{"id":2465,"date":"2023-09-20T13:31:46","date_gmt":"2023-09-20T11:31:46","guid":{"rendered":"https:\/\/www.kleintierpraxis-arui.de\/formulare\/?page_id=2465"},"modified":"2024-07-16T11:43:28","modified_gmt":"2024-07-16T09:43:28","slug":"online-formulare","status":"publish","type":"page","link":"https:\/\/www.kleintierpraxis-arui.de\/formulare\/","title":{"rendered":"Online-Formulare"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2465\" class=\"elementor elementor-2465\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-24a71821 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"24a71821\" 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-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1af3cc7d\" data-id=\"1af3cc7d\" 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-5321d9e7 elementor-widget-divider--view-line_text elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"5321d9e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<span class=\"elementor-divider__text elementor-divider__element\">\n\t\t\t\tFormulare\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b58296 elementor-widget elementor-widget-spacer\" data-id=\"7b58296\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/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<\/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-b978a81 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"b978a81\" 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-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f9c984d\" data-id=\"f9c984d\" 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-23b26cf elementor-widget elementor-widget-heading\" data-id=\"23b26cf\" 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\">Anmeldeformular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90a290c elementor-button-align-stretch elementor-widget elementor-widget-global elementor-global-2919 elementor-widget-form\" data-id=\"90a290c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Weiter&quot;,&quot;step_previous_label&quot;:&quot;Zur\\u00fcck&quot;,&quot;button_width&quot;:&quot;100&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=\"anmeldebogen\" name=\"Anmeldebogen\" aria-label=\"Anmeldebogen\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"2465\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"90a290c\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Tierarztpraxis Dr. Susanne Arui in Donaueschingen\" \/>\n\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_7038bb7 elementor-col-100\">\n\t\t\t\t\tBesitzer \/ Begleitperson \/ Auftraggeber\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-50 elementor-field-required\">\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\" 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-name elementor-col-50 elementor-field-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-sm  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-strasse elementor-col-100 elementor-field-required\">\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\" 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-plz elementor-col-25 elementor-field-required\">\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\tPLZ\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\" 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-ort elementor-col-75 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-ort\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOrt\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[ort]\" id=\"form-field-ort\" class=\"elementor-field elementor-size-sm  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-telefon1 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telefon1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon (privat)\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[telefon1]\" id=\"form-field-telefon1\" class=\"elementor-field elementor-size-sm  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-telefon2 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telefon2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon (dienstlich)\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[telefon2]\" id=\"form-field-telefon2\" class=\"elementor-field elementor-size-sm  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-mobiltelefon elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mobiltelefon\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMobiltelefon\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[mobiltelefon]\" id=\"form-field-mobiltelefon\" 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-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-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\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\" 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_ccc7510 elementor-col-100\">\n\t\t\t\t\tPatient\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-rufname elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-rufname\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRufname\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[rufname]\" id=\"form-field-rufname\" class=\"elementor-field elementor-size-sm  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-tierart elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tierart\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTierart\/Rasse\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[tierart]\" id=\"form-field-tierart\" class=\"elementor-field elementor-size-sm  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-farbe elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-farbe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFarbe\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[farbe]\" id=\"form-field-farbe\" 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-gewicht elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gewicht\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGewicht\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[gewicht]\" id=\"form-field-gewicht\" 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-geburtsjahr elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geburtsjahr\" 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[geburtsjahr]\" id=\"form-field-geburtsjahr\" 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-geschlecht elementor-col-33\">\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  