{"id":1684,"date":"2022-03-28T12:02:06","date_gmt":"2022-03-28T10:02:06","guid":{"rendered":"https:\/\/www.centridialisirivieraligure.it\/prenota\/"},"modified":"2022-11-25T12:49:23","modified_gmt":"2022-11-25T11:49:23","slug":"buchen-sie","status":"publish","type":"page","link":"https:\/\/www.centridialisirivieraligure.it\/de\/buchen-sie\/","title":{"rendered":"Buchen Sie"},"content":{"rendered":"<p>[vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;grid&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220; z_index=&#8220;&#8220;][vc_column width=&#8220;2\/3&#8243;][qode_elements_holder number_of_columns=&#8220;one_column&#8220;][qode_elements_holder_item vertical_alignment=&#8220;top&#8220; advanced_animations=&#8220;no&#8220; item_padding=&#8220;48px&#8220;][vc_column_text]<\/p>\n<h2>Antragsformular f\u00fcr H\u00e4modialyse-Sitzungen<\/h2>\n<p>[\/vc_column_text][\/qode_elements_holder_item][\/qode_elements_holder][\/vc_column][vc_column width=&#8220;1\/3&#8243;][qode_elements_holder number_of_columns=&#8220;one_column&#8220;][qode_elements_holder_item advanced_animations=&#8220;no&#8220; item_padding=&#8220;48px&#8220;][\/qode_elements_holder_item][\/qode_elements_holder][\/vc_column][\/vc_row][vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;grid&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; background_image_as_pattern=&#8220;without_pattern&#8220; z_index=&#8220;&#8220;][vc_column][qode_elements_holder number_of_columns=&#8220;one_column&#8220;][qode_elements_holder_item vertical_alignment=&#8220;top&#8220; advanced_animations=&#8220;no&#8220; item_padding=&#8220;48px&#8220;]<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f1690-o1\" lang=\"it-IT\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/de\/wp-json\/wp\/v2\/pages\/1684\/#wpcf7-f1690-o1\" method=\"post\" class=\"wpcf7-form init cf7_custom_style_1 wpcf7-acceptance-as-validation\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1690\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.6.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"it_IT\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1690-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"two_columns_50_50 clearfix\">\n<div class=\"column1\">\n<div class=\"column_inner\">\n\t<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\" placeholder=\"Name\" \/><\/span>\n        <\/div>\n<\/div>\n<div class=\"column2\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-lastname\"><input type=\"text\" name=\"your-lastname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nachname\" \/><\/span>\n        <\/div>\n<\/div>\n<\/div>\n<div class=\"two_columns_50_50 clearfix\">\n<div class=\"column1\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-birthdate\"><input type=\"date\" name=\"your-birthdate\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"birthdate\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n        <\/div>\n<\/div>\n<div class=\"column2\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-birthplace\"><input type=\"text\" name=\"your-birthplace\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ort der Geburt\" \/><\/span>\n        <\/div>\n<\/div>\n<\/div>\n<div class=\"two_columns_50_50 clearfix\">\n<div class=\"column1\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-indirizzo\"><input type=\"text\" name=\"your-indirizzo\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Adresse\" \/><\/span>\n        <\/div>\n<\/div>\n<div class=\"column2\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-citta\"><input type=\"text\" name=\"your-citta\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Stadt\" \/><\/span>\n        <\/div>\n<\/div>\n<\/div>\n<div class=\"two_columns_50_50 clearfix\">\n<div class=\"column1\">\n<div class=\"column_inner\">\n\t<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\" placeholder=\"E-Mail\" \/><\/span>\n        <\/div>\n<\/div>\n<div class=\"column2\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-phone\"><input type=\"text\" name=\"your-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Telefon\" \/><\/span>\n        <\/div>\n<\/div>\n<\/div>\n<div class=\"two_columns_50_50 clearfix\">\n<div class=\"column1\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-centrodialisi\"><input type=\"text\" name=\"your-centrodialisi\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Dialysezentrum der Niederlassung\" \/><\/span>\n        <\/div>\n<\/div>\n<div class=\"column2\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-emailcentro\"><input type=\"text\" name=\"your-emailcentro\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Zentrum E-Mail\" \/><\/span>\n        <\/div>\n<\/div>\n<\/div>\n<div class=\"two_columns_50_50 clearfix\">\n<div class=\"column1\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-telefonocentro\"><input