{"id":589,"date":"2021-05-12T10:37:15","date_gmt":"2021-05-12T08:37:15","guid":{"rendered":"https:\/\/dekinderkliniek.nl\/recept-aanvragen\/"},"modified":"2024-06-18T13:32:39","modified_gmt":"2024-06-18T11:32:39","slug":"recept-aanvragen","status":"publish","type":"page","link":"https:\/\/dekinderkliniek.nl\/en\/recept-aanvragen\/","title":{"rendered":"Recept aanvragen"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_10' >\n                        <div class='gform_heading'>\n                            <h1 class=\"gform_title h2\">Herhaalrecept<\/h1>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/en\/wp-json\/wp\/v2\/pages\/589' data-formid='10' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_10_37\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_37'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='ginput_container'><input name='input_37' id='input_10_37' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_10_37'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_10_6\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Neem de verpakking van de medicatie bij de hand en vul de onderstaande gegevens in.<\/div><div id=\"field_10_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Herhaalrecepten die na 15:00 uur worden aangevraagd, worden mogelijk de volgende werkdag verwerkt. <\/div><div id=\"field_10_34\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_10_26\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Pati\u00ebntgegevens<\/div><div id=\"field_10_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_8'><span class='gform-field-label__text'>Naam pati\u00ebnt*:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_10_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_9'><span class='gform-field-label__text'>Geboortedatum pati\u00ebnt*:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_10_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_17'><span class='gform-field-label__text'>De apotheek van de pati\u00ebnt*:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_10_17' type='text' value='' class='large'  aria-describedby=\"gfield_description_10_17\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_10_17'>Het recept wordt, na verwerking, doorgestuurd naar de apotheek. <\/div><\/div><div id=\"field_10_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_18'><span class='gform-field-label__text'>Uw e-mailadres*:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_10_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_19'><span class='gform-field-label__text'>Het telefoonnummer waarop we u kunnen bereiken:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_10_19' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_10_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Informatie herhaalrecept<\/div><div id=\"field_10_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_10'><span class='gform-field-label__text'>Naam medicatie (zie verpakking)*<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_10_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_12'><span class='gform-field-label__text'>Waar gebruikt de pati\u00ebnt de medicatie voor?*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_10_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_11\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_11'><span class='gform-field-label__text'>Voor welke periode vraagt u deze medicatie aan (max. drie maanden)?*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_10_11' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_13\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_13'><span class='gform-field-label__text'>Hoe vaak per dag neemt de pati\u00ebnt de medicatie?*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_10_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_29'><span class='gform-field-label__text'>Welke hoeveelheid medicatie gebruikt de pati\u00ebnt per innamemoment (bijvoorbeeld: 1 capsule van 50 gram)?*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_10_29' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_10_21\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_21'><span class='gform-field-label__text'>Opmerkingen:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_10_21' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_10_23\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Tip: chronische medicatie? Informeer naar de herhaalservice in de apotheek. <\/div><div id=\"field_10_36\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_10_36'><span class='gform-field-label__text'><\/span><\/label><div id='input_10_36' class='ginput_container ginput_recaptcha' data-sitekey='6LegSYAcAAAAAAL4rsOvzgqnb9OY3kRGX0yjpZs_'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_10' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='1NKtykeBz6SKcmqvpGrg3jep7Cs2CX7CWrY251AM\/MaYRXXMgXsW3NTKTRtnQ3MsSB9BuxEZsuVSCpoUOmvUQTPVF6bTkVgS1Ulicg+7Ll55g1I=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_10' id='gform_target_page_number_10' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_10' id='gform_source_page_number_10' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":34,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-589","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - 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