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"w\" id=\"form-field-geschlecht-0\" name=\"form_fields[geschlecht]\"> <label for=\"form-field-geschlecht-0\">w<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"m\" id=\"form-field-geschlecht-1\" name=\"form_fields[geschlecht]\"> <label for=\"form-field-geschlecht-1\">m<\/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-kastriert elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kastriert\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKastriert\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-kastriert-0\" name=\"form_fields[kastriert]\"> <label for=\"form-field-kastriert-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-kastriert-1\" name=\"form_fields[kastriert]\"> <label for=\"form-field-kastriert-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-freigaenger elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-freigaenger\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFreig\u00e4nger\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-freigaenger-0\" name=\"form_fields[freigaenger]\"> <label for=\"form-field-freigaenger-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-freigaenger-1\" name=\"form_fields[freigaenger]\"> <label for=\"form-field-freigaenger-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-chipnummer elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-chipnummer\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tT\u00e4towierung oder Chip-Nummer\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[chipnummer]\" id=\"form-field-chipnummer\" 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-heimtierausweis elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-heimtierausweis\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHeimtierausweis-Nummer\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[heimtierausweis]\" id=\"form-field-heimtierausweis\" 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-textarea elementor-field-group elementor-column elementor-field-group-unvertraeglichkeiten elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-unvertraeglichkeiten\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUnvertr\u00e4glichkeiten und chronische Erkrankungen sowie bisherige Medikation\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[unvertraeglichkeiten]\" id=\"form-field-unvertraeglichkeiten\" rows=\"4\"><\/textarea>\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-lebensmittelgewinnung elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-lebensmittelgewinnung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDient das Tier zur Lebensmittelgewinnung oder geh\u00f6rt es zu einem wirtschaftlichen Bestand?\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-lebensmittelgewinnung-0\" name=\"form_fields[lebensmittelgewinnung]\"> <label for=\"form-field-lebensmittelgewinnung-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-lebensmittelgewinnung-1\" name=\"form_fields[lebensmittelgewinnung]\"> <label for=\"form-field-lebensmittelgewinnung-1\">nein<\/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_4cc047a elementor-col-100\">\n\t\t\t\t\t<\/br>\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-tierkrankenversicherung elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tierkrankenversicherung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVerf\u00fcgen Sie \u00fcber eine Tierkrankenversicherung?\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-tierkrankenversicherung-0\" name=\"form_fields[tierkrankenversicherung]\"> <label for=\"form-field-tierkrankenversicherung-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-tierkrankenversicherung-1\" name=\"form_fields[tierkrankenversicherung]\"> <label for=\"form-field-tierkrankenversicherung-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-versicherungsgessellschaft elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-versicherungsgessellschaft\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVersicherungsgesellschaft\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[versicherungsgessellschaft]\" id=\"form-field-versicherungsgessellschaft\" 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-versicherungsscheinnummer elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-versicherungsscheinnummer\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVersicherungsschein-Nummer\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[versicherungsscheinnummer]\" id=\"form-field-versicherungsscheinnummer\" 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_962f579 elementor-col-100\">\n\t\t\t\t\t<\/br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-empfehlung elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-empfehlung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWie sind Sie auf unsere Praxis aufmerksam geworden?\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=\"checkbox\" value=\"Empfehlung\" id=\"form-field-empfehlung-0\" name=\"form_fields[empfehlung][]\"> <label for=\"form-field-empfehlung-0\">Empfehlung<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Internet\" id=\"form-field-empfehlung-1\" name=\"form_fields[empfehlung][]\"> <label for=\"form-field-empfehlung-1\">Internet<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Verein\" id=\"form-field-empfehlung-2\" name=\"form_fields[empfehlung][]\"> <label for=\"form-field-empfehlung-2\">Verein<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Soziale Netzwerke\" id=\"form-field-empfehlung-3\" name=\"form_fields[empfehlung][]\"> <label for=\"form-field-empfehlung-3\">Soziale Netzwerke<\/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-anderes elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anderes\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tanderes:\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[anderes]\" id=\"form-field-anderes\" 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_3e31999 elementor-col-100\">\n\t\t\t\t\t<\/br>\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-einwilligung1 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass die erhobenen Daten auch f\u00fcr zuk\u00fcnftige Behandlungsvertr\u00e4ge genutzt werden d\u00fcrfen. \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-einwilligung1-0\" name=\"form_fields[einwilligung1]\"> <label for=\"form-field-einwilligung1-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung1-1\" name=\"form_fields[einwilligung1]\"> <label for=\"form-field-einwilligung1-1\">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-einwilligung2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass die erhobenen Daten, soweit erforderlich und notwendig, im Rahmen tier\u00e4rztlicher \u00dcberweisungen an andere Tierarztpraxen, - kliniken \u00fcbermittelt werden d\u00fcrfen.