{"id":22,"date":"2020-08-13T10:28:41","date_gmt":"2020-08-13T08:28:41","guid":{"rendered":"https:\/\/www.neurologie-psychiatrie-singen.de\/?page_id=22"},"modified":"2023-07-20T11:27:58","modified_gmt":"2023-07-20T09:27:58","slug":"kontakt","status":"publish","type":"page","link":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/kontakt\/","title":{"rendered":"Prescription requests, office hours &#038; contact"},"content":{"rendered":"<div class=\"row \"> <div class=\"col-md-6     \" style=\"\">\n<h2>Contact<\/h2>\n<p><strong>Nerven\u00e4rztliche Gemeinschaftspraxis<br \/>\nam Hohentwiel<\/strong><br \/>\nAugust-Ruf-Strasse 18<br \/>\n78224 Singen<br \/>\n<a href=\"https:\/\/www.google.com\/maps\/dir\/Nerven%C3%A4rztliche+Gemeinschaftspraxis+am+Hohentwiel+August-Ruf-Strasse+18+78224+Singen\/@47.7620535,8.8374202,17.11z\/data=!4m9!4m8!1m1!4e2!1m5!1m1!1s0x479a7d3f2fba382b:0x8d832968e06a98bc!2m2!1d8.8389503!2d47.7617035\" target=\"_blank\" rel=\"noreferrer noopener\">Route planner<\/a><\/p>\n<p>Phone: <a href=\"tel:+497731926500\">+49 (0) 77 31 92 65 00<\/a><br \/>\nFax: <a href=\"fax:+4977319265029\">+49 (0) 77 31 92 65 029<\/a><\/p>\n<\/div><div class=\"col-md-6     \" style=\"\">\n<h2>Office hours<\/h2>\n<p>To make an appointment, just give us a call. Prescriptions can be requested using the form below.<\/p>\n<table border=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 50%;\">Monday \u2013 Friday<\/td>\n<td style=\"width: 50%;\">8:00 a.m. \u2013 12:00 p.m.<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">Monday \u2013 Thursday<\/td>\n<td style=\"width: 50%;\">1:30 p.m. \u2013 6:00 p.m.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div><\/div>\n<h2>Prescription request &amp; new patient registration<\/h2>\n<div class=\"hinweis\"><i><b>Notice:<\/b> This forms are only available for ordering prescriptions or new patient registration. Appointment requests or queries cannot be answered via these forms. Please contact us by telephone in these cases.<\/i><\/div>\n\n<div class=\"panel-group kt-accordion\" id=\"accordionname395\"><div class=\"panel panel-default panel-even\"><div class=\"panel-heading\"><a class=\"accordion-toggle collapsed\" data-toggle=\"collapse\" data-parent=\"#accordionname395\" href=\"#collapse3950\"><h5><i class=\"kt-icon-minus\"><\/i><i class=\"kt-icon-plus\"><\/i>Request prescription<\/h5><\/a><\/div><div id=\"collapse3950\" class=\"panel-collapse collapse \"><div class=\"panel-body postclass\">\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1014-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1014\">\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\/22#wpcf7-f1014-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1014\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1014-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><span id=\"wpcf7-69f0a1e5d7215-wrapper\" class=\"wpcf7-form-control-wrap e-mail-adresse-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d7215-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d7215-field\"  placeholder=\"email\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"e-mail-adresse\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><br \/>\n<span id=\"wpcf7-69f0a1e5d7249-wrapper\" class=\"wpcf7-form-control-wrap your-name-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d7249-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d7249-field\"  placeholder=\"Name\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"your-name\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><br \/>\n<label> <b>First name<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vorname\"><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=\"vorname\" \/><\/span> <\/label><span id=\"wpcf7-69f0a1e5d72dc-wrapper\" class=\"wpcf7-form-control-wrap your-name-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d72dc-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d72dc-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"your-name\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n<\/p>\n<p><label> <b>Last name<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nachname\"><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=\"nachname\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Date of birth<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geburtsdatum\"><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=\"geburtsdatum\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Phone number<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span> <\/label><br \/>\n<span id=\"wpcf7-69f0a1e5d7365-wrapper\" class=\"wpcf7-form-control-wrap email-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d7365-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d7365-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"email\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n<\/p>\n<p><label> <b>Prescription