{"id":9945,"date":"2021-08-31T14:20:22","date_gmt":"2021-08-31T04:20:22","guid":{"rendered":"https:\/\/respectqld.org.au\/?page_id=9945"},"modified":"2024-10-11T10:52:44","modified_gmt":"2024-10-11T00:52:44","slug":"crimson","status":"publish","type":"page","link":"https:\/\/respectqld.org.au\/crimson\/","title":{"rendered":"Crimson Clinic Bookings Form \u7eef\u7ea2\u5065\u5eb7\u8bca\u6240 \u6302\u53f7\u9884\u7ea6\u7533\u8bf7\u8868"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>You can make an anonymous request for an appointment at Crimson Clinic using this form. For more information, see <a href=\"https:\/\/respectqld.org.au\/crimsonfaq\/\">https:\/\/respectqld.org.au\/crimsonfaq\/<\/a> Crimson Clinic is for sex workers only, you will need a current Medicare number, and testing is 100% free. The Doctors and Nurses are volunteers, the staff at the front desk are from Respect Inc.<\/p>\n<p><span style=\"font-weight: 400;\">\u60a8\u53ef\u4ee5\u4f7f\u7528\u6b64\u8868\u683c\u533f\u540d\u7533\u8bf7\u6027\u5065\u5eb7\u68c0\u6d4b\u9884\u7ea6\u3002<\/span><span style=\"font-weight: 400;\">\u6709\u5173\u66f4\u591a\u4fe1\u606f\uff0c\u8bf7\u53c2\u9605 <\/span><a href=\"https:\/\/respectqld.org.au\/crimsonfaq\/\"><span style=\"font-weight: 400;\">https:\/\/respectqld.org.au\/crimsonfaq\/<\/span><\/a><span style=\"font-weight: 400;\"> \u672c\u8bca\u6240\u53ea\u4e3a\u6027\u5de5\u4f5c\u8005\u63d0\u4f9b\u68c0\u6d4b\u670d\u52a1\uff0c\u60a8\u9700\u8981\u4e00\u6709\u6548\u7684 Medicare \u6fb3\u6d32\u516c\u5171\u5065\u5eb7\u4fdd\u9669\u5361 \u53f7\u7801\u9884\u7ea6\u770b\u8bca\uff0c\u6211\u4eec\u4e3a\u60a8\u63d0\u4f9b\u7684\u670d\u52a1\u4e3a 100% \u514d\u8d39\u3002\u5728\u573a\u7684\u533b\u751f\u548c\u62a4\u58eb\u7686\u4e3a\u5fd7\u613f\u5de5\u4f5c\u8005\uff0c\u524d\u53f0\u5de5\u4f5c\u4eba\u5458\u5219\u4e3a\u540c\u4e3a\u6027\u5de5\u4f5c\u8005\u7684 Respect Inc \u4eba\u5458\u3002<br \/><\/span><\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script>\n                <div class='gf_browser_safari gf_browser_iphone gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_18' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Crimson Appointment Request Form 2021<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_18'  action='\/wp-json\/wp\/v2\/pages\/9945' data-formid='18' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_18' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_18_7\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_7\" ><label class='gfield_label gform-field-label' for='input_18_7'>Preferred name \u60a8\u504f\u597d\u7684\u79f0\u547c\uff08\u5fc5\u586b\uff09<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_7' id='input_18_7' type='text' value='' class='large'  aria-describedby=\"gfield_description_18_7\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_18_7'>To secure an appointment, Respect Inc does not need any identifying information from you. When you arrive for the appointment, the clinic requires a current Medicare number and legal name so they can do the tests for free.\n\u60a8\u4e0d\u9700\u8981\u60a8\u63d0\u4f9b\u4efb\u4f55\u8eab\u4efd\u4fe1\u606f\u6765\u9884\u7ea6\u770b\u8bca\u3002\u5f53\u60a8\u5230\u8fbe\u8bca\u6240\u65f6\uff0c\u6211\u4eec\u9700\u8981\u60a8\u5f53\u524d\u6709\u6548\u7684 Medicare \u53f7\u7801\u548c\u6cd5\u5b9a\u59d3\u540d\uff0c\u4ee5\u4fbf\u533b\u7597\u4eba\u5458\u53ef\u4ee5\u4e3a\u60a8\u514d\u8d39\u8fdb\u884c\u68c0\u6d4b\u3002\n<\/div><\/div><div id=\"field_18_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_1\" ><label class='gfield_label gform-field-label' for='input_18_1'>Email address or Mobile number for appointment confirmation  \u7528\u4e8e\u9884\u7ea6\u786e\u8ba4\u7684\u7535\u5b50\u90ae\u4ef6\u5730\u5740\u6216\u624b\u673a\u53f7\u7801\uff08\u5fc5\u586b\uff09<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_1' id='input_18_1' type='text' value='' class='large'  