{"id":5055,"date":"2024-03-29T15:27:02","date_gmt":"2024-03-29T22:27:02","guid":{"rendered":"https:\/\/glom-sap.org\/dev\/?page_id=5055"},"modified":"2024-06-05T05:37:08","modified_gmt":"2024-06-05T12:37:08","slug":"intake-forms","status":"publish","type":"page","link":"https:\/\/glom-sap.org\/dev\/intake-forms\/","title":{"rendered":"Intake Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5055\" class=\"elementor elementor-5055\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-68d7aabd elementor-section-height-min-height elementor-section-items-top elementor-section-stretched elementor-section-content-bottom elementor-section-boxed elementor-section-height-default\" data-id=\"68d7aabd\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;slideshow&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;shape_divider_bottom_negative&quot;:&quot;yes&quot;,&quot;jet_parallax_layout_list&quot;:[],&quot;shape_divider_bottom&quot;:&quot;triangle&quot;,&quot;background_slideshow_gallery&quot;:[{&quot;id&quot;:5058,&quot;url&quot;:&quot;https:\\\/\\\/glom-sap.org\\\/dev\\\/wp-content\\\/uploads\\\/Building-Photo-1-1-1.jpg&quot;}],&quot;background_slideshow_ken_burns&quot;:&quot;yes&quot;,&quot;background_slideshow_loop&quot;:&quot;yes&quot;,&quot;background_slideshow_slide_duration&quot;:5000,&quot;background_slideshow_slide_transition&quot;:&quot;fade&quot;,&quot;background_slideshow_transition_duration&quot;:500,&quot;background_slideshow_ken_burns_zoom_direction&quot;:&quot;in&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"true\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M500.2,94.7L0,0v100h1000V0L500.2,94.7z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4d2113be\" data-id=\"4d2113be\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-1cf8aa10 elementor-section-content-middle elementor-reverse-mobile elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1cf8aa10\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;,&quot;jet_parallax_layout_list&quot;:[],&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-58962cb4\" data-id=\"58962cb4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-7d39b2e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7d39b2e\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-384f916c\" data-id=\"384f916c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4809307f elementor-widget elementor-widget-text-editor\" data-id=\"4809307f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Please select your intake county form below. All forms are password-protected. Passwords can be obtained by your GLOM staff representative.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-ea02b6f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ea02b6f\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ea6bc56\" data-id=\"ea6bc56\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-41d73dc elementor-cta--layout-image-above elementor-bg-transform elementor-bg-transform-move-up elementor-cta--skin-classic elementor-animated-content elementor-invisible elementor-widget elementor-widget-call-to-action\" data-id=\"41d73dc\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-content-item elementor-cta__content-item elementor-icon-wrapper elementor-cta__icon elementor-view-default\">\n\t\t\t\t\t\t<div class=\"elementor-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"_1500_x_1500_px_Logo_4\" width=\"774.24\" height=\"1033.38\" viewBox=\"0 0 774.24 1033.38\"><defs><style>.cls-1{mask:url(#mask);}.cls-2{fill:#cfcfce;}.cls-2,.cls-3{fill-rule:evenodd;}.cls-3{fill:#feffff;}<\/style><mask id=\"mask\" x=\"321.29\" y=\"739.76\" width=\"331.37\" height=\"56.92\" maskUnits=\"userSpaceOnUse\"><\/mask><\/defs><g id=\"Text-3\"><g id=\"Layer_1\"><g id=\"_2088561774848\"><path class=\"cls-3\" d=\"M281.94,608.68c55.75,0,100.9-45.15,100.9-100.82s-45.15-100.82-100.9-100.82-100.82,45.07-100.82,100.82,45.15,100.82,100.82,100.82Z\"><\/path><path class=\"cls-2\" d=\"M398.98,612.8c136.38,13.29,271.67-29.34,267.97-191.12,47.25,177.92-33.89,254.1-148.41,266.37-15.98,1.68-32.62,2.27-49.61,1.77,129.49,8.16,227.78-23.12,266.37-116.96,19.51-47.34,18.33-119.23,9.25-192.72-47.17-131.34-149.67-223.07-285.38-271.59-74.16-26.49-145.3-37.25-208.27-30.77C101.33,93.08,24.89,194.99,4.29,302.11,76.61,144.12,248.13,128.81,338.27,173.55c135.21,67.18,210.63,255.36,60.71,439.25ZM572.61,100.82c0,55.66,45.07,100.82,100.82,100.82s100.82-45.15,100.82-100.82S729.09,0,673.43,0s-100.82,45.15-100.82,100.82Z\"><\/path><path