{"html":"\n\t\u003Cdiv class=\"container-fluid1 pt-51 pb-51\"\u003E\n\t\t\u003Cdiv id=\"search-result\"\u003E\n\t\t\t\u003Cdiv class=\"row\"\u003E\n\t\t\t\t\u003Cdiv class=\"col-12 col-md-3 contactbox text-center\"\u003E\n\t\t\t\t\t\u003Cimg src=\"\/assets\/uploads\/members\/\" class=\"img-fluid rounded\"\/\u003E\n\t\t\t\t\t\u003Ch3 style=\"font-weight:700;margin-top:15px;\"\u003EBRUCE HUGHEY\u003C\/h3\u003E  \n\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\u003Cdiv class=\"col-12 col-md-9\"\u003E\n\t\t\t\t\t\u003Cform name=\"providercontact\" id=\"providercontact\" action=\"\/connect\" method=\"post\"\u003E\n\t\t\t\t\t\t\u003Cinput type=\"hidden\" name=\"provider_email\" value=\"\"\u003E\n\t\t\t\t\t\t\u003Cdiv class=\"form-group row\"\u003E\n\t\t\t\t\t\t\t\u003Clabel for=\"example-search-input\" class=\"col-3 col-form-label\"\u003E\n\t\t\t\t\t\t\t\t\u003Cspan style=\"color: #b94a48;padding-right: 4px;\"\u003E*\u003C\/span\u003EYour Name:\n\t\t\t\t\t\t\t\u003C\/label\u003E\n\t\t\t\t\t\t\t\u003Cdiv class=\"col-9\"\u003E\n\t\t\t\t\t\t\t\t\u003Cinput class=\"form-control\" name=\"name\" type=\"text\" value=\"\" id=\"\" required\u003E\n\t\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003Cdiv class=\"form-group row\"\u003E\n\t\t\t\t\t\t\t\u003Clabel for=\"example-email-input\" class=\"col-3 col-form-label\"\u003E\u003Cspan style=\"color: #b94a48;\"\u003E*\u003C\/span\u003EEmail Address:\u003C\/label\u003E\n\t\t\t\t\t\t\t\u003Cdiv class=\"col-9\"\u003E\n\t\t\t\t\t\t\t\t\u003Cinput class=\"form-control\" name=\"email\" type=\"email\" value=\"\" id=\"\" required\u003E\n\t\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003Cdiv class=\"form-group row\"\u003E\n\t\t\t\t\t\t\t\u003Clabel for=\"example-url-input\" class=\"col-3 col-form-label\"\u003E\u003Cspan style=\"color: #b94a48;\"\u003E*\u003C\/span\u003EPhone Number:\u003C\/label\u003E\n\t\t\t\t\t\t\t\u003Cdiv class=\"col-9\"\u003E\n\t\t\t\t\t\t\t\t\u003Cinput class=\"form-control\" name=\"phone\" type=\"text\" value=\"\" id=\"\" required\u003E\n\t\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003Cdiv class=\"form-group row\"\u003E\n\t\t\t\t\t\t\t\u003Clabel for=\"example-tel-input\" class=\"col-3 col-form-label\"\u003ELocation:\u003C\/label\u003E\n\t\t\t\t\t\t\t\u003Cdiv class=\"col-9\"\u003E\n\t\t\t\t\t\t\t\t\u003Cinput class=\"form-control\" name=\"location\" type=\"text\" value=\"\" id=\"\"\u003E\n\t\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003Cdiv class=\"form-group row\"\u003E\n\t\t\t\t\t\t\t\u003Clabel for=\"example-tel-input\" class=\"col-3 col-form-label\"\u003EMessage:\u003C\/label\u003E\n\t\t\t\t\t\t\t\u003Cdiv class=\"col-9\"\u003E\n\t\t\t\t\t\t\t\t\u003Ctextarea class=\"form-control\" name=\"message\" id=\"exampleTextarea\" rows=\"3\"\u003E\u003C\/textarea\u003E\n\t\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003Cdiv class=\"form-group row\" style=\"display:none\"\u003E\n\t\t\t\t\t\t\t\u003Clabel for=\"example-tel-input\" class=\"col-3 col-form-label\"\u003ESpecialties:\u003C\/label\u003E\n\t\t\t\t\t\t\t\u003Cdiv class=\"col-9\"\u003E\n\t\t\t\t\t\t\t\t\u003Cinput class=\"form-control\" name=\"specialties\" type=\"text\" value=\"\" id=\"\"\u003E\n\t\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003C\/div\u003E\n\t\t\t\t\t\t\u003Cp style=\"text-align:center;\"\u003E\n\t\t\t\t\t\t\t\u003Cspan id=\"providercontact_error\" style=\"color:#F00;font-size:16px;font-weight: 700;\"\u003E\u003C\/span\u003E\n\t\t\t\t\t\t\t\u003Cspan id=\"providercontact_success\" style=\"color:#a7abd1;font-size:16px;font-weight: 700;\"\u003E\u003C\/span\u003E\n\t\t\t\t\t\t\u003C\/p\u003E\n\t\t\t\t\t\u003C\/form\u003E\n\t\t\t\t\u003C\/div\u003E\n\t\t\t\u003C\/div\u003E\n\t\t\u003C\/div\u003E\n\t\u003C\/div\u003E"}