{"id":563,"date":"2024-06-27T15:26:43","date_gmt":"2024-06-27T13:26:43","guid":{"rendered":"https:\/\/lebenleben.de\/therapiezentrum\/?page_id=563"},"modified":"2025-06-26T15:55:05","modified_gmt":"2025-06-26T13:55:05","slug":"terminanfrage","status":"publish","type":"page","link":"https:\/\/lebenleben.de\/therapiezentrum\/terminanfrage\/","title":{"rendered":"Terminanfrage"},"content":{"rendered":"\n<div id=\"llimageslider-block_dbf4c75e49660e8aaa532cbb97fd1bca\" class=\"block-llimageslider llimageslider alignwide\">\n\n    \n\t\t<div class=\"llimageslider-slider\" data-slick='{\"autoplaySpeed\": 5000}'>\n\t\t\t\t\t\t\t<div class=\"single-slide-wrapper slide-1\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1400\" height=\"440\" src=\"https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000.jpg\" class=\"single-slide-image slider-desktop-image\" alt=\"\" srcset=\"https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000.jpg 1400w, https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000-300x94.jpg 300w, https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000-1024x322.jpg 1024w, https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000-768x241.jpg 768w\" sizes=\"auto, (max-width: 1400px) 100vw, 1400px\" \/>          <img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"314\" src=\"https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000-1024x322.jpg\" class=\"single-slide-image slider-mobile-image\" alt=\"\" srcset=\"https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000-1024x322.jpg 1024w, https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000-300x94.jpg 300w, https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000-768x241.jpg 768w, https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/uploads\/sites\/4\/2024\/05\/ll_header_slider_image_1400x560_0000.jpg 1400w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/>\n                    <div class=\"single-slide-text\">\n          <h2>Terminanfrage<\/h2><h3>Therapiezentrum Uelzen<\/h3>                  <\/div>\n        \n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t  <script>\n    jQuery(document).ready(function() {\n        jQuery('.llimageslider-slider').slick({\n          dots: true,\n          infinite: true,\n          speed: 1000,\n          autoplay: true,\n          adaptiveHeight: true,\n          slidesToShow: 1,\n          fade: true,\n          focusOnSelect: true\n        });\n    });\n    <\/script>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Online-Terminanfrage<\/h2>\n\n\n\n<p class=\"has-text-align-center\">Fragen Sie gerne online einen Termin bei uns an. Wir melden uns im Anschluss bei Ihnen.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/therapiezentrum\/wp-json\/wp\/v2\/pages\/563' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_3_17\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name des Patienten<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">\u3164<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_17'>\n                            \n                            <span id='input_3_17_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.3' id='input_3_17_3' value=''   aria-required='true'   placeholder='Vorname'  \/>\n                                                    <label for='input_3_17_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Vorname<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_17_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.6' id='input_3_17_6' value=''   aria-required='true'   placeholder='Nachname'  \/>\n                                                    <label for='input_3_17_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Nachname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_3'>Geburtsdatum des Patienten<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">\u3164<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_3' id='input_3_3' type='text' value='' class='datepicker gform-datepicker dmy_dot datepicker_with_icon gdatepicker_with_icon'   placeholder='tt.mm.jjjj' aria-describedby=\"input_3_3_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_3_date_format' class='screen-reader-text'>TT Punkt MM Punkt JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_3' class='gform_hidden' value='https:\/\/lebenleben.de\/therapiezentrum\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_16'>Wohnort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">\u3164<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_3_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_1\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name der Kontaktperson (sofern abweichend)<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='false'   placeholder='Vorname'  \/>\n                                                    <label for='input_3_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Vorname<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='false'   placeholder='Nachname'  \/>\n                                                    <label for='input_3_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Nachname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Telefon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">\u3164<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_3_4' type='tel' value='' class='large'  placeholder='Telefon' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gf_right_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_5'>E-Mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_3_5' type='email' value='' class='large'   placeholder='E-Mail (optional)'  aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_7'>Behandlungsart<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">\u3164<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_3_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>bitte ausw\u00e4hlen<\/option><option value='Ergotherapie' >Ergotherapie<\/option><option value='Logop\u00e4die' >Logop\u00e4die<\/option><option value='Physiotherapie' >Physiotherapie<\/option><\/select><\/div><\/li><li id=\"field_3_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_18'>Spezielle Ergotherapie-Leistungen (optional)<\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_3_18' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>bitte ausw\u00e4hlen<\/option><option value='Neurofeedback' >Neurofeedback<\/option><option value='Tiergest\u00fctzte Intervention' >Tiergest\u00fctzte Intervention<\/option><option value='Ergotherapie f\u00fcr sexuelle Gesundheit' >Ergotherapie f\u00fcr sexuelle Gesundheit<\/option><\/select><\/div><\/li><li id=\"field_3_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Verordnung vorliegend<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">\u3164<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_8'>\n\t\t\t<li class='gchoice gchoice_3_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='ja'  id='choice_3_8_0'    \/>\n\t\t\t\t<label for='choice_3_8_0' id='label_3_8_0' class='gform-field-label gform-field-label--type-inline'>ja<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='nein'  id='choice_3_8_1'    \/>\n\t\t\t\t<label for='choice_3_8_1' id='label_3_8_1' class='gform-field-label gform-field-label--type-inline'>nein<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_9'>Heilmittel<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_3_9' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Hausbesuch<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_10'>\n\t\t\t<li class='gchoice gchoice_3_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='ja'  id='choice_3_10_0'    \/>\n\t\t\t\t<label for='choice_3_10_0' id='label_3_10_0' class='gform-field-label gform-field-label--type-inline'>ja<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='nein'  id='choice_3_10_1'    \/>\n\t\t\t\t<label for='choice_3_10_1' id='label_3_10_1' class='gform-field-label gform-field-label--type-inline'>nein<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_14\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Anschrift<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_3_14' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_14_1_container' >\n                                        <input type='text' name='input_14.1' id='input_3_14_1' value=''   placeholder='Adresse + Hausnummer' aria-required='false'    \/>\n                                        <label for='input_3_14_1' id='input_3_14_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Adresse + Hausnummer<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_14_3_container' >\n                                    <input type='text' name='input_14.3' id='input_3_14_3' value=''   placeholder='PLZ' aria-required='false'    \/>\n                                    <label for='input_3_14_3' id='input_3_14_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>PLZ<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_14.4' id='input_3_14_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_3_14_5_container' >\n                                    <input type='text' name='input_14.5' id='input_3_14_5' value=''   placeholder='Ort' aria-required='false'    \/>\n                                    <label for='input_3_14_5' id='input_3_14_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Ort<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_14.6' id='input_3_14_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Termine m\u00f6glich<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">\u3164<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_11'><li class='gchoice gchoice_3_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='vormittags'  id='choice_3_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_11_1' id='label_3_11_1' class='gform-field-label gform-field-label--type-inline'>vormittags<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='nachmittags'  id='choice_3_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_11_2' id='label_3_11_2' class='gform-field-label gform-field-label--type-inline'>nachmittags<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>Mitteilungsfeld<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_3_12' class='textarea small'    placeholder='Beschreibung der Beschwerden, weitere Anmerkungen oder Besonderheiten'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_13\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Einwilligung<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">\u3164<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_13.1' id='input_3_13_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_13_1' >Ich erkl\u00e4re mich mit der Speicherung und Verarbeitung meiner Daten gem\u00e4\u00df der <a href=\"https:\/\/lebenleben.de\/therapiezentrum\/datenschutzerklaerung\" target=\"_blank\">Datenschutzerkl\u00e4rung<\/a> einverstanden.<\/label><input type='hidden' name='input_13.2' value='Ich erkl\u00e4re mich mit der Speicherung und Verarbeitung meiner Daten gem\u00e4\u00df der &lt;a href=&quot;https:\/\/lebenleben.de\/therapiezentrum\/datenschutzerklaerung&quot; target=&quot;_blank&quot;&gt;Datenschutzerkl\u00e4rung&lt;\/a&gt; einverstanden.' class='gform_hidden' \/><input type='hidden' name='input_13.3' value='3' class='gform_hidden' \/><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' 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