{"id":39,"date":"2020-06-19T22:04:57","date_gmt":"2020-06-19T20:04:57","guid":{"rendered":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/?page_id=39"},"modified":"2020-07-13T00:29:00","modified_gmt":"2020-07-12T22:29:00","slug":"terminanfrage","status":"publish","type":"page","link":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/terminanfrage\/","title":{"rendered":"Terminanfrage"},"content":{"rendered":"<!--themify_builder_content-->\n<div id=\"themify_builder_content-39\" data-postid=\"39\" class=\"themify_builder_content themify_builder_content-39 themify_builder tf_clear\">\n                    <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_3g0k858 tb_first tf_w\">\n                        <div class=\"row_inner col_align_top tb_col_count_1 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col4-2 tb_ntg6859 first\">\n                            <div  data-lazy=\"1\" class=\"module_subrow themify_builder_sub_row tf_w col_align_top tb_col_count_1 tb_qc3l322\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_y427323 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_ioa2248   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h4>Liebe Patientin, lieber Patient,<br \/>hier k\u00f6nnen Sie eine Terminanfrage an uns schicken, wir rufen Sie dann zur\u00fcck.<br \/>Ihr Praxisteam<\/h4>\n    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                    <\/div>\n        <!-- module contact -->\n<div  id=\"tb_p316860\" class=\"module module-contact tb_p316860 contact-style1 \" data-lazy=\"1\">\n    <h3 class=\"module-title\">Terminanfrage<\/h3>\n\t<form class=\"builder-contact\"\n\t\tid=\"tb_p316860-form\"\n\t\tmethod=\"post\"\n\t\tdata-post-id=\"39\"\n\t\tdata-element-id=\"p316860\"\n\t\tdata-orig-id=\"39\"\n\t>\n    <div class=\"contact-message\"><\/div>\n\t<input type=\"hidden\" id=\"bc_nonce\" name=\"bc_nonce\" value=\"a3a1c1a797\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/praxis\/wp-json\/wp\/v2\/pages\/39\" \/>\t<div class=\"builder-contact-fields tf_rel\">\n\t\t    \t\t    <div class=\"builder-contact-field builder-contact-field-name builder-contact-text-field\">\n\t\t\t    <label class=\"control-label\" for=\"tb_p316860-contact-name\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"tb-label-span\">Name des Patienten <\/span><span class=\"required\">*<\/span>\t\t\t\t<\/label>\n\t\t\t    <div class=\"control-input tf_rel\">\n\t\t\t\t    \t\t\t\t\t    <input type=\"text\" name=\"contact-name\" placeholder=\"Name des Patienten\" id=\"tb_p316860-contact-name\" value=\"\" class=\"form-control\" required>\n\t\t\t\t    \t\t\t\t    \t\t\t    <\/div>\n\t\t<\/div>\n\t    \n\t\t    \t\t    \t\t    <div class=\"builder-contact-field builder-contact-field-extra builder-contact-text-field\">\n\t\t\t\t\n\t\t\t\t<label class=\"control-label\" for=\"field_extra_tb_p316860_0\">\n\t\t\t\t\t\n\t\t\t\t\tGeburtsdatum\t\t\t\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"field_extra_name_0\" value=\"Geburtsdatum\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"required\">*<\/span>\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t<div class=\"control-input tf_rel\">\n\t\t\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"field_extra_0\" id=\"field_extra_tb_p316860_0\" placeholder=\"Geburtsdatum\" class=\"form-control\" required>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t    <\/div>\n\t    \n\t\t    \t\t    \t\t    <div class=\"builder-contact-field builder-contact-field-extra builder-contact-text-field builder-contact-tel-field\">\n\t\t\t\t\n\t\t\t\t<label class=\"control-label\" for=\"field_extra_tb_p316860_1\">\n\t\t\t\t\t\n\t\t\t\t\tTelefon-Nr.\t\t\t\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"field_extra_name_1\" value=\"Telefon-Nr.\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"required\">*<\/span>\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t<div class=\"control-input tf_rel\">\n\t\t\t\t\t\t\t\t\t\t\t<input type=\"tel\" name=\"field_extra_1\" id=\"field_extra_tb_p316860_1\" placeholder=\"Telefon-Nr.\" class=\"form-control\" required>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t    <\/div>\n\t    \n\t\t    \t\t    <div class=\"builder-contact-field builder-contact-field-email builder-contact-text-field\">\n\t\t\t    <label class=\"control-label\" for=\"tb_p316860-contact-email\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"tb-label-span\">E-Mail <\/span>\t\t\t\t<\/label>\n\t\t\t    <div class=\"control-input tf_rel\">\n\t\t\t\t    \t\t\t\t\t    <input type=\"email\" name=\"contact-email\" placeholder=\"E-Mail\" id=\"tb_p316860-contact-email\" value=\"\" class=\"form-control\" >\n\t\t\t\t    \t\t\t\t    \t\t\t    <\/div>\n\t\t<\/div>\n\t    \n\t\t    \t\t    \t\t    <div class=\"builder-contact-field builder-contact-field-extra builder-contact-textarea-field\">\n\t\t\t\t\n\t\t\t\t<label