{"id":5330,"date":"2016-02-16T21:10:15","date_gmt":"2016-02-16T19:10:15","guid":{"rendered":"https:\/\/www.grupopoliclinica.es\/de\/?page_id=5330"},"modified":"2024-02-07T09:29:13","modified_gmt":"2024-02-07T07:29:13","slug":"bitte-kontaktieren-sie-die-internationale-abteilung","status":"publish","type":"page","link":"https:\/\/www.grupopoliclinica.es\/de\/bitte-kontaktieren-sie-die-internationale-abteilung\/","title":{"rendered":"Bitte kontaktieren Sie die internationale Abteilung"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5330\" class=\"elementor elementor-5330 elementor-4874\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c88e3f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c88e3f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-6bf30f7\" data-id=\"6bf30f7\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-282647c elementor-widget elementor-widget-html\" data-id=\"282647c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\njQuery(document).ready(function($){\n    $('#solicitar-tratamiento a').click(function(){\n        if($('#tratamiento-internacional').is(':visible')){\n            $('#tratamiento-internacional').hide();\n        }else{\n            $('#tratamiento-internacional').show();\n        }\n    })\n});\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-577559e elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"577559e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8bd0e62\" data-id=\"8bd0e62\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8d6dfaa elementor-widget elementor-widget-heading\" data-id=\"8d6dfaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Bitte kontaktieren Sie die internationale Abteilung<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5656caa\" data-id=\"5656caa\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d815580 elementor-align-right elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"d815580\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"solicitar-tratamiento\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#tratamiento-internacional\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Behandlung beantragen<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-687a503 elementor-widget elementor-widget-text-editor\" data-id=\"687a503\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: justify;\">Kontaktieren Sie hier unsere internationale Abteilung. Hier wird Ihnen gerne geholfen. Was k\u00f6nnen wir f\u00fcr Sie tun?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db17e15 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"db17e15\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" id=\"de_contacto_departamento_internacional\" name=\"DE Contacto Departamento Internacional\" aria-label=\"DE Contacto Departamento Internacional\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"5330\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"db17e15\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Bitte Kontaktieren Sie Die Internationale Abteilung - Grupo Policl\u00ednica\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"5330\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail-Adresse\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBetreff\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"6\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_83b5e4f elementor-col-100\">\n\t\t\t\t\t<p style=\"font-size:10px;margin-bottom:0px\">POLICL\u00cdNICA NTRA SRA: DEL ROSARIO S.L.U. ist verantwortlich f\u00fcr die Verarbeitung der pers\u00f6nlichen Daten der anfragenden Person und informiert diese dar\u00fcber, dass die Daten entsprechend der Ausf\u00fchrungen der Verordnung (EU) 2016\/679 des Europ\u00e4ischen Parlaments und des Rates vom 27. April 2016 (DGVO) und dem Organischen Gesetz 3\/2018 vom 5. Dezember (LOGPDGDD), durch die die folgenden Informationen \u00fcber die Verfahren zur Verf\u00fcgung gestellt werden:  <\/p>\n<p style=\"font-size:10px;margin-bottom:0\"><u>Zweck und Legitimation der Verarbeitung: <\/u>  <\/p>\n<ul style=\"font-size:10px\">\n<li><u>Bereitstellen von medizinischer Behandlung und entsprechender Verwaltung der Dienstleistungen und notwendigen Abl\u00e4ufe<\/u> f\u00fcr diese (Aufbewahren der Krankengeschichte, Termine, Nachuntersuchungen, Ausstellen von Behandlungsnachweisen entsprechend der Normen, Beantworten von Mitteilungen des\/der Patienten usw.) entsprechend Artikel 6.1.b (DGVO) f\u00fcr die Abwicklung eines Vertrags oder Vorvertrags, von dem eine der Parteien die anfragende Person ist und sich im Rahmen der Verarbeitung von Gesundheitsdaten mit Ausnahme derer in Artikel 9.2.h DGVO bewegt, weil die Behandlung wegen Vorsorge oder arbeitsrechtlicher Punkte, Bewertung der Arbeitskraft des Arbeitnehmers, Diagnose, medizinischer oder sozialer Hilfeleistungen oder Behandlungen oder Verwaltung der Systeme und Leistungen des \u00f6ffentlichen Gesundheitssystems betrifft. <\/li>\n<li><u>F\u00fcr die Rechnungsstellung, -begleichung und Buchf\u00fchrung <\/u>unserer Leistungen, f\u00fcr die Erf\u00fcllung unserer gesetzlichen Verpflichtungen entsprechend des Artikels 6.1.c DGVO. \n<u>Kriterien zur Speicherung von Daten:<\/u> Diese werden nur so lange aufbewahrt, wie es zum Zwecke der Behandlung oder zur Einhaltung gesetzlicher Vorschriften notwendig ist, die deren Speicherung vorschreiben und wann dies nicht mehr n\u00f6tig ist und dann durch angemessene Sicherheitsma\u00dfnahmen gel\u00f6scht werden, um die Anonymit\u00e4t der Daten und deren Vernichtung sicherzustellen.  \n<br\/>\n<u>Weitergabe von Daten:<\/u> F\u00fcr die aufgef\u00fchrten Zwecke genehmigt der Nutzer die \u00dcberlassung der Daten an die Firmen der Gruppe Policl\u00ednica (EIVICONSULTA, S.L.U., CL\u00cdNICA PREMIUM IBIZA S.L.U., CL\u00cdNICA VILAPARC, S.L.U und LOG\u00cdSTICA PRODUCTOS SANITARIOS S.L.U.), den Versicherungsgesellschaften und anderen gesetzlich berechtigten Personen. <\/li>\n<li><u>Rechte der anfragenden Person:<\/u> Diese Person kann jederzeit gegen\u00fcber POLICL\u00cdNICA NTRA.SRA.DEL ROSARIO S.L.U. das Recht auf Zugriff, Korrektur, Portabilit\u00e4t und L\u00f6schung der Daten und Einschr\u00e4nkungen und Verweigerung von Behandlungen per Mail an : lopd@grupopoliclinica.es oder info@grupopoliclinica.es oder mit einem Brief an POLICL\u00cdNICA NTRA.SRA. DEL ROSARIO S.L.U, VIA ROMANA S\/N C.P. 07800, IBIZA (Balearen, Spanien) aus\u00fcben. Zudem besteht auch das Recht, der Aufsichtsbeh\u00f6rde (www.aepd.es) Beschwerden vorzulegen, wenn die Verarbeitung nicht den geltenden Gesetzen zu entsprechen scheint.<\/li>\n<\/ul>\n<p style=\"font-size:10px;margin-bottom:0\"><span style=\"text-decoration: underline;\">Kontaktdaten f\u00fcr die Aus\u00fcbung Ihrer Rechte:<\/span> <a href=\"mailto:lopd@www.grupopoliclinica.es\">lopd@www.grupopoliclinica.es<\/a>.<span style=\"text-decoration: underline;\">Datos Kontaktdaten des Datenschutzbeauftragten:<\/span> <a href=\"mailto:dpd@grupopoliclinica.es\">dpd@grupopoliclinica.es<\/a><\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-accept_privacy elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[accept_privacy]\" id=\"form-field-accept_privacy\" class=\"elementor-field elementor-size-md  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-accept_privacy\">Ich habe die <a href=\"\/de\/datenschutzbestimmungen\/\">Datenschutz-bestimmungen<\/a> gelesen und akzeptiere sie<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_e8b913c elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_e8b913c\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LfRaKIUAAAAANBTUfBLV5NBHAc7EwPTDFdeHmXL\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Senden<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-9123a6b\" data-id=\"9123a6b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d7a9b4a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d7a9b4a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-e96b2d5\" data-id=\"e96b2d5\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-681184a elementor-view-stacked elementor-shape-square elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"681184a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"tel:+34971301916;228\" class=\"elementor-icon\" tabindex=\"-1\" aria-label=\"Internationales Abteilungs-Telefon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone\"><\/i>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"tel:+34971301916;228\" >\n\t\t\t\t\t\t\tInternationales Abteilungs-Telefon\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t+34 971 30 19 16 (ext. 228)<br>(8:00 - 15:00)\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-df5552b elementor-widget elementor-widget-image\" data-id=\"df5552b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.grupopoliclinica.es\/wp-content\/uploads\/elementor\/thumbs\/recepcion-ppal-qfou5o24vncof4jj7pdrn0a5r8ak5520pn45aagdxc.jpg\" title=\"recepci\u00f3n ppal\" alt=\"recepci\u00f3n ppal\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8821f0f contenido-oculto elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8821f0f\" data-element_type=\"section\" data-e-type=\"section\" id=\"tratamiento-internacional\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8d44130\" data-id=\"8d44130\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-56cfeaa elementor-widget elementor-widget-heading\" data-id=\"56cfeaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Haben Sie sich f\u00fcr eine Behandlung bei uns entschieden? <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-65c00d7 elementor-widget elementor-widget-text-editor\" data-id=\"65c00d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left;\"><span lang=\"DE\">Dann f\u00fcllen Sie bitte unseren Gesundheitsfragebogen aus und wir werden uns so schnell wie m\u00f6glich mit Ihnen in Verbindung setzen.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-835958a elementor-widget elementor-widget-html\" data-id=\"835958a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\r\njQuery(document).ready(function($) {\r\n\r\n    $('body').on('change','.elementor-field-group-cardiologicos input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-cardiologicos_si').show();\r\n    \t\t$('.elementor-field-group-cardiologicos_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-cardiologicos_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-cardiologicos_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-cardiologicos_si').hide();\r\n    \t\t$('.elementor-field-group-cardiologicos_otra').hide();  \r\n    \t\t$('.elementor-field-group-cardiologicos_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-cardiologicos_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-diabetes input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-diabetes_si').show();\r\n    \t\t$('.elementor-field-group-diabetes_si input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-diabetes_si').hide();\t\r\n    \t\t$('.elementor-field-group-diabetes_si input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-tiroides input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-tiroides_si').show();\r\n    \t\t$('.elementor-field-group-tiroides_si input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-tiroides_si').hide();\t\r\n    \t\t$('.elementor-field-group-tiroides_si input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-sanguinea input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-sanguinea_si').show();\r\n    \t\t$('.elementor-field-group-sanguinea_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-sanguinea_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-sanguinea_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-sanguinea_si').hide();\r\n    \t\t$('.elementor-field-group-sanguinea_otra').hide();  \r\n    \t\t$('.elementor-field-group-sanguinea_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-sanguinea_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-respiratoria input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-respiratoria_si').show();\r\n    \t\t$('.elementor-field-group-respiratoria_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-respiratoria_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-respiratoria_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-respiratoria_si').hide();\r\n    \t\t$('.elementor-field-group-respiratoria_otra').hide();  \r\n    \t\t$('.elementor-field-group-respiratoria_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-respiratoria_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-renales input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-dialisis').show();\r\n    \t\t$('.elementor-field-group-dialisis input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-dialisis').hide();\t\r\n    \t\t$('.elementor-field-group-dialisis input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-higado input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-higado_si').show();\r\n    \t\t$('.elementor-field-group-higado_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-higado_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-higado_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-higado_si').hide();\r\n    \t\t$('.elementor-field-group-higado_otra').hide();  \r\n    \t\t$('.elementor-field-group-higado_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-higado_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-hematologicos input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-hematologicos_si').show();\r\n    \t\t$('.elementor-field-group-hematologicos_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-hematologicos_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-hematologicos_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-hematologicos_si').hide();\r\n    \t\t$('.elementor-field-group-hematologicos_otra').hide();  \r\n    \t\t$('.elementor-field-group-hematologicos_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-hematologicos_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-oncologico input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-oncologico_si').show();\r\n    \t\t$('.elementor-field-group-tratamiento').show();   \t\t\r\n    \t\t$('.elementor-field-group-oncologico_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-tratamiento input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-oncologico_si').hide();\r\n    \t\t$('.elementor-field-group-tratamiento').hide();  \r\n    \t\t$('.elementor-field-group-oncologico_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-tratamiento input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-mental input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-mental_si').show();\r\n    \t\t$('.elementor-field-group-mental_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-mental_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-mental_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-mental_si').hide();\r\n    \t\t$('.elementor-field-group-mental_otra').hide();  \r\n    \t\t$('.elementor-field-group-mental_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-mental_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-neurologico input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-neurologico_si').show();\r\n    \t\t$('.elementor-field-group-neurologico_si input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-neurologico_si').hide();\t\r\n    \t\t$('.elementor-field-group-neurologico_si input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-anestesia input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-anestesia_si').show();\r\n    \t\t$('.elementor-field-group-anestesia_si input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-anestesia_si').hide();\t\r\n    \t\t$('.elementor-field-group-anestesia_si input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-alergia input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-alergia_si').show();\r\n    \t\t$('.elementor-field-group-alergia_cual').show();   \t\t\r\n    \t\t$('.elementor-field-group-alergia_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-alergia_cual input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-alergia_si').hide();\r\n    \t\t$('.elementor-field-group-alergia_cual').hide();  \r\n    \t\t$('.elementor-field-group-alergia_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-alergia_cual input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-medicacion input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-medicacion_cual').show();\r\n    \t\t$('.elementor-field-group-medicacion_cual input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-medicacion_cual').hide();\t\r\n    \t\t$('.elementor-field-group-medicacion_cual input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-hospitalizacion input',function(){\r\n    \tif($(this).val() == 'Ja'){ \r\n    \t\t$('.elementor-field-group-hospitalizacion_cual').show();\r\n    \t\t$('.elementor-field-group-hospitalizacion_cual input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-hospitalizacion_cual').hide();\t\r\n    \t\t$('.elementor-field-group-hospitalizacion_cual input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n});\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26f6abc elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"26f6abc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" id=\"contacto\" name=\"Kontakt\" aria-label=\"Kontakt\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"5330\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"26f6abc\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Bitte Kontaktieren Sie Die Internationale Abteilung - Grupo Policl\u00ednica\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"5330\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_9bc6415 elementor-col-100\">\n\t\t\t\t\t<strong>PERS\u00d6NLICHE DATEN<\/strong>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre]\" id=\"form-field-nombre\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellidos elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellidos\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNachname\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellidos]\" id=\"form-field-apellidos\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-sexo elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sexo\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeschlecht\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[sexo]\" id=\"form-field-sexo\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-nacimiento elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nacimiento\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeburtsdatum\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[nacimiento]\" id=\"form-field-nacimiento\" class=\"elementor-field elementor-size-md  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-residencia elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-residencia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLand des Wohnsitzes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[residencia]\" id=\"form-field-residencia\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nacionalidad elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nacionalidad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNationalit\u00e4t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nacionalidad]\" id=\"form-field-nacionalidad\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-identificacion elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-identificacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAusweisnummer (Ausweisnr., Nr. der Aufenthaltserlaubnis, Pass)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[identificacion]\" id=\"form-field-identificacion\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f119c52 elementor-col-100\">\n\t\t\t\t\tGesellschaftliche Gewohnheiten:\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-fumador elementor-col-30 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fumador\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRauchen Sie?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-fumador-0\" name=\"form_fields[fumador]\" required=\"required\"> <label for=\"form-field-fumador-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-fumador-1\" name=\"form_fields[fumador]\" required=\"required\"> <label for=\"form-field-fumador-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-alcohol elementor-col-70 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alcohol\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrinken Sie regelm\u00e4\u00dfig Alkohol?      \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-alcohol-0\" name=\"form_fields[alcohol]\" required=\"required\"> <label for=\"form-field-alcohol-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-alcohol-1\" name=\"form_fields[alcohol]\" required=\"required\"> <label for=\"form-field-alcohol-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-sustancia elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sustancia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKonsumieren Sie weitere Substanzen?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[sustancia]\" id=\"form-field-sustancia\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_ea6d6e7 elementor-col-100\">\n\t\t\t\t\t<br\/><strong>MEDIZINISCHE DATEN<\/strong>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-cardiologicos elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cardiologicos\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHerzerkrankungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-cardiologicos-0\" name=\"form_fields[cardiologicos]\" required=\"required\"> <label for=\"form-field-cardiologicos-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-cardiologicos-1\" name=\"form_fields[cardiologicos]\" required=\"required\"> <label for=\"form-field-cardiologicos-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-cardiologicos_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cardiologicos_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"akuter Herzinfarkt\" id=\"form-field-cardiologicos_si-0\" name=\"form_fields[cardiologicos_si]\"> <label for=\"form-field-cardiologicos_si-0\">akuter Herzinfarkt<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Herzinsuffizienz\" id=\"form-field-cardiologicos_si-1\" name=\"form_fields[cardiologicos_si]\"> <label for=\"form-field-cardiologicos_si-1\">Herzinsuffizienz<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-cardiologicos_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cardiologicos_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSonstiges:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[cardiologicos_otra]\" id=\"form-field-cardiologicos_otra\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-diabetes elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-diabetes\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tInsulinabh\u00e4ngige Diabetes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-diabetes-0\" name=\"form_fields[diabetes]\" required=\"required\"> <label