{"id":455,"date":"2021-10-14T14:35:40","date_gmt":"2021-10-14T14:35:40","guid":{"rendered":"https:\/\/www.jointacademy.com\/gb\/?page_id=455"},"modified":"2025-10-21T14:26:08","modified_gmt":"2025-10-21T14:26:08","slug":"patient-support-form","status":"publish","type":"page","link":"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/","title":{"rendered":"Patient support"},"content":{"rendered":"<!-- Section: Text -->\n<section class=\" section-base text\" id=\"\" data-theme=\"white\">\n    \n    <div class=\" container container--lg margin-top--sm margin-bottom--md \">\n        \n        \n            <div class=\"text--component text--center\" style=\"\">\n                                    <h1>Contact us<\/h1>\n                    \n                    <p>Can&#8217;t find the answer you&#8217;re looking for? We answer cases on weekdays and aim to reply within 24 hours. Queries submitted during holidays are usually answered on the next working business day.<\/p>\n\n        \n        \n            <\/div>\n\n        \n            <\/div>\n\n    \n    \n                <\/section>\n\n\n<!-- Section: Support form -->\n<section class=\"section section-base support-form\n\" id=\"\" data-theme=\"white\">\n    \n    <div class=\" container container--sm margin-top--none margin-bottom--xl \">\n        \n        \n        \t<form action=\"https:\/\/jointacademy.my.salesforce-sites.com\/services\/apexrest\/case\" method=\"POST\" id=\"salesforceSupportForm\" onsubmit=\"submit.disabled = true; return true;\">\n\t\t<div class=\"margin-bottom--xs\">\n\t\t\t<div class=\"grid grid--gap-sm\">\n\t\t\t\t<div class=\"col--sm-6\">\n\t\t\t\t\t<label for=\"first_name\" class=\"text--xs margin-bottom--xs\">First name<sup>*<\/sup>\n\t\t\t\t\t<\/label>\n\t\t\t\t\t<input class=\"form-control\" id=\"first_name\" maxlength=\"40\" name=\"first_name\" type=\"text\" placeholder=\"First name\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"col--sm-6\">\n\t\t\t\t\t<label for=\"last_name\" class=\"text--xs margin-bottom--xs\">Last name<sup>*<\/sup>\n\t\t\t\t\t<\/label>\n\t\t\t\t\t<input class=\"form-control\" id=\"last_name\" maxlength=\"80\" name=\"last_name\" type=\"text\" placeholder=\"Last name\" required>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\t\t<div class=\"margin-bottom--xs\">\n\t\t\t<label for=\"email\" class=\"text--xs margin-bottom--xs\">Email<sup>*<\/sup>\n\t\t\t<\/label>\n\t\t\t<input class=\"form-control\" id=\"email\" maxlength=\"80\" name=\"email\" type=\"email\" placeholder=\"Email\" required>\n\t\t<\/div>\n\n\t\t<div class=\"margin-bottom--xs\">\n\t\t\t<label for=\"reason\" class=\"text--xs margin-bottom--xs\">I need help with:<sup>*<\/sup>\n\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t<div class=\"form-select-wrapper\">\n\t\t\t\t<select class=\"form-control reasonSelect\" id=\"reason\" name=\"reason\" required data-toggles-technical-details=\"Tech and platform\">\n\t\t\t\t\t<option value=\"\" disabled=\"\" selected=\"\">Choose a subject<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Receipt\" label=\"Receipt\">Receipt<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Payment\" label=\"Payment\">Payment<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Insurance and coverage\" label=\"Insurance and coverage\">Insurance and coverage<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"NHS Highlands &#038; Islands\" label=\"NHS Highlands &#038; Islands\">NHS Highlands &#038; Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Tech and platform\" label=\"Technical issues\">Technical issues<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Closing account\" label=\"Closing account\">Closing account<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Other\" label=\"Other\">Other<\/option>\n\t\t\t\t\t\t\t\t\t<\/select>\n\n\t\t\t\t<i class=\"fas fa-chevron-down form-select-wrapper__icon\"><\/i>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"margin-bottom--xs messageField\">\n\t\t\t<label for=\"description\" class=\"text--xs margin-bottom--xs\">Message<sup>*<\/sup>\n\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control\" name=\"description\" type=\"textarea\" required id=\"description\"><\/textarea>\n\t\t<\/div>\n\n\t\t<div class=\"technicalDetailsFields\" style=\"display: none;\">\n\t\t\t<div class=\"margin-bottom--xs\">\n\t\t\t\t<label for=\"intent\" class=\"text--xs margin-bottom--xs\">What were you trying to do when the problem occurred?<sup>*<\/sup>\n\t\t\t\t<\/label>\n\t\t\t\t<textarea class=\"form-control\" name=\"intent\" type=\"textarea\" id=\"intent\" disabled><\/textarea>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"margin-bottom--xs\">\n\t\t\t\t<label for=\"outcome\" class=\"text--xs margin-bottom--xs\">What have you tried to solve the problem?<sup>*<\/sup>\n\t\t\t\t<\/label>\n\t\t\t\t<textarea class=\"form-control\" name=\"outcome\" type=\"textarea\" id=\"outcome\" disabled><\/textarea>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"margin-bottom--xs\">\n\t\t\t\t<label for=\"device\" class=\"text--xs margin-bottom--xs\">What type of device are you using?