Terminanfrage<\/h3>
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\n

<\/div>\n

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\n\n\n\n\n\n<\/div>\n

Vorname* <\/span> <\/p>\n

Name* <\/span> <\/p>\n

Geburtsdatum* <\/span><\/p>\n

Adresse* <\/span><\/p>\n

PLZ* <\/span> <\/p>\n

Ort* <\/span> <\/p>\n

Telefonmummer* <\/span> <\/p>\n

Email* <\/span> <\/p>\n

Krankenkasse <\/span><\/p>\n

Ist der Termin dringend? Nein<\/option>Ja<\/option><\/select><\/span><\/p>\n

Grund f\u00fcr die Konsultation? * <\/textarea><\/span> <\/p>\n<p>Spezielle W\u00fcnsche (Wochentag, morgens-nachmittags) <span class=\"wpcf7-form-control-wrap your-wishes\"><textarea name=\"your-wishes\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/p>\n<p><input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-995\" value=\"3857301552\" \/><img class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-995\" width=\"72\" height=\"24\" alt=\"captcha\" src=\"http:\/\/www.drbronz.ch\/wp-content\/uploads\/wpcf7_captcha\/3857301552.png\" \/> <span class=\"wpcf7-form-control-wrap captcha-995\"><input type=\"text\" name=\"captcha-995\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" \/><\/span><\/p>\n<p><input type=\"submit\" value=\"Senden\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<p>* Pflichtfelder<\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div><br \/>\n<\/div><\/div><!-- end div.wp-tab-content --><br \/>\n<h3 class=\"wp-tab-title\">Rezeptanfrage<\/h3> <div class=\"wp-tab-content\"><div class=\"wp-tab-content-wrapper\"><br \/>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f536-o2\" lang=\"de-DE\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/34#wpcf7-f536-o2\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"536\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f536-o2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<p>Nur f\u00fcr Patientinnen unserer Praxis<\/p>\n<p>Vorname* <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Name* <span class=\"wpcf7-form-control-wrap your-surname\"><input type=\"text\" name=\"your-surname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Geburtsdatum* <span class=\"wpcf7-form-control-wrap your-birthday\"><input type=\"date\" name=\"your-birthday\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"1980-12-25\" \/><\/span><\/p>\n<p>Adresse* <span class=\"wpcf7-form-control-wrap your-address\"><input type=\"text\" name=\"your-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>PLZ* <span class=\"wpcf7-form-control-wrap your-zip\"><input type=\"number\" name=\"your-zip\" value=\"6500\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"1000\" max=\"9999\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Ort* <span class=\"wpcf7-form-control-wrap your-city\"><input type=\"text\" name=\"your-city\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Telefonmummer* <span class=\"wpcf7-form-control-wrap your-tel\"><input type=\"tel\" name=\"your-tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"+41918355353\" \/><\/span> <\/p>\n<p>Email* <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Krankenkasse <span class=\"wpcf7-form-control-wrap your-insurance\"><input type=\"text\" name=\"your-insurance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Gew\u00fcnschte Medikamente? * <span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span> <\/p>\n<p><input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-995\" value=\"2274635306\" \/><img class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-995\" width=\"72\" height=\"24\" alt=\"captcha\" src=\"http:\/\/www.drbronz.ch\/wp-content\/uploads\/wpcf7_captcha\/2274635306.png\" \/> <span class=\"wpcf7-form-control-wrap captcha-995\"><input type=\"text\" name=\"captcha-995\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" \/><\/span><\/p>\n<p><input type=\"submit\" value=\"Senden\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<p>* Pflichtfelder<\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div><\/div><\/div><!-- end div.wp-tab-content --><\/div><!-- end div.wp-tabs --><\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon sd-sharing\"><h3 class=\"sd-title\">Share:<\/h3><div class=\"sd-content\"><ul><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-34\" class=\"share-facebook sd-button share-icon no-text\" href=\"http:\/\/www.drbronz.ch\/de\/kontakt\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\"><span><\/span><span class=\"sharing-screen-reader-text\">Click to share on Facebook (Opens in new window)<\/span><\/a><\/li><li class=\"share-linkedin\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-linkedin-34\" class=\"share-linkedin sd-button share-icon no-text\" href=\"http:\/\/www.drbronz.ch\/de\/kontakt\/?share=linkedin\" target=\"_blank\" title=\"Click to share on LinkedIn\"><span><\/span><span class=\"sharing-screen-reader-text\">Click to share on LinkedIn (Opens in new window)<\/span><\/a><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-34\" class=\"share-twitter sd-button share-icon no-text\" href=\"http:\/\/www.drbronz.ch\/de\/kontakt\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\"><span><\/span><span class=\"sharing-screen-reader-text\">Click to share on Twitter (Opens in new window)<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Um Ihnen kleine W\u00fcnsche oder die Anmeldung in unserer Praxis zu erleichtern, steht Ihnen dieses Formular zur Verf\u00fcgung welches Sie uns jederzeit vollst\u00e4ndig ausgef\u00fcllt schicken k\u00f6nnen.Wir werden uns bem\u00fchen, Ihre Anfragen in vern\u00fcnftiger Zeit zu beantworten. Diese Leistung wird Ihnen verrechnet. Wir behalten uns das Recht vor, Anfragen nicht zu beantworten, insbesondere bei Personen die […]<\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon sd-sharing\"><h3 class=\"sd-title\">Share:<\/h3><div class=\"sd-content\"><ul><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-34\" class=\"share-facebook sd-button share-icon no-text\" href=\"http:\/\/www.drbronz.ch\/de\/kontakt\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\"><span><\/span><span class=\"sharing-screen-reader-text\">Click to share on Facebook (Opens in new window)<\/span><\/a><\/li><li class=\"share-linkedin\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-linkedin-34\" class=\"share-linkedin sd-button share-icon no-text\" href=\"http:\/\/www.drbronz.ch\/de\/kontakt\/?share=linkedin\" target=\"_blank\" title=\"Click to share on LinkedIn\"><span><\/span><span class=\"sharing-screen-reader-text\">Click to share on LinkedIn (Opens in new window)<\/span><\/a><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-34\" class=\"share-twitter sd-button share-icon no-text\" href=\"http:\/\/www.drbronz.ch\/de\/kontakt\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\"><span><\/span><span class=\"sharing-screen-reader-text\">Click to share on Twitter (Opens in new window)<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><\/div><\/div><\/div>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"spay_email":""},"jetpack_shortlink":"https:\/\/wp.me\/P2O0JH-y","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"http:\/\/www.drbronz.ch\/wp-json\/wp\/v2\/pages\/34"}],"collection":[{"href":"http:\/\/www.drbronz.ch\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.drbronz.ch\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.drbronz.ch\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.drbronz.ch\/wp-json\/wp\/v2\/comments?post=34"}],"version-history":[{"count":10,"href":"http:\/\/www.drbronz.ch\/wp-json\/wp\/v2\/pages\/34\/revisions"}],"predecessor-version":[{"id":538,"href":"http:\/\/www.drbronz.ch\/wp-json\/wp\/v2\/pages\/34\/revisions\/538"}],"wp:attachment":[{"href":"http:\/\/www.drbronz.ch\/wp-json\/wp\/v2\/media?parent=34"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}