{"id":8839,"date":"2025-12-02T12:57:16","date_gmt":"2025-12-02T05:57:16","guid":{"rendered":"https:\/\/asceine.ruk-com.dev\/form-2\/"},"modified":"2026-02-17T13:26:19","modified_gmt":"2026-02-17T06:26:19","slug":"form-2","status":"publish","type":"page","link":"https:\/\/asceine.ruk-com.dev\/en\/form-2\/","title":{"rendered":"FORM"},"content":{"rendered":"\t\t<div data-elementor-type=\"page\" data-elementor-id=\"8839\" class=\"elementor elementor-8839 elementor-4041\">\n\t\t\t\t<div class=\"elementor-element elementor-element-21a30b65 e-flex e-con-boxed e-con e-parent\" data-id=\"21a30b65\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a2301bf e-con-full e-flex e-con e-child\" data-id=\"a2301bf\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-e310562 e-con-full e-flex e-con e-child\" data-id=\"e310562\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-11c8e87 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-image\" data-id=\"11c8e87\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"14\" height=\"15\" src=\"https:\/\/asceine.ruk-com.dev\/wp-content\/uploads\/2025\/11\/27a2ec0ecb21a3efa1ed783acbc90f69.svg\" class=\"attachment-full size-full wp-image-8840\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-150b5041 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"150b5041\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">\/<\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3dda8731 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"3dda8731\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">To Medical Professionals<\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6649bdd elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"6649bdd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">\/<\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7120b18e elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"7120b18e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Form<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6e234b63 e-flex e-con-boxed e-con e-parent\" data-id=\"6e234b63\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3f713e60 e-con-full e-flex e-con e-child\" data-id=\"3f713e60\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-dcde67f e-con-full e-flex e-con e-child\" data-id=\"dcde67f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4fe02615 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"4fe02615\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Inquiry form <br>for medical institutions only<\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50bcefdd elementor-widget elementor-widget-image\" data-id=\"50bcefdd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"80\" height=\"4\" src=\"https:\/\/asceine.ruk-com.dev\/wp-content\/uploads\/2025\/11\/d035b946ef2557ff1d9c196560cfb5cd.svg\" class=\"attachment-full size-full wp-image-8785\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e64ef5e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1e64ef5e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This is an inquiry form for medical institutions only.<\/p><p>(If you are not a medical institution, please contact us &gt;&gt; <span style=\"text-decoration: underline;\"><span style=\"color: #000000; text-decoration: underline;\"><a style=\"color: #000000; text-decoration: underline;\" href=\"https:\/\/asceine.ruk-com.dev\/contact\/\" target=\"_blank\" rel=\"noopener\">here<\/a><\/span>.<\/span>)  <\/p><p>*Please note that depending on the content of your inquiry, we may contact you by phone.<\/p><p>*Samples and materials can only be shipped to medical institutions.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e689d2b elementor-widget elementor-widget-image\" data-id=\"5e689d2b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"550\" height=\"368\" src=\"https:\/\/asceine.ruk-com.dev\/wp-content\/uploads\/2025\/11\/06545f8d806ccf95a13dd991a4bd3a32.png\" class=\"attachment-full size-full wp-image-8841\" alt=\"\" srcset=\"https:\/\/asceine.ruk-com.dev\/wp-content\/uploads\/2025\/11\/06545f8d806ccf95a13dd991a4bd3a32.png 550w, https:\/\/asceine.ruk-com.dev\/wp-content\/uploads\/2025\/11\/06545f8d806ccf95a13dd991a4bd3a32-300x201.png 300w\" sizes=\"(max-width: 550px) 100vw, 550px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e841187 e-flex e-con-boxed e-con e-parent\" data-id=\"e841187\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-5a691f0e e-con-full e-flex e-con e-child\" data-id=\"5a691f0e\" data-element_type=\"container\" data-e-type=\"container\" id=\"info-title-form\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-78906637 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"78906637\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Information<\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3cbdaf79 elementor-widget elementor-widget-image\" data-id=\"3cbdaf79\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"80\" height=\"4\" src=\"https:\/\/asceine.ruk-com.dev\/wp-content\/uploads\/2025\/11\/e8943a3ebd0bbd4bbd5d7847cb66a930.svg\" class=\"attachment-full size-full wp-image-8842\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74055b6 