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91<!-- End Google Tag Manager (noscript) --> 92 <a id="top"></a> 93 <a href="#content" class="skip-to-content">Skip to content</a> 94 <div class="nav nav-utility nav-sb_before sticky-top"><div class="utility_wrap"><ul><li class="utility_item appointments util_left"><a class="button request_appointment-link" href="#"><i class="fa-solid fa-calendar" aria-hidden="true"></i>Request Appointment</a></li><li class="utility_item office_hours util_left"><a class="button" href="#"><i class="fa-solid fa-clock-o" aria-hidden="true"></i>Office Hours</a><div class="office_hours_popup" style="display:none;position:absolute;"><div class="up_arrow"></div><h3 class="office_hours-title">Office Hours</h3><div class="office_hours_full"> <div class="headerDiv headerRow fullRow"> <div class="partDayTitleCol"></div> <div class="partMorningHoursTitleCol">Morning</div> <div class="partAfternoonHoursTitleCol">Afternoon</div> </div><div class="monDiv even_day_row fullRow"> <div class="partDayCol">M</div> <div class="morningHoursCol">8:00 - 12:00 </div> <div class="afternoonHoursCol">1:30 - 5:00 </div> </div><div class="tueDiv odd_day_row fullRow"> <div class="partDayCol">T</div> <div class="morningHoursCol">By appt</div> <div class="afternoonHoursCol">-------</div> </div><div class="wedDiv even_day_row fullRow"> <div class="partDayCol">W</div> <div class="morningHoursCol">8:00 - 12:00 </div> <div class="afternoonHoursCol">1:30 - 5:00 </div> </div><div class="thuDiv odd_day_row fullRow"> <div class="partDayCol">T</div> <div class="morningHoursCol">8:00 - 12:00 </div> <div class="afternoonHoursCol">1:30 - 5:00 </div> </div><div class="friDiv even_day_row fullRow"> <div class="partDayCol">F</div> <div class="morningHoursCol">7:00 - 12:00 </div> <div class="afternoonHoursCol">-------</div> </div><div class="footerDiv footerRow"> <div class="footerCol oh_phone"><span class="oh_phone_call">Call <a href="tel:+17273723333">(727) 372-3333 </a></span></div> </div></div></div></li><li class="utility_item utility_email util_left"><a class="contact_practitioner-link button" title="Contact" href="#"><i class="fa-solid fa-envelope" aria-hidden="true"></i>Email Us</a></li><li class="utility_item utility_social util_right"><a class="google_social" href="https://maps.app.goo.gl/SmWvWgnrYsMqWEYR8" target="_blank" style="text-indent:0;color:#008FD5;"><span class="visuallyhidden">google social button</span><i class="fa-brands fa-google"></i></a><a class="facebook_social" href="https://www.facebook.com/stelioschiropractic" target="_blank" style="text-indent:0;color:#008FD5;"><span class="visuallyhidden">facebook social button</span><i class="fa-brands fa-facebook"></i></a><a class="instagram_social" href="https://www.instagram.com/stelioschiropractic/" target="_blank" style="text-indent:0;color:#008FD5;"><span class="visuallyhidden">instagram social button</span><i class="fa-brands fa-instagram"></i></a><a class="yelp_social" href="http://www.yelp.com/biz/stelios-spine-and-health-trinity-2" target="_blank" style="text-indent:0;color:#008FD5;"><span class="visuallyhidden">yelp social button</span><i class="fa-brands fa-yelp"></i></a></li><li class="utility_item phone util_right"><span class="phone_text"><i class="fa fa-phone-alt"></i> CALL OR TEXT</span> <a href="tel:+17273723333">(727) 372-3333</a></li></ul></div></div> 95 <div id="containing_wrap"> 96 <div id="wrap"> 97 <div title="Main Menu" id="dd-primary_nav"><a href="#"><i class="fa-solid fa-bars" aria-hidden="true"></i>Menu</a></div><div class="nav nav-primary nav-sb_before_header center_menu" title=""><ul id="primary_nav" class="menu"><li class="first menu-item menu-item-home"><a href="/">Home</a></li><li id="menu-item-325" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-325"><a href="/about-us/">About Us</a> 98<ul class="sub-menu"> 99 <li id="menu-item-1649" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1649"><a href="/supplements/">Supplements</a></li> 100 <li id="menu-item-327" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-327"><a href="/blog/">Our Blog</a></li> 101</ul> 102</li> 103<li id="menu-item-330" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-330"><a href="/dr-stelios-zografakis/">Dr. Stelios Zografakis</a></li> 104<li id="menu-item-1402" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1402"><a href="/our-services/">Our Services</a> 105<ul class="sub-menu"> 106 <li id="menu-item-324" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-324"><a href="/chiropractic-care/">Chiropractic Care</a></li> 107 <li id="menu-item-1709" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1709"><a href="/pregnancy/">Pregnancy Chiropractic</a></li> 108 <li id="menu-item-1708" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1708"><a href="/pediatric/">
