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<div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_37' ><div id='gf_37' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_37' id='gform_37' action='/blog/tag/chiropractors/#gf_37'>
<div class='gform_body'><ul id='gform_fields_37' class='gform_fields top_label form_sublabel_below description_below'><li id='field_37_1' class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_37_1' >First Name<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_37_1' type='text' value='' class='medium' placeholder='First Name*' aria-required="true" aria-invalid="false" /></div></li><li id='field_37_2' class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_37_2' >Last Name<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_37_2' type='text' value='' class='medium' placeholder='Last Name*' aria-required="true" aria-invalid="false" /></div></li><li id='field_37_3' class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_37_3' >Email<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_email'>
<input name='input_3' id='input_37_3' type='email' value='' class='medium' placeholder='Email*' aria-required="true" aria-invalid="false" />
</div></li><li id='field_37_9' class='gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_37_9' >Phone</label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_37_9' type='tel' value='' class='medium' placeholder='Phone Number' aria-invalid="false" /></div></li><li id='field_37_4' class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_37_4' >Business Name<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_37_4' type='text' value='' class='medium' placeholder='Business Name*' aria-required="true" aria-invalid="false" /></div></li><li id='field_37_7' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_7' id='input_37_7' type='hidden' class='gform_hidden' aria-invalid="false" value='Gravity Website' /></li><li id='field_37_8' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_8' id='input_37_8' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></li><li id='field_37_13' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_13' id='input_37_13' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></li><li id='field_37_12' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_12' id='input_37_12' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></li><li id='field_37_11' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_11' id='input_37_11' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></li><li id='field_37_10' class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_10' id='input_37_10' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></li><li id='field_37_14' class='gfield mixpanel-id field_sublabel_below field_description_below gfield_visibility_hidden' ><label class='gfield_label' for='input_37_14' >Mixpanel ID</label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_37_14' type='text' value='' class='medium' aria-invalid="false" /></div></li><li id='field_37_15' class='gfield gf-post-slug field_sublabel_below field_description_below gfield_visibility_hidden' ><label class='gfield_label' for='input_37_15' >Post Slug (js)</label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_37_15' type='text' value='' class='medium' aria-invalid="false" /></div></li>
</ul></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_37' class='gform_button button' value='Submit' onclick='if(window["gf_submitting_37"]){return false;} if( !jQuery("#gform_37")[0].checkValidity || jQuery("#gform_37")[0].checkValidity()){window["gf_submitting_37"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_37"]){return false;} if( !jQuery("#gform_37")[0].checkValidity || jQuery("#gform_37")[0].checkValidity()){window["gf_submitting_37"]=true;} jQuery("#gform_37").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=37&title=&description=&tabindex=0' />
<input type='hidden' class='gform_hidden' name='is_submit_37' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='37' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_37' value='WyJbXSIsIjFkZWJiYTQzOTc0NWE5NmY1ODc3NTgwMWVlMTJhNGM1Il0=' />
<input type='hidden' class='gform_hidden' name='gform_target_page_number_37' id='gform_target_page_number_37' value='0' />
<input type='hidden' class='gform_hidden' name='gform_source_page_number_37' id='gform_source_page_number_37' value='1' />
<input type='hidden' name='gform_field_values' value='' />
</div>
</form>
</div>
<iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_37' id='gform_ajax_frame_37' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe>
<script type='text/javascript'>jQuery(document).ready(function($){gformInitSpinner( 37, 'https://gravitypayments.com/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery('#gform_ajax_frame_37').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_37');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_37').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_37').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_37').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_37').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_37').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_37').val();gformInitSpinner( 37, 'https://gravitypayments.com/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery(document).trigger('gform_page_loaded', [37, current_page]);window['gf_submitting_37'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_37').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_37').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [37]);window['gf_submitting_37'] = false;}, 50);}else{jQuery('#gform_37').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [37, current_page]);} );} );</script><script type='text/javascript'> jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 37) {if(typeof Placeholders != 'undefined'){
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