I’ll build this as a real advanced WordPress page template, not only HTML: secure form handling, nonce, honeypot, rate-limit, sanitization, contact sections, schema, accessibility, and theme-friendly hooks/classes.
Absolutely friend. Create or replace this file:
rx-theme/templates/template-contact.php
This is an advanced Contact Page Template for RX Theme with secure contact form, nonce, honeypot, simple rate limit, validation, success/error messages, contact cards, opening hours, map section, FAQ section, JSON-LD schema, accessibility, and many RX Theme hooks.
<?php
/**
* Template Name: RX Contact Page
* Template Post Type: page
*
* Advanced Contact Page Template for RX Theme.
*
* Features:
* - Secure contact form
* - WordPress nonce verification
* - Honeypot spam protection
* - Simple transient-based rate limiting
* - Sanitization and validation
* - Email delivery using wp_mail()
* - Success and error notice system
* - Contact information cards
* - Clinic / hospital hours section
* - Emergency notice section
* - Google Map / iframe-safe area
* - FAQ section
* - JSON-LD schema for medical/organization contact page
* - Accessibility-friendly markup
* - Developer hooks and filters
*
* @package RX_Theme
*/
defined( 'ABSPATH' ) || exit;
get_header();
/**
* ------------------------------------------------------------
* RX CONTACT TEMPLATE HELPERS
* ------------------------------------------------------------
*/
if ( ! function_exists( 'rx_contact_get_option' ) ) {
/**
* Get theme mod with fallback.
*
* @param string $key Theme mod key.
* @param mixed $default Default value.
* @return mixed
*/
function rx_contact_get_option( $key, $default = '' ) {
return get_theme_mod( $key, $default );
}
}
if ( ! function_exists( 'rx_contact_clean_phone' ) ) {
/**
* Clean phone number for tel link.
*
* @param string $phone Phone number.
* @return string
*/
function rx_contact_clean_phone( $phone ) {
return preg_replace( '/[^0-9+]/', '', (string) $phone );
}
}
if ( ! function_exists( 'rx_contact_allowed_html' ) ) {
/**
* Allowed HTML for contact template content.
*
* @return array
*/
function rx_contact_allowed_html() {
return array(
'a' => array(
'href' => array(),
'title' => array(),
'target' => array(),
'rel' => array(),
'class' => array(),
),
'br' => array(),
'strong' => array(),
'em' => array(),
'span' => array(
'class' => array(),
),
'p' => array(
'class' => array(),
),
);
}
}
if ( ! function_exists( 'rx_contact_get_client_ip' ) ) {
/**
* Get client IP safely.
*
* This is not perfect because proxies/CDNs may hide IP,
* but it is enough for simple form rate limiting.
*
* @return string
*/
function rx_contact_get_client_ip() {
$ip_keys = array(
'HTTP_CF_CONNECTING_IP',
'HTTP_X_FORWARDED_FOR',
'HTTP_CLIENT_IP',
'REMOTE_ADDR',
);
foreach ( $ip_keys as $key ) {
if ( ! empty( $_SERVER[ $key ] ) ) {
$ip_list = explode( ',', sanitize_text_field( wp_unslash( $_SERVER[ $key ] ) ) );
$ip = trim( $ip_list[0] );
if ( filter_var( $ip, FILTER_VALIDATE_IP ) ) {
return $ip;
}
}
}
return '0.0.0.0';
}
}
if ( ! function_exists( 'rx_contact_get_current_url' ) ) {
/**
* Get current page URL.
