{"id":1138,"date":"2026-05-18T13:13:52","date_gmt":"2026-05-18T13:13:52","guid":{"rendered":"https:\/\/qlogicllc.com\/poncatribe\/?page_id=1138"},"modified":"2026-09-07T09:44:10","modified_gmt":"2026-09-07T09:44:10","slug":"forms","status":"publish","type":"page","link":"https:\/\/qlogicllc.com\/poncatribe\/purchased-referred-care\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"<section style=\"--hero-bg:#0D0F0E;--hero-bg-solid:#0D0F0E;--hero-min-h:580px;--hero-pad-top:0px;--hero-pad-bottom:0px;--hero-pad-x:0px;--hero-max:1504px;--hero-gap:20px;--hero-justify:flex-end;--hero-align:center;--hero-align-items:center;--hero-text-align:center;--hero-eye-gap:14px;--hero-eye-to-title:40px;--hero-title-gap:0.4em;--hero-desc-top:24px;--hero-desc-max:720px;--hero-desc-link:#DEB209;--hero-btns-gap:16px;--hero-btns-top:40px;--hero-bg-size:cover;--hero-bg-pos:center center\" class=\"ponca-hero sec_padding alignfull wp-block-ponca-page-hero\">\n\t\t\t<div class=\"ponca-hero__bg\" style=\"--hero-bg-image:url('https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/05\/health-services.jpg');\"><\/div>\n\t\t\t\t\t<div class=\"ponca-hero__overlay\"><\/div>\n\t\t\t\n\t<div class=\"container ponca-hero__container\">\n\n\t\t\t\t\t<nav class=\"ponca-hero__eyebrow\" aria-label=\"Breadcrumb\" style=\"--hero-eye-font-family:&#039;DM Sans&#039;, &#039;Helvetica Neue&#039;, sans-serif;--hero-eye-font-size:13px;--hero-eye-line-height:22px;--hero-eye-font-style:normal;--hero-eye-font-weight:600;--hero-eye-letter-spacing:3px;--hero-eye-text-transform:uppercase;\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-hero__crumb\" href=\"https:\/\/qlogicllc.com\/poncatribe\"\n\t\t\t\t\t\t   target=\"_self\"\t\t\t\t\t\t   \t\t\t\t\t\t   style=\"--hero-crumb-color:#6e6b6d;\">Home<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-hero__eyebrow-sep\" aria-hidden=\"true\" style=\"--hero-sep-color:#A7A7A7;\">\u2022<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-hero__crumb\" href=\"https:\/\/qlogicllc.com\/poncatribe\/health-services\/\"\n\t\t\t\t\t\t   target=\"_self\"\t\t\t\t\t\t   \t\t\t\t\t\t   style=\"--hero-crumb-color:#A7A7A7;\">Health Services<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-hero__eyebrow-sep\" aria-hidden=\"true\" style=\"--hero-sep-color:#A7A7A7;\">\u2022<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-hero__crumb ponca-hero__crumb--plain\" style=\"--hero-crumb-color:#a78607;\">Purchased \/ Referred Care<\/span>\n\t\t\t\t\t\t\t\t<\/nav>\n\t\t\n\t\t\t\t\t<h1 class=\"ponca-hero__title ponca-hero__title--inline\" style=\"--hero-title-font-family:&#039;Cormorant Garamond&#039;, Georgia, serif;--hero-title-font-size:clamp(3rem, 1.5rem + 4vw, 96px);--hero-title-line-height:clamp(60px, 7vw, 106px);--hero-title-letter-spacing:-0.02em;\">\n\t\t\t\t\t\t\t\t\t<span class=\"ponca-hero__title-line1\" style=\"--hero-title-line1-color:#FDFDFD;--hero-title-line1-font-style:normal;--hero-title-line1-font-weight:400;\">Forms<\/span>\t\t\t\t\t\t\t<\/h1>\n\t\t\n\t\t\n\t\t\n\t<\/div>\n<\/section>\n\n\n<style id=\"ponca-nav-strip-submenu-css\">.ponca-nav-strip__item-wrap{position:relative;flex:1;display:flex;align-items:stretch;height:var(--ponca-ns-height,61px);}.ponca-nav-strip__item-wrap > .ponca-nav-strip__item{flex:1 1 auto;width:100%;}.ponca-nav-strip__item-wrap > .ponca-nav-strip__item .ponca-nav-strip__caret{display:inline-block;margin-left:6px;font-size:.7em;line-height:1;transform:translateY(1px);opacity:.8;transition:transform .15s ease;}.ponca-nav-strip__item-wrap:hover > .ponca-nav-strip__item .ponca-nav-strip__caret,.ponca-nav-strip__item-wrap:focus-within > .ponca-nav-strip__item .ponca-nav-strip__caret{transform:translateY(1px) rotate(180deg);}.ponca-nav-strip__submenu{position:absolute;top:100%;left:0;min-width:100%;margin:0;padding:6px 0;list-style:none;background-color:var(--ponca-ns-bg,#FFF8F6);border:1px solid rgba(0,0,0,.06);box-shadow:0 8px 20px -8px rgba(0,0,0,.18);opacity:0;visibility:hidden;transform:translateY(4px);transition:opacity .15s ease, transform .15s ease, visibility .15s ease;z-index:50;}.ponca-nav-strip__item-wrap:hover > .ponca-nav-strip__submenu,.ponca-nav-strip__item-wrap:focus-within > .ponca-nav-strip__submenu{opacity:1;visibility:visible;transform:translateY(0);}span.ponca-nav-strip__item{cursor:default;}.ponca-nav-strip__item-wrap > span.ponca-nav-strip__item{cursor:default;}.ponca-nav-strip__sub.has-children{position:relative;}.ponca-nav-strip__sub > .ponca-nav-strip__submenu{top:0;left:100%;margin-left:-1px;}.ponca-nav-strip__sub:hover > .ponca-nav-strip__submenu,.ponca-nav-strip__sub:focus-within > .ponca-nav-strip__submenu{opacity:1;visibility:visible;transform:translateY(0);}.ponca-nav-strip__sub-item{display:flex;align-items:center;justify-content:flex-start;width:100%;white-space:nowrap;text-decoration:none;padding:var(--ponca-ns-padding,10px 20px);color:var(--ponca-ns-color,#540E02);background-color:transparent;font-family:var(--ponca-ns-font-family);font-size:var(--ponca-ns-font-size,15px);line-height:var(--ponca-ns-line-height,25px);font-weight:var(--ponca-ns-font-weight,400);font-style:var(--ponca-ns-font-style,normal);letter-spacing:var(--ponca-ns-letter-spacing,0.01em);text-transform:var(--ponca-ns-text-transform,uppercase);transition:background-color .15s ease, color .15s ease;}.ponca-nav-strip__sub-item:hover,.ponca-nav-strip__sub-item:focus-visible{background-color:var(--ponca-ns-bg-hover,#F5E5E1);color:var(--ponca-ns-color-hover,#691103);}.ponca-nav-strip__sub-item.is-active{background-color:var(--ponca-ns-active-bg,#691103);color:var(--ponca-ns-active-color,#EEDCD9);}.ponca-nav-strip__sub-item.is-active:hover{background-color:var(--ponca-ns-active-bg-hover,#540E02);color:var(--ponca-ns-active-color-hover,#FFF8F6);}@media (max-width:1025px){.ponca-nav-strip__container{display:none !important;}.ponca-nav-strip__mobile{display:block;}}@media (min-width:1025px){.ponca-nav-strip__mobile{display:none;}}.ponca-nav-strip__mobile{position:relative;width:100%;}.ponca-nav-strip__mobile-trigger{display:flex;align-items:center;justify-content:space-between;gap:12px;width:100%;border:0;cursor:pointer;text-align:left;padding:var(--ponca-ns-padding,10px 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rgba(0,0,0,.08);box-shadow:0 12px 24px -8px rgba(0,0,0,.22);max-height:70vh;overflow-y:auto;opacity:0;visibility:hidden;transform:translateY(4px);transition:opacity .15s ease, transform .15s ease, visibility .15s ease;z-index:60;}.ponca-nav-strip__mobile[data-open=\"true\"] .ponca-nav-strip__mobile-list{opacity:1;visibility:visible;transform:translateY(0);}.ponca-nav-strip__mobile-item{display:flex;align-items:center;width:100%;text-decoration:none;padding:var(--ponca-ns-padding,10px 20px);background-color:transparent;color:var(--ponca-ns-color,#540E02);font-family:var(--ponca-ns-font-family);font-size:var(--ponca-ns-font-size,15px);line-height:var(--ponca-ns-line-height,25px);font-weight:var(--ponca-ns-font-weight,400);font-style:var(--ponca-ns-font-style,normal);letter-spacing:var(--ponca-ns-letter-spacing,0.01em);text-transform:var(--ponca-ns-text-transform,uppercase);border-top:1px solid rgba(0,0,0,.05);transition:background-color .15s ease, color .15s ease;}.ponca-nav-strip__mobile-list > li:first-child > .ponca-nav-strip__mobile-item,.ponca-nav-strip__mobile-list > li:first-child > .ponca-nav-strip__mobile-row{border-top:0;}.ponca-nav-strip__mobile-item:hover,.ponca-nav-strip__mobile-item:focus-visible{background-color:var(--ponca-ns-bg-hover,#F5E5E1);color:var(--ponca-ns-color-hover,#691103);}.ponca-nav-strip__mobile-item.is-active{background-color:var(--ponca-ns-active-bg,#691103);color:var(--ponca-ns-active-color,#EEDCD9);}.ponca-nav-strip__mobile-row{display:flex;align-items:stretch;width:100%;cursor:pointer;border-top:1px solid rgba(0,0,0,.05);transition:background-color .15s ease, color .15s ease;}.ponca-nav-strip__mobile-row > .ponca-nav-strip__mobile-item{flex:1 1 auto;border-top:0;pointer-events:none;}.ponca-nav-strip__mobile-row:hover,.ponca-nav-strip__mobile-row:focus-within{background-color:var(--ponca-ns-bg-hover,#F5E5E1);color:var(--ponca-ns-color-hover,#691103);}.ponca-nav-strip__mobile-row:hover > .ponca-nav-strip__mobile-item{color:var(--ponca-ns-color-hover,#691103);}.ponca-nav-strip__mobile-toggle{flex:0 0 auto;display:flex;align-items:center;justify-content:center;width:52px;border:0;cursor:pointer;pointer-events:none;background-color:transparent;color:inherit;}.ponca-nav-strip__mobile-toggle-icon{font-size:.7em;line-height:1;transition:transform .2s ease;}li[data-expanded=\"true\"] > .ponca-nav-strip__mobile-row .ponca-nav-strip__mobile-toggle-icon{transform:rotate(180deg);}.ponca-nav-strip__mobile-sub{list-style:none;margin:0;padding:0;overflow:hidden;max-height:0;transition:max-height .25s ease;background-color:rgba(0,0,0,.02);}li[data-expanded=\"true\"] > .ponca-nav-strip__mobile-sub{max-height:1500px;}.ponca-nav-strip__mobile-item[data-depth=\"1\"]{padding-left:calc(var(--ponca-ns-padding-x,20px) + 18px);}.ponca-nav-strip__mobile-item[data-depth=\"2\"]{padding-left:calc(var(--ponca-ns-padding-x,20px) + 36px);}.ponca-nav-strip__mobile-item[data-depth=\"3\"]{padding-left:calc(var(--ponca-ns-padding-x,20px) + 54px);}<\/style><section style=\"--ponca-ns-strip-bg:#FFF8F6;--ponca-ns-strip-min-height:61px;--ponca-ns-bg:#FFF8F6;--ponca-ns-color:#540E02;--ponca-ns-bg-hover:#F5E5E1;--ponca-ns-color-hover:#691103;--ponca-ns-active-bg:#691103;--ponca-ns-active-color:#EEDCD9;--ponca-ns-active-bg-hover:#540E02;--ponca-ns-active-color-hover:#FFF8F6;--ponca-ns-padding:10px 20px;--ponca-ns-padding-x:20px;--ponca-ns-padding-y:10px;--ponca-ns-height:61px;--ponca-ns-gap-inner:10px;, sans-serif;--ponca-ns-font-size:15px;--ponca-ns-line-height:25px;--ponca-ns-font-weight:400;--ponca-ns-font-style:normal;--ponca-ns-letter-spacing:0.01em;--ponca-ns-text-transform:uppercase\" class=\"ponca-nav-strip wp-block-ponca-nav-strip\" aria-label=\"Section navigation\" role=\"navigation\">\n\t<div class=\"container ponca-nav-strip__container\" style=\"--ponca-ns-container-max-width:1504px;--ponca-ns-height:61px;--ponca-ns-container-justify:space-between;--ponca-ns-container-gap:0px;--ponca-ns-container-overflow-x:auto;--ponca-ns-container-flex-wrap:nowrap;\">\n\t\t\t\t\t\t\t<a class=\"ponca-nav-strip__item\"\n\t\t\t\t\t   href=\"https:\/\/qlogicllc.com\/poncatribe\/purchased-referred-care\/\"\n\t\t\t\t\t   \t\t\t\t\t   >\n\t\t\t\t\t\t<span class=\"ponca-nav-strip__label\">PRC Home Page<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-nav-strip__item\"\n\t\t\t\t\t   href=\"https:\/\/qlogicllc.com\/poncatribe\/eligibility\/\"\n\t\t\t\t\t   \t\t\t\t\t   >\n\t\t\t\t\t\t<span class=\"ponca-nav-strip__label\">Eligibility<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-nav-strip__item\"\n\t\t\t\t\t   href=\"https:\/\/qlogicllc.com\/poncatribe\/services\/\"\n\t\t\t\t\t   \t\t\t\t\t   >\n\t\t\t\t\t\t<span class=\"ponca-nav-strip__label\">Services<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-nav-strip__item\"\n\t\t\t\t\t   href=\"https:\/\/qlogicllc.com\/poncatribe\/purchased-referred-care\/forms\/\"\n\t\t\t\t\t   \t\t\t\t\t   >\n\t\t\t\t\t\t<span