elementor-widget__width-initial elementor-widget elementor-widget-shortcode\" data-id=\"74055b6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class='fluentform ff-default fluentform_wrapper_4 ffs_default_wrap'><form data-form_id=\"4\" id=\"fluentform_4\" class=\"frm-fluent-form fluent_form_4 ff-el-form-top ff_form_instance_4_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_4_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Medical Institution Inquiry Form<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='8839' \/><input type=\"hidden\" id=\"_fluentform_4_fluentformnonce\" name=\"_fluentform_4_fluentformnonce\" value=\"07f9f9b44f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/8839\" \/><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Please select your inquiry.\">Please select your inquiry. <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_6dd57f65ca75722c19262d24b4ac23d3'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Sample\/Document Request\"  id='checkbox_1_6dd57f65ca75722c19262d24b4ac23d3' aria-label='Sample\/Document Request' aria-invalid='false' aria-required=true> <span>Sample\/Document Request<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_3d2b00a487bf87d9d4b68d8364a3c79f'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Product Inquiry\"  id='checkbox_1_3d2b00a487bf87d9d4b68d8364a3c79f' aria-label='Product Inquiry' aria-invalid='false' aria-required=true> <span>Product Inquiry<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_48409fd74a0b0bf2725e5a6bad31de51'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Refund Inquiry\"  id='checkbox_1_48409fd74a0b0bf2725e5a6bad31de51' aria-label='Refund Inquiry' aria-invalid='false' aria-required=true> <span>Refund Inquiry<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_9f4a58b55520c2e06c350774138efd55'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Product Complaint\"  id='checkbox_1_9f4a58b55520c2e06c350774138efd55' aria-label='Product Complaint' aria-invalid='false' aria-required=true> <span>Product Complaint<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_adbe9c25a5d50cc31cae25f26af87472'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Other\"  id='checkbox_1_adbe9c25a5d50cc31cae25f26af87472' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_description_1' id='label_ff_4_description_1' aria-label=\"Inquiry details\">Inquiry details <\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"true\" aria-labelledby=\"label_ff_4_description_1\" name=\"description_1\" id=\"ff_4_description_1\" class=\"ff-el-form-control\" placeholder=\"please enter any additional information\" rows=\"6\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Please let us know how you would like to be contacted.\">Please let us know how you would like to be contacted.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_419c235a95ca1a91dc958d2c04d2cc5c'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I prefer phone calls\"  id='input_radio_1_419c235a95ca1a91dc958d2c04d2cc5c' aria-label='I prefer phone calls' aria-invalid='false' aria-required=true> <span>I prefer phone calls<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_950f5336370ec3253421d0fd64573bb9'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I prefer emails\"  id='input_radio_1_950f5336370ec3253421d0fd64573bb9' aria-label='I prefer emails' aria-invalid='false' aria-required=true> <span>I prefer emails<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_7b7b5c17f4742c43885ed777b0f49afb'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I don&#039;t mind either phone or email\"  id='input_radio_1_7b7b5c17f4742c43885ed777b0f49afb' aria-label='I don&#039;t mind either phone or email' aria-invalid='false' aria-required=true> <span>I don't mind either phone or email<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Occupation\">Occupation<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_354ce3529979783eaf3dd0c39cc190f5'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"doctors\"  id='input_radio_354ce3529979783eaf3dd0c39cc190f5' aria-label='Doctors' aria-invalid='false' aria-required=true> <span>Doctors<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_c59fcbf0d8ec63b937610837b40da6af'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"nurses\"  id='input_radio_c59fcbf0d8ec63b937610837b40da6af' aria-label='Nurses' aria-invalid='false' aria-required=true> <span>Nurses<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_bfb87354b31c274c926bc8a729ff290c'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"pharmacists\"  id='input_radio_bfb87354b31c274c926bc8a729ff290c' aria-label='Pharmacists' aria-invalid='false' aria-required=true> <span>Pharmacists<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1118c310851987d30cc6241998597720'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"administrative\"  id='input_radio_1118c310851987d30cc6241998597720' aria-label='Administrative' aria-invalid='false' aria-required=true> <span>Administrative<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_56cc597e4b382ff3cea79a3e113c3c28'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"other\"  