*
* @return string
*/
function rx_contact_get_current_url() {
global $wp;
if ( isset( $wp->request ) ) {
return home_url( add_query_arg( array(), $wp->request ) );
}
return get_permalink();
}
}
/**
* ------------------------------------------------------------
* DEFAULT CONTACT DATA
* ------------------------------------------------------------
*/
$rx_contact_defaults = array(
'hero_kicker' => rx_contact_get_option( 'rx_contact_hero_kicker', __( 'Contact RX Health Team', 'rx-theme' ) ),
'hero_title' => rx_contact_get_option( 'rx_contact_hero_title', get_the_title() ),
'hero_description' => rx_contact_get_option(
'rx_contact_hero_description',
__( 'Have a question, appointment request, medical content inquiry, or website support message? Send us a message and our team will respond as soon as possible.', 'rx-theme' )
),
'office_name' => rx_contact_get_option( 'rx_contact_office_name', get_bloginfo( 'name' ) ),
'doctor_name' => rx_contact_get_option( 'rx_contact_doctor_name', __( 'RX Health Team', 'rx-theme' ) ),
'phone' => rx_contact_get_option( 'rx_contact_phone', '+880 0000 000000' ),
'emergency_phone' => rx_contact_get_option( 'rx_contact_emergency_phone', '+880 0000 000000' ),
'email' => rx_contact_get_option( 'rx_contact_email', get_option( 'admin_email' ) ),
'address' => rx_contact_get_option( 'rx_contact_address', __( 'Your hospital / chamber address here', 'rx-theme' ) ),
'city' => rx_contact_get_option( 'rx_contact_city', 'Khalisha' ),
'country' => rx_contact_get_option( 'rx_contact_country', 'Bangladesh' ),
'hospital_hours' => rx_contact_get_option( 'rx_contact_hospital_hours', __( 'Hospital: 9:00 AM – 4:00 PM', 'rx-theme' ) ),
'chamber_hours' => rx_contact_get_option( 'rx_contact_chamber_hours', __( 'Chamber: Around 9:00 PM', 'rx-theme' ) ),
'weekly_off' => rx_contact_get_option( 'rx_contact_weekly_off', __( 'Weekly schedule may change. Please call before visiting.', 'rx-theme' ) ),
'map_embed' => rx_contact_get_option( 'rx_contact_map_embed', '' ),
'map_link' => rx_contact_get_option( 'rx_contact_map_link', '#' ),
'facebook' => rx_contact_get_option( 'rx_contact_facebook', '' ),
'youtube' => rx_contact_get_option( 'rx_contact_youtube', '' ),
'linkedin' => rx_contact_get_option( 'rx_contact_linkedin', '' ),
'x_twitter' => rx_contact_get_option( 'rx_contact_x_twitter', '' ),
'enable_form' => (bool) rx_contact_get_option( 'rx_contact_enable_form', true ),
'enable_map' => (bool) rx_contact_get_option( 'rx_contact_enable_map', true ),
'enable_faq' => (bool) rx_contact_get_option( 'rx_contact_enable_faq', true ),
'enable_schema' => (bool) rx_contact_get_option( 'rx_contact_enable_schema', true ),
'enable_emergency' => (bool) rx_contact_get_option( 'rx_contact_enable_emergency', true ),
);
$rx_contact_data = apply_filters( 'rx_theme_contact_template_data', $rx_contact_defaults );
/**
* ------------------------------------------------------------
* FORM PROCESSING
* ------------------------------------------------------------
*/
$rx_contact_errors = array();
$rx_contact_success = false;
$rx_contact_values = array(
'name' => '',
'email' => '',
'phone' => '',
'subject' => '',
'type' => '',
'message' => '',
'privacy' => '',
);
if (
isset( $_SERVER['REQUEST_METHOD'] )
&& 'POST' === strtoupper( sanitize_text_field( wp_unslash( $_SERVER['REQUEST_METHOD'] ) ) )
&& isset( $_POST['rx_contact_form_submitted'] )
) {
/**
* Nonce verification.
*/
if (
! isset( $_POST['rx_contact_nonce'] )
|| ! wp_verify_nonce( sanitize_text_field( wp_unslash( $_POST['rx_contact_nonce'] ) ), 'rx_contact_form_action' )
) {
$rx_contact_errors[] = __( 'Security check failed. Please refresh the page and try again.', 'rx-theme' );
} else {
/**
* Honeypot check.
* Real users should never fill this hidden field.
*/
$honeypot = isset( $_POST['rx_contact_website'] ) ? sanitize_text_field( wp_unslash( $_POST['rx_contact_website'] ) ) : '';
if ( ! empty( $honeypot ) ) {
$rx_contact_errors[] = __( 'Spam protection triggered. Please try again.', 'rx-theme' );
}
/**
* Simple rate limit.
*/
$client_ip = rx_contact_get_client_ip();
$rate_limit_key = 'rx_contact_rate_' . md5( $client_ip );
$rate_count = (int) get_transient( $rate_limit_key );
$max_attempts = (int) apply_filters( 'rx_theme_contact_rate_limit_max_attempts', 5 );
$lock_time = (int) apply_filters( 'rx_theme_contact_rate_limit_seconds', HOUR_IN_SECONDS );
if ( $rate_count >= $max_attempts ) {
$rx_contact_errors[] = __( 'Too many messages were submitted from your connection. Please try again later.', 'rx-theme' );
}
/**
* Sanitize fields.