\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-einwilligung2-0\" name=\"form_fields[einwilligung2]\"> <label for=\"form-field-einwilligung2-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung2-1\" name=\"form_fields[einwilligung2]\"> <label for=\"form-field-einwilligung2-1\">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-einwilligung3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass die erhobenen Daten, soweit erforderlich und notwendig, im Rahmen weiterf\u00fchrender Diagnostik an Untersuchungslabore und Institute \u00fcbermittelt werden d\u00fcrfen.\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-einwilligung3-0\" name=\"form_fields[einwilligung3]\"> <label for=\"form-field-einwilligung3-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung3-1\" name=\"form_fields[einwilligung3]\"> <label for=\"form-field-einwilligung3-1\">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-einwilligung4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass meine genannten personenbezogenen Daten sowie Daten der erbrachten tier\u00e4rztlichen Leistungen an eine Verrechnungsstelle \u00fcbermittelt werden d\u00fcrfen, falls dies zu Abrechnungszwecken erforderlich sein sollte.\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-einwilligung4-0\" name=\"form_fields[einwilligung4]\"> <label for=\"form-field-einwilligung4-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung4-1\" name=\"form_fields[einwilligung4]\"> <label for=\"form-field-einwilligung4-1\">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-einwilligung5 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass mich die Tierarztpraxis Dr. Hellen Bammel telefonisch oder per Post \/ E-Mail \u00fcber Laborergebnisse und Terminplanung informiert.\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-einwilligung5-0\" name=\"form_fields[einwilligung5]\"> <label for=\"form-field-einwilligung5-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung5-1\" name=\"form_fields[einwilligung5]\"> <label for=\"form-field-einwilligung5-1\">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-einwilligung6 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass mich die Tierarztpraxis Dr. Hellen Bammel telefonisch oder per Post \/ E-Mail informieren darf (z. B. Impferinnerung).\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-einwilligung6-0\" name=\"form_fields[einwilligung6]\"> <label for=\"form-field-einwilligung6-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung6-1\" name=\"form_fields[einwilligung6]\"> <label for=\"form-field-einwilligung6-1\">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-einwilligung7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass die erhobenen Daten auch im Rahmen einer Weiterf\u00fchrung der Praxis durch einen Nachfolger weiter bestimmungsgem\u00e4\u00df genutzt werden d\u00fcrfen.\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-einwilligung7-0\" name=\"form_fields[einwilligung7]\"> <label for=\"form-field-einwilligung7-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung7-1\" name=\"form_fields[einwilligung7]\"> <label for=\"form-field-einwilligung7-1\">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-einwilligung8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass meine Daten sowie Behandlungen \/ Rechnungen im Falle einer Tierkrankenversicherung an diese \u00fcbermittelt werden d\u00fcrfen.\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-einwilligung8-0\" name=\"form_fields[einwilligung8]\"> <label for=\"form-field-einwilligung8-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung8-1\" name=\"form_fields[einwilligung8]\"> <label for=\"form-field-einwilligung8-1\">nein<\/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_91d0a21 elementor-col-100\">\n\t\t\t\t\t<\/br>\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\">Datenschutzerkl\u00e4rung gelesen und akzeptiert<\/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-text\">\n\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6031b7d]\" id=\"form-field-field_6031b7d\" class=\"elementor-field elementor-size-sm \" style=\"display:none !important;\">\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_d5113c9 elementor-col-100 recaptcha_v3-inline\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_d5113c9\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LcHGBEqAAAAAEJQ4PIn45zZ1vTdfmeYGGaBO62h\" data-type=\"v3\" data-action=\"Form\" data-badge=\"inline\" 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-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\">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-50 elementor-top-column elementor-element elementor-element-8c416e7\" data-id=\"8c416e7\" 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-47606e6 elementor-widget elementor-widget-heading\" data-id=\"47606e6\" 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\">Anamneseformular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-671a029 elementor-button-align-stretch elementor-widget elementor-widget-global elementor-global-2922 elementor-widget-form\" data-id=\"671a029\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Weiter&quot;,&quot;step_previous_label&quot;:&quot;Zur\\u00fcck&quot;,&quot;button_width&quot;:&quot;100&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=\"anmeldebogen\" name=\"Anamnesebogen\" aria-label=\"Anamnesebogen\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"2465\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"671a029\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Tierarztpraxis Dr. Susanne Arui in Donaueschingen\" \/>\n\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_7038bb7 elementor-col-100\">\n\t\t\t\t\tBesitzer \/ Begleitperson \/ Auftraggeber\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-50 elementor-field-required\">\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\" 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-name elementor-col-50 elementor-field-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-sm  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-strasse elementor-col-100 elementor-field-required\">\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\" 