{"id":1667,"date":"2022-01-19T15:46:55","date_gmt":"2022-01-19T13:46:55","guid":{"rendered":"https:\/\/veselsberns.lv\/?page_id=1667"},"modified":"2022-01-20T13:38:36","modified_gmt":"2022-01-20T11:38:36","slug":"pieteikties-vizitei","status":"publish","type":"page","link":"https:\/\/veselsberns.lv\/en\/pieteikties-vizitei\/","title":{"rendered":"Apply for visit"},"content":{"rendered":"<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/veselsberns.lv\/wp-content\/uploads\/2022\/01\/pierakstities.png\" alt=\"\" class=\"wp-image-1774\" width=\"60\" height=\"60\"\/><\/figure><\/div>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading_7dd2fa-37, .wp-block-kadence-advancedheading.kt-adv-heading_7dd2fa-37[data-kb-block=\"kb-adv-heading_7dd2fa-37\"]{margin-top:20px;text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading_7dd2fa-37 mark, .wp-block-kadence-advancedheading.kt-adv-heading_7dd2fa-37[data-kb-block=\"kb-adv-heading_7dd2fa-37\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading_7dd2fa-37 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading_7dd2fa-37\">Please fill out the contact form below. We will answer as soon as we can.<br>In acute cases, please call <a href=\"tel: 37126822105\"><strong>+37126822105<\/strong><\/a><\/p>\n\n\n<style>.wp-block-kadence-spacer.kt-block-spacer-_69ed59-9d .kt-block-spacer{height:60px;}.wp-block-kadence-spacer.kt-block-spacer-_69ed59-9d .kt-divider{border-top-width:1px;height:1px;border-top-color:#eee;width:80%;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-_69ed59-9d\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\" style=\"height:60px\"><hr class=\"kt-divider\" style=\"border-top-color:#eee;border-top-width:1px;width:80%;border-top-style:solid\"\/><\/div><\/div>\n\n\n<div class='fluentform fluentform_wrapper_3'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" action=\"\" ><fieldset style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Apply for visit<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1667' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"33ba0d929e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1667\/\" \/><div data-type=\"name-element\" data-name=\"names\" class=\"ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_first_name_' aria-label=\"Name\">Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Name\" aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_last_name_' aria-label=\"Surname\">Surname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_3_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Surname\" aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_phone' aria-label=\"Phone\">Phone<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Phone\" data-name=\"phone\" id=\"ff_3_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=\"true\"><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" placeholder=\"Email\" data-name=\"email\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_pakalpojums' aria-label=\"Choose service\">Choose service<\/label><\/div><div class='ff-el-input--content'><select name=\"pakalpojums\" id=\"ff_3_pakalpojums\" class=\"ff-el-form-control\" data-name=\"pakalpojums\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\"><option value=\"\">-choose-<\/option><option value=\"pediatra_konsultacija\"  >Pediatrician consultations<\/option><option value=\"speci\u0101listu_konsultacija\"  >Specialist consultation<\/option><option value=\"manipulacijas\"  >Procedures and manipulations<\/option><option value=\"izmekl\u0113jumi_ekspresdiagnostika\"  >Express diagnostic tests<\/option><option value=\"vakcinacija\"  >Vaccination<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_pediatrs' aria-label=\"Pediatrician consultation type\">Pediatrician consultation type<\/label><\/div><div class='ff-el-input--content'><select name=\"pediatrs\" id=\"ff_3_pediatrs\" class=\"ff-el-form-control\" data-name=\"pediatrs\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\"><option value=\"\">- choose -<\/option><option value=\"pediatra_kons\"  >Pediatrician consultations<\/option><option value=\"pediatrs_infektologa\"  >Pediatrician-infectologist consultation<\/option><option value=\"akuti\"  >In case of acute illnesses<\/option><option value=\"hronisks\"  >Advises a child from 0-18 years of age in case of various diseases.<\/option><option value=\"zidaini\"  >Carries out an assessment of the child's growth and development from birth to 2 years of age<\/option><option value=\"bernu_barosanu\"  >Advises on breastfeeding, newborn care, care and health prevention<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_specialists' aria-label=\"Specialist consultation type\">Specialist consultation type<\/label><\/div><div class='ff-el-input--content'><select name=\"specialists\" id=\"ff_3_specialists\" class=\"ff-el-form-control\" data-name=\"specialists\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\"><option value=\"\">- choose -<\/option><option value=\"neirologs\"  >Pediatric neurologist<\/option><option value=\"gastroenterologs\"  >Pediatric gastroenterologist<\/option><option value=\"endokrinologs\"  >Pediatric endocrinologis<\/option><option value=\"reimatologs\"  >Pediatric rheumatologist<\/option><option value=\"kirurgs\"  >Pediatric surgeon<\/option><option value=\"ortopeds\"  >Children's orthopedist<\/option><option value=\"acu_arsts\"  >Pediatric ophthalmologist<\/option><option value=\"alergologs\"  >Pediatric allergist<\/option><option value=\"imunologs\"  >Pediatric immunologist<\/option><option value=\"uztura_specialists\"  >Nutritionist<\/option><option value=\"audiologopeds\"  >Audiologist<\/option><option value=\"psihiatrs\"  >Child psychiatrist<\/option><option value=\"gimenes_arsts\"  >General practitioner for adults<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_manipulacijas' aria-label=\"Manipulation type\">Manipulation type<\/label><\/div><div class='ff-el-input--content'><select name=\"manipulacijas\" id=\"ff_3_manipulacijas\" class=\"ff-el-form-control\" data-name=\"manipulacijas\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\"><option value=\"\">- choose -<\/option><option value=\"sistema\"  >i\/v system<\/option><option value=\"injekcijas\"  >i\/m injections<\/option><option value=\"inhalacijas\"  >inhalation<\/option><option value=\"kirurgiskas_manipulacijas\"  >surgical manipulations (wound treatment, suturing, thread removal, etc.)<\/option><option value=\"ercu_iznemsana\"  >removal of ticks<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_dropdown_3' aria-label=\"Express diagnostic type\">Express diagnostic type<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_3_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\"><option value=\"\">- choose -<\/option><option value=\"cro_hb_eksprestests\"  >CRO + Hb express test<\/option><option value=\"urina_eksprestests\"  >Urine express test<\/option><option value=\"gripas_eksprestests\"  >Influenza Express test<\/option><option value=\"glikozes_limenis\"  >Blood glucose testing<\/option><option value=\"Ketonu limenis\"  >Determining the level of ketones in your blood<\/option><option value=\"adas_alergiskie_durieni\"  >Allergic skin tests<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_dropdown_5' aria-label=\"Vaccination type\">Vaccination type<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_5\" id=\"ff_3_dropdown_5\" class=\"ff-el-form-control\" data-name=\"dropdown_5\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\"><option value=\"\">- choose -<\/option><option value=\"ercu_vakcina\"  >Vaccine against tick-borne encephalitis<\/option><option value=\"gripas_vakcina\"  >Influenza vaccine<\/option><option value=\"pneimokoku_vakcina \"  >Vaccine against pneumococcal infection<\/option><option value=\" hepatita_vakcina\"  >Hepatitis A, B vaccine<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description' aria-label=\"Notes\">Notes<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=\"false\" name=\"description\" id=\"ff_3_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description\" 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