{"id":2146,"date":"2021-08-17T06:53:28","date_gmt":"2021-08-17T06:53:28","guid":{"rendered":"http:\/\/mm.eastcode.biz\/?page_id=2146"},"modified":"2021-10-14T00:37:29","modified_gmt":"2021-10-13T22:37:29","slug":"forum","status":"publish","type":"page","link":"https:\/\/www.mmpflegedienst.de\/?page_id=2146","title":{"rendered":"Pflegebedarfsanfrage"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<\/p>\n<h6>Unsere Preise k\u00f6nnen Sie hier einsehen:\u00a0 <em><a href=\"http:\/\/mmpflegedienst.de\/wp-content\/uploads\/2021\/09\/KOSTENVORANSCHLAG-2021-aktuell.pdf\">KOSTENVORANSCHLAG 2021 aktuell<\/a><\/em><\/h6>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;50px&#8221;][vc_column_text]<\/p>\n<h6 class=\"widget_title\" style=\"text-align: center;\">Pflegebedarfsformular M&amp;M Ambulanter Alten \u2013 und Krankenpflegedienst GmbH<\/h6>\n<p>[\/vc_column_text][vc_column_text]<\/p>\n<h2 style=\"text-align: center;\">Ermitteln Sie Ihren Pflegebedarf<\/h2>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;50px&#8221;][vc_column_text]<\/p>\n<h6>Hier k\u00f6nnen Sie Ihre Pflegebedarfsanfrage direkt online an uns \u00fcbermitteln:<\/h6>\n<p>[\/vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2145-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2145\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2146#wpcf7-f2145-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=\"2145\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.2\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2145-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h4>Angaben zum Patienten\n<\/h4>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"VornamedesPatienten\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Vorname des Patienten*\" value=\"\" type=\"text\" name=\"VornamedesPatienten\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"NachnamedesPatienten\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nachname des Patienten*\" value=\"\" type=\"text\" name=\"NachnamedesPatienten\" \/><\/span>\n<\/p>\n<p><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Strae\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Stra\u00dfe*\" value=\"\" type=\"text\" name=\"Strae\" \/><\/span>\n<\/p>\n<p><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PatientenPLZ\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"PLZ*\" value=\"\" type=\"text\" name=\"PatientenPLZ\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PatientenOrt\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ort*\" value=\"\" type=\"text\" name=\"PatientenOrt\" \/><\/span>\n<\/p>\n<p><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Telefonnummer\"><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\" placeholder=\"Telefonnummer*\" value=\"\" type=\"tel\" name=\"Telefonnummer\" \/><\/span>\n<\/p>\n<p><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\" placeholder=\"Geburtsdatum\" value=\"\" type=\"text\" name=\"Geburtsdatum\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"E-mail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"E-mail\" \/><\/span>\n<\/p>\n<p><br \/>\n<strong>Krankenkasse *<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Krankenkasse\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Krankenkasse\" value=\"Gesetzlich versichert\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Gesetzlich versichert<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Krankenkasse\" value=\"Privat versichert\" \/><span class=\"wpcf7-list-item-label\">Privat versichert<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Versicherung\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Versicherung\" value=\"\" type=\"text\" name=\"Versicherung\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Versicherungsnummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Versicherungsnummer\" value=\"\" type=\"text\" name=\"Versicherungsnummer\" \/><\/span>\n<\/p>\n<h4>Angaben zu Angeh\u00f6rigen\n<\/h4>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"VornamedesAngehrigen\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Vorname des Angeh\u00f6rigen\" value=\"\" type=\"text\" name=\"VornamedesAngehrigen\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"NachnamedesAngehrigen\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nachname des Angeh\u00f6rigen\" value=\"\" type=\"text\" name=\"NachnamedesAngehrigen\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"AngehrigenPLZ\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Angeh\u00f6rigen PLZ\" value=\"\" type=\"text\" name=\"AngehrigenPLZ\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"AngehrigenOrt\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Angehrigen Ort\" value=\"\" type=\"text\" name=\"AngehrigenOrt\" \/><\/span>\n<\/p>\n<p><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"AngehrigenTelefonnummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Angeh\u00f6rigen Telefonnummer\" value=\"\" type=\"tel\" name=\"AngehrigenTelefonnummer\" \/><\/span>\n<\/p>\n<div class=\"abstand\">\n<\/div>\n<h4>Angaben zum Hausarzt\n<\/h4>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"NamedesArztes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name des Arztes\" value=\"\" type=\"text\" name=\"NamedesArztes\" \/><\/span>\n<\/p>\n<p><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ArztesStrae\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Arztes Stra\u00dfe\" value=\"\" type=\"text\" name=\"ArztesStrae\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"TelefonnummerArztes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefonnummer\" value=\"\" type=\"tel\" name=\"TelefonnummerArztes\" \/><\/span>\n<\/p>\n<div class=\"abstand\">\n<\/div>\n<h4>Angaben zum Pflegebedarf\n<\/h4>\n<fieldset class=\"radioauswahl required\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Pflegegrad\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Pflegegrad\" value=\"Keinen\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Keinen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"Pflegegrad\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"Pflegegrad\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"Pflegegrad\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"Pflegegrad\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Pflegegrad\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<div class=\"abstand small\">\n<\/div>\n<fieldset class=\"radioauswahl required\">\n\t<p><strong>Wird bereits von einem ambulanten Pflegedienst versorgt?