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-plz elementor-col-25 elementor-field-required\">\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\tPLZ\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\" 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-ort elementor-col-75 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-ort\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOrt\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[ort]\" id=\"form-field-ort\" class=\"elementor-field elementor-size-sm  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-telefon1 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telefon1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon (privat)\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[telefon1]\" id=\"form-field-telefon1\" class=\"elementor-field elementor-size-sm  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-telefon2 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telefon2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon (dienstlich)\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[telefon2]\" id=\"form-field-telefon2\" class=\"elementor-field elementor-size-sm  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-mobiltelefon elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mobiltelefon\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMobiltelefon\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[mobiltelefon]\" id=\"form-field-mobiltelefon\" 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-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-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\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\" 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_ccc7510 elementor-col-100\">\n\t\t\t\t\tPatient\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-rufname elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-rufname\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRufname\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[rufname]\" id=\"form-field-rufname\" class=\"elementor-field elementor-size-sm  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-tierart elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tierart\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTierart\/Rasse\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[tierart]\" id=\"form-field-tierart\" class=\"elementor-field elementor-size-sm  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-field_0cf1c14 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0cf1c14\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFarbe\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[field_0cf1c14]\" id=\"form-field-field_0cf1c14\" 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-gewicht elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gewicht\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGewicht\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[gewicht]\" id=\"form-field-gewicht\" 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-geburtsjahr elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geburtsjahr\" 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[geburtsjahr]\" id=\"form-field-geburtsjahr\" 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-geschlecht elementor-col-33\">\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  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"w\" id=\"form-field-geschlecht-0\" name=\"form_fields[geschlecht]\"> <label for=\"form-field-geschlecht-0\">w<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"m\" id=\"form-field-geschlecht-1\" name=\"form_fields[geschlecht]\"> <label for=\"form-field-geschlecht-1\">m<\/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-field_815ad1f elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_815ad1f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKastriert\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-field_815ad1f-0\" name=\"form_fields[field_815ad1f]\"> <label for=\"form-field-field_815ad1f-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-field_815ad1f-1\" name=\"form_fields[field_815ad1f]\"> <label for=\"form-field-field_815ad1f-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-chipnummer elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-chipnummer\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tT\u00e4towierung oder Chip-Nummer\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[chipnummer]\" id=\"form-field-chipnummer\" 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-heimtierausweis elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-heimtierausweis\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHeimtierausweis-Nummer\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[heimtierausweis]\" id=\"form-field-heimtierausweis\" 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_4cc047a elementor-col-100\">\n\t\t\t\t\t<\/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-farbe elementor-col-50\">\n\t\t\t\t\t<b>Anamnese<\/b>\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_962f579 elementor-col-100\">\n\t\t\t\t\t<\/br>\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-vorstellungsgrund elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vorstellungsgrund\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVorstellungsgrund\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[vorstellungsgrund]\" id=\"form-field-vorstellungsgrund\" rows=\"4\"><\/textarea>\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-datumsymptome elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-datumsymptome\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeit wann bestehen die Symptome \/ 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[datumsymptome]\" id=\"form-field-datumsymptome\" 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-behandlung elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-behandlung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWurde Ihr Tier aufgrund der bestehenden Erkrankung bereits tier\u00e4rztlich 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=\"ja\" id=\"form-field-behandlung-0\" name=\"form_fields[behandlung]\"> <label for=\"form-field-behandlung-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-behandlung-1\" name=\"form_fields[behandlung]\"> <label for=\"form-field-behandlung-1\">nein<\/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-medikamente