{"id":326,"date":"2025-12-02T17:36:41","date_gmt":"2025-12-02T14:36:41","guid":{"rendered":"https:\/\/wellio.org\/?page_id=326"},"modified":"2026-01-08T12:59:04","modified_gmt":"2026-01-08T09:59:04","slug":"chgpt","status":"publish","type":"page","link":"https:\/\/wellio.org\/en\/chgpt\/","title":{"rendered":"register as a doctor"},"content":{"rendered":"<style>\n        @import url('https:\/\/fonts.googleapis.com\/css2?family=Cairo:wght@300;400;500;600;700&display=swap');\n        \n        * {\n            box-sizing: border-box;\n            margin: 0;\n            padding: 0;\n        }\n        \n        .agent-registration-wrapper {\n            font-family: 'Cairo', sans-serif;\n            min-height: 100vh;\n            width: 100vw;\n            background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);\n            position: relative;\n            overflow-x: hidden;\n            display: flex;\n            align-items: center;\n            justify-content: center;\n            padding: 40px 20px;\n        }\n        \n        \/* Break out of any theme container *\/\n        .agent-registration-wrapper {\n            margin-left: calc(-50vw + 50%) !important;\n            margin-right: calc(-50vw + 50%) !important;\n            max-width: none !important;\n        }\n        \n        .registration-bg-shapes {\n            position: absolute;\n            top: 0;\n            left: 0;\n            right: 0;\n            bottom: 0;\n            overflow: hidden;\n            pointer-events: none;\n            z-index: 0;\n        }\n        \n        .registration-bg-shapes span {\n            position: absolute;\n            background: rgba(255, 255, 255, 0.05);\n            border-radius: 50%;\n        }\n        \n        .registration-bg-shapes span:nth-child(1) {\n            width: 400px;\n            height: 400px;\n            top: -100px;\n            right: -100px;\n        }\n        \n        .registration-bg-shapes span:nth-child(2) {\n            width: 600px;\n            height: 600px;\n            bottom: -200px;\n            left: -200px;\n        }\n        \n        .registration-bg-shapes span:nth-child(3) {\n            width: 300px;\n            height: 300px;\n            top: 40%;\n            right: 10%;\n        }\n        \n        .registration-bg-shapes span:nth-child(4) {\n            width: 200px;\n            height: 200px;\n            top: 20%;\n            left: 5%;\n        }\n        \n        .registration-container {\n            width: 100%;\n            max-width: 1200px;\n            background: #ffffff;\n            border-radius: 32px;\n            box-shadow: 0 30px 100px rgba(0, 0, 0, 0.3);\n            overflow: hidden;\n            animation: slideUp 0.6s ease-out;\n            position: relative;\n            z-index: 1;\n        }\n        \n        @keyframes slideUp {\n            from {\n                opacity: 0;\n                transform: translateY(40px);\n            }\n            to {\n                opacity: 1;\n                transform: translateY(0);\n            }\n        }\n        \n        .registration-header {\n            background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);\n            padding: 50px 60px;\n            display: flex;\n            align-items: center;\n            gap: 30px;\n            position: relative;\n        }\n        \n        .registration-header::before {\n            content: '';\n            position: absolute;\n            top: 0;\n            left: 0;\n            right: 0;\n            bottom: 0;\n            background: url(\"data:image\/svg+xml,%3Csvg width='60' height='60' viewBox='0 0 60 60' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cg fill='none' fill-rule='evenodd'%3E%3Cg fill='%23ffffff' fill-opacity='0.05'%3E%3Cpath d='M36 34v-4h-2v4h-4v2h4v4h2v-4h4v-2h-4zm0-30V0h-2v4h-4v2h4v4h2V6h4V4h-4zM6 34v-4H4v4H0v2h4v4h2v-4h4v-2H6zM6 4V0H4v4H0v2h4v4h2V6h4V4H6z'\/%3E%3C\/g%3E%3C\/g%3E%3C\/svg%3E\");\n        }\n        \n        .header-icon {\n            width: 90px;\n            height: 90px;\n            background: rgba(255, 255, 255, 0.2);\n            border-radius: 24px;\n            display: flex;\n            align-items: center;\n            justify-content: center;\n            backdrop-filter: blur(10px);\n            flex-shrink: 0;\n            position: relative;\n            z-index: 1;\n        }\n        \n        .header-icon svg {\n            width: 45px;\n            height: 45px;\n            fill: #ffffff;\n        }\n        \n        .header-content {\n            position: relative;\n            z-index: 1;\n        }\n        \n        .header-content h2 {\n            color: #ffffff;\n            font-size: 32px;\n            font-weight: 700;\n            margin: 0 0 8px 0;\n        }\n        \n        .header-content p {\n            color: rgba(255, 255, 255, 0.85);\n            font-size: 16px;\n            margin: 0;\n        }\n        \n        .registration-form {\n            padding: 50px 60px;\n        }\n        \n        .form-section {\n            margin-bottom: 40px;\n        }\n        \n        .form-section:last-of-type {\n            margin-bottom: 30px;\n        }\n        \n        .section-title {\n            font-size: 18px;\n            font-weight: 700;\n            color: #667eea;\n            margin-bottom: 25px;\n            padding-bottom: 12px;\n            border-bottom: 3px solid #f0f0f0;\n            display: flex;\n            align-items: center;\n            gap: 12px;\n        }\n        \n        .section-title svg {\n            width: 24px;\n            height: 24px;\n            fill: #667eea;\n        }\n        \n        .form-grid {\n            display: grid;\n            grid-template-columns: repeat(3, 1fr);\n            gap: 20px;\n        }\n        \n        .form-grid-2 {\n            display: grid;\n            grid-template-columns: repeat(2, 1fr);\n            gap: 20px;\n        }\n        \n        .form-grid-4 {\n            display: grid;\n            grid-template-columns: repeat(4, 1fr);\n            gap: 20px;\n        }\n        \n        .form-group {\n            position: relative;\n        }\n        \n        .form-group.full-width {\n            grid-column: 1 \/ -1;\n        }\n        \n        .form-group.span-2 {\n            grid-column: span 2;\n        }\n        \n        .form-group label {\n            display: block;\n            font-size: 14px;\n            font-weight: 600;\n            color: #374151;\n            margin-bottom: 10px;\n        }\n        \n        .form-group label .required {\n            color: #ef4444;\n            margin-right: 2px;\n        }\n        \n        .input-wrapper {\n            position: relative;\n        }\n        \n        .input-wrapper svg {\n            position: absolute;\n            right: 16px;\n            top: 50%;\n            transform: translateY(-50%);\n            width: 20px;\n            height: 20px;\n            fill: #9ca3af;\n            pointer-events: none;\n            transition: fill 0.3s ease;\n        }\n        \n        .form-group input[type=\"text\"],\n        .form-group input[type=\"email\"],\n        .form-group input[type=\"password\"],\n        .form-group input[type=\"tel\"],\n        .form-group textarea {\n            width: 100%;\n            padding: 16px 50px 16px 20px;\n            border: 2px solid #e5e7eb;\n            border-radius: 14px;\n            font-size: 15px;\n            font-family: 'Cairo', sans-serif;\n            transition: all 0.3s ease;\n            background: #f9fafb;\n        }\n        \n        .form-group textarea {\n            padding: 16px 20px;\n            resize: vertical;\n            min-height: 120px;\n        }\n        \n        .form-group input:focus,\n        .form-group textarea:focus {\n            outline: none;\n            border-color: #667eea;\n            background: #ffffff;\n            box-shadow: 0 0 0 4px rgba(102, 126, 234, 0.15);\n        }\n        \n        .form-group input:focus + svg,\n        .form-group textarea:focus + svg {\n            fill: #667eea;\n        }\n        \n        .services-grid {\n            display: grid;\n            grid-template-columns: repeat(4, 1fr);\n            gap: 15px;\n        }\n        \n        .service-checkbox {\n            position: relative;\n        }\n        \n        .service-checkbox input[type=\"checkbox\"] {\n            position: absolute;\n            opacity: 0;\n            cursor: pointer;\n        }\n        \n        .service-checkbox label {\n            display: flex;\n            align-items: center;\n            padding: 16px 20px;\n            background: #f9fafb;\n            border: 2px solid #e5e7eb;\n            border-radius: 14px;\n            cursor: pointer;\n            transition: all 0.3s ease;\n            font-size: 14px;\n            font-weight: 500;\n            margin: 0;\n            height: 100%;\n        }\n        \n        .service-checkbox label:hover {\n            border-color: #667eea;\n            background: #f5f3ff;\n            transform: translateY(-2px);\n        }\n        \n        .service-checkbox input:checked + label {\n            background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);\n            border-color: transparent;\n            color: #ffffff;\n            box-shadow: 0 8px 25px rgba(102, 126, 234, 0.35);\n        }\n        \n        .service-checkbox .checkmark {\n            width: 22px;\n            height: 22px;\n            border: 2px solid #d1d5db;\n            border-radius: 6px;\n            margin-left: 12px;\n            display: flex;\n            align-items: center;\n            justify-content: center;\n            transition: all 0.3s ease;\n            flex-shrink: 0;\n        }\n        \n        .service-checkbox input:checked + label .checkmark {\n            background: #ffffff;\n            border-color: #ffffff;\n        }\n        \n        .service-checkbox .checkmark svg {\n            width: 14px;\n            height: 14px;\n            fill: none;\n            stroke: #667eea;\n            stroke-width: 3;\n            opacity: 0;\n            transform: scale(0);\n            transition: all 0.2s ease;\n        }\n        \n        .service-checkbox input:checked + label .checkmark svg {\n            opacity: 1;\n            transform: scale(1);\n        }\n        \n        .file-upload-section {\n            display: grid;\n            grid-template-columns: 1fr 2fr;\n            gap: 30px;\n            align-items: center;\n        }\n        \n        .file-upload {\n            position: relative;\n            display: flex;\n            flex-direction: column;\n            align-items: center;\n            padding: 40px 30px;\n            border: 3px dashed #d1d5db;\n            border-radius: 20px;\n            background: #f9fafb;\n            cursor: pointer;\n            transition: all 0.3s ease;\n        }\n        \n        .file-upload:hover {\n            border-color: #667eea;\n            background: #f5f3ff;\n        }\n        \n        .file-upload input[type=\"file\"] {\n            position: absolute;\n            width: 100%;\n            height: 100%;\n            opacity: 0;\n            cursor: pointer;\n        }\n        \n        .file-upload-icon {\n            width: 70px;\n            height: 70px;\n            background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);\n            border-radius: 50%;\n            display: flex;\n            align-items: center;\n            justify-content: center;\n            margin-bottom: 20px;\n            box-shadow: 0 10px 30px rgba(102, 126, 234, 0.3);\n        }\n        \n        .file-upload-icon svg {\n            width: 32px;\n            height: 32px;\n            fill: #ffffff;\n        }\n        \n        .file-upload-text {\n            font-size: 15px;\n            color: #6b7280;\n            text-align: center;\n            line-height: 1.6;\n        }\n        \n        .file-upload-text strong {\n            color: #667eea;\n            display: block;\n            font-size: 16px;\n            margin-bottom: 5px;\n        }\n        \n        .file-upload-info {\n            padding: 30px;\n            background: linear-gradient(135deg, #f0f9ff 0%, #e0f2fe 100%);\n            border-radius: 20px;\n        }\n        \n        .file-upload-info h4 {\n            font-size: 16px;\n            font-weight: 600;\n            color: #0369a1;\n            margin-bottom: 15px;\n            display: flex;\n            align-items: center;\n            gap: 10px;\n        }\n        \n        .file-upload-info h4 svg {\n            width: 22px;\n            height: 22px;\n            fill: #0369a1;\n        }\n        \n        .file-upload-info ul {\n            list-style: none;\n            padding: 0;\n            margin: 0;\n        }\n        \n        .file-upload-info ul li {\n            font-size: 14px;\n            color: #475569;\n            padding: 8px 0;\n            display: flex;\n            align-items: center;\n            gap: 10px;\n        }\n        \n        .file-upload-info ul li svg {\n            width: 16px;\n            height: 16px;\n            fill: #22c55e;\n            flex-shrink: 0;\n        }\n        \n        .form-footer-section {\n            display: flex;\n            align-items: center;\n            justify-content: space-between;\n            gap: 30px;\n            padding-top: 30px;\n            border-top: 2px solid #f0f0f0;\n            margin-top: 20px;\n        }\n        \n        .submit-btn {\n            padding: 18px 60px;\n            background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);\n            border: none;\n            border-radius: 14px;\n            color: #ffffff;\n            font-size: 18px;\n            font-weight: 700;\n            font-family: 'Cairo', sans-serif;\n            cursor: pointer;\n            transition: all 0.3s ease;\n            box-shadow: 0 10px 40px rgba(102, 126, 234, 0.4);\n            display: flex;\n            align-items: center;\n            justify-content: center;\n            gap: 12px;\n        }\n        \n        .submit-btn:hover {\n            transform: translateY(-3px);\n            box-shadow: 0 15px 50px rgba(102, 126, 234, 0.5);\n        }\n        \n        .submit-btn:active {\n            transform: translateY(-1px);\n        }\n        \n        .submit-btn svg {\n            width: 22px;\n            height: 22px;\n            fill: #ffffff;\n        }\n        \n        .login-link {\n            font-size: 15px;\n            color: #6b7280;\n        }\n        \n        .login-link a {\n            color: #667eea;\n            font-weight: 600;\n            text-decoration: none;\n            transition: color 0.3s ease;\n        }\n        \n        .login-link a:hover {\n            color: #764ba2;\n            text-decoration: underline;\n        }\n        \n        \/* Responsive Styles *\/\n        @media (max-width: 1024px) {\n            .form-grid {\n                grid-template-columns: repeat(2, 1fr);\n            }\n            \n            .form-grid-4 {\n                grid-template-columns: repeat(2, 1fr);\n            }\n            \n            .services-grid {\n                grid-template-columns: repeat(3, 1fr);\n            }\n            \n            .file-upload-section {\n                grid-template-columns: 1fr;\n            }\n        }\n        \n        @media (max-width: 768px) {\n            .agent-registration-wrapper {\n                padding: 20px 15px;\n            }\n            \n            .registration-container {\n                border-radius: 24px;\n            }\n            \n            .registration-header {\n                padding: 30px 25px;\n                flex-direction: column;\n                text-align: center;\n            }\n            \n            .header-icon {\n                width: 70px;\n                height: 70px;\n                border-radius: 18px;\n            }\n            \n            .header-icon svg {\n                width: 35px;\n                height: 35px;\n            }\n            \n            .header-content h2 {\n                font-size: 24px;\n            }\n            \n            .header-content p {\n                font-size: 14px;\n            }\n            \n            .registration-form {\n                padding: 30px 25px;\n            }\n            \n            .form-grid,\n            .form-grid-2,\n            .form-grid-4 {\n                grid-template-columns: 1fr;\n            }\n            \n            .form-group.span-2 {\n                grid-column: span 1;\n            }\n            \n            .services-grid {\n                grid-template-columns: repeat(2, 1fr);\n            }\n            \n            .form-footer-section {\n                flex-direction: column;\n                text-align: center;\n            }\n            \n            .submit-btn {\n                width: 100%;\n                padding: 16px 40px;\n            }\n            \n            .section-title {\n                font-size: 16px;\n            }\n        }\n        \n        @media (max-width: 480px) {\n            .services-grid {\n                grid-template-columns: 1fr;\n            }\n            \n            .service-checkbox label {\n                padding: 14px 16px;\n            }\n            \n            .file-upload {\n                padding: 30px 20px;\n            }\n        }\n    <\/style>\n    \n    <div class=\"agent-registration-wrapper\">\n        <div class=\"registration-bg-shapes\">\n            <span><\/span>\n            <span><\/span>\n            <span><\/span>\n            <span><\/span>\n        <\/div>\n        \n        <div class=\"registration-container\">\n            <div class=\"registration-header\">\n                <div class=\"header-icon\">\n                    <svg viewbox=\"0 0 24 24\"><path d=\"M15 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm-9-2V7H4v3H1v2h3v3h2v-3h3v-2H6zm9 4c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z\"\/><\/svg>\n                <\/div>\n                <div class=\"header-content\">\n                    <h2>\u062a\u0633\u062c\u064a\u0644 \u0645\u0642\u062f\u0645 \u062e\u062f\u0645\u0629 \u062c\u062f\u064a\u062f<\/h2>\n                    <p>\u0627\u0646\u0636\u0645 \u0625\u0644\u0649 \u0641\u0631\u064a\u0642\u0646\u0627 \u0648\u0627\u0628\u062f\u0623 \u0641\u064a \u062a\u0642\u062f\u064a\u0645 \u062e\u062f\u0645\u0627\u062a\u0643 \u0644\u0644\u0639\u0645\u0644\u0627\u0621<\/p>\n                <\/div>\n            <\/div>\n            \n            <form id=\"agent-registration-form\" class=\"registration-form\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\">\n                <input type=\"hidden\" id=\"agent_nonce\" name=\"agent_nonce\" value=\"33f15a818b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/326\" \/>                \n                <!