{"id":5801,"date":"2024-12-18T12:05:03","date_gmt":"2024-12-18T11:05:03","guid":{"rendered":"https:\/\/app.lux-solution.de\/opwb73t\/?page_id=5801"},"modified":"2025-02-05T10:25:39","modified_gmt":"2025-02-05T09:25:39","slug":"anamnesebogen","status":"publish","type":"page","link":"https:\/\/app.lux-solution.de\/opwb73t\/anamnesebogen\/","title":{"rendered":"Anamnesebogen (Dez)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5801\" class=\"elementor elementor-5801\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d460d16 e-flex e-con-boxed e-con e-parent\" data-id=\"d460d16\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ec8b1f2 elementor-widget elementor-widget-shortcode\" data-id=\"ec8b1f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\t\t<div data-elementor-type=\"container\" data-elementor-id=\"3362\" class=\"elementor elementor-3362\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t<div class=\"elementor-element elementor-element-43307f0e e-flex e-con-boxed e-con e-child\" data-id=\"43307f0e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-5e5f27bf e-flex e-con-boxed e-con e-child\" data-id=\"5e5f27bf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4fa61f7 elementor-widget elementor-widget-heading\" data-id=\"4fa61f7\" 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\">Universit\u00e4tsklinikum Freiburg<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-7acf6d27 elementor-widget elementor-widget-heading\" data-id=\"7acf6d27\" 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<div class=\"elementor-heading-title elementor-size-default\">Klinik f\u00fcr Urologie<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-45a3305e elementor-widget elementor-widget-heading\" data-id=\"45a3305e\" 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<div class=\"elementor-heading-title elementor-size-default\">Hugstetter Str. 55<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-5840548c elementor-widget elementor-widget-heading\" data-id=\"5840548c\" 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<div class=\"elementor-heading-title elementor-size-default\">79106 Freiburg i. Br.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-7ca63ed0 elementor-widget elementor-widget-heading\" data-id=\"7ca63ed0\" 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<div class=\"elementor-heading-title elementor-size-default\"><a href=\"\">Tel:0761 270-28910<\/a><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-50af7c43 elementor-widget elementor-widget-heading\" data-id=\"50af7c43\" 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<div class=\"elementor-heading-title elementor-size-default\"><a href=\"\">sekretariat.urologie@uniklinik-freiburg.de<\/a><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-46cedf05 e-flex e-con-boxed e-con e-child\" data-id=\"46cedf05\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40cc0fee elementor-hidden-mobile dce_masking-none elementor-widget elementor-widget-image\" data-id=\"40cc0fee\" 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 fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"254\" src=\"https:\/\/app.lux-solution.de\/opwb73t\/wp-content\/uploads\/sites\/13\/2024\/04\/universitaetsklinikum-freiburg-urologie-logo.png\" class=\"attachment-large size-large wp-image-4402\" alt=\"Klinik f\u00fcr Urologie am Universit\u00e4tsklinikum Freiburg Logo\" srcset=\"https:\/\/app.lux-solution.de\/opwb73t\/wp-content\/uploads\/sites\/13\/2024\/04\/universitaetsklinikum-freiburg-urologie-logo.png 1000w, https:\/\/app.lux-solution.de\/opwb73t\/wp-content\/uploads\/sites\/13\/2024\/04\/universitaetsklinikum-freiburg-urologie-logo-300x76.png 300w, https:\/\/app.lux-solution.de\/opwb73t\/wp-content\/uploads\/sites\/13\/2024\/04\/universitaetsklinikum-freiburg-urologie-logo-768x195.png 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/>\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\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\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\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-13a24a19 e-flex e-con-boxed e-con e-parent\" data-id=\"13a24a19\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-22a2060 elementor-widget elementor-widget-heading\" data-id=\"22a2060\" 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\">Anamnesebogen<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-field-description=\"{&quot;fields&quot;:[{&quot;custom_id&quot;:&quot;namebezugsperson&quot;,&quot;position&quot;:&quot;elementor-field-label&quot;,&quot;description&quot;:&quot;Bitte geben Sie uns den Namen einer Bezugsperson (Ehegatte, Freunde) oder eines Angeh\\u00f6rigen (Eltern, Kinder) an, welche(r) im Notfall durch uns verst\\u00e4ndigt werden soll.&quot;,&quot;description_text&quot;:&quot;Bitte geben Sie uns den Namen einer Bezugsperson (Ehegatte, Freunde) oder eines Angeh\\u00f6rigen (Eltern, Kinder) an, welche(r) im Notfall durch uns verst\\u00e4ndigt werden soll.&quot;,&quot;tooltip&quot;:true,&quot;tooltip_position&quot;:&quot;top&quot;},{&quot;custom_id&quot;:&quot;nephrostoma&quot;,&quot;position&quot;:&quot;elementor-field-label&quot;,&quot;description&quot;:&quot;Nephrostoma: Ein Schlauch, der Urin aus der Niere leitet, wenn der normale Weg blockiert ist.&quot;,&quot;description_text&quot;:&quot;Nephrostoma: Ein Schlauch, der Urin aus der Niere leitet, wenn der normale Weg blockiert ist.&quot;,&quot;tooltip&quot;:true,&quot;tooltip_position&quot;:&quot;top&quot;},{&quot;custom_id&quot;:&quot;inkontinenz&quot;,&quot;position&quot;:&quot;elementor-field-label&quot;,&quot;description&quot;:&quot;Inkontinenz: Der ungewollte Verlust von Urin oder Stuhl.