{"id":225,"date":"2024-11-02T18:07:19","date_gmt":"2024-11-02T17:07:19","guid":{"rendered":"https:\/\/www.swissalbmed.ch\/beitrittsformular\/"},"modified":"2024-11-02T18:07:19","modified_gmt":"2024-11-02T17:07:19","slug":"beitrittsformular","status":"publish","type":"page","link":"https:\/\/www.swissalbmed.ch\/de\/beitrittsformular\/","title":{"rendered":"BEITRITTSFORMULAR"},"content":{"rendered":"<p>Mit einem * markierte Felder sind Pflicht. Alle Angaben werden in verschl\u00fcsselter Form \u00fcbermittelt und nicht an Dritte weitergegeben.<br \/>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f224-o1\" lang=\"sq-AL\" dir=\"ltr\" data-wpcf7-id=\"224\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/de\/wp-json\/wp\/v2\/pages\/225#wpcf7-f224-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontaktformular\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"224\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"sq_AL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f224-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"row row-fix row-20\">\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-drejtimi\">Anrede *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"anrede\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-input\" id=\"form-1-drejtimi\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"anrede\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-last-anstellung\">Anstellung<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"anstellung\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-last-anstellung\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"anstellung\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-titel\">Titel<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"titel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-titel\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"titel\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-last-praxis\">Praxis\/Spital<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"praxis\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-last-praxis\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"praxis\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-weiterbildungstitel\">Weiterbildungstitel<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"weiterbildungstitel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-weiterbildungstitel\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"weiterbildungstitel\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-last-strasse\">Strasse<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"strasse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-last-strasse\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"strasse\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-beruf\">Beruf<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"beruf\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-beruf\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"beruf\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-last-plz\">PLZ<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"plz\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-last-plz\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"plz\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-vorname\">Vorname<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"vorname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-vorname\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vorname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-ort\">Ort<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"ort\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-ort\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ort\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-nachname\">Nachname<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nachname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-nachname\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nachname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-telefon\">Telefon<\/label><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 form-input\" id=\"form-1-telefon\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-geburtsdatum\">Geburtsdatum tt\/mm\/jjjj *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"geburtsdatum\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-input\" id=\"form-1-geburtsdatum\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"geburtsdatum\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-email\">E-Mail<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-input\" id=\"form-1-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-diplomland\">Diplom Erteilungsland<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"diplomland\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-diplomland\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"diplomland\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-privatadresse\">Privat Adresse<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"privatadresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-privatadresse\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"privatadresse\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-diplomjahr\">Diplom Erteilungsjahr<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"diplomjahr\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number form-input\" id=\"form-1-diplomjahr\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"diplomjahr\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-privatplz\">Privat PLZ<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"privatplz\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-privatplz\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"privatplz\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-gln\">GLN *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"gln\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-input\" id=\"form-1-gln\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"gln\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-privatort\">Privat Ort<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"privatort\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-privatort\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"privatort\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-uid\">UID<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"uid\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" id=\"form-1-uid\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"uid\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"form-wrap form-wrap-validation\">\n\t\t\t<p><label class=\"form-label\" for=\"form-1-privathandy\">Privat Handy *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"privathandy\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-input\" id=\"form-1-privathandy\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"privathandy\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-8 col-xl-6\">\n\t\t<div class=\"form-wrap\">\n\t\t\t<p><label class=\"checkbox-inline\"><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"check-1\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"check-1[]\" value=\"- Ich akzeptiere die Statuten von SA\u00c4V\" \/><span class=\"wpcf7-list-item-label\">- Ich akzeptiere die Statuten von SA\u00c4V<\/span><\/label><\/span><\/span><\/span> <a href=\"https:\/\/www.swissalbmed.ch\/wp-content\/uploads\/2024\/11\/Statuten.pdf\" target=\"_blank\">Statuten von SA\u00c4V<\/a><br \/>\n<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12 offset-custom-1\">\n\t\t<div class=\"form-button\">\n\t\t\t<p><div class=\"cf7-cf-turnstile\" style=\"margin-top: 0px; margin-bottom: -15px;\"> <div id=\"cf-turnstile-cf7-4205879843\" class=\"cf-turnstile\" data-callback=\"turnstileCF7Callback\" data-sitekey=\"0x4AAAAAAAzEAZVSo8-tF22i\" data-theme=\"light\" data-language=\"auto\" data-retry=\"auto\" data-retry-interval=\"1000\" data-action=\"contact-form-7\" data-appearance=\"always\"><\/div> <style>-cf7-4205879843 { pointer-events: none; opacity: 0.5; }<\/style> <script>document.addEventListener(\"DOMContentLoaded\",(function(){var e=document.getElementById(\"cf-turnstile-cf7-4205879843\");e&&!e.innerHTML.trim()&&(turnstile.remove(\"#cf-turnstile-cf7-4205879843\"),turnstile.render(\"#cf-turnstile-cf7-4205879843\",{sitekey:\"0x4AAAAAAAzEAZVSo8-tF22i\"}))}));<\/script> <br class=\"cf-turnstile-br cf-turnstile-br-cf7-4205879843\"> <style>#cf-turnstile-cf7-4205879843 { margin-left: -15px; }<\/style> <script>document.addEventListener(\"DOMContentLoaded\",function(){document.querySelectorAll('.wpcf7-form').forEach(function(e){e.addEventListener('submit',function(){if(document.getElementById('cf-turnstile-cf7-4205879843')){setTimeout(function(){turnstile.reset('#cf-turnstile-cf7-4205879843');},1000)}})})});<\/script> <\/div><br\/><input class=\"wpcf7-form-control wpcf7-submit has-spinner button button-primary button-nina\" type=\"submit\" value=\"Jetzt Anmelden\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mit einem * markierte Felder sind Pflicht. Alle Angaben werden in verschl\u00fcsselter Form \u00fcbermittelt und nicht an Dritte weitergegeben.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-225","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.swissalbmed.ch\/de\/wp-json\/wp\/v2\/pages\/225","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.swissalbmed.ch\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.swissalbmed.ch\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.swissalbmed.ch\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.swissalbmed.ch\/de\/wp-json\/wp\/v2\/comments?post=225"}],"version-history":[{"count":0,"href":"https:\/\/www.swissalbmed.ch\/de\/wp-json\/wp\/v2\/pages\/225\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.swissalbmed.ch\/de\/wp-json\/wp\/v2\/media?parent=225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}