elementor-col-100\">\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<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[medikamente]\" id=\"form-field-medikamente\" rows=\"3\"><\/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_16923a0 elementor-col-100\">\n\t\t\t\t\t<b>Herkunft des Tieres<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-herkunft elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-herkunft\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHerkunft\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=\"checkbox\" value=\"Z\u00fcchter\" id=\"form-field-herkunft-0\" name=\"form_fields[herkunft][]\"> <label for=\"form-field-herkunft-0\">Z\u00fcchter<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Privat\" id=\"form-field-herkunft-1\" name=\"form_fields[herkunft][]\"> <label for=\"form-field-herkunft-1\">Privat<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Tierschutz \/ Tierheim\" id=\"form-field-herkunft-2\" name=\"form_fields[herkunft][]\"> <label for=\"form-field-herkunft-2\">Tierschutz \/ Tierheim<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"andere Herkunft:\" id=\"form-field-herkunft-3\" name=\"form_fields[herkunft][]\"> <label for=\"form-field-herkunft-3\">andere Herkunft:<\/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-herkunft2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[herkunft2]\" id=\"form-field-herkunft2\" 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-datum elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-datum\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeit wann lebt das Tier bei Ihnen?\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[datum]\" id=\"form-field-datum\" 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-auslandsaufenthalte elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-auslandsaufenthalte\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAuslandsaufenthalte?\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-auslandsaufenthalte-0\" name=\"form_fields[auslandsaufenthalte]\"> <label for=\"form-field-auslandsaufenthalte-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-auslandsaufenthalte-1\" name=\"form_fields[auslandsaufenthalte]\"> <label for=\"form-field-auslandsaufenthalte-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-auslandsaufenthalte2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-auslandsaufenthalte2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, 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[auslandsaufenthalte2]\" id=\"form-field-auslandsaufenthalte2\" 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-datum2 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-datum2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeit wann in Deutschland?\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[datum2]\" id=\"form-field-datum2\" 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-field_0047aec elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0047aec\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAuf Reisekrankheiten untersucht?\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-field_0047aec-0\" name=\"form_fields[field_0047aec]\"> <label for=\"form-field-field_0047aec-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-field_0047aec-1\" name=\"form_fields[field_0047aec]\"> <label for=\"form-field-field_0047aec-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-reisekrankheiten2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-reisekrankheiten2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, Befund \/ Diagnose:\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[reisekrankheiten2]\" id=\"form-field-reisekrankheiten2\" 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_e23d957 elementor-col-100\">\n\t\t\t\t\t<b>Allgemeinzustand und Haltung<\/b>\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-anderetiere elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anderetiere\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLeben mehrere Tiere in Ihrem Haushalt?\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-anderetiere-0\" name=\"form_fields[anderetiere]\"> <label for=\"form-field-anderetiere-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-anderetiere-1\" name=\"form_fields[anderetiere]\"> <label for=\"form-field-anderetiere-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-anderetiere2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anderetiere2\" 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[anderetiere2]\" id=\"form-field-anderetiere2\" 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-kondition elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kondition\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKondition \/ Allgemeinbefinden des Tieres:\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=\"gut \/ normal\" id=\"form-field-kondition-0\" name=\"form_fields[kondition]\"> <label for=\"form-field-kondition-0\">gut \/ normal<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"vermindert\" id=\"form-field-kondition-1\" name=\"form_fields[kondition]\"> <label for=\"form-field-kondition-1\">vermindert<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"schlecht\" id=\"form-field-kondition-2\" name=\"form_fields[kondition]\"> <label for=\"form-field-kondition-2\">schlecht<\/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_3f8d915 elementor-col-100\">\n\t\t\t\t\t<\/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_3e31999 elementor-col-100\">\n\t\t\t\t\t<b>Prophylaxe<\/b>\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-prophylaxe1 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-prophylaxe1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRegelm\u00e4\u00dfige Impfungen?\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-prophylaxe1-0\" name=\"form_fields[prophylaxe1]\"> <label for=\"form-field-prophylaxe1-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-prophylaxe1-1\" name=\"form_fields[prophylaxe1]\"> <label for=\"form-field-prophylaxe1-1\">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-prophylaxe2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-prophylaxe2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRegelm\u00e4\u00dfige Entwurmung?