&quot;,&quot;description_text&quot;:&quot;Inkontinenz: Der ungewollte Verlust von Urin oder 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class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-geschlecht elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Pers\u00f6nliche Daten\" data-previousButton=\"\" data-nextButton=\"zum Anamnesebogen\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\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-geschlecht elementor-col-100\">\n\t\t\t\t\t<style>\n  \/* Verstecke den gesamten Inhalt der Seite standardm\u00e4\u00dfig *\/\n  body {\n    visibility: hidden;\n    opacity: 0;\n    transition: opacity 0.3s ease-in-out; \/* Sanfte \u00dcberblendung *\/\n  }\n<\/style>\n\n<script>\n  document.addEventListener(\"DOMContentLoaded\", function() {\n    \/\/ Zeigt den Inhalt der Seite, nachdem das DOM vollst\u00e4ndig geladen wurde\n    document.body.style.visibility = \"visible\";\n    document.body.style.opacity = \"1\";\n  });\n<\/script>\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_112973b elementor-col-100\">\n\t\t\t\t\t<script>\n    document.addEventListener(\"DOMContentLoaded\", function() {\n        var form = document.querySelector('.elementor-form');\n        if (form) {\n            form.setAttribute('autocomplete', 'off');\n        }\n    });\n<\/script>\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_0fbc283 elementor-col-100\">\n\t\t\t\t\t<div style=\"text-align: center;\"><br><br>\n  <b style=\"font-size: 25px;\">PATIENTEN-ANAMNESEBOGEN AMBULANZ<\/b><br\/>Anamnesebogen f\u00fcr Patienten der Klinik f\u00fcr Urologie<br><br><br\/>\n  <b style=\"background-color: #B62B30; color: #fff; padding: 10px; display: inline-block;\">Bitte erst ausf\u00fcllen, wenn Sie bereits einen Termin haben.<\/b><br\/><br\/><br\/>\n<\/div>\n<div style=\"display: flex; justify-content: center; text-align: left;\">\n  <div>\n\n  <\/div>\n<\/div><br\/><br\/>\n\n<style>\n  @media (max-width: 600px) {\n    b[style*=\"font-size: 25px;\"] {\n      font-size: 20px !important;\n    }\n    b[style*=\"background-color: #B62B30;\"] {\n      font-size: 18px !important;\n      padding: 8px !important;\n    }\n    div[style*=\"display: flex;\"] {\n      flex-direction: column !important;\n      align-items: center !important;\n    }\n  }\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_fed73c9 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"**START\" data-previousButton=\"zur\u00fcck\" data-nextButton=\"Pers\u00f6nliche Daten\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\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_567af6f elementor-col-100\">\n\t\t\t\t\t<br\/><center><b style=\"font-size: 25px;\">Herzlich Willkommen<\/b><\/center><br\/><br>\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_b055d1d elementor-col-20\">\n\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-konsultation elementor-col-60 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-konsultation\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tErz\u00e4hlen Sie uns bitte in kurzen S\u00e4tzen oder Stichpunkten, was Sie heute zu uns f\u00fchrt.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[konsultation]\" id=\"form-field-konsultation\" rows=\"4\" required=\"required\"><\/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_0f7f9a3 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_e8d31a3 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"**KONSULTATION\" data-previousButton=\"zur\u00fcck\" data-nextButton=\"MEDIZINISCHE FRAGEN\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\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_68e2196 elementor-col-100\">\n\t\t\t\t\t<center><b>PERS\u00d6NLICHE DATEN<\/b><\/center>\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-geschlecht elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geschlecht\" 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<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Weiblich\" id=\"form-field-geschlecht-0\" name=\"form_fields[geschlecht]\"> <label for=\"form-field-geschlecht-0\">Weiblich<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"M\u00e4nnlich\" id=\"form-field-geschlecht-1\" name=\"form_fields[geschlecht]\"> <label for=\"form-field-geschlecht-1\">M\u00e4nnlich<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Divers\" id=\"form-field-geschlecht-2\" name=\"form_fields[geschlecht]\"> <label for=\"form-field-geschlecht-2\">Divers<\/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-vorname elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vorname\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVorname\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[vorname]\" id=\"form-field-vorname\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-name elementor-col-25\">\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\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[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-geburtsdatum elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geburtsdatum\" 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\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[geburtsdatum]\" id=\"form-field-geburtsdatum\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-strasse elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-strasse\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStra\u00dfe\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[strasse]\" id=\"form-field-strasse\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-plz elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-plz\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPostleitzahl\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[plz]\" id=\"form-field-plz\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-wohnort elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-wohnort\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWohnort\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[wohnort]\" id=\"form-field-wohnort\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-geburtsname elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geburtsname\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeburtsname\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[geburtsname]\" id=\"form-field-geburtsname\" class=\"elementor-field elementor-size-sm  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-krankenversicherung elementor-col-100\">\n\t\t\t\t\t<div style=\"background-color: #C00A26; color: white; padding: 20px; text-align: center;\">\n    Bitte bringen Sie Ihre Gesundheitskarte und eine aktuelle \u00dcberweisung mit.