{"id":565,"date":"2018-03-26T19:31:46","date_gmt":"2018-03-26T19:31:46","guid":{"rendered":"https:\/\/medlogix.com\/?page_id=565"},"modified":"2022-11-08T16:22:46","modified_gmt":"2022-11-08T21:22:46","slug":"peer-review","status":"publish","type":"page","link":"https:\/\/medlogix.com\/peer-review\/","title":{"rendered":"Peer Review"},"content":{"rendered":"\n<h1>\n\t\tPEER REVIEW\n\t<\/h1>\n\t<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' ><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/wp-json\/wp\/v2\/pages\/565' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_77\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_77\" ><h3 class=\"gsection_title\">Referral Party Information<\/h3><\/div><div id=\"field_3_88\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_88\" ><label class='gfield_label gform-field-label' for='input_3_88'>Referring Source (Adjuster Name)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_3_88' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_2\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_2\" ><label class='gfield_label gform-field-label' for='input_3_2'>Referring Company<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_3_2' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_3\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\" ><label class='gfield_label gform-field-label' for='input_3_3'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_89\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_89\" ><label class='gfield_label gform-field-label' for='input_3_89'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_3_89' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_22\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_22\" ><label class='gfield_label gform-field-label' for='input_3_22'>State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_3_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_24\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_24\" ><label class='gfield_label gform-field-label' for='input_3_24'>Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_3_24' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_25\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_25\" ><label class='gfield_label gform-field-label' for='input_3_25'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_3_25' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_26\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_26\" ><label class='gfield_label gform-field-label' for='input_3_26'>Fax<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_3_26' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_90\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_90\" ><label class='gfield_label gform-field-label' for='input_3_90'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_90' id='input_3_90' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_91\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_91\" ><h3 class=\"gsection_title\">Bill To Information<\/h3><\/div><div id=\"field_3_92\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_92\" ><label class='gfield_label gform-field-label' for='input_3_92'>Contact Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_3_92' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_93\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_93\" ><label class='gfield_label gform-field-label' for='input_3_93'>Referring Company<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_3_93' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_94\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_94\" ><label class='gfield_label gform-field-label' for='input_3_94'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_3_94' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_95\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_95\" ><label class='gfield_label gform-field-label' for='input_3_95'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_3_95' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_96\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_96\" ><label class='gfield_label gform-field-label' for='input_3_96'>State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_3_96' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_97\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_97\" ><label class='gfield_label gform-field-label' for='input_3_97'>Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_97' id='input_3_97' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_98\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_98\" ><label class='gfield_label gform-field-label' for='input_3_98'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_3_98' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_99\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_99\" ><label class='gfield_label gform-field-label' for='input_3_99'>Fax<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_3_99' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_100\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_100\" ><label class='gfield_label gform-field-label' for='input_3_100'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_100' id='input_3_100' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_101\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_101\" ><h3 class=\"gsection_title\">Patient Information<\/h3><\/div><div id=\"field_3_102\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_102\" ><label class='gfield_label gform-field-label' for='input_3_102'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_3_102' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_103\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_103\" ><label class='gfield_label gform-field-label' for='input_3_103'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_3_103' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_104\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_104\" ><label class='gfield_label gform-field-label' for='input_3_104'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_104' id='input_3_104' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_105\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_105\" ><label class='gfield_label gform-field-label' for='input_3_105'>State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_3_105' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_106\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_106\" ><label class='gfield_label gform-field-label' for='input_3_106'>Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_106' id='input_3_106' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_107\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_107\" ><label class='gfield_label gform-field-label' for='input_3_107'>Home Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_107' id='input_3_107' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_108\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_108\" ><label