\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-prophylaxe2-0\" name=\"form_fields[prophylaxe2]\"> <label for=\"form-field-prophylaxe2-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-prophylaxe2-1\" name=\"form_fields[prophylaxe2]\"> <label for=\"form-field-prophylaxe2-1\">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-prophylaxe3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-prophylaxe3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRegelm\u00e4\u00dfige Zecken- und Flohprophylaxe:\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-prophylaxe3-0\" name=\"form_fields[prophylaxe3]\"> <label for=\"form-field-prophylaxe3-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-prophylaxe3-1\" name=\"form_fields[prophylaxe3]\"> <label for=\"form-field-prophylaxe3-1\">nein<\/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-prophylaxe4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-prophylaxe4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, was und wie oft?\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[prophylaxe4]\" id=\"form-field-prophylaxe4\" rows=\"2\"><\/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_77bddb1 elementor-col-100\">\n\t\t\t\t\t<b>unkastrierte H\u00fcndinnen \/ Katzen<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-zyklus1 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-zyklus1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tZykluserscheinung:\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=\"checkbox\" value=\"normal\" id=\"form-field-zyklus1-0\" name=\"form_fields[zyklus1]\"> <label for=\"form-field-zyklus1-0\">normal<\/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-zyklus2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-zyklus2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVer\u00e4nderung:\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[zyklus2]\" id=\"form-field-zyklus2\" rows=\"2\"><\/textarea>\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-zyklus3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-zyklus3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWann war die letzte L\u00e4ufigkeit \/ Rolligkeit?\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[zyklus3]\" id=\"form-field-zyklus3\" 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_f739942 elementor-col-100\">\n\t\t\t\t\t<b>F\u00fctterung<\/b>\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-futter1 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-futter1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrockenfutter, Produkt:\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[futter1]\" id=\"form-field-futter1\" 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-futter2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-futter2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNassfutter, Produkt:\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[futter2]\" id=\"form-field-futter2\" 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-textarea elementor-field-group elementor-column elementor-field-group-futter3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-futter3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBARF, Zutaten:\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[futter3]\" id=\"form-field-futter3\" rows=\"5\"><\/textarea>\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-mahlzeiten elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mahlzeiten\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMahlzeiten 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[mahlzeiten]\" id=\"form-field-mahlzeiten\" 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-field_07dd67a elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_07dd67a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAppetit:\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=\"gut\" id=\"form-field-field_07dd67a-0\" name=\"form_fields[field_07dd67a]\"> <label for=\"form-field-field_07dd67a-0\">gut<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"m\u00e4\u00dfig\" id=\"form-field-field_07dd67a-1\" name=\"form_fields[field_07dd67a]\"> <label for=\"form-field-field_07dd67a-1\">m\u00e4\u00dfig<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"schlecht\" id=\"form-field-field_07dd67a-2\" name=\"form_fields[field_07dd67a]\"> <label for=\"form-field-field_07dd67a-2\">schlecht<\/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-wasseraufnahme elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-wasseraufnahme\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWasseraufnahme:\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=\"normal\" id=\"form-field-wasseraufnahme-0\" name=\"form_fields[wasseraufnahme]\"> <label for=\"form-field-wasseraufnahme-0\">normal<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"vermindert\" id=\"form-field-wasseraufnahme-1\" name=\"form_fields[wasseraufnahme]\"> <label for=\"form-field-wasseraufnahme-1\">vermindert<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"vermehrt\" id=\"form-field-wasseraufnahme-2\" name=\"form_fields[wasseraufnahme]\"> <label for=\"form-field-wasseraufnahme-2\">vermehrt<\/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_cf17327 elementor-col-100\">\n\t\t\t\t\t<\/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_23f111f elementor-col-100\">\n\t\t\t\t\t<b>Verdauung<\/b>\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-kotabsatz elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kotabsatz\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tH\u00e4ufigkeit Kotabsatz:\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[kotabsatz]\" id=\"form-field-kotabsatz\" 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-kotfarbe elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kotfarbe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKotfarbe:\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[kotfarbe]\" id=\"form-field-kotfarbe\" 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-field_a7ea440 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a7ea440\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKotmenge:\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=\"viel\" id=\"form-field-field_a7ea440-0\" name=\"form_fields[field_a7ea440]\"> <label for=\"form-field-field_a7ea440-0\">viel<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"normal\" id=\"form-field-field_a7ea440-1\" name=\"form_fields[field_a7ea440]\"> <label for=\"form-field-field_a7ea440-1\">normal<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"wenig\" id=\"form-field-field_a7ea440-2\" name=\"form_fields[field_a7ea440]\"> <label