*/
$rx_contact_values['name'] = isset( $_POST['rx_contact_name'] ) ? sanitize_text_field( wp_unslash( $_POST['rx_contact_name'] ) ) : '';
$rx_contact_values['email'] = isset( $_POST['rx_contact_email'] ) ? sanitize_email( wp_unslash( $_POST['rx_contact_email'] ) ) : '';
$rx_contact_values['phone'] = isset( $_POST['rx_contact_phone'] ) ? sanitize_text_field( wp_unslash( $_POST['rx_contact_phone'] ) ) : '';
$rx_contact_values['subject'] = isset( $_POST['rx_contact_subject'] ) ? sanitize_text_field( wp_unslash( $_POST['rx_contact_subject'] ) ) : '';
$rx_contact_values['type'] = isset( $_POST['rx_contact_type'] ) ? sanitize_text_field( wp_unslash( $_POST['rx_contact_type'] ) ) : '';
$rx_contact_values['message'] = isset( $_POST['rx_contact_message'] ) ? sanitize_textarea_field( wp_unslash( $_POST['rx_contact_message'] ) ) : '';
$rx_contact_values['privacy'] = isset( $_POST['rx_contact_privacy'] ) ? sanitize_text_field( wp_unslash( $_POST['rx_contact_privacy'] ) ) : '';
/**
* Validation.
*/
if ( empty( $rx_contact_values['name'] ) ) {
$rx_contact_errors[] = __( 'Please enter your name.', 'rx-theme' );
}
if ( strlen( $rx_contact_values['name'] ) > 80 ) {
$rx_contact_errors[] = __( 'Name is too long.', 'rx-theme' );
}
if ( empty( $rx_contact_values['email'] ) || ! is_email( $rx_contact_values['email'] ) ) {
$rx_contact_errors[] = __( 'Please enter a valid email address.', 'rx-theme' );
}
if ( ! empty( $rx_contact_values['phone'] ) && strlen( $rx_contact_values['phone'] ) > 30 ) {
$rx_contact_errors[] = __( 'Phone number is too long.', 'rx-theme' );
}
if ( empty( $rx_contact_values['subject'] ) ) {
$rx_contact_errors[] = __( 'Please enter a subject.', 'rx-theme' );
}
if ( strlen( $rx_contact_values['subject'] ) > 120 ) {
$rx_contact_errors[] = __( 'Subject is too long.', 'rx-theme' );
}
if ( empty( $rx_contact_values['message'] ) ) {
$rx_contact_errors[] = __( 'Please write your message.', 'rx-theme' );
}
if ( strlen( $rx_contact_values['message'] ) < 10 ) {
$rx_contact_errors[] = __( 'Message is too short. Please write a little more detail.', 'rx-theme' );
}
if ( strlen( $rx_contact_values['message'] ) > 3000 ) {
$rx_contact_errors[] = __( 'Message is too long. Please keep it under 3000 characters.', 'rx-theme' );
}
if ( 'yes' !== $rx_contact_values['privacy'] ) {
$rx_contact_errors[] = __( 'Please agree to the privacy notice before sending your message.', 'rx-theme' );
}
/**
* Send email if valid.
*/
if ( empty( $rx_contact_errors ) ) {
$to = apply_filters(
'rx_theme_contact_recipient_email',
! empty( $rx_contact_data['email'] ) ? $rx_contact_data['email'] : get_option( 'admin_email' )
);
$email_subject = sprintf(
/* translators: %s: Contact form subject. */
__( '[Contact Form] %s', 'rx-theme' ),
$rx_contact_values['subject']
);
$email_subject = apply_filters( 'rx_theme_contact_email_subject', $email_subject, $rx_contact_values );
$email_body = "New contact message from RX Theme contact page\n\n";
$email_body .= "Name: " . $rx_contact_values['name'] . "\n";
$email_body .= "Email: " . $rx_contact_values['email'] . "\n";
$email_body .= "Phone: " . $rx_contact_values['phone'] . "\n";
$email_body .= "Message Type: " . $rx_contact_values['type'] . "\n";
$email_body .= "Subject: " . $rx_contact_values['subject'] . "\n\n";
$email_body .= "Message:\n" . $rx_contact_values['message'] . "\n\n";
$email_body .= "Page: " . rx_contact_get_current_url() . "\n";
$email_body .= "IP: " . $client_ip . "\n";
$email_body .= "Time: " . current_time( 'mysql' ) . "\n";
$email_body = apply_filters( 'rx_theme_contact_email_body', $email_body, $rx_contact_values );
$headers = array(
'Content-Type: text/plain; charset=UTF-8',
'Reply-To: ' . $rx_contact_values['name'] . ' <' . $rx_contact_values['email'] . '>',
);
$headers = apply_filters( 'rx_theme_contact_email_headers', $headers, $rx_contact_values );
$mail_sent = wp_mail( $to, $email_subject, $email_body, $headers );
if ( $mail_sent ) {
$rx_contact_success = true;
$rx_contact_values = array(
'name' => '',
'email' => '',
'phone' => '',
'subject' => '',
'type' => '',
'message' => '',
'privacy' => '',
);
set_transient( $rate_limit_key, $rate_count + 1, $lock_time );
do_action( 'rx_theme_contact_form_sent', $to, $email_subject, $email_body );
} else {
$rx_contact_errors[] = __( 'Message could not be sent. Please try again or contact us directly by phone/email.', 'rx-theme' );
}
} else {
set_transient( $rate_limit_key, $rate_count + 1, $lock_time );
}
}
}
/**
* ------------------------------------------------------------
* SCHEMA DATA
* ------------------------------------------------------------
*/
if ( ! function_exists( 'rx_contact_output_schema' ) ) {
/**
* Output JSON-LD schema.
