Contact us here</a>.</div> </div> </div> <div class="vc_empty_space" style="height: 30px" ><span class="vc_empty_space_inner"> <span class="empty_space_image" ></span> </span></div> <div class="vc_row wpb_row section vc_row-fluid vc_inner stripe-max-width-900" style=' text-align:center;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><script type="text/javascript">var gform;gform||(document.addEventListener("gform_main_scripts_loaded",function(){gform.scriptsLoaded=!0}),window.addEventListener("DOMContentLoaded",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener("DOMContentLoaded",o):document.addEventListener("gform_main_scripts_loaded",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook("action",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook("filter",o,n,r,t)},doAction:function(o){gform.doHook("action",o,arguments)},applyFilters:function(o){return gform.doHook("filter",o,arguments)},removeAction:function(o,n){gform.removeHook("action",o,n)},removeFilter:function(o,n,r){gform.removeHook("filter",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+"_"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){"function"!=typeof(t=o.callable)&&(t=window[t]),"action"==n?t.apply(null,r):r[0]=t.apply(null,r)})),"filter"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});</script><div class="gfa-return-customer" id="above_login"><p>Returning customer? You can login <a href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"#" class="gfa-showlogin">here</a> or continue as a guest checkout</p></div><div class="gfa-above-login" style="display:none;"><form action=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"#above_login" class="gfa-form gfa-form-login" method="post"> <p class="form-row"> <label for="username">Email address (as your login)</label> <input autofocus required type="email" class="input-text" name="username" id="username" autocomplete="username" value="" /> </p> <p class="form-row"> <label for="password">Password</label> <input required class="input-text" type="password" name="password" id="password" autocomplete="current-password" /> </p> <p class="form-row form-row-rememberme"> <label> <input name="rememberme" type="checkbox" id="rememberme" value="forever" /><span>Remember me</span> </label> </p> <p class="form-row"> <input type="hidden" id="gfa-login-nonce" name="gfa-login-nonce" value="9cfed01e7f" /><input type="hidden" name="_wp_http_referer" value="/coverage-areas/palo-alto/iron-iv-infusion/" /> <input type="hidden" name="redirect" value="/coverage-areas/palo-alto/iron-iv-infusion/#gform_wrapper_87" /> <input type="hidden" name="place" value="form" /> <button type="submit" name="login" value="Login">Log in</button> <img class="gform_ajax_spinner" style="display:none;" src=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/wp-content/themes/bridge-child/img/spinner.gif" alt="" /> </p> <p class="lost_password"> <a href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/my-account/lost-password/">Lost your password?</a> </p> </form> </div><div class="gform-init gform-loading"> <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_87' style='display:none'><form service="Iron IV" checkout="1" method='post' enctype='multipart/form-data' target='gform_ajax_frame_87' id='gform_87' action=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/'/coverage-areas/palo-alto/iron-iv-infusion/' data-formid='87' novalidate> <div class='gform-body gform_body'><ul id='gform_fields_87' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id="field_87_35" class="gfield gfield--type-html gfield--input-type-html gfield--width-full no-display gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_35" ><div style = "text-align:center;">Not ready to book? <a rel="no-follow" href = https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"/covid-19-monoclonal-antibody-iv-therapy/">Contact us here</a>.</div></li><li id="field_87_19" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_19" ><div style = "height:15px;"> </div></li><li id="field_87_1" class="gfield gfield--type-name gfield--input-type-name add-person-1 gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_1" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_87_1'> <span id='input_87_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.3' id='input_87_1_3' value='' aria-required='true' placeholder='First Name' /> <label for='input_87_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First Name</label> </span> <span id='input_87_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.6' id='input_87_1_6' value='' aria-required='true' placeholder='Last Name' /> <label for='input_87_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last Name</label> </span> </div></li><li id="field_87_2" class="gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_2" ><label class='gfield_label gform-field-label' for='input_87_2'>Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_87_2' type='tel' value='' class='medium' placeholder='Phone' aria-required="true" aria-invalid="false" /></div><input type="hidden" name="phone_country"></li><li id="field_87_3" class="gfield gfield--type-email gfield--input-type-email gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_3" ><label class='gfield_label gform-field-label' for='input_87_3'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_3' id='input_87_3' type='email' value='' class='medium' placeholder='Email' aria-required="true" aria-invalid="false" /> </div></li><li id="field_87_36" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_36" ><div style = "height:15px;"> </div></li><li id="field_87_18" class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full add-person-1 drchrono_field_dob gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_18" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date of Birth<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div id='input_87_18' class='ginput_container ginput_complex gform-grid-row'><div class="clear-multi"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_87_18_1_container'> <input type='number' maxlength='2' name='input_18[]' id='input_87_18_1' value='' aria-required='true' placeholder='MM' min='1' max='12' step='1'/> <label for='input_87_18_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month</label> </div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_87_18_2_container'> <input type='number' maxlength='2' name='input_18[]' id='input_87_18_2' value='' aria-required='true' placeholder='DD' min='1' max='31' step='1'/> <label for='input_87_18_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day</label> </div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_87_18_3_container'> <input type='number' maxlength='4' name='input_18[]' id='input_87_18_3' value='' aria-required='true' placeholder='YYYY' min='1920' max='2025' step='1'/> <label for='input_87_18_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year</label> </div> </div></div></li><li id="field_87_84" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_84" ><div style = "height:15px;"> </div></li><li id="field_87_85" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field-user-type gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_85" ><fieldset><legend class="gfield_label gform-field-label" >Have you used Drip Hydration before?