{"id":1469,"date":"2022-03-21T14:26:09","date_gmt":"2022-03-21T13:26:09","guid":{"rendered":"http:\/\/ident-offenbach.de.w01c7b4e.kasserver.com\/?page_id=1469"},"modified":"2026-06-16T16:26:02","modified_gmt":"2026-06-16T14:26:02","slug":"online-anamnese","status":"publish","type":"page","link":"https:\/\/ident-offenbach.de\/en\/online-anamnese\/","title":{"rendered":"Online anamnesis"},"content":{"rendered":"<section class=\"l-section wpb_row us_custom_fbc88c1d header-section-w-img-portfolio height_auto width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_middle type_default stacking_default\"><div class=\"wpb_column vc_column_container us_custom_f70d789f us_animate_this\"><div class=\"vc_column-inner\"><div class=\"ult-animation  ult-no-mobile \" data-animate=\"bounce\" data-animation-delay=\"0\" data-animation-duration=\"2\" data-animation-iteration=\"1\" style=\"\" ><div class=\"w-vwrapper us_custom_3d203104 align_center valign_middle\" style=\"--vwrapper-gap:0rem\"><div class=\"wpb_text_column us_custom_458bf724 has_text_color\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">Online Anamnese<br \/>\nKontaktformular<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\" id=\"start\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><h5 style=\"text-align: left\" class=\"vc_custom_heading online-amnese-headline\" >Liebe Patienten,<\/h5><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>willkommen in der Zahnarztpraxis iDent in Offenbach.<\/p>\n<p>Wir freuen uns, dass Sie uns Ihr L\u00e4cheln und Ihre Zahngesundheit anvertrauen!<\/p>\n<p>Unser Ziel ist es, Ihnen eine bestm\u00f6gliche und individuelle Behandlung anzubieten. Bevor wir uns aber mit Ihnen \u00fcber Ihre zahnmedizinischen W\u00fcnsche unterhalten, ben\u00f6tigen wir neben Ihren Personalien auch Angaben \u00fcber Ihren allgemeinen Gesundheitszustand. Dies ist wichtig f\u00fcr eine ad\u00e4quate und risikoarme Behandlung. Deshalb m\u00f6chten wir Sie bitten, sich einen Moment Zeit zu nehmen, diesen Fragebogen sorgf\u00e4ltig zu lesen und so genau wie m\u00f6glich auszuf\u00fcllen. Gerne besprechen wir die wesentlichen Fragen und Antworten gleich noch einmal ausf\u00fchrlich mit Ihnen.<\/p>\n<p>Wir bitten Sie, auch k\u00fcnftige \u00c4nderungen Ihres Gesundheitszustandes und Ihrer Anschrift mitzuteilen. Selbstverst\u00e4ndlich unterliegen alle Ihre Angaben unter der \u00e4rztlichen Schweigepflicht.<\/p>\n<p>Sie k\u00f6nnen den Fragebogen zu Ihrem Gesundheitszustand mittels dem folgenden PDF Download ausf\u00fcllen oder unser digitales Anamnese Formular f\u00fcr den direkten Kontakt verwenden.<\/p>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_1 icon_atleft\" title=\"Online Anamnesebogen\" target=\"_blank\" href=\"https:\/\/ident-offenbach.de\/wp-content\/uploads\/2026\/06\/Anamnese-aktuell-iDent.pdf\" rel=\"noopener\"><i class=\"fas fa-download\"><\/i><span class=\"w-btn-label\">PDF Download<\/span><\/a><\/div>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1468-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"1468\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1469#wpcf7-f1468-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontaktformular\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1468\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1468-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:1468,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;aerztlichebehandlung-selected&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;arztliche-behandlung&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ja&quot;}]},{&quot;then_field&quot;:&quot;aerztliche_behandlung&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;arztliche-behandlung&quot;,&quot;operator&quot;:&quot;is empty&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;meds-nehmen-group&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;meds-nehmen&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;meds-nehmen-group&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;meds-nehmen&quot;,&quot;operator&quot;:&quot;is empty&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;meds-nehmen-ja&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;meds-nehmen&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ja&quot;}]},{&quot;then_field&quot;:&quot;aerztliche_behandlung&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;arztliche-behandlung&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h5 class=\"online-amnese-headline\"><span class=\"online-amnese-no\">1<\/span> Pers\u00f6nliche Angaben\n<\/h5>\n<h5 class=\"online-amnese-subheadline\">Kontaktdaten des Patienten\n<\/h5>\n<div class=\"cf7-row\">\n\t<div class=\"content-column three_fourth\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Name, Vorname *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_fourth last_column\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Sie sind *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gender\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"your-gender\"><option value=\"weiblich\">weiblich<\/option><option value=\"m\u00e4nnlich\">m\u00e4nnlich<\/option><option value=\"divers\">divers<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Geb. Datum *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-birthday\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-birthday\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Geb. Ort *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"place-of-birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"place-of-birth\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"label-online-amnese\">\n\t\t<p>Stra\u00dfe und Hausnummer *\n\t\t<\/p>\n\t<\/div>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_fifth\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>PLZ *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-plz\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-plz\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column two_fifth\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Ort *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-living-area\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-living-area\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column two_fifth last_column\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>E-Mail *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Tel. privat\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone-no\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-phone-no\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Mobil *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-mobile-no\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-mobile-no\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"label-online-amnese\">\n\t\t<p>Beruf\n\t\t<\/p>\n\t<\/div>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"job-title\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"job-title\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Arbeitgeber\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-employer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-employer\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Tel. beruflich\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-business-phone-no\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-business-phone-no\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Hausarzt\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-doctor\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-doctor\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Tel.\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"doctors-phone-no\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"doctors-phone-no\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<h5 class=\"online-amnese-subheadline\">Ich bin *\n\t<\/h5>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-ensurance\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"your-ensurance[]\" value=\"Gesetzlich versichert\" \/><span class=\"wpcf7-list-item-label\">Gesetzlich versichert<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-ensurance[]\" value=\"Privat versichert\" \/><span class=\"wpcf7-list-item-label\">Privat versichert<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-ensurance[]\" value=\"Zusatzversichert\" \/><span class=\"wpcf7-list-item-label\">Zusatzversichert<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-ensurance[]\" value=\"Behilfeberechtigt\" \/><span class=\"wpcf7-list-item-label\">Behilfeberechtigt<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"your-ensurance[]\" value=\"Basistarif\" \/><span class=\"wpcf7-list-item-label\">Basistarif<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Wenn sie nicht selbst Krankversicherungsmitglied sind, erg\u00e4nzen Sie bitte folgende Angaben:\n\t<\/p>\n<\/div>\n<h5 class=\"online-amnese-subheadline\">Kontaktdaten des Hauptversicherten\n<\/h5>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Name, Vorname\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ensurance-contact-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ensurance-contact-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Geb. Datum\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ensurance-contact-birthday\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ensurance-contact-birthday\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"label-online-amnese\">\n\t\t<p>Stra\u00dfe und Hausnummer\n\t\t<\/p>\n\t<\/div>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ensurance-contact-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ensurance-contact-address\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_third\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>PLZ\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ensurance-contact-plz\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ensurance-contact-plz\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column two_third last_column\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Ort\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ensurance-contact-living-place\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ensurance-contact-living-place\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<h5 class=\"online-amnese-headline\"><span class=\"online-amnese-no\">2<\/span> Ihr Anliegen\n<\/h5>\n<div class=\"cf7-row\">\n\t<h5 class=\"online-amnese-subheadline\">Was ist der Grund Ihres Besuches? *\n\t<\/h5>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"reason-for-visit\"><span class=\"wpcf7-form-control wpcf7-checkbox check-aligned-underneath-each-other\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"reason-for-visit[]\" value=\"Routinekontrolle\" \/><span class=\"wpcf7-list-item-label\">Routinekontrolle<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reason-for-visit[]\" value=\"Neuer