<sup>*<\/sup>\n\t\t\t\t<\/label>\n\t\t\t\t<div class=\"form-select-wrapper\">\n\t\t\t\t\t<select class=\"form-control\" name=\"device\" disabled id=\"device\">\n\t\t\t\t\t\t<option value=\"\" disabled=\"\" selected=\"\">Choose a device<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"iOs\" label=\"iOS (iPhone)\">iOS (iPhone)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"Android\" label=\"Android\">Android<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"Don't know\" label=\"Don't know\">Don&#8217;t know<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t<i class=\"fas fa-chevron-down form-select-wrapper__icon\"><\/i>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\n\t\t<input type=\"hidden\" name=\"recordType\" value=\"0127U000000L2dMQAS\">\n\t\t<input type=\"hidden\" name=\"market\" value=\"GB\">\n\t\t<input type=\"hidden\" name=\"Origin\" value=\"Web\">\n\t\t<input type=\"hidden\" name=\"subject\" value=\"Patient Support Form\">\n\t\t<input type=\"hidden\" name=\"retURL\" value=\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/confirmation\/\">\n\n\t\t<input type=\"hidden\" name=\"type\" value=\"Public\">\n\n\t\t<div class=\"text--center margin-top--md\">\n\t\t\t<input type=\"submit\" name=\"submit\" class=\"btn btn--primary btn--md btn--fullwidth\" value=\"Submit\">\n\t\t<\/div>\n\t<\/form>\n\n        \n            <\/div>\n\n    \n    \n                <\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":154,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-455","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v21.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Patient support - Joint Academy UK<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patient support\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Joint Academy UK\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-21T14:26:08+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/\",\"url\":\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/\",\"name\":\"Patient support - Joint Academy UK\",\"isPartOf\":{\"@id\":\"https:\/\/www.jointacademy.com\/gb\/en\/#website\"},\"datePublished\":\"2021-10-14T14:35:40+00:00\",\"dateModified\":\"2025-10-21T14:26:08+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.jointacademy.com\/gb\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Contact\",\"item\":\"https:\/\/www.jointacademy.com\/gb\/en\/contact\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Patient support\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.jointacademy.com\/gb\/en\/#website\",\"url\":\"https:\/\/www.jointacademy.com\/gb\/en\/\",\"name\":\"Joint Academy UK\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.jointacademy.com\/gb\/en\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-GB\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Patient support - Joint Academy UK","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/","og_locale":"en_GB","og_type":"article","og_title":"Patient support","og_url":"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/","og_site_name":"Joint Academy UK","article_modified_time":"2025-10-21T14:26:08+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/","url":"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/","name":"Patient support - Joint Academy UK","isPartOf":{"@id":"https:\/\/www.jointacademy.com\/gb\/en\/#website"},"datePublished":"2021-10-14T14:35:40+00:00","dateModified":"2025-10-21T14:26:08+00:00","breadcrumb":{"@id":"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.jointacademy.com\/gb\/en\/contact\/patient-support-form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.jointacademy.com\/gb\/en\/"},{"@type":"ListItem","position":2,"name":"Contact","item":"https:\/\/www.jointacademy.com\/gb\/en\/contact\/"},{"@type":"ListItem","position":3,"name":"Patient support"}]},{"@type":"WebSite","@id":"https:\/\/www.jointacademy.com\/gb\/en\/#website","url":"https:\/\/www.jointacademy.com\/gb\/en\/","name":"Joint Academy UK","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.jointacademy.com\/gb\/en\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-GB"}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/www.jointacademy.com\/gb\/wp-json\/wp\/v2\/pages\/455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jointacademy.com\/gb\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.jointacademy.com\/gb\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.jointacademy.com\/gb\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jointacademy.com\/gb\/wp-json\/wp\/v2\/comments?post=455"}],"version-history":[{"count":0,"href":"https:\/\/www.jointacademy.com\/gb\/wp-json\/wp\/v2\/pages\/455\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.jointacademy.com\/gb\/wp-json\/wp\/v2\/pages\/154"}],"wp:attachment":[{"href":"https:\/\/www.jointacademy.com\/gb\/wp-json\/wp\/v2\/media?parent=455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}