{"id":37,"date":"2022-05-12T17:51:44","date_gmt":"2022-05-12T17:51:44","guid":{"rendered":"https:\/\/breakthroughpt.confluentclinics.com\/contact-us\/"},"modified":"2026-06-08T18:24:38","modified_gmt":"2026-06-08T18:24:38","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/breakthrough-pt.com\/es\/contact-us\/","title":{"rendered":"Cont\u00e1ctenos"},"content":{"rendered":"\n\n\t<p>Got a question for us? Fill out the form below and someone will contact you within one business day regarding your request. If you&#8217;d like to speak to someone directly, please <a href=\"https:\/\/breakthrough-pt.com\/locations\/\">click here<\/a> for a list of locations and select the one that&#8217;s closest to you. To schedule an appointment online, <a href=\"https:\/\/breakthrough-pt.com\/schedule-an-appointment\/\">please click here<\/a>.<\/p>\n<form method=\"POST\" action=\"https:\/\/confluenthealth.activehosted.com\/proc.php\" id=\"_form_39_\" novalidate data-styles-version=\"5\">\n  <input type=\"hidden\" name=\"u\" value=\"39\" \/>\n  <input type=\"hidden\" name=\"f\" value=\"39\" \/>\n  <input type=\"hidden\" name=\"s\" \/>\n  <input type=\"hidden\" name=\"c\" value=\"0\" \/>\n  <input type=\"hidden\" name=\"m\" value=\"0\" \/>\n  <input type=\"hidden\" name=\"act\" value=\"sub\" \/>\n  <input type=\"hidden\" name=\"v\" value=\"2\" \/>\n  <input type=\"hidden\" name=\"or\" value=\"7c01e00f-405b-48cd-8ab5-030ca11cad83\" \/>\n      <label for=\"fullname\">\n        Full Name\n        *\n    <\/label>\n      <input type=\"text\" id=\"fullname\" name=\"fullname\" placeholder=\"Type your name\" required\/>\n    <label for=\"email\">\n      Email\n      *\n  <\/label>\n    <input type=\"text\" id=\"email\" name=\"email\" placeholder=\"Type your email\" required\/>\n  <label for=\"phone\">\n    Phone\n    *\n<\/label>\n  <input type=\"text\" id=\"phone\" name=\"phone\" placeholder=\"Type your phone number\" required\/>\n<label for=\"field[104]\">\n  Message\n  *\n<\/label>\n<input type=\"text\" id=\"field[104]\" name=\"field[104]\" value=\"\" placeholder=\"\" required\/>\n<label for=\"field[186]\">\nSelect a BreakThrough Location\n<\/label>\n<select name=\"field[186]\" id=\"field[186]\">\n  <option selected>\n  <\/option>\n  <option value=\"Apex\">\n    Apex\n  <\/option>\n  <option value=\"Boone at Appalachian State University\">\n    Boone at Appalachian State University\n  <\/option>\n  <option value=\"Cameron\">\n    Cameron\n  <\/option>\n  <option value=\"Carrboro\">\n    Carrboro\n  <\/option>\n  <option value=\"Cary - Amberly\">\n    Cary &#8211; Amberly\n  <\/option>\n  <option value=\"Cary - Pediatrics\">\n    Cary &#8211; Pediatrics\n  <\/option>\n  <option value=\"Cary - Preston Corners\">\n    Cary &#8211; Preston Corners\n  <\/option>\n  <option value=\"Cedar Point\">\n    Cedar Point\n  <\/option>\n  <option value=\"Durham\">\n    Durham\n  <\/option>\n  <option value=\"East Raleigh\">\n    East Raleigh\n  <\/option>\n  <option value=\"Fayetteville - Ramsey Street\">\n    Fayetteville &#8211; Ramsey Street\n  <\/option>\n  <option value=\"Fayetteville - Village Drive\">\n    Fayetteville &#8211; Village Drive\n  <\/option>\n  <option value=\"Fort Lawn, SC\">\n    Fort Lawn, SC\n  <\/option>\n  <option value=\"Greensboro - Yanceyville Street\">\n    Greensboro &#8211; Yanceyville Street\n  <\/option>\n  <option value=\"High Point\">\n    High Point\n  <\/option>\n  <option value=\"Indian Land, SC\">\n    Indian Land, SC\n  <\/option>\n  <option value=\"Kernersville\">\n    Kernersville\n  <\/option>\n  <option value=\"Morehead City\">\n    Morehead City\n  <\/option>\n  <option value=\"Oxford\">\n    Oxford\n  <\/option>\n  <option value=\"Raleigh\">\n    Raleigh\n  <\/option>\n  <option value=\"Sanford, NC\">\n    Sanford, NC\n  <\/option>\n  <option value=\"Southern Pines\">\n    Southern Pines\n  <\/option>\n  <option value=\"Wake Forest\">\n    Wake Forest\n  <\/option>\n  <option value=\"Wilmington\">\n    Wilmington\n  <\/option>\n  <option value=\"Winston-Salem\">\n    Winston-Salem\n  <\/option>\n<\/select>\n<fieldset>\n  <legend for=\"field[32][]\">\n    How Did You Hear About Us?