for=\"form-field-diabetes-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-diabetes-1\" name=\"form_fields[diabetes]\" required=\"required\"> <label for=\"form-field-diabetes-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-diabetes_si elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-diabetes_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Typ I Diabetes\" id=\"form-field-diabetes_si-0\" name=\"form_fields[diabetes_si]\"> <label for=\"form-field-diabetes_si-0\">Typ I Diabetes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Typ II Diabetes \" id=\"form-field-diabetes_si-1\" name=\"form_fields[diabetes_si]\"> <label for=\"form-field-diabetes_si-1\">Typ II Diabetes <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-tiroides elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tiroides\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchilddr\u00fcsenerkrankungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-tiroides-0\" name=\"form_fields[tiroides]\" required=\"required\"> <label for=\"form-field-tiroides-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-tiroides-1\" name=\"form_fields[tiroides]\" required=\"required\"> <label for=\"form-field-tiroides-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-tiroides_si elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tiroides_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Schilddr\u00fcsen\u00fcberfunktion\" id=\"form-field-tiroides_si-0\" name=\"form_fields[tiroides_si]\"> <label for=\"form-field-tiroides_si-0\">Schilddr\u00fcsen\u00fcberfunktion<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Schilddr\u00fcsenunterfunktion\" id=\"form-field-tiroides_si-1\" name=\"form_fields[tiroides_si]\"> <label for=\"form-field-tiroides_si-1\">Schilddr\u00fcsenunterfunktion<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-sanguinea elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sanguinea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBlutdruckerkrankungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-sanguinea-0\" name=\"form_fields[sanguinea]\" required=\"required\"> <label for=\"form-field-sanguinea-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-sanguinea-1\" name=\"form_fields[sanguinea]\" required=\"required\"> <label for=\"form-field-sanguinea-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-sanguinea_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sanguinea_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"hoher Blutdruck \" id=\"form-field-sanguinea_si-0\" name=\"form_fields[sanguinea_si]\"> <label for=\"form-field-sanguinea_si-0\">hoher Blutdruck <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"niedriger Blutdruck \" id=\"form-field-sanguinea_si-1\" name=\"form_fields[sanguinea_si]\"> <label for=\"form-field-sanguinea_si-1\">niedriger Blutdruck <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-sanguinea_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sanguinea_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSonstiges:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[sanguinea_otra]\" id=\"form-field-sanguinea_otra\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-respiratoria elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-respiratoria\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAtemwegserkrankungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-respiratoria-0\" name=\"form_fields[respiratoria]\" required=\"required\"> <label for=\"form-field-respiratoria-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-respiratoria-1\" name=\"form_fields[respiratoria]\" required=\"required\"> <label for=\"form-field-respiratoria-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-respiratoria_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-respiratoria_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"COPD\" id=\"form-field-respiratoria_si-0\" name=\"form_fields[respiratoria_si]\"> <label for=\"form-field-respiratoria_si-0\">COPD<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Asthma\" id=\"form-field-respiratoria_si-1\" name=\"form_fields[respiratoria_si]\"> <label for=\"form-field-respiratoria_si-1\">Asthma<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ateminsuffizienz\" id=\"form-field-respiratoria_si-2\" name=\"form_fields[respiratoria_si]\"> <label for=\"form-field-respiratoria_si-2\">Ateminsuffizienz<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-respiratoria_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-respiratoria_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSonstiges:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[respiratoria_otra]\" id=\"form-field-respiratoria_otra\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-renales elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-renales\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNierenerkrankungen \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-renales-0\" name=\"form_fields[renales]\" required=\"required\"> <label for=\"form-field-renales-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-renales-1\" name=\"form_fields[renales]\" required=\"required\"> <label for=\"form-field-renales-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-dialisis elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dialisis\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDialyse:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-dialisis-0\" name=\"form_fields[dialisis]\"> <label for=\"form-field-dialisis-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-dialisis-1\" name=\"form_fields[dialisis]\"> <label for=\"form-field-dialisis-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-higado elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-higado\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLebererkrankungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-higado-0\" name=\"form_fields[higado]\" required=\"required\"> <label for=\"form-field-higado-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-higado-1\" name=\"form_fields[higado]\" required=\"required\"> <label for=\"form-field-higado-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-higado_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-higado_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Hepatitis A\" id=\"form-field-higado_si-0\" name=\"form_fields[higado_si]\"> <label for=\"form-field-higado_si-0\">Hepatitis A<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Hepatitis B\" id=\"form-field-higado_si-1\" name=\"form_fields[higado_si]\"> <label for=\"form-field-higado_si-1\">Hepatitis B<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Hepatitis C\" id=\"form-field-higado_si-2\" name=\"form_fields[higado_si]\"> <label for=\"form-field-higado_si-2\">Hepatitis C<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-higado_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-higado_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSonstiges:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[higado_otra]\" id=\"form-field-higado_otra\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-hematologicos elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hematologicos\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBluterkrankungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-hematologicos-0\" name=\"form_fields[hematologicos]\" required=\"required\"> <label for=\"form-field-hematologicos-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-hematologicos-1\" name=\"form_fields[hematologicos]\" required=\"required\"> <label for=\"form-field-hematologicos-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-hematologicos_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hematologicos_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"An\u00e4mie\" id=\"form-field-hematologicos_si-0\" name=\"form_fields[hematologicos_si]\"> <label for=\"form-field-hematologicos_si-0\">An\u00e4mie<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Haemophilia\" id=\"form-field-hematologicos_si-1\" name=\"form_fields[hematologicos_si]\"> <label for=\"form-field-hematologicos_si-1\">Haemophilia<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Gerinnungsst\u00f6rungen\" id=\"form-field-hematologicos_si-2\" name=\"form_fields[hematologicos_si]\"> <label for=\"form-field-hematologicos_si-2\">Gerinnungsst\u00f6rungen<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-hematologicos_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hematologicos_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSonstiges:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[hematologicos_otra]\" id=\"form-field-hematologicos_otra\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-oncologico elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-oncologico\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKrebserkrankungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-oncologico-0\" name=\"form_fields[oncologico]\" required=\"required\"> <label for=\"form-field-oncologico-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-oncologico-1\" name=\"form_fields[oncologico]\" required=\"required\"> <label for=\"form-field-oncologico-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-oncologico_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-oncologico_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, welche:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[oncologico_si]\" id=\"form-field-oncologico_si\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-tratamiento elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tratamiento\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWie behandelt? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Chemotherapie\" id=\"form-field-tratamiento-0\" name=\"form_fields[tratamiento]\"> <label for=\"form-field-tratamiento-0\">Chemotherapie<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Strahlentherapie\" id=\"form-field-tratamiento-1\" name=\"form_fields[tratamiento]\"> <label for=\"form-field-tratamiento-1\">Strahlentherapie<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-vih elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vih\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAIDS oder HIV\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-vih-0\" name=\"form_fields[vih]\"> <label for=\"form-field-vih-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-vih-1\" name=\"form_fields[vih]\"> <label for=\"form-field-vih-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-mental elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mental\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPsychische St\u00f6rungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-mental-0\" name=\"form_fields[mental]\" required=\"required\"> <label for=\"form-field-mental-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-mental-1\" name=\"form_fields[mental]\" required=\"required\"> <label for=\"form-field-mental-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-mental_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mental_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Angst \" id=\"form-field-mental_si-0\" name=\"form_fields[mental_si]\"> <label for=\"form-field-mental_si-0\">Angst <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Depression\" id=\"form-field-mental_si-1\" name=\"form_fields[mental_si]\"> <label