{"id":1550,"date":"2020-03-18T22:10:24","date_gmt":"2020-03-18T20:10:24","guid":{"rendered":"http:\/\/www.kardiologie-saalkreis.de\/?page_id=1550"},"modified":"2025-10-08T17:06:00","modified_gmt":"2025-10-08T15:06:00","slug":"videosprechstunde","status":"publish","type":"page","link":"https:\/\/www.kardiologie-saalkreis.de\/?page_id=1550","title":{"rendered":"Videosprechstunde"},"content":{"rendered":"\n<p>Liebe Patienten,<\/p>\n\n\n\n<p>wir bieten Ihnen die M\u00f6glichkeit einer Videosprechstunde an. Dadurch haben Sie eine direkte Verbindung zu meinem \u00c4rzteteam. Wir k\u00f6nnen Fragen beantworten, versuchen Symptome zu bewerten und werden eine gemeinsame Entscheidung \u00fcber das weitere Vorgehen treffen. Wir nutzen den Video-Dienstanbieter Doctolib.<\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/doctolibpatient.zendesk.com\/hc\/de\/articles\/360025470433-Ein-Doctolib-Konto-erstellen?source=pinned_article\" target=\"_blank\">So richten Sie Ihr Nutzerkonto bei Doctolib ein.<\/a><br><br><a rel=\"noreferrer noopener\" href=\"https:\/\/doctolibpatient.zendesk.com\/hc\/de\/articles\/360013355219-Voraussetzungen-f\u00fcr-die-Videosprechstunde\" target=\"_blank\">Voraussetzungen f\u00fcr die Durchf\u00fchrung einer Videosprechstunde.<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/doctolibpatient.zendesk.com\/hc\/de\/articles\/360013328460-Wie-starte-ich-die-Videosprechstunde\" target=\"_blank\" rel=\"noreferrer noopener\">So starten Sie die Videosprechstunde.<\/a><\/p>\n\n\n\n<p>Bitte halten Sie Ihre Unterlagen w\u00e4hrend der Videosprechstunde bei sich bereit. Wir setzen uns mit Ihnen nach Ihrer \u00dcbermittlung Ihres Terminwunsches mit dem Formular unten zur Terminvereinbarung in Verbindung. Die Termineinladung erhalten Sie anschliessend in Ihrer Doctolib-App. <br>Bitte melden Sie sich 15 Minuten vor der Videosprechstunde wie folgt in meiner Praxis an: <br><strong>Gesetzlich Versicherte: elektronische Ersatzbescheinigung<\/strong><br>Scannen Sie den QR-Code mit der Funktion zur elektronischen Ersatzbescheinigung in Ihrer Kassen-App.<br><strong>Privatversicherte: Online Check &#8211; in<\/strong><br>Scannen Sie den QR-Code mit der Scan-Funktion zum Online Check-in in einer App Ihrer privaten Krankenversicherung, um Ihre Krankenversichertennummer sicher zu \u00fcbermitteln.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><a href=\"http:\/\/www.kardiologie-saalkreis.de\/wp-content\/uploads\/2025\/10\/image.png\"><img loading=\"lazy\" decoding=\"async\" width=\"804\" height=\"804\" src=\"http:\/\/www.kardiologie-saalkreis.de\/wp-content\/uploads\/2025\/10\/image.png\" alt=\"\" class=\"wp-image-2964\" style=\"width:164px;height:auto\" srcset=\"https:\/\/www.kardiologie-saalkreis.de\/wp-content\/uploads\/2025\/10\/image.png 804w, https:\/\/www.kardiologie-saalkreis.de\/wp-content\/uploads\/2025\/10\/image-300x300.png 300w, https:\/\/www.kardiologie-saalkreis.de\/wp-content\/uploads\/2025\/10\/image-150x150.png 150w, https:\/\/www.kardiologie-saalkreis.de\/wp-content\/uploads\/2025\/10\/image-768x768.png 768w, https:\/\/www.kardiologie-saalkreis.de\/wp-content\/uploads\/2025\/10\/image-624x624.png 624w\" sizes=\"(max-width: 804px) 100vw, 804px\" \/><\/a><\/figure>\n\n\n\n<p> <br>Sie w\u00e4hlen sich bitte wenige Minuten vor dem vereinbarten Termin mit der Doctolib-App in die Videosprechstunde ein. Nach Ihrer Einwahl befinden Sie sich im virtuellen Wartezimmer und werden dann von Ihrer \u00c4rztin in die Videosprechstunde zugeschaltet.<\/p>\n\n\n\n<p><strong>Hinweis zum Datenschutz<\/strong><br>Die im Formular unten von Ihnen eingegeben Daten werden zur Bearbeitung Ihrer Terminanfrage und Kommunikation mit Ihnen an unseren Auftragsverarbeiter, die Firma Doctolib, weitergeleitet und weiterverarbeitet. Die Daten werden solange gespeichert, wie es die ordnungsgem\u00e4\u00dfe Bearbeitung Ihres Terminwunsches und die Durchf\u00fchrung der Videosprechstunde erfordern.<br>Weitere Informationen entnehmen Sie bitte den <a rel=\"noreferrer noopener\" href=\"https:\/\/www.kardiologie-saalkreis.de\/?page_id=2681\" target=\"_blank\">Datenschutzhinweisen zu Doctolib<\/a> und der <a rel=\"noreferrer noopener\" href=\"https:\/\/www.kardiologie-saalkreis.de\/?page_id=1253\" target=\"_blank\">Patienteninformation zum Datenschutz<\/a> .