{"id":13682,"date":"2026-02-15T11:22:19","date_gmt":"2026-02-15T11:22:19","guid":{"rendered":"https:\/\/tamavadv.com\/prx\/?page_id=13682"},"modified":"2026-02-15T11:22:20","modified_gmt":"2026-02-15T11:22:20","slug":"register","status":"publish","type":"page","link":"https:\/\/wiqo.ae\/ar\/register\/","title":{"rendered":"Register"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><div class=\"prx-register-form-container\">\n    <form id=\"prx-register-form\" class=\"prx-form\" method=\"post\" autocomplete=\"off\">\n        <h2>Become a Provider<\/h2>\n                <div style=\"display:none!important\" aria-hidden=\"true\">\n            <input type=\"text\" name=\"prx_hp_field\" value=\"\" tabindex=\"-1\" autocomplete=\"off\">\n        <\/div>\n        <div class=\"prx-form-messages\"><\/div>\n\n        <!-- Row 1: Unicare + Clinic Name -->\n        <div class=\"prx-form-row\">\n            <div class=\"prx-form-group prx-unicare-group\">\n                <label for=\"prx-unicare-account\">\n                    Unicare Account No. <span class=\"required\">*<\/span>\n                    <span class=\"prx-unicare-hint-icon\" aria-label=\"Where to find your account number?\">?<\/span>\n                <\/label>\n                <div class=\"prx-unicare-input-wrap\">\n                    <input type=\"text\" id=\"prx-unicare-account\" name=\"unicare_account\" required maxlength=\"100\" autocomplete=\"off\"\n                           placeholder=\"e.g. UC-123456\">\n                    <div class=\"prx-unicare-tooltip\" aria-hidden=\"true\">\n                        <img decoding=\"async\" src=\"https:\/\/wiqo.ae\/wp-content\/plugins\/prx-plus\/assets\/images\/unicare-account-guide.png\"\n                             alt=\"Unicare account number location\">\n                        <span class=\"prx-unicare-tooltip-text\">Find your account number here<\/span>\n                    <\/div>\n                <\/div>\n            <\/div>\n            <div class=\"prx-form-group\">\n                <label for=\"prx-clinic-name\">Clinic Name <span class=\"required\">*<\/span><\/label>\n                <input type=\"text\" id=\"prx-clinic-name\" name=\"clinic_name\" required maxlength=\"150\"\n                       placeholder=\"Your clinic name\">\n            <\/div>\n        <\/div>\n\n        <!-- Row 2: Full Name -->\n        <div class=\"prx-form-row\">\n            <div class=\"prx-form-group\">\n                <label for=\"prx-first-name\">First Name<\/label>\n                <input type=\"text\" id=\"prx-first-name\" name=\"first_name\" maxlength=\"100\"\n                       placeholder=\"First name\">\n            <\/div>\n            <div class=\"prx-form-group\">\n                <label for=\"prx-last-name\">Last Name<\/label>\n                <input type=\"text\" id=\"prx-last-name\" name=\"last_name\" maxlength=\"100\"\n                       placeholder=\"Last name\">\n            <\/div>\n        <\/div>\n\n        <!-- Row 3: Email + Mobile -->\n        <div class=\"prx-form-row\">\n            <div class=\"prx-form-group\">\n                <label for=\"prx-email\">Email <span class=\"required\">*<\/span><\/label>\n                <input type=\"email\" id=\"prx-email\" name=\"email\" required maxlength=\"200\"\n                       placeholder=\"your@email.com\">\n            <\/div>\n            <div class=\"prx-form-group\">\n                <label for=\"prx-mobile\">Mobile <span class=\"required\">*<\/span><\/label>\n                <input type=\"tel\" id=\"prx-mobile\" name=\"mobile\" required maxlength=\"20\"\n                       placeholder=\"+971 50 000 0000\">\n            <\/div>\n        <\/div>\n\n        <!-- Row 4: Country + City -->\n        <div class=\"prx-form-row\">\n            <div class=\"prx-form-group\">\n                <label for=\"prx-country\">Country <span class=\"required\">*<\/span><\/label>\n                <input type=\"text\" id=\"prx-country\" name=\"country\" required maxlength=\"100\"\n                       placeholder=\"e.g. UAE\">\n            <\/div>\n            <div class=\"prx-form-group\">\n                <label for=\"prx-city\">City <span class=\"required\">*<\/span><\/label>\n                <input type=\"text\" id=\"prx-city\" name=\"city\" required maxlength=\"100\"\n                       placeholder=\"e.g. Dubai\">\n            <\/div>\n        <\/div>\n\n        <!-- Row 5: Password + Confirm Password -->\n        <div class=\"prx-form-row\">\n            <div class=\"prx-form-group\">\n                <label for=\"prx-password\">Password <span class=\"required\">*<\/span><\/label>\n                <input type=\"password\" id=\"prx-password\" name=\"password\" required minlength=\"8\" autocomplete=\"new-password\"\n                       placeholder=\"Min. 8 characters\">\n            <\/div>\n            <div class=\"prx-form-group\">\n                <label for=\"prx-password-confirm\">Confirm Password <span class=\"required\">*<\/span><\/label>\n                <input type=\"password\" id=\"prx-password-confirm\" name=\"password_confirm\" required autocomplete=\"new-password\"\n                       placeholder=\"Re-enter password\">\n            <\/div>\n        <\/div>\n\n        <div class=\"prx-form-group\">\n            <button type=\"submit\" class=\"prx-button prx-button-primary\">Register<\/button>\n        <\/div>\n        <div class=\"prx-form-footer\">\n            <p>Already have an account? <a href=\"https:\/\/wiqo.ae\/ar\/login\">Login<\/a><\/p>\n        <\/div>\n    <\/form>\n<\/div>\n\n<style>\n\/* \u2500\u2500 Compact form overrides \u2500\u2500 *\/\n.prx-register-form-container .prx-form {\n    padding: 16px 20px;\n}\n\n.prx-register-form-container .prx-form h2 {\n    margin: 0 0 10px;\n    font-size: 1.2rem;\n}\n\n\/* Tighter spacing between groups *\/\n.prx-register-form-container .prx-form-group {\n    margin-bottom: 8px;\n}\n\n\/* 2-column row *\/\n.prx-register-form-container .prx-form-row {\n    display: grid;\n    grid-template-columns: 1fr 1fr;\n    gap: 10px;\n    margin-bottom: 0;\n}\n\n\/* Labels *\/\n.prx-register-form-container .prx-form label {\n    display: block;\n    font-size: 12px;\n    margin-bottom: 3px;\n    font-weight: 600;\n}\n\n\/* All inputs \u2014 40px min height *\/\n.prx-register-form-container .prx-form input[type=\"text\"],\n.prx-register-form-container .prx-form input[type=\"email\"],\n.prx-register-form-container .prx-form input[type=\"password\"],\n.prx-register-form-container .prx-form input[type=\"tel\"] {\n    min-height: 40px;\n    height: 40px;\n    padding: 0 10px;\n    font-size: 13px;\n    box-sizing: border-box;\n    width: 100%;\n}\n\n\/* Submit button *\/\n.prx-register-form-container .prx-button-primary {\n    height: 40px;\n    min-height: 40px;\n    width: 100%;\n    font-size: 14px;\n    margin-top: 4px;\n\tline-height: 14px;\n}\n\n\/* Footer *\/\n.prx-register-form-container .prx-form-footer {\n    margin-top: 6px;\n    text-align: center;\n}\n\n.prx-register-form-container .prx-form-footer p {\n    font-size: 12px;\n    margin: 0;\n}\n\n\/* \u2500\u2500 Unicare tooltip \u2500\u2500 *\/\n.prx-unicare-group { position: relative; }\n\n.prx-unicare-hint-icon {\n    display: inline-flex;\n    align-items: center;\n    justify-content: center;\n    width: 16px;\n    height: 16px;\n    background: #7c5cbf;\n    color: #fff;\n    border-radius: 50%;\n    font-size: 10px;\n    font-weight: bold;\n    cursor: pointer;\n    margin-left: 5px;\n    vertical-align: middle;\n    user-select: none;\n}\n\n.prx-unicare-input-wrap { position: relative; }\n\n.prx-unicare-tooltip {\n    display: none;\n    position: absolute;\n    top: calc(100% + 8px);\n    left: 0;\n    z-index: 999;\n    background: #fff;\n    border: 1px solid #ddd;\n    border-radius: 8px;\n    box-shadow: 0 4px 20px rgba(0,0,0,0.15);\n    padding: 10px;\n    max-width: 300px;\n    text-align: center;\n}\n\n.prx-unicare-tooltip img {\n    max-width: 100%;\n    border-radius: 4px;\n    display: block;\n    margin-bottom: 6px;\n}\n\n.prx-unicare-tooltip-text {\n    font-size: 11px;\n    color: #555;\n    display: block;\n}\n\n@keyframes prx-fade-in {\n    from { opacity: 0; transform: translateY(4px); }\n    to   { opacity: 1; transform: translateY(0); }\n}\n\n\/* Mobile: stack to 1 column *\/\n@media (max-width: 540px) {\n    .prx-register-form-container .prx-form-row {\n        grid-template-columns: 1fr;\n    }\n}\n<\/style>\n\n<script>\n(function() {\n    var hintIcon = document.querySelector('.prx-unicare-hint-icon');\n    var tooltip  = document.querySelector('.prx-unicare-tooltip');\n    var input    = document.getElementById('prx-unicare-account');\n    var hideTimer;\n\n    function showTooltip() {\n        clearTimeout(hideTimer);\n        tooltip.style.display = 'block';\n        tooltip.style.animation = 'prx-fade-in 0.2s ease';\n        hideTimer = setTimeout(function() {\n            tooltip.style.display = 'none';\n        }, 3000);\n    }\n\n    function cancelHide() {\n        clearTimeout(hideTimer);\n    }\n\n    if (hintIcon && tooltip && input) {\n        hintIcon.addEventListener('mouseenter', showTooltip);\n        hintIcon.addEventListener('click', showTooltip);\n        input.addEventListener('mouseenter', showTooltip);\n        input.addEventListener('focus', showTooltip);\n        tooltip.addEventListener('mouseenter', cancelHide);\n        tooltip.addEventListener('mouseleave', function() {\n            hideTimer = setTimeout(function() {\n                tooltip.style.display = 'none';\n            }, 300);\n        });\n    }\n})();\n<\/script>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13682","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/wiqo.ae\/ar\/wp-json\/wp\/v2\/pages\/13682","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wiqo.ae\/ar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wiqo.ae\/ar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wiqo.ae\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wiqo.ae\/ar\/wp-json\/wp\/v2\/comments?post=13682"}],"version-history":[{"count":1,"href":"https:\/\/wiqo.ae\/ar\/wp-json\/wp\/v2\/pages\/13682\/revisions"}],"predecessor-version":[{"id":13683,"href":"https:\/\/wiqo.ae\/ar\/wp-json\/wp\/v2\/pages\/13682\/revisions\/13683"}],"wp:attachment":[{"href":"https:\/\/wiqo.ae\/ar\/wp-json\/wp\/v2\/media?parent=13682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}