All Section Titles Scan - Field ID field_1228: ""
All Section Titles Scan - Field ID field_1229: ""
All Section Titles Scan - Field ID field_1131: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1132: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1133: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1137: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1138: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1139: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1140: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1141: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1142: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1143: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1151: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1152: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1153: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1154: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1155: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1156: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1157: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1158: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1159: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1160: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1161: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1162: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1163: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1164: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1165: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1166: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1167: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1168: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1200: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1201: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1202: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1203: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1204: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1205: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1206: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1207: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1208: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1225: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1223: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1224: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1134: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1135: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1136: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1144: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1145: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1146: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1147: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1148: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1149: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1150: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1182: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1183: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1184: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1185: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1186: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1187: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1188: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1189: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1190: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1191: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1192: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1193: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1194: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1195: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1196: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1197: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1198: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1199: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1215: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1216: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1217: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1218: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1219: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1220: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1221: "Pre-Treatment Questionnaire"
All Section Titles Scan - Field ID field_1222: "Pre-Treatment Questionnaire"
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                                                    [label] => Intake of Accutane within the past year?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 8
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1141
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 8
                                                                    [field_id] => field_1148
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1148
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1141
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 8
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 35
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 1
                                                                            [subsection_title] => Skin & Treatment Area Concerns
                                                                            [template_element_id] => 1148
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                                                                            [quantity] => 0
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                                                                )

                                                        )

                                                )

                                        )

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                                        (
                                            [order_index] => 9
                                            [field_id] => field_1142
                                            [data] => Array
                                                (
                                                    [id] => 1142
                                                    [type] => radio
                                                    [label] => Medical history of Koebnerizing Isomorphic Diseases (vitiligo, psoriasis)
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 9
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1142
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 9
                                                                    [field_id] => field_1149
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1149
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1142
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 9
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 35
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 1
                                                                            [subsection_title] => Skin & Treatment Area Concerns
                                                                            [template_element_id] => 1149
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [9] => Array
                                        (
                                            [order_index] => 10
                                            [field_id] => field_1143
                                            [data] => Array
                                                (
                                                    [id] => 1143
                                                    [type] => radio
                                                    [label] => Heal poorly and have a medical history of keloid scars?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 10
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1143
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 10
                                                                    [field_id] => field_1150
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1150
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1143
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 10
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 35
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 1
                                                                            [subsection_title] => Skin & Treatment Area Concerns
                                                                            [template_element_id] => 1150
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [10] => Array
                                        (
                                            [order_index] => 11
                                            [field_id] => field_1151
                                            [data] => Array
                                                (
                                                    [id] => 1151
                                                    [type] => radio
                                                    [label] => Any tattoo and/or pigmented lesion on the treatment area that should be protected?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 11
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1151
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 29
                                                                    [field_id] => field_1182
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1182
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1151
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 29
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 35
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 1
                                                                            [subsection_title] => Skin & Treatment Area Concerns
                                                                            [template_element_id] => 1169
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [11] => Array
                                        (
                                            [order_index] => 12
                                            [field_id] => field_1152
                                            [data] => Array
                                                (
                                                    [id] => 1152
                                                    [type] => radio
                                                    [label] => Previous hair removal procedures on requested treatment area (other IPL/laser, wax, electrolysis, etc…)
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 12
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1152
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 30
                                                                    [field_id] => field_1183
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1183
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1152
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 30
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 35
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 1
                                                                            [subsection_title] => Skin & Treatment Area Concerns
                                                                            [template_element_id] => 1170
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [12] => Array
                                        (
                                            [order_index] => 13
                                            [field_id] => field_1153
                                            [data] => Array
                                                (
                                                    [id] => 1153
                                                    [type] => radio
                                                    [label] => Any hair on requested treatment area that should not be removed?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 13
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1153
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 31
                                                                    [field_id] => field_1184
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1184
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1153
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 31
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 35
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 1
                                                                            [subsection_title] => Skin & Treatment Area Concerns
                                                                            [template_element_id] => 1171
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [13] => Array
                                        (
                                            [order_index] => 14
                                            [field_id] => field_1154
                                            [data] => Array
                                                (
                                                    [id] => 1154
                                                    [type] => radio
                                                    [label] => Botulinum Toxin within the treatment area within the past 2 weeks?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 14
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1154
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 32
                                                                    [field_id] => field_1185
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1185
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1154
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 32
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1172
                                                                            [value] => 
                                                                            [quantity] => 0
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                                                                )

                                                        )

                                                )

                                        )