for<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rezept\"><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=\"rezept\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Message<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mitteilung\"><textarea cols=\"40\" rows=\"5\" maxlength=\"1000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Short message, maximum 1000 characters \u2026\" name=\"mitteilung\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> <b>Requirement<\/b><sup>*<\/sup><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"voraussetzung\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"voraussetzung[]\" value=\"I have taken note that a prescription can only be issued if the insurance card has already been presented this quarter.\" \/><span class=\"wpcf7-list-item-label\">I have taken note that a prescription can only be issued if the insurance card has already been presented this quarter.<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> <b>Data protection<\/b><sup>*<\/sup><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"DSGVO\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"DSGVO[]\" value=\"I have read, understood and accepted the information on data protection.\" \/><span class=\"wpcf7-list-item-label\">I have read, understood and accepted the information on data protection.<\/span><\/span><\/span><\/span><br \/>\n<i><a href=\"\/en\/datenschutz\/\" target=\"_blank\">Show data protection notice.<\/a><\/i>\n<\/p>\n<p><label> <b>SPAM protection<\/b><sup>*<\/sup><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap kc_captcha\" data-name=\"kc_captcha\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"captcha-image\" ><span class=\"cf7ic_instructions\">Please prove you are human by selecting the<span> cup<\/span>.<\/span><label><input aria-label=\"1\" type=\"radio\" name=\"kc_captcha\" value=\"kc_human\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 512\"><path fill=\"currentColor\" d=\"M192 384h192c53 0 96-43 96-96h32a128 128 0 000-256H120c-13 0-24 11-24 24v232c0 53 43 96 96 96zM512 96a64 64 0 010 128h-32V96h32zm48 384H48c-47 0-61-64-36-64h584c25 0 11 64-36 64z\"\/><\/svg><\/label><label><input aria-label=\"2\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 512\"><path fill=\"currentColor\" d=\"M624 352h-16V244c0-13-5-25-14-34L494 110c-9-9-21-14-34-14h-44V48c0-26-21-48-48-48H48C22 0 0 22 0 48v320c0 27 22 48 48 48h16a96 96 0 00192 0h128a96 96 0 00192 0h48c9 0 16-7 16-16v-32c0-9-7-16-16-16zM160 464a48 48 0 110-96 48 48 0 010 96zm320 0a48 48 0 110-96 48 48 0 010 96zm80-208H416V144h44l100 100v12z\"\/><\/svg><\/label><label><input aria-label=\"3\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path fill=\"currentColor\" d=\"M472 200H360L256 6a12 12 0 00-10-6h-58c-8 0-14 7-12 15l34 185H100l-35-58a12 12 0 00-10-6H12c-8 0-13 7-12 14l21 106L0 362c-1 7 4 14 12 14h43c4 0 8-2 10-6l35-58h110l-34 185c-2 8 4 15 12 15h58a12 12 0 0010-6l104-194h112c57 0 104-25 104-56s-47-56-104-56z\"\/><\/svg><\/label>\r\n    <\/span>\r\n    <span style=\"display:none\">\r\n        <input type=\"text\" name=\"kc_honeypot\">\r\n    <\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send prescription request\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<\/div><\/div><\/div>\n<div class=\"panel panel-default panel-odd\"><div class=\"panel-heading\"><a class=\"accordion-toggle collapsed\" data-toggle=\"collapse\" data-parent=\"#accordionname395\" href=\"#collapse3951\"><h5><i class=\"kt-icon-minus\"><\/i><i class=\"kt-icon-plus\"><\/i>Registration form for new patients<\/h5><\/a><\/div><div id=\"collapse3951\" class=\"panel-collapse collapse \"><div class=\"panel-body postclass\">\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1013-o2\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1013\">\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\/22#wpcf7-f1013-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1013\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1013-o2\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><b>In urgent cases, we ask you to first inform your family doctor's office. They can contact us directly.<\/b><br \/>\n&nbsp;<br \/>\nIn order to better assess your condition, we need the following information.<br \/>\nThe appointment request will be processed within 3 working days. We ask you to be reachable by telephone.