<\/p>\n\n\n\n<div style=\"display:none\" class=\"fm-form-container fm-theme80\"><div id=\"fm-pages36\" class=\"fm-pages wdform_page_navigation \" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form36\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1550\" method=\"post\" id=\"form36\" class=\"fm-form form36  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"fm_page_id36\" value=\"1550\" name=\"fm_page_id36\" \/><input type=\"hidden\" id=\"fm_current_post_type36\" value=\"page\" name=\"fm_current_post_type36\" \/><input type=\"hidden\" id=\"counter36\" value=\"47\" name=\"counter36\" \/><input type=\"hidden\" id=\"Itemid36\" value=\"\" name=\"Itemid36\" \/><input type=\"hidden\" id=\"fm_shake36\" value=\"1\" name=\"fm_shake36\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation36\" value=\"\" name=\"fm_empty_field_validation36\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><div class=\"fm-header-bg\"><div class=\"fm-header \"><div class=\"fm-header-text\">          <div class=\"fm-header-title\">            Videosprechstunde - Fragebogen \/ Anamnesebogen          <\/div>          <div class=\"fm-header-description\">                      <\/div>        <\/div><\/div><\/div><div class=\"wdform-page-and-images fm-form-builder\"><div id=\"36form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"37\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">Ich bin bereits Patientin bzw. Patient in Ihrer Praxis<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_37_element36\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_37_element360\" name=\"wdform_37_element36\" value=\"Ja\" onclick=\"set_default(&quot;wdform_37&quot;,&quot;0&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_37_element360\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_37_element361\" name=\"wdform_37_element36\" value=\"Nein\" onclick=\"set_default(&quot;wdform_37&quot;,&quot;1&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_37_element361\"><span><\/span>Nein<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"2\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_name\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_2_element_first36\" class=\"wdform-label\">Ihr Vorname und Name<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_2_element_first36\" name=\"wdform_2_element_first36\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_2_element_first36\">Vorname<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_2_element_last36\" name=\"wdform_2_element_last36\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_2_element_last36\">Nachname<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_date_fields\" ><div class=\"wdform-label-section wd-width-100 wdform_date_fields wd-flex-row\">    <label  for=\"wdform_3_day36\" class=\"wdform-label\">Ihr Geburtsdatum<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_3_day36\" name=\"wdform_3_day36\" class=\"wdform_select_day\" style=\"width: 60px;\" ><option value=\"\"><\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><label for=\"wdform_3_day36\" class=\"mini_label\">Tag<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_3_month36\" name=\"wdform_3_month36\" class=\"wdform_select_month\" style=\"width: 100px;\" ><option value=\"\"><\/option><option value=\"01\"   >Januar<\/option><option value=\"02\" >Februar<\/option><option value=\"03\" >M\u00e4rz<\/option><option value=\"04\"  >April<\/option><option value=\"05\"  >Mai<\/option><option value=\"06\"  >Juni<\/option><option value=\"07\"  >Juli<\/option><option value=\"08\"  >August<\/option><option value=\"09\"  >September<\/option><option value=\"10\"  >Oktober<\/option><option value=\"11\" >November<\/option><option value=\"12\"  >Dezember<\/option><\/select><label for=\"wdform_3_month36\" class=\"mini_label\">Monat<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_3_year36\" name=\"wdform_3_year36\"  from=\"1901\" to=\"2022\" class=\"wdform_select_year\" style=\"width: 80px;\" ><option value=\"\"><\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><option value=\"1919\" >1919<\/option><option value=\"1918\" >1918<\/option><option value=\"1917\" >1917<\/option><option value=\"1916\" >1916<\/option><option value=\"1915\" >1915<\/option><option value=\"1914\" >1914<\/option><option value=\"1913\" >1913<\/option><option value=\"1912\" >1912<\/option><option value=\"1911\" >1911<\/option><option value=\"1910\" >1910<\/option><option value=\"1909\" >1909<\/option><option value=\"1908\" >1908<\/option><option value=\"1907\" >1907<\/option><option value=\"1906\" >1906<\/option><option value=\"1905\" >1905<\/option><option value=\"1904\" >1904<\/option><option value=\"1903\" >1903<\/option><option value=\"1902\" >1902<\/option><option value=\"1901\" >1901<\/option><\/select><label