                                    [14] => Array
                                        (
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                                            [data] => Array
                                                (
                                                    [id] => 1155
                                                    [type] => radio
                                                    [label] => Fillers, collagen, fat injections, threads or other injected bio-material in the treatment area within the past 4 weeks?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 15
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1155
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 33
                                                                    [field_id] => field_1186
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1186
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1155
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 33
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1173
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [15] => Array
                                        (
                                            [order_index] => 16
                                            [field_id] => field_1156
                                            [data] => Array
                                                (
                                                    [id] => 1156
                                                    [type] => radio
                                                    [label] => Active skin or muscle inflammation, incomplete healing in treatment area post other procedures such as surgery, laser treatments, chemical peels, etc.
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 16
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1156
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 34
                                                                    [field_id] => field_1187
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1187
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1156
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 34
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1174
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [16] => Array
                                        (
                                            [order_index] => 24
                                            [field_id] => field_1164
                                            [data] => Array
                                                (
                                                    [id] => 1164
                                                    [type] => radio
                                                    [label] => Presence or history of herpes simplex virus?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 24
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1164
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 42
                                                                    [field_id] => field_1195
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1195
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1164
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 42
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 37
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 3
                                                                            [subsection_title] => Consent & Authorization
                                                                            [template_element_id] => 1182
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [17] => Array
                                        (
                                            [order_index] => 25
                                            [field_id] => field_1165
                                            [data] => Array
                                                (
                                                    [id] => 1165
                                                    [type] => radio
                                                    [label] => Active cold sores, open lacerations or abrasions
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 25
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 35
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Skin & Treatment Area Concerns
                                                    [template_element_id] => 1165
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 43
                                                                    [field_id] => field_1196
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1196
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1165
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 43
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1183
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                )

                        )

                    [1] => Array
                        (
                            [subsection_title] => Medical History & Risk Factors
                            [subsection_index] => 2
                            [elements] => Array
                                (
                                    [0] => Array
                                        (
                                            [order_index] => 17
                                            [field_id] => field_1157
                                            [data] => Array
                                                (
                                                    [id] => 1157
                                                    [type] => radio
                                                    [label] => Intake of aspirin or anti-coagulants?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 17
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1157
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 35
                                                                    [field_id] => field_1188
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1188
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1157
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 35
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1175
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [1] => Array
                                        (
                                            [order_index] => 18
                                            [field_id] => field_1158
                                            [data] => Array
                                                (
                                                    [id] => 1158
                                                    [type] => radio
                                                    [label] => Easy bruising?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 18
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1158
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 36
                                                                    [field_id] => field_1189
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1189
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1158
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 36
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1176
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [2] => Array
                                        (
                                            [order_index] => 19
                                            [field_id] => field_1159
                                            [data] => Array
                                                (
                                                    [id] => 1159
                                                    [type] => radio
                                                    [label] => Severe bleeding or vascular disorders?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 19
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1159
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 37
                                                                    [field_id] => field_1190
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1190
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1159
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 37
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1177
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [3] => Array
                                        (
                                            [order_index] => 20
                                            [field_id] => field_1160
                                            [data] => Array
                                                (
                                                    [id] => 1160
                                                    [type] => radio
                                                    [label] => Swollen legs or pain after long standing/sitting?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 20
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1160
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 38
                                                                    [field_id] => field_1191
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1191
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1160
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 38
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1178
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [4] => Array
                                        (
                                            [order_index] => 21
                                            [field_id] => field_1161
                                            [data] => Array
                                                (
                                                    [id] => 1161
                                                    [type] => radio
                                                    [label] => Use of non-steroidal anti-inflammatory drugs within one week prior to treatment?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 21
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1161
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 39
                                                                    [field_id] => field_1192
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1192
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1161
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 39
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1179
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [5] => Array
                                        (
                                            [order_index] => 22
                                            [field_id] => field_1162
                                            [data] => Array
                                                (
                                                    [id] => 1162
                                                    [type] => radio
                                                    [label] => Taking medicines that increase skin sensitivity to heat
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 22
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1162
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 40
                                                                    [field_id] => field_1193
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1193
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1162
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 40
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1180
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [6] => Array
                                        (
                                            [order_index] => 23
                                            [field_id] => field_1163
                                            [data] => Array
                                                (
                                                    [id] => 1163
                                                    [type] => radio
                                                    [label] => Taking medicines that change skin metabolism
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 23
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1163
                                                    [value] => Yes
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 41
                                                                    [field_id] => field_1194
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1194
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1163
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 41
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1181
                                                                            [value] => dddddd
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [7] => Array
                                        (
                                            [order_index] => 26
                                            [field_id] => field_1166
                                            [data] => Array
                                                (
                                                    [id] => 1166
                                                    [type] => radio
                                                    [label] => Active local or systemic infections (cutaneous viral, fungal or bacterial diseases…)
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
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                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
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                                                    [description] => 
                                                    [order_index] => 26
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1166
                                                    [value] => Yes
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 44
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                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1197
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
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                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1166
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 44
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1184
                                                                            [value] => fffffff
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                                    [8] => Array
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                                            [field_id] => field_1167
                                            [data] => Array
                                                (
                                                    [id] => 1167
                                                    [type] => radio
                                                    [label] => Hormonal or endocrine disorders (PCOS or uncontrolled diabetes?)
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 27
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1167
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 45
                                                                    [field_id] => field_1198
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1198
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1167
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 45
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1185
                                                                            [value] => 
                                                                            [quantity] => 0
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                                                        )