class=\"ponca-nav-strip__label\">Forms<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-nav-strip__item\"\n\t\t\t\t\t   href=\"https:\/\/qlogicllc.com\/poncatribe\/policies\/\"\n\t\t\t\t\t   \t\t\t\t\t   >\n\t\t\t\t\t\t<span class=\"ponca-nav-strip__label\">Policies<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t<div class=\"ponca-nav-strip__mobile\" data-open=\"false\">\n\t\t<button type=\"button\"\n\t\t        class=\"ponca-nav-strip__mobile-trigger\"\n\t\t        aria-haspopup=\"listbox\"\n\t\t        aria-expanded=\"false\">\n\t\t\t<span class=\"ponca-nav-strip__mobile-trigger-label\">Menu<\/span>\n\t\t\t<span class=\"ponca-nav-strip__mobile-trigger-icon\" aria-hidden=\"true\">&#9660;<\/span>\n\t\t<\/button>\n\t\t<ul class=\"ponca-nav-strip__mobile-list\" role=\"listbox\"><li role=\"option\" aria-selected=\"false\"><a class=\"ponca-nav-strip__mobile-item\" data-depth=\"0\" href=\"https:\/\/qlogicllc.com\/poncatribe\/purchased-referred-care\/\">PRC Home Page<\/a><\/li><li role=\"option\" aria-selected=\"false\"><a class=\"ponca-nav-strip__mobile-item\" data-depth=\"0\" href=\"https:\/\/qlogicllc.com\/poncatribe\/eligibility\/\">Eligibility<\/a><\/li><li role=\"option\" aria-selected=\"false\"><a class=\"ponca-nav-strip__mobile-item\" data-depth=\"0\" href=\"https:\/\/qlogicllc.com\/poncatribe\/services\/\">Services<\/a><\/li><li role=\"option\" aria-selected=\"false\"><a class=\"ponca-nav-strip__mobile-item\" data-depth=\"0\" href=\"https:\/\/qlogicllc.com\/poncatribe\/purchased-referred-care\/forms\/\">Forms<\/a><\/li><li role=\"option\" aria-selected=\"false\"><a class=\"ponca-nav-strip__mobile-item\" data-depth=\"0\" href=\"https:\/\/qlogicllc.com\/poncatribe\/policies\/\">Policies<\/a><\/li><\/ul>\t<\/div>\n<\/section>\n<script 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style=\"--prcr-section-bg:#FFFDF6;--prcr-container-max-width:1504px;--prcr-container-gap:clamp(30px, 4vw, 60px);--prcr-header-gap:14px;--prcr-eyebrow-color:#DEB209;--prcr-eyebrow-font-family:&#039;DM Sans&#039;, &#039;Helvetica Neue&#039;, sans-serif;--prcr-eyebrow-font-size:13px;--prcr-eyebrow-line-height:22px;--prcr-eyebrow-font-weight:600;--prcr-eyebrow-font-style:normal;--prcr-eyebrow-letter-spacing:3px;--prcr-eyebrow-text-transform:uppercase;--prcr-title-font-family:&#039;Cormorant Garamond&#039;, &#039;Georgia&#039;, serif;--prcr-title-font-size: clamp(36px, 3.5vw, 56px);--prcr-title-line-height:clamp(42px, 4vw, 62px);--prcr-title-font-weight:300;--prcr-title-letter-spacing:-0.56px;--prcr-title-pre-color:#0D0F0E;--prcr-title-pre-font-style:normal;--prcr-title-accent-color:#B28E07;--prcr-title-accent-font-style:italic;--prcr-grid-columns:repeat(2, minmax(0, 1fr));--prcr-grid-column-gap:20px;--prcr-grid-row-gap:20px;--prcr-card-bg:#FFFFFF;--prcr-card-border-width:1px;--prcr-card-border-color:#F3F3F3;--prcr-card-radius:6px;--prcr-card-padding-y:24px;--prcr-card-padding-x:24px;--prcr-card-hover-bg:#FFFFFF;--prcr-card-hover-border:#F3F3F3;--prcr-card-left-gap:24px;--prcr-icon-wrap-size:50px;--prcr-icon-wrap-radius:100px;--prcr-icon-size:24px;--prcr-card-text-gap:6px;--prcr-card-title-color:#0D0F0E;--prcr-card-title-font-family:&#039;DM Sans&#039;, &#039;Helvetica Neue&#039;, sans-serif;--prcr-card-title-font-size:18px;--prcr-card-title-line-height:23px;--prcr-card-title-font-weight:500;--prcr-card-title-font-style:normal;--prcr-card-filetype-color:#848484;--prcr-card-filetype-font-family:&#039;DM Sans&#039;, &#039;Helvetica Neue&#039;, sans-serif;--prcr-card-filetype-font-size:14px;--prcr-card-filetype-line-height:18px;--prcr-card-filetype-font-weight:400;--prcr-card-filetype-font-style:normal;--prcr-btn-bg:transparent;--prcr-btn-color:#B28E07;--prcr-btn-border-width:1px;--prcr-btn-border-color:#B28E07;--prcr-btn-radius:100px;--prcr-btn-padding-y:6px;--prcr-btn-padding-x:16px;--prcr-btn-font-family:&#039;DM