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_87_85'> <li class='gchoice gchoice_87_85_0'> <input name='input_85' type='radio' value='First Time Client' id='choice_87_85_0' /> <label for='choice_87_85_0' id='label_87_85_0' class='gform-field-label gform-field-label--type-inline'>First Time Client</label> </li> <li class='gchoice gchoice_87_85_1'> <input name='input_85' type='radio' value='Return Client' id='choice_87_85_1' /> <label for='choice_87_85_1' id='label_87_85_1' class='gform-field-label gform-field-label--type-inline'>Return Client</label> </li></ul></div></fieldset></li><li id="field_87_93" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_93" ><div style = "height:15px;"> </div></li><li id="field_87_95" class="gfield gfield--type-countries gfield--input-type-countries gfield--width-full gf-custom-countries gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_95" ><label class='gfield_label gform-field-label' for='input_87_95'>Country<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_87_95' class='medium gfield_select' aria-required="true" aria-invalid="false" form_id='87' ><option value="Canada">Canada</option> <option value="United States" selected="selected">United States</option> </select></div></li><li id="field_87_12" class="gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_12" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address of Appointment<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label> <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_87_12' > <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_87_12_1_container' > <input type='text' name='input_12.1' id='input_87_12_1' value='' placeholder='Street Address' aria-required='true' /> <label for='input_87_12_1' id='input_87_12_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Street Address</label> </span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_87_12_2_container' > <input type='text' name='input_12.2' id='input_87_12_2' value='' placeholder='Address Line 2' aria-required='false' /> <label for='input_87_12_2' id='input_87_12_2_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Address Line 2</label> </span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_87_12_3_container' > <input type='text' name='input_12.3' id='input_87_12_3' value='' placeholder='City' aria-required='true' /> <label for='input_87_12_3' id='input_87_12_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>City</label> </span><input type='hidden' class='gform_hidden' name='input_12.4' id='input_87_12_4' value='California'/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_87_12_5_container' > <input type='text' name='input_12.5' id='input_87_12_5' value='' placeholder='Zip' aria-required='true' /> <label for='input_87_12_5' id='input_87_12_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>ZIP Code</label> </span><input type='hidden' class='gform_hidden' name='input_12.6' id='input_87_12_6' value='United States' /> <div class='gf_clear gf_clear_complex'></div> </div></li><li id="field_87_23" class="gfield gfield--type-states gfield--input-type-states gfield--width-full gf_left_half gf-custom-states gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_23" ><label class='gfield_label gform-field-label' for='input_87_23'>State<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_87_23' class='medium gfield_select' aria-required="true" aria-invalid="false" form_id='87' ><option value='' selected='selected' class='gf_placeholder'>State</option><option value="Arizona">Arizona</option> <option value="California">California</option> <option value="Colorado">Colorado</option> <option value="Connecticut">Connecticut</option> <option value="District of Columbia">District of Columbia</option> <option value="Florida">Florida</option> <option value="Georgia">Georgia</option> <option value="Hawaii">Hawaii</option> <option value="Idaho">Idaho</option> <option value="Illinois">Illinois</option> <option value="Kentucky">Kentucky</option> <option value="Maryland">Maryland</option> <option value="Massachusetts">Massachusetts</option> <option value="Michigan">Michigan</option> <option value="Minnesota">Minnesota</option> <option value="Missouri">Missouri</option> <option value="Montana">Montana</option> <option value="Nevada">Nevada</option> <option value="New Jersey">New Jersey</option> <option value="New Mexico">New Mexico</option> <option value="New York">New York</option> <option value="North Carolina">North Carolina</option> <option value="Ohio">Ohio</option> <option value="Oklahoma">Oklahoma</option> <option value="Oregon">Oregon</option> <option value="Pennsylvania">Pennsylvania</option> <option value="Rhode Island">Rhode Island</option> <option value="Tennessee">Tennessee</option> <option value="Texas">Texas</option> <option value="Utah">Utah</option> <option value="Virginia">Virginia</option> <option value="Washington">Washington</option> <option value="Wisconsin">Wisconsin</option> <option value="Wyoming">Wyoming</option> </select></div></li><li id="field_87_22" class="gfield gfield--type-appointment_providers gfield--input-type-appointment_providers gfield--width-full provider_field gappointments_provider gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_22" ><label class='gfield_label gform-field-label' for='input_87_22'>Provider<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_87_22' class='large appointment_provider_id gfield_select' aria-required="true" aria-invalid="false" form_id='87' ><option value='' selected='selected' class='gf_placeholder'></option><option value="34263">Albuquerque</option> <option value="34316">Aspen</option> <option value="10647">Atlanta</option> <option value="10391">Austin</option> <option value="18099">Bakersfield</option> <option value="10697">Baltimore</option> <option value="19322">Bellingham</option> <option value="43475">Boca Raton</option> <option value="19324">Boise</option> <option value="11259">Boston</option> <option value="9294">Bronx & Westchester</option> <option value="78233">Brooklyn</option> <option value="65771">Central Coast</option> <option value="11056">Central New Jersey</option> <option value="10147">Charlotte</option> <option value="13757">Chicago</option> <option