{"id":36390,"date":"2025-02-07T12:18:24","date_gmt":"2025-02-07T12:18:24","guid":{"rendered":"https:\/\/dr-jas.de\/?page_id=36390"},"modified":"2025-05-22T20:05:42","modified_gmt":"2025-05-22T20:05:42","slug":"online-service","status":"publish","type":"page","link":"https:\/\/dr-jas.de\/en\/online-service\/","title":{"rendered":"Request a prescription or referral"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"36390\" class=\"elementor elementor-36390\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-02ca0f7 e-con-full e-flex e-con e-parent\" data-id=\"02ca0f7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-385c061 e-flex e-con-boxed e-con e-child\" data-id=\"385c061\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a1aded3 e-con-full e-flex e-con e-child\" data-id=\"a1aded3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ec6514e elementor-widget elementor-widget-heading\" data-id=\"ec6514e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Rezept oder \u00dcberweisung anfordern<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-792ebf2 elementor-widget elementor-widget-text-editor\" data-id=\"792ebf2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nutzen Sie unser Formular, um Rezepte oder \u00dcberweisungen bequem online anzufordern.<\/p><p>Die Unterlagen k\u00f6nnen am n\u00e4chsten Werktag in der Praxis abgeholt werden \u2013 oder, sofern Ihre Versicherungskarte im aktuellen Quartal bereits eingelesen wurde, auch elektronisch per E-Rezept \u00fcbermittelt werden.<\/p><p><em>Bitte beachten Sie, dass \u00dcberweisungsscheine immer in der Praxis abgeholt werden und nicht elektronisch oder postalisch versandt werden k\u00f6nnen.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de340a1 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"de340a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;25&quot;,&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" id=\"Rezeptanfrage\" name=\"New Form\" aria-label=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"36390\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"de340a1\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Rezept oder \u00dcberweisung anfordern\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"36390\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_2f7203d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Rezept\" id=\"form-field-field_2f7203d-0\" name=\"form_fields[field_2f7203d]\" required=\"required\"> <label for=\"form-field-field_2f7203d-0\">Rezept<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"\u00dcberweisung\" id=\"form-field-field_2f7203d-1\" name=\"form_fields[field_2f7203d]\" required=\"required\"> <label for=\"form-field-field_2f7203d-1\">\u00dcberweisung<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVor- \/ Nachname\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Vor- \/ Nachname\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_3830100 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3830100\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeburtsdatum\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_3830100]\" id=\"form-field-field_3830100\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Geburtsdatum\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_6f1584a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6f1584a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_6f1584a]\" id=\"form-field-field_6f1584a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telefon\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKrankenkasse\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"1\" placeholder=\"z.B. DAK Gesundheit\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_57a4b58 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_57a4b58\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBen\u00f6tigtes Medikament \/ Fachrichtung\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_57a4b58]\" id=\"form-field-field_57a4b58\" rows=\"1\" placeholder=\"z.B. Ramipril 5\u202fmg, 1x t\u00e4glich \/ Kardiologe wegen Herzrhythmusst\u00f6rungen \" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3a8e92d elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3a8e92d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGew\u00fcnschtes Abholdatum bei \u00dcberweisungen (optional)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3a8e92d]\" id=\"form-field-field_3a8e92d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\" z.\u202fB. fr\u00fchestens ab morgen\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_278c8c6 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_278c8c6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBesonderheiten \/ Hinweise (optional)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_278c8c6]\" id=\"form-field-field_278c8c6\" rows=\"3\" placeholder=\"Besonderheiten \/ Hinweise\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_29adfa4 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_29adfa4]\" id=\"form-field-field_29adfa4\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_29adfa4\">Ich habe die <a href=\"\/datenschutz\" target=\"_blank\">Datenschutzerkl\u00e4rung<\/a> gelesen und bin damit einverstanden, dass meine Daten zur Beantwortung meiner Anfrage verarbeitet und zu Dokumentationszwecken gespeichert werden.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-25 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Absenden<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Rezept oder \u00dcberweisung anfordern Nutzen Sie unser Formular, um Rezepte oder \u00dcberweisungen bequem online anzufordern. Die Unterlagen k\u00f6nnen am n\u00e4chsten Werktag in der Praxis abgeholt werden \u2013 oder, sofern Ihre Versicherungskarte im aktuellen Quartal bereits eingelesen wurde, auch elektronisch per E-Rezept \u00fcbermittelt werden. Bitte beachten Sie, dass \u00dcberweisungsscheine immer in der Praxis abgeholt werden und&hellip;<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-36390","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/dr-jas.de\/en\/wp-json\/wp\/v2\/pages\/36390","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-jas.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dr-jas.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dr-jas.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-jas.de\/en\/wp-json\/wp\/v2\/comments?post=36390"}],"version-history":[{"count":32,"href":"https:\/\/dr-jas.de\/en\/wp-json\/wp\/v2\/pages\/36390\/revisions"}],"predecessor-version":[{"id":39338,"href":"https:\/\/dr-jas.de\/en\/wp-json\/wp\/v2\/pages\/36390\/revisions\/39338"}],"wp:attachment":[{"href":"https:\/\/dr-jas.de\/en\/wp-json\/wp\/v2\/media?parent=36390"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}