class='gfield_label gform-field-label' for='input_3_108'>Work Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_108' id='input_3_108' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_109\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_109\" ><label class='gfield_label gform-field-label' for='input_3_109'>Cell Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_3_109' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_110\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_110\" ><label class='gfield_label gform-field-label' for='input_3_110'>Social Security<\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_3_110' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_113\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_113\" ><label class='gfield_label gform-field-label' for='input_3_113'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_113' id='input_3_113' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_113_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_3_113_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_113' class='gform_hidden' value='https:\/\/medlogix.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_3_111\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_111\" ><label class='gfield_label gform-field-label' for='input_3_111'>Employer<\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_3_111' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_114\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_114\" ><label class='gfield_label gform-field-label' for='input_3_114'>Occupation<\/label><div class='ginput_container ginput_container_text'><input name='input_114' id='input_3_114' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_115\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_115\" ><label class='gfield_label gform-field-label' for='input_3_115'>Claim Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_3_115' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_116\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_116\" ><label class='gfield_label gform-field-label' for='input_3_116'>Date of Injury \/ Accident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_116' id='input_3_116' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_116_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_116_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_116' class='gform_hidden' value='https:\/\/medlogix.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_3_117\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_117\" ><label class='gfield_label gform-field-label' for='input_3_117'>Injury Description<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_117' id='input_3_117' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_118\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_118\" ><label class='gfield_label gform-field-label' for='input_3_118'>Other Complaints<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_118' id='input_3_118' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_3_119\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_119\" ><legend class='gfield_label gform-field-label' >Currently Working?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_119'>\n\t\t\t<div class='gchoice gchoice_3_119_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='Yes'  id='choice_3_119_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_119_0' id='label_3_119_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_119_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='No'  id='choice_3_119_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_119_1' id='label_3_119_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_120\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_120\" ><legend class='gfield_label gform-field-label' >Claim Accepted?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_120'>\n\t\t\t<div class='gchoice gchoice_3_120_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_120' type='radio' value='Yes'  id='choice_3_120_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_120_0' id='label_3_120_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_120_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_120' type='radio' value='No'  id='choice_3_120_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_120_1' id='label_3_120_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_121\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_121\" ><label class='gfield_label gform-field-label' for='input_3_121'>Jurisdiction State<\/label><div class='ginput_container ginput_container_text'><input name='input_121' id='input_3_121' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_122\" class=\"gfield gfield--type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_122\" ><label class='gfield_label gform-field-label' for='input_3_122'>Type of Claim<\/label><div class='ginput_container ginput_container_select'><select name='input_122' id='input_3_122' class='large gfield_select'     aria-invalid=\"false\" ><option value='Automobile' >Automobile<\/option><option value='General Liability' >General Liability<\/option><option value='Short Term Disability' >Short Term Disability<\/option><option value='Long Term Disability' >Long Term Disability<\/option><option value='Worker&#039;s Compensation' >Worker&#039;s Compensation<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_3_123\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_123\" ><h3 class=\"gsection_title\">Patient Attorney Information<\/h3><\/div><fieldset id=\"field_3_124\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_124\" ><legend class='gfield_label gform-field-label' >Is the patient represented?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_124'>\n\t\t\t<div class='gchoice gchoice_3_124_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='Yes'  id='choice_3_124_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_124_0' id='label_3_124_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_124_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='No'  id='choice_3_124_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_124_1' id='label_3_124_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_125\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_125\" ><label class='gfield_label gform-field-label' for='input_3_125'>Attorney Name<\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_3_125' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_126\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_126\" ><label class='gfield_label gform-field-label' for='input_3_126'>Firm Name<\/label><div class='ginput_container ginput_container_text'><input name='input_126' id='input_3_126' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_127\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_127\" ><label