New Referral Online Form

Copy and paste this URL into your WordPress site to embed
<blockquote class="wp-embedded-content"><a href="http://www.gregmalham.com.au/patients-journey/new-referral-online-form/">New Referral Online Form</a></blockquote>
<script type='text/javascript'>
<!--//--><![CDATA[//><!--
		!function(a,b){"use strict";function c(){if(!e){e=!0;var a,c,d,f,g=-1!==navigator.appVersion.indexOf("MSIE 10"),h=!!navigator.userAgent.match(/Trident.*rv:11\./),i=b.querySelectorAll("iframe.wp-embedded-content");for(c=0;c<i.length;c++){if(d=i[c],!d.getAttribute("data-secret"))f=Math.random().toString(36).substr(2,10),d.src+="#?secret="+f,d.setAttribute("data-secret",f);if(g||h)a=d.cloneNode(!0),a.removeAttribute("security"),d.parentNode.replaceChild(a,d)}}}var d=!1,e=!1;if(b.querySelector)if(a.addEventListener)d=!0;if(a.wp=a.wp||{},!a.wp.receiveEmbedMessage)if(a.wp.receiveEmbedMessage=function(c){var d=c.data;if(d)if(d.secret||d.message||d.value)if(!/[^a-zA-Z0-9]/.test(d.secret)){var e,f,g,h,i,j=b.querySelectorAll('iframe[data-secret="'+d.secret+'"]'),k=b.querySelectorAll('blockquote[data-secret="'+d.secret+'"]');for(e=0;e<k.length;e++)k[e].style.display="none";for(e=0;e<j.length;e++)if(f=j[e],c.source===f.contentWindow){if(f.removeAttribute("style"),"height"===d.message){if(g=parseInt(d.value,10),g>1e3)g=1e3;else if(~~g<200)g=200;f.height=g}if("link"===d.message)if(h=b.createElement("a"),i=b.createElement("a"),h.href=f.getAttribute("src"),i.href=d.value,i.host===h.host)if(b.activeElement===f)a.top.location.href=d.value}else;}},d)a.addEventListener("message",a.wp.receiveEmbedMessage,!1),b.addEventListener("DOMContentLoaded",c,!1),a.addEventListener("load",c,!1)}(window,document);
//--><!]]>
</script><iframe sandbox="allow-scripts" security="restricted" src="http://www.gregmalham.com.au/patients-journey/new-referral-online-form/embed/" width="600" height="400" title="&#8220;New Referral Online Form&#8221; &#8212; Greg Malham Neurosurgeon" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" class="wp-embedded-content"></iframe>
Copy and paste this code into your site to embed