{"id":18,"date":"2019-10-05T21:41:06","date_gmt":"2019-10-05T19:41:06","guid":{"rendered":"http:\/\/www.hausarzt-krieghoff.de\/?page_id=18"},"modified":"2019-10-09T09:57:11","modified_gmt":"2019-10-09T07:57:11","slug":"online-ueberweisungsbestellung","status":"publish","type":"page","link":"https:\/\/www.hausarzt-krieghoff.de\/?page_id=18","title":{"rendered":"Online-\u00dcberweisungsbestellung"},"content":{"rendered":"<p><strong>\u00dcberweisungen online bestellen<\/strong><br \/>\nVoraussetzung: Chipkarte wurde bereits im laufenden Quartal eingelesen.<br \/>\nDie Abholung ist am \u00fcbern\u00e4chsten Werktag zur regul\u00e4ren Sprechzeit m\u00f6glich.<br \/>\nBitte bringen Sie zur Abholung Ihre Versicherungs-Chipkarte mit.<br \/>\nBitte f\u00fcllen Sie mindestens die mit * versehenen Pflichtfelder sorgf\u00e4ltig aus.<br \/>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f512-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"512\">\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%2F18#wpcf7-f512-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=\"512\" \/><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-f512-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>Ihr Name*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><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=\"your-name\" \/><\/span>\n<\/p>\n<p>Ihre Email*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-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=\"your-email\" \/><\/span>\n<\/p>\n<p>Ihre Telefonummer*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-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=\"text-telefon\" \/><\/span>\n<\/p>\n<p>Ihre Versicherung*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-versicherung\"><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=\"text-versicherung\" \/><\/span>\n<\/p>\n<p>Ihr Geburtsdatum*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-geburtsdatum\"><input size=\"8\" maxlength=\"10\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"TT.MM.JJJJ\" type=\"text\" name=\"text-geburtsdatum\" \/><\/span>\n<\/p>\n<hr \/>\n<p style=\"text-align: justify\"><strong>\u00dcberweisung an*<\/strong>\n<\/p>\n<p>Durch Klicken bei gedr\u00fcckter STRG-Taste k\u00f6nnen Sie mehrere Fachrichtungen ausw\u00e4hlen.\n<\/p>\n<p><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-ueberweisungan\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required uwe\" aria-required=\"true\" aria-invalid=\"false\" multiple=\"multiple\" name=\"menu-ueberweisungan[]\"><option value=\"Augenheilkunde\">Augenheilkunde<\/option><option value=\"Chirurgie\">Chirurgie<\/option><option value=\"Dermatologie\">Dermatologie<\/option><option value=\"Gastroenterologie\">Gastroenterologie<\/option><option value=\"Gef\u00e4\u00dfheilkunde\">Gef\u00e4\u00dfheilkunde<\/option><option value=\"Gyn\u00e4kologie\">Gyn\u00e4kologie<\/option><option value=\"HNO\">HNO<\/option><option value=\"Internist\">Internist<\/option><option value=\"Kardiologie\">Kardiologie<\/option><option value=\"Nephrologie\">Nephrologie<\/option><option value=\"Nervenarzt\">Nervenarzt<\/option><option value=\"Onkologie\">Onkologie<\/option><option value=\"Orthop\u00e4die\">Orthop\u00e4die<\/option><option value=\"Rheumatologie\">Rheumatologie<\/option><option value=\"Urologie\">Urologie<\/option><\/select><\/span>\n<\/p>\n<p style=\"text-align: justify\">Die gew\u00fcnschte Fachrichtung ist nicht aufgef\u00fchrt? Geben Sie sie bitte hier ein. Wahlweise k\u00f6nnen Sie auch den Namen des entsprechenden Arztes