{"id":4,"mrid":454,"name":"Contact Us","display_as":"Contact Us","outro":"\u003cdiv\u003e\u003ca href=\"tel:310.204.1187\"\u003eCall 310.204.1187\u003c/a\u003e\u0026nbsp;or fill out the form above to get started.\u003c/div\u003e","submitButton":"Send","labelShowRequired":true,"label_text_required":"*","throbberType":"Spin2","throbberPosition":"button","treatButtonClickAsHover":true,"submission_action":"replaceForm","thank_you_message":"\u003cdiv\u003e\u003cspan style=\"color: rgb(192, 152, 83); \"\u003eDon\u0027t wait \u0026ndash; let\u0027s talk now!\u003c/span\u003e \u003ca href=\"tel:310.204.1187\" style=\"color: rgb(129, 215, 66); text-decoration: none; outline: none; transition: 0.3s; cursor: pointer;\"\u003eClick to call 310.204.1187\u003c/a\u003e\u003cspan style=\"color: rgb(192, 152, 83); \"\u003e to speak with someone at Sheridan.\u003c/span\u003e\u003c/div\u003e","formBoxClassCustom":"msf-gd","formFieldsClassCustom":"msf-gd","formSubmitButtonClassCustom":"ms-btn ms-btn--primary","backupEndpoint":"https://leads.marketsnare.net/formsubmit?server=1237653-WEB5\u0026program=sheridan\u0026site=sheridancare-santa-monica","requireASCII":true,"blockAutomation":true,"blockBotUserAgents":true,"useValidatorCookie":true,"validatorHiddenFieldValue":"green","minimumTimeToSubmit":500,"form_fields":[{"index":1,"step":0,"id":14,"name":"Name","display_as":"Name","size":"f","checked":false,"required":true,"regex":"[A-Za-z0-9]+","valueType":"text","type":"t"},{"index":2,"step":0,"id":15,"name":"Your Email","display_as":"Your Email","size":"f","checked":false,"required":true,"regex":".+\\@.+\\..+","valueType":"email","type":"t"},{"index":3,"step":0,"id":16,"name":"Your Phone","display_as":"Your Phone","size":"f","checked":false,"required":true,"regex":"^\\(?[\\d]{3}\\)?[\\s-]?[\\d]{3}[\\s-]?[\\d]{4}$","valueType":"tel","type":"t"},{"index":4,"step":0,"id":17,"name":"Type of Care You\u0027re Interested In","display_as":"Type of Care You\u0027re Interested In","size":"f","checked":false,"required":true,"valueType":"text","type":"d","multiSelect":false,"includeSelectAll":false,"selectAllText":"All","options":[{"text":"Home Care","value":"Home Care","selected":false},{"text":"At Home Memory Care","value":"At Home Memory Care","selected":false},{"text":"Specialized Care","value":"Specialized Care","selected":false},{"text":"Other","value":"Other","selected":false}]},{"index":5,"step":0,"id":18,"name":"Whats the zip code of the person who needs care?","display_as":"Whats the zip code of the person who needs care?","size":"f","checked":false,"required":false,"regex":"[A-Za-z0-9]{5,6}","valueType":"text","type":"t"},{"index":6,"step":0,"id":19,"name":"Who needs care or help at home?","display_as":"Who needs care or help at home?","size":"f","checked":false,"required":true,"valueType":"text","type":"d","multiSelect":false,"includeSelectAll":false,"selectAllText":"All","options":[{"text":"A Loved One","value":"A Loved One","selected":false},{"text":"Myself","value":"Myself","selected":false},{"text":"A Client","value":"A Client","selected":false},{"text":"Other","value":"Other","selected":false}]}]}