                                                )

                                        )

                                    [9] => Array
                                        (
                                            [order_index] => 28
                                            [field_id] => field_1168
                                            [data] => Array
                                                (
                                                    [id] => 1168
                                                    [type] => radio
                                                    [label] => Impaired immune system, immunosuppressive diseases or use of immunosuppressive medications (Systemic Lupus Erythematosus, Porphyria, HIV…)
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 28
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1168
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 46
                                                                    [field_id] => field_1199
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1199
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1168
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 46
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1186
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [10] => Array
                                        (
                                            [order_index] => 47
                                            [field_id] => field_1200
                                            [data] => Array
                                                (
                                                    [id] => 1200
                                                    [type] => radio
                                                    [label] => Pacemaker, defibrillator, or any implanted electronic device
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 47
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1187
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 56
                                                                    [field_id] => field_1215
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1215
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1200
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 56
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1196
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [11] => Array
                                        (
                                            [order_index] => 48
                                            [field_id] => field_1201
                                            [data] => Array
                                                (
                                                    [id] => 1201
                                                    [type] => radio
                                                    [label] => Do you have any metal implants anywhere in your body?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 48
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1188
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 57
                                                                    [field_id] => field_1216
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1216
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1201
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 57
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1197
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [12] => Array
                                        (
                                            [order_index] => 49
                                            [field_id] => field_1202
                                            [data] => Array
                                                (
                                                    [id] => 1202
                                                    [type] => radio
                                                    [label] => Any known allergies?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 49
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1189
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 58
                                                                    [field_id] => field_1217
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1217
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1202
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 58
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1198
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [13] => Array
                                        (
                                            [order_index] => 50
                                            [field_id] => field_1203
                                            [data] => Array
                                                (
                                                    [id] => 1203
                                                    [type] => radio
                                                    [label] => Any disease in which a temperature increase is contraindicated?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 50
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1190
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 59
                                                                    [field_id] => field_1218
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1218
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1203
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 59
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1199
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [14] => Array
                                        (
                                            [order_index] => 51
                                            [field_id] => field_1204
                                            [data] => Array
                                                (
                                                    [id] => 1204
                                                    [type] => radio
                                                    [label] => Cannot feel heat because of nerve damage?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 51
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1191
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 60
                                                                    [field_id] => field_1219
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1219
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1204
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 60
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1200
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [15] => Array
                                        (
                                            [order_index] => 52
                                            [field_id] => field_1205
                                            [data] => Array
                                                (
                                                    [id] => 1205
                                                    [type] => radio
                                                    [label] => Suspected or diagnosed heart problems?
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
                                                                )

                                                            [1] => Array
                                                                (
                                                                    [label] => No
                                                                    [value] => No
                                                                )

                                                        )

                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => 
                                                    [order_index] => 52
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => [{"label": "Yes", "value": "Yes"}, {"label": "No", "value": "No"}]
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 36
                                                    [trigger_value] => Yes
                                                    [validation_json] => 
                                                    [subsection_index] => 2
                                                    [subsection_title] => Medical History & Risk Factors
                                                    [template_element_id] => 1192
                                                    [value] => No
                                                    [quantity] => 0
                                                    [children] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [order_index] => 61
                                                                    [field_id] => field_1220
                                                                    [data] => Array
                                                                        (
                                                                            [id] => 1220
                                                                            [type] => textarea
                                                                            [label] => Please provide detail
                                                                            [price] => 0.00
                                                                            [form_id] => 4
                                                                            [options] => 
                                                                            [required] => 0
                                                                            [parent_id] => 1205
                                                                            [section_id] => 78
                                                                            [description] => 
                                                                            [order_index] => 61
                                                                            [price_label] => 
                                                                            [max_quantity] => 
                                                                            [min_quantity] => 
                                                                            [options_json] => 
                                                                            [section_index] => 1
                                                                            [section_title] => Pre-Treatment Questionnaire
                                                                            [subsection_id] => 36
                                                                            [trigger_value] => 
                                                                            [validation_json] => 
                                                                            [subsection_index] => 2
                                                                            [subsection_title] => Medical History & Risk Factors
                                                                            [template_element_id] => 1201
                                                                            [value] => 
                                                                            [quantity] => 0
                                                                        )