*
* @param array $data Contact data.
* @return void
*/
function rx_contact_output_schema( $data ) {
$schema = array(
'@context' => 'https://schema.org',
'@type' => 'MedicalOrganization',
'name' => isset( $data['office_name'] ) ? wp_strip_all_tags( $data['office_name'] ) : get_bloginfo( 'name' ),
'url' => home_url( '/' ),
'email' => isset( $data['email'] ) ? sanitize_email( $data['email'] ) : '',
'telephone' => isset( $data['phone'] ) ? sanitize_text_field( $data['phone'] ) : '',
'description' => get_bloginfo( 'description' ),
'address' => array(
'@type' => 'PostalAddress',
'streetAddress' => isset( $data['address'] ) ? wp_strip_all_tags( $data['address'] ) : '',
'addressLocality' => isset( $data['city'] ) ? wp_strip_all_tags( $data['city'] ) : '',
'addressCountry' => isset( $data['country'] ) ? wp_strip_all_tags( $data['country'] ) : '',
),
'contactPoint' => array(
array(
'@type' => 'ContactPoint',
'telephone' => isset( $data['phone'] ) ? sanitize_text_field( $data['phone'] ) : '',
'contactType' => 'customer support',
'areaServed' => isset( $data['country'] ) ? wp_strip_all_tags( $data['country'] ) : '',
'availableLanguage' => array( 'English', 'Bangla' ),
),
),
);
$schema = apply_filters( 'rx_theme_contact_schema', $schema, $data );
echo '<script type="application/ld+json">' . wp_json_encode( $schema, JSON_UNESCAPED_SLASHES | JSON_UNESCAPED_UNICODE ) . '</script>' . "\n";
}
}
if ( ! empty( $rx_contact_data['enable_schema'] ) ) {
rx_contact_output_schema( $rx_contact_data );
}
?>
<main id="primary" class="rx-site-main rx-contact-template" role="main">
<?php do_action( 'rx_theme_before_contact_template' ); ?>
<section class="rx-contact-hero" aria-labelledby="rx-contact-title">
<div class="rx-container">
<div class="rx-contact-hero__inner">
<?php if ( ! empty( $rx_contact_data['hero_kicker'] ) ) : ?>
<p class="rx-contact-hero__kicker">
<?php echo esc_html( $rx_contact_data['hero_kicker'] ); ?>
</p>
<?php endif; ?>
<h1 id="rx-contact-title" class="rx-contact-hero__title">
<?php echo esc_html( $rx_contact_data['hero_title'] ); ?>
</h1>
<?php if ( ! empty( $rx_contact_data['hero_description'] ) ) : ?>
<div class="rx-contact-hero__description">
<?php echo wp_kses( wpautop( $rx_contact_data['hero_description'] ), rx_contact_allowed_html() ); ?>
</div>
<?php endif; ?>
<div class="rx-contact-hero__actions">
<?php if ( ! empty( $rx_contact_data['phone'] ) ) : ?>
<a class="rx-btn rx-btn--primary" href="tel:<?php echo esc_attr( rx_contact_clean_phone( $rx_contact_data['phone'] ) ); ?>">
<?php esc_html_e( 'Call Now', 'rx-theme' ); ?>
</a>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['email'] ) ) : ?>
<a class="rx-btn rx-btn--outline" href="mailto:<?php echo esc_attr( antispambot( $rx_contact_data['email'] ) ); ?>">
<?php esc_html_e( 'Email Us', 'rx-theme' ); ?>
</a>
<?php endif; ?>
</div>
</div>
</div>
</section>
<?php if ( ! empty( $rx_contact_data['enable_emergency'] ) ) : ?>
<section class="rx-contact-alert" aria-label="<?php esc_attr_e( 'Emergency notice', 'rx-theme' ); ?>">
<div class="rx-container">
<div class="rx-contact-alert__box">
<strong><?php esc_html_e( 'Emergency Notice:', 'rx-theme' ); ?></strong>
<span>
<?php esc_html_e( 'If you have severe symptoms or a medical emergency, do not wait for an online reply. Call emergency medical services or visit the nearest hospital immediately.', 'rx-theme' ); ?>
</span>
<?php if ( ! empty( $rx_contact_data['emergency_phone'] ) ) : ?>
<a href="tel:<?php echo esc_attr( rx_contact_clean_phone( $rx_contact_data['emergency_phone'] ) ); ?>">
<?php echo esc_html( $rx_contact_data['emergency_phone'] ); ?>
</a>
<?php endif; ?>
</div>
</div>
</section>
<?php endif; ?>
<section class="rx-contact-main-section">
