{"id":24964,"date":"2023-08-23T04:13:20","date_gmt":"2023-08-23T00:43:20","guid":{"rendered":"https:\/\/hilahealth.com\/contact-us\/"},"modified":"2025-12-03T18:54:28","modified_gmt":"2025-12-03T15:24:28","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/hilahealth.com\/en\/contact-us\/","title":{"rendered":"Contact us"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"24964\" class=\"elementor elementor-24964\" data-elementor-post-type=\"page\">\n\t\t\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-dfc3127 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-type-header-none pxl-row-scroll-none\" data-id=\"dfc3127\" data-element_type=\"section\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-default \">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1022932 pxl-column-element-default pxl-column-none\" data-id=\"1022932\" data-element_type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n                <section class=\"elementor-section elementor-inner-section elementor-element elementor-element-54adcbb bg-section-contact elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-type-header-none pxl-row-scroll-none\" data-id=\"54adcbb\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                            <div class=\"elementor-background-overlay\"><\/div>\n            \n                <div class=\"elementor-container elementor-column-gap-extended \">\n                <div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0ed9d38 pxl-column-element-default pxl-column-none\" data-id=\"0ed9d38\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-50df521 elementor-widget elementor-widget-pxl_heading\" data-id=\"50df521\" data-element_type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-heading\">\n\t<div class=\"pxl-heading--inner\">\n\t\t\t\t\t<div class=\"pxl-item--subtitle \" data-wow-delay=\"ms\">\n\t\t\t\t<span>Hilahealth Services<\/span>\n\t\t\t<\/div>\n\t\t\t\t<h3 class=\"pxl-item--title wow fadeInUp\" data-wow-delay=\"ms\">\n\t\t\tThere are many reasons to choose us.\t\t\n\t\t<\/h3>\n\t\t\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c2d36c elementor-widget elementor-widget-pxl_icon_box\" data-id=\"4c2d36c\" data-element_type=\"widget\" data-widget_type=\"pxl_icon_box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-icon-box pxl-icon-box1 box-style2 wow fadeInUp\" data-wow-delay=\"ms\">\r\n    <div class=\"pxl-item--inner\">\r\n                                    <div class=\"pxl-item--icon\">\r\n                <div class=\"inner-icon\">\r\n                                            <img decoding=\"async\" width=\"30\" height=\"30\" src=\"https:\/\/hilahealth.com\/wp-content\/uploads\/2023\/09\/icon_tick1.png\" class=\"attachment-full\" alt=\"\" \/>                                    <\/div>\r\n            <\/div>\r\n                <div class=\"pxl-item--content\">\r\n            <h3 class=\"pxl-item--title el-empty\">\r\n                                    <span>Support<\/span>\r\n                            <\/h3>\r\n                            <div class=\"pxl-item--excerpt\">\r\n                    With years of experience in the field of nursing and care services, HilaHealth has been able to gain the trust of families and patients and provide professional, safe, and compassionate services.                <\/div>\r\n              \r\n        <\/div>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50b8ea9 elementor-widget elementor-widget-pxl_icon_box\" data-id=\"50b8ea9\" data-element_type=\"widget\" data-widget_type=\"pxl_icon_box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-icon-box pxl-icon-box1 box-style2 wow fadeInUp\" data-wow-delay=\"ms\">\r\n    <div class=\"pxl-item--inner\">\r\n                                    <div class=\"pxl-item--icon\">\r\n                <div class=\"inner-icon\">\r\n                                            <img decoding=\"async\" width=\"30\" height=\"30\" src=\"https:\/\/hilahealth.com\/wp-content\/uploads\/2023\/09\/icon_tick2.png\" class=\"attachment-full\" alt=\"\" \/>                                    <\/div>\r\n            <\/div>\r\n                <div class=\"pxl-item--content\">\r\n            <h3 class=\"pxl-item--title el-empty\">\r\n                                    <span>Support<\/span>\r\n                            <\/h3>\r\n                            <div class=\"pxl-item--excerpt\">\r\n                    With 24-hour support, we are always there for patients and families to ensure their needs are met quickly and with the best quality.                <\/div>\r\n              \r\n        <\/div>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29c0eb0 elementor-widget__width-auto elementor-absolute elementor-hidden-tablet elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-pxl_image\" data-id=\"29c0eb0\" data-element_type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-image-single  wow fadeInRight\" data-wow-delay=\"230ms\">\r\n                                        <div class=\"pxl-item--inner\">\r\n                                            <img fetchpriority=\"high\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/hilahealth.com\/wp-content\/uploads\/2025\/09\/3d-blue-first-aid-kit-close-icon-isolated-3d-render-illustration-png.webp\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                                    <\/div>\r\n                        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n                <div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-c749ac2 bg-primary pdlr-30 pxl-column-element-default pxl-column-none\" data-id=\"c749ac2\" data-element_type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-4de9a94 elementor-widget elementor-widget-pxl_heading\" data-id=\"4de9a94\" data-element_type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-heading\">\n\t<div class=\"pxl-heading--inner\">\n\t\t\t\t\t<div class=\"pxl-item--subtitle \" data-wow-delay=\"ms\">\n\t\t\t\t<span>High-performance services for<\/span>\n\t\t\t<\/div>\n\t\t\t\t<h3 class=\"pxl-item--title wow fadeInUp\" data-wow-delay=\"ms\">\n\t\t\tMake an appointment.