for=\"wdform_3_year36\" class=\"mini_label\">Jahr<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"5\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_5_element36\" class=\"wdform-label\">Ihre Handynummer<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" style=\"max-width: 200px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_5_element36\"                           name=\"wdform_5_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"6\" class=\"wdform_row\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submitter_mail\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_6_element36\" class=\"wdform-label\">Ihre Email-Adresse<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_6_element36\" name=\"wdform_6_element36\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('6', '36', 'Dies ist keine g\u00fcltige E-Mail-Adresse.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"14\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_14_element36\" class=\"wdform-label\">PLZ<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" style=\"max-width: 100px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_14_element36\"                           name=\"wdform_14_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"15\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_15_element36\" class=\"wdform-label\">Ort<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_15_element36\"                           name=\"wdform_15_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"16\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_16_element36\" class=\"wdform-label\">Stra\u00dfe<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_16_element36\"                           name=\"wdform_16_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"38\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p>Zur bestm\u00f6glichen Vorbereitung Ihres Termins bitten wir Sie um Beantwortung der folgenden Fragen.<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"7\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_7_element36\" class=\"wdform-label\">Ihre Krankenkasse<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_7_element36\"                           name=\"wdform_7_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"17\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\" style=\"max-width: 500px;\">    <label  class=\"wdform-label\">Ich bin...<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_17_element36\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_17_element360\" name=\"wdform_17_element36\" value=\"gesetzlich vers.\" onclick=\"set_default(&quot;wdform_17&quot;,&quot;0&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_17_element360\"><span><\/span>gesetzlich vers.<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_17_element361\" name=\"wdform_17_element36\" value=\"privat versichert\" onclick=\"set_default(&quot;wdform_17&quot;,&quot;1&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_17_element361\"><span><\/span>privat versichert<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"45\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">Was ist der Grund, dass Sie einen Termin f\u00fcr eine Videosprechstunde w\u00fcnschen? <\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_45_element36\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_45_element360\" name=\"wdform_45_element36\" value=\"Beratung ggf. Aufkl\u00e4rung zu einer elektrophysiologischen Untersuchung \/ Ablation \/ Behandlung von Vorhofflimmern\" onclick=\"set_default(&quot;wdform_45&quot;,&quot;0&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_45_element360\"><span><\/span>Beratung ggf. Aufkl\u00e4rung zu einer elektrophysiologischen Untersuchung \/ Ablation \/ Behandlung von Vorhofflimmern<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_45_element361\" name=\"wdform_45_element36\" value=\"Kontrolluntersuchung nach Katheterablation\" onclick=\"set_default(&quot;wdform_45&quot;,&quot;1&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_45_element361\"><span><\/span>Kontrolluntersuchung nach Katheterablation<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_45_element362\" name=\"wdform_45_element36\" value=\"allgemeine Beratung\" onclick=\"set_default(&quot;wdform_45&quot;,&quot;2&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_45_element362\"><span><\/span>allgemeine Beratung<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"46\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p>Wenn Sie eine Katheterablation w\u00fcnschen, schicken wir Ihnen vor der Videosprechstunde Unterlagen zu und bitten Sie, diese vor der Videosprechstunde aufmerksam zu lesen und sich aufgetretene Fragen zu notieren.