value="12981">Cincinnati</option> <option value="12654">Cleveland</option> <option value="66354">Colorado Springs</option> <option value="11747">Columbus</option> <option value="12763">Connecticut</option> <option value="11362">Dallas</option> <option value="9328">Denver</option> <option value="13735">Detroit</option> <option value="139205">Eugene</option> <option value="43474">Fort Lauderdale</option> <option value="58023">Fort Worth</option> <option value="12697">Fresno & Clovis</option> <option value="12667">Hawaii - Maui</option> <option value="65170">Hawaii - Oahu</option> <option value="11361">Houston</option> <option value="9449">Inland Empire and Palm Springs</option> <option value="30714">Jackson Hole</option> <option value="40497">Jacksonville</option> <option value="13731">Las Vegas</option> <option value="3861">Los Angeles</option> <option value="22432">Louisville</option> <option value="28534">Madison</option> <option value="114128">Manhattan</option> <option value="39314">Memphis</option> <option value="9559">Miami</option> <option value="28533">Milwaukee</option> <option value="20488">Minneapolis</option> <option value="149429">Montana</option> <option value="80245">Napa</option> <option value="13356">Nashville</option> <option value="71030">North New Jersey</option> <option value="33128">Oklahoma City</option> <option value="10685">Orange County</option> <option value="11104">Oregon</option> <option value="15278">Orlando</option> <option value="10660">Palo Alto</option> <option value="13733">Philadelphia</option> <option value="9453">Phoenix</option> <option value="16450">Pittsburgh</option> <option value="114131">Queens & Nassau County</option> <option value="10187">Raleigh & Durham</option> <option value="41765">Reno</option> <option value="13263">Rhode Island</option> <option value="30819">Rockford</option> <option value="9292">Sacramento</option> <option value="12980">San Antonio</option> <option value="9611">San Diego</option> <option value="9493">San Francisco</option> <option value="34779">Santa Fe</option> <option value="9327">Seattle</option> <option value="19323">Spokane</option> <option value="26493">St. George</option> <option value="53582">St. Louis</option> <option value="78243">Suffolk County</option> <option value="69418">Sun Valley</option> <option value="20460">Tampa</option> <option value="58165">Tuscon</option> <option value="9303">Utah</option> <option value="27094">Vancouver, Canada</option> <option value="12511">Washington, DC</option> <option value="49391">Washington, DC - Maryland</option> <option value="49388">Washington, DC - Virginia</option> <option value="43476">West Palm Beach</option> </select></div></li><li id="field_87_14" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_14" ><div style = "height:15px;"> </div></li><li id="field_87_13" class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gf_right_half drchrono_appointment_date gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_13" ><label class='gfield_label gform-field-label' for='input_87_13'>Preferred Appointment Date<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_date'> <input name='input_13' id='input_87_13' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' placeholder='mm/dd/yyyy' aria-describedby="input_87_13_date_format" aria-invalid="false" aria-required="true"/> <span id='input_87_13_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span> </div> <input type='hidden' id='gforms_calendar_icon_input_87_13' class='gform_hidden' value='https://driphydration.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/></li><li id="field_87_15" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_15" ><div style = "height:15px;"> </div></li><li id="field_87_25" class="gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full is-product hide-services drchrono_field_treatments gfield_price gfield_price_87_25 gfield_product_87_25 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_25" ><label class='gfield_label gform-field-label' >Treatment<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_87_25'> <li class='gchoice gchoice_87_25_0'> <input name='input_25' type='radio' value='Iron IV Therapy|799' checked='checked' id='choice_87_25_0' /> <label for='choice_87_25_0' id='label_87_25_0' class='gform-field-label gform-field-label--type-inline'>Iron IV Therapy</label> </li></ul></div></li><li id="field_87_96" class="gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full is-product hide-services drchrono_field_treatments gfield_price gfield_price_87_96 gfield_product_87_96 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_96" ><fieldset><legend class="gfield_label gform-field-label" >Treatment<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_87_96'> <li class='gchoice gchoice_87_96_0'> <input name='input_96' type='radio' value='Iron IV Therapy - 500mg|1299' checked='checked' id='choice_87_96_0' /> <label for='choice_87_96_0' id='label_87_96_0' class='gform-field-label gform-field-label--type-inline'>Iron IV Therapy - 500mg</label> </li> <li class='gchoice gchoice_87_96_1'> <input name='input_96' type='radio' value='Iron IV Therapy - 1000mg|1699' id='choice_87_96_1' /> <label for='choice_87_96_1' id='label_87_96_1' class='gform-field-label gform-field-label--type-inline'>Iron IV Therapy - 1000mg</label> </li></ul></div></fieldset></li><li id="field_87_34" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_34" ><div style = "height:15px;"> </div></li><li id="field_87_81" class="gfield gfield--type-option gfield--type-choice gfield--input-type-radio gfield--width-full drchrono_2nd_boosters is-option hide-services gfield_price gfield_price_87_25 gfield_option_87_25 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_87_81" ><label class='gfield_label gform-field-label' >Lab Test Options</label><div class='gfield_description' id='gfield_description_87_81'>We can assist with an in-home blood draw OR walk into any Quest Laboratory near you.