{"id":2617,"date":"2020-04-23T10:22:08","date_gmt":"2020-04-23T08:22:08","guid":{"rendered":"https:\/\/www.haifamed.de\/content\/?page_id=2617"},"modified":"2024-09-03T10:35:16","modified_gmt":"2024-09-03T08:35:16","slug":"online-ueberweisungsanforderung","status":"publish","type":"page","link":"https:\/\/www.haifamed.de\/content\/unsere-services\/online-ueberweisungsanforderung\/","title":{"rendered":"ONLINE-\u00dcberweisungsanforderung"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8220;stretch_row&#8220; rsclass=&#8220;clean&#8220; el_class=&#8220;container&#8220;][vc_column rsclass=&#8220;clean&#8220;][vc_row_inner][vc_column_inner width=&#8220;1\/2&#8243;][vc_custom_heading text=&#8220;Unser Service f\u00fcr Sie&#8220; use_theme_fonts=&#8220;yes&#8220; rs_decor_place=&#8220;2&#8243;][\/vc_custom_heading][vc_column_text rsclass=&#8220;clean&#8220;]\u00dcberweisungen liegen am <strong>Folgetag<\/strong> ab 14:00 Uhr (siehe \u00d6ffnungszeiten) in der Praxis zur Abholung bereit.\u00a0Gerne senden wir Ihnen die \u00dcberweisung zu. Bitte hinterlassen Sie hierf\u00fcr Briefmarken in der Praxis oder senden uns online einen Porto-Code.<br \/>\nBei bestimmten \u00dcberweisungen ist ein vorheriger Arztkontakt notwendig. In diesen F\u00e4llen werden wir Sie via E-Mail oder Telefon um einen Termin f\u00fcr einen Arztbesuch bitten.<\/p>\n<p><strong>Rechtlicher Hinweis:<\/strong><br \/>\n<span class=\"Stil1\"><span style=\"color: #333333;\">Ihre Daten werden per E-Mail unverschl\u00fcsselt \u00fcber das Internet gesendet und <\/span><span style=\"color: #333333;\">k\u00f6nnen unter Umst\u00e4nden von Dritten eingesehen werden.<\/span><\/span>[\/vc_column_text][vc_separator css=&#8220;.vc_custom_1587625240765{margin-bottom: 24px !important;}&#8220;][vc_single_image image=&#8220;2209&#8243; img_size=&#8220;full&#8220;][\/vc_single_image][vc_separator css=&#8220;.vc_custom_1587630627877{margin-top: 24px !important;margin-bottom: 24px !important;}&#8220;][\/vc_column_inner][vc_column_inner width=&#8220;1\/2&#8243;][vc_cta h2=&#8220;&#8220; h4=&#8220;ONLINE-\u00dcberweisungsanforderung&#8220; style=&#8220;flat&#8220; color=&#8220;grey&#8220; css=&#8220;&#8220;]Bitte f\u00fcllen Sie alle Felder mit * markiert aus und klicken dann auf den Button &#8222;Senden&#8220;.<\/p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3370-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/content\/wp-json\/wp\/v2\/pages\/2617#wpcf7-f3370-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"3370\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3370-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label>Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"Name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name\" value=\"\" type=\"text\" name=\"Name\" \/><\/span><br \/>\n<\/label><br \/>\n<label>Vorname*<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\" placeholder=\"Vorname\" value=\"\" type=\"text\" name=\"Vorname\" \/><\/span><br \/>\n<\/label><br \/>\n<label>Geburtsdatum* - z. B. 1990-05-28<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Geburtsdatum\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"Geburtsdatum\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Geburtsdatum\" value=\"\" type=\"date\" name=\"Geburtsdatum\" \/><\/span><br \/>\n<\/label><br \/>\n<label>E-Mail-Adresse*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"E-Mail-Adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"E-Mail-Adresse\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-Mail-Adresse\" value=\"\" type=\"email\" name=\"E-Mail-Adresse\" \/><\/span><br \/>\n<\/label><br \/>\n<label>Telefonnummer f\u00fcr R\u00fcckfragen<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Telefonnummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"Telefonnummer\" aria-invalid=\"false\" placeholder=\"Telefonnummer\" value=\"\" type=\"tel\" name=\"Telefonnummer\" \/><\/span><br \/>\n<\/label><br \/>\n<label>Ich w\u00fcnsche eine \u00dcberweisung zum:<br \/>\nBitte Fachrichtung angeben, z.B. Augenarzt<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Fachrichtung\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Bitte Fachrichtung angeben, z.B. Augenarzt\" name=\"Fachrichtung\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label> \u00dcberweisungsgrund (z.B. Routinekontrolle)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Ueberweisungsgrund\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"Bemerkungen\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u00dcberweisungsgrund\" name=\"Ueberweisungsgrund\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label><strong>Die