<div class="rx-container">
<div class="rx-contact-grid">
<aside class="rx-contact-sidebar" aria-label="<?php esc_attr_e( 'Contact information', 'rx-theme' ); ?>">
<div class="rx-contact-card">
<h2 class="rx-contact-card__title">
<?php esc_html_e( 'Contact Information', 'rx-theme' ); ?>
</h2>
<ul class="rx-contact-list">
<?php if ( ! empty( $rx_contact_data['office_name'] ) ) : ?>
<li class="rx-contact-list__item">
<span class="rx-contact-list__icon" aria-hidden="true">🏥</span>
<span class="rx-contact-list__content">
<strong><?php esc_html_e( 'Office', 'rx-theme' ); ?></strong>
<span><?php echo esc_html( $rx_contact_data['office_name'] ); ?></span>
</span>
</li>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['doctor_name'] ) ) : ?>
<li class="rx-contact-list__item">
<span class="rx-contact-list__icon" aria-hidden="true">👨⚕️</span>
<span class="rx-contact-list__content">
<strong><?php esc_html_e( 'Doctor / Team', 'rx-theme' ); ?></strong>
<span><?php echo esc_html( $rx_contact_data['doctor_name'] ); ?></span>
</span>
</li>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['phone'] ) ) : ?>
<li class="rx-contact-list__item">
<span class="rx-contact-list__icon" aria-hidden="true">📞</span>
<span class="rx-contact-list__content">
<strong><?php esc_html_e( 'Phone', 'rx-theme' ); ?></strong>
<a href="tel:<?php echo esc_attr( rx_contact_clean_phone( $rx_contact_data['phone'] ) ); ?>">
<?php echo esc_html( $rx_contact_data['phone'] ); ?>
</a>
</span>
</li>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['email'] ) ) : ?>
<li class="rx-contact-list__item">
<span class="rx-contact-list__icon" aria-hidden="true">✉️</span>
<span class="rx-contact-list__content">
<strong><?php esc_html_e( 'Email', 'rx-theme' ); ?></strong>
<a href="mailto:<?php echo esc_attr( antispambot( $rx_contact_data['email'] ) ); ?>">
<?php echo esc_html( antispambot( $rx_contact_data['email'] ) ); ?>
</a>
</span>
</li>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['address'] ) ) : ?>
<li class="rx-contact-list__item">
<span class="rx-contact-list__icon" aria-hidden="true">📍</span>
<span class="rx-contact-list__content">
<strong><?php esc_html_e( 'Address', 'rx-theme' ); ?></strong>
<span><?php echo esc_html( $rx_contact_data['address'] ); ?></span>
</span>
</li>
<?php endif; ?>
</ul>
</div>
<div class="rx-contact-card">
<h2 class="rx-contact-card__title">
<?php esc_html_e( 'Opening Hours', 'rx-theme' ); ?>
</h2>
<div class="rx-contact-hours">
<?php if ( ! empty( $rx_contact_data['hospital_hours'] ) ) : ?>
<p>
<strong><?php esc_html_e( 'Hospital:', 'rx-theme' ); ?></strong>
<?php echo esc_html( $rx_contact_data['hospital_hours'] ); ?>
</p>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['chamber_hours'] ) ) : ?>
<p>
<strong><?php esc_html_e( 'Chamber:', 'rx-theme' ); ?></strong>
<?php echo esc_html( $rx_contact_data['chamber_hours'] ); ?>
</p>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['weekly_off'] ) ) : ?>
<p class="rx-contact-hours__note">
<?php echo esc_html( $rx_contact_data['weekly_off'] ); ?>
</p>
<?php endif; ?>
</div>
</div>
<?php
$social_links = array(
'facebook' => array(
'label' => __( 'Facebook', 'rx-theme' ),
'url' => $rx_contact_data['facebook'],
),
'youtube' => array(
'label' => __( 'YouTube', 'rx-theme' ),
'url' => $rx_contact_data['youtube'],
),
'linkedin' => array(
'label' => __( 'LinkedIn', 'rx-theme' ),
'url' => $rx_contact_data['linkedin'],
),
'x_twitter' => array(
'label' => __( 'X / Twitter', 'rx-theme' ),
'url' => $rx_contact_data['x_twitter'],
),
);
$social_links = apply_filters( 'rx_theme_contact_social_links', $social_links );
$has_social = false;
foreach ( $social_links as $social ) {
if ( ! empty( $social['url'] ) ) {
