icon')[0].setAttribute('title', 'Accessibility Menu');
347                                    clearTimeout(userWayTimer);
348                                }
349                            }
350                            var userWayTimer = setTimeout(userWayTitle, 2000);
351                        </script>
351<style>
352#cookie-banner {
353  position: fixed;
354  bottom: 0; left: 0; right: 0;
355  background: #18181b;
356  color: #e4e4e7;
357  padding: 1rem 1.5rem;
358  z-index: 99999;
359  box-shadow: 0 -2px 16px rgba(0,0,0,0.18);
360  font-family: inherit;
361  font-size: 0.875rem;
362  line-height: 1.6;
363}
364#cookie-banner__inner {
365  max-width: 1200px;
366  margin: 0 auto;
367  display: flex;
368  align-items: center;
369  gap: 1.5rem;
370  flex-wrap: wrap;
371}
372#cookie-banner__text { flex: 1; min-width: 240px; margin: 0; }
373#cookie-banner__text a { color: #93c5fd; text-decoration: underline; }
374#cookie-banner__actions { display: flex; gap: 0.75rem; flex-wrap: wrap; }
375.cookie-btn {
376  padding: 0.5rem 1.25rem;
377  border-radius: 6px;
378  font-size: 0.875rem;
379  font-weight: 500;
380  cursor: pointer;
381  white-space: nowrap;
382  border: none;
383  transition: opacity 0.15s;
384}
385.cookie-btn:hover { opacity: 0.85; }
386.cookie-btn--primary   { background: #2563eb; color: #fff; }
387.cookie-btn--secondary { background: transparent; color: #e4e4e7; border: 1px solid #52525b; }
388.cookie-btn--ghost     { background: transparent; color: #a1a1aa; border: 1px solid #3f3f46; }
389.cookie-btn--secondary:hover,
390.cookie-btn--ghost:hover { background: rgba(255,255,255,0.07); opacity: 1; }
391@media (max-width: 480px) {
392  #cookie-banner__actions {
393    width: 100%;
394    flex-direction: column;
395  }
396  .cookie-btn {
397    width: 100%;
398    text-align: center;
399  }
400}
401</style>
402
403<div id="cookie-banner" style="display:none" role="dialog" aria-label="Cookie consent" aria-live="polite">
404  <div id="cookie-banner__inner">
405    <p id="cookie-banner__text">
406      We use cookies and similar tracking technologies to analyze site usage, enhance
407      our services, and deliver personalized content. We require your active consent
408      to enable these cookies. You can customize your preferences or withdraw your
409      consent at any time. <a href="/info/privacy">Privacy Policy</a>
410    </p>
411    <p id="cookie-banner__gpc" style="display:none">
412      Your browser&rsquo;s Global Privacy Control setting is on, so we have treated it as
413      an opt-out. Choosing &ldquo;Accept&rdquo; will allow these cookies on this site anyway.
414    </p>
415    <div id="cookie-banner__actions">
416      <button class="cookie-btn cookie-btn--ghost"      id="cc-reject-all">Reject All</button>
417      <button class="cookie-btn cookie-btn--secondary"  id="cc-accept-essentials">Accept Essentials Only</button>
418      <button class="cookie-btn cookie-btn--primary"    id="cc-accept-all">Accept</button>
419    </div>
420  </div>
421</div>
422
423<script>
424(function () {
425  var KEY = "cookie_consent";
426  var EXPIRY_MS = 60 * 24 * 60 * 60 * 1000; // 60 days
427  // Global Privacy Control (browser opt-out signal) - treated as "rejected"
428  // unless the visitor explicitly accepted while the signal was on
429  var GPC = navigator.globalPrivacyControl === true;
430
431  function readRecord() {
432    try {
433      var raw = localStorage.getItem(KEY);
434      if (!raw) return null;
435      var d = JSON.parse(raw);
436      if (!d.choice || !d.ts) return null;
437      if (Date.now() - d.ts > EXPIRY_MS) { localStorage.removeItem(KEY); return null; }
438      return d;
439    } catch (e) { return null; }
440  }
441
442  // The choice in effect: a GPC signal overrides any stored choice except an
443  // "Accept" that was made while GPC was already on
444  function read() {
445    var d = readRecord();
446    if (GPC && !(d && d.choice === "all" && d.gpc)) return "rejected";
447    return d ? d.choice : null;
448  }
449
450  function write(choice) {
451    try { localStorage.setItem(KEY, JSON.stringify({ choice: choice, ts: Date.now(), gpc: GPC })); }
452    catch (e) {}
453  }
454
455  function hide() { document.getElementById("cookie-banner").style.display = "none"; }
456  function show() {
457    if (GPC) document.getElementById("cookie-banner__gpc").style.display = "";
458    document.getElementById("cookie-banner").style.display = "";
459  }
460
461  function dispatch(choice) {
462    window.dispatchEvent(new CustomEvent("cookieConsent", { detail: { choice: choice } }));
463
464    // also push to GTM dataLayer
465	window.dataLayer = window.dataLayer || [];
466	window.dataLayer.push({
467		event: "cookieConsentUpdate",
468		cookieConsentChoice: choice
469	});
470
471	// Consent Mode v2 signals for Google tags
472	  if (typeof gtag === "function") {
473	    var granted = choice === "all" ? "granted" : "denied";
474	    gtag("consent", "update", {
475	      ad_storage:         granted,
476	      analytics_storage:  granted,
477	      ad_user_data:       granted,
478	      ad_personalization: granted
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480	  }
481  }
482
483  function accept(choice) { write(choice); hide(); dispatch(choice); }
484
485  // Public API — use these to gate analytics scripts and add footer "Manage Preferences" links
486  window.CookieConsent = {
487    getChoice:    function () { return read(); },
488    hasConsented: function () { return !!read(); },
489    reset:        function () {
490      try { localStorage.removeItem(KEY); } catch (e) {}
491      // lets consent-gated tags revoke/clear cookies (see v_consent_gated_ga_head())
492      window.dispatchEvent(new CustomEvent("cookieConsentReset"));
493      show();
494    }
495  };
496
497  document.addEventListener("DOMContentLoaded", function () {
498    document.getElementById("cc-reject-all").addEventListener("click", function () { accept("rejected"); });
499    document.getElementById("cc-accept-essentials").addEventListener("click", function () { accept("essentials"); });
500    document.getElementById("cc-accept-all").addEventListener("click", function () { accept("all"); });
501
502    var stored = read();
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508  });
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510</script>
510
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513	</body>
514</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.