Sans&#039;, &#039;Helvetica Neue&#039;, sans-serif;--prcr-btn-font-size:12px;--prcr-btn-line-height:16px;--prcr-btn-font-weight:400;--prcr-btn-font-style:normal;--prcr-btn-letter-spacing:1px;--prcr-btn-text-transform:uppercase;--prcr-btn-gap:10px;--prcr-btn-hover-bg:#DEB209;--prcr-btn-hover-color:#0D0F0E;--prcr-btn-arrow-color:#B28E07;--prcr-btn-arrow-hover-color:#0D0F0E;--prcr-dl-bg:#DEB209;--prcr-dl-color:#0D0F0E;--prcr-dl-hover-bg:#B28E07;--prcr-dl-hover-color:#0D0F0E;--prcr-dl-border-color:#00000000;--prcr-dl-border-width:1px;--prcr-dl-radius:100px;--prcr-dl-py:10px;--prcr-dl-px:24px;--prcr-dl-font-family:&#039;DM Sans&#039;, &#039;Helvetica Neue&#039;, sans-serif;--prcr-dl-font-size:13px;--prcr-dl-font-weight:600;--prcr-dl-letter-spacing:1px;--prcr-dl-text-transform:uppercase;--prcr-icon-wrap-locked-bg:#F4F4F4;--prcr-icon-locked-color:#848484;--prcr-btn-locked-color:#848484;--prcr-btn-locked-border:#848484;--prcr-btn2-border-color:#B28E07;--prcr-btn2-bg:#DEB209;--prcr-btn2-color:#0d0f0e;--prcr-btn2-hover-bg:transparent;--prcr-btn2-hover-color:#B28E07;--prcr-btn2-icon-color:#0d0f0e;--prcr-btn2-hover-icon-color:#B28E07;--prcr-btn2-gap:12px;--prcr-ornament-height:clamp(56px, 5vw, 83px);--prcr-ornament-bg:transparent;--prcr-ornament-opacity:1;--prcr-ornament-image:url(&#039;https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/05\/image-pattern.svg&#039;);--prcr-ornament-position:center bottom;--prcr-ornament-repeat:repeat;--prcr-ornament-size:auto 100%\" class=\"ponca-prcr sec_padding_footer wp-block-ponca-prc-resources\" aria-label=\"Purchased \/ Referred Care Forms\">\n\t<div class=\"container ponca-prcr__container\">\n\n\t\t<header class=\"ponca-prcr__header ponca-prcr__header--has-dl\">\n\t\t\t<div class=\"ponca-prcr__header-text\">\n\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__eyebrow\">Patient Documents<\/span>\n\t\t\t\t\t\t\t\t<h2 class=\"ponca-prcr__title\">\n\t\t\t\t\t<span class=\"ponca-prcr__title-pre\">Purchased \/ Referred Care<\/span> <span class=\"ponca-prcr__title-accent\">Forms<\/span>\t\t\t\t<\/h2>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"ponca-prcr__download-all-wrap ponca-prcr__download-all-wrap--header\">\t<button type=\"button\" class=\"ponca-prcr__download-all\"\n\t\tdata-endpoint=\"https:\/\/qlogicllc.com\/poncatribe\/wp-json\/ponca-prcr\/v1\/download-all\"\n\t\tdata-token=\"4b29d302cc\"\n\t\tdata-zip=\"prc-resources-files\"\n\t\tdata-ids=\"3478,3480,3482,3483,3485\"\n\t\tdata-urls=\"\"\n\t\tdata-label=\"Download All\">\n\t\t<svg class=\"ponca-prcr__dl-icon\" width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M21 15v4a2 2 0 0 1-2 2H5a2 2 0 0 1-2-2v-4\"\/><polyline points=\"7 10 12 15 17 10\"\/><line x1=\"12\" y1=\"15\" x2=\"12\" y2=\"3\"\/><\/svg>\t\t<span class=\"ponca-prcr__download-all-text\">Download All<\/span>\n\t<\/button>\n\t<\/div>\n\t\t\t\t\t<\/header>\n\n\t\t\t\t\t<div class=\"ponca-prcr__grid\">\n\t\t\t\t\t\t\t\t\t<div class=\"ponca-prcr__card\">\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-left\">\n\t\t\t\t\t\t\t<span class=\"ponca-prcr__icon-wrap\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"ponca-prcr__icon-img\" src=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/07\/logged-in-user.svg\" alt=\"pdf\" width=\"24px\" \/>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<div class=\"ponca-prcr__card-text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-title\">Patient Registration Intake Form<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-filetype\">PDF<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-actions\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn ponca-prcr__btn--alt\" href=\"https:\/\/qlogicllc.com\/poncatribe\/patient-registration-intake-form\/\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"Fill out Form \u2014 Patient Registration Intake Form\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">Fill out Form<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 30 30\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M25 10.3125V22.5C25 26.25 22.7625 27.5 20 27.5H10C7.2375 27.5 5 26.25 5 22.5V10.3125C5 6.25 7.2375 5.3125 10 5.3125C10 6.0875 10.3125 6.7875 10.825 7.3C11.3375 7.8125 12.0375 8.125 12.8125 8.125H17.1875C18.7375 8.125 20 6.8625 20 5.3125C22.7625 5.3125 25 6.25 25 10.3125Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M20 5.3125C20 6.8625 18.7375 8.125 17.1875 8.125H12.8125C12.0375 8.125 11.3375 7.8125 10.825 7.3C10.3125 6.7875 10 6.0875 10 5.3125C10 3.7625 11.2625 2.5 12.8125 2.5H17.1875C17.9625 2.5 18.6625 2.8125 19.175 3.325C19.6875 3.8375 20 4.5375 20 5.3125Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M10 16.25H15\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M10 21.25H20\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn\" href=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/06\/Patient_Registration_Fillable_Intake_form.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"Download \u2014 Patient Registration Intake Form\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">Download<\/span>\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M7.99479 2V10.6667\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M4.67188 8L8.00521 11.3333L11.3385 8\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M13.3385 13.9987H2.67188\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"ponca-prcr__card\">\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-left\">\n\t\t\t\t\t\t\t<span class=\"ponca-prcr__icon-wrap\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"ponca-prcr__icon-img\" src=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/07\/logged-in-user.svg\" alt=\"pdf\" width=\"24px\" \/>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<div class=\"ponca-prcr__card-text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-title\">PRC Client Responsibilities<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-filetype\">PDF<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-actions\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn ponca-prcr__btn--alt\" href=\"https:\/\/qlogicllc.com\/poncatribe\/prc-client-responsibilities\/\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"fill out form \u2014 PRC Client Responsibilities\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">fill out form<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 30 30\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M25 10.3125V22.5C25 26.25 22.7625 27.5 20 27.5H10C7.2375 27.5 5 26.25 5 22.5V10.3125C5 6.25 7.2375 5.3125 10 5.3125C10 6.0875 10.3125 6.7875 10.825 7.3C11.3375 7.8125 12.0375 8.125 12.8125 8.125H17.1875C18.7375 8.125 20 6.8625 20 5.3125C22.7625 5.3125 25 6.25 25 10.3125Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M20 5.3125C20 6.8625 18.7375 8.125 17.1875 8.125H12.8125C12.0375 8.125 11.3375 7.8125 10.825 7.3C10.3125 6.7875 10 6.0875 10 5.3125C10 3.7625 11.2625 2.5 12.8125 2.5H17.1875C17.9625 2.5 18.6625 2.8125 19.175 3.325C19.6875 3.8375 20 4.5375 20 5.3125Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M10 16.25H15\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M10 21.25H20\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn\" href=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/06\/PRC_Client_Responsibilities_Form_Fillable.