{"id":2130,"date":"2023-12-15T15:02:27","date_gmt":"2023-12-15T15:02:27","guid":{"rendered":"http:\/\/www.arztpraxisloewenzentrum.ch\/?page_id=2130"},"modified":"2026-02-04T20:33:58","modified_gmt":"2026-02-04T20:33:58","slug":"terminanfrage-3","status":"publish","type":"page","link":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/terminanfrage-3\/","title":{"rendered":"Terminanfrage"},"content":{"rendered":"<p><\/br><\/p>\n\n\n<p>Mit nachfolgendem Formular k\u00f6nnen Sie Ihren Terminwunsch schnell per E-Mail an uns \u00fcbermitteln.<\/p>\n\n\n\n<p>Bitte f\u00fcllen Sie dazu die vorgesehenen Felder aus und klicken Sie dann auf \u201cAbsenden\u201d. Sie erhalten dann von uns ein e-mail als Best\u00e4tigung mit Terminangabe.<\/p>\n\n\n\n<p>Bitte beachten Sie, dass die Angabe einer E-Mail-Adresse, f\u00fcr neue Patientinnen und Patienten auch die Angabe einer g\u00fcltigen Adresse, zwingend ist, um einen Termin zu erhalten. Ebenso weisen wir Sie darauf hin, dass die Daten unverschl\u00fcsselt an uns gesandt werden.<\/p>\n\n\n<style id=\"wpforms-css-vars-2121-block-0108587f-f0a7-406d-a6b1-236c3ac39d88\">\n\t\t\t\t#wpforms-2121.wpforms-block-0108587f-f0a7-406d-a6b1-236c3ac39d88 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-0108587f-f0a7-406d-a6b1-236c3ac39d88 wpforms-render-modern\" id=\"wpforms-2121\"><form id=\"wpforms-form-2121\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2121\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/2130\" data-token=\"8109a00af148624a415970d1787eabfd\" data-token-time=\"1781524647\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-2121-field_1-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Wer ist Ihr Hausarzt?<\/legend><ul id=\"wpforms-2121-field_1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2121-field_1_1\" name=\"wpforms[fields][1][]\" value=\"Dr. med. Thomas Gasser\" aria-errormessage=\"wpforms-2121-field_1_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2121-field_1_1\">Dr. med. Thomas Gasser<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2121-field_1_2\" name=\"wpforms[fields][1][]\" value=\"Dipl. med. Murat Kara\" aria-errormessage=\"wpforms-2121-field_1_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2121-field_1_2\">Dipl. med. Murat Kara<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2121-field_1_3\" name=\"wpforms[fields][1][]\" value=\"Ich habe noch keinen Arzt\" aria-errormessage=\"wpforms-2121-field_1_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2121-field_1_3\">Ich habe noch keinen Arzt<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2121-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2121-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" placeholder=\"Vorname\" aria-errormessage=\"wpforms-2121-field_3-error\" required><label for=\"wpforms-2121-field_3\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2121-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" placeholder=\"Nachname\" aria-errormessage=\"wpforms-2121-field_3-last-error\" required><label for=\"wpforms-2121-field_3-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-2121-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_4\">Geburtsdatum <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2121-field_4\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][4]\" placeholder=\"1.1.2024\" aria-errormessage=\"wpforms-2121-field_4-error\" required><\/div><div id=\"wpforms-2121-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_5\">Strasse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2121-field_5\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-2121-field_5-error\" required><\/div><div id=\"wpforms-2121-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_7\">PLZ Ort <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2121-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-2121-field_7-error\" required><\/div><div id=\"wpforms-2121-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_8\">Telefon <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2121-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-2121-field_8-error\" required><\/div><div id=\"wpforms-2121-field_10-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_10\">E-Mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2121-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" spellcheck=\"false\" aria-errormessage=\"wpforms-2121-field_10-error\" required><\/div><div id=\"wpforms-2121-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_11\">Gew\u00fcnschter Termin (Datum)<\/label><input type=\"text\" id=\"wpforms-2121-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-2121-field_11-error\" ><\/div><div id=\"wpforms-2121-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Sofort<\/legend><ul id=\"wpforms-2121-field_13\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2121-field_13_1\" name=\"wpforms[fields][13][]\" value=\"So schnell als m\u00f6glich\" aria-errormessage=\"wpforms-2121-field_13_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2121-field_13_1\">So schnell als m\u00f6glich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2121-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_14\">Um welche Uhrzeit k\u00f6nnten Sie kommen? (Beispiel: von 10 Uhr bis 14 Uhr)<\/label><input type=\"text\" id=\"wpforms-2121-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-2121-field_14-error\" ><\/div><div id=\"wpforms-2121-field_17-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Egal welche Uhrzeit<\/legend><ul id=\"wpforms-2121-field_17\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2121-field_17_1\" name=\"wpforms[fields][17][]\" value=\"Jederzeit m\u00f6glich\" aria-errormessage=\"wpforms-2121-field_17_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2121-field_17_1\">Jederzeit m\u00f6glich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2121-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_18\">Grund f\u00fcr den Termin<\/label><input type=\"text\" id=\"wpforms-2121-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-2121-field_18-error\" ><\/div><div id=\"wpforms-2121-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Grund f\u00fcr Termin<\/legend><ul id=\"wpforms-2121-field_20\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2121-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Checkup\" aria-errormessage=\"wpforms-2121-field_20_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2121-field_20_1\">Checkup<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2121-field_20_2\" name=\"wpforms[fields][20][]\" value=\"3-Monats-Diabeteskontrolle\" aria-errormessage=\"wpforms-2121-field_20_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2121-field_20_2\">3-Monats-Diabeteskontrolle<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2121-field_20_3\" name=\"wpforms[fields][20][]\" value=\"Grippeimpfung\" aria-errormessage=\"wpforms-2121-field_20_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2121-field_20_3\">Grippeimpfung<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2121-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-2121-field_19\">Weitere Informationen<\/label><input type=\"text\" id=\"wpforms-2121-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" placeholder=\"M\u00f6chten Sie uns noch etwas mitteilen?\" aria-errormessage=\"wpforms-2121-field_19-error\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2121\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/pages\/2130\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2121\" class=\"wpforms-submit\" data-alt-text=\"Wird gesendet...\" data-submit-text=\"Termin anfragen\" aria-live=\"assertive\" value=\"wpforms-submit\">Termin anfragen<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.medizin-zentrum-dietikon.ch\/wordpress\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>Mit nachfolgendem Formular k\u00f6nnen Sie Ihren Terminwunsch schnell per E-Mail an uns \u00fcbermitteln. Bitte f\u00fcllen Sie dazu die vorgesehenen Felder aus und klicken Sie dann auf \u201cAbsenden\u201d. Sie erhalten dann von uns ein e-mail als Best\u00e4tigung mit Terminangabe. Bitte beachten Sie, dass die Angabe einer E-Mail-Adresse, f\u00fcr neue Patientinnen und Patienten auch die Angabe einer g\u00fcltigen Adresse, zwingend ist, um einen Termin zu erhalten. Ebenso weisen wir Sie darauf hin, dass die Daten unverschl\u00fcsselt an uns gesandt werden.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2130","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/pages\/2130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/comments?post=2130"}],"version-history":[{"count":6,"href":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/pages\/2130\/revisions"}],"predecessor-version":[{"id":2473,"href":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/pages\/2130\/revisions\/2473"}],"wp:attachment":[{"href":"https:\/\/www.medizin-zentrum-dietikon.ch\/index.php\/wp-json\/wp\/v2\/media?parent=2130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}