class='gfield_label gform-field-label' for='input_3_127'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_127' id='input_3_127' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_128\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_128\" ><label class='gfield_label gform-field-label' for='input_3_128'>City<\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_3_128' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_129\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_129\" ><label class='gfield_label gform-field-label' for='input_3_129'>State<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_3_129' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_130\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_130\" ><label class='gfield_label gform-field-label' for='input_3_130'>Zip<\/label><div class='ginput_container ginput_container_text'><input name='input_130' id='input_3_130' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_131\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_131\" ><label class='gfield_label gform-field-label' for='input_3_131'>Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_3_131' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_132\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_132\" ><label class='gfield_label gform-field-label' for='input_3_132'>Fax<\/label><div class='ginput_container ginput_container_text'><input name='input_132' id='input_3_132' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_133\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_133\" ><h3 class=\"gsection_title\">Defense Attorney Information<\/h3><\/div><fieldset id=\"field_3_134\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_134\" ><legend class='gfield_label gform-field-label' >Is the defense attorney assigned?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_134'>\n\t\t\t<div class='gchoice gchoice_3_134_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Yes'  id='choice_3_134_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_134_0' id='label_3_134_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_134_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='No'  id='choice_3_134_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_134_1' id='label_3_134_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_135\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_135\" ><label class='gfield_label gform-field-label' for='input_3_135'>Attorney Name<\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_3_135' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_136\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_136\" ><label class='gfield_label gform-field-label' for='input_3_136'>Firm Name<\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_3_136' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_137\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_137\" ><label class='gfield_label gform-field-label' for='input_3_137'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_3_137' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_138\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_138\" ><label class='gfield_label gform-field-label' for='input_3_138'>City<\/label><div class='ginput_container ginput_container_text'><input name='input_138' id='input_3_138' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_139\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_139\" ><label class='gfield_label gform-field-label' for='input_3_139'>State<\/label><div class='ginput_container ginput_container_text'><input name='input_139' id='input_3_139' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_140\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_140\" ><label class='gfield_label gform-field-label' for='input_3_140'>Zip<\/label><div class='ginput_container ginput_container_text'><input name='input_140' id='input_3_140' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_141\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_141\" ><label class='gfield_label gform-field-label' for='input_3_141'>Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_141' id='input_3_141' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_142\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_142\" ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_3_143\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_143\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Issues to be Addressed<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_143'><div class='gchoice gchoice_3_143_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.1' type='checkbox'  value='Separate cover letter to follow'  id='choice_3_143_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_143_1' id='label_3_143_1' class='gform-field-label gform-field-label--type-inline'>Separate cover letter to follow<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_143_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.2' type='checkbox'  value='History of injury and subsequent treatment'  id='choice_3_143_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_143_2' id='label_3_143_2' class='gform-field-label gform-field-label--type-inline'>History of injury and subsequent treatment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_143_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.3' type='checkbox'  value='Prior injuries and\/or pre-existing conditions'  id='choice_3_143_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_143_3' id='label_3_143_3' class='gform-field-label gform-field-label--type-inline'>Prior injuries and\/or pre-existing conditions<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_143_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.4' type='checkbox'  value='Present status'  id='choice_3_143_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_143_4' id='label_3_143_4' class='gform-field-label gform-field-label--type-inline'>Present status<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_143_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.5' type='checkbox'  value='Is current treatment reasonable and necessary?'  id='choice_3_143_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_143_5' id='label_3_143_5' class='gform-field-label gform-field-label--type-inline'>Is current treatment reasonable and necessary?