Ausstellung von \u00dcberweisungen kann nur erfolgen, wenn die Versichertenkarte quartalsm\u00e4\u00dfig eingelesen ist:<\/strong><\/label><br \/>\n<span id=\"wpcf7-69fc83c0afb7f-wrapper\" class=\"wpcf7-form-control-wrap website-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69fc83c0afb7f-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69fc83c0afb7f-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"website\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><br \/>\n<span id=\"wpcf7-69fc83c0afbb7-wrapper\" class=\"wpcf7-form-control-wrap callback-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-69fc83c0afbb7-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-69fc83c0afbb7-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"callback\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Versicherungskarte\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Versicherungskarte\" value=\"1\" id=\"Versicherungskarte\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Meine Versicherungskarte liegt vor.*<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"DSGVO\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"DSGVO\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ich habe die Datenschutzerkl\u00e4rung gelesen und akzeptiert. Ich bin mir bewu\u00dft, dass die von mir in das oben stehende Formular eingetragene Daten per E-Mail \u00fcbertragen werden und u. U. von Dritten eingesehen werden k\u00f6nnen. <a href=\"https:\/\/www.haifamed.de\/content\/datenschutz\/\" target=\"_blank\">Klicken Sie hier, um unsere Datenschutzerkl\u00e4rung zu \u00f6ffnen.<\/a> *<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Senden\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_cta][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8220;stretch_row&#8220; rsclass=&#8220;clean&#8220; el_class=&#8220;container&#8220;][vc_column rsclass=&#8220;clean&#8220;][vc_row_inner][vc_column_inner width=&#8220;1\/2&#8243;][vc_custom_heading text=&#8220;Unser Service f\u00fcr Sie&#8220; use_theme_fonts=&#8220;yes&#8220; rs_decor_place=&#8220;2&#8243;][\/vc_custom_heading][vc_column_text rsclass=&#8220;clean&#8220;]\u00dcberweisungen liegen am Folgetag ab 14:00 Uhr (siehe \u00d6ffnungszeiten) in der Praxis zur Abholung bereit.\u00a0Gerne senden wir Ihnen die \u00dcberweisung zu. Bitte hinterlassen Sie hierf\u00fcr Briefmarken in der Praxis oder senden uns online einen Porto-Code. Bei bestimmten \u00dcberweisungen ist ein vorheriger Arztkontakt notwendig. <\/p>\n<div class=\"btn-more-wrapper\"><a href=\"https:\/\/www.haifamed.de\/content\/unsere-services\/online-ueberweisungsanforderung\/\" class=\"btn btn-sm btn-hover-fill\"><svg class=\"icon icon-right-arrow\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"32\" height=\"32\" viewBox=\"0 0 32 32\"><title>right-arrow<\/title><path d=\"M21.548 5.088c-0.436-0.451-1.162-0.451-1.613 0-0.436 0.436-0.436 1.162 0 1.596l8.177 8.177h-26.984c-0.629 0.001-1.129 0.501-1.129 1.13s0.5 1.145 1.129 1.145h26.984l-8.177 8.162c-0.436 0.451-0.436 1.178 0 1.613 0.451 0.451 1.178 0.451 1.613 0l10.113-10.113c0.451-0.436 0.451-1.162 0-1.596l-10.113-10.114z\"><\/path><\/svg>Weiterlesen<span class=\"screen-reader-text\"> &#8222;ONLINE-\u00dcberweisungsanforderung&#8220;<\/span><svg class=\"icon icon-right-arrow\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"32\" height=\"32\" viewBox=\"0 0 32 32\"><title>right-arrow<\/title><path d=\"M21.548 5.088c-0.436-0.451-1.162-0.451-1.613 0-0.436 0.436-0.436 1.162 0 1.596l8.177 8.177h-26.984c-0.629 0.001-1.129 0.501-1.129 1.13s0.5 1.145 1.129 1.145h26.984l-8.177 8.162c-0.436 0.451-0.436 1.178 0 1.613 0.451 0.451 1.178 0.451 1.613 0l10.113-10.113c0.451-0.436 0.451-1.162 0-1.596l-10.113-10.114z\"><\/path><\/svg><\/a><\/div>\n","protected":false},"author":1,"featured_media":0,"parent":2353,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"custompagett.php","meta":{"footnotes":""},"class_list":["post-2617","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/pages\/2617"}],"collection":[{"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/comments?post=2617"}],"version-history":[{"count":6,"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/pages\/2617\/revisions"}],"predecessor-version":[{"id":3372,"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/pages\/2617\/revisions\/3372"}],"up":[{"embeddable":true,"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/pages\/2353"}],"wp:attachment":[{"href":"https:\/\/www.haifamed.de\/content\/wp-json\/wp\/v2\/media?parent=2617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}