{"id":50,"date":"2023-02-24T17:11:40","date_gmt":"2023-02-24T16:11:40","guid":{"rendered":"https:\/\/cannstatt.infektformular.de\/?page_id=50"},"modified":"2023-02-25T07:19:33","modified_gmt":"2023-02-25T06:19:33","slug":"rezeptanforderung","status":"publish","type":"page","link":"https:\/\/cannstatt.infektformular.de\/index.php\/rezeptanforderung\/","title":{"rendered":"Rezeptanforderung"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-42\"><form id=\"wpforms-form-42\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"42\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/50\" data-token=\"442be2760d00fcc4844b05bc27b3e516\"><noscript class=\"wpforms-error-noscript\">Bitte aktiviere JavaScript in deinem Browser, um dieses Formular fertigzustellen.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-42-field_14-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-42-field_14\">Sind Sie bereits Patient bei uns? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-42-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-42-field_14_1\" name=\"wpforms[fields][14]\" value=\"Ja\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-42-field_14_1\">Ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-42-field_14_2\" name=\"wpforms[fields][14]\" value=\"Nein\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-42-field_14_2\">Nein<\/label><\/li><\/ul><\/div><div id=\"wpforms-42-field_13-container\" class=\"wpforms-field wpforms-field-html wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"13\" style=\"display:none;\"><div id=\"wpforms-42-field_13\">Bitte rufen Sie uns an: 0711 \u2013 567395<\/div><\/div><div id=\"wpforms-42-field_31-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"31\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-42-field_31\">Anliegen <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-42-field_31\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"42\" data-field-id=\"31\" data-text-limit=\"2000\" name=\"wpforms[fields][31]\" placeholder=\"Bitte beschreiben Sie Ihr Anliegen. Es werden nur Rezept-W\u00fcnsche und \u00dcberweisungen von bekannten Patienten bearbeitet.\" maxlength=\"2000\" required><\/textarea><\/div><div id=\"wpforms-42-field_25-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"25\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-42-field_25\">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-42-field_25\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][25][first]\" required><label for=\"wpforms-42-field_25\" class=\"wpforms-field-sublabel after \">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-42-field_25-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][25][last]\" required><label for=\"wpforms-42-field_25-last\" class=\"wpforms-field-sublabel after \">Nachname<\/label><\/div><\/div><\/div><div id=\"wpforms-42-field_26-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"26\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-42-field_26\">Ihr Geburtsdatum <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][26][date][m]\" id=\"wpforms-42-field_26-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><span class=\"wpforms-field-date-time-date-sep\">\/<\/span><select name=\"wpforms[fields][26][date][d]\" id=\"wpforms-42-field_26-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>TT<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><span class=\"wpforms-field-date-time-date-sep\">\/<\/span><select name=\"wpforms[fields][26][date][y]\" id=\"wpforms-42-field_26-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>JJJJ<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><div id=\"wpforms-42-field_29-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"29\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-42-field_29\">Telefon - f\u00fcr R\u00fcckfragen <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-42-field_29\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"42\" data-field-id=\"29\" data-text-limit=\"50\" name=\"wpforms[fields][29]\" maxlength=\"50\" required><\/div><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"42\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-42\" class=\"wpforms-submit\" data-alt-text=\"Senden...\" data-submit-text=\"Absenden\" aria-live=\"assertive\" value=\"wpforms-submit\">Absenden<\/button><img src=\"https:\/\/cannstatt.infektformular.de\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Wird geladen\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p>Hinweis zum Datenschutz: Die \u00dcbermittlung Ihrer Eingaben erfolgt ausschliesslich verschl\u00fcsselt. Unsere Datenschutzerkl\u00e4rung und Impressum finden Sie hier: <a href=\"https:\/\/www.hausaerzte-cannstatt.de\/kontakt.html\">https:\/\/www.hausaerzte-cannstatt.de\/kontakt.html<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hinweis zum Datenschutz: Die \u00dcbermittlung Ihrer Eingaben erfolgt ausschliesslich verschl\u00fcsselt. Unsere Datenschutzerkl\u00e4rung und Impressum finden Sie hier: https:\/\/www.hausaerzte-cannstatt.de\/kontakt.html<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/cannstatt.infektformular.de\/index.php\/wp-json\/wp\/v2\/pages\/50"}],"collection":[{"href":"https:\/\/cannstatt.infektformular.de\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cannstatt.infektformular.de\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cannstatt.infektformular.de\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cannstatt.infektformular.de\/index.php\/wp-json\/wp\/v2\/comments?post=50"}],"version-history":[{"count":3,"href":"https:\/\/cannstatt.infektformular.de\/index.php\/wp-json\/wp\/v2\/pages\/50\/revisions"}],"predecessor-version":[{"id":56,"href":"https:\/\/cannstatt.infektformular.de\/index.php\/wp-json\/wp\/v2\/pages\/50\/revisions\/56"}],"wp:attachment":[{"href":"https:\/\/cannstatt.infektformular.de\/index.php\/wp-json\/wp\/v2\/media?parent=50"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}