class=\"cls-3\" d=\"M744.56,380.14c26.99,218.53-80.72,321.78-275.62,309.68-168.67-4.88-373.33-116.96-365.42-300.26,4.12-96.95,62.98-198.18,214.33-172.79C67.44,128.56-64.91,409.57,31.71,546.54c33.04,252.67,208.02,414.95,524.84,486.84-110.57-55.16-178.76-139.66-204.49-253.34,242.24,98.29,453.29-78.45,414.02-316.49-4.88-29.34-12.11-57.18-21.53-83.41Z\"><\/path><g class=\"cls-1\"><path class=\"cls-3\" d=\"M322.13,740.6c87.95,51.12,165.22,68.53,254.52,44.9,24.05-6.39,48.94-15.72,75.17-28.08-111.75,45.83-199.53,48.43-329.69-16.82Z\"><\/path><\/g><\/g><\/g><\/g><\/svg>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tSAP Callback Request Form\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item \">\n\t\t\t\t\t<a class=\"elementor-cta__button elementor-button elementor-size-\" href=\"https:\/\/glom-sap.org\/dev\/sap-callback-request-form\" target=\"_blank\" rel=\"nofollow\">\n\t\t\t\t\t\tOpen Form\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-670e0edb\" data-id=\"670e0edb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-628eac93 elementor-cta--layout-image-above elementor-bg-transform elementor-bg-transform-move-up elementor-cta--skin-classic elementor-animated-content elementor-invisible elementor-widget elementor-widget-call-to-action\" data-id=\"628eac93\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-content-item elementor-cta__content-item elementor-icon-wrapper elementor-cta__icon elementor-view-default\">\n\t\t\t\t\t\t<div class=\"elementor-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"_1500_x_1500_px_Logo_4\" width=\"774.24\" height=\"1033.38\" viewBox=\"0 0 774.24 1033.38\"><defs><style>.cls-1{mask:url(#mask);}.cls-2{fill:#cfcfce;}.cls-2,.cls-3{fill-rule:evenodd;}.cls-3{fill:#feffff;}<\/style><mask id=\"mask\" x=\"321.29\" y=\"739.76\" width=\"331.37\" height=\"56.92\" maskUnits=\"userSpaceOnUse\"><\/mask><\/defs><g id=\"Text-3\"><g id=\"Layer_1\"><g id=\"_2088561774848\"><path class=\"cls-3\" d=\"M281.94,608.68c55.75,0,100.9-45.15,100.9-100.82s-45.15-100.82-100.9-100.82-100.82,45.07-100.82,100.82,45.15,100.82,100.82,100.82Z\"><\/path><path class=\"cls-2\" d=\"M398.98,612.8c136.38,13.29,271.67-29.34,267.97-191.12,47.25,177.92-33.89,254.1-148.41,266.37-15.98,1.68-32.62,2.27-49.61,1.77,129.49,8.16,227.78-23.12,266.37-116.96,19.51-47.34,18.33-119.23,9.25-192.72-47.17-131.34-149.67-223.07-285.38-271.59-74.16-26.49-145.3-37.25-208.27-30.77C101.33,93.08,24.89,194.99,4.29,302.11,76.61,144.12,248.13,128.81,338.27,173.55c135.21,67.18,210.63,255.36,60.71,439.25ZM572.61,100.82c0,55.66,45.07,100.82,100.82,100.82s100.82-45.15,100.82-100.82S729.09,0,673.43,0s-100.82,45.15-100.82,100.82Z\"><\/path><path class=\"cls-3\" d=\"M744.56,380.14c26.99,218.53-80.72,321.78-275.62,309.68-168.67-4.88-373.33-116.96-365.42-300.26,4.12-96.95,62.98-198.18,214.33-172.79C67.44,128.56-64.91,409.57,31.71,546.54c33.04,252.67,208.02,414.95,524.84,486.84-110.57-55.16-178.76-139.66-204.49-253.34,242.24,98.29,453.29-78.45,414.02-316.49-4.88-29.34-12.11-57.18-21.53-83.41Z\"><\/path><g class=\"cls-1\"><path class=\"cls-3\" d=\"M322.13,740.6c87.95,51.12,165.22,68.53,254.52,44.9,24.05-6.39,48.94-15.72,75.17-28.08-111.75,45.83-199.53,48.43-329.69-16.82Z\"><\/path><\/g><\/g><\/g><\/g><\/svg>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tSubstance Abuse Intake\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item \">\n\t\t\t\t\t<a class=\"elementor-cta__button elementor-button elementor-size-\" href=\"https:\/\/glom-sap.org\/dev\/sap-intake-form\" target=\"_blank\" rel=\"nofollow\">\n\t\t\t\t\t\tOpen Form\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please select your intake county form below. All forms are password-protected. Passwords can be obtained by your GLOM staff representative. SAP Callback Request Form Open Form Substance Abuse Intake Open Form<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-5055","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/glom-sap.org\/dev\/wp-json\/wp\/v2\/pages\/5055","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glom-sap.org\/dev\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/glom-sap.org\/dev\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/glom-sap.org\/dev\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/glom-sap.org\/dev\/wp-json\/wp\/v2\/comments?post=5055"}],"version-history":[{"count":13,"href":"https:\/\/glom-sap.org\/dev\/wp-json\/wp\/v2\/pages\/5055\/revisions"}],"predecessor-version":[{"id":5192,"href":"https:\/\/glom-sap.org\/dev\/wp-json\/wp\/v2\/pages\/5055\/revisions\/5192"}],"wp:attachment":[{"href":"https:\/\/glom-sap.org\/dev\/wp-json\/wp\/v2\/media?parent=5055"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}