{"id":15724,"date":"2025-11-19T04:41:07","date_gmt":"2025-11-19T04:41:07","guid":{"rendered":"https:\/\/bellamediadev.com\/website_3063f85a\/?page_id=15724"},"modified":"2025-12-04T07:04:24","modified_gmt":"2025-12-04T07:04:24","slug":"registration","status":"publish","type":"page","link":"https:\/\/bellamediadev.com\/website_3063f85a\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<div class=\"wpb_text_column wpb_content_element \">\r\n<div class=\"wpb_wrapper\">\r\n<h2>Register for access to the Patient Portal<\/h2>\r\n<p>This secure online portal provides Beauty &amp; Medicine\u2019s patients with convenient access to treatment information, post-procedure instructions and educational resources.<\/p>\r\n<p>To register, you must have a consultation with Dr Kushelew.<\/p>\r\n<\/div>\r\n<\/div>\r\n<div class=\"wpb_text_column wpb_content_element \">\r\n<div class=\"wpb_wrapper\">\r\n<p class=\"\">\u00a0<\/p>\r\n<\/div>\r\n<\/div>\r\n<p>[\/vc_column_text][vc_column_text]<\/p>\r\n<p class=\"\"><div id=\"wpmem_reg\"><a id=\"register\"><\/a><form name=\"form\" method=\"post\" action=\"https:\/\/bellamediadev.com\/website_3063f85a\/registration\/\" id=\"wpmem_register_form\" class=\"form\"><input type=\"hidden\" id=\"_wpmem_register_nonce\" name=\"_wpmem_register_nonce\" value=\"8d50340c06\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/website_3063f85a\/wp-json\/wp\/v2\/pages\/15724\" \/><fieldset><legend>New User Registration<\/legend><label for=\"username\" class=\"text\">Choose a Username<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"username\" type=\"text\" id=\"username\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"first_name\" class=\"text\">First Name<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"first_name\" type=\"text\" id=\"first_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"last_name\" class=\"text\">Last Name<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"last_name\" type=\"text\" id=\"last_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"current_patient\" class=\"checkbox\">Are you a current patient?<\/label><div class=\"div_checkbox\"><input name=\"current_patient\" type=\"checkbox\" id=\"current_patient\" value=\"Yes\" \/><\/div><label for=\"billing_address_1\" class=\"text\">Address 1<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_address_1\" type=\"text\" id=\"billing_address_1\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_address_2\" class=\"text\">Address 2<\/label><div class=\"div_text\"><input name=\"billing_address_2\" type=\"text\" id=\"billing_address_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_city\" class=\"text\">City<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_city\" type=\"text\" id=\"billing_city\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_state\" class=\"text\">State<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_state\" type=\"text\" id=\"billing_state\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_postcode\" class=\"text\">Postcode<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_postcode\" type=\"text\" id=\"billing_postcode\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_country\" class=\"text\">Country<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_country\" type=\"text\" id=\"billing_country\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_phone\" class=\"text\">Phone<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_phone\" type=\"text\" id=\"billing_phone\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"user_email\" class=\"text\">Email<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"user_email\" type=\"email\" id=\"user_email\" value=\"\" class=\"textbox\" required  \/><\/div><input name=\"a\" type=\"hidden\" value=\"register\" \/><input name=\"wpmem_reg_page\" type=\"hidden\" value=\"https:\/\/bellamediadev.com\/website_3063f85a\/registration\/\" \/><div class=\"button_div\"><input name=\"submit\" type=\"submit\" value=\"Register\" class=\"buttons\" \/><\/div><div class=\"req-text\"><span class=\"req\">*<\/span>Required field<\/div><\/fieldset><\/form><\/div>\r\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_widget_sidebar sidebar_id=&#8221;sidebar_page&#8221;]<a  itemprop=\"url\" href=\"tel:+61425075500\" target=\"_self\"  class=\"qbutton  large center default\" style=\"\">Book a Consultation<i class=\"qode_icon_font_awesome fa fa-phone qode_button_icon_element\"><\/i><\/a>[\/vc_column][\/vc_row]<\/p><\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;] Register for access to the Patient Portal This secure online portal provides Beauty &amp;&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-15724","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Registration - Dr Irene Kushelew<\/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:\/\/bellamediadev.com\/website_3063f85a\/registration\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" 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