\t\t\n\t\t<\/h3>\n\t\t\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93e2d43 elementor-widget elementor-widget-pxl_text_editor\" data-id=\"93e2d43\" data-element_type=\"widget\" data-widget_type=\"pxl_text_editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-text-editor wow fadeInUp\">\n\t<div class=\"pxl-item--inner \" data-wow-delay=\"ms\">\n\t\t<p>Pathology is the best diagnostic lab in the city. I have a very good experience with them. They provide reliable.<\/p>\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-953c909 elementor-widget elementor-widget-pxl_contact_form\" data-id=\"953c909\" data-element_type=\"widget\" data-widget_type=\"pxl_contact_form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"pxl-contact-form pxl-contact-form1 btn-default btn-w-full \" data-wow-delay=\"ms\">\r\n        \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f24955-o1\" lang=\"fa-IR\" dir=\"rtl\" data-wpcf7-id=\"24955\">\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\/24964#wpcf7-f24955-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u0641\u0631\u0645 \u062a\u0645\u0627\u0633\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"24955\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fa_IR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f24955-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"wp-row-ctf7\">\n\t<div class=\"row input-contact\">\n\t\t<div class=\"col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-51\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-51\"><option value=\"Select service\">Select service<\/option><option value=\"Patient care and accompaniment services\">Patient care and accompaniment services<\/option><option value=\"Osmotic fragility test\">Osmotic fragility test<\/option><option value=\"Care and companionship services Patient\">Care and companionship services Patient<\/option><option value=\"Medical and therapeutic services*:\">Medical and therapeutic services*:<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-xl-6 col-lg-12 col-md-12 col-sm-12\">\n\t\t\t<div class=\"input-filled input-name\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*Full name\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-xl-6 col-lg-12 col-md-12 col-sm-12\">\n\t\t\t<div class=\"input-filled input-email\">\n\t\t\t\t<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\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*Email address\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-xl-6 col-lg-12 col-md-12 col-sm-12\">\n\t\t\t<div class=\"input-filled input-phone\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*Phone number\" value=\"\" type=\"text\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-xl-6 col-lg-12 col-md-12 col-sm-12\">\n\t\t\t<div class=\"input-filled input-location\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-664\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*Location\" value=\"\" type=\"text\" name=\"text-664\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-xl-6 col-lg-12 col-md-12 col-sm-12\">\n\t\t\t<div class=\"input-filled\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"History\" type=\"text\" name=\"text-1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-xl-6 col-lg-12 col-md-12 col-sm-12\">\n\t\t\t<div class=\"input-filled\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-52\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-52\"><option value=\"Reservation hours\">Reservation hours<\/option><option value=\"5:00.Am:\">5:00.Am:<\/option><option value=\"6:00.Am\">6:00.Am<\/option><option value=\"7:00.Am\">7:00.Am<\/option><option value=\"8:00.Am\">8:00.Am<\/option><option value=\"9:00.Am\">9:00.Am<\/option><option value=\"10:00.Am\">10:00.Am<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n\t\t\t<div class=\"input-filled\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-53\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-53\"><option value=\"Special requirement\">Special requirement<\/option><option value=\"Wheelchair\">Wheelchair<\/option><option value=\"Clinical histopathology tests\">Clinical histopathology tests<\/option><option value=\"Vaccine Research Center\">Vaccine Research Center<\/option><option value=\"Natural Laboratory Test:\">Natural Laboratory Test:<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"input-filled input-filled-btn\">\n\t\t\t\t<p><button class=\"wpcf7-submit\" type=\"submit\"><span>Book now<\/span><\/button>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n    <\/div>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-95e10ca elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default pxl-type-header-none pxl-section-offset-none