for=\"form-field-mental_si-1\">Depression<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-mental_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mental_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSonstiges:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[mental_otra]\" id=\"form-field-mental_otra\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-neurologico elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-neurologico\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNeurologische Erkrankungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-neurologico-0\" name=\"form_fields[neurologico]\" required=\"required\"> <label for=\"form-field-neurologico-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-neurologico-1\" name=\"form_fields[neurologico]\" required=\"required\"> <label for=\"form-field-neurologico-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-neurologico_si elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-neurologico_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, welche:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[neurologico_si]\" id=\"form-field-neurologico_si\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-anestesia elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anestesia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tReaktionen bei Narkosen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-anestesia-0\" name=\"form_fields[anestesia]\" required=\"required\"> <label for=\"form-field-anestesia-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-anestesia-1\" name=\"form_fields[anestesia]\" required=\"required\"> <label for=\"form-field-anestesia-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-anestesia_si elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anestesia_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, welche:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[anestesia_si]\" id=\"form-field-anestesia_si\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-alergia elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alergia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBekannte Allergien\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-alergia-0\" name=\"form_fields[alergia]\" required=\"required\"> <label for=\"form-field-alergia-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-alergia-1\" name=\"form_fields[alergia]\" required=\"required\"> <label for=\"form-field-alergia-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-alergia_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alergia_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tW\u00e4hlen Sie eine aus:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Arzneimittel\" id=\"form-field-alergia_si-0\" name=\"form_fields[alergia_si]\"> <label for=\"form-field-alergia_si-0\">Arzneimittel<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Latex\" id=\"form-field-alergia_si-1\" name=\"form_fields[alergia_si]\"> <label for=\"form-field-alergia_si-1\">Latex<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Jod\" id=\"form-field-alergia_si-2\" name=\"form_fields[alergia_si]\"> <label for=\"form-field-alergia_si-2\">Jod<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Lebensmittel \" id=\"form-field-alergia_si-3\" name=\"form_fields[alergia_si]\"> <label for=\"form-field-alergia_si-3\">Lebensmittel <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-alergia_cual elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alergia_cual\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, welche:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[alergia_cual]\" id=\"form-field-alergia_cual\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_9a9f1bd elementor-col-100\">\n\t\t\t\t\t<br\/><strong>KRANKENGESCHICHTE<\/strong>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-medicacion elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-medicacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNehmen Sie regelm\u00e4\u00dfig Medikamente ein?   \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-medicacion-0\" name=\"form_fields[medicacion]\" required=\"required\"> <label for=\"form-field-medicacion-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-medicacion-1\" name=\"form_fields[medicacion]\" required=\"required\"> <label for=\"form-field-medicacion-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-medicacion_cual elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-medicacion_cual\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, f\u00fchren Sie jedes Medikament auf und nennen Sie den Grund daf\u00fcr: \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[medicacion_cual]\" id=\"form-field-medicacion_cual\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-hospitalizacion elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hospitalizacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWaren Sie im Krankenhaus, wurden Sie operiert oder haben eine medizinische Behandlung erhalten? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-hospitalizacion-0\" name=\"form_fields[hospitalizacion]\" required=\"required\"> <label for=\"form-field-hospitalizacion-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-hospitalizacion-1\" name=\"form_fields[hospitalizacion]\" required=\"required\"> <label for=\"form-field-hospitalizacion-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-hospitalizacion_cual elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hospitalizacion_cual\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBitte f\u00fchren Sie sie mit dem ungef\u00e4hren Datum auf.  \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[hospitalizacion_cual]\" id=\"form-field-hospitalizacion_cual\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_f673fbf elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f673fbf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWEITERE INFORMATIONEN\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[field_f673fbf]\" id=\"form-field-field_f673fbf\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_dae5314 elementor-col-100\">\n\t\t\t\t\t<p style=\"font-size:10px;margin-bottom:0px\">POLICL\u00cdNICA NTRA SRA: DEL ROSARIO S.L.U. ist verantwortlich f\u00fcr die Verarbeitung der pers\u00f6nlichen Daten der anfragenden Person und informiert diese dar\u00fcber, dass die Daten entsprechend der Ausf\u00fchrungen der Verordnung (EU) 2016\/679 des Europ\u00e4ischen Parlaments und des Rates vom 27. April 2016 (DGVO) und dem Organischen Gesetz 3\/2018 vom 5. Dezember (LOGPDGDD), durch die die folgenden Informationen \u00fcber die Verfahren zur Verf\u00fcgung gestellt werden:  <\/p>\n<p style=\"font-size:10px;margin-bottom:0\"><u>Zweck und Legitimation der Verarbeitung: <\/u>  <\/p>\n<ul style=\"font-size:10px\">\n<li><u>Bereitstellen von medizinischer Behandlung und entsprechender Verwaltung der Dienstleistungen und notwendigen Abl\u00e4ufe<\/u> f\u00fcr diese (Aufbewahren der Krankengeschichte, Termine, Nachuntersuchungen, Ausstellen von Behandlungsnachweisen entsprechend der Normen, Beantworten von Mitteilungen des\/der Patienten usw.) entsprechend Artikel 6.1.b (DGVO) f\u00fcr die Abwicklung eines Vertrags oder Vorvertrags, von dem eine der Parteien die anfragende Person ist und sich im Rahmen der Verarbeitung von Gesundheitsdaten mit Ausnahme derer in Artikel 9.2.h DGVO bewegt, weil die Behandlung wegen Vorsorge oder arbeitsrechtlicher Punkte, Bewertung der Arbeitskraft des Arbeitnehmers, Diagnose, medizinischer oder sozialer Hilfeleistungen oder Behandlungen oder Verwaltung der Systeme und Leistungen des \u00f6ffentlichen Gesundheitssystems betrifft. <\/li>\n<li><u>F\u00fcr die Rechnungsstellung, -begleichung und Buchf\u00fchrung <\/u>unserer Leistungen, f\u00fcr die Erf\u00fcllung unserer gesetzlichen Verpflichtungen entsprechend des Artikels 6.1.c DGVO. \n<u>Kriterien zur Speicherung von Daten:<\/u> Diese werden nur so lange aufbewahrt, wie es zum Zwecke der Behandlung oder zur Einhaltung gesetzlicher Vorschriften notwendig ist, die deren Speicherung vorschreiben und wann dies nicht mehr n\u00f6tig ist und dann durch angemessene Sicherheitsma\u00dfnahmen gel\u00f6scht werden, um die Anonymit\u00e4t der Daten und deren Vernichtung sicherzustellen.  \n<br\/>\n<u>Weitergabe von Daten:<\/u> F\u00fcr die aufgef\u00fchrten Zwecke genehmigt der Nutzer die \u00dcberlassung der Daten an die Firmen der Gruppe Policl\u00ednica (EIVICONSULTA, S.L.U., CL\u00cdNICA PREMIUM IBIZA S.L.U., CL\u00cdNICA VILAPARC, S.L.U und LOG\u00cdSTICA PRODUCTOS SANITARIOS S.L.U.), den Versicherungsgesellschaften und anderen gesetzlich berechtigten Personen. <\/li>\n<li><u>Rechte der anfragenden Person:<\/u> Diese Person kann jederzeit gegen\u00fcber POLICL\u00cdNICA NTRA.SRA.DEL ROSARIO S.L.U. das Recht auf Zugriff, Korrektur, Portabilit\u00e4t und L\u00f6schung der Daten und Einschr\u00e4nkungen und Verweigerung von Behandlungen per Mail an : lopd@grupopoliclinica.es oder info@grupopoliclinica.es oder mit einem Brief an POLICL\u00cdNICA NTRA.SRA. DEL ROSARIO S.L.U, VIA ROMANA S\/N C.P. 07800, IBIZA (Balearen, Spanien) aus\u00fcben. Zudem besteht auch das Recht, der Aufsichtsbeh\u00f6rde (www.aepd.es) Beschwerden vorzulegen, wenn die Verarbeitung nicht den geltenden Gesetzen zu entsprechen scheint.<\/li>\n<\/ul>\n<p style=\"font-size:10px;margin-bottom:0\"><span style=\"text-decoration: underline;\">Kontaktdaten f\u00fcr die Aus\u00fcbung Ihrer Rechte:<\/span> <a href=\"mailto:lopd@www.grupopoliclinica.es\">lopd@www.grupopoliclinica.es<\/a>.<span style=\"text-decoration: underline;\">Datos Kontaktdaten des Datenschutzbeauftragten:<\/span> <a href=\"mailto:dpd@grupopoliclinica.es\">dpd@grupopoliclinica.es<\/a><\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_a3a7e4a elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_a3a7e4a]\" id=\"form-field-field_a3a7e4a\" class=\"elementor-field elementor-size-md  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_a3a7e4a\">Ich habe gelesen und akzeptiere die <a href=\"\/de\/datenschutzbestimmungen\/\">Datenschutzbestimmungen<\/a><\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_b8bd9c0 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_b8bd9c0\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LfRaKIUAAAAANBTUfBLV5NBHAc7EwPTDFdeHmXL\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Senden Sie<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Bitte kontaktieren Sie die internationale Abteilung Behandlung beantragen Kontaktieren Sie hier unsere internationale Abteilung. Hier wird Ihnen gerne geholfen. Was k\u00f6nnen wir f\u00fcr Sie tun? Internationales Abteilungs-Telefon +34 971 30 19 16 (ext. 228)(8:00 &#8211; 15:00) Haben Sie sich f\u00fcr eine Behandlung bei uns entschieden? Dann f\u00fcllen Sie bitte unseren Gesundheitsfragebogen aus und wir werden [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-5330","page","type-page","status-publish","hentry"],"acf":[],"featured_image_urls":{},"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.grupopoliclinica.es\/de\/wp-json\/wp\/v2\/pages\/5330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupopoliclinica.es\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.grupopoliclinica.es\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupopoliclinica.es\/de\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupopoliclinica.es\/de\/wp-json\/wp\/v2\/comments?post=5330"}],"version-history":[{"count":0,"href":"https:\/\/www.grupopoliclinica.es\/de\/wp-json\/wp\/v2\/pages\/5330\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.grupopoliclinica.es\/de\/wp-json\/wp\/v2\/media?parent=5330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}