108Pediatric Chiropractic</a></li> 109 <li id="menu-item-328" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-328"><a href="/sports-chiropractic/">Sports Chiropractic</a></li> 110 <li id="menu-item-770" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-770"><a href="/additional-services/">Additional Services</a></li> 111</ul> 112</li> 113<li id="menu-item-326" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-326"><a href="/new-patient-center/">New Patients</a></li> 114<li id="menu-item-530" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-530"><a href="/reviews/">Success Stories</a></li> 115<li id="menu-item-329" class="last menu-item menu-item-type-post_type menu-item-object-page current-menu-item page_item page-item-317 current_page_item menu-item-329"><a href="/contact-us/">Contact Us</a></li> 116</ul></div> 117 <div id="header_wrap"><div id="header"> 118 <div id="logo" class="left"><span id="site-title"><a href="/" title="Welcome to Stelios Spine and Health"><img src="https://doc.vortala.com/childsites/uploads/2848/files/[email protected]" width="646" height="500" alt="Stelios Spine and Health logo - Home" /><span id="blog-title">Stelios Spine and Health</span></a></span></div> 119 <div class="n-a-p"></div> 120 </div></div> 121 122 <div id="container_wrap"> 123 124 <div id="container"> 125 <div id="content"> 126 <div id="post-317" class="317 category- page"><div class="entry-content cf"><h1 align="center">Contact Stelios Spine and Health</h1> 127<h2 align="center">Weâd Love to Hear from You! Call or Text (727) 372-3333</h2> 128<hr class="bldr_divider div70" /> 129<style>.div70{border-color:;color:;margin:;}</style> 130<div class="column two_thirds"> 131<h2>APPOINTMENTS</h2> 132<div id='request_appointment_form-container' class='v_appt_form'> 133<div class='request_appointment_form-error' style='display:none'></div> 134<div class='request_appointment_form-success-message' style='display:none'>  Please wait, sending message      <img class='form-loading' alt='' src='https://doc.vortala.com/global/images/loading.gif' /></div> 135<div class='ui form request_appointment_form-content v_appt_form_content'> 136<div class='grouped fields radios patient_type'> 137<fieldset class='grouped fields'> 138<legend id='request_patient_type' class='visuallyhidden'>Patient Type</legend> 139<div class='field'> 140<div class='ui radio checkbox'> <input type='radio' class='request_appointment_form-patient_type' id='patient_new' name='patient_type' value='New Patient' /> <label for='patient_new'>New Patient</label> </div> 141</p></div> 142<div class='field'> 143<div class='ui radio checkbox'> <input type='radio' class='request_appointment_form-patient_type' id='patient_current' name='patient_type' value='Current Patient' /> <label for='patient_current'>Current Patient</label> </div> 144</p></div> 145<div class='field'> 146<div class='ui radio checkbox'> <input type='radio' class='request_appointment_form-patient_type' id='patient_returning' name='patient_type' value='Returning Patient' /> <label for='patient_returning'>Returning Patient</label> </div> 147</p></div> 148</fieldset></div> 149<div class='field'> 150<div class='two fields'> 151<div class='field'><label for='request_appointment_form-first_name' class='visuallyhidden'>First Name</label><input type='text' id='request_appointment_form-first_name' name='first_name' placeholder='First' /></div> 152<div class='field'><label for='request_appointment_form-last_name' class='visuallyhidden'>Last Name</label><input type='text' id='request_appointment_form-last_name' name='last_name' placeholder='Last' /></div> 153</p></div> 154</p></div> 155<div class='field'> 156<div class='field'><label for='request_appointment_form-email' class='visuallyhidden'>Email Address</label><input type='text' id='request_appointment_form-email' name='email' placeholder='Email Address' /></div> 157<div class='field'><label