pxl-row-scroll-none\" data-id=\"95e10ca\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-no \">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8fd34d7 pxl-column-element-default pxl-column-none\" data-id=\"8fd34d7\" data-element_type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-03ee9cf elementor-widget__width-initial elementor-widget-laptop__width-initial elementor-widget elementor-widget-pxl_contact_info\" data-id=\"03ee9cf\" data-element_type=\"widget\" data-widget_type=\"pxl_contact_info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-contact-info wow skewIn\" data-wow-delay=\"200ms\">\r\n            <h3 class=\"pxl-title pxl-title-box el-empty\">\r\n            <span>Karaj Branch<\/span>\r\n        <\/h3>  \r\n        <div class=\"inner-box\">\r\n        <div class=\"pxl-box-adress\">\r\n                            <div class=\"pxl-title pxl-adress-title\">\r\n                    Our address                <\/div>\r\n                                        <div class=\"pxl-adress-content\">\r\n                    <i class=\"caseicon caseicon-map\"><\/i>\r\n                                            Alborz Province, Karaj, Azimieh, Esbi Square, Yas Street                                    <\/div>\r\n                    <\/div>\r\n                    <div class=\"pxl-box-row\">\r\n                <div class=\"pxl-title pxl-row-title\">\r\n                    Contact information                <\/div>\r\n                <ul class=\"pxl-list-row\">\r\n                                                <li>\r\n                                <a href=\"mailto:info@hilahealth.com\">\r\n                                    <i aria-hidden=\"true\" class=\"fal fa-envelope\"><\/i>                                    <span>info@hilahealth.com<\/span>\r\n                                <\/a>\r\n                            <\/li>\r\n                                                <li>\r\n                                <a href=\"tel:09127670764\">\r\n                                    <i aria-hidden=\"true\" class=\"icomoon icomoon-patholab-phone3\"><\/i>                                    <span>09127670764<\/span>\r\n                                <\/a>\r\n                            <\/li>\r\n                                    <\/ul>\r\n            <\/div>\r\n                            <div class=\"pxl-box-time\">\r\n                <div class=\"pxl-icon-time\">\r\n                    <i class=\"caseicon caseicon-time\"><\/i>\r\n                <\/div>\r\n                <div class=\"pxl-time-body\">\r\n                                            <div class=\"pxl-title pxl-time-title\">\r\n                            Working hours                        <\/div>\r\n                                                                <div class=\"pxl-time-content\">\r\n                            Saturday to Thursday 8 am to 5 pm\n<cite>Closed on Friday<\/cite>                        <\/div>\r\n                                    <\/div>\r\n            <\/div>\r\n            <\/div>\r\n<\/div>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-c6ae6de elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-type-header-none pxl-row-scroll-none\" data-id=\"c6ae6de\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                            <div class=\"elementor-background-overlay\"><\/div>\n            \n                <div class=\"elementor-container elementor-column-gap-extended \">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-14658f2 pxl-column-element-default pxl-column-none\" data-id=\"14658f2\" data-element_type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-98f4837 elementor-widget elementor-widget-pxl_heading\" data-id=\"98f4837\" data-element_type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-heading\">\n\t<div class=\"pxl-heading--inner\">\n\t\t\t\t\t<div class=\"pxl-item--subtitle \" data-wow-delay=\"ms\">\n\t\t\t\t<span>Get advice.<\/span>\n\t\t\t<\/div>\n\t\t\t\t<h3 class=\"pxl-item--title \" data-wow-delay=\"ms\">\n\t\t\tWrite your message.\t\t\n\t\t<\/h3>\n\t\t\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6bb286a elementor-widget__width-auto elementor-widget elementor-widget-pxl_contact_form\" data-id=\"6bb286a\" data-element_type=\"widget\" data-widget_type=\"pxl_contact_form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"pxl-contact-form pxl-contact-form1 btn-default btn-w-auto \" data-wow-delay=\"ms\">\r\n        \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f24956-o2\" lang=\"fa-IR\" dir=\"rtl\" data-wpcf7-id=\"24956\">\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\/24964#wpcf7-f24956-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u0641\u0631\u0645 \u062a\u0645\u0627\u0633\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"24956\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fa_IR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f24956-o2\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"wp-row-ctf7\">\n\t<div class=\"row input-contact\">\n\t\t<div class=\"col-xl-6 col-lg-6 col-md-6 col-sm-12\">\n\t\t\t<div class=\"input-filled\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*Name\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-xl-6 col-lg-6 col-md-6 col-sm-12\">\n\t\t\t<div class=\"input-filled\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text 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