Zahnersatz\" \/><span class=\"wpcf7-list-item-label\">Neuer Zahnersatz<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reason-for-visit[]\" value=\"Knirschen\" \/><span class=\"wpcf7-list-item-label\">Knirschen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reason-for-visit[]\" value=\"Beratung\" \/><span class=\"wpcf7-list-item-label\">Beratung<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reason-for-visit[]\" value=\"Zweitmeinung\" \/><span class=\"wpcf7-list-item-label\">Zweitmeinung<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reason-for-visit[]\" value=\"\u00c4sthetische W\u00fcnsche\" \/><span class=\"wpcf7-list-item-label\">\u00c4sthetische W\u00fcnsche<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"reason-for-visit[]\" value=\"Schmerzbehandlung\" \/><span class=\"wpcf7-list-item-label\">Schmerzbehandlung<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"reason-for-visit[]\" value=\"Zahnfleischbluten\" \/><span class=\"wpcf7-list-item-label\">Zahnfleischbluten<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"reason-for-visit-sonstiges\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Sonstiges:\" value=\"\" type=\"text\" name=\"reason-for-visit-sonstiges\" \/><\/span>\n\t<\/p>\n<\/div>\n<h5 class=\"online-amnese-headline\"><span class=\"online-amnese-no\">3<\/span> Allgemeine Gesundheitsfragen\n<\/h5>\n<h5 class=\"online-amnese-subheadline\">\u00c4rztliche Behandlung *\n<\/h5>\n<div data-id=\"aerztliche_behandlung\" data-orig_data_id=\"aerztliche_behandlung\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Stehen Sie zur Zeit in \u00e4rztlicher Behandlung? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"arztliche-behandlung\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"arztliche-behandlung\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"arztliche-behandlung\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n<\/div>\n<div data-id=\"aerztlichebehandlung-selected\" data-orig_data_id=\"aerztlichebehandlung-selected\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p>Wenn ja, <b>welche der folgenden Erkrankungen sind zutreffend?<\/b>\n\t<\/p>\n\t<h5 class=\"online-amnese-subheadline-2\">Herzerkrankungen\n\t<\/h5>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Herzschw\u00e4che (Insuffizienz)? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"herzerkrankungen-herzschwaeche\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"herzerkrankungen-herzschwaeche\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"herzerkrankungen-herzschwaeche\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Herzschrittmacher \/ k\u00fcnstl. Herzklappe? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"herzerkrankungen-herzschrittmacher\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"herzerkrankungen-herzschrittmacher\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"herzerkrankungen-herzschrittmacher\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Angina Pectoris? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"herzerkrankungen-angina-pectoris\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"herzerkrankungen-angina-pectoris\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"herzerkrankungen-angina-pectoris\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Zustand nach Herzinfarkt? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"herzerkrankungen-nach-herzinfarkt\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"herzerkrankungen-nach-herzinfarkt\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"herzerkrankungen-nach-herzinfarkt\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Angeborener Herzfehler? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"herzerkrankungen-geb-herzfehler\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"herzerkrankungen-geb-herzfehler\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"herzerkrankungen-geb-herzfehler\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"herzerkrankungen-sonstiges\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Sonstiges?\" value=\"\" type=\"text\" name=\"herzerkrankungen-sonstiges\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h5 class=\"online-amnese-subheadline-2\">Kreislauferkrankungen\n\t<\/h5>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Hoher Blutdruck? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"kreislauf-high-blutdruck\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"kreislauf-high-blutdruck\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"kreislauf-high-blutdruck\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Niedriger Blutdruck? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"kreislauf-low-blutdruck\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"kreislauf-low-blutdruck\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"kreislauf-low-blutdruck\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"welche-sonstigen-kreislauferkrankungen\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Sonstiges?\" value=\"\" type=\"text\" name=\"welche-sonstigen-kreislauferkrankungen\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h5 class=\"online-amnese-subheadline-2\">Infektionskrankheiten\n\t<\/h5>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Hepatitis (A\/B\/C)? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"infektion-hepatitis\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"infektion-hepatitis\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"infektion-hepatitis\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Tuberkulose? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"infektion-tuberkulose\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"infektion-tuberkulose\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"infektion-tuberkulose\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>HIV? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"infektion-hiv\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"infektion-hiv\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"infektion-hiv\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Covid-19? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"infektion-covid\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"infektion-covid\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"infektion-covid\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Wurde Ihnen Endoprothesen bzw. Implantate eingesetzt? *<br \/>\n(Z.B. H\u00fcfte, Knie, Herzklappe, Herzschrittmacher, Stents.)<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"infektion-endoprothesen\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"infektion-endoprothesen\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"infektion-endoprothesen\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<p><label>Wenn ja, welche?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"infektion-endoprothesen-welche\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"infektion-endoprothesen-welche\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h5 class=\"online-amnese-subheadline-2\">Stoffwechselerkrankungen\n\t<\/h5>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Diabetes? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-diabetes\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"stoffwechsel-diabetes\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"stoffwechsel-diabetes\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Insulinpflichtig? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-insulinpflicht\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"stoffwechsel-insulinpflicht\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"stoffwechsel-insulinpflicht\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row-hba1c\">\n\t\t<div class=\"label-online-amnese-hba1c\">\n\t\t\t<p>HbA1c-Wert?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-hba1c\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"stoffwechsel-hba1c\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Schilddr\u00fcsenerkrankungen? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-schilddruesen\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"stoffwechsel-schilddruesen\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"stoffwechsel-schilddruesen\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Nierenerkrankungen? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-nieren\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"stoffwechsel-nieren\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"stoffwechsel-nieren\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Magen-\/Darmerkrankungen?* <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-magen-darm\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"stoffwechsel-magen-darm\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"stoffwechsel-magen-darm\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Morbus Crohn? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-morbus-crohn\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"stoffwechsel-morbus-crohn\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"stoffwechsel-morbus-crohn\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Colitis ulcerosa? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-colitis\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"stoffwechsel-colitis\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"stoffwechsel-colitis\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Lebererkrankungen? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel-leber\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"stoffwechsel-leber\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"stoffwechsel-leber\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<h5 class=\"online-amnese-subheadline-2\">Erkrankungen des Nervensystems\n\t<\/h5>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Epileptische Anf\u00e4lle? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nervensystem-epilepsie\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nervensystem-epilepsie\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nervensystem-epilepsie\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Depressionen? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nervensystem-depressionen\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nervensystem-depressionen\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nervensystem-depressionen\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<h5 class=\"online-amnese-subheadline-2\">Sonstige Erkrankungen und Angaben\n\t<\/h5>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Rheuma? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sonstige-erkrankung-rheuma\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sonstige-erkrankung-rheuma\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sonstige-erkrankung-rheuma\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Multiple Sklerose? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sonstige-erkrankung-sklerose\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sonstige-erkrankung-sklerose\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sonstige-erkrankung-sklerose\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Lungenerkrankungen? (Asthma, Embolie) *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sonstige-erkrankung-lunge\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sonstige-erkrankung-lunge\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sonstige-erkrankung-lunge\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Nasen-\/ Nebenh\u00f6hlenerkrankungen? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sonstige-erkrankung-nase\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sonstige-erkrankung-nase\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sonstige-erkrankung-nase\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Sonstige Erkrankungen? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sonstige-erkrankung-sonstiges\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sonstige-erkrankung-sonstiges\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sonstige-erkrankung-sonstiges\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Wenn ja, welche?<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"welche-sonstige-erkrankungen\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"welche-sonstige-erkrankungen\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<h5 class=\"online-amnese-headline\"><span class=\"online-amnese-no\">4<\/span> Spezielle Gesundheitsfragen\n<\/h5>\n<h5 class=\"online-amnese-subheadline-2\">Medikamente\n<\/h5>\n<div data-id=\"meds-nehmen-group\" data-orig_data_id=\"meds-nehmen-group\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Nehmen Sie regelm\u00e4\u00dfige Medikamente? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meds-nehmen\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"meds-nehmen\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"meds-nehmen\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div data-id=\"meds-nehmen-ja\" data-orig_data_id=\"meds-nehmen-ja\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Wenn ja, welche?<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meds-welche\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"meds-welche\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Nehmen Sie Blutverd\u00fcnner? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meds-blutverduenner\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"meds-blutverduenner\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"meds-blutverduenner\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Wenn ja, welche?<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meds-blutverduenner-welche\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"meds-blutverduenner-welche\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Nehmen Sie Medikamente<br \/>\ngegen Osteoporose oder Tumorerkrankungen ein? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meds-tumore\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"meds-tumore\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"meds-tumore\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Nehmen Sie oder haben Sie Bisphosphonate ein-\/genommen? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meds-bisphosphonate\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"meds-bisphosphonate\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"meds-bisphosphonate\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"clear_column\">\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"content-column one_half\">\n\t\t\t<p><label>Wurde bei Ihnen eine Chemo-\/ Strahlentherapie durchgef\u00fchrt? *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"content-column one_half last_column\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meds-chemo\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"meds-chemo\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"meds-chemo\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<h5 class=\"online-amnese-subheadline-2\">Allergien\n<\/h5>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<p><label>Besteht bei Ihnen der Verdacht einer \u00dcberempfindlichkeit oder Allergien gegen bestimmte Materialien oder Medikamente? *<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allergien-verdacht\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"allergien-verdacht\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"allergien-verdacht\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<p><label>Wenn ja, welche?