id='input_radio_56cc597e4b382ff3cea79a3e113c3c28' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_input_text' id='label_ff_4_input_text' aria-label=\"Name of medical institution to which you belong\">Name of medical institution to which you belong<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_4_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_input_text_1' id='label_ff_4_input_text_1' aria-label=\"Affiliation Department Name\">Affiliation Department Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_4_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-4_1\" ><div class=\"elementor-element elementor-element-5a691f0e e-con-full e-flex e-con e-child\" data-id=\"5a691f0e\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n<div class=\"elementor-element elementor-element-78906637 elementor-widget__width-initial elementor-widget elementor-widget-heading is-mac\" data-id=\"78906637\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-heading-title elementor-size-default\">Other Information<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-3cbdaf79 elementor-widget elementor-widget-image is-mac\" data-id=\"3cbdaf79\" data-element_type=\"widget\" data-widget_type=\"image.default\"><img loading=\"lazy\" decoding=\"async\" class=\"attachment-full size-full wp-image-3432\" src=\"https:\/\/asceine.ruk-com.dev\/wp-content\/uploads\/2025\/11\/e8943a3ebd0bbd4bbd5d7847cb66a930.svg\" alt=\"\" width=\"80\" height=\"4\" \/><\/div>\n<\/div><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_names_first_name_' id='label_ff_4_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_4_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_names_last_name_' id='label_ff_4_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_4_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_email' id='label_ff_4_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_4_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_email_1' id='label_ff_4_email_1' aria-label=\"Confirm Email\">Confirm Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_4_email_1\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_input_mask' id='label_ff_4_input_mask' aria-label=\"Mobile Phone\">Mobile Phone<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask\" data-mask=\"(00) 0000-0000\" class=\"ff-el-form-control\" data-name=\"input_mask\" id=\"ff_4_input_mask\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-4_2\" ><div class=\"elementor-element elementor-element-5a691f0e e-con-full e-flex e-con e-child\" data-id=\"5a691f0e\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n<div class=\"elementor-element elementor-element-78906637 elementor-widget__width-initial elementor-widget elementor-widget-heading is-mac\" data-id=\"78906637\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-heading-title elementor-size-default\">Address<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-3cbdaf79 elementor-widget elementor-widget-image is-mac\" data-id=\"3cbdaf79\" data-element_type=\"widget\" data-widget_type=\"image.default\"><img loading=\"lazy\" decoding=\"async\" class=\"attachment-full size-full wp-image-3432\" src=\"https:\/\/asceine.ruk-com.dev\/wp-content\/uploads\/2025\/11\/e8943a3ebd0bbd4bbd5d7847cb66a930.svg\" alt=\"\" width=\"80\" height=\"4\" \/><\/div>\n<\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_address_1_province_' 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required\"}}},\"debounce_time\":300,\"file_upload_settings\":[]};\n                            <\/script>\n            <\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7ace7d3 e-flex e-con-boxed e-con e-parent\" data-id=\"7ace7d3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\/ To Medical Professionals \/ Form Inquiry form for medical institutions only This is an inquiry form for medical institutions only. (If you are not a medical institution, please contact us &gt;&gt; here.) *Please note that depending on the content of your inquiry, we may contact you by phone. *Samples and materials can only be [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"inline_featured_image":false,"_jet_sm_ready_style":"","_jet_sm_style":"","_jet_sm_controls_values":"","_jet_sm_fonts_collection":"","_jet_sm_fonts_links":"","footnotes":""},"class_list":["post-8839","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/asceine.ruk-com.dev\/en\/wp-json\/wp\/v2\/pages\/8839","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/asceine.ruk-com.dev\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/asceine.ruk-com.dev\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/asceine.ruk-com.dev\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/asceine.ruk-com.dev\/en\/wp-json\/wp\/v2\/comments?post=8839"}],"version-history":[{"count":1,"href":"https:\/\/asceine.ruk-com.dev\/en\/wp-json\/wp\/v2\/pages\/8839\/revisions"}],"predecessor-version":[{"id":8844,"href":"https:\/\/asceine.ruk-com.dev\/en\/wp-json\/wp\/v2\/pages\/8839\/revisions\/8844"}],"wp:attachment":[{"href":"https:\/\/asceine.ruk-com.dev\/en\/wp-json\/wp\/v2\/media?parent=8839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}