{"form":{"portalId":2363545,"guid":"7eed2050-ca6c-4451-892f-54faf9ac201f","cssClass":"hs-form stacked","inlineMessage":"<p>Thank you for subscribing!</p>","redirectUrl":"","submitText":"Submit","formFieldGroups":[{"fields":[],"default":true,"isSmartGroup":false,"richText":{"content":"<p><span style=\"color: #ffffff;\">For US Residents Only</span></p>","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"role_type","label":"What best describes your role?","type":"enumeration","fieldType":"select","description":"","groupName":"contactinformation","displayOrder":-1,"required":true,"selectedOptions":[],"options":[{"label":"Advanced Practice Provider (NP/PA)","value":"Advanced Practice Provider (NP/PA)","displayOrder":2,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Clinical Staff (Nurse, MA, Tech)","value":"Clinical Staff(Nurse, MA, Tech)","displayOrder":3,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Health Plan Rep/Exec","value":"Health Plan Rep/Exec","displayOrder":5,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Healthcare Executive","value":"Healthcare Executive","displayOrder":7,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Patient","value":"Patient","displayOrder":9,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Physician","value":"Physician","displayOrder":10,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Practice or Hospital Administrator","value":"Practice or Hospital Administrator","displayOrder":11,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Revenue Cycle/Billing","value":"Revenue Cycle/Billing","displayOrder":12,"doubleData":0.0,"hidden":false,"description":"","readOnly":false}],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":false,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[{"filters":[{"operator":"SET_ANY","strValue":"","boolValue":false,"numberValue":0,"strValues":["Advanced Practice Provider (NP/PA)","Clinical Staff(Nurse, MA, Tech)","Physician","Practice or Hospital Administrator"],"numberValues":[]}],"dependentFormField":{"name":"what_is_your_speciality_","label":"What is your specialty?","type":"enumeration","fieldType":"select","description":"","groupName":"contactinformation","displayOrder":-1,"required":true,"selectedOptions":[],"options":[{"label":"Cardiac Electrophysiology","value":"Cardiac Electrophysiology","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Emergency Medicine","value":"Emergency Medicine","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Cardiology","value":"Cardiology","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Heart Failure","value":"Heart Failure","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Interventional","value":"Interventional","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Structural heart","value":"Structural heart","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Concierge Medicine","value":"Concierge Medicine","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Family Practice","value":"Family Practice","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Emergency Dept","value":"Emergency Dept","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Neurology/Stroke","value":"Neurology/Stroke","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"PCP/Internal Medicine","value":"PCP/Internal Medicine","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Critical Access","value":"Critical Access","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false}],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":false,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"},"formFieldAction":"DISPLAY"}],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"email","label":"Business Email","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":true,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":true,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":false,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"Email","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"i_acknowledge_and_agree_that_irhythm_technologies_inc_irhythm_technologies_ltd_or_an_authorized_rep","label":"I acknowledge and agree that iRhythm Technologies, Inc., iRhythm Technologies, Ltd. or an authorized representative (collectively, “iRhythm”) may store and process my personal information in accordance with the terms of iRhythm’s <a href=\"https://www.irhythmtech.com/us/en/who-we-are/trust-center/privacy\" target=\"_blank\" rel=\"noopener\">Privacy Policy</a>. By submitting this form, you consent to iRhythm contacting you for purposes of marketing its products, services, and events. &#xa0;In order to personalize the information you receive, the information you provide here may be combined with information received from other sources, as described in our <a href=\"https://www.irhythmtech.com/us/en/who-we-are/trust-center/privacy\" target=\"_blank\" rel=\"noopener\">Privacy Policy</a>. You may unsubscribe at any time. For more information about iRhythm’s processing of your personal information, you may review our <a href=\"https://www.irhythmtech.com/us/en/who-we-are/trust-center/privacy\" target=\"_blank\" rel=\"noopener\">Privacy Policy</a>.","type":"enumeration","fieldType":"booleancheckbox","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[{"label":"No","value":"false","displayOrder":0,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"Yes","value":"true","displayOrder":1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false}],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":false,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"utm_campaign","label":"UTM