<br \/>\n<span id=\"wpcf7-69f0a1e5d801c-wrapper\" class=\"wpcf7-form-control-wrap e-mail-adresse-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d801c-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d801c-field\"  placeholder=\"email\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"e-mail-adresse\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><span id=\"wpcf7-69f0a1e5d8048-wrapper\" class=\"wpcf7-form-control-wrap your-name-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d8048-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d8048-field\"  placeholder=\"Name\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"your-name\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><br \/>\n<label> <b>First name<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vorname\"><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=\"vorname\" \/><\/span> <\/label><span id=\"wpcf7-69f0a1e5d80a4-wrapper\" class=\"wpcf7-form-control-wrap your-name-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d80a4-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d80a4-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"your-name\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n<\/p>\n<p><label> <b>Last name<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nachname\"><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=\"nachname\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Date of birth<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geburtsdatum\"><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=\"geburtsdatum\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Street<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse-1\"><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=\"adresse-1\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>House number<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse-2\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"adresse-2\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Postal code<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse-3\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"adresse-3\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>City<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse-4\"><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=\"adresse-4\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Phone number<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span> <\/label><br \/>\n<span id=\"wpcf7-69f0a1e5d81a9-wrapper\" class=\"wpcf7-form-control-wrap email-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d81a9-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d81a9-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"email\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n<\/p>\n<p><label> <b>E-mail<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mailadresse\"><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=\"mailadresse\" \/><\/span><\/label>\n<\/p>\n<p><label> <b>Family doctor practice<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Hausarzt\"><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=\"Hausarzt\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Neurological\/psychiatric pretreatment (at)<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Vorbehandlung\"><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=\"Vorbehandlung\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Insured with<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"versicherung\"><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=\"versicherung\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Insured person number<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"versichertennummer\"><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=\"versichertennummer\" \/><\/span> <\/label>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>Current complaints<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"beschwerden\"><textarea cols=\"40\" rows=\"5\" maxlength=\"3000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Short description \u2026\" name=\"beschwerden\"><\/textarea><\/span> <\/label>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>Previous medications<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medikamente\"><textarea cols=\"40\" rows=\"5\" maxlength=\"3000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Short description \u2026\" name=\"medikamente\"><\/textarea><\/span> <\/label>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>Previous psychiatric treatment or hospitalization<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"behandlungen\"><textarea cols=\"40\" rows=\"5\" maxlength=\"3000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Short description \u2026\" name=\"behandlungen\"><\/textarea><\/span> <\/label>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>Appointment allocation<\/b><sup>*<\/sup><\/label><br \/>\n<i>If an appointment is made and you do not keep the appointment without canceling it 24 hours in advance, you will be charged a cancellation fee of 50 EUR.