{"id":16314,"date":"2025-07-31T14:40:57","date_gmt":"2025-07-31T19:40:57","guid":{"rendered":"https:\/\/bouncetozero.com\/?page_id=16314"},"modified":"2025-12-08T14:48:34","modified_gmt":"2025-12-08T20:48:34","slug":"connect-to-hiv-care-services","status":"publish","type":"page","link":"https:\/\/bouncetozero.com\/vi\/connect-to-hiv-care-services\/","title":{"rendered":"K\u1ebft n\u1ed1i v\u1edbi Ch\u0103m s\u00f3c v\u00e0 D\u1ecbch v\u1ee5 HIV"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16314\" class=\"elementor elementor-16314 elementor-16312\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b2bd1af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b2bd1af\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-53102e5\" data-id=\"53102e5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-31ccc9a elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"31ccc9a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">K\u1ebft n\u1ed1i v\u1edbi Ch\u0103m<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d1f4655 elementor-widget__width-initial elementor-absolute e-transform elementor-widget elementor-widget-image\" data-id=\"d1f4655\" data-element_type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;,&quot;_transform_rotateZ_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:18,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_tablet&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_mobile&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"321\" height=\"252\" src=\"https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/11\/Group-1444.png\" class=\"attachment-large size-large wp-image-14964\" alt=\"Arrow\" srcset=\"https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/11\/Group-1444.png 321w, https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/11\/Group-1444-300x236.png 300w\" sizes=\"(max-width: 321px) 100vw, 321px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0a920a elementor-widget__width-initial elementor-absolute e-transform elementor-widget elementor-widget-image\" data-id=\"c0a920a\" data-element_type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;,&quot;_transform_rotateZ_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:182,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_tablet&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_rotateZ_effect_mobile&quot;:{&quot;unit&quot;:&quot;deg&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"321\" height=\"252\" src=\"https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/11\/Group-1444.png\" class=\"attachment-large size-large wp-image-14964\" alt=\"Arrow\" srcset=\"https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/11\/Group-1444.png 321w, https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/11\/Group-1444-300x236.png 300w\" sizes=\"(max-width: 321px) 100vw, 321px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a06a445 elementor-widget elementor-widget-heading\" data-id=\"a06a445\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">s\u00f3c v\u00e0 D\u1ecbch v\u1ee5 HIV<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-472b029 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"472b029\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d1c0ed8\" data-id=\"d1c0ed8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5f26a17 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5f26a17\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-5756d1a\" data-id=\"5756d1a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6cee8ee elementor-widget elementor-widget-text-editor\" data-id=\"6cee8ee\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"white-space-collapse: preserve;\">Ch\u00fang t\u00f4i lu\u00f4n s\u1eb5n s\u00e0ng h\u1ed7 tr\u1ee3 qu\u00fd v\u1ecb trong m\u1ecdi kh\u00eda c\u1ea1nh c\u1ee7a qu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c HIV. M\u1ea1ng l\u01b0\u1edbi c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 c\u1ee7a ch\u00fang t\u00f4i cung c\u1ea5p c\u00e1c d\u1ecbch v\u1ee5 to\u00e0n di\u1ec7n, t\u1eeb x\u00e9t nghi\u1ec7m, \u0111i\u1ec1u tr\u1ecb, \u0111\u1ebfn qu\u1ea3n l\u00fd h\u1ed3 s\u01a1, t\u01b0 v\u1ea5n, h\u1ed7 tr\u1ee3 b\u1ea3o hi\u1ec3m, v\u00e0 c\u00e1c d\u1ecbch v\u1ee5 kh\u00e1c.  <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c6a451 elementor-widget elementor-widget-text-editor\" data-id=\"6c6a451\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>S\u1eed d\u1ee5ng m\u1eabu d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 b\u1eaft \u0111\u1ea7u ho\u1eb7c g\u1ecdi \u0111i\u1ec7n, ho\u1eb7c nh\u1eafn tin cho ch\u00fang t\u00f4i theo s\u1ed1 <strong><a href=\"tel:504-884-3307\">(504) 884-3307.<\/a><\/strong><\/p>\n<p>\u0110\u1ec3 \u0111\u01b0\u1ee3c ph\u1ee5c v\u1ee5 b\u1eb1ng Ti\u1ebfng T\u00e2y Ban Nha, h\u00e3y g\u1ecdi ho\u1eb7c nh\u1eafn tin t\u1edbi s\u1ed1 <strong><a href=\"tel:504-231-7443\">(504) 231-7443.<\/a><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-e7b9ded elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"e7b9ded\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"17\" src=\"https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/12\/Group-1370-1024x22.png\" class=\"attachment-large size-large wp-image-15749\" alt=\"\" srcset=\"https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/12\/Group-1370-1024x22.png 1024w, https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/12\/Group-1370-300x6.png 300w, https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/12\/Group-1370-768x16.png 768w, https:\/\/bouncetozero.com\/wp-content\/uploads\/2024\/12\/Group-1370.png 1164w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e1a574e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e1a574e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-b52b690\" data-id=\"b52b690\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d6f6575 elementor-widget elementor-widget-text-editor\" data-id=\"d6f6575\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default elementor-inline-editing pen\" contenteditable=\"true\" data-elementor-setting-key=\"title\" data-pen-placeholder=\"Type Here...\"><strong>H\u00e3y \u0111i\u1ec1n v\u00e0o m\u1eabu v\u00e0 ch\u00fang t\u00f4i s\u1ebd s\u1edbm li\u00ean h\u1ec7 l\u1ea1i!