</div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_87_81'> <li class='gchoice gchoice_87_81_0'> <input name='input_81' type='radio' value='In-Home Lab Draw|299' id='choice_87_81_0' /> <label for='choice_87_81_0' id='label_87_81_0' class='gform-field-label gform-field-label--type-inline'>In-Home Lab Draw</label> </li> <li class='gchoice gchoice_87_81_1'> <input name='input_81' type='radio' value='Quest Lab Test (DIY)|0' id='choice_87_81_1' /> <label for='choice_87_81_1' id='label_87_81_1' class='gform-field-label gform-field-label--type-inline'>Quest Lab Test (DIY)</label> </li></ul></div></li><li id="field_87_97" class="gfield gfield--type-option gfield--type-choice gfield--input-type-radio gfield--width-full drchrono_2nd_boosters is-option hide-services gfield_price gfield_price_87_96 gfield_option_87_96 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_87_97" ><label class='gfield_label gform-field-label' >Lab Test Options</label><div class='gfield_description' id='gfield_description_87_97'>We can assist with providing requisition for any local LifeLabs in Vancouver. Walk into any Laboratory near you. </div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_87_97'> <li class='gchoice gchoice_87_97_0'> <input name='input_97' type='radio' value='Lab Test (DIY)|0' id='choice_87_97_0' /> <label for='choice_87_97_0' id='label_87_97_0' class='gform-field-label gform-field-label--type-inline'>Lab Test (DIY)</label> </li></ul></div></li><li id="field_87_80" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_80" ><div style = "height:15px;"> </div></li><li id="field_87_78" class="gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-full is-option hide-services drchrono_2nd_boosters gfield_price gfield_price_87_25 gfield_option_87_25 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_78" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Add-on</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_87_78'><li class='gchoice gchoice_87_78_1'> <input class='gfield-choice-input' name='input_78.1' type='checkbox' value='Myers Cocktail IV|199' id='choice_87_78_1' /> <label for='choice_87_78_1' id='label_87_78_1' class='gform-field-label gform-field-label--type-inline'><i class="iservice" label="MyersCocktailIV">Myers Cocktail IV</i></label> </li></ul></div></li><li id="field_87_79" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_79" ><div style = "height:15px;"> </div></li><li id="field_87_82" class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_87_82" ><label class='gfield_label gform-field-label' for='gform_browse_button_87_82'>Documents Upload</label><div class='gfield_description' id='gfield_description_87_82'>Please upload lab work from the last 30 days if completed. Lab work must include the following tests (CBC, CMP, Iron, TIBC, and Ferritin). Please also upload images of the front and the back of your ID and insurance card.</div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_87_82' data-settings='{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_87_82","container":"gform_multifile_upload_87_82","drop_element":"gform_drag_drop_area_87_82","filelist":"gform_preview_87_82","unique_names":true,"file_data_name":"file","url":"https:\/\/driphydration.com\/?gf_page=ee4eb4af37e03f7","flash_swf_url":"https:\/\/driphydration.com\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/driphydration.com\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Allowed Files","extensions":"*"}],"max_file_size":"52428800b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":87,"field_id":82},"gf_vars":{"max_files":"3","message_id":"gform_multifile_messages_87_82","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}' class='gform_fileupload_multifile'> <div id='gform_drag_drop_area_87_82' class='gform_drop_area gform-theme-field-control'> <span class='gform_drop_instructions'>Drop files here or </span> <button type='button' id='gform_browse_button_87_82' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby="gfield_upload_rules_87_82 gfield_description_87_82" >Select files</button> </div> </div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_87_82'>Max. file size: 50 MB, Max. files: 3.</span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_87_82'></ul> <!-- Leave <ul> empty to support CSS :empty selector. --></div><div id='gform_preview_87_82' class='ginput_preview_list'></div></li><li id="field_87_98" class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_87_98" ><label class='gfield_label gform-field-label' for='gform_browse_button_87_98'>Documents Upload</label><div class='gfield_description' id='gfield_description_87_98'>Please upload lab work from the last 30 days if completed. Lab work must include the following tests (CBC, CMP, Iron, TIBC, and Ferritin). Please also upload images of the front and the back of your ID and personal health number.</div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_87_98' data-settings='{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_87_98","container":"gform_multifile_upload_87_98","drop_element":"gform_drag_drop_area_87_98","filelist":"gform_preview_87_98","unique_names":true,"file_data_name":"file","url":"https:\/\/driphydration.com\/?gf_page=ee4eb4af37e03f7","flash_swf_url":"https:\/\/driphydration.com\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/driphydration.com\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Allowed Files","extensions":"*"}],"max_file_size":"52428800b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":87,"field_id":98},"gf_vars":{"max_files":"3","message_id":"gform_multifile_messages_87_98","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}' class='gform_fileupload_multifile'> <div id='gform_drag_drop_area_87_98' class='gform_drop_area gform-theme-field-control'> <span class='gform_drop_instructions'>Drop files here or </span> <button type='button' id='gform_browse_button_87_98' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby="gfield_upload_rules_87_98 gfield_description_87_98" >Select files</button> </div> </div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_87_98'>Max. file size: 50 MB, Max. files: 3.</span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_87_98'></ul> <!-- Leave <ul> empty to support CSS :empty selector. --></div><div id='gform_preview_87_98' class='ginput_preview_list'></div></li><li id="field_87_83" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_83" ><div style = "height:15px;"> </div></li><li id="field_87_31" class="gfield gfield--type-coupon gfield--input-type-coupon gfield--width-full field_coupon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_31" ><label class='gfield_label gform-field-label' for='gf_coupon_code_87'>Promo Code</label><label class='giftup-coupon-label'><input type='checkbox' name='giftup_code'><span>Select if you are using a Gift Card</span></label><div class='ginput_container' id='gf_coupons_container_87'><input id='gf_coupon_code_87' class='gf_coupon_code' onkeyup='DisableApplyButton(87);' onchange='DisableApplyButton(87);' onpaste='setTimeout(function(){DisableApplyButton(87);}, 50);' type='text' /><input type='button' disabled='disabled' onclick='ApplyCouponCode(87);' value='Apply' id='gf_coupon_button' class='button' /> <img style='display:none;' id='gf_coupon_spinner' src=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/'https://driphydration.com/wp-content/themes/bridge-child/img/spinner.gif' alt='please wait'/><div id='gf_coupon_info'></div><input type='hidden' id='gf_coupon_codes_87' name='input_31' value='' /><input