\n<\/div>\n\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-geburtsort elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geburtsort\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeburtsort\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[geburtsort]\" id=\"form-field-geburtsort\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-telefon elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telefon\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon\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[telefon]\" id=\"form-field-telefon\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Handy \/ Festnetz\">\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-25\">\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\tE-Mail\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-sm  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-krankenversichert elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-krankenversichert\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKrankenversichert\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"gesetzlich\" id=\"form-field-krankenversichert-0\" name=\"form_fields[krankenversichert]\"> <label for=\"form-field-krankenversichert-0\">gesetzlich<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"privat\" id=\"form-field-krankenversichert-1\" name=\"form_fields[krankenversichert]\"> <label for=\"form-field-krankenversichert-1\">privat<\/label><\/span><\/div>\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_0d32095 elementor-col-100\">\n\t\t\t\t\t<hr>\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-koerpergroesse elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-koerpergroesse\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIhre K\u00f6rpergr\u00f6\u00dfe in cm\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[koerpergroesse]\" id=\"form-field-koerpergroesse\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-koerpergewicht elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-koerpergewicht\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIhr K\u00f6rpergewicht in kg\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[koerpergewicht]\" id=\"form-field-koerpergewicht\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-hausarzt elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hausarzt\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHausarzt\/Praxis\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[hausarzt]\" id=\"form-field-hausarzt\" class=\"elementor-field elementor-size-sm  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_5c48c44 elementor-col-100\">\n\t\t\t\t\t<hr>\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-namebezugsperson elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-namebezugsperson\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName einer Bezugsperson\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[namebezugsperson]\" id=\"form-field-namebezugsperson\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-telefonbezugsperson elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telefonbezugsperson\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon Ihrer Bezugsperson\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[telefonbezugsperson]\" id=\"form-field-telefonbezugsperson\" class=\"elementor-field elementor-size-sm  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-step elementor-field-group elementor-column elementor-field-group-field_201cfd9 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"*MEDIZINISCHE FRAGEN\" data-previousButton=\"zur\u00fcck\" data-nextButton=\"FRAGEN ZUR ATMUNG\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\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_5b9ce25 elementor-col-100\">\n\t\t\t\t\t<center><b>MEDIZINISCHE FRAGEN<\/b><\/center>\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-implantate elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-implantate\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHaben Sie Implantate oder implantierte Fremdk\u00f6rper?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-implantate-0\" name=\"form_fields[implantate]\"> <label for=\"form-field-implantate-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-implantate-1\" name=\"form_fields[implantate]\"> <label for=\"form-field-implantate-1\">JA<\/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-jaimplantate elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jaimplantate\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tja, und zwar:\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[jaimplantate]\" id=\"form-field-jaimplantate\" class=\"elementor-field elementor-size-sm  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-erkrankungen elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-erkrankungen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHaben Sie weitere Erkrankungen oder wurden Sie schon einmal operiert?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-erkrankungen-0\" name=\"form_fields[erkrankungen]\"> <label for=\"form-field-erkrankungen-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-erkrankungen-1\" name=\"form_fields[erkrankungen]\"> <label for=\"form-field-erkrankungen-1\">JA<\/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-jaerkrankung elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jaerkrankung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tja, welche Erkrankung:\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[jaerkrankung]\" id=\"form-field-jaerkrankung\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-jaoperation elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jaoperation\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tja, welche Operation:\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[jaoperation]\" id=\"form-field-jaoperation\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Was, wann und wo?