eintragen:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-sonstiges\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-sonstiges\" \/><\/span>\n<\/p>\n<p>Grund\/Erkrankung*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-erkrankung\"><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=\"text-erkrankung\" \/><\/span>\n<\/p>\n<p style=\"text-align: justify\"><span class=\"wpcf7-form-control-wrap\" data-name=\"datenschutz-409\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"datenschutz-409\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> Ich habe die <a href=\"https:\/\/www.hausarzt-krieghoff.de\/datenschutzerklaerung\/\" target=\"_blank\">Datenschutzerkl\u00e4rung<\/a> gelesen und bin damit einverstanden. *\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap kc_captcha\" data-name=\"kc_captcha\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"captcha-image\" ><span class=\"cf7ic_instructions\">Bitte beweise, dass du kein Spambot bist und w\u00e4hle das Symbol<span> Auto<\/span>.<\/span><label><input aria-label=\"1\" type=\"radio\" name=\"kc_captcha\" value=\"kc_human\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path fill=\"currentColor\" d=\"M500 168h-55l-8-21a127 127 0 00-120-83H195a127 127 0 00-120 83l-8 21H12c-8 0-14 8-11 16l8 24a12 12 0 0011 8h29a64 64 0 00-33 56v48c0 16 6 31 16 42v62c0 13 11 24 24 24h48c13 0 24-11 24-24v-40h256v40c0 13 11 24 24 24h48c13 0 24-11 24-24v-62c10-11 16-26 16-42v-48c0-24-13-45-33-56h29a12 12 0 0011-8l8-24c3-8-3-16-11-16zm-365 2c9-25 33-42 60-42h122c27 0 51 17 60 42l15 38H120l15-38zM88 328a32 32 0 010-64c18 0 48 30 48 48s-30 16-48 16zm336 0c-18 0-48 2-48-16s30-48 48-48 32 14 32 32-14 32-32 32z\"\/><\/svg><\/label><label><input aria-label=\"2\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path fill=\"currentColor\" d=\"M512 176a176 176 0 01-209 173l-24 27a24 24 0 01-18 8h-37v40c0 13-11 24-24 24h-40v40c0 13-11 24-24 24H24c-13 0-24-11-24-24v-78c0-6 3-13 7-17l162-162a176 176 0 11343-55zm-176-48a48 48 0 1096 0 48 48 0 00-96 0z\"\/><\/svg><\/label><label><input aria-label=\"3\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path fill=\"currentColor\" d=\"M472 200H360L256 6a12 12 0 00-10-6h-58c-8 0-14 7-12 15l34 185H100l-35-58a12 12 0 00-10-6H12c-8 0-13 7-12 14l21 106L0 362c-1 7 4 14 12 14h43c4 0 8-2 10-6l35-58h110l-34 185c-2 8 4 15 12 15h58a12 12 0 0010-6l104-194h112c57 0 104-25 104-56s-47-56-104-56z\"\/><\/svg><\/label>\r\n    <\/span>\r\n    <span style=\"display:none\">\r\n        <input type=\"text\" name=\"kc_honeypot\">\r\n    <\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Senden\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00dcberweisungen online bestellen Voraussetzung: Chipkarte wurde bereits im laufenden Quartal eingelesen. Die Abholung ist am \u00fcbern\u00e4chsten Werktag zur regul\u00e4ren Sprechzeit [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-18","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.hausarzt-krieghoff.de\/index.php?rest_route=\/wp\/v2\/pages\/18","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hausarzt-krieghoff.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hausarzt-krieghoff.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hausarzt-krieghoff.de\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hausarzt-krieghoff.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18"}],"version-history":[{"count":3,"href":"https:\/\/www.hausarzt-krieghoff.de\/index.php?rest_route=\/wp\/v2\/pages\/18\/revisions"}],"predecessor-version":[{"id":528,"href":"https:\/\/www.hausarzt-krieghoff.de\/index.php?rest_route=\/wp\/v2\/pages\/18\/revisions\/528"}],"wp:attachment":[{"href":"https:\/\/www.hausarzt-krieghoff.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}