{"id":24810,"date":"2017-04-05T14:09:59","date_gmt":"2017-04-05T18:09:59","guid":{"rendered":"http:\/\/toh.wpengine.com\/en\/?page_id=24810"},"modified":"2023-10-26T17:07:23","modified_gmt":"2023-10-26T21:07:23","slug":"request-information","status":"publish","type":"page","link":"https:\/\/www.ottawahospital.on.ca\/en\/contact-us\/provide-feedback\/request-information\/","title":{"rendered":"Request Information"},"content":{"rendered":"\n<p>Patients can submit their feedback electronically using the forms below. If you would like a copy of your submission for your files, <strong>before you \u201cSubmit\u201d<\/strong> we suggest you do one of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Print the page<\/li>\n\n\n\n<li>Copy and paste your text into a Word document<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">I have further questions about the hospital and its services.<\/h2>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f11-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"11\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/24810#wpcf7-f11-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=\"11\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f11-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_extcf7_conditional_options\" value=\"{&quot;form_id&quot;:11,&quot;conditions&quot;:[]}\" \/><input type=\"hidden\" name=\"_extcf7_redirect_options\" value=\"{&quot;form_id&quot;:11,&quot;redirect_options&quot;:{&quot;redirection_enable&quot;:&quot;off&quot;,&quot;custom_url_enable&quot;:&quot;off&quot;,&quot;redirect_page&quot;:&quot;&quot;,&quot;custom_urle&quot;:&quot;&quot;,&quot;redirect_new_tab&quot;:&quot;off&quot;,&quot;js_action&quot;:&quot;off&quot;,&quot;javascript_code&quot;:&quot;&quot;}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p>Fields marked with an asterisk (*) are required.\n<\/p>\n<p><label for=\"your-firstname\">Your First Name:<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-firstname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"your-firstname\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-firstname\" \/><\/span>\n<\/p>\n<p><label for=\"your-lastname\">Your Last Name:<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-lastname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"your-lastname\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-lastname\" \/><\/span>\n<\/p>\n<p><label for=\"your-email\">Your Email:*<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"your-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n<\/p>\n<p><label for=\"your-subject\">Subject:<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"your-subject\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-subject\" \/><\/span>\n<\/p>\n<p><label for=\"comments\">Comments:*<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-comments\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required comments\" id=\"comments\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-comments\"><\/textarea><\/span>\n<\/p>\n<p class=\"margintop5\"><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/><a target=\"_blank\" href=\"\/en\/patients-visitors\/privacy\/disclaimer-privacy-statement\/\">Privacy Policy<\/a>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Patients can submit their feedback electronically using the forms below. If you would like a copy of your submission for your files, before you \u201cSubmit\u201d we suggest you do one of the following: I have further questions about the hospital and its services.<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":16311,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_mc_calendar":[],"footnotes":""},"class_list":["post-24810","page","type-page","status-publish","hentry"],"acf":[],"wps_subtitle":"","_links":{"self":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages\/24810","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/comments?post=24810"}],"version-history":[{"count":0,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages\/24810\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/pages\/16311"}],"wp:attachment":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/media?parent=24810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}