type='hidden' id='gf_total_no_discount_87'/><input type='hidden' id='giftup_discount_87' name='giftup_discount_87'/><input type='hidden' id='gf_coupons_87' name='gf_coupons_87' value='' /></div></li><li id="field_87_30" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_30" ><div style = "height:15px;"> </div></li><li id="field_87_29" class="gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_87_ gfield_total gfield_total_87_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_29" > <div class="gform-order-summary gform-order-summary-old" tabindex="0"> <strong>Order Summary</strong> <div class="summary-table"> <div class="table persons"> <div class="person person-1"> <div class="col"> <div class="treatment"><div class="added"><strong> </strong><span> </span></div></div> <div class="addons"></div> <div class="labfee"></div> </div> </div> </div> <div class="table summary"> <div class="tr sst"> <div class="col"> <strong>Subtotal:</strong> <span class="subtotal">$0</span> </div> </div> <div class="tr sp"> <div class="col service"> <strong>Service Fee:</strong> <span>$0</span> </div> </div> <div class="tr labFee"> <div class="col"> <strong>Lab Fee Total:</strong> <span><i class="fee">$0</i></span> </div> </div> <div class="tr coupons"> <div class="col"> <strong class="coupon-name">Coupon<i></i> Discount:</strong> <span class="coupon">$0</span> </div> </div> </div> </div> <div class="summary-ldng"></div> </div><div aria-atomic="true" aria-live="polite"><label class='gfield_label gform-field-label' for='input_87_29'>Total</label><div class='ginput_container ginput_container_total'> <span class='ginput_total ginput_total_87'>$0.00</span> <input type='hidden' name='input_29' id='input_87_29' class='gform_hidden'/> </div></div><input type="hidden" id="subtotal" value=""><input type="hidden" name="currency" value=""/><input type="hidden" name="currency_rate" value=""/><input type="hidden" name="exclude_coupon_total" value=""><input type="hidden" name="exclude_coupon_sum" value=""><input type="hidden" name="cplf_price" value=""><input type="hidden" name="cplf_price_req" value=""><input type="hidden" name="ga_provider_surcharge_price" value="0|Service Fee"><input type="hidden" name="ga_need_provider_id" value=""/><input type="hidden" name="ga_provider_distance" value=""><input type="hidden" name="manual_form_sended" value="1"><input type="hidden" name="wordpress_user_id" value="0"><input type='hidden' name='steps_used' value=''></li><li id="field_87_28" class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_28" ><div style = "height:15px;"> </div></li><li id="field_87_20" class="gfield gfield--type-stripe_creditcard gfield--input-type-stripe_creditcard gfield--width-full field_stripe_creditcard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_87_20" ><label class='gfield_label gfield_label_before_complex' for='input_87_20_1'>Payment Method</label> <style> .stripe-payment-request-button { width: 100%; background: #888; padding: 10px; display: none; align-content: center; border-radius: 6px; margin: 10px 0; align-items: center; } .stripe-payment-request-button.show{ display:flex; } .stripe-payment-request-button label { background: transparent; padding: 8px; color: #fff; border-radius: 6px; width: 100%; cursor: pointer; text-align: center; position: relative; } .stripe-payment-request-button label.active { background: #555; } .stripe-payment-request-button label:last-child { margin-left: 8px; } .stripe-payment-request-button label input { visibility: hidden; position: absolute; top: 0; left: 0; } .stripe-payment-request-button label.stripe-payment-button, .stripe-payment-request-button label.stripe-payment-klarna{ display: none; } .stripe-payment-request-button label.stripe-payment-button.show, .stripe-payment-request-button label.stripe-payment-klarna.show{ display:block; } .stripe-payment-request-button label.stripe-payment-klarna span{ line-height: 1.3; } .stripe-payment-request-button svg{ min-width: 16px; min-height: 16px; margin-right: 2px; position: relative; top: 2px; } .stripe-payment-request-button svg path{ outline: none; } </style> <div class="stripe-payment-request-button"> <label class="stripe-payment-card active"> <input type="radio" name="pay_via_stripe_payment_request_button" value="0" checked='checked'> <span>Credit Card</span> </label> <label class="stripe-payment-button "> <input type="radio" name="pay_via_stripe_payment_request_button" value="pay_button" > <span>Apple/Google Pay</span> </label> <label class="stripe-payment-klarna "> <input type="radio" name="pay_via_stripe_payment_request_button" value="klarna" > <svg xmlns="http://www.w3.org/2000/svg" role="presentation" width="16" height="16"> <path d="M0 2.5A2.5 2.5 0 0 1 2.5 0h11A2.5 2.5 0 0 1 16 2.5v11a2.5 2.5 0 0 1-2.5 2.5h-11A2.5 2.5 0 0 1 0 13.5v-11Z" fill="#FFB3C7"></path> <path fill-rule="evenodd" clip-rule="evenodd" d="M5.815 12H4V4h1.815v8ZM8.49 8.54A6.4 6.4 0 0 0 10.348 4H8.572c0 1.472-.67 2.823-1.836 3.707l-.704.533L8.758 12H11L8.491 8.54ZM12.5 10a1 1 0 1 0 0 2 1 1 0 0 0 0-2Z" fill="#0A0B09"></path> </svg> <span>Klarna (Buy now, pay later)</span> </label> </div> <input type="hidden" name="payment_request_button_type" value=""> <div class='ginput_complex ginput_container ginput_container_creditcard' id='input_87_20'> <div class='ginput_full' id='input_87_20_1_container'> <div id='input_87_20_1'></div> <label for='input_87_20_1' id='input_87_20_1_label' ></label> </div> <div class='ginput_full ginput_cardholder' id='input_87_20_5_container'> <input class='cc-cardholder' type='text' name='input_20.5' id='input_87_20_5' value='' placeholder='Cardholder Name'> <label for='input_87_20_5' id='input_87_20_5_label' ></label> </div><div class="cc-billing-address"><strong>Billing Address</strong><div class="inner"><span></span><button type="button" class="fa fa-pencil-alt"></button></div></div></div></li><li id="field_87_6" class="gfield gfield--type-textarea gfield--input-type-textarea gf_additional_information field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_6" ><label class='gfield_label gform-field-label' for='input_87_6'>Additional Information</label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_87_6' class='textarea medium' placeholder='Additional Information' aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_87_75" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full consent-checkbox-field gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_75" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Terms of Service<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_87_75'><li class='gchoice gchoice_87_75_1'> <input class='gfield-choice-input' name='input_75.1' type='checkbox' value='I agree to the <a target="_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/terms-of-service/">Term