<\/strong>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"WirdbereitsvoneinemambulantenPflegedienstversorgt\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"WirdbereitsvoneinemambulantenPflegedienstversorgt\" value=\"Ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"WirdbereitsvoneinemambulantenPflegedienstversorgt\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<fieldset class=\"radioauswahl required\">\n\t<p><br \/>\n<strong>Anzahl ben\u00f6tigter Pflegedienste<\/strong>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"AnzahlbentigterPflegedienste-pW-pT\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"AnzahlbentigterPflegedienste-pW-pT\"><option value=\"pro Tag\">pro Tag<\/option><option value=\"pro Woche\">pro Woche<\/option><\/select><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"AnzahlbentigterPflegedienste\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"AnzahlbentigterPflegedienste\" value=\"1\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"AnzahlbentigterPflegedienste\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"AnzahlbentigterPflegedienste\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"AnzahlbentigterPflegedienste\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"AnzahlbentigterPflegedienste\" value=\"Mehr\" \/><span class=\"wpcf7-list-item-label\">Mehr<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<div class=\"abstand\">\n<\/div>\n<h4>Ihre Nachricht\n<\/h4>\n<p>Weitere Hinweise, die f\u00fcr uns interessant sein k\u00f6nnten:\n<\/p>\n<p><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"IhreNachricht\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Ihre Nachricht\" name=\"IhreNachricht\"><\/textarea><\/span>\n<\/p>\n<div class=\"abstand\">\n<\/div>\n<h4>Woher kennen Sie uns?\n<\/h4>\n<p>Wie sind Sie auf M&M Ambulanter Alten \u2013 und Krankenpflegedienst GmbH geworden? *\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Bitteauswhlen\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"Bitteauswhlen\"><option value=\"Bitte ausw\u00e4hlen\">Bitte ausw\u00e4hlen<\/option><option value=\"Empfehlung\">Empfehlung<\/option><option value=\"Google\">Google<\/option><option value=\"Facebook\">Facebook<\/option><option value=\"Andere\">Andere<\/option><\/select><\/span>\n<\/p>\n<div class=\"inline\">\n<\/div>\n<p><input type=\"hidden\" name=\"Abgeschickt-von\" value=\"313\" \/>\n<\/p>\n<form style='display:inline;'>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-18\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"*Ja, ich habe die Datenschutzerkl\u00e4rung zur Kenntnis genommen und bin damit einverstanden, dass die von mir angegebenen Daten elektronisch erhoben und gespeichert werden.\" \/><span class=\"wpcf7-list-item-label\">*Ja, ich habe die Datenschutzerkl\u00e4rung zur Kenntnis genommen und bin damit einverstanden, dass die von mir angegebenen Daten elektronisch erhoben und gespeichert werden.<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner classbar\" id=\"form-submit\" type=\"submit\" value=\"Anfrage senden\" \/>\n\t<\/p>\n\t<p class=\"textsmall\">Mit * markierte Felder sind Pflichtfelder.\n\t<\/p>\n\t<p><input type=\"hidden\" name=\"steffen\" value=\"85\" \/>\n\t<\/p>\n<\/form><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<div class=\"gsp_post_data\" data-post_type=\"page\" data-cat=\"\" data-modified=\"120\" data-title=\"Pflegebedarfsanfrage\" data-home=\"https:\/\/www.mmpflegedienst.de\"><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] Unsere Preise k\u00f6nnen Sie hier einsehen:\u00a0 KOSTENVORANSCHLAG 2021 aktuell [\/vc_column_text][vc_empty_space height=&#8221;50px&#8221;][vc_column_text] Pflegebedarfsformular M&amp;M Ambulanter Alten \u2013 und Krankenpflegedienst GmbH [\/vc_column_text][vc_column_text] Ermitteln Sie Ihren Pflegebedarf [\/vc_column_text][vc_empty_space height=&#8221;50px&#8221;][vc_column_text] Hier k\u00f6nnen Sie Ihre Pflegebedarfsanfrage direkt online an uns \u00fcbermitteln: [\/vc_column_text][\/vc_column][\/vc_row]<\/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-2146","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.mmpflegedienst.de\/index.php?rest_route=\/wp\/v2\/pages\/2146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mmpflegedienst.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mmpflegedienst.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mmpflegedienst.de\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mmpflegedienst.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2146"}],"version-history":[{"count":23,"href":"https:\/\/www.mmpflegedienst.de\/index.php?rest_route=\/wp\/v2\/pages\/2146\/revisions"}],"predecessor-version":[{"id":2246,"href":"https:\/\/www.mmpflegedienst.de\/index.php?rest_route=\/wp\/v2\/pages\/2146\/revisions\/2246"}],"wp:attachment":[{"href":"https:\/\/www.mmpflegedienst.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}