class=\"control-label\" for=\"field_extra_tb_p316860_2\">\n\t\t\t\t\t\n\t\t\t\t\tAnmerkungen\t\t\t\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"field_extra_name_2\" value=\"Anmerkungen\">\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t<div class=\"control-input tf_rel\">\n\t\t\t\t\t\t\t\t\t\t\t<textarea name=\"field_extra_2\" id=\"field_extra_tb_p316860_2\" placeholder=\"\" class=\"form-control\"><\/textarea>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t    <\/div>\n\t    \n\t\t    \t\t<div class=\"builder-contact-field builder-contact-field-sendcopy\">\n\t\t    <div class=\"control-label\">\n\t\t\t\t<div class=\"control-input tf_rel\">\n\t\t\t\t\t<label class=\"send-copy\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"contact-sendcopy\" id=\"tb_p316860-sendcopy\" value=\"1\">\n\t\t\t\t\t\t<span>Kopie der Anfrage per E-Mail zuschicken<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t\t<\/div>\n\t\t    <\/div>\n\t\t<\/div>\n\t    \t\t\n\t\t\t\t\t<div class=\"builder-contact-field builder-contact-field-gdpr\">\n\t\t\t\t<div class=\"control-label\">\n\t\t\t\t\t<div class=\"control-input tf_rel\">\n\t\t\t\t\t\t<label class=\"field-gdpr\">\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"gdpr\" value=\"1\" required>\n\t\t\t\t\t\t\t<span>Hiermit stimme ich der Speicherung und \u00dcbermittlung meiner Daten zu.<\/span>\n\t\t\t\t\t\t\t<span class=\"required\">*<\/span>\n\t\t\t\t\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\t    \n\t    <div class=\"builder-contact-field builder-contact-field-send control-input tf_textc tf_clear tf_rel\">\n\t\t\t<button type=\"submit\" class=\"btn btn-primary\">\n\t\t\t\t<span class=\"tf_loader\"><\/span>\t\t\t\t<span class=\"tf_submit_icon\"><\/span> \n\t\t\t\tabsenden\t\t\t<\/button>\n\t    <\/div>\n\t<\/div>\n    <\/form>\n    <\/div>\n<!-- \/module contact -->\n        <\/div>\n                        <\/div>\n        <\/div>\n        <\/div>\n<!--\/themify_builder_content-->","protected":false},"excerpt":{"rendered":"<p>Liebe Patientin, lieber Patient,hier k\u00f6nnen Sie eine Terminanfrage an uns schicken, wir rufen Sie dann zur\u00fcck.Ihr Praxisteam Terminanfrage Name des Patienten * E-Mail Geburtsdatum * Telefon-Nr. * Anmerkungen Kopie der Anfrage per E-Mail zuschicken Hiermit stimme ich der Speicherung und \u00dcbermittlung meiner Daten zu. * absenden<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":43,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-39","page","type-page","status-publish","hentry"],"builder_content":"<h4>Liebe Patientin, lieber Patient,<br \/>hier k\u00f6nnen Sie eine Terminanfrage an uns schicken, wir rufen Sie dann zur\u00fcck.<br \/>Ihr Praxisteam<\/h4>\n<h3>Terminanfrage<\/h3> <form id=\"tb_p316860-form\" method=\"post\" data-post-id=\"0\" data-element-id=\"p316860\" data-orig-id=\"39\" > <input type=\"hidden\" id=\"bc_nonce\" name=\"bc_nonce\" value=\"a3a1c1a797\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/praxis\/wp-json\/wp\/v2\/pages\/39\" \/> <label for=\"tb_p316860-contact-name\"> Name des Patienten * <\/label> <input type=\"text\" name=\"contact-name\" placeholder=\"Name des Patienten\" id=\"tb_p316860-contact-name\" value=\"\" required> <label for=\"field_extra_tb_p316860_0\"> Geburtsdatum <input type=\"hidden\" name=\"field_extra_name_0\" value=\"Geburtsdatum\"> * <\/label> <input type=\"text\" name=\"field_extra_0\" id=\"field_extra_tb_p316860_0\" placeholder=\"Geburtsdatum\" required> <label for=\"field_extra_tb_p316860_1\"> Telefon-Nr. <input type=\"hidden\" name=\"field_extra_name_1\" value=\"Telefon-Nr.\"> * <\/label> <input type=\"tel\" name=\"field_extra_1\" id=\"field_extra_tb_p316860_1\" placeholder=\"Telefon-Nr.\" required> <label for=\"tb_p316860-contact-email\"> E-Mail <\/label> <input type=\"email\" name=\"contact-email\" placeholder=\"E-Mail\" id=\"tb_p316860-contact-email\" value=\"\" > <label for=\"field_extra_tb_p316860_2\"> Anmerkungen <input type=\"hidden\" name=\"field_extra_name_2\" value=\"Anmerkungen\"> <\/label> <textarea name=\"field_extra_2\" id=\"field_extra_tb_p316860_2\" placeholder=\"\"><\/textarea> <label> <input type=\"checkbox\" name=\"contact-sendcopy\" id=\"tb_p316860-sendcopy\" value=\"1\"> Kopie der Anfrage per E-Mail zuschicken <\/label> <label> <input type=\"checkbox\" name=\"gdpr\" value=\"1\" required> Hiermit stimme ich der Speicherung und \u00dcbermittlung meiner Daten zu. * <\/label> <button type=\"submit\"> absenden <\/button> <\/form>","_links":{"self":[{"href":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/wp-json\/wp\/v2\/pages\/39","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/wp-json\/wp\/v2\/comments?post=39"}],"version-history":[{"count":10,"href":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/wp-json\/wp\/v2\/pages\/39\/revisions"}],"predecessor-version":[{"id":313,"href":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/wp-json\/wp\/v2\/pages\/39\/revisions\/313"}],"wp:attachment":[{"href":"https:\/\/www.hausarztpraxis-ihlow-riepe.de\/praxis\/wp-json\/wp\/v2\/media?parent=39"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}