for='request_appointment_form-phone' class='visuallyhidden'>Phone Number</label><input type='text' id='request_appointment_form-phone' name='phone' placeholder='Phone Number' /></div> 158</p></div> 159<fieldset class='form-fieldset'> 160<div class='inline fields radios'> 161<legend class='form-label respond_label'>Respond to me via:</legend> 162<div class='field'> 163<div class='ui radio checkbox'> <input type='radio' name='req_form_respond' id='request_appointment_form-respond_email' /> <label for='request_appointment_form-respond_email'>Email</label> </div> 164</p></div> 165<div class='field'> 166<div class='ui radio checkbox'> <input type='radio' name='req_form_respond' id='request_appointment_form-respond_phone' /> <label for='request_appointment_form-respond_phone'>Phone</label> </div> 167</p></div> 168</p></div> 169</fieldset> 170<div class='equal width field pickdate'>
170 <span class='form-label'>Preferred Day/Time:</span> 171<div class='fields'> 172<div class='field' id='request_appointment_form-date_container'> <label for='request_appointment_form-thickbox_datepicker' class='visuallyhidden'>Date</label><input type='text' value='' name='thickbox_datepicker' id='request_appointment_form-thickbox_datepicker' /><i class='fa-solid fa-calendar' id='apptDateId' aria-hidden='true'></i> </div> 173<div class='field'> <label for='request_appointment_form-appt_hour' class='visuallyhidden'>Hour</label> <select id='request_appointment_form-appt_hour' name='appt_hour'><option value=''>H</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option><option value='10'>10</option><option value='11'>11</option><option value='12'>12</option></select> </div> 174<div class='field'> <label for='request_appointment_form-appt_min' class='visuallyhidden'>Hour</label> <select id='request_appointment_form-appt_min' name='appt_min'><option value=''>M</option><option value='00'>00</option><option value='15'>15</option><option value='30'>30</option><option value='45'>45</option></select> </div> 175<fieldset> 176<div class='fields time-radios'> 177<legend class='visuallyhidden' id='time_radios'>AM or PM</legend> 178<div class='field'> 179<div class='ui radio checkbox'> <input type='radio' name='time' id='request_appointment_form-time_am' value='am' /> <label for='request_appointment_form-time_am'>AM</label> </div> 180</p></div> 181<div class='field'> 182<div class='ui radio checkbox'> <input type='radio' name='time' id='request_appointment_form-time_pm' value='pm' /> <label for='request_appointment_form-time_pm'>PM</label> </div> 183</p></div> 184</p></div> 185</fieldset></div> 186</p></div> 187<div class='field'> <label for='request_appointment_form-message' class='visuallyhidden'>Comments or Questions</label><textarea id='request_appointment_form-message' placeholder='Comments or Questions' name='message'></textarea> </div> 188<div class='field'> 189<div class='ui checkbox'> <input type='checkbox' name='phi_check' id='request_appointment_form-no_phi_agree_check' value='' /> <label for='request_appointment_form-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> 190<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. 191<div class='pointer'></div> 192<div class='pointerBorder'></div> 193</div></div> 194</p></div> 195<div class='field'> 196<div class='ui checkbox'> <input type='checkbox' name='consent' id='request_appointment_form-consent_check' value='' /> <label class='privacy_consent_message' for='request_appointment_form-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 target='_blank' class='privacy-link' href='/info/privacy/' rel='nofollow'>privacy policy</a>.</label> </div> 197</p></div> 198<div class='field'> 199<div class='ui checkbox'> <input type='checkbox' name='sms' id='request_appointment_sms_check' value='' /> <label class='privacy_consent_message' for='request_appointment_sms_check'>By providing your phone number, you consent to receive text messages from Stelios Spine and Health, 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> 200</p></div> 201<div class='antispam'> <label for='url'>Leave this empty:</label><input id='url' name='url' class='request_appointment-input' value=''/> </div> 202<div class='request_appointment_form-error' style='display:none'></div> 203<div class='request_appointment_form-success-message' style='display:none'>  Please wait, sending message      <img