{"id":2877,"date":"2025-03-31T19:27:45","date_gmt":"2025-03-31T17:27:45","guid":{"rendered":"https:\/\/przychodniawitomino.xaa.pl\/?page_id=2877"},"modified":"2025-04-02T01:57:43","modified_gmt":"2025-04-01T23:57:43","slug":"zapotrzebowanie-na-leki","status":"publish","type":"page","link":"https:\/\/przychodniawitomino.pl\/en\/zapotrzebowanie-na-leki\/","title":{"rendered":"Zapotrzebowanie na leki"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"2877\" class=\"elementor elementor-2877\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c795209 e-con-full e-flex e-con e-parent\" data-id=\"c795209\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-f14172f e-con-full e-flex e-con e-child\" data-id=\"f14172f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-08fc408 elementor-widget elementor-widget-heading\" data-id=\"08fc408\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">E-recepta<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-378ab13 e-con-full an-c e-flex e-con e-child\" data-id=\"378ab13\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-24d431d elementor-widget elementor-widget-shortcode\" data-id=\"24d431d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2883-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"2883\">\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\/2877#wpcf7-f2883-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formularz kontaktowy\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/2877#wpcf7-f2883-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2883\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2883-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"cf e-recepta\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"imie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Imi\u0119 i nazwisko\" value=\"\" type=\"text\" name=\"imie\" \/><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel in\" autocomplete=\"tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Numer telefonu\" value=\"\" type=\"tel\" name=\"tel\" \/><\/span>\n\t<\/p>\n\t<p><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 in\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Adres e-mail\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pesel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"PESEL\" value=\"\" type=\"text\" name=\"pesel\" \/><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Adres (ulica, nr mieszkania i lokalu, kod pocztowy, miasto)\" value=\"\" type=\"text\" name=\"adres\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"l\">Spos\u00f3b odbioru e-recepty:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"odbior\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"odbior\" value=\"Kod e-recepty na podany nr telefonu\" \/><span class=\"wpcf7-list-item-label\">Kod e-recepty na podany nr telefonu<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"odbior\" value=\"Mam za\u0142o\u017cony Profil Zaufany\" \/><span class=\"wpcf7-list-item-label\">Mam za\u0142o\u017cony Profil Zaufany<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><label class=\"l\">Spis potrzebnych lek\u00f3w:<br \/>\n<i>Prosimy o zawarcie informacji: nazwa leku + dawka, dawkowanie, ilo\u015b\u0107 opakowa\u0144, ilo\u015b\u0107 sztuk w opakowaniu oraz posta\u0107 (tabletki, p\u0142yn itp.).<br \/>\nJe\u015bli posiada Pan\/Pani uprawnienie dodatkowe, prosimy o podanie (np. zas\u0142u\u017cony honorowy dawca krwi, kombatant).<\/i><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tresc\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2500\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Zapotrzebowanie na leki\" name=\"tresc\"><\/textarea><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"osw\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"osw\" value=\"1\" class=\"zgoda\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">O\u015bwiadczam, \u017ce stan mojego zdrowia jest stabilny i nie obserwuj\u0119 u siebie niepokoj\u0105cych objaw\u00f3w wymagaj\u0105cych konsultacji lekarskiej w celu zmiany leczenia lub modyfikacji dawki przyjmowania lek\u00f3w.<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"zgoda\" value=\"1\" class=\"zgoda\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Zapozna\u0142em\/am si\u0119 z i akceptuj\u0119 postanowienia <a href=\"https:\/\/przychodniawitomino.xaa.pl\/wp-content\/uploads\/2025\/03\/POLITYKA-PRZETWARZANIA-DANYCH2022.pdf\" target=\"_blank\">Polityki prywatno\u015bci<\/a>.<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner wyslij\" type=\"submit\" value=\"Wy\u015blij\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>E-recepta<\/p>","protected":false},"author":1,"featured_media":2879,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"typ":[22],"class_list":["post-2877","page","type-page","status-publish","has-post-thumbnail","hentry","typ-dla-pacjenta"],"_links":{"self":[{"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/pages\/2877","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/comments?post=2877"}],"version-history":[{"count":13,"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/pages\/2877\/revisions"}],"predecessor-version":[{"id":3256,"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/pages\/2877\/revisions\/3256"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/media\/2879"}],"wp:attachment":[{"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/media?parent=2877"}],"wp:term":[{"taxonomy":"typ","embeddable":true,"href":"https:\/\/przychodniawitomino.pl\/en\/wp-json\/wp\/v2\/typ?post=2877"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}