for=\"form-field-field_a7ea440-2\">wenig<\/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-konsistenz elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-konsistenz\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKotkonsistenz:\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=\"fest \/ hart\" id=\"form-field-konsistenz-0\" name=\"form_fields[konsistenz]\"> <label for=\"form-field-konsistenz-0\">fest \/ hart<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"normal\" id=\"form-field-konsistenz-1\" name=\"form_fields[konsistenz]\"> <label for=\"form-field-konsistenz-1\">normal<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"weich \/ fl\u00fcssig\" id=\"form-field-konsistenz-2\" name=\"form_fields[konsistenz]\"> <label for=\"form-field-konsistenz-2\">weich \/ fl\u00fcssig<\/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-urinabsatz elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-urinabsatz\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUrinabsatz:\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=\"h\u00e4ufig\" id=\"form-field-urinabsatz-0\" name=\"form_fields[urinabsatz]\"> <label for=\"form-field-urinabsatz-0\">h\u00e4ufig<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"normal\" id=\"form-field-urinabsatz-1\" name=\"form_fields[urinabsatz]\"> <label for=\"form-field-urinabsatz-1\">normal<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"selten\" id=\"form-field-urinabsatz-2\" name=\"form_fields[urinabsatz]\"> <label for=\"form-field-urinabsatz-2\">selten<\/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_10a4046 elementor-col-100\">\n\t\t\t\t\t<\/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_5431440 elementor-col-100\">\n\t\t\t\t\t<b>Erbrechen<\/b>\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-erbrechen2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-erbrechen2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, wann und was?\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[erbrechen2]\" id=\"form-field-erbrechen2\" rows=\"3\"><\/textarea>\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-gewicht1 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gewicht1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGewichtsschwankungen:\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=\"ja\" id=\"form-field-gewicht1-0\" name=\"form_fields[gewicht1]\"> <label for=\"form-field-gewicht1-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-gewicht1-1\" name=\"form_fields[gewicht1]\"> <label for=\"form-field-gewicht1-1\">nein<\/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-gewicht2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gewicht2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn ja, seit wann und wie?\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[gewicht2]\" id=\"form-field-gewicht2\" rows=\"3\"><\/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_3e34e90 elementor-col-100\">\n\t\t\t\t\t<b>Fragen nur bei Katzen<\/b>\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-freigaenger elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Freig\u00e4nger\" id=\"form-field-freigaenger-0\" name=\"form_fields[freigaenger]\"> <label for=\"form-field-freigaenger-0\">Freig\u00e4nger<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Wohnungskatze\" id=\"form-field-freigaenger-1\" name=\"form_fields[freigaenger]\"> <label for=\"form-field-freigaenger-1\">Wohnungskatze<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-test elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-test\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWurde Ihr Tier auf FIV und FeLV getestet: \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=\"checkbox\" value=\"nein\" id=\"form-field-test-0\" name=\"form_fields[test][]\"> <label for=\"form-field-test-0\">nein<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"FIV\" id=\"form-field-test-1\" name=\"form_fields[test][]\"> <label for=\"form-field-test-1\">FIV<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"FeLV\" id=\"form-field-test-2\" name=\"form_fields[test][]\"> <label for=\"form-field-test-2\">FeLV<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-befunde elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-befunde\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPositive Befunde: \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=\"checkbox\" value=\"keine\" id=\"form-field-befunde-0\" name=\"form_fields[befunde][]\"> <label for=\"form-field-befunde-0\">keine<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"FIV\" id=\"form-field-befunde-1\" name=\"form_fields[befunde][]\"> <label for=\"form-field-befunde-1\">FIV<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"FeLV\" id=\"form-field-befunde-2\" name=\"form_fields[befunde][]\"> <label for=\"form-field-befunde-2\">FeLV<\/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_53186e6 elementor-col-100\">\n\t\t\t\t\t<\/br>\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-bemerkungen elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-bemerkungen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSonstige Bemerkungen:\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[bemerkungen]\" id=\"form-field-bemerkungen\" rows=\"10\"><\/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_f02fc44 elementor-col-100\">\n\t\t\t\t\t<\/br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-empfehlung elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-empfehlung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWie sind Sie auf unsere Praxis aufmerksam geworden?