<\/i><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"terminvergabe\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"terminvergabe[]\" value=\"I agree.\" \/><span class=\"wpcf7-list-item-label\">I agree.<\/span><\/span><\/span><\/span>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>Privacy<\/b><sup>*<\/sup><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"DSGVO\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"DSGVO[]\" value=\"I have read, understood and accepted the information on data protection.\" \/><span class=\"wpcf7-list-item-label\">I have read, understood and accepted the information on data protection.<\/span><\/span><\/span><\/span><br \/>\n<i><a href=\"\/datenschutz\/\" target=\"_blank\">Show privacy notice.<\/a><\/i>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>SPAM protection<\/b><sup>*<\/sup><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap kc_captcha\" data-name=\"kc_captcha\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"captcha-image\" ><span class=\"cf7ic_instructions\">Please prove you are human by selecting the<span> cup<\/span>.<\/span><label><input aria-label=\"1\" type=\"radio\" name=\"kc_captcha\" value=\"kc_human\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 512\"><path fill=\"currentColor\" d=\"M192 384h192c53 0 96-43 96-96h32a128 128 0 000-256H120c-13 0-24 11-24 24v232c0 53 43 96 96 96zM512 96a64 64 0 010 128h-32V96h32zm48 384H48c-47 0-61-64-36-64h584c25 0 11 64-36 64z\"\/><\/svg><\/label><label><input aria-label=\"2\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path fill=\"currentColor\" d=\"M512 176a176 176 0 01-209 173l-24 27a24 24 0 01-18 8h-37v40c0 13-11 24-24 24h-40v40c0 13-11 24-24 24H24c-13 0-24-11-24-24v-78c0-6 3-13 7-17l162-162a176 176 0 11343-55zm-176-48a48 48 0 1096 0 48 48 0 00-96 0z\"\/><\/svg><\/label><label><input aria-label=\"3\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path fill=\"currentColor\" d=\"M472 200H360L256 6a12 12 0 00-10-6h-58c-8 0-14 7-12 15l34 185H100l-35-58a12 12 0 00-10-6H12c-8 0-13 7-12 14l21 106L0 362c-1 7 4 14 12 14h43c4 0 8-2 10-6l35-58h110l-34 185c-2 8 4 15 12 15h58a12 12 0 0010-6l104-194h112c57 0 104-25 104-56s-47-56-104-56z\"\/><\/svg><\/label>\r\n    <\/span>\r\n    <span style=\"display:none\">\r\n        <input type=\"text\" name=\"kc_honeypot\">\r\n    <\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send appointment request\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<\/div><\/div><\/div>\n<div class=\"panel panel-default panel-even\"><div class=\"panel-heading\"><a class=\"accordion-toggle collapsed\" data-toggle=\"collapse\" data-parent=\"#accordionname395\" href=\"#collapse3952\"><h5><i class=\"kt-icon-minus\"><\/i><i class=\"kt-icon-plus\"><\/i>Appointment cancellation<\/h5><\/a><\/div><div id=\"collapse3952\" class=\"panel-collapse collapse \"><div class=\"panel-body postclass\">\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1031-o3\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1031\">\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\/22#wpcf7-f1031-o3\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1031\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1031-o3\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><span id=\"wpcf7-69f0a1e5d8a1b-wrapper\" class=\"wpcf7-form-control-wrap e-mail-adresse-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d8a1b-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d8a1b-field\"  placeholder=\"email\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"e-mail-adresse\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><span id=\"wpcf7-69f0a1e5d8a47-wrapper\" class=\"wpcf7-form-control-wrap your-name-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d8a47-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d8a47-field\"  placeholder=\"Name\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"your-name\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><br \/>\n<label> <b>First name<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vorname\"><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=\"vorname\" \/><\/span> <\/label><span id=\"wpcf7-69f0a1e5d8a94-wrapper\" class=\"wpcf7-form-control-wrap your-name-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d8a94-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d8a94-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"your-name\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n<\/p>\n<p><label> <b>Last name<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nachname\"><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=\"nachname\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Date of birth<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geburtsdatum\"><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=\"geburtsdatum\" \/><\/span> <\/label>\n<\/p>\n<p><label> <b>Phone