class='form-loading' alt='' src='https://doc.vortala.com/global/images/loading.gif' /></div> 204<p> <button type='submit' class='request_appointment-button request_appointment-send ui button'>Send Message</button> 205<div class='request-links'><a href='/info/privacy'>Privacy Policy</a> | <a href='/info/terms-of-service'>Terms of Service</a></div> 206<p> <input type='hidden' name='token' value='59f9a9de15565f194039dd7450ee4310'/> </div> 207</p></div> 208</div> 209<div class="column one_third last"> 210<h2>CONTACT</h2> 211<p>Stelios Spine and Health<br /> 21210751 Maple Creek Dr., Suite 104<br /> 213Trinity, FL 34655</p> 214<p style="padding-bottom: 15px;"><b>Call or Text:</b> (727) 372-3333<br /> 215<b>Email:</b>
215 <a href="mailto:[email protected]">[email protected]</a><br /> 216<b>Emergencies:</b> (727) 372-3333</p> 217<h3 class="office_hours-title">Office Hours</h3> 218<div class="office_hours_full"> 219<div class="headerDiv headerRow fullRow"> 220<div class="partDayTitleCol"></div> 221<div class="partMorningHoursTitleCol">Morning</div> 222<div class="partAfternoonHoursTitleCol">Afternoon</div> 223</p></div> 224<div class="monDiv even_day_row fullRow"> 225<div class="partDayCol">Mon</div> 226<div class="morningHoursCol">8:00 â 12:00 </div> 227<div class="afternoonHoursCol">1:30 â 5:00 </div> 228</p></div> 229<div class="tueDiv odd_day_row fullRow"> 230<div class="partDayCol">Tue</div> 231<div class="morningHoursCol">By appt</div> 232<div class="afternoonHoursCol">ââ-</div> 233</p></div> 234<div class="wedDiv even_day_row fullRow"> 235<div class="partDayCol">Wed</div> 236<div class="morningHoursCol">8:00 â 12:00 </div> 237<div class="afternoonHoursCol">1:30 â 5:00 </div> 238</p></div> 239<div class="thuDiv odd_day_row fullRow"> 240<div class="partDayCol">Thu</div> 241<div class="morningHoursCol">8:00 â 12:00 </div> 242<div class="afternoonHoursCol">1:30 â 5:00 </div> 243</p></div> 244<div class="friDiv even_day_row fullRow"> 245<div class="partDayCol">Fri</div> 246<div class="morningHoursCol">7:00 â 12:00 </div> 247<div class="afternoonHoursCol">ââ-</div> 248</p></div> 249<div class="footerDiv footerRow"> 250<div class="footerCol oh_phone"><span class="oh_phone_call">Call <a href="tel:+17273723333">(727) 372-3333 </a></span></div> 251</p></div> 252</div> 253</div> 254<div class="cb"></div> 255<p><img class="alignnone" src="https://cdn.vortala.com/static/uploads/9/files/divider-dotted-1200.png" alt="" width="1200" height="20" /></p> 256<h2>FIND US</h2> 257<p>Stelios Spine and Health is on the corner of Trinity Boulevard and Duck Slough Boulevard in the Trinity Professional Plaza. Parking is free in our large lot.</p> 258<div class="banner" id="banner-1697" style="overflow: hidden"> 259<div class=" "><iframe loading="lazy" title="Stelios Spine and Health map" src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d3516.5583131559574!2d-82.63715998492728!3d28.190345182594356!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x0%3A0x94908088380725c5!2sStelios+Spine+and+Health!5e0!3m2!1sen!2sus!4v1462478785905" width="100%" height="340" frameborder="0" style="border:0" allowfullscreen></iframe></div> 260</div> 261</div></div> 262 263 </div> 264 </div> 265 266 </div> 267 </div> 268 269 <div id="footer_wrap"> 270 <div id="footer"> 271 272 <div id="wp_footer"> 273 274 <div style='display:none;'><div id='contact_practitioner-container' class='v_contact_form'><div id='contact_practitioner-content'> 275 <div class='contact_practitioner-content'> 276 <div class='contact_practitioner-title'>Email Stelios Spine and Health</div> 277 <div class='contact_practitioner-loading' style='display:none'></div> 278 <div class='contact_practitioner-message' style='display:none'></div> 279 <form class='ui form' method='post' action=''> 280 <div class='field'> 281 <label for='contact_practitioner-message' class='visuallyhidden'>Comments, Requests, Questions, or Suggestions</label><textarea id='contact_practitioner-message' class='' placeholder='Comments, Requests, Questions, or Suggestions' name='message'></textarea><br/> 282 </div> 283 <div class='field'> 284 <div class='two fields'> 285 <div class='field'><label for='contact_practitioner-first_name' class='visuallyhidden'>First Name</label><input type='text' id='contact_practitioner-first_name' name='first_name' placeholder='First' /></div> 286 <div class='field'><label for='contact_practitioner-last_name' class='visuallyhidden'>Last