\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=\"checkbox\" value=\"Empfehlung\" id=\"form-field-empfehlung-0\" name=\"form_fields[empfehlung][]\"> <label for=\"form-field-empfehlung-0\">Empfehlung<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Internet\" id=\"form-field-empfehlung-1\" name=\"form_fields[empfehlung][]\"> <label for=\"form-field-empfehlung-1\">Internet<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Verein\" id=\"form-field-empfehlung-2\" name=\"form_fields[empfehlung][]\"> <label for=\"form-field-empfehlung-2\">Verein<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Soziale Netzwerke\" id=\"form-field-empfehlung-3\" name=\"form_fields[empfehlung][]\"> <label for=\"form-field-empfehlung-3\">Soziale Netzwerke<\/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-anderes elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anderes\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tanderes:\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[anderes]\" id=\"form-field-anderes\" 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_10d6be5 elementor-col-100\">\n\t\t\t\t\t<\/br>\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-einwilligung1 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass die erhobenen Daten auch f\u00fcr zuk\u00fcnftige Behandlungsvertr\u00e4ge genutzt werden d\u00fcrfen. \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-einwilligung1-0\" name=\"form_fields[einwilligung1]\"> <label for=\"form-field-einwilligung1-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung1-1\" name=\"form_fields[einwilligung1]\"> <label for=\"form-field-einwilligung1-1\">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-einwilligung2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass die erhobenen Daten, soweit erforderlich und notwendig, im Rahmen tier\u00e4rztlicher \u00dcberweisungen an andere Tierarztpraxen, - kliniken \u00fcbermittelt werden d\u00fcrfen.\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-einwilligung2-0\" name=\"form_fields[einwilligung2]\"> <label for=\"form-field-einwilligung2-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung2-1\" name=\"form_fields[einwilligung2]\"> <label for=\"form-field-einwilligung2-1\">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-einwilligung3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass die erhobenen Daten, soweit erforderlich und notwendig, im Rahmen weiterf\u00fchrender Diagnostik an Untersuchungslabore und Institute \u00fcbermittelt werden d\u00fcrfen.\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-einwilligung3-0\" name=\"form_fields[einwilligung3]\"> <label for=\"form-field-einwilligung3-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung3-1\" name=\"form_fields[einwilligung3]\"> <label for=\"form-field-einwilligung3-1\">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-einwilligung4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass meine genannten personenbezogenen Daten sowie Daten der erbrachten tier\u00e4rztlichen Leistungen an eine Verrechnungsstelle \u00fcbermittelt werden d\u00fcrfen, falls dies zu Abrechnungszwecken erforderlich sein sollte.\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-einwilligung4-0\" name=\"form_fields[einwilligung4]\"> <label for=\"form-field-einwilligung4-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung4-1\" name=\"form_fields[einwilligung4]\"> <label for=\"form-field-einwilligung4-1\">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-einwilligung5 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass mich die Tierarztpraxis Dr. Hellen Bammel telefonisch oder per Post \/ E-Mail \u00fcber Laborergebnisse und Terminplanung informiert.\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-einwilligung5-0\" name=\"form_fields[einwilligung5]\"> <label for=\"form-field-einwilligung5-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung5-1\" name=\"form_fields[einwilligung5]\"> <label for=\"form-field-einwilligung5-1\">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-einwilligung6 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass mich die Tierarztpraxis Dr. Hellen Bammel telefonisch oder per Post \/ E-Mail informieren darf (z. B. Impferinnerung).\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-einwilligung6-0\" name=\"form_fields[einwilligung6]\"> <label for=\"form-field-einwilligung6-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung6-1\" name=\"form_fields[einwilligung6]\"> <label for=\"form-field-einwilligung6-1\">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-einwilligung7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass die erhobenen Daten auch im Rahmen einer Weiterf\u00fchrung der Praxis durch einen Nachfolger weiter bestimmungsgem\u00e4\u00df genutzt werden d\u00fcrfen.\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-einwilligung7-0\" name=\"form_fields[einwilligung7]\"> <label for=\"form-field-einwilligung7-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung7-1\" name=\"form_fields[einwilligung7]\"> <label for=\"form-field-einwilligung7-1\">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-einwilligung8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-einwilligung8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIch willige ein, dass meine Daten sowie Behandlungen \/ Rechnungen im Falle einer Tierkrankenversicherung an diese \u00fcbermittelt werden d\u00fcrfen.\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-einwilligung8-0\" name=\"form_fields[einwilligung8]\"> <label for=\"form-field-einwilligung8-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-einwilligung8-1\" name=\"form_fields[einwilligung8]\"> <label for=\"form-field-einwilligung8-1\">nein<\/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_91d0a21 elementor-col-100\">\n\t\t\t\t\t<\/br>\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\">Datenschutzerkl\u00e4rung gelesen und akzeptiert<\/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-text\">\n\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6031b7d]\" id=\"form-field-field_6031b7d\" class=\"elementor-field elementor-size-sm \" style=\"display:none !important;\">\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_b116181 elementor-col-100 recaptcha_v3-inline\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_b116181\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LcHGBEqAAAAAEJQ4PIn45zZ1vTdfmeYGGaBO62h\" data-type=\"v3\" data-action=\"Form\" data-badge=\"inline\" 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-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\">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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Formulare Anmeldeformular Anamneseformular<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-2465","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Online-Formulare - Tierarztpraxis Dr. Susanne Arui in Donaueschingen<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kleintierpraxis-arui.de\/formulare\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Online-Formulare - Tierarztpraxis Dr. Susanne Arui in Donaueschingen\" \/>\n<meta property=\"og:description\" content=\"Formulare Anmeldeformular 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