<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allergien-welche\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"allergien-welche\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<p><label>Besitzen Sie einen Allergiepass? *<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allergien-pass\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"allergien-pass\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"allergien-pass\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<p><label>Rauchen Sie? *<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allergien-rauchen\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"allergien-rauchen\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"allergien-rauchen\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<p><label>Konsumieren sie regelm\u00e4\u00dfig Alkohol oder andere Rauschmittel? *<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allergien-rauschmittel\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"allergien-rauschmittel\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"allergien-rauschmittel\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<p><label>Konsumieren Sie Aufputsch- oder Beruhigungsmittel? *<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allergien-beruhigungsmittel\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"allergien-beruhigungsmittel\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"allergien-beruhigungsmittel\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<div class=\"content-column one_half\">\n\t\t<p><label>Wenn ja, welche?<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"content-column one_half last_column\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allergien-beruhigungsmittel-weche\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"allergien-beruhigungsmittel-weche\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"clear_column\">\n<\/div>\n<div class=\"cf7-row\">\n\t<h5 class=\"online-amnese-subheadline-2\">F\u00fcr die weiblichen Patienten\n\t<\/h5>\n\t<p><label>Sind sie Schwanger?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"are-you-pregnant\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"are-you-pregnant\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"are-you-pregnant\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"cf7-row\">\n\t<h5 class=\"online-amnese-subheadline-2\">Prophylaxe (PZR) Flatrate\n\t<\/h5>\n\t<p><label>Haben Sie eine Prophylaxe (PZR) Flatrate?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pzr-flatrate\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"pzr-flatrate\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"pzr-flatrate\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span><br \/>\nSprechen Sie uns bei Interesse an.\n\t<\/p>\n<\/div>\n<h5 class=\"online-amnese-subheadline\">Wie sind sie auf uns Aufmerksam geworden?\n<\/h5>\n<div class=\"cf7-row\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"empfehlung-from-where\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"empfehlung-from-where\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"cf7-row-unterschrift\">\n\t<h5 class=\"online-amnese-headline\"><span class=\"online-amnese-no\">5<\/span> Erkl\u00e4rung und Datenschutz\n\t<\/h5>\n\t<div class=\"datenschutz-subheadlines-online-amnese\">\n\t\t<p>Hinweise zur Verkehrst\u00fcchtigkeit nach zahn\u00e4rztlichen Behandlungen\n\t\t<\/p>\n\t<\/div>\n\t<p>Bitte beachten Sie, dass Ihre Verkehrst\u00fcchtigkeit im Stra\u00dfenverkehr nach einer zahn\u00e4rztlichen Behandlung unter Umst\u00e4nden bis zu 24 Stunden beeintr\u00e4chtigt sein kann. Dies kann sowohl durch die Behandlung selbst als auch durch den Einfluss von Injektionen oder anderen Medikamenten hervorgerufen werden.\n\t<\/p>\n\t<div class=\"datenschutz-subheadlines-online-amnese\">\n\t\t<p>Einverst\u00e4ndnis R\u00f6ntgenerkl\u00e4rung\n\t\t<\/p>\n\t<\/div>\n\t<p>Hiermit erkl\u00e4re ich mich einverstanden, dass im Rahmen der zahn\u00e4rztlichen Behandlung notwendige R\u00f6ntgenuntersuchungen bei mir durchgef\u00fchrt werden. Ich willige hiermit ein, dass die Zahnarztpraxis iDent Befunde und Behandlungsdaten (beispielsweise vorhandene R\u00f6ntgenbilder) bei weiteren Leistungserbringern (beispielsweise Kieferorthop\u00e4de \/ Hausarzt) einholt und in der Praxis erhobene Befunde mitbehandelnden \u00c4rzten \u00fcbermittelt.\n\t<\/p>\n\t<div class=\"datenschutz-subheadlines-online-amnese\">\n\t\t<p>Datenschutzinformation und Einwilligungserkl\u00e4rung in die Datenverarbeitung nach EU-DSGVO\n\t\t<\/p>\n\t<\/div>\n\t<p>An dieser Stelle m\u00f6chten wir Sie dar\u00fcber informieren, dass im Rahmen der zahn\u00e4rztlichen Behandlung in unserer Praxis personenbezogene Daten erhoben und gespeichert werden. Die Erhebung und Speicherung der Daten ist f\u00fcr die Behandlung gem\u00e4\u00df Art. 6 Abs. 1 b) EU-DSGVO notwendig. Durch Ihre Unterschrift auf dieser Seite erkl\u00e4ren Sie sich ausdr\u00fccklich mit der f\u00fcr Ihre Behandlung notwendigen Erhebung und Speicherung pers\u00f6nlicher Daten einverstanden. Sie haben das Recht, diese Einwilligung jederzeit zu widerrufen, jedoch wirkt ein Widerruf nur f\u00fcr die Zukunft, da nach gesetzlichen Bestimmungen eine Dokumentation Ihrer Behandlungsdaten zwingend vorgeschrieben ist. Nach Widerruf dieser Einwilligungserkl\u00e4rung ist allerdings eine weitere Behandlung nicht mehr m\u00f6glich. Weitere Informationen zum Datenschutz, welche Rechte Sie beim Datenschutz haben oder eine Auskunft zu welchem Zweck unsere Praxis Daten erhebt, speichert oder weiterleitet erhalten Sie jederzeit auf Nachfrage an der Rezeption.\n\t<\/p>\n\t<div class=\"datenschutz-subheadlines-online-amnese\">\n\t\t<p>Hinweis: KI-gest\u00fctzte Transkription zu Dokumentationszwecken\n\t\t<\/p>\n\t<\/div>\n\t<p>Wir weisen Sie darauf hin, dass Ihre Angaben und Behandlungsgespr\u00e4che zu Dokumentationszwecken mithilfe einer KIgest\u00fctzten Spracherkennungssoftware transkribiert und in Ihre Patientenakte \u00fcbernommen werden. Die Verarbeitung<br \/>\nerfolgt ausschlie\u00dflich im Rahmen Ihrer Behandlung auf Grundlage von Art. 9 Abs. 2 lit. h DSGVO und unterliegt der<br \/>\n\u00e4rztlichen Schweigepflicht.