                                                                )

                                                        )

                                                )

                                        )

                                    [16] => Array
                                        (
                                            [order_index] => 53
                                            [field_id] => field_1206
                                            [data] => Array
                                                (
                                                    [id] => 1206
                                                    [type] => radio
                                                    [label] => Suspected or diagnosed epilepsy or uncontrolled seizure disorders
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => Array
                                                        (
                                                            [0] => Array
                                                                (
                                                                    [label] => Yes
                                                                    [value] => Yes
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                                            [field_id] => field_1208
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                                                    [type] => radio
                                                    [label] => I voluntarily provide full consent to Carolina Eye Doctors to capture photographs and/or video recordings of me for the purpose of showcasing realistic before-and-after results. I understand that these images may be used for awareness, education, and marketing purposes in materials such as the website, print media, and event documentation. I acknowledge that the images may be edited and published online or in print without further notification.
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                                                    [description] => Any "YES" response in the form above will be assessed by the Physician or Esthetician, who will determine treatment eligibility and any necessary precautions, as additional caution may be required for the procedure. All concerns will be reviewed and questions fully addressed before beginning treatment.
<br><br>
If any changes in your health or medical status occur, you must disclose them to ensure your safety. This allows the treatment plan to be adjusted as needed or discontinued if necessary.
<br><br>
I confirm that I have fully and honestly disclosed all relevant medical history, medications, allergies, and recent treatments to my provider. I understand that providing false, incomplete, or inaccurate information may increase the risk of adverse effects and impact the safety and effectiveness of my treatment. I have read and understood this informed consent form and completed it to the best of my ability.

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                                                    [value] => 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                                                    [quantity] => 0
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                                        )

                                    [2] => Array
                                        (
                                            [order_index] => 99
                                            [field_id] => field_1224
                                            [data] => Array
                                                (
                                                    [id] => 1224
                                                    [type] => signature
                                                    [label] => Doctor Signature
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => 
                                                    [required] => 1
                                                    [parent_id] => 
                                                    [section_id] => 78
                                                    [description] => Please sign below to confirm you have reviewed the patient information
                                                    [order_index] => 99
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => 
                                                    [section_index] => 1
                                                    [section_title] => Pre-Treatment Questionnaire
                                                    [subsection_id] => 37
                                                    [trigger_value] => 
                                                    [validation_json] => 
                                                    [subsection_index] => 3
                                                    [subsection_title] => Consent & Authorization
                                                    [template_element_id] => 1208
                                                    [value] => 
                                                    [quantity] => 0
                                                )

                                        )

                                )

                        )

                )

        )

    [1] => Array
        (
            [section_title] => Other
            [section_index] => 74
            [subsections] => Array
                (
                    [0] => Array
                        (
                            [subsection_title] => Details
                            [subsection_index] => 1
                            [elements] => Array
                                (
                                    [0] => Array
                                        (
                                            [order_index] => 1
                                            [field_id] => field_1228
                                            [data] => Array
                                                (
                                                    [id] => 1228
                                                    [type] => email
                                                    [label] => Patient Email
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => 
                                                    [required] => 0
                                                    [parent_id] => 
                                                    [section_id] => 74
                                                    [description] => 
                                                    [order_index] => 1
                                                    [price_label] => 
                                                    [max_quantity] => 5
                                                    [min_quantity] => 0
                                                    [options_json] => 
                                                    [section_index] => 74
                                                    [section_title] => Other
                                                    [subsection_id] => 38
                                                    [trigger_value] => 
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Details
                                                    [template_element_id] => 1119
                                                    [value] => dmbugno8@gmail.com
                                                    [quantity] => 0
                                                )

                                        )

                                    [1] => Array
                                        (
                                            [order_index] => 2
                                            [field_id] => field_1229
                                            [data] => Array
                                                (
                                                    [id] => 1229
                                                    [type] => input
                                                    [label] => First Name
                                                    [price] => 0.00
                                                    [form_id] => 4
                                                    [options] => 
                                                    [required] => 0
                                                    [parent_id] => 
                                                    [section_id] => 74
                                                    [description] => 
                                                    [order_index] => 2
                                                    [price_label] => 
                                                    [max_quantity] => 
                                                    [min_quantity] => 
                                                    [options_json] => 
                                                    [section_index] => 74
                                                    [section_title] => Other
                                                    [subsection_id] => 38
                                                    [trigger_value] => 
                                                    [validation_json] => 
                                                    [subsection_index] => 1
                                                    [subsection_title] => Details
                                                    [template_element_id] => 1120
                                                    [value] => Derik
                                                    [quantity] => 0
                                                )

                                        )

                                )

                        )

                )

        )

)
</pre>