[et_pb_section bb_built=”1″ admin_label=”section” background_image=”https://victorvergaradmdpa.com/wp-content/uploads/2017/03/black-03.jpg” transparent_background=”off” allow_player_pause=”off” inner_shadow=”off” parallax=”on” parallax_method=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off”][et_pb_row admin_label=”row” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” use_custom_gutter=”off” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”on” parallax_method_2=”off” background_color_2=”rgba(255,255,255,0.17)” padding_top_2=”30px” padding_right_2=”30px” padding_bottom_2=”30px” padding_left_2=”30px” parallax_3=”off” parallax_method_3=”off”][et_pb_column type=”1_4″][/et_pb_column][et_pb_column type=”1_2″][et_pb_text admin_label=”Text” background_layout=”dark” text_orientation=”center” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]
SCHEDULE AN APPOINTMENT
Just call or fill out the form below
* Required Fields
[/et_pb_text][et_pb_contact_form admin_label=”Contact Form” captcha=”on” use_redirect=”off” input_border_radius=”0″ use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_use_icon=”default” button_icon_placement=”right” button_on_hover=”on” button_letter_spacing_hover=”0″ email=”carillon2006@yahoo.com” form_field_text_color=”#000000″] [et_pb_contact_field field_title=”First Name” field_type=”input” field_id=”FirstName” required_mark=”on” fullwidth_field=”off” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid”] [/et_pb_contact_field][et_pb_contact_field field_title=”Last Name” field_type=”input” field_id=”LastName” required_mark=”on” fullwidth_field=”off” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid”] [/et_pb_contact_field][et_pb_contact_field field_title=”Email Address” field_type=”email” field_id=”Email” required_mark=”on” fullwidth_field=”off”] [/et_pb_contact_field][et_pb_contact_field field_title=”Phone” field_type=”input” field_id=”Phone” required_mark=”on” fullwidth_field=”off” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid”] [/et_pb_contact_field][et_pb_contact_field field_title=”Desired Date” field_type=”input” field_id=”Desired Date” required_mark=”on” fullwidth_field=”off” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid”] [/et_pb_contact_field][et_pb_contact_field field_title=”Desired Time” field_type=”input” field_id=”Desired Time” required_mark=”on” fullwidth_field=”off” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid”] [/et_pb_contact_field][et_pb_contact_field field_title=”Service” field_type=”input” field_id=”Service” required_mark=”on” fullwidth_field=”on” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid”] [/et_pb_contact_field][et_pb_contact_field field_title=”More Information” field_type=”text” field_id=”MoreInformation” required_mark=”on” fullwidth_field=”on” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid”] [/et_pb_contact_field] [/et_pb_contact_form][et_pb_divider admin_label=”Divider” color=”#ffffff” show_divider=”off” height=”10″ divider_style=”solid” divider_position=”top” hide_on_mobile=”on”] [/et_pb_divider][/et_pb_column][et_pb_column type=”1_4″][/et_pb_column][/et_pb_row][/et_pb_section]