$has_social = true;
break;
}
}
?>
<?php if ( $has_social ) : ?>
<div class="rx-contact-card">
<h2 class="rx-contact-card__title">
<?php esc_html_e( 'Follow Us', 'rx-theme' ); ?>
</h2>
<ul class="rx-contact-social">
<?php foreach ( $social_links as $social ) : ?>
<?php if ( ! empty( $social['url'] ) ) : ?>
<li>
<a href="<?php echo esc_url( $social['url'] ); ?>" target="_blank" rel="noopener noreferrer">
<?php echo esc_html( $social['label'] ); ?>
</a>
</li>
<?php endif; ?>
<?php endforeach; ?>
</ul>
</div>
<?php endif; ?>
<?php do_action( 'rx_theme_contact_sidebar_after', $rx_contact_data ); ?>
</aside>
<div class="rx-contact-content">
<?php if ( have_posts() ) : ?>
<?php
while ( have_posts() ) :
the_post();
?>
<?php if ( trim( get_the_content() ) ) : ?>
<article id="post-<?php the_ID(); ?>" <?php post_class( 'rx-contact-page-content' ); ?>>
<div class="rx-entry-content">
<?php
the_content();
wp_link_pages(
array(
'before' => '<div class="rx-page-links">' . esc_html__( 'Pages:', 'rx-theme' ),
'after' => '</div>',
)
);
?>
</div>
</article>
<?php endif; ?>
<?php endwhile; ?>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['enable_form'] ) ) : ?>
<section class="rx-contact-form-section" aria-labelledby="rx-contact-form-title">
<div class="rx-section-heading">
<p class="rx-section-heading__kicker">
<?php esc_html_e( 'Send Message', 'rx-theme' ); ?>
</p>
<h2 id="rx-contact-form-title" class="rx-section-heading__title">
<?php esc_html_e( 'Write to Us', 'rx-theme' ); ?>
</h2>
<p class="rx-section-heading__description">
<?php esc_html_e( 'Please fill out the form below. For urgent medical conditions, call directly or visit a hospital.', 'rx-theme' ); ?>
</p>
</div>
<?php if ( $rx_contact_success ) : ?>
<div class="rx-notice rx-notice--success" role="status" aria-live="polite">
<strong><?php esc_html_e( 'Message sent successfully.', 'rx-theme' ); ?></strong>
<span><?php esc_html_e( 'Thank you for contacting us. We will reply as soon as possible.', 'rx-theme' ); ?></span>
</div>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_errors ) ) : ?>
<div class="rx-notice rx-notice--error" role="alert" aria-live="assertive">
<strong><?php esc_html_e( 'Please fix the following:', 'rx-theme' ); ?></strong>
<ul>
<?php foreach ( $rx_contact_errors as $error ) : ?>
<li><?php echo esc_html( $error ); ?></li>
<?php endforeach; ?>
</ul>
</div>
<?php endif; ?>
<form class="rx-contact-form" method="post" action="<?php echo esc_url( get_permalink() ); ?>#rx-contact-form-title" novalidate>
<?php wp_nonce_field( 'rx_contact_form_action', 'rx_contact_nonce' ); ?>
<input type="hidden" name="rx_contact_form_submitted" value="1">
<div class="rx-form-honeypot" aria-hidden="true">
<label for="rx-contact-website">
<?php esc_html_e( 'Website', 'rx-theme' ); ?>
</label>
<input
type="text"
id="rx-contact-website"
name="rx_contact_website"
value=""
tabindex="-1"
autocomplete="off"
>
</div>
<div class="rx-form-grid">
<div class="rx-form-field">
<label for="rx-contact-name">
<?php esc_html_e( 'Full Name', 'rx-theme' ); ?>
<span aria-hidden="true">*</span>
</label>
<input
type="text"
id="rx-contact-name"
name="rx_contact_name"
value="<?php echo esc_attr( $rx_contact_values['name'] ); ?>"
placeholder="<?php esc_attr_e( 'Enter your full name', 'rx-theme' ); ?>"
required
autocomplete="name"
>
</div>
<div class="rx-form-field">
<label for="rx-contact-email">
<?php esc_html_e( 'Email Address', 'rx-theme' ); ?>
<span aria-hidden="true">*</span>
</label>
<input
type="email"
id="rx-contact-email"
name="rx_contact_email"
value="<?php echo esc_attr( $rx_contact_values['email'] ); ?>"
placeholder="<?php esc_attr_e( 'example@email.com', 'rx-theme' ); ?>"
required
autocomplete="email"
>
</div>