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_143_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.6' type='checkbox'  value='Other'  id='choice_3_143_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_143_6' id='label_3_143_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_144\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_144\" ><h3 class=\"gsection_title\">Treating Physicians<\/h3><\/div><div id=\"field_3_145\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_145\" ><label class='gfield_label gform-field-label' for='input_3_145'>Provider Under Review (Name)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_145' id='input_3_145' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_146\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_146\" ><label class='gfield_label gform-field-label' for='input_3_146'>Medical Specialty<\/label><div class='ginput_container ginput_container_text'><input name='input_146' id='input_3_146' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_148\" class=\"gfield gfield--type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_148\" ><label class='gfield_label gform-field-label' for='input_3_148'>Specialty<\/label><div class='ginput_container ginput_container_select'><select name='input_148' id='input_3_148' class='large gfield_select'     aria-invalid=\"false\" ><option value='Allergy' >Allergy<\/option><option value='Anesthesiology' >Anesthesiology<\/option><option value='Chiropractic' >Chiropractic<\/option><option value='Critical Care\/Trauma' >Critical Care\/Trauma<\/option><option value='Dentistry' >Dentistry<\/option><option value='Ear, Nose, Throat' >Ear, Nose, Throat<\/option><option value='Endocrinology' >Endocrinology<\/option><option value='Family Practice' >Family Practice<\/option><option value='Gastro Intestinal' >Gastro Intestinal<\/option><option value='General Surgery' >General Surgery<\/option><option value='Hematology' >Hematology<\/option><option value='Internal Medicine' >Internal Medicine<\/option><option value='Neurology' >Neurology<\/option><option value='Neuropsychology' >Neuropsychology<\/option><option value='Neurosurgery' >Neurosurgery<\/option><option value='Occupational Medicine' >Occupational Medicine<\/option><option value='Occupational Therapy' >Occupational Therapy<\/option><option value='Oral Surgery' >Oral Surgery<\/option><option value='Orthopedic Surgery' >Orthopedic Surgery<\/option><option value='Other' >Other<\/option><option value='Pain Management' >Pain Management<\/option><option value='Physiatry' >Physiatry<\/option><option value='Physical Therapy' >Physical Therapy<\/option><option value='Plastic Surgery' >Plastic Surgery<\/option><option value='Psychiatry' >Psychiatry<\/option><option value='Psychology' >Psychology<\/option><option value='Vascular Surgery' >Vascular Surgery<\/option><\/select><\/div><\/div><div id=\"field_3_147\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_147\" ><label class='gfield_label gform-field-label' for='input_3_147'>Specialty (Other)<\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_3_147' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_149\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_149\" ><label class='gfield_label gform-field-label' for='input_3_149'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_149' id='input_3_149' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_150\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_150\" ><label class='gfield_label gform-field-label' for='input_3_150'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_150' id='input_3_150' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_151\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_151\" ><label class='gfield_label gform-field-label' for='input_3_151'>State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_151' id='input_3_151' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_152\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_152\" ><label class='gfield_label gform-field-label' for='input_3_152'>Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_152' id='input_3_152' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_154\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_154\" ><label class='gfield_label gform-field-label' for='input_3_154'>Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_154' id='input_3_154' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_155\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_155\" ><label class='gfield_label gform-field-label' for='input_3_155'>Fax<\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_3_155' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_156\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_156\" ><label class='gfield_label gform-field-label' for='input_3_156'>Email<\/label><div class='ginput_container ginput_container_text'><input name='input_156' id='input_3_156' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_157\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_157\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_3_158\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_158\" ><label class='gfield_label gform-field-label' for='input_3_158'>Secondary Provider<\/label><div class='ginput_container ginput_container_text'><input name='input_158' id='input_3_158' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_159\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_159\" ><label class='gfield_label gform-field-label' for='input_3_159'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_3_159' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_160\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_160\" ><label class='gfield_label gform-field-label' for='input_3_160'>City<\/label><div class='ginput_container ginput_container_text'><input name='input_160' id='input_3_160' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_161\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_161\" ><label class='gfield_label gform-field-label' for='input_3_161'>State<\/label><div class='ginput_container ginput_container_text'><input name='input_161' id='input_3_161' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_162\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_162\" ><label class='gfield_label gform-field-label' for='input_3_162'>Zip<\/label><div class='ginput_container ginput_container_text'><input name='input_162' id='input_3_162' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_163\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_163\" ><label class='gfield_label gform-field-label' for='input_3_163'>Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_163' id='input_3_163' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_164\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_164\" ><label class='gfield_label gform-field-label' for='input_3_164'>Fax<\/label><div class='ginput_container ginput_container_text'><input name='input_164' id='input_3_164' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_165\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_165\" ><label class='gfield_label gform-field-label' for='input_3_165'>Email<\/label><div class='ginput_container ginput_container_text'><input name='input_165' id='input_3_165' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_170\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_170\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_3_166\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_166\" ><label