-- Personal Information Section -->\n                <div class=\"form-section\">\n                    <div class=\"section-title\">\n                        <svg viewbox=\"0 0 24 24\"><path d=\"M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z\"\/><\/svg>\n                        \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0634\u062e\u0635\u064a\u0629\n                    <\/div>\n                    \n                    <div class=\"form-grid\">\n                        <div class=\"form-group\">\n                            <label>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0623\u0648\u0644 <span class=\"required\">*<\/span><\/label>\n                            <div class=\"input-wrapper\">\n                                <input type=\"text\" name=\"agent_first_name\" required placeholder=\"\u0623\u062f\u062e\u0644 \u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0623\u0648\u0644\">\n                                <svg viewbox=\"0 0 24 24\"><path d=\"M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z\"\/><\/svg>\n                            <\/div>\n                        <\/div>\n                        \n                        <div class=\"form-group\">\n                            <label>\u0627\u0633\u0645 \u0627\u0644\u0639\u0627\u0626\u0644\u0629 <span class=\"required\">*<\/span><\/label>\n                            <div class=\"input-wrapper\">\n                                <input type=\"text\" name=\"agent_last_name\" required placeholder=\"\u0623\u062f\u062e\u0644 \u0627\u0633\u0645 \u0627\u0644\u0639\u0627\u0626\u0644\u0629\">\n                                <svg viewbox=\"0 0 24 24\"><path d=\"M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z\"\/><\/svg>\n                            <\/div>\n                        <\/div>\n                        \n                        <div class=\"form-group\">\n                            <label>Email <span class=\"required\">*<\/span><\/label>\n                            <div class=\"input-wrapper\">\n                                <input type=\"email\" name=\"user_email\" required placeholder=\"example@email.com\">\n                                <svg viewbox=\"0 0 24 24\"><path d=\"M20 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V6c0-1.1-.9-2-2-2zm0 4l-8 5-8-5V6l8 5 8-5v2z\"\/><\/svg>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"form-grid\" style=\"margin-top: 20px;\">\n                        <div class=\"form-group\">\n                            <label>Phone Number<\/label>\n                            <div class=\"input-wrapper\">\n                                <input type=\"tel\" name=\"agent_phone\" placeholder=\"+966 5xx xxx xxxx\">\n                                <svg viewbox=\"0 0 24 24\"><path d=\"M6.62 10.79c1.44 2.83 3.76 5.14 6.59 6.59l2.2-2.2c.27-.27.67-.36 1.02-.24 1.12.37 2.33.57 3.57.57.55 0 1 .45 1 1V20c0 .55-.45 1-1 1-9.39 0-17-7.61-17-17 0-.55.45-1 1-1h3.5c.55 0 1 .45 1 1 0 1.25.2 2.45.57 3.57.11.35.03.74-.25 1.02l-2.2 2.2z\"\/><\/svg>\n                            <\/div>\n                        <\/div>\n                        \n                        <div class=\"form-group span-2\">\n                            <label>\u0646\u0628\u0630\u0629 \u0639\u0646\u0643<\/label>\n                            <textarea name=\"agent_bio\" rows=\"3\" placeholder=\"\u0627\u0643\u062a\u0628 \u0646\u0628\u0630\u0629 \u0642\u0635\u064a\u0631\u0629 \u0639\u0646 \u062e\u0628\u0631\u0627\u062a\u0643 \u0648\u0645\u0647\u0627\u0631\u0627\u062a\u0643 \u0648\u0645\u0627 \u064a\u0645\u064a\u0632\u0643...\"><\/textarea>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                \n                <!-- Account Information Section -->\n                <div class=\"form-section\">\n                    <div class=\"section-title\">\n                        <svg viewbox=\"0 0 24 24\"><path d=\"M18 8h-1V6c0-2.76-2.24-5-5-5S7 3.24 7 6v2H6c-1.1 0-2 .9-2 2v10c0 1.1.9 2 2 2h12c1.1 0 2-.9 2-2V10c0-1.1-.9-2-2-2zm-6 9c-1.1 0-2-.9-2-2s.9-2 2-2 2 .9 2 2-.9 2-2 2zm3.1-9H8.9V6c0-1.71 1.39-3.1 3.1-3.1 1.71 0 3.1 1.39 3.1 3.1v2z\"\/><\/svg>\n                        \u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062d\u0633\u0627\u0628\n                    <\/div>\n                    \n                    <div class=\"form-grid-2\">\n                        <div class=\"form-group\">\n                            <label>\u0627\u0633\u0645 \u0627\u0644\u0645\u0633\u062a\u062e\u062f\u0645 <span class=\"required\">*<\/span><\/label>\n                            <div class=\"input-wrapper\">\n                                <input type=\"text\" name=\"user_login\" required placeholder=\"\u0627\u062e\u062a\u0631 \u0627\u0633\u0645 \u0645\u0633\u062a\u062e\u062f\u0645 \u0641\u0631\u064a\u062f\">\n                                <svg viewbox=\"0 0 24 24\"><path d=\"M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm0 3c1.66 0 3 1.34 3 3s-1.34 3-3 3-3-1.34-3-3 1.34-3 3-3zm0 14.2c-2.5 0-4.71-1.28-6-3.22.03-1.99 4-3.08 6-3.08 1.99 0 5.97 1.09 6 3.08-1.29 1.94-3.5 3.22-6 3.22z\"\/><\/svg>\n                            <\/div>\n                        <\/div>\n                        \n                        <div class=\"form-group\">\n                            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