type=\"tel\" name=\"your-telefonocentro\" 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=\"Zentrum Telefon\" \/><\/span>\n        <\/div>\n<\/div>\n<div class=\"column2\">\n<div class=\"column_inner\">\n\t<span class=\"wpcf7-form-control-wrap your-faxcentro\"><input type=\"text\" name=\"your-faxcentro\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Fax-Zentrum\" \/><\/span>\n        <\/div>\n<\/div>\n<\/div>\n<p>Zentrum, wo Sie buchen m\u00f6chten:<br \/>\n<span class=\"wpcf7-form-control-wrap Centroincuisivuolesoggiornare\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"Centroincuisivuolesoggiornare\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Centroincuisivuolesoggiornare\" value=\"San Salvatore di Cogorno (GE)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">San Salvatore di Cogorno (GE)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"Centroincuisivuolesoggiornare\" value=\"Albenga (SV)\" \/><span class=\"wpcf7-list-item-label\">Albenga (SV)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Centroincuisivuolesoggiornare\" value=\"CAL Loano (SV)\" \/><span class=\"wpcf7-list-item-label\">CAL Loano (SV)<\/span><\/label><\/span><\/span><\/span><\/p>\n<p>Zeitraum, in dem Sie buchen m\u00f6chten: <\/p>\n<div class=\"two_columns_50_50 clearfix\">\n<div class=\"column1\">\n<div class=\"column_inner\">\n        <span class=\"wpcf7-form-control-wrap date-dal\"><input type=\"date\" name=\"date-dal\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"dal\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n        <\/div>\n<\/div>\n<div class=\"column2\">\n<div class=\"column_inner\">\n        <span class=\"wpcf7-form-control-wrap date-al\"><input type=\"date\" name=\"date-al\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"al\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n        <\/div>\n<\/div>\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap numero-dialisi\"><input type=\"text\" name=\"numero-dialisi\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Anzahl der Dialysesitzungen\" \/><\/span><\/p>\n<p>Nach M\u00f6glichkeit:        <\/p>\n<p><span class=\"wpcf7-form-control-wrap Preferibilmenteturno\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"Preferibilmenteturno\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Preferibilmenteturno\" value=\"Vormittag\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Vormittag<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Preferibilmenteturno\" value=\"Nachmittag\" \/><span class=\"wpcf7-list-item-label\">Nachmittag<\/span><\/label><\/span><\/span><\/span><\/p>\n<p>Patient mit: <\/p>\n<p><span class=\"wpcf7-form-control-wrap Pazienteportatoredi\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"Pazienteportatoredi\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Pazienteportatoredi\" value=\"Arterio-ven\u00f6se Fistel (AVF)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Arterio-ven\u00f6se Fistel (AVF)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Pazienteportatoredi\" value=\"Zentraler Venenkatheter (ZVK)\" \/><span class=\"wpcf7-list-item-label\">Zentraler Venenkatheter (ZVK)<\/span><\/label><\/span><\/span><\/span><\/p>\n<p><span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Noten\"><\/textarea><\/span><\/p>\n<p>EINVERST\u00c4NDNISERKL\u00c4RUNG ZUR VERARBEITUNG PERSONENBEZOGENER DATEN<br \/>\n<span class=\"wpcf7-form-control-wrap acceptance-695\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-695\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ich autorisiere<\/span><\/label><\/span><\/span><\/span><br \/>\ndie Verarbeitung meiner personenbezogenen Daten im oben genannten Buchungsformular gem\u00e4\u00df Artikel 13 und 14 der DSGVO (Verordnung (EU) 2016\/679) in Bezug auf die Verarbeitung personenbezogener Daten in dem Bewusstsein, dass im Falle einer Weigerung die vereinbarte Dienstleistung nicht erbracht werden kann. Im Zweifelsfall k\u00f6nnen Sie den Datenverarbeiter unter der E-Mail-Adresse kontaktieren <a href=\"mailto:biagiiec@legalmail.it\" target=\"_blank\">biagiiec@legalmail.it<\/a>.<br \/>\nIch erkl\u00e4re auch, dass ich die vollst\u00e4ndigen <a href=\"\/de\/privacy\/\" target=\"_blank\"><u>Informationen zur Verarbeitung personenbezogener Daten<\/u><\/a> auf der Website <a href=\"\/\" target=\"_blank\">www.centrodialisirivieraligure.com<\/u><\/a> gelesen habe<\/p>\n<p><br><\/p>\n<p><input type=\"submit\" value=\"Senden Sie\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>[\/qode_elements_holder_item][\/qode_elements_holder][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8220;&#8220; row_type=&#8220;row&#8220; use_row_as_full_screen_section=&#8220;no&#8220; type=&#8220;grid&#8220; angled_section=&#8220;no&#8220; text_align=&#8220;left&#8220; 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