{"id":3756,"date":"2026-02-12T01:14:21","date_gmt":"2026-02-12T01:14:21","guid":{"rendered":"https:\/\/fortresshealthcareservices.com\/?page_id=3756"},"modified":"2026-02-12T01:14:21","modified_gmt":"2026-02-12T01:14:21","slug":"new-client-onboarding","status":"publish","type":"page","link":"https:\/\/fortresshealthcareservices.com\/index.php\/new-client-onboarding\/","title":{"rendered":"New Client Onboarding"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3755-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3755\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/3756#wpcf7-f3755-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3755\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3755-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.6\" \/>\n<\/fieldset>\n<div class=\"employment-application-form\">\n\t<h1>New Client Onboarding\n\t<\/h1>\n \n <!-- CLIENT DETAILS (The Bill Payer) -->\n\t<h3>Client \/ Payer Details\n\t<\/h3>\n\t<p><label>Full Name *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"full_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Official name for contracts\" value=\"\" type=\"text\" name=\"full_name\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label>Email Address *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"primary@email.com\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label>Phone Number *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"+234...\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label>Physical Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Full billing address\" name=\"address\"><\/textarea><\/span> <\/label>\n\t<\/p>\n<hr \/>\n\n <!-- PATIENT DETAILS (If different) -->\n\t<h3>Patient Information\n\t<\/h3>\n\t<p style=\"font-size: 0.9em; color: #666; margin-bottom: 15px;\">Only fill this if the patient is different from the client above.\n\t<\/p>\n\t<p><label>Care Recipient Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"care_recipient_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Leave blank if same as Client\" value=\"\" type=\"text\" name=\"care_recipient_name\" \/><\/span> <\/label>\n\t<\/p>\n<hr \/>\n\n <!-- EMERGENCY DATA (To be packed into JSONB by n8n) -->\n\t<h3>Emergency Contact\n\t<\/h3>\n\t<p><label>Contact Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"emergency_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"emergency_name\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label>Contact Phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"emergency_phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"emergency_phone\" \/><\/span> <\/label>\n\t<\/p>\n\n <!-- Hidden Status Field (Defaults to Active) -->\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"active\" type=\"hidden\" name=\"status\" \/>\n\t<div class=\"submit-row\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Register Client\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"New Client Onboarding Client \/ Payer Details Full Name * Email Address * Phone Number * Physical Address Patient Information Only fill this if the patient is different from the client above. Care Recipient Name Emergency Contact Contact Name Contact Phone","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/fortresshealthcareservices.com\/index.php\/wp-json\/wp\/v2\/pages\/3756"}],"collection":[{"href":"https:\/\/fortresshealthcareservices.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fortresshealthcareservices.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fortresshealthcareservices.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fortresshealthcareservices.com\/index.php\/wp-json\/wp\/v2\/comments?post=3756"}],"version-history":[{"count":1,"href":"https:\/\/fortresshealthcareservices.com\/index.php\/wp-json\/wp\/v2\/pages\/3756\/revisions"}],"predecessor-version":[{"id":3757,"href":"https:\/\/fortresshealthcareservices.com\/index.php\/wp-json\/wp\/v2\/pages\/3756\/revisions\/3757"}],"wp:attachment":[{"href":"https:\/\/fortresshealthcareservices.com\/index.php\/wp-json\/wp\/v2\/media?parent=3756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}