<div class="rx-form-field">
<label for="rx-contact-phone">
<?php esc_html_e( 'Phone Number', 'rx-theme' ); ?>
</label>
<input
type="tel"
id="rx-contact-phone"
name="rx_contact_phone"
value="<?php echo esc_attr( $rx_contact_values['phone'] ); ?>"
placeholder="<?php esc_attr_e( '+880...', 'rx-theme' ); ?>"
autocomplete="tel"
>
</div>
<div class="rx-form-field">
<label for="rx-contact-type">
<?php esc_html_e( 'Message Type', 'rx-theme' ); ?>
</label>
<select id="rx-contact-type" name="rx_contact_type">
<option value="">
<?php esc_html_e( 'Select message type', 'rx-theme' ); ?>
</option>
<option value="appointment" <?php selected( $rx_contact_values['type'], 'appointment' ); ?>>
<?php esc_html_e( 'Appointment Request', 'rx-theme' ); ?>
</option>
<option value="medical-question" <?php selected( $rx_contact_values['type'], 'medical-question' ); ?>>
<?php esc_html_e( 'Medical Question', 'rx-theme' ); ?>
</option>
<option value="website-support" <?php selected( $rx_contact_values['type'], 'website-support' ); ?>>
<?php esc_html_e( 'Website Support', 'rx-theme' ); ?>
</option>
<option value="article-correction" <?php selected( $rx_contact_values['type'], 'article-correction' ); ?>>
<?php esc_html_e( 'Article Correction', 'rx-theme' ); ?>
</option>
<option value="partnership" <?php selected( $rx_contact_values['type'], 'partnership' ); ?>>
<?php esc_html_e( 'Partnership / Collaboration', 'rx-theme' ); ?>
</option>
<option value="other" <?php selected( $rx_contact_values['type'], 'other' ); ?>>
<?php esc_html_e( 'Other', 'rx-theme' ); ?>
</option>
</select>
</div>
</div>
<div class="rx-form-field">
<label for="rx-contact-subject">
<?php esc_html_e( 'Subject', 'rx-theme' ); ?>
<span aria-hidden="true">*</span>
</label>
<input
type="text"
id="rx-contact-subject"
name="rx_contact_subject"
value="<?php echo esc_attr( $rx_contact_values['subject'] ); ?>"
placeholder="<?php esc_attr_e( 'Write a short subject', 'rx-theme' ); ?>"
required
>
</div>
<div class="rx-form-field">
<label for="rx-contact-message">
<?php esc_html_e( 'Message', 'rx-theme' ); ?>
<span aria-hidden="true">*</span>
</label>
<textarea
id="rx-contact-message"
name="rx_contact_message"
rows="8"
placeholder="<?php esc_attr_e( 'Write your message with useful details...', 'rx-theme' ); ?>"
required
><?php echo esc_textarea( $rx_contact_values['message'] ); ?></textarea>
<p class="rx-form-help">
<?php esc_html_e( 'Please do not send highly sensitive personal medical data through this general contact form.', 'rx-theme' ); ?>
</p>
</div>
<div class="rx-form-field rx-form-field--checkbox">
<label>
<input
type="checkbox"
name="rx_contact_privacy"
value="yes"
<?php checked( $rx_contact_values['privacy'], 'yes' ); ?>
required
>
<span>
<?php esc_html_e( 'I understand this form is for general communication and not for emergency medical care.', 'rx-theme' ); ?>
</span>
</label>
</div>
<div class="rx-form-actions">
<button type="submit" class="rx-btn rx-btn--primary rx-contact-submit">
<?php esc_html_e( 'Send Message', 'rx-theme' ); ?>
</button>
</div>
</form>
</section>
<?php endif; ?>
</div>
</div>
</div>
</section>
<?php if ( ! empty( $rx_contact_data['enable_map'] ) ) : ?>
<section class="rx-contact-map-section" aria-labelledby="rx-contact-map-title">
<div class="rx-container">
<div class="rx-section-heading rx-section-heading--center">
<p class="rx-section-heading__kicker">
<?php esc_html_e( 'Location', 'rx-theme' ); ?>
</p>
<h2 id="rx-contact-map-title" class="rx-section-heading__title">
<?php esc_html_e( 'Find Us on Map', 'rx-theme' ); ?>
</h2>
<p class="rx-section-heading__description">
<?php echo esc_html( $rx_contact_data['address'] ); ?>
</p>
</div>
<div class="rx-contact-map">
<?php if ( ! empty( $rx_contact_data['map_embed'] ) ) : ?>