<\/p><p>Im Anschluss an die Videoberatung zur Katheterablation schicken wir Ihnen Aufkl\u00e4rungsunterlagen zu, die Sie uns bitte unterschrieben zur\u00fcck senden. Das Original nehmen Sie bitte in die Klinik mit.<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"8\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_textarea\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_8_element36\" class=\"wdform-label\">Ihr Anliegen mit m\u00f6glichst genauen Angaben zu Ihrer Erkrankung und Ihrer Einsch\u00e4tzung zur Dringlichkeit: <\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><textarea class=\"wd-width-100\"                      id=\"wdform_8_element36\"                      name=\"wdform_8_element36\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 300px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"19\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_textarea\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_19_element36\" class=\"wdform-label\">Bitte tragen Sie Ihre wichtigsten Vorerkrankungen und Diagnosen ein<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><textarea class=\"wd-width-100\"                      id=\"wdform_19_element36\"                      name=\"wdform_19_element36\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 200px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"18\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_textarea\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_18_element36\" class=\"wdform-label\">Bitte tragen Sie hier Ihre Medikamente mit Dosierung ein<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><textarea class=\"wd-width-100\"                      id=\"wdform_18_element36\"                      name=\"wdform_18_element36\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 300px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"20\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_20_element36\" class=\"wdform-label\">Haben Sie Herzrasen \/ Tachykardien? Wenn Ja tragen Sie bitte ein, seit wann - wenn nein bitte frei lassen<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_20_element36\"                           name=\"wdform_20_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"21\" class=\"wdform_row\"><div type=\"type_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_checkbox\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">nur bei Herzrasen \/ Tachykardien zutreffendes ankreuzen - Bitte laden Sie uns die Dokumentationen hoch (s. ganz unten)  <\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_21_element36\" value=\"\" \/><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_21_element360\" name=\"wdform_21_element360\" value=\"anfallsweise\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element360\"><span><\/span>anfallsweise<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_21_element361\" name=\"wdform_21_element361\" value=\"dauerhaft\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element361\"><span><\/span>dauerhaft<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_21_element362\" name=\"wdform_21_element362\" value=\"belastungsabh\u00e4ngig\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element362\"><span><\/span>belastungsabh\u00e4ngig<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_21_element363\" name=\"wdform_21_element363\" value=\"Dokumentation EKG\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element363\"><span><\/span>Dokumentation EKG<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_21_element364\" name=\"wdform_21_element364\" value=\"Dokumentation Smart Watch\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element364\"><span><\/span>Dokumentation Smart Watch<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"22\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100 undefined wd-flex-row wd-align-items-center\">    <label  for=\"wdform_22_element36\" class=\"wdform-label\">Haben Sie Vorhofflimmern \/ Vorhofflattern? Wenn Ja tragen Sie bitte ein seit wann - wenn nein bitte frei lassen<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_22_element36\"                           name=\"wdform_22_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"24\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100 undefined wd-flex-row wd-align-items-center\">    <label  for=\"wdform_24_element36\" class=\"wdform-label\">nur bei Vorhofflimmern \/ Vorhofflattern - Wenn es station\u00e4re Aufnahmen (zur Kardioversion) gab, tragen Sie bitte ein, wann und wo Sie aufgenommen wurden. <\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_24_element36\"                           name=\"wdform_24_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"23\" class=\"wdform_row\"><div type=\"type_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_checkbox\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">nur bei Vorhofflimmern \/ Vorhofflattern ankreuzen - Bitte kreuzen Sie an, welche Dokumentation es dazu gibt und  laden Sie uns diese hoch (s. ganz unten).