Do you want to have 2 columns? Here is an example from the demo – http://prntscr.com/m4ulqq http://prntscr.com/m4ulvg
<div class="form-medical"> <div class="col-md-6" style="padding-left:0;"><p>[text* text-809 placeholder "Your name"]</p> <p>[text* text-811 placeholder "Chose doctor"]</p> <p>[email* email-202 placeholder "Your e-mail"]</p> </div> <div class="col-md-6" style="padding-left:0;"> <p>[text* text-810 placeholder "Your surname"]</p> <p>[text* text-5899 placeholder "Choose date"]</p> <p>[text* text-5892 placeholder "Choose date"]</p> </div> [submit class:btn-subm class:etheme-black-hover "Send request"] </div>
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