{"id":2656,"date":"2019-04-06T17:16:30","date_gmt":"2019-04-06T14:16:30","guid":{"rendered":"https:\/\/www.dentalpalace.ro\/online-appoitment\/"},"modified":"2023-09-07T17:32:35","modified_gmt":"2023-09-07T14:32:35","slug":"online-appoitment","status":"publish","type":"page","link":"https:\/\/www.dentalpalace.ro\/en\/online-appoitment\/","title":{"rendered":"online consultation"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f427-o1\" lang=\"ro-RO\" dir=\"ltr\" data-wpcf7-id=\"427\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2656#wpcf7-f427-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formular de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"427\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ro_RO\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f427-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"column one-second\">\n\t<h2>Date personale\n\t<\/h2>\n\t<div class=\"column one-second\">\n\t\t<p><label>Nume*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nume\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Popescu\" value=\"\" type=\"text\" name=\"nume\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column one-second\">\n\t\t<p><label>Prenume*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"prenume\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ion\" value=\"\" type=\"text\" name=\"prenume\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column two-third\">\n\t\t<p><label>Adresa de email*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"adresa-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"ionpopescu@gmail.com\" value=\"\" type=\"email\" name=\"adresa-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column one-third\">\n\t\t<p><label>Num\u0103rul de telefon*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"074XXXXXXX\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"column one-second\">\n\t<h2>Statut*\n\t<\/h2>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"statut\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"statut\" value=\"Pacient nou\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Pacient nou<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"statut\" value=\"Pacient existent\" \/><span class=\"wpcf7-list-item-label\">Pacient existent<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<h2>Informa\u021bii pre-consulta\u021bie\n<\/h2>\n<div class=\"column one-third\">\n\t<p><label>Ce probleme prezint\u0103 dantura dumneavoastr\u0103*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"probleme\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"probleme[]\" value=\"durere de din\u021bi\" \/><span class=\"wpcf7-list-item-label\">durere de din\u021bi<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"probleme[]\" value=\"coroane sau pun\u021bi dentare vechi\" \/><span class=\"wpcf7-list-item-label\">coroane sau pun\u021bi dentare vechi<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"probleme[]\" value=\"afec\u021biuni gingivale\" \/><span class=\"wpcf7-list-item-label\">afec\u021biuni gingivale<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"probleme[]\" value=\"altele\" \/><span class=\"wpcf7-list-item-label\">altele<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p><label>\u00cen ce tipuri de proceduri sunte\u021bi interesa\u021bi?*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"proceduri\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"proceduri[]\" value=\"estetic\u0103 dentar\u0103\" \/><span class=\"wpcf7-list-item-label\">estetic\u0103 dentar\u0103<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"proceduri[]\" value=\"implanturi\" \/><span class=\"wpcf7-list-item-label\">implanturi<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"proceduri[]\" value=\"protetic\u0103\" \/><span class=\"wpcf7-list-item-label\">protetic\u0103<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"proceduri[]\" value=\"terapie\" \/><span class=\"wpcf7-list-item-label\">terapie<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"proceduri[]\" value=\"altele\" \/><span class=\"wpcf7-list-item-label\">altele<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"column one-third\">\n\t<p><label>Data convenabil\u0103 a consulta\u021biei?*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"data-consultatie\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"data-consultatie\" \/><\/span><br \/>\n<i>Data aleas\u0103 va fi confirmat\u0103 telefonic sau prin email.<\/i>\n\t<\/p>\n<\/div>\n<div class=\"column one-third\">\n\t<p>Mesajul dumneavoastr\u0103:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mesaj\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"mesaj\"><\/textarea><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<div class=\"column one-second\">\n\t<p><label>Cum a\u021bi auzit de noi?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sursa\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sursa[]\" value=\"website\" \/><span class=\"wpcf7-list-item-label\">website<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sursa[]\" value=\"c\u0103utare Google\" \/><span class=\"wpcf7-list-item-label\">c\u0103utare Google<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sursa[]\" value=\"Facebook \/ Instagram\" \/><span class=\"wpcf7-list-item-label\">Facebook \/ Instagram<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sursa[]\" value=\"prieteni \/ colegi\" \/><span class=\"wpcf7-list-item-label\">prieteni \/ colegi<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sursa[]\" value=\"altele\" \/><span class=\"wpcf7-list-item-label\">altele<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"column one-second\">\n\t<div class=\"column two-third\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gdpr\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gdpr\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Declar c\u0103 am luat la cuno\u0219tin\u021b\u0103 Termeniile \u0219i Condi\u021biile paginii.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column one-third\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Trimite\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><i>C\u00e2mpurile marcate cu * sunt obligatorii.<\/i>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2656","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.dentalpalace.ro\/en\/wp-json\/wp\/v2\/pages\/2656","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dentalpalace.ro\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dentalpalace.ro\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dentalpalace.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dentalpalace.ro\/en\/wp-json\/wp\/v2\/comments?post=2656"}],"version-history":[{"count":5,"href":"https:\/\/www.dentalpalace.ro\/en\/wp-json\/wp\/v2\/pages\/2656\/revisions"}],"predecessor-version":[{"id":2662,"href":"https:\/\/www.dentalpalace.ro\/en\/wp-json\/wp\/v2\/pages\/2656\/revisions\/2662"}],"wp:attachment":[{"href":"https:\/\/www.dentalpalace.ro\/en\/wp-json\/wp\/v2\/media?parent=2656"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}