Campaign Last Click","type":"string","fieldType":"text","description":"","groupName":"utm_properties","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"utm_medium","label":"UTM Medium Last Click","type":"string","fieldType":"text","description":"","groupName":"utm_properties","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"utm_term","label":"UTM Term Last Click","type":"string","fieldType":"text","description":"","groupName":"utm_properties","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"utm_content","label":"UTM Content Last Click","type":"string","fieldType":"text","description":"","groupName":"utm_properties","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"utm_source","label":"UTM Source Last Click","type":"string","fieldType":"text","description":"","groupName":"utm_properties","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"firstname","label":"First name","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"lastname","label":"Last name","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"company","label":"Company name","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"phone","label":"Phone number","type":"string","fieldType":"phonenumber","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"7:20:true","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"mobilephone","label":"Mobile phone number","type":"string","fieldType":"phonenumber","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"7:20:true","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"address","label":"Street address","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"city","label":"City","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"state","label":"State/Region111","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"zip_code_postal_code","label":"Zip Code/Postal Code","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"country","label":"Country/Region1","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"email_validation_status","label":"Email Validation Status","type":"enumeration","fieldType":"select","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[{"label":"valid","value":"valid","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"catchall","value":"catch-all","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"abuse","value":"abuse","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"invalid","value":"invalid","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"do_not_mail","value":"do_not_mail","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"unknown","value":"unknown","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false},{"label":"disposable","value":"disposable","displayOrder":-1,"doubleData":0.0,"hidden":false,"description":"","readOnly":false}],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"jobtitle","label":"Job title","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false},{"fields":[{"name":"website","label":"Website URL","type":"string","fieldType":"text","description":"","groupName":"contactinformation","displayOrder":-1,"required":false,"selectedOptions":[],"options":[],"validation":{"name":"","message":"","data":"","useDefaultBlockList":false,"blockedEmailAddresses":[],"checkPhoneFormat":false},"enabled":true,"hidden":true,"defaultValue":"","isSmartField":false,"unselectedLabel":"","placeholder":"","dependentFieldFilters":[],"labelHidden":false,"propertyObjectType":"CONTACT","metaData":[],"objectTypeId":"0-1"}],"default":true,"isSmartGroup":false,"richText":{"content":"","type":"TEXT"},"isPageBreak":false}],"metaData":[{"name":"lang","value":"en"},{"name":"clonedFromForm","value":"3014c95b-150d-492d-b9ac-ec78dbbdba66"},{"name":"renderRawHtml","value":"true"},{"name":"embedAtTimestamp","value":"1792492928657"},{"name":"formDefinitionUpdatedAt","value":"1782922350270"}],"captchaEnabled":false,"formTypeNumber":0,"thankYouMessageJson":"","themeColor":"","themeName":"canvas","style":"{\"fontFamily\":\"helvetica\",\"backgroundWidth\":\"100%\",\"backgroundColor\":\"transparent\",\"borderRadius\":\"0px\",\"padding\":\"0px\",\"labelTextColor\":\"#000000\",\"linkColor\":\"#0000EE\",\"clickedLinkColor\":\"#551A8B\",\"labelTextSize\":\"16px\",\"helpTextColor\":\"#7C98B6\",\"helpTextSize\":\"11px\",\"legalConsentTextColor\":\"#33475b\",\"legalConsentTextSize\":\"14px\",\"thankYouTextColor\":\"#33475b\",\"thankYouTextSize\":\"16px\",\"submitColor\":\"#0093b2\",\"submitAlignment\":\"center\",\"submitFontColor\":\"#0093b3\",\"submitSize\":\"12px\",\"paginationProgressColor\":\"#598aff\",\"paginationProgressTextColor\":\"#33475b\",\"paginationProgressShow\":true,\"paginationProgressTransition\":\"fade\",\"paginationProgressTheme\":\"default\",\"paginationContentUseScroll\":false,\"paginationContentScrollHeight\":\"100%\"}","variantId":null,"isPublished":true,"embedVersion":null,"captchaVersion":"V2"},"properties":{},"knownSmartFields":[],"gates":{"ServiceHub:Feedback:TrellisSmileys":false,"LeadCaptureFe::Legacy::FormV2ReCaptchaV3Fix":true},"scopes":{"noBranding":true,"renderShell":false,"rawHtmlAccess":true,"customStyleAccess":true},"time":1792492928660,"themeCss":null,"globalStyle":null,"countryCode":"US","portalSetting":{"enableLiveValidation":true},"errorCode":null}