\u200b<\/strong><\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74c9a6c elementor-widget elementor-widget-shortcode\" data-id=\"74c9a6c\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework agency-intake-form-required-field_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_9' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">K\u1ebft n\u1ed1i v\u1edbi Ch\u0103m s\u00f3c v\u00e0 D\u1ecbch v\u1ee5 HIV<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_custom\">B\u1eaeT BU\u1ed8C*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_9' class='agency-intake-form-required-field' action='\/vi\/wp-json\/wp\/v2\/pages\/16314' data-formid='9' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_above validation_below'><div class=\"gfmc-container\"><div class=\"gfield gfmc-column gfmc-field\"><div id=\"field_9_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_3'>T\u00ean<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">B\u1eaeT BU\u1ed8C*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_9_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><div class=\"gfield gfmc-column gfmc-field\"><div id=\"field_9_48\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_48'>H\u1ecd<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">B\u1eaeT BU\u1ed8C*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_9_48' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div><div class=\"gfmc-container\"><div class=\"gfield gfmc-column gfmc-field\"><div id=\"field_9_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_6'>\u0110\u1ecba ch\u1ec9 Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">B\u1eaeT BU\u1ed8C*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_9_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><\/div><div class=\"gfield gfmc-column gfmc-field\"><div id=\"field_9_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_7'>S\u1ed1 \u0110i\u1ec7n tho\u1ea1i<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">B\u1eaeT BU\u1ed8C*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_9_7' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div><div id=\"field_9_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection connect-hiv-form-section-title field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Ch\u1ecdn c\u00e1c d\u1ecbch v\u1ee5 qu\u00fd v\u1ecb mong mu\u1ed1n t\u1eeb danh s\u00e1ch d\u01b0\u1edbi \u0111\u00e2y:<\/h3><\/div><div class=\"gfmc-container\"><div class=\"gfield gfmc-column gfmc-field\"><fieldset id=\"field_9_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-seven-twelfths services-container-left field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Desired services<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_38'><div class='gchoice gchoice_9_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='HIV Treatment'  id='choice_9_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_1' id='label_9_38_1' class='gform-field-label gform-field-label--type-inline'>\u0110i\u1ec1u tr\u1ecb HIV<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='Case Management'  id='choice_9_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_2' id='label_9_38_2' class='gform-field-label gform-field-label--type-inline'>Qu\u1ea3n l\u00fd H\u1ed3 s\u01a1<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='Emergency Financial Assistance'  id='choice_9_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_3' id='label_9_38_3' class='gform-field-label gform-field-label--type-inline'>H\u1ed7 tr\u1ee3 T\u00e0i ch\u00ednh Kh\u1ea9n c\u1ea5p<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_38_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.4' type='checkbox'  value='Food Bank'  id='choice_9_38_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_4' id='label_9_38_4' class='gform-field-label gform-field-label--type-inline'>Ng\u00e2n h\u00e0ng Th\u1ef1c ph\u1ea9m<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_38_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.5' type='checkbox'  value='Housing Assistance'  id='choice_9_38_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_5' id='label_9_38_5' class='gform-field-label gform-field-label--type-inline'>H\u1ed7 tr\u1ee3 Ti\u1ec1n thu\u00ea nh\u00e0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_38_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.6' type='checkbox'  value='Medical Transportation'  id='choice_9_38_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_6' id='label_9_38_6' class='gform-field-label gform-field-label--type-inline'>V\u1eadn chuy\u1ec3n Y t\u1ebf<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_38_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.7' type='checkbox'  value='Medications'  id='choice_9_38_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_7' id='label_9_38_7' class='gform-field-label gform-field-label--type-inline'>Thu\u1ed1c<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><div class=\"gfield gfmc-column gfmc-field\"><fieldset id=\"field_9_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full services-container-right field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Desired services<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_41'><div class='gchoice gchoice_9_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='Health Insurance Assistance (Premium, Copay\/Co-Insurance and Deductibles)'  id='choice_9_41_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_1' id='label_9_41_1' class='gform-field-label gform-field-label--type-inline'>H\u1ed7 tr\u1ee3 b\u1ea3o hi\u1ec3m y t\u1ebf (Ph\u00ed b\u1ea3o hi\u1ec3m, Kho\u1ea3n \u0111\u1ed3ng thanh to\u00e1n\/\u0110\u1ed3ng b\u1ea3o hi\u1ec3m v\u00e0 Kho\u1ea3n kh\u1ea5u tr\u1eeb)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='Counseling'  id='choice_9_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_2' id='label_9_41_2' class='gform-field-label gform-field-label--type-inline'>T\u01b0 v\u1ea5n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.3' type='checkbox'  value='Home Delivered Meals'  id='choice_9_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_3' id='label_9_41_3' class='gform-field-label gform-field-label--type-inline'>B\u1eefa \u0103n Giao T\u1eadn nh\u00e0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.4' type='checkbox'  value='Legal'  id='choice_9_41_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_4' id='label_9_41_4' class='gform-field-label gform-field-label--type-inline'>Ph\u00e1p l\u00fd<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.5' type='checkbox'  value='HIV Prevention'  id='choice_9_41_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_5' id='label_9_41_5' class='gform-field-label gform-field-label--type-inline'>Ph\u00f2ng ng\u1eeba HIV<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.6' type='checkbox'  value='More Information\/Other'  id='choice_9_41_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_6' id='label_9_41_6' class='gform-field-label gform-field-label--type-inline'>Th\u00f4ng tin Th\u00eam\/Kh\u00e1c<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div><div id=\"field_9_46\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_46'>CAPTCHA<\/label><div id='input_9_46' class='ginput_container ginput_recaptcha' data-sitekey='6Ld1I0gjAAAAAJqYvglqRMNdJALnx689TCbTCmUu'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><div id=\"field_9_54\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_54'>Email<\/label><div class='gfield_description' 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