{"id":1403,"date":"2025-10-06T13:15:12","date_gmt":"2025-10-06T10:15:12","guid":{"rendered":"https:\/\/drciniktipmerkezi.com\/?page_id=1403"},"modified":"2025-11-05T21:37:26","modified_gmt":"2025-11-05T18:37:26","slug":"hasta-gorus-oneri-formu","status":"publish","type":"page","link":"https:\/\/drciniktipmerkezi.com\/tr\/hasta-gorus-oneri-formu\/","title":{"rendered":"Hasta G\u00f6r\u00fc\u015f &#038; \u00d6neri Formu"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1403\" class=\"elementor elementor-1403\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7c90354 e-flex e-con-boxed e-con e-parent\" data-id=\"7c90354\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2cfed02 elementor-widget elementor-widget-heading\" data-id=\"2cfed02\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Hasta G\u00f6r\u00fc\u015f &amp; \u00d6neri Formu<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b6a65ec e-flex e-con-boxed e-con e-parent\" data-id=\"b6a65ec\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-316f9b5 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"316f9b5\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\" aria-label=\"New Form\">\r\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1403\"\/>\r\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"316f9b5\"\/>\r\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\r\n\r\n\t\t\t\r\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tAd\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\r\n\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-soyad elementor-col-50 elementor-field-required\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-soyad\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tSoyad\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[soyad]\" id=\"form-field-soyad\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\r\n\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_b7d79be elementor-col-50 elementor-field-required\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b7d79be\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tTelefon\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_b7d79be]\" id=\"form-field-field_b7d79be\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" min=\"\" max=\"\" >\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tE - Mail\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_dc228b1 elementor-col-50\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dc228b1\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tBildirim T\u00fcr\u00fc\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\r\n\t\t\t<div class=\"select-caret-down-wrapper\">\r\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\r\n\t\t\t<select name=\"form_fields[field_dc228b1]\" id=\"form-field-field_dc228b1\" class=\"elementor-field-textual elementor-size-sm\">\r\n\t\t\t\t\t\t\t\t\t<option value=\"\u015eikayet\">\u015eikayet<\/option>\r\n\t\t\t\t\t\t\t\t\t<option value=\"Se\u00e7iniz\">Se\u00e7iniz<\/option>\r\n\t\t\t\t\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_31d8f58 elementor-col-50\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_31d8f58\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tHizmet Al\u0131nan Hastane\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\r\n\t\t\t<div class=\"select-caret-down-wrapper\">\r\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\r\n\t\t\t<select name=\"form_fields[field_31d8f58]\" id=\"form-field-field_31d8f58\" class=\"elementor-field-textual elementor-size-sm\">\r\n\t\t\t\t\t\t\t\t\t<option value=\"Dr Cinik T\u0131p Merkezi\">Dr Cinik T\u0131p Merkezi<\/option>\r\n\t\t\t\t\t\t\t\t\t<option value=\"Se\u00e7iniz\">Se\u00e7iniz<\/option>\r\n\t\t\t\t\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_a9629c8 elementor-col-50 elementor-field-required\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a9629c8\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tHizmet Al\u0131nan B\u00f6l\u00fcm\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\r\n\t\t\t<div class=\"select-caret-down-wrapper\">\r\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\r\n\t\t\t<select name=\"form_fields[field_a9629c8]\" id=\"form-field-field_a9629c8\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\r\n\t\t\t\t\t\t\t\t\t<option value=\"Plastik cerrahi poliklini\u011fi \">Plastik cerrahi poliklini\u011fi <\/option>\r\n\t\t\t\t\t\t\t\t\t<option value=\"Kulak burun bo\u011faz poliklini\u011fi \">Kulak burun bo\u011faz poliklini\u011fi <\/option>\r\n\t\t\t\t\t\t\t\t\t<option value=\"Yatan Hasta Servisi \">Yatan Hasta Servisi <\/option>\r\n\t\t\t\t\t\t\t\t\t<option value=\"A\u011f\u0131z ve Di\u015f Sa\u011fl\u0131\u011f\u0131 Poliklini\u011fi\">A\u011f\u0131z ve Di\u015f Sa\u011fl\u0131\u011f\u0131 Poliklini\u011fi<\/option>\r\n\t\t\t\t\t\t\t\t\t<option value=\"Hasta Kay\u0131t\">Hasta Kay\u0131t<\/option>\r\n\t\t\t\t\t\t\t\t\t<option value=\"Se\u00e7iniz\">Se\u00e7iniz<\/option>\r\n\t\t\t\t\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_66b6ebf elementor-col-50\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_66b6ebf\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tYatan Hasta Servisi (Hasta Hangi Serviste Yat\u0131yorsa Belirtiniz)\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\r\n\t\t\t<div class=\"select-caret-down-wrapper\">\r\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\r\n\t\t\t<select name=\"form_fields[field_66b6ebf]\" id=\"form-field-field_66b6ebf\" class=\"elementor-field-textual elementor-size-sm\">\r\n\t\t\t\t\t\t\t\t\t<option value=\"Se\u00e7iniz\">Se\u00e7iniz<\/option>\r\n\t\t\t\t\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100 elementor-field-required\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\r\n\t\t\t\t\t\t\t\tMesaj\u0131n\u0131z\t\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\r\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\r\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Formu G\u00f6nder<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t<\/button>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/form>\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Hasta G\u00f6r\u00fc\u015f &amp; \u00d6neri Formu<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-1403","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drciniktipmerkezi.com\/tr\/wp-json\/wp\/v2\/pages\/1403","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drciniktipmerkezi.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drciniktipmerkezi.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drciniktipmerkezi.com\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drciniktipmerkezi.com\/tr\/wp-json\/wp\/v2\/comments?post=1403"}],"version-history":[{"count":0,"href":"https:\/\/drciniktipmerkezi.com\/tr\/wp-json\/wp\/v2\/pages\/1403\/revisions"}],"wp:attachment":[{"href":"https:\/\/drciniktipmerkezi.com\/tr\/wp-json\/wp\/v2\/media?parent=1403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}