of Service</a>, <a target="_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/privacy-policy/">Privacy Policy</a>, <a target="_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/consent-to-treat/">Consent To Treat</a>, and <a target="_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/cancellation-policy/">Cancellation Policy</a>' id='choice_87_75_1' /> <label for='choice_87_75_1' id='label_87_75_1' class='gform-field-label gform-field-label--type-inline'>I agree to the <a target="_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/terms-of-service/">Term of Service</a>, <a target="_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/privacy-policy/">Privacy Policy</a>, <a target="_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/consent-to-treat/">Consent To Treat</a>, and <a target="_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://driphydration.com/cancellation-policy/">Cancellation Policy</a></label> </li></ul></div></li><li id="field_87_72" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full no-display field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_72" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Monoclonal IV Terms</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_87_72'><li class='gchoice gchoice_87_72_1'> <input class='gfield-choice-input' name='input_72.1' type='checkbox' value='<b>Cancellation Terms</b>. Bookings are subject to a $150 cancellation fee.<br />Not ready to book? Please <a href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"/covid-19-monoclonal-antibody-iv-therapy/">contact us for a consultation</a>.' id='choice_87_72_1' /> <label for='choice_87_72_1' id='label_87_72_1' class='gform-field-label gform-field-label--type-inline'><b>Cancellation Terms</b>. Bookings are subject to a $150 cancellation fee.<br />Not ready to book? Please <a href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"/covid-19-monoclonal-antibody-iv-therapy/">contact us for a consultation</a>.</label> </li></ul></div></li><li id="field_87_76" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full wider-checkbox field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_76" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Optional Email Signup</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_87_76'><li class='gchoice gchoice_87_76_1'> <input class='gfield-choice-input' name='input_76.1' type='checkbox' value='Sign-up for emails to get exclusive offers & be the first to know about new services!' checked='checked' id='choice_87_76_1' /> <label for='choice_87_76_1' id='label_87_76_1' class='gform-field-label gform-field-label--type-inline'>Sign-up for emails to get exclusive offers & be the first to know about new services!</label> </li></ul></div></li><li id="field_87_86" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full wider-checkbox field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_87_86" ><label class='gfield_label gform-field-label gfield_label_before_complex' >SMS</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_87_86'><li class='gchoice gchoice_87_86_1'> <input class='gfield-choice-input' name='input_86.1' type='checkbox' value='<b>Sign up for texts.</b> By signing up via text, you agree to receive recurring automated promotional and personalized marketing text messages (e.g. cart reminders) from Drip Hydration at the cell number used when signing up. Consent is not a condition of any purchase. Reply HELP for help and STOP to cancel. Msg frequency varies. Msg & data rates may apply. View <a target = "_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://attnl.tv/t/A9M">Terms & <a target = "_blank" href=https://driphydration.com/coverage-areas/palo-alto/iron-iv-infusion/"https://attnl.tv/p/A9M">Privacy.' id='choice_87_86_1' /> <label for='choice_87_86_1' id='label_87_86_1' class='gform-field-label gform-field-label--type-inline'><b>Sign up for texts.</b> By signing up via text, you agree to receive recurring automated promotional and personalized marketing text messages (e.g. cart reminders) from Drip Hydration at the cell number used when signing up. Consent is not a condition of any purchase. Reply HELP for help and STOP to cancel. Msg frequency varies. Msg & data rates may apply. 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Barbuda</option><option>Argentina</option><option>Armenia</option><option>Aruba</option><option>Australia</option><option>Austria</option><option>Azerbaijan</option><option>Bahamas</option><option>Bahrain</option><option>Bangladesh</option><option>Barbados</option><option>Belarus</option><option>Belgium</option><option>Belize</option><option>Benin</option><option>Bermuda</option><option>Bhutan</option><option>Bolivia</option><option>Bonaire, Sint Eustatius and Saba</option><option>Bosnia and Herzegovina</option><option>Botswana</option><option>Bouvet Island</option><option>Brazil</option><option>British Indian Ocean Territory</option><option>Brunei Darussalam</option><option>Bulgaria</option><option>Burkina Faso</option><option>Burundi</option><option>Cabo Verde</option><option>Cambodia</option><option>Cameroon</option><option>Canada</option><option>Cayman Islands</option><option>Central African Republic</option><option>Chad</option><option>Chile</option><option>China</option><option>Christmas Island</option><option>Cocos Islands</option><option>Colombia</option><option>Comoros</option><option>Congo</option><option>Congo, Democratic Republic of the</option><option>Cook Islands</option><option>Costa Rica</option><option>Croatia</option><option>Cuba</option><option>Curaçao</option><option>Cyprus</option><option>Czechia</option><option>Côte d'Ivoire</option><option>Denmark</option><option>Djibouti</option><option>Dominica</option><option>Dominican Republic</option><option>Ecuador</option><option>Egypt</option><option>El Salvador</option><option>Equatorial Guinea</option><option>Eritrea</option><option>Estonia</option><option>Eswatini</option><option>Ethiopia</option><option>Falkland Islands</option><option>Faroe Islands</option><option>Fiji</option><option>Finland</option><option>France</option><option>French Guiana</option><option>French Polynesia</option><option>French Southern 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Africa</option><option>South Georgia and the South Sandwich Islands</option><option>South Sudan</option><option>Spain</option><option>Sri Lanka</option><option>Sudan</option><option>Suriname</option><option>Svalbard and Jan Mayen</option><option>Sweden</option><option>Switzerland</option><option>Syria Arab Republic</option><option>Taiwan</option><option>Tajikistan</option><option>Tanzania, the United Republic of</option><option>Thailand</option><option>Timor-Leste</option><option>Togo</option><option>Tokelau</option><option>Tonga</option><option>Trinidad and Tobago</option><option>Tunisia</option><option>Turkmenistan</option><option>Turks and Caicos Islands</option><option>Tuvalu</option><option>Türkiye</option><option>US Minor Outlying Islands</option><option>Uganda</option><option>Ukraine</option><option>United Arab Emirates</option><option>United Kingdom</option><option>United States</option><option>Uruguay</option><option>Uzbekistan</option><option>Vanuatu</option><option>Venezuela</option><option>Viet Nam</option><option>Virgin Islands, British</option><option>Virgin Islands, U.S.