<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_23_element36\" value=\"\" \/><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_23_element360\" name=\"wdform_23_element360\" value=\"Dokumentation EKG\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_23_element360\"><span><\/span>Dokumentation EKG<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_23_element361\" name=\"wdform_23_element361\" value=\"Dokumentation Smartwatch\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_23_element361\"><span><\/span>Dokumentation Smartwatch<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_23_element362\" name=\"wdform_23_element362\" value=\"keine Dokumentation\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_23_element362\"><span><\/span>keine Dokumentation<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"25\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100 undefined wd-flex-row wd-align-items-center\">    <label  for=\"wdform_25_element36\" class=\"wdform-label\">Haben Sie Herzstolpern \/ Extrasystolen \/ VES \/ SVES? Wenn Ja tragen Sie bitte ein seit wann - wenn nein bitte frei lassen(1)<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_25_element36\"                           name=\"wdform_25_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"26\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_checkbox\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">nur bei Herzstolpern \/ Extrasystolen \/ VES \/SVES - Welche Art von Dokumentation liegt daf\u00fcr vor? Bitte laden Sie und diese hoch (s. ganz unten).  <\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_26_element36\" value=\"\" \/><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_26_element360\" name=\"wdform_26_element360\" value=\"Anfalls-EKG\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_26_element360\"><span><\/span>Anfalls-EKG<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_26_element361\" name=\"wdform_26_element361\" value=\"Langzeit-EKG\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_26_element361\"><span><\/span>Langzeit-EKG<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_26_element362\" name=\"wdform_26_element362\" value=\"keine Doku.\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_26_element362\"><span><\/span>keine Doku.<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"27\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100 undefined wd-flex-row wd-align-items-center\">    <label  for=\"wdform_27_element36\" class=\"wdform-label\">Haben Sie Luftnot? Wenn Ja, tragen Sie bitte ein seit wann - wenn nein bitte frei lassen<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_27_element36\"                           name=\"wdform_27_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"40\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_radio\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">nur bei Luftnot - Schaffen Sie es, zwei Etagen zu steigen?<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_40_element36\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_40_element360\" name=\"wdform_40_element36\" value=\"Ja\" onclick=\"set_default(&quot;wdform_40&quot;,&quot;0&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_40_element360\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_40_element361\" name=\"wdform_40_element36\" value=\"Nein\" onclick=\"set_default(&quot;wdform_40&quot;,&quot;1&quot;,&quot;36&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_40_element361\"><span><\/span>Nein<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"29\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100 undefined wd-flex-row wd-align-items-center\">    <label  for=\"wdform_29_element36\" class=\"wdform-label\">Leiden Sie an Bewusstlosigkeit \/ Synkopen? Wenn Ja tragen Sie bitte ein seit wann - wenn nein bitte frei lassen<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_29_element36\"                           