Name</label><input type='text' id='contact_practitioner-last_name' name='last_name' placeholder='Last' /></div> 287 </div> 288 </div> 289 <fieldset class='form-fieldset'> 290 <div class='inline fields radios'> 291 <legend class='form-label'>Respond to me via:</legend> 292 <div class='field'> 293 <div class='ui radio checkbox'> 294 <input type='radio' name='popup_respond_contact' id='popup_respond_email' /> 295 <label for='popup_respond_email'>Email</label> 296 </div> 297 </div> 298 <div class='field'> 299 <div class='ui radio checkbox'> 300 <input type='radio' name='popup_respond_contact' id='popup_respond_phone' /> 301 <label for='popup_respond_phone'>Phone</label> 302 </div> 303 </div> 304 <div class='field'> 305 <div class='ui radio checkbox'> 306 <input type='radio' name='popup_respond_contact' id='popup_respond_none' /> 307 <label for='popup_respond_none'>No Response</label> 308 </div> 309 </div> 310 </div> 311 </fieldset> 312 <div class='field'> 313 <div class='field'><label for='contact_practitioner-email' class='visuallyhidden'>Email Address</label><input type='text' id='contact_practitioner-email' name='email' placeholder='Email Address' /></div> 314 <div class='field'><label for='contact_practitioner-phone' class='visuallyhidden'>Phone Number</label><input type='text' id='contact_practitioner-phone' name='phone' placeholder='Phone Number' /></div> 315 </div> 316 <div class='field'> 317 <div class='ui checkbox'> 318 <input type='checkbox' name='phi_agree' id='contact_practitioner-no_phi_agree_check' value='' /> 319 <label for='contact_practitioner-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> 320 <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> 321 </div> 322 </div> 323 <div class='field'> 324 <div class='ui checkbox'> 325 <input type='checkbox' name='consent' id='contact_practitioner-consent_check' value='' /> 326 <label class='privacy_consent_message' for='contact_practitioner-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> 327 </div> 328 </div> 329 <div class='field'> <div class='ui checkbox'> <input type='checkbox' name='sms' id='contact_practitioner-sms_check' value='' /> <label class='privacy_consent_message' for='contact_practitioner-sms_check'>By providing your phone number, you consent to receive text messages from Stelios Spine and Health, 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> 330 <div class='antispam'><label for='popup_contact_form_url'>Leave this empty:</label><input id='popup_contact_form_url' name='url' class='' value=''/></div> 331 <button type='submit' class='contact_practitioner-button contact_practitioner-send ui button'>Send Message</button> 332 <input type='hidden' name='token' value='99fc640602492860785fb60ad93f95ec'/> 333 <br/> 334 </form> 335 </div> 336 </div></div></div> 337 <div style='display:none;'><div id='request_appointment-container' class='v_appt_form'><div id='request_appointment-content'> 338 <div class='request_appointment-content'> 339 <div class='request_appointment-title'>Request Appointment <span class='request_appointment-subtitle'>(pending confirmation)</span></div> 340 <div class='request_appointment-loading' style='display:none'></div> 341 <div class='request_appointment-message' style='display:none'></div> 342 <form class='ui form' method='post' action=''> 343 <div class='grouped fields radios patient_type'> 344 <fieldset class='grouped fields'> 345 <legend class='visuallyhidden'>Patient Type</legend> 346 <div class='field'> 347 <div class='ui radio checkbox'> 348 <input id='popup_appt_new' type='radio' name='patient_type' value='New Patient' /> 349 <label for='popup_appt_new'>New Patient</label> 350 </div> 351 </div> 352 <div class='field first_radio'> 353 <div class='ui radio checkbox'> 354 <input id='popup_appt_current' type='radio' name='patient_type' value='Current Patient' /> 355 <label for='popup_appt_current'>Current Patient</label> 356 </div> 357 </div> 358 <div class='field'> 359 <div class='ui radio checkbox'> 360 <input id='popup_appt_returning' type='radio' name='patient_type' value='Returning Patient' /> 361 <label for='popup_appt_returning'>Returning Patient</label> 362 </div> 363 </div> 364 </fieldset> 365 </div> 366 <div class='field'>