number<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span> <\/label><br \/>\n<span id=\"wpcf7-69f0a1e5d8b16-wrapper\" class=\"wpcf7-form-control-wrap email-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69f0a1e5d8b16-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69f0a1e5d8b16-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"email\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n<\/p>\n<p><label> <b>E-mail<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mailadresse\"><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=\"mailadresse\" \/><\/span><\/label>\n<\/p>\n<p><label> <b>Date on<\/b><sup>*<\/sup><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"termin\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" min=\"2026-04-28\" max=\"2050-12-31\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"termin\" \/><\/span> <\/label>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>Appointment cancellation<\/b><sup>*<\/sup><\/label><br \/>\n<i>I hereby wish to cancel my appointment on the date indicated.<\/i><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"terminabsage\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"terminabsage[]\" value=\"Cancel appointment.\" \/><span class=\"wpcf7-list-item-label\">Cancel appointment.<\/span><\/span><\/span><\/span>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>Privacy<\/b><sup>*<\/sup><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"DSGVO\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"DSGVO[]\" value=\"I have read, understood and accepted the information on data protection.\" \/><span class=\"wpcf7-list-item-label\">I have read, understood and accepted the information on data protection.<\/span><\/span><\/span><\/span><br \/>\n<i><a href=\"\/datenschutz\/\" target=\"_blank\">Show privacy notice.<\/a><\/i>\n<\/p>\n<p>&nbsp;<br \/>\n<label> <b>SPAM protection<\/b><sup>*<\/sup><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap kc_captcha\" data-name=\"kc_captcha\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"captcha-image\" ><span class=\"cf7ic_instructions\">Please prove you are human by selecting the<span> key<\/span>.<\/span><label><input aria-label=\"1\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path fill=\"currentColor\" d=\"M488 313v143c0 13-11 24-24 24H348c-7 0-12-5-12-12V356c0-7-5-12-12-12h-72c-7 0-12 5-12 12v112c0 7-5 12-12 12H112c-13 0-24-11-24-24V313c0-4 2-7 4-10l188-154c5-4 11-4 16 0l188 154c2 3 4 6 4 10zm84-61l-84-69V44c0-6-5-12-12-12h-56c-7 0-12 6-12 12v73l-89-74a48 48 0 00-61 0L4 252c-5 4-5 12-1 17l25 31c5 5 12 5 17 1l235-193c5-4 11-4 16 0l235 193c5 5 13 4 17-1l25-31c4-6 4-13-1-17z\"\/><\/svg><\/label><label><input aria-label=\"2\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path fill=\"currentColor\" d=\"M259 18l-65 132-146 22c-26 3-37 36-18 54l106 103-25 146c-5 26 23 46 46 33l131-68 131 68c23 13 51-7 46-33l-25-146 106-103c19-18 8-51-18-54l-146-22-65-132a32 32 0 00-58 0z\"\/><\/svg><\/label><label><input aria-label=\"3\" type=\"radio\" name=\"kc_captcha\" value=\"kc_human\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path fill=\"currentColor\" d=\"M512 176a176 176 0 01-209 173l-24 27a24 24 0 01-18 8h-37v40c0 13-11 24-24 24h-40v40c0 13-11 24-24 24H24c-13 0-24-11-24-24v-78c0-6 3-13 7-17l162-162a176 176 0 11343-55zm-176-48a48 48 0 1096 0 48 48 0 00-96 0z\"\/><\/svg><\/label>\r\n    <\/span>\r\n    <span style=\"display:none\">\r\n        <input type=\"text\" name=\"kc_honeypot\">\r\n    <\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send cancellation\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<\/div><\/div><\/div><\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Prescription request &amp; new patient registration Notice: This forms are only available for ordering prescriptions or new patient registration. Appointment requests or queries cannot be answered via these forms. Please contact us by telephone in these cases.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-22","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"en","enabled_languages":["de","en"],"languages":{"de":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/wp-json\/wp\/v2\/pages\/22","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/wp-json\/wp\/v2\/comments?post=22"}],"version-history":[{"count":10,"href":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/wp-json\/wp\/v2\/pages\/22\/revisions"}],"predecessor-version":[{"id":1035,"href":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/wp-json\/wp\/v2\/pages\/22\/revisions\/1035"}],"wp:attachment":[{"href":"https:\/\/www.neurologie-psychiatrie-singen.de\/en\/wp-json\/wp\/v2\/media?parent=22"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}