class='gfield_label gform-field-label' for='input_3_166'>Secondary Provider<\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_3_166' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_167\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_167\" ><label class='gfield_label gform-field-label' for='input_3_167'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_167' id='input_3_167' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_168\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_168\" ><label class='gfield_label gform-field-label' for='input_3_168'>City<\/label><div class='ginput_container ginput_container_text'><input name='input_168' id='input_3_168' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_169\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_169\" ><label class='gfield_label gform-field-label' for='input_3_169'>State<\/label><div class='ginput_container ginput_container_text'><input name='input_169' id='input_3_169' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_171\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_171\" ><label class='gfield_label gform-field-label' for='input_3_171'>Zip<\/label><div class='ginput_container ginput_container_text'><input name='input_171' id='input_3_171' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_172\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_172\" ><label class='gfield_label gform-field-label' for='input_3_172'>Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_172' id='input_3_172' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_173\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_173\" ><label class='gfield_label gform-field-label' for='input_3_173'>Fax<\/label><div class='ginput_container ginput_container_text'><input name='input_173' id='input_3_173' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_174\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_174\" ><label class='gfield_label gform-field-label' for='input_3_174'>Email<\/label><div class='ginput_container ginput_container_text'><input name='input_174' id='input_3_174' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_175\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_175\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_3_176\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_176\" ><label class='gfield_label gform-field-label' for='input_3_176'>Secondary Provider<\/label><div class='ginput_container ginput_container_text'><input name='input_176' id='input_3_176' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_177\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_177\" ><label class='gfield_label gform-field-label' for='input_3_177'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_177' id='input_3_177' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_178\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_178\" ><label class='gfield_label gform-field-label' for='input_3_178'>City<\/label><div class='ginput_container ginput_container_text'><input name='input_178' id='input_3_178' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_179\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_179\" ><label class='gfield_label gform-field-label' for='input_3_179'>State<\/label><div class='ginput_container ginput_container_text'><input name='input_179' id='input_3_179' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_180\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_180\" ><label class='gfield_label gform-field-label' for='input_3_180'>Zip<\/label><div class='ginput_container ginput_container_text'><input name='input_180' id='input_3_180' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_181\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_181\" ><label class='gfield_label gform-field-label' for='input_3_181'>Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_181' id='input_3_181' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_182\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_182\" ><label class='gfield_label gform-field-label' for='input_3_182'>Fax<\/label><div class='ginput_container ginput_container_text'><input name='input_182' id='input_3_182' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_183\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_183\" ><label class='gfield_label gform-field-label' for='input_3_183'>Email<\/label><div class='ginput_container ginput_container_text'><input name='input_183' id='input_3_183' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_184\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_184\" ><h3 class=\"gsection_title\">Medical Records<\/h3><\/div><fieldset id=\"field_3_185\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_185\" ><legend class='gfield_label gform-field-label' >Are the records available?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_185'>\n\t\t\t<div class='gchoice gchoice_3_185_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_185' type='radio' value='Yes'  id='choice_3_185_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_185_0' id='label_3_185_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_185_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_185' type='radio' value='No'  id='choice_3_185_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_185_1' id='label_3_185_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_186\" class=\"gfield gfield--type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_186\" ><label class='gfield_label gform-field-label' for='input_3_186'>Delivery Method<\/label><div class='ginput_container ginput_container_select'><select name='input_186' id='input_3_186' class='large gfield_select'     aria-invalid=\"false\" ><option value='Mail' >Mail<\/option><option value='Email' >Email<\/option><option value='Fax' >Fax<\/option><option value='CSG Pickup' >CSG Pickup<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_3_187\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_187\" ><label class='gfield_label gform-field-label' for='input_3_187'>Other Delivery Method<\/label><div class='ginput_container ginput_container_text'><input name='input_187' id='input_3_187' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_188\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_188\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_3_189\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_189\" ><label class='gfield_label gform-field-label' for='input_3_189'>File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_189' id='input_3_189' type='file' class='large' aria-describedby=\"gfield_upload_rules_3_189\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_189'>Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_189'><\/div><\/div><\/div><div id=\"field_3_190\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_190\" ><h3 class=\"gsection_title\"><\/h3><\/div><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='WyJbXSIsIjVmY2Y2NjEwMjU1MGU4ZGE0YWQzYzFjZDg0ZDEzMWViIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 3, 'https:\/\/medlogix.