{"id":1430,"date":"2025-12-05T12:05:49","date_gmt":"2025-12-05T11:05:49","guid":{"rendered":"https:\/\/www.radiologie-dr-jung.de\/?page_id=1430"},"modified":"2026-01-18T15:54:48","modified_gmt":"2026-01-18T14:54:48","slug":"formulaire-de-commande","status":"publish","type":"page","link":"https:\/\/www.radiologie-dr-jung.de\/fr\/bestellformular\/","title":{"rendered":"Formulaire de commande"},"content":{"rendered":"<section class=\"l-section wpb_row us_custom_887a049b height_small\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-separator size_large\"><\/div><div class=\"wpb_text_column us_custom_59ffc91f us_animate_this\"><div class=\"wpb_wrapper\"><h1>Formulaire de commande<\/h1>\n<h6>Commander maintenant du mat\u00e9riel publicitaire pour votre cabinet<\/h6>\n<p>Sur cette page, vous avez la possibilit\u00e9 de commander facilement diff\u00e9rents imprim\u00e9s que vous pourrez remettre \u00e0 vos patient(e)s dans votre cabinet.<\/p>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"w-separator size_custom\" style=\"height:2rem\" id=\"e308\"><style><\/style><\/div><div class=\"w-separator us_custom_11d22d30 us_animate_this size_custom\" style=\"height:400px\"><\/div>\n<div class=\"wpcf7 no-js us_custom_55ae7626 us_animate_this\" id=\"wpcf7-f1429-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"1429\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/1430#wpcf7-f1429-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/fr\/wp-json\/wp\/v2\/pages\/1430#wpcf7-f1429-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1429\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1429-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div id=\"responsive-form\" class=\"clearfix\">\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-praxis\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nom du cabinet\" value=\"\" type=\"text\" name=\"your-praxis\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Titre, pr\u00e9nom, nom de famille\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-strasse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Rue, num\u00e9ro\" value=\"\" type=\"text\" name=\"your-strasse\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-ort\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Code postal, lieu\" value=\"\" type=\"text\" name=\"your-ort\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-full\">\n\t\t\t<p>En tant que m\u00e9decin r\u00e9f\u00e9rent, je souhaite commander les imprim\u00e9s suivants pour les remettre aux patients : <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-644\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-644[]\" value=\"Visitenkarten\" \/><span class=\"wpcf7-list-item-label\">Cartes de visite<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-644[]\" value=\"Flyer\" \/><span class=\"wpcf7-list-item-label\">D\u00e9pliant<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-full\">\n\t\t\t<p><label style=\"font-size:15px;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-363\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-363\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'accepte que mes donn\u00e9es soient trait\u00e9es et enregistr\u00e9es pour me contacter. Le site <a href=\"\/fr\/protection-des-donnees\/\"><b>Note d'information sur la protection des donn\u00e9es<\/b><\/a> j'ai pu prendre connaissance. Le consentement peut \u00eatre r\u00e9voqu\u00e9 \u00e0 tout moment avec effet pour l'avenir. Pour cela, il suffit d'envoyer un bref courriel \u00e0 <b><a href=\"mailto:info@radiologie-dr-jung.de\">info@radiologie-dr-jung.de<\/a><\/b> envoyer. Veuillez lire le <a href=\"\/fr\/protection-des-donnees\/\"><b>Note d'information sur la protection des donn\u00e9es<\/b><\/a> pour plus d'informations.<\/span><\/label><\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/><br \/>\n<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>\n<\/div>\n<div class=\"w-separator size_custom\" style=\"height:0\" id=\"x1fb\"><style>@media(max-width:1024px){ #x1fb{height:2rem!important}}@media(max-width:600px){ #x1fb{height:2rem!important}}<\/style><\/div><\/div><\/div><\/div><\/div><\/section>","protected":false},"excerpt":{"rendered":"Bestellformular Jetzt Werbematerial f\u00fcr Ihre Praxis bestellen Auf dieser Seite haben Sie die M\u00f6glichkeit, bequem verschiedene Drucksachen zu bestellen, die Sie in Ihrer Praxis an Ihre Patientinnen und Patienten weitergeben k\u00f6nnen. Als \u00dcberweiser\/in m\u00f6chte ich gerne folgende Drucksachen zur Weitergabe an Patienten\/innen bestellen: VisitenkartenFlyer Ich willige ein, dass meine Daten zur Kontaktaufnahme verarbeitet und gespeichert...","protected":false},"author":2,"featured_media":17,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1430","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Bestellformular \u1405 Radiologische Privatpraxis Dr. Catarina Jung<\/title>\n<meta name=\"description\" content=\"Bestellformular \u2713 Auf dieser Seite k\u00f6nnen Sie ganz einfach verschiedene Drucksachen zur Weitergabe in Ihrer Praxis bestellen.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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