367 <div class='two fields'> 368 <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> 369 <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> 370 </div> 371 </div> 372 <div class='field'> 373 <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> 374 <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> 375 </div> 376 <fieldset class='form-fieldset'> 377 <div class='inline fields radios'> 378 <legend class='form-label'>Respond to me via:</legend> 379 <div class='field'> 380 <div class='ui radio checkbox'> 381 <input type='radio' name='popup_request_respond' id='request_respond_email' /> 382 <label for='request_respond_email'>Email</label> 383 </div> 384 </div> 385 <div class='field'> 386 <div class='ui radio checkbox'> 387 <input type='radio' name='popup_request_respond' id='request_respond_phone' /> 388 <label for='request_respond_phone'>Phone</label> 389 </div> 390 </div> 391 </div> 392 </fieldset> 393 <div class='equal width field pickdate'> 394 <span class='form-label'>Preferred Day/Time:</span> 395 <div class='fields'> 396 <div class='field'> 397 <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> 398 </div> 399 <div class='field'> 400 <label for='appt_hour' class='visuallyhidden'>Appointment Hour</label> 401 <select id='appt_hour' name='appt_hour'> 402 <option value=''>H</option> 403 <option value='1'>1</option> 404 <option value='2'>2</option> 405 <option value='3'>3</option> 406 <option value='4'>4</option> 407 <option value='5'>5</option> 408 <option value='6'>6</option> 409 <option value='7'>7</option> 410 <option value='8'>8</option> 411 <option value='9'>9</option> 412 <option value='10'>10</option> 413 <option value='11'>11</option> 414 <option value='12'>12</option> 415 </select> 416 </div> 417 <div class='field'> 418 <label for='appt_min' class='visuallyhidden'>Appointment Minute</label> 419 <select id='appt_min' name='appt_min'> 420 <option value=''>M</option> 421 <option value='00'>00</option> 422 <option value='15'>15</option> 423 <option value='30'>30</option> 424 <option value='45'>45</option> 425 </select> 426 </div> 427 <fieldset> 428 <div class='fields time-radios'> 429 <legend class='visuallyhidden'>AM or PM</legend> 430 <div class='field'> 431 <div class='ui radio checkbox'> 432 <input type='radio' name='time' id='time_am' value='am' /> 433 <label for='time_am'>AM</label> 434 </div> 435 </div> 436 <div class='field'> 437 <div class='ui radio checkbox'> 438 <input type='radio' name='time' id='time_pm' value='pm' /> 439 <label for='time_pm'>PM</label> 440 </div> 441 </div> 442 </div> 443 </fieldset> 444 </div> 445 </div> 446 <div class='field'> 447 <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> 448 </div> 449 <div class='field'> 450 <div class='ui checkbox'> 451 <input type='checkbox' name='phi_check' id='no_phi_agree_check' value='' /> 452 <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> 453 <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> 454 </div> 455 </div> 456 <div class='field'> 457 <div class='ui checkbox'> 458 <input type='checkbox' name='consent' id='consent_check' value='' /> 459 <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> 460 </div> 461 </div> 462 <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 Stelios Spine and Health, 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> 463 <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> 464 <div class='request_appointment-message' style='display:none'></div> 465 <button type='submit' class='request_appointment-button request_appointment-send ui button'>Send Message</button> 466 <input type='hidden' name='token' value='59f9a9de15565f194039dd7450ee4310'/> 467 <br/> 468 </form> 469 </div> 470 </div></div></div> 471 </div>
472 </div> 473 </div> 474 </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 appointments"><a class="button request_appointment-link" href="#"><i class="fa-solid fa-calendar" aria-hidden="true"></i>Request Appointment</a></li><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">Stelios Spine and Health</span><br /> 475 <span class="schema-practice-info"><span class="schema-practice-address">10751 Maple Creek Dr., Suite 104</span><br /><span class="schema-practice-city">Trinity</span>, <span class="schema-practice-state">FL</span><span class="schema-practice-zip"> 34655</span></span><br /> 476 Phone: <span class="schema-practice-phone"><a href="tel:+17273723333">(727) 372-3333</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>
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