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"Download \u2014 PRC Client Responsibilities\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">Download<\/span>\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M7.99479 2V10.6667\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M4.67188 8L8.00521 11.3333L11.3385 8\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M13.3385 13.9987H2.67188\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"ponca-prcr__card\">\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-left\">\n\t\t\t\t\t\t\t<span class=\"ponca-prcr__icon-wrap\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"ponca-prcr__icon-img\" src=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/07\/logged-in-user.svg\" alt=\"pdf\" width=\"24px\" \/>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<div class=\"ponca-prcr__card-text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-title\">Authorization to Discuss Protected Health Information<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-filetype\">PDF<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-actions\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn ponca-prcr__btn--alt\" href=\"https:\/\/qlogicllc.com\/poncatribe\/authorization-to-discuss-protected-health-information\/\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"fill out form \u2014 Authorization to Discuss Protected Health Information\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">fill out form<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 30 30\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M25 10.3125V22.5C25 26.25 22.7625 27.5 20 27.5H10C7.2375 27.5 5 26.25 5 22.5V10.3125C5 6.25 7.2375 5.3125 10 5.3125C10 6.0875 10.3125 6.7875 10.825 7.3C11.3375 7.8125 12.0375 8.125 12.8125 8.125H17.1875C18.7375 8.125 20 6.8625 20 5.3125C22.7625 5.3125 25 6.25 25 10.3125Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M20 5.3125C20 6.8625 18.7375 8.125 17.1875 8.125H12.8125C12.0375 8.125 11.3375 7.8125 10.825 7.3C10.3125 6.7875 10 6.0875 10 5.3125C10 3.7625 11.2625 2.5 12.8125 2.5H17.1875C17.9625 2.5 18.6625 2.8125 19.175 3.325C19.6875 3.8375 20 4.5375 20 5.3125Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M10 16.25H15\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M10 21.25H20\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn\" href=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/06\/AuthorizationtoDiscussProtectedHealthInformation.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"Download \u2014 Authorization to Discuss Protected Health Information\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">Download<\/span>\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M7.99479 2V10.6667\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M4.67188 8L8.00521 11.3333L11.3385 8\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M13.3385 13.9987H2.67188\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"ponca-prcr__card\">\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-left\">\n\t\t\t\t\t\t\t<span class=\"ponca-prcr__icon-wrap\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"ponca-prcr__icon-img\" src=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/07\/logged-in-user.svg\" alt=\"pdf\" width=\"24px\" \/>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<div class=\"ponca-prcr__card-text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-title\">PHS \u2014 Notice of Privacy Practices<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-filetype\">PDF<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-actions\">\n\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn\" href=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/06\/PHS-Notice_of_Privacy_Practices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"Download \u2014 PHS \u2014 Notice of Privacy Practices\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">Download<\/span>\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M7.99479 2V10.6667\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M4.67188 8L8.00521 11.3333L11.3385 8\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M13.3385 13.9987H2.67188\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"ponca-prcr__card\">\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-left\">\n\t\t\t\t\t\t\t<span class=\"ponca-prcr__icon-wrap\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"ponca-prcr__icon-img\" src=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/07\/logged-in-user.svg\" alt=\"pdf\" width=\"24px\" \/>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<div class=\"ponca-prcr__card-text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-title\">PRC Change of Address<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__card-filetype\">PDF<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ponca-prcr__card-actions\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn ponca-prcr__btn--alt\" href=\"https:\/\/qlogicllc.com\/poncatribe\/prc-change-of-address\/\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"fill out form \u2014 PRC Change of Address\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">fill out form<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 30 30\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M25 10.3125V22.5C25 26.25 22.7625 27.5 20 27.5H10C7.2375 27.5 5 26.25 5 22.5V10.3125C5 6.25 7.2375 5.3125 10 5.3125C10 6.0875 10.3125 6.7875 10.825 7.3C11.3375 7.8125 12.0375 8.125 12.8125 8.125H17.1875C18.7375 8.125 20 6.8625 20 5.3125C22.7625 5.3125 25 6.25 25 10.3125Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M20 5.3125C20 6.8625 18.7375 8.125 17.1875 8.125H12.8125C12.0375 8.125 11.3375 7.8125 10.825 7.3C10.3125 6.7875 10 6.0875 10 5.3125C10 3.7625 11.2625 2.5 12.8125 2.5H17.1875C17.9625 2.5 18.6625 2.8125 19.175 3.325C19.6875 3.8375 20 4.5375 20 5.3125Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M10 16.25H15\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n  <path d=\"M10 21.25H20\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"ponca-prcr__btn\" href=\"https:\/\/qlogicllc.com\/poncatribe\/wp-content\/uploads\/2026\/06\/PRCCHANGEOFADDRESSForm.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" aria-label=\"Download \u2014 PRC Change of Address\">\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-text\">Download<\/span>\n\t\t\t\t\t\t\t\t<span class=\"ponca-prcr__btn-arrow\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"none\" class=\"ponca-prcr__btn-arrow-img ponca-prcr__btn-arrow-img--svg\" width=\"20px\" height=\"20px\" style=\"width:20px;height:20px;\">\n  <path d=\"M7.99479 2V10.6667\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M4.67188 8L8.00521 11.3333L11.3385 8\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n  <path d=\"M13.3385 13.9987H2.67188\" stroke=\"currentColor\" stroke-linecap=\"round\"><\/path>\n<\/svg><\/span>\n\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\n\t\t\n\t<\/div>\n\n\t\t\t<div class=\"ponca-prcr__ornament ponca-prcr__ornament--image\" aria-hidden=\"true\">\n\t\t\t\t\t<\/div>\n\t<\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":80,"featured_media":0,"parent":1022,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_mytheme_footer_image_id":0,"footnotes":""},"class_list":["post-1138","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Forms - Ponca Tribe<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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