{"id":59,"date":"2020-03-23T12:57:48","date_gmt":"2020-03-23T11:57:48","guid":{"rendered":"http:\/\/praxis-gartenstr.de\/?page_id=59"},"modified":"2024-01-16T16:43:59","modified_gmt":"2024-01-16T15:43:59","slug":"formular","status":"publish","type":"page","link":"https:\/\/praxis-gartenstr.de\/?page_id=59","title":{"rendered":"Rezeptbestellung"},"content":{"rendered":"\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f91-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"91\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F59#wpcf7-f91-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontaktformular\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"91\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f91-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>Sehr geehrte Patienten,\n<\/p>\n<p>in diesen Zeiten bem\u00fchen wir uns, die Wege zu uns zu vereinfachen und stellen ein Formular zur Rezeptbestellung online. Bitte f\u00fcllen Sie es vollst\u00e4ndig aus, Sie k\u00f6nnen pro Formular drei Medikamente bestellen.\n<\/p>\n<p><label> Anrede *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"anrede\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"anrede\" value=\"Herr\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Herr<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"anrede\" value=\"Frau\" \/><span class=\"wpcf7-list-item-label\">Frau<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Vorname *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vorname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vorname\" \/><\/span>\n<\/p>\n<p><label> Nachname *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nachname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nachname\" \/><\/span>\n<\/p>\n<p><label> E-Mail-Adresse *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n<\/p>\n<p><label> Telefonnummer *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"telefon\" \/><\/span>\n<\/p>\n<p><label> 1. Medikament *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medikament1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medikament1\" \/><\/span>\n<\/p>\n<p><label> 2. Medikament <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medikament2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medikament2\" \/><\/span>\n<\/p>\n<p><label> 3. Medikament <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medikament3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medikament3\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hinweis\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"hinweis\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Mir ist bekannt, dass ich auf diesem Wege keine medizinische Beratung erhalte.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"datenschutz\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"datenschutz\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ich habe die Datenschutzerkl\u00e4rung zur Kenntnis genommen. Ich stimme zu, dass meine Angaben und Daten zur Beantwortung meiner Anfrage elektronisch erhoben und gespeichert werden. Hinweis: Sie k\u00f6nnen Ihre Einwilligung jederzeit f\u00fcr die Zukunft per E-Mail an info@praxis-gartenstr.de widerrufen<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Senden\" \/>\n<\/p>\n<p>Das Rezept ist am n\u00e4chsten Werktag f\u00fcr Sie abholbereit.\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n","protected":false},"excerpt":{"rendered":"Sehr geehrte Patienten, in diesen Zeiten bem\u00fchen wir uns, die Wege zu uns zu vereinfachen und stellen ein Formular zur Rezeptbestellung online. Bitte f\u00fcllen Sie es vollst\u00e4ndig aus, Sie k\u00f6nnen pro Formular drei Medikamente bestellen. Anrede * HerrFrau Vorname * Nachname * E-Mail-Adresse * Telefonnummer * 1. Medikament * 2. Medikament 3. Medikament Mir ist [...]","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-59","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/praxis-gartenstr.de\/index.php?rest_route=\/wp\/v2\/pages\/59","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/praxis-gartenstr.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/praxis-gartenstr.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/praxis-gartenstr.de\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/praxis-gartenstr.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=59"}],"version-history":[{"count":5,"href":"https:\/\/praxis-gartenstr.de\/index.php?rest_route=\/wp\/v2\/pages\/59\/revisions"}],"predecessor-version":[{"id":151,"href":"https:\/\/praxis-gartenstr.de\/index.php?rest_route=\/wp\/v2\/pages\/59\/revisions\/151"}],"wp:attachment":[{"href":"https:\/\/praxis-gartenstr.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}