name=\"wdform_29_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"30\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100 undefined wd-flex-row wd-align-items-center\">    <label  for=\"wdform_30_element36\" class=\"wdform-label\">nur bei Bewusstlosigkeit \/ Synkopen - bitte geben Sie die H\u00e4ufigkeit der Beschwerden an<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_30_element36\"                           name=\"wdform_30_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"32\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_textarea\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_32_element36\" class=\"wdform-label\">nur bei Bewusstlosigkeit \/ Synkopen - Wenn eine station\u00e4re Aufnahme erfolgte, geben Sie bitte an, wann und wo Sie aufgenommen wurden. Wenn Sie nicht station\u00e4r aufgenommen wurden lassen Sie das Feld bitte frei. <\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><textarea class=\"wd-width-100\"                      id=\"wdform_32_element36\"                      name=\"wdform_32_element36\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 100px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"34\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_34_element36\" class=\"wdform-label\">Haben Sie einen Herzschrittmacher? Wenn ja, geben Sie bitte das Modell an und laden Sie uns bitte die zugeh\u00f6rigen Vorbefunde und Ihren Herzschrittmacherausweis hoch (s. ganz unten).<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_34_element36\"                           name=\"wdform_34_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"39\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100 undefined wd-flex-row wd-align-items-center\">    <label  for=\"wdform_39_element36\" class=\"wdform-label\">Wann wurde der Herzschrittmacher implantiert?<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_39_element36\"                           name=\"wdform_39_element36\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"36\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p style=\"line-height: 1.714286; margin-bottom: 1.714286rem;\">Laden Sie bitte folgende Befunde zu uns hoch:<\/p><ul><li style=\"margin-left: 1.714286rem;\">aussagekr\u00e4ftige \u00dcberweisung<\/li><li style=\"margin-left: 1.714286rem;\">Bundeseinheitlicher Medikamentenplan - diesen erhalten Sie bei Ihrem Hausarzt<\/li><li style=\"margin-left: 1.714286rem;\">aktuelle Laborwerte: Blutfette, Nierenwerte, BNP<\/li><li style=\"margin-left: 1.714286rem;\">12 - Kanal - EKG<\/li><li style=\"margin-left: 1.714286rem;\">EKG der zu behandelnden Rhythusst\u00f6rung (Anfalls-EKG)<\/li><li style=\"margin-left: 1.714286rem;\">Arztbriefe<\/li><li style=\"margin-left: 1.714286rem;\">Vorbefunde aus Krankenh\u00e4usern, OP-Befunde<\/li><\/ul><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"13\" class=\"wdform_row\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_file_upload\" ><div class=\"wdform-label-section wd-width-100  wd-flex-column\">    <label  for=\"wdform_13_element36\" class=\"wdform-label\">Bitte f\u00fcgen Sie Ihre Vorbefunde und die oben abgefragten Dokumentationen der Anfrage bei. Die Gr\u00f6\u00dfe aller Dateien insgesamt darf 10 MB nicht \u00fcberschreiten.<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-100\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_13_element36\" name=\"wdform_13_file36[]\" multiple='multiple'  \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"11\" class=\"wdform_row\"><div type=\"type_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_checkbox\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">Ich habe die Hinweise zum Datenschutz mit den Datenschutzhinweisen zu Doctolib und der Patienteninformation zum Datenschutz gelesen und bin mit der Speicherung und Verarbeitung meiner pers\u00f6nlichen Daten zum Zweck der Bearbeitung meines Terminwunsches einverstanden.<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_11_element36\" value=\"\" \/><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_11_element360\" name=\"wdform_11_element360\" value=\"Zustimmung\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element360\"><span><\/span>Zustimmung<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"43\" class=\"wdform_row\"><div type=\"type_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_checkbox\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">Um Terminausf\u00e4lle zu vermindern, m\u00f6chten wir Sie, auch falls Sie kein Doctolib Nutzerkonto haben, mittels des Doctolib Kalendersystems per SMS und E-Mail an Ihren Termin erinnern. Bitte best\u00e4tigen Sie, dass Sie hiermit einverstanden sind. Wenn Sie keine Erinnerungen mehr erhalten m\u00f6chten, teilen Sie uns das jederzeit mit und wir stellen die Erinnerungen wieder aus.