\">\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-thrombose elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-thrombose\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHatten Sie schon einmal eine Thrombose?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-thrombose-0\" name=\"form_fields[thrombose]\"> <label for=\"form-field-thrombose-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-thrombose-1\" name=\"form_fields[thrombose]\"> <label for=\"form-field-thrombose-1\">JA<\/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-allergien elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-allergien\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSind bei Ihnen Allergien bekannt?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-allergien-0\" name=\"form_fields[allergien]\"> <label for=\"form-field-allergien-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-allergien-1\" name=\"form_fields[allergien]\"> <label for=\"form-field-allergien-1\">JA<\/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-kontrastmittel elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kontrastmittel\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKontrastmittel\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-kontrastmittel-0\" name=\"form_fields[kontrastmittel]\"> <label for=\"form-field-kontrastmittel-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-kontrastmittel-1\" name=\"form_fields[kontrastmittel]\"> <label for=\"form-field-kontrastmittel-1\">JA<\/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-desinfektionsmittel elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-desinfektionsmittel\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJod\/Desinfektionsmittel\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-desinfektionsmittel-0\" name=\"form_fields[desinfektionsmittel]\"> <label for=\"form-field-desinfektionsmittel-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-desinfektionsmittel-1\" name=\"form_fields[desinfektionsmittel]\"> <label for=\"form-field-desinfektionsmittel-1\">JA<\/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-pflaster elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-pflaster\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPflaster\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-pflaster-0\" name=\"form_fields[pflaster]\"> <label for=\"form-field-pflaster-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-pflaster-1\" name=\"form_fields[pflaster]\"> <label for=\"form-field-pflaster-1\">JA<\/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-latex elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-latex\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLatex\/Nickel\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-latex-0\" name=\"form_fields[latex]\"> <label for=\"form-field-latex-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-latex-1\" name=\"form_fields[latex]\"> <label for=\"form-field-latex-1\">JA<\/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-medikamente elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-medikamente\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMedikamente\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[medikamente]\" id=\"form-field-medikamente\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"z.B. Antibiotika\">\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-lebensmittel elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-lebensmittel\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLebensmittel\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[lebensmittel]\" id=\"form-field-lebensmittel\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"z.B. Fisch, N\u00fcsse etc.\">\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-allergiensonstiges elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-allergiensonstiges\" 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[allergiensonstiges]\" id=\"form-field-allergiensonstiges\" class=\"elementor-field elementor-size-sm  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-infektionskrankheiten elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-infektionskrankheiten\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSind bei Ihnen Infektionskrankheiten (Hepatitis, HIV...) bekannt?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-infektionskrankheiten-0\" name=\"form_fields[infektionskrankheiten]\"> <label for=\"form-field-infektionskrankheiten-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-infektionskrankheiten-1\" name=\"form_fields[infektionskrankheiten]\"> <label for=\"form-field-infektionskrankheiten-1\">JA<\/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-jainfektionskrankheiten elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jainfektionskrankheiten\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tja, und zwar:\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[jainfektionskrankheiten]\" id=\"form-field-jainfektionskrankheiten\" class=\"elementor-field elementor-size-sm  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-schmerzen elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-schmerzen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLeiden Sie unter Schmerzen?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-schmerzen-0\" name=\"form_fields[schmerzen]\"> <label for=\"form-field-schmerzen-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-schmerzen-1\" name=\"form_fields[schmerzen]\"> <label for=\"form-field-schmerzen-1\">JA<\/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-jaschmerzen elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jaschmerzen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tja, wo?\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[jaschmerzen]\" id=\"form-field-jaschmerzen\" class=\"elementor-field elementor-size-sm  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-text elementor-field-group elementor-column elementor-field-group-jaschmerzenwas elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jaschmerzenwas\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\twas tun Sie dagegen?