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_3').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_3');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_3').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_3').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_3').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_3').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_3').val();gformInitSpinner( 3, 'https:\/\/medlogix.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [3, current_page]);window['gf_submitting_3'] = 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_3').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [3]);window['gf_submitting_3'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_3').text());}, 50);}else{jQuery('#gform_3').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"3\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_3\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_3\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_3\" );        let postRenderFired = false;                function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            jQuery( document ).trigger( 'gform_post_render', [3, current_page] );            gform.utils.trigger( { event: 'gform\/postRender', native: false, data: { formId: 3, currentPage: current_page } } );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\n\n","protected":false},"excerpt":{"rendered":"<p>PEER REVIEW<\/p>\n","protected":false},"author":16,"featured_media":0,"parent":0,"menu_order":30,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Peer Review - Medlogix<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medlogix.com\/peer-review\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Peer Review - Medlogix\" \/>\n<meta property=\"og:description\" content=\"PEER REVIEW\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medlogix.com\/peer-review\/\" \/>\n<meta property=\"og:site_name\" content=\"Medlogix\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/medlogixllc\" \/>\n<meta property=\"article:modified_time\" content=\"2022-11-08T21:22:46+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@Medlogix_online\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/medlogix.com\/peer-review\/\",\"url\":\"https:\/\/medlogix.com\/peer-review\/\",\"name\":\"Peer Review - Medlogix\",\"isPartOf\":{\"@id\":\"https:\/\/medlogix.com\/#website\"},\"datePublished\":\"2018-03-26T19:31:46+00:00\",\"dateModified\":\"2022-11-08T21:22:46+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/medlogix.com\/peer-review\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/medlogix.com\/peer-review\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/medlogix.com\/peer-review\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/medlogix.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Peer Review\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/medlogix.com\/#website\",\"url\":\"https:\/\/medlogix.com\/\",\"name\":\"Medlogix\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/medlogix.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/medlogix.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/medlogix.com\/#organization\",\"name\":\"Medlogix\",\"url\":\"https:\/\/medlogix.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/medlogix.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/medlogix.com\/wp-content\/uploads\/2019\/05\/MedlogixLogotagV_CMYK.png\",\"contentUrl\":\"https:\/\/medlogix.com\/wp-content\/uploads\/2019\/05\/MedlogixLogotagV_CMYK.png\",\"width\":870,\"height\":738,\"caption\":\"Medlogix\"},\"image\":{\"@id\":\"https:\/\/medlogix.com\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/medlogixllc\",\"https:\/\/x.com\/Medlogix_online\",\"https:\/\/www.linkedin.com\/company\/medlogix\",\"https:\/\/www.youtube.com\/channel\/UCeQcWdxMXO_m-ZAOrtHVDGw\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Peer Review - Medlogix","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medlogix.com\/peer-review\/","og_locale":"en_US","og_type":"article","og_title":"Peer Review - Medlogix","og_description":"PEER REVIEW","og_url":"https:\/\/medlogix.com\/peer-review\/","og_site_name":"Medlogix","article_publisher":"https:\/\/www.facebook.com\/medlogixllc","article_modified_time":"2022-11-08T21:22:46+00:00","twitter_card":"summary_large_image","twitter_site":"@Medlogix_online","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/medlogix.com\/peer-review\/","url":"https:\/\/medlogix.com\/peer-review\/","name":"Peer Review - Medlogix","isPartOf":{"@id":"https:\/\/medlogix.com\/#website"},"datePublished":"2018-03-26T19:31:46+00:00","dateModified":"2022-11-08T21:22:46+00:00","breadcrumb":{"@id":"https:\/\/medlogix.com\/peer-review\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medlogix.com\/peer-review\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medlogix.com\/peer-review\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/medlogix.com\/"},{"@type":"ListItem","position":2,"name":"Peer Review"}]},{"@type":"WebSite","@id":"https:\/\/medlogix.com\/#website","url":"https:\/\/medlogix.com\/","name":"Medlogix","description":"","publisher":{"@id":"https:\/\/medlogix.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medlogix.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/medlogix.com\/#organization","name":"Medlogix","url":"https:\/\/medlogix.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/medlogix.com\/#\/schema\/logo\/image\/","url":"https:\/\/medlogix.com\/wp-content\/uploads\/2019\/05\/MedlogixLogotagV_CMYK.png","contentUrl":"https:\/\/medlogix.com\/wp-content\/uploads\/2019\/05\/MedlogixLogotagV_CMYK.png","width":870,"height":738,"caption":"Medlogix"},"image":{"@id":"https:\/\/medlogix.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/medlogixllc","https:\/\/x.com\/Medlogix_online","https:\/\/www.linkedin.com\/company\/medlogix","https:\/\/www.youtube.com\/channel\/UCeQcWdxMXO_m-ZAOrtHVDGw"]}]}},"_links":{"self":[{"href":"https:\/\/medlogix.com\/wp-json\/wp\/v2\/pages\/565"}],"collection":[{"href":"https:\/\/medlogix.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medlogix.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medlogix.com\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/medlogix.com\/wp-json\/wp\/v2\/comments?post=565"}],"version-history":[{"count":4,"href":"https:\/\/medlogix.com\/wp-json\/wp\/v2\/pages\/565\/revisions"}],"predecessor-version":[{"id":3866,"href":"https:\/\/medlogix.com\/wp-json\/wp\/v2\/pages\/565\/revisions\/3866"}],"wp:attachment":[{"href":"https:\/\/medlogix.com\/wp-json\/wp\/v2\/media?parent=565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}