{"id":381,"date":"2023-07-15T22:48:29","date_gmt":"2023-07-15T20:48:29","guid":{"rendered":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/?page_id=381"},"modified":"2023-07-15T22:49:11","modified_gmt":"2023-07-15T20:49:11","slug":"anamnesebogen-handchirurgie","status":"publish","type":"page","link":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/anamnesebogen-handchirurgie\/","title":{"rendered":"Anamnesebogen Handchirurgie"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_7 ffs_custom_wrap'><form data-form_id=\"7\" id=\"fluentform_7\" class=\"frm-fluent-form fluent_form_7 ff-el-form-top ff_form_instance_7_1 ff-form-loading ffs_custom\" data-form_instance=\"ff_form_instance_7_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Anmnesebogen Handchirurgie<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='381' \/><input type=\"hidden\" id=\"_fluentform_7_fluentformnonce\" name=\"_fluentform_7_fluentformnonce\" value=\"897dfce795\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/news\/wp-json\/wp\/v2\/pages\/381\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_names_first_name_' >Vorname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_7_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Vorname\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_names_last_name_' >Nachname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_7_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Nachname\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_datetime' aria-label=\"Geburtsdatum\">Geburtsdatum<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Geburtsdatum Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_7_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\"  aria-invalid='false' aria-required=false><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_address_1_address_line_1_' aria-label=\"Stra\u00dfe\">Stra\u00dfe<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_7_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Stra\u00dfe\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_address_1_address_line_2_' aria-label=\"Hausnummer\">Hausnummer<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_7_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Hausnummer\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_address_1_zip_' aria-label=\"Postleitzahl\">Postleitzahl<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_7_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Postleitzahl\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_address_1_city_' aria-label=\"Stadt\">Stadt<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_7_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Stadt\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_phone' aria-label=\"Telefon\">Telefon<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Telefonnummer\" data-name=\"phone\" id=\"ff_7_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_email' aria-label=\"E-Mail\">E-Mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_7_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_dropdown' aria-label=\"Krankenversicherung\">Krankenversicherung<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_7_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=false><option value=\"\">- Bitte ausw\u00e4hlen -<\/option><option  selected><\/option><option value=\"Gesetzlich\"  >Gesetzlich<\/option><option value=\"Privat\"  >Privat<\/option><option value=\"Selbstzahler\"  >Selbstzahler<\/option><\/select><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-7_1\" ><h3 class='ff-el-section-title'><\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_description_1' aria-label=\"Beschreibung der Beschwerden\">Beschreibung der Beschwerden<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_1\" id=\"ff_7_description_1\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-7_2\" ><h3 class='ff-el-section-title'>Dateianhang<\/h3><div class='ff-section_break_desk'><p>Foto oder PDF-Befund: (MRT, R\u00f6ntgen, Unfallbericht oder OP Bericht)<\/p>\n<p>nur 2 Dateien m\u00f6glich.\u00a0<\/p>\n<p>&nbsp;<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_file-upload_1' aria-label=\"Datei hochladen\">Datei hochladen<\/label><\/div><div class='ff-el-input--content'><label for='ff_7_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Datei ausw\u00e4hlen<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_7_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Ich erkl\u00e4re mich mit der Verarbeitung der Verarbeitung meiner eingegebenen personenbezogenen Daten einverstanden und habe die Datenschutzerkl\u00e4rung zur Kenntnis genommen.' class='ff-el-form-check-label ff_tc_label' for=gdpr-agreement_43132579e0ed1695d5166a9d3e0731ba><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"gdpr-agreement\" class=\"ff-el-form-check-input ff_gdpr_field\" data-name=\"gdpr-agreement\" id=\"gdpr-agreement_43132579e0ed1695d5166a9d3e0731ba\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'>Ich erkl\u00e4re mich mit der Verarbeitung der Verarbeitung meiner eingegebenen personenbezogenen Daten einverstanden und habe die Datenschutzerkl\u00e4rung zur Kenntnis genommen.\n<\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Absenden<\/button><\/div><\/fieldset><\/form><div id='fluentform_7_errors' class='ff-errors-in-stack ff_form_instance_7_1 ff-form-loading_errors ff_form_instance_7_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_7_1 = 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\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-381","page","type-page","status-publish","hentry"],"blocksy_meta":[],"featured_image_urls_v2":{"full":"","thumbnail":"","medium":"","medium_large":"","large":"","1536x1536":"","2048x2048":""},"post_excerpt_stackable_v2":"<p>Anmnesebogen HandchirurgieVornameNachnameGeburtsdatumAdresseStra\u00dfeHausnummerPostleitzahlStadtTelefonE-MailKrankenversicherung- Bitte ausw\u00e4hlen -GesetzlichPrivatSelbstzahlerBeschreibung der BeschwerdenDateianhangFoto oder PDF-Befund: (MRT, R\u00f6ntgen, Unfallbericht oder OP Bericht) nur 2 Dateien m\u00f6glich.\u00a0 &nbsp;Datei hochladenDatei ausw\u00e4hlen Ich erkl\u00e4re mich mit der Verarbeitung der Verarbeitung meiner eingegebenen personenbezogenen Daten einverstanden und habe die Datenschutzerkl\u00e4rung zur Kenntnis genommen. Absenden<\/p>\n","category_list_v2":"","author_info_v2":{"name":"Arne Strohbach","url":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/author\/arne-strohbach\/"},"comments_num_v2":"0 comments","_links":{"self":[{"href":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/wp-json\/wp\/v2\/pages\/381","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/wp-json\/wp\/v2\/comments?post=381"}],"version-history":[{"count":2,"href":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/wp-json\/wp\/v2\/pages\/381\/revisions"}],"predecessor-version":[{"id":383,"href":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/wp-json\/wp\/v2\/pages\/381\/revisions\/383"}],"wp:attachment":[{"href":"https:\/\/www.orthopaedie-wilhelmstrasse.de\/news\/wp-json\/wp\/v2\/media?parent=381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}