</option><option>Wallis and Futuna</option><option>Western Sahara</option><option>Yemen</option><option>Zambia</option><option>Zimbabwe</option><option>Åland Islands</option></select> </div> <div class="div-full"> <label class="gform-field-label">Street Address</label> <input id="ccbadr_line1" type="text" placeholder="Street Address"> </div> <div class="div-full"> <label class="gform-field-label">Address Line 2</label> <input id="ccbadr_line2" type="text" placeholder="Address Line 2"> </div> <div> <label class="gform-field-label">State</label> <input id="ccbadr_state" type="text" placeholder="State"> </div> <div> <label class="gform-field-label">City</label> <input id="ccbadr_city" type="text" placeholder="City"> </div> <div> <label class="gform-field-label">ZIP Code</label> <input id="ccbadr_zip" type="text" placeholder="ZIP Code"> </div> <div class="btns div-full"> <button type="button" class="btn-cancel">Cancel</button> <button type="button" class="btn-save">Save</button> </div> </div> </div></div></div></div></div></div></div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid stripe-top-padding" style='background-color:#fcfcfc; text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="vc_row wpb_row section vc_row-fluid vc_inner " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <h2 style="text-align: center;">Frequently Asked Questions</h2> </div> </div> <div class="vc_empty_space" style="height: 90px" ><span class="vc_empty_space_inner"> <span class="empty_space_image" ></span> </span></div> </div></div></div></div></div></div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid stripe-bottom-padding grid_section" style='background-color:#fcfcfc; text-align:left;'><div class=" section_inner clearfix"><div class='section_inner_margin clearfix'><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="qode-accordion-holder clearfix qode-toggle qode-initial "> <h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> What is Venofer Iron IV, and how does it work? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>Venofer Iron IV is an intravenous iron replacement therapy. It delivers iron directly into the bloodstream, bypassing the digestive system, and is known for its rapid absorption to help to replenish iron levels efficiently.</p> </div> </div> </div> </div><h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> Who is a candidate for Venofer Iron IV? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>Venofer Iron IV is typically recommended for individuals diagnosed with iron deficiency anemia or those with difficulty tolerating or responding to oral iron supplements.</p> </div> </div> </div> </div><h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> What are the benefits of choosing Venofer Iron IV over oral iron supplements? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>Venofer Iron IV offers faster and more effective absorption compared to oral supplements. It is particularly beneficial for individuals with absorption issues or those who experience side effects from oral iron.</p> </div> </div> </div> </div><h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> Is Venofer Iron IV painful? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>The administration of Venofer Iron IV is generally well-tolerated. While some individuals may experience minor discomfort at the injection site, the process is relatively quick, and healthcare providers take measures to minimize any discomfort.</p> </div> </div> </div> </div><h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> How long does a Venofer Iron IV session take? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>The duration of a Venofer Iron IV session can vary, but it typically takes about 60-90 minutes.</p> </div> </div> </div> </div></div> <div class="vc_empty_space" style="height: 30px" ><span class="vc_empty_space_inner"> <span class="empty_space_image" ></span> </span></div> </div></div></div><div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="qode-accordion-holder clearfix qode-toggle qode-initial "> <h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> Are there any side effects associated with Venofer Iron IV? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>Like any medical treatment, Venofer Iron IV may have side effects. These can include nausea, headache, or dizziness. Serious side effects are rare but can be discussed with our healthcare provider.</p> </div> </div> </div> </div><h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> Can I receive Venofer Iron IV at home? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>Yes, in-home administration of Venofer Iron IV is available for eligible individuals. This option provides convenience and comfort while ensuring you receive the necessary iron replacement therapy to help you feel your best.</p> </div> </div> </div> </div><h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> How long does it take to see the benefits of Venofer Iron IV? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>Individual responses vary, but many people report increased energy levels and improvement in symptoms within a few weeks of starting Venofer Iron IV treatment.</p> </div> </div> </div> </div><h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> What tests are used to diagnose an iron deficiency? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>CBC, CMP, Iron, TIBC, and Ferritin</p> </div> </div> </div> </div><h2 class="clearfix qode-title-holder"> <span class="qode-tab-title"> <span class="qode-tab-title-inner"> What is the dosage per infusion? </span> </span> <span class="qode-accordion-mark"> <span class="qode-accordion-mark-icon"> <span class="icon_plus"></span> <span class="icon_minus-06"></span> </span> </span> </h2> <div class="qode-accordion-content " > <div class="qode-accordion-content-inner"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p>Each IV contains 200mg of Venofer. </p> </div> </div> </div> </div></div></div></div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"></div></div></div></div></div></p> "}" data-sheets-userformat="{"2":13249,"3":{"1":0},"9":0,"10":1,"11":4,"12":0,"15":"Arial","16":7}">