<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_43_element36\" value=\"\" \/><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_43_element360\" name=\"wdform_43_element360\" value=\"Ja, ich m\u00f6chte Terminerinnerungen erhalten\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_43_element360\"><span><\/span>Ja, ich m\u00f6chte Terminerinnerungen erhalten<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_43_element361\" name=\"wdform_43_element361\" value=\"Nein, keine Terminerinnerungen \"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_43_element361\"><span><\/span>Nein, keine Terminerinnerungen <\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"44\" class=\"wdform_row\"><div type=\"type_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_checkbox\" ><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">Ich m\u00f6chte an Kontrolluntersuchungen sowie vereinbarte oder medizinisch notwendige Behandlungstermine erinnert werden (sog. Recalls) und bin bereit, an einem Wiederbestellsystem teilzunehmen (sog. Recalls). Sollte ich dies nicht mehr w\u00fcnschen, kann ich mein Einverst\u00e4ndnis hierzu jederzeit widerrufen.<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_44_element36\" value=\"\" \/><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_44_element360\" name=\"wdform_44_element360\" value=\"Ja, ich m\u00f6chte Recalls erhalten\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_44_element360\"><span><\/span>Ja, ich m\u00f6chte Recalls erhalten<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_44_element361\" name=\"wdform_44_element361\" value=\"Nein, keine Recalls \"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_44_element361\"><span><\/span>Nein, keine Recalls <\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"41\" class=\"wdform_row\"><div type=\"type_hidden\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_hidden\" ><div class=\"wdform-element-section wd-flex wd-width-100\" ><input type=\"hidden\" data-value=\"36\" value=\"36\" id=\"wdform_41_element36\" name=\"form_id\"  \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"42\" class=\"wdform_row\"><div type=\"type_hidden\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_hidden\" ><div class=\"wdform-element-section wd-flex wd-width-100\" ><input type=\"hidden\" data-value=\"1\" value=\"1\" id=\"wdform_42_element36\" name=\"localTransfer\"  \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"1\" class=\"wdform_row\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submit_reset\" ><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-right wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('36');\"  data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Absenden<\/button><button  type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(36);\" >Reset<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"36page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><input type=\"hidden\" name=\"fm-current-page\" value=\"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1550\" \/><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Liebe Patienten, wir bieten Ihnen die M\u00f6glichkeit einer Videosprechstunde an. Dadurch haben Sie eine direkte Verbindung zu meinem \u00c4rzteteam. Wir k\u00f6nnen Fragen beantworten, versuchen Symptome zu bewerten und werden eine gemeinsame Entscheidung \u00fcber das weitere Vorgehen treffen. Wir nutzen den Video-Dienstanbieter Doctolib. So richten Sie Ihr Nutzerkonto bei Doctolib ein. Voraussetzungen f\u00fcr die Durchf\u00fchrung einer [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":904,"parent":17,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=\/wp\/v2\/pages\/1550"}],"collection":[{"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1550"}],"version-history":[{"count":45,"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=\/wp\/v2\/pages\/1550\/revisions"}],"predecessor-version":[{"id":2986,"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=\/wp\/v2\/pages\/1550\/revisions\/2986"}],"up":[{"embeddable":true,"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=\/wp\/v2\/pages\/17"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=\/wp\/v2\/media\/904"}],"wp:attachment":[{"href":"https:\/\/www.kardiologie-saalkreis.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}