\n    *\n<\/legend>\n<input data-autofill=\"false\" type=\"hidden\" id=\"field[32][]\" name=\"field[32][]\" value=\"~|\"\/>\n<input id=\"field_32Community Event\" type=\"checkbox\" name=\"field[32][]\"\nvalue=\"Community Event\"                                                                                required\/>\n  <label for=\"field_32Community Event\">\n    Community Event\n  <\/label>\n<input id=\"field_32Doctor Referral\" type=\"checkbox\" name=\"field[32][]\"\nvalue=\"Doctor Referral\"\/>\n  <label for=\"field_32Doctor Referral\">\n    Doctor Referral\n  <\/label>\n<input id=\"field_32Friend or Family Member\" type=\"checkbox\" name=\"field[32][]\"\nvalue=\"Friend or Family Member\"\/>\n  <label for=\"field_32Friend or Family Member\">\n    Friend or Family Member\n  <\/label>\n<input id=\"field_32Google\" type=\"checkbox\" name=\"field[32][]\"\nvalue=\"Google\"\/>\n  <label for=\"field_32Google\">\n    Google\n  <\/label>\n<input id=\"field_32Social Media\" type=\"checkbox\" name=\"field[32][]\"\nvalue=\"Social Media\"\/>\n  <label for=\"field_32Social Media\">\n    Social Media\n  <\/label>\n<input id=\"field_32Other\" type=\"checkbox\" name=\"field[32][]\"\nvalue=\"Other\"\/>\n  <label for=\"field_32Other\">\n    Other\n  <\/label>\n<\/fieldset>\n<fieldset>\n<legend for=\"field[276][]\">\n  SMS Policy\n  *\n<\/legend>\n<input data-autofill=\"false\" type=\"hidden\" id=\"field[276][]\" name=\"field[276][]\" value=\"~|\"\/>\n<input id=\"field_276I consent to receive text messages about appointment reminders, delivery notifications, etc., at the phone number I provided.\" type=\"checkbox\" name=\"field[276][]\"\nvalue=\"I consent to receive text messages about appointment reminders, delivery notifications, etc., at the phone number I provided.\"                                                                                required\/>\n<label for=\"field_276I consent to receive text messages about appointment reminders, delivery notifications, etc., at the phone number I provided.\">\n  I consent to receive text messages about appointment reminders, delivery notifications, etc., at the phone number I provided.\n<\/label>\n<\/fieldset>\n\nI acknowledge that my consent is not a condition of purchase. Message &amp; data rates may apply. Message frequency varies. You can reply HELP for support or STOP to opt out of receiving messages. Our <a href=\"https:\/\/breakthrough-pt.com\/wp-content\/uploads\/sites\/25\/2026\/03\/BRPT-Website-Privacy-Policy-Terms-11-2025.pdf\" target=\"_blank\">Privacy Policy<\/a> related to all information obtained from this contact form ensures we will not be sharing customer information with third parties for marketing purposes.\n\n<fieldset>\n<legend for=\"field[325][]\">\nEmail Consent\n*\n<\/legend>\n<input data-autofill=\"false\" type=\"hidden\" id=\"field[325][]\" name=\"field[325][]\" value=\"~|\"\/>\n<input id=\"field_325I understand this communication may be unsecure and consent to being contacted by email. I understand that sensitive or individually identified health information may be disclosed to an unauthorized party.\" type=\"checkbox\" name=\"field[325][]\"\nvalue=\"I understand this communication may be unsecure and consent to being contacted by email. I understand that sensitive or individually identified health information may be disclosed to an unauthorized party.\"                                                                                required\/>\n<label for=\"field_325I understand this communication may be unsecure and consent to being contacted by email. I understand that sensitive or individually identified health information may be disclosed to an unauthorized party.\">\nI understand this communication may be unsecure and consent to being contacted by email. I understand that sensitive or individually identified health information may be disclosed to an unauthorized party.\n<\/label>\n<\/fieldset>\n<label for=\"g-recaptcha-response\">\nPlease verify your request\n*\n<\/label>\n<button id=\"_form_39_submit\" type=\"submit\">\nSubmit\n<\/button>\n<\/form>\n\n","protected":false},"excerpt":{"rendered":"<p>Got a question for us? Fill out the form below and someone will contact you within one business day regarding your request. If you&#8217;d like [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"page-sidebar.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-37","page","type-page","status-publish","hentry"],"acf":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/breakthrough-pt.com\/es\/wp-json\/wp\/v2\/pages\/37","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/breakthrough-pt.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/breakthrough-pt.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/breakthrough-pt.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/breakthrough-pt.com\/es\/wp-json\/wp\/v2\/comments?post=37"}],"version-history":[{"count":0,"href":"https:\/\/breakthrough-pt.com\/es\/wp-json\/wp\/v2\/pages\/37\/revisions"}],"wp:attachment":[{"href":"https:\/\/breakthrough-pt.com\/es\/wp-json\/wp\/v2\/media?parent=37"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}