{"id":596,"date":"2024-01-10T20:44:43","date_gmt":"2024-01-10T20:44:43","guid":{"rendered":"https:\/\/praxisgemeinschaft-jena.de\/?page_id=596"},"modified":"2024-04-18T20:06:31","modified_gmt":"2024-04-18T20:06:31","slug":"terminanfrage","status":"publish","type":"page","link":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/terminanfrage\/","title":{"rendered":"Terminanfrage"},"content":{"rendered":"\n<p><strong>F\u00fcr Stammpatienten:<\/strong> F\u00fcllen Sie bitte das Formular aus, wir melden uns zeitnah zur weiteren Absprache bei Ihnen.<br><br><strong>F\u00fcr Neupatienten:<\/strong> Wir nehmen nur begrenzt neue Patienten auf. Eine eventuelle Neuaufnahme erfordert eine pers\u00f6nliche R\u00fccksprache w\u00e4hrend der Sprechzeiten in der Praxis. Eine Terminanfrage \u00fcber das Formular ist nicht m\u00f6glich. <\/p>\n\n\n\n<p><strong>Bei akuten Beschwerden k\u00f6nnen Sie ohne Termin in die Sprechstunde kommen. <\/strong><\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-536\"><form id=\"wpforms-form-536\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"536\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/596\" data-token=\"1ce21cdf484df77b3c1528e30b720a2b\" data-token-time=\"1779692041\"><noscript class=\"wpforms-error-noscript\">Bitte aktiviere JavaScript in deinem Browser, um dieses Formular fertigzustellen.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-536-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-536-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-536-field_0\" class=\"wpforms-field-sublabel after\">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-536-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-536-field_0-last\" class=\"wpforms-field-sublabel after\">Nachname<\/label><\/div><\/div><\/div><div id=\"wpforms-536-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-536-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-536-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-536-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-536-field_5\">Geburtsdatum <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-536-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-536-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-536-field_3\">Krankenkasse <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-536-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-536-field_9-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"9\"><label class=\"wpforms-field-label\">Art des gew\u00fcnschten Termins<\/label><ul id=\"wpforms-536-field_9\"><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-536-field_9_2\" name=\"wpforms[fields][9]\" value=\"Kontrolltermin\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-536-field_9_2\">Kontrolltermin<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-536-field_9_3\" name=\"wpforms[fields][9]\" value=\"Check-up\/Hautkrebsscreening\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-536-field_9_3\">Check-up\/Hautkrebsscreening<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-536-field_9_5\" name=\"wpforms[fields][9]\" value=\"Termin f\u00fcr chronische Erkrankungen (z.B. Zucker, Herz, Lunge)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-536-field_9_5\">Termin f\u00fcr chronische Erkrankungen (z.B. Zucker, Herz, Lunge)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-536-field_9_4\" name=\"wpforms[fields][9]\" value=\"Sonstiges\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-536-field_9_4\">Sonstiges<\/label><\/li><\/ul><\/div><div id=\"wpforms-536-field_10-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-536-field_10\">Weitere Angaben<\/label><textarea id=\"wpforms-536-field_10\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"536\" data-field-id=\"10\" data-text-limit=\"300\" name=\"wpforms[fields][10]\" maxlength=\"300\" ><\/textarea><\/div><div id=\"wpforms-536-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-536-field_6\">Telefon f\u00fcr Terminabsprache <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-536-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-536-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><label class=\"wpforms-field-label\">Einwilligung <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-536-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-536-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Ich habe die Datenschutzerkl\u00e4rung zur Kenntnis genommen. Ich stimme zu, dass meine Angaben zur Kontaktaufnahme und f\u00fcr R\u00fcckfragen gespeichert werden.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-536-field_7_1\">Ich habe die Datenschutzerkl\u00e4rung zur Kenntnis genommen. Ich stimme zu, dass meine Angaben zur Kontaktaufnahme und f\u00fcr R\u00fcckfragen gespeichert werden.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"536\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/pages\/596\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-536\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Senden\" aria-live=\"assertive\" value=\"wpforms-submit\">Senden<\/button><img loading=\"lazy\" src=\"https:\/\/praxisgemeinschaft-jena.de\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Wird geladen\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<div class=\"slide-text-bg2\"><span>F\u00fcr Stammpatienten: F\u00fcllen Sie bitte das Formular aus, wir melden uns zeitnah zur weiteren Absprache bei Ihnen. F\u00fcr Neupatienten: Wir nehmen nur begrenz<\/span><\/div>\n<div class=\"slide-btn-area-sm\"><a href=\"https:\/\/praxisgemeinschaft-jena.de\/index.php\/terminanfrage\/\" class=\"slide-btn-sm\">weiterlesen<\/a><\/div>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/pages\/596"}],"collection":[{"href":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/comments?post=596"}],"version-history":[{"count":4,"href":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/pages\/596\/revisions"}],"predecessor-version":[{"id":641,"href":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/pages\/596\/revisions\/641"}],"wp:attachment":[{"href":"https:\/\/praxisgemeinschaft-jena.de\/index.php\/wp-json\/wp\/v2\/media?parent=596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}