\n\t<\/p>\n\t<div class=\"datenschutz-subheadlines-online-amnese\">\n\t\t<p>Leitungsan\u00e4sthesie\n\t\t<\/p>\n\t<\/div>\n\t<p>Ich best\u00e4tige hiermit, dass ich \u00fcber die Behandlungsrisiken einer Leitungsan\u00e4sthesie aufgekl\u00e4rt worden bin. Mir wurde im Einzelnen erl\u00e4utert, was unter einer \u201eLeitungsan\u00e4sthesie\u201c zu verstehen ist und welche Behandlungsrisiken daraus bei chirurgischen und\/oder konservierenden\/prothetischen Behandlungen entstehen k\u00f6nnen, wenn eine Leitungsan\u00e4sthesie im Unterkiefer vor- genommen wird. Mir wurde u. a. erl\u00e4utert, dass eine eventuelle Sch\u00e4digung des Zungennervs und\/oder des Unterkiefernervs zwar ein sehr seltenes, aber nicht auszuschlie\u00dfendes Risiko ist, das eventuell zu dauerhaften Beeintr\u00e4chtigungen<br \/>\nf\u00fchren kann (Sensibilit\u00e4tsst\u00f6rungen, Taubheitsgef\u00fchl, Geschmacksst\u00f6rungen, etc.).\n\t<\/p>\n\t<p>Ebenso ist mir bewusst, dass allergische Reaktionen durch das Bet\u00e4ubungsmittel entstehen k\u00f6nnen. Es k\u00f6nnen Kopfschmerzen und leichtes Schwindelgef\u00fchl auftreten. Au\u00dferdem k\u00f6nnen die Reaktionsf\u00e4higkeit und das Konzentrationsverm\u00f6gen vermindert sein, was vor allem bei der aktiven Teilnahme am Stra\u00dfenverkehr zu beachten ist.\n\t<\/p>\n\t<p>Ich erteile hiermit f\u00fcr die Durchf\u00fchrung einer Leitungsan\u00e4sthesie im Zusammenhang mit der von mir gew\u00fcnschten Zahnbehandlung mein ausdr\u00fcckliches Einverst\u00e4ndnis. Ich lege auf eine ausreichende Schmerzfreiheit bei der Zahnbehandlung gro\u00dfen Wert.\n\t<\/p>\n\t<div class=\"datenschutz-subheadlines-online-amnese\">\n\t\t<p>Terminabsprachen & Versichertenkarte\n\t\t<\/p>\n\t<\/div>\n\t<p>Wir sind eine Bestellpraxis und bitten Sie Termine, die Sie nicht einhalten k\u00f6nnen, <strong>sp\u00e4testens 24 Stunden<\/strong> vorher abzusagen. Anderenfalls m\u00fcssen wir Ihnen leider ein Ausfallhonorar (100\u20ac\/Std.) in Rechnung stellen. Zudem ben\u00f6tigen wir Ihre Krankenversichertenkarte bei jedem Besuch in der Praxis. Liegt sie uns 14 Tage nach der Behandlung nicht vor, m\u00fcssen wir Sie als Privatpatient betrachten und Sie erhalten eine Rechnung.\n\t<\/p>\n\t<h5 class=\"online-amnese-subheadline\">Best\u00e4tigung & Aktualit\u00e4t Ihrer Angaben\n\t<\/h5>\n\t<div class=\"cf7-row-einwilligung\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"datenschutz-unterschrift\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"datenschutz-unterschrift\" value=\"1\" class=\"unterschrift-online-amnese\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\"><strong>Ich habe diesen Fragebogen nach bestem Wissen ausgef\u00fcllt und best\u00e4tige mit meiner Unterschrift die Vollst\u00e4ndigkeit und Richtigkeit der Angaben. Eventuelle \u00c4nderungen werde ich entsprechend mitteilen. *<\/strong><\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row-datenschutz\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"datenschutz\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"datenschutz\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\"><strong>Ich habe die <a href=\"\/datenschutz\/\">Datenschutzerkl\u00e4rung<\/a> gelesen und akzeptiere diese. *<\/strong><\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row\" style=\"padding-bottom: 1rem;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"einwilligung-ort-datum\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ort, Datum *\" value=\"\" type=\"text\" name=\"einwilligung-ort-datum\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h5 class=\"online-amnese-headline\"><span class=\"online-amnese-no\">6<\/span> Rechnung und Erstattung\n\t<\/h5>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Name \/ Vorname *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rechnung-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rechnung-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Geburtsdatum *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rechnung-birthday\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rechnung-birthday\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>Stra\u00dfe \/ Nr. *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rechnung-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rechnung-address\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"label-online-amnese\">\n\t\t\t<p>PLZ \/ Wohnort *\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rechnung-plz-residence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rechnung-plz-residence\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row-unterschrift\" style=\"margin-top:1.5rem;\">\n\t\t<div class=\"datenschutz-subheadlines-online-amnese\" style=\"margin-bottom: 1.5rem;\">\n\t\t\t<p>Sehr geehrte Patientin, sehr geehrter Patient,\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p>Erfahrungen zeigen, dass bei der Kostenerstattung durch Private Krankenversicherungen, Zahnzusatzversicherungen und durch Beihilfestellen sehr h\u00e4ufig Diskussionen zur Erstattung auftreten.\n\t\t<\/p>\n\t\t<p>Die Gr\u00fcnde hierf\u00fcr liegen in der Verschiedenheit der beiden im Rahmen der Privatbehandlung zu ber\u00fccksichtigenden und streng voneinander zu trennenden Rechtsbeziehungen.