\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[jaschmerzenwas]\" id=\"form-field-jaschmerzenwas\" class=\"elementor-field elementor-size-sm  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-medi elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-medi\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNehmen Sie Medikamente ein?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-medi-0\" name=\"form_fields[medi]\"> <label for=\"form-field-medi-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-medi-1\" name=\"form_fields[medi]\"> <label for=\"form-field-medi-1\">JA<\/label><\/span><\/div>\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-jamedikamente elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jamedikamente\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMedikamentenname | Dosierung | Einnahme\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[jamedikamente]\" id=\"form-field-jamedikamente\" rows=\"4\" placeholder=\"z.B. Ibuprofen 600 mg - 1 morgens, 1 abends\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_b56bdee elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"**FRAGEN ZUR ATMUNG\" data-previousButton=\"zur\u00fcck\" data-nextButton=\"UROLOGISCHE FRAGEN\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\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_60169d0 elementor-col-100\">\n\t\t\t\t\t<center><b>FRAGEN ZUR ATMUNG<\/b><\/center>\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-atmung elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-atmung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHaben Sie Probleme bei der Atmung?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-atmung-0\" name=\"form_fields[atmung]\"> <label for=\"form-field-atmung-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-atmung-1\" name=\"form_fields[atmung]\"> <label for=\"form-field-atmung-1\">JA<\/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-jaatmung elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jaatmung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tja, und zwar:\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[jaatmung]\" id=\"form-field-jaatmung\" class=\"elementor-field elementor-size-sm  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-rauchen elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-rauchen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRauchen Sie oder haben Sie innerhalb der letzten 12 Monate geraucht?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-rauchen-0\" name=\"form_fields[rauchen]\"> <label for=\"form-field-rauchen-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-rauchen-1\" name=\"form_fields[rauchen]\"> <label for=\"form-field-rauchen-1\">JA<\/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-jarauchen elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jarauchen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tja, wie viel pro Tag:\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[jarauchen]\" id=\"form-field-jarauchen\" class=\"elementor-field elementor-size-sm  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-step elementor-field-group elementor-column elementor-field-group-field_2d57319 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"**ABSCHLUSS\" data-previousButton=\"zur\u00fcck\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\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_c15a5e5 elementor-col-100\">\n\t\t\t\t\t<center><b>UROLOGISCHE FRAGEN<\/b><\/center>\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_614a519 elementor-col-100\">\n\t\t\t\t\tHaben Sie bez\u00fcglich Wasserlassen eine der folgenden Beschwerden?\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-unauffaellig elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-unauffaellig\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tunauff\u00e4llig\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-unauffaellig-0\" name=\"form_fields[unauffaellig]\"> <label for=\"form-field-unauffaellig-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-unauffaellig-1\" name=\"form_fields[unauffaellig]\"> <label for=\"form-field-unauffaellig-1\">JA<\/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-nephrostoma elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nephrostoma\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNephrostoma\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-nephrostoma-0\" name=\"form_fields[nephrostoma]\"> <label for=\"form-field-nephrostoma-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-nephrostoma-1\" name=\"form_fields[nephrostoma]\"> <label for=\"form-field-nephrostoma-1\">JA<\/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-inkontinenz elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-inkontinenz\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tInkontinenz\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-inkontinenz-0\" name=\"form_fields[inkontinenz]\"> <label for=\"form-field-inkontinenz-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-inkontinenz-1\" name=\"form_fields[inkontinenz]\"> <label for=\"form-field-inkontinenz-1\">JA<\/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-urostoma elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-urostoma\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUrostoma\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-urostoma-0\" name=\"form_fields[urostoma]\"> <label for=\"form-field-urostoma-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-urostoma-1\" name=\"form_fields[urostoma]\"> <label for=\"form-field-urostoma-1\">JA<\/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-bluturin elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-bluturin\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBlut im Urin\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-bluturin-0\" name=\"form_fields[bluturin]\"> <label for=\"form-field-bluturin-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-bluturin-1\" name=\"form_fields[bluturin]\"> <label