<div class="rx-contact-map__embed">
<?php
echo wp_kses(
$rx_contact_data['map_embed'],
array(
'iframe' => array(
'src' => array(),
'width' => array(),
'height' => array(),
'style' => array(),
'allowfullscreen' => array(),
'loading' => array(),
'referrerpolicy' => array(),
'title' => array(),
),
)
);
?>
</div>
<?php else : ?>
<div class="rx-contact-map__placeholder">
<p><?php esc_html_e( 'Map embed code is not added yet.', 'rx-theme' ); ?></p>
<?php if ( ! empty( $rx_contact_data['map_link'] ) && '#' !== $rx_contact_data['map_link'] ) : ?>
<a class="rx-btn rx-btn--outline" href="<?php echo esc_url( $rx_contact_data['map_link'] ); ?>" target="_blank" rel="noopener noreferrer">
<?php esc_html_e( 'Open Map', 'rx-theme' ); ?>
</a>
<?php endif; ?>
</div>
<?php endif; ?>
</div>
</div>
</section>
<?php endif; ?>
<?php if ( ! empty( $rx_contact_data['enable_faq'] ) ) : ?>
<?php
$rx_contact_faqs = apply_filters(
'rx_theme_contact_faqs',
array(
array(
'question' => __( 'Can I book an appointment through this contact form?', 'rx-theme' ),
'answer' => __( 'Yes, you can send an appointment request through the form. Please include your name, phone number, preferred time, and short reason for visit. Appointment confirmation may require phone communication.', 'rx-theme' ),
),
array(
'question' => __( 'Can I send emergency medical questions here?', 'rx-theme' ),
'answer' => __( 'No. This contact form is not suitable for emergencies. If symptoms are severe, sudden, or dangerous, please visit the nearest emergency department or call emergency medical services immediately.', 'rx-theme' ),
),
array(
'question' => __( 'How soon will I receive a reply?', 'rx-theme' ),
'answer' => __( 'Reply time depends on workload, hospital hours, chamber schedule, and message priority. For faster communication, please call the listed phone number.', 'rx-theme' ),
),
array(
'question' => __( 'Can I report a mistake in a medical article?', 'rx-theme' ),
'answer' => __( 'Yes. Please select Article Correction as message type and share the article URL, the incorrect sentence, and the corrected evidence-based information if available.', 'rx-theme' ),
),
)
);
?>
<section class="rx-contact-faq-section" aria-labelledby="rx-contact-faq-title">
<div class="rx-container">
<div class="rx-section-heading rx-section-heading--center">
<p class="rx-section-heading__kicker">
<?php esc_html_e( 'Questions', 'rx-theme' ); ?>
</p>
<h2 id="rx-contact-faq-title" class="rx-section-heading__title">
<?php esc_html_e( 'Contact FAQs', 'rx-theme' ); ?>
</h2>
</div>
<div class="rx-contact-faq">
<?php foreach ( $rx_contact_faqs as $index => $faq ) : ?>
<details class="rx-contact-faq__item" <?php echo 0 === (int) $index ? 'open' : ''; ?>>
<summary class="rx-contact-faq__question">
<?php echo esc_html( $faq['question'] ); ?>
</summary>
<div class="rx-contact-faq__answer">
<?php echo wp_kses( wpautop( $faq['answer'] ), rx_contact_allowed_html() ); ?>
</div>
</details>
<?php endforeach; ?>
</div>
</div>
</section>
<?php endif; ?>
<?php do_action( 'rx_theme_after_contact_template', $rx_contact_data ); ?>
</main>
<?php
get_footer();For best result, add this page template from WordPress admin:
Pages → Add New/Edit Contact Page → Template → RX Contact Page → Update
Then later you can control the values through Customizer using theme mods like:
rx_contact_phone
rx_contact_email
rx_contact_address
rx_contact_hospital_hours
rx_contact_chamber_hours
rx_contact_map_embed
rx_contact_facebook
rx_contact_youtube
rx_contact_linkedinThis template is already advanced enough to work now, and later you can connect it with your RX Theme Customizer, REST API, SMTP plugin, admin settings page, or Gutenberg blocks.