\n\t\t<\/p>\n\t\t<ul>\n\t\t\t<li>\n\t\t\t\t<p>Zum einen handelt es sich um die Rechtsbeziehung zwischen Patienten und Zahnarzt. Zum anderen besteht eine davon unabh\u00e4ngige, zweite Rechtsbeziehung zwischen Patienten und kostenerstattender Stelle (Private Krankenversicherung oder Beihilfestelle).\n\t\t\t\t<\/p>\n\t\t\t<\/li>\n\t\t\t<li>\n\t\t\t\t<p>Im Rechtsverh\u00e4ltnis Patient \/ Zahnarzt gelten f\u00fcr die Honorargestaltung ausnahmslos die Vorschriften der Geb\u00fchrenordnung f\u00fcr Zahn\u00e4rzte und \u00c4rzte. Dabei orientiert sich der Zahnarzt in Zweifelsfragen an den Rechtsauffassungen der Bundeskammer oder der zust\u00e4ndigen Zahn\u00e4rztekammer.\n\t\t\t\t<\/p>\n\t\t\t<\/li>\n\t\t\t<li>\n\t\t\t\t<p>In der Rechtsbeziehung Patient\/kostenerstattende Stelle finden, neben der Geb\u00fchrenordnung f\u00fcr Zahn\u00e4rzte, jedoch erg\u00e4nzend Bestimmungen des Versicherungsvertrages, tarifvertragliche Reglungen, Beihilferichtlinien und nicht zuletzt die Auffassung der kostenerstattenden Stelle zu den verordnungsrechtlichen Bestimmungen der Geb\u00fchrenordnung Anwendung. Das f\u00fchrt dazu, dass von Seiten der kostenerstattenden Stelle mitunter abweichende Interpretationen, Forderungen und teilweise subjektive Aussagen im Rahmen der Bearbeitung von Rechnungen und Behandlungspl\u00e4nen getroffen werden, die h\u00e4ufig im Widerspruch zu den zahn\u00e4rztlichen Auffassungen zur Geb\u00fchrenordnung stehen.\n\t\t\t\t<\/p>\n\t\t\t<\/li>\n\t\t<\/ul>\n\t\t<p>Die Rechnungserstellung <strong>(Berechnungsf\u00e4higkeit)<\/strong> und Rechnungserstattung <strong>(Erstattungsf\u00e4higkeit)<\/strong> sind zwei voneinander rechtlich getrennt zu sehende Vorg\u00e4nge. Deshalb darf der Zahnarzt seine Rechnung nicht nach den Vorstellungen der kostenerstattenden Stelle ausfertigen. Der Zahnarzt hat keinen Einfluss auf die Erstattung der in der zahn\u00e4rztlichen Rechnung aufgef\u00fchrten Honorare und Geb\u00fchrenpositionen durch Private Krankenversicherungen oder Beihilfestellen.\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row-einwilligung\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rechnung-unterschrift\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"rechnung-unterschrift\" value=\"1\" class=\"unterschrift-online-amnese\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\"><strong>Ich bin \u00fcber die Erstattungsproblematik ausreichend aufgekl\u00e4rt worden. Die angesprochenen Inhalte habe ich verstanden.\n\nSelbst wenn die Erstattungsstelle den in der Rechnung ausgewiesenen Rechnungsbetrag nicht oder nicht in vollem Umfang erstattet, ist mir bekannt, dass ich gegen\u00fcber dem Zahnarzt den kompletten Gesamtbetrag zu begleichen habe.\n *<\/strong><\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row\" style=\"padding-bottom: 1rem;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"einwilligungrechnung-ort-datum\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ort, Datum *\" value=\"\" type=\"text\" name=\"einwilligungrechnung-ort-datum\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cf7-row\" style=\"margin-top: 40px;\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Absenden\" \/>\n\t\t<\/p>\n\t<\/div>\n\t<p>* Pflichtfeld\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Online Anamnese Kontaktformular Liebe Patienten,willkommen in der Zahnarztpraxis iDent in Offenbach. Wir freuen uns, dass Sie uns Ihr L\u00e4cheln und Ihre Zahngesundheit anvertrauen! Unser Ziel ist es, Ihnen eine bestm\u00f6gliche und individuelle Behandlung anzubieten. Bevor wir uns aber mit Ihnen \u00fcber Ihre zahnmedizinischen W\u00fcnsche unterhalten, ben\u00f6tigen wir neben Ihren Personalien auch Angaben \u00fcber Ihren allgemeinen...","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1469","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Online Anamnese - Zahnarzt Offenbach Bieber | Zahnarztpraxis iDent<\/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:\/\/ident-offenbach.de\/en\/online-anamnese\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Online Anamnese - Zahnarzt Offenbach Bieber | Zahnarztpraxis iDent\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ident-offenbach.de\/en\/online-anamnese\/\" \/>\n<meta property=\"og:site_name\" content=\"Zahnarzt Offenbach Bieber | Zahnarztpraxis iDent\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ZahnarztpraxisiDent\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-16T14:26:02+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ident-offenbach.de\\\/online-anamnese\\\/\",\"url\":\"https:\\\/\\\/ident-offenbach.de\\\/online-anamnese\\\/\",\"name\":\"Online Anamnese - Zahnarzt Offenbach Bieber | Zahnarztpraxis iDent\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ident-offenbach.de\\\/#website\"},\"datePublished\":\"2022-03-21T13:26:09+00:00\",\"dateModified\":\"2026-06-16T14:26:02+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/ident-offenbach.de\\\/online-anamnese\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/ident-offenbach.de\\\/online-anamnese\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/ident-offenbach.de\\\/online-anamnese\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"https:\\\/\\\/ident-offenbach.de\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Online Anamnese\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/ident-offenbach.de\\\/#website\",\"url\":\"https:\\\/\\\/ident-offenbach.de\\\/\",\"name\":\"Zahnarzt Offenbach Bieber | Zahnarztpraxis iDent\",\"description\":\"Thomas Balogh &amp; 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