for=\"form-field-bluturin-1\">JA<\/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-kathether elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kathether\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKatheter\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-kathether-0\" name=\"form_fields[kathether]\"> <label for=\"form-field-kathether-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-kathether-1\" name=\"form_fields[kathether]\"> <label for=\"form-field-kathether-1\">JA<\/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-nachtwasserlassen elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nachtwasserlassen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tn\u00e4chtliches Wasserlassen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-nachtwasserlassen-0\" name=\"form_fields[nachtwasserlassen]\"> <label for=\"form-field-nachtwasserlassen-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-nachtwasserlassen-1\" name=\"form_fields[nachtwasserlassen]\"> <label for=\"form-field-nachtwasserlassen-1\">JA<\/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-sonstigeswasserlassen elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sonstigeswasserlassen\" 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[sonstigeswasserlassen]\" id=\"form-field-sonstigeswasserlassen\" class=\"elementor-field elementor-size-sm  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_1c193d3 elementor-col-100\">\n\t\t\t\t\t<hr>\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-datenschutz elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-datenschutz\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDatenschutz\t\t\t\t\t\t\t<\/label>\n\t\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[datenschutz]\" id=\"form-field-datenschutz\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-datenschutz\">Ich stimme zu, dass meine Angaben aus dem Formular zur Anamnese erhoben und verarbeitet werden. Die Daten werden nur kurz auf unserem Server zum Versand gespeichert und danach gel\u00f6scht. Sie k\u00f6nnen Ihre Einwilligung jederzeit per E-Mail an sekretariat.urologie@uniklinik-freiburg.de widerrufen. Detaillierte Informationen zum Umgang mit Nutzerdaten finden Sie in unserer Datenschutzerkl\u00e4rung.<\/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-hidden elementor-field-group elementor-column elementor-field-group-datumzeit elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"hidden\" name=\"form_fields[datumzeit]\" id=\"form-field-datumzeit\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" value=\"10\/05\/2026 18:11\">\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-amount elementor-field-group elementor-column elementor-field-group-bmi elementor-col-100\">\n\t\t\t\t\t<input type=\"hidden\" name=\"form_fields[bmi]\" id=\"form-field-bmi\" class=\"elementor-field elementor-size-sm  dce-amount-hidden\" data-hide=\"yes\" data-field-expression=\" getField(&quot;gewicht&quot;)  \/ (( getField(&quot;groesse&quot;)  \/ 100) * ( getField(&quot;groesse&quot;)  \/ 100))\" data-text-before=\"\" data-text-after=\"\" data-should-round=\"yes\" data-round-precision=\"1\" data-refresh-on=\"input\" data-should-format=\"\" data-format-precision=\"\" style=\"display: none;\"><input size=\"1\"type=\"text\" class=\"dce-amount-visible elementor-field-textual\" readonly=\"\">\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-sm\" 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\">ANAMNESEBOGEN ABSENDEN<\/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<style>.elementor-element.elementor-element-67a8a968 .elementor-field-group { align-self: flex-start; }<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-87e3415 e-flex e-con-boxed e-con e-parent\" data-id=\"87e3415\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-27ed6bc elementor-widget elementor-widget-shortcode\" data-id=\"27ed6bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\t\t<div data-elementor-type=\"container\" data-elementor-id=\"786\" class=\"elementor elementor-786\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t<div class=\"elementor-element elementor-element-329d47f1 e-flex e-con-boxed e-con e-parent\" data-id=\"329d47f1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-642dbe9 elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"642dbe9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.uniklinik-freiburg.de\/footernavigation\/impressum.html\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Impressum<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.uniklinik-freiburg.de\/footernavigation\/datenschutz.html\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Datenschutz<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-39528007 elementor-widget elementor-widget-heading\" data-id=\"39528007\" 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<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/lux-digitalepraxis.de\" target=\"_blank\">\u00a9 2026 LUX Digitale Praxis<\/a><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\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\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Anamnesebogen<\/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-5801","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/app.lux-solution.de\/opwb73t\/wp-json\/wp\/v2\/pages\/5801","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/app.lux-solution.de\/opwb73t\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/app.lux-solution.de\/opwb73t\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/app.lux-solution.de\/opwb73t\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/app.lux-solution.de\/opwb73t\/wp-json\/wp\/v2\/comments?post=5801"}],"version-history":[{"count":125,"href":"https:\/\/app.lux-solution.de\/opwb73t\/wp-json\/wp\/v2\/pages\/5801\/revisions"}],"predecessor-version":[{"id":6128,"href":"https:\/\/app.lux-solution.de\/opwb73t\/wp-json\/wp\/v2\/pages\/5801\/revisions\/6128"}],"wp:attachment":[{"href":"https:\/\/app.lux-solution.de\/opwb73t\/wp-json\/wp\/v2\/media?parent=5801"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}