What is Venofer Iron IV?

Venofer Iron IV is an intravenous therapy that delivers iron directly into your bloodstream. This method bypasses the digestive system, allowing for rapid and efficient absorption of iron. This makes Venofer an ideal choice for individuals who may struggle with oral supplements, have iron absorption issues, or require a fast and effective solution to replenish low iron levels.

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Rapid Absorption in Your Body

Venofer is known for its fast absorption, allowing your body to quickly utilize the iron it needs for optimal functioning leading to better energy levels and overall health.

Customized Treatment Plans

Tailored to your individual needs, Venofer Iron IV treatment plans are designed by healthcare professionals to address specific iron deficiency concerns.

Convenience at Your Doorstep

Say goodbye to hospital waiting rooms. Drip Hydration delivers the power of Venofer directly to your home in Palo Alto, ensuring a hassle-free and comfortable experience.

Symptoms of Iron Deficiency 

• Fatigue, Difficulty Concentrating
• Dizziness, Shortness of Breath
• Headaches
• Cold Hands and Feet, Pale Skin
• Brittle Nails
• Restless Legs Syndrome
• Heart Palpitations
• Unusual Cravings
• Inflamed Tongue

Benefits of Venofer Iron IV

• Fast and Effective Absorption
• Increased Energy Levels
• Improved Oxygen Transport
• Enhanced Cognitive Function
• Correction of Iron-Deficiency Anemia
• Alleviation of Restless Legs Syndrome
• Improved Exercise Tolerance
• Hair and Nail Health
• Enhanced Immune Function

Diagnosing Iron Deficiency

If you are having some of the symptoms below, we recommend that you get a blood test. Iron deficiency can cause a variety of symptoms that overlap with other conditions, so it's important to get evaluated and diagnosed by a medical professional.

• Fatigue and restlessness
• Chronic headaches
• Dizziness
• Brittle nails
• Unusual cravings
• Hair loss
• Menstrual irregularities / Heavy periods
• Restless leg syndrome
• Pale or yellow skin
• Shortness of breath
• Chest pain
• Weakness
• Cold hands & feet
• Jaundice
• Lethargy

Iron deficiency can be diagnosed with blood tests that measure:

• Ferritin: A blood protein that contains iron and can help your doctor understand how much iron your body stores.
• Hemoglobin (HB): A blood protein that helps transport oxygen throughout your body.
• Complete blood count (CBC): A panel that measures your current levels of red blood cells, white blood cells, hemoglobin, platelets, and hematocrit. A low blood count can indicate iron deficiency anemia.

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