aria-describedby=\"gfield_description_18_1\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_18_1'>Respect Inc recommend you provide a secure and reliable method of communication so we can confirm the appointment time with you. \u5efa\u8bae\u60a8\u63d0\u4f9b\u4e00\u79cd\u5b89\u5168\u53ef\u9760\u7684\u8054\u7edc\u65b9\u5f0f\uff0c\u4ee5\u786e\u4fdd\u6211\u4eec\u80fd\u4e0e\u60a8\u786e\u8ba4\u9884\u7ea6\u65f6\u95f4\u3002<\/div><\/div><fieldset id=\"field_18_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_8\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >The type of appointment I would like is: \u6211\u60f3\u8981\u9884\u7ea6\u7684\u68c0\u6d4b\u670d\u52a1\u7c7b\u578b\u662f\uff1a\uff08\u5fc5\u586b\uff09<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_8'><div class='gchoice gchoice_18_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='&#039;Certificate of Attendance&#039; check up, soonest available \u80fd\u7acb\u9a6c\u63d0\u4f9b\u201c\u6027\u5065\u5eb7\u68c0\u6d4b\u8bc1\u4e66\u201d\u7684\u68c0\u6d4b\u670d\u52a1'  id='choice_18_8_1'   aria-describedby=\"gfield_description_18_8\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_18_8_1' id='label_18_8_1' class='gform-field-label gform-field-label--type-inline'>'Certificate of Attendance' check up, soonest available \u80fd\u7acb\u9a6c\u63d0\u4f9b\u201c\u6027\u5065\u5eb7\u68c0\u6d4b\u8bc1\u4e66\u201d\u7684\u68c0\u6d4b\u670d\u52a1<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='General sexual health screen, no symptoms \u4e00\u822c\u6027\u5065\u5eb7\u7b5b\u67e5\uff0c\u65e0\u75c7\u72b6'  id='choice_18_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_8_2' id='label_18_8_2' class='gform-field-label gform-field-label--type-inline'>General sexual health screen, no symptoms \u4e00\u822c\u6027\u5065\u5eb7\u7b5b\u67e5\uff0c\u65e0\u75c7\u72b6<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='General sexual health screen, I have symptoms \u4e00\u822c\u6027\u5065\u5eb7\u7b5b\u67e5\uff0c\u6211\u6709\u75c7\u72b6'  id='choice_18_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_8_3' id='label_18_8_3' class='gform-field-label gform-field-label--type-inline'>General sexual health screen, I have symptoms \u4e00\u822c\u6027\u5065\u5eb7\u7b5b\u67e5\uff0c\u6211\u6709\u75c7\u72b6<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='&#039;Confirmation&#039; test, to make sure my recent treatment was successful \u201c\u56de\u8bca\u201d\u68c0\u6d4b\uff0c\u4ee5\u786e\u4fdd\u6211\u4e4b\u524d\u6700\u8fd1\u7684\u6cbb\u7597\u662f\u6210\u529f\u6709\u6548\u7684'  id='choice_18_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_8_4' id='label_18_8_4' class='gform-field-label gform-field-label--type-inline'>'Confirmation' test, to make sure my recent treatment was successful \u201c\u56de\u8bca\u201d\u68c0\u6d4b\uff0c\u4ee5\u786e\u4fdd\u6211\u4e4b\u524d\u6700\u8fd1\u7684\u6cbb\u7597\u662f\u6210\u529f\u6709\u6548\u7684<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_18_8'>The Clinic is open once a fortnight on a Wednesday night \u672c\u8bca\u6240\u7684\u670d\u52a1\u65f6\u95f4\u662f\u6bcf\u4e24\u5468\u7684\u5468\u4e09\u665a\u4e0a\u5f00\u653e\u670d\u52a1<\/div><\/fieldset><div id=\"field_18_6\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_6\" ><label class='gfield_label gform-field-label' for='input_18_6'>(OPTIONAL) More about what I need, because the above options aren&#039;t applicable, or I have some questions:\uff08\u9009\u9879\u6027\u8d28\u7684\uff09\u6211\u6709\u5176\u5b83\u7684\u9700\u6c42\uff0c\u56e0\u4e3a\u4e0a\u8ff0\u9009\u9879\u4e0d\u9002\u7528\u4e8e\u6211\uff0c\u6216\u8005\u6211\u6709\u4e00\u4e9b\u5176\u5b83\u7684\u95ee\u9898\u9700\u8981\u5e2e\u52a9\uff1a<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_18_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_18_3\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_3\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >All Appointments are fortnightly on a Wednesday, between 6pm and 7:30pm \u6240\u6709\u9884\u7ea6\u65f6\u95f4\u90fd\u662f\u6bcf\u4e24\u5468\u4e00\u6b21\u7684\u661f\u671f\u4e09\uff0c\u4e0b\u5348 6 \u70b9\u81f3\u665a\u4e0a 7 \u70b9 30 \u5206\uff08\u5fc5\u586b\uff09<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_3'><div class='gchoice gchoice_18_3_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.1' type='checkbox'  value='The next Wednesday available, at 6pm \u4e0b\u4e2a\u5468\u4e09\u7684\u4e0b\u5348 6 \u70b9'  id='choice_18_3_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_3_1' id='label_18_3_1' class='gform-field-label gform-field-label--type-inline'>The next Wednesday available, at 6pm \u4e0b\u4e2a\u5468\u4e09\u7684\u4e0b\u5348 6 \u70b9<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_3_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.2' type='checkbox'  value='The next Wednesday available, at 6:30pm \u4e0b\u4e2a\u5468\u4e09\u7684\u4e0b\u5348 6:30'  id='choice_18_3_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_3_2' id='label_18_3_2' class='gform-field-label gform-field-label--type-inline'>The next Wednesday available, at 6:30pm \u4e0b\u4e2a\u5468\u4e09\u7684\u4e0b\u5348 6:30<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_3_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.3' type='checkbox'  value='The next Wednesday available, at 7pm \u4e0b\u4e2a\u5468\u4e09\u7684\u665a\u4e0a 7 \u70b9'  id='choice_18_3_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_3_3' id='label_18_3_3' class='gform-field-label gform-field-label--type-inline'>The next Wednesday available, at 7pm \u4e0b\u4e2a\u5468\u4e09\u7684\u665a\u4e0a 7 \u70b9<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_3_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.4' type='checkbox'  value='The next Wednesday available, at 7:30pm \u4e0b\u4e2a\u5468\u4e09\u7684\u665a\u4e0a 7:30'  id='choice_18_3_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_3_4' id='label_18_3_4' class='gform-field-label gform-field-label--type-inline'>The next Wednesday available, at 7:30pm \u4e0b\u4e2a\u5468\u4e09\u7684\u665a\u4e0a 7:30<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_3_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.5' type='checkbox'  value='A different fortnight in the future, not this Wednesday \u672a\u6765\u7684\u53e6\u4e00\u4e2a\u5468\u4e09\uff0c\u4e0d\u662f\u8fd9\u4e2a\u661f\u671f\u4e09'  id='choice_18_3_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_3_5' id='label_18_3_5' class='gform-field-label gform-field-label--type-inline'>A different fortnight in the future, not this Wednesday \u672a\u6765\u7684\u53e6\u4e00\u4e2a\u5468\u4e09\uff0c\u4e0d\u662f\u8fd9\u4e2a\u661f\u671f\u4e09<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_3_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.6' type='checkbox'  value='I&#039;m not 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For more information, see https:\/\/respectqld.org.au\/crimsonfaq\/ Crimson Clinic is for sex workers only, you will need a current Medicare number, and testing is 100% free. The Doctors and Nurses are volunteers, the staff at the front desk are from Respect Inc. [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>You can make an anonymous request for an appointment at Crimson Clinic using this form. For more information, see <a href=\"https:\/\/respectqld.org.au\/crimsonfaq\/\">https:\/\/respectqld.org.au\/crimsonfaq\/<\/a> Crimson Clinic is for sex workers only, you will need a current Medicare number, and testing is 100% free. 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