{"id":12208,"date":"2026-01-03T17:10:03","date_gmt":"2026-01-03T16:10:03","guid":{"rendered":"https:\/\/cleandrteraz.apchnk.xyz\/?page_id=12208"},"modified":"2026-04-13T04:15:04","modified_gmt":"2026-04-13T02:15:04","slug":"tabletka-dzien-po","status":"publish","type":"page","link":"https:\/\/cleandrteraz.apchnk.xyz\/?page_id=12208","title":{"rendered":"Tabletka dzie\u0144 po"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"12208\" class=\"elementor elementor-12208\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-50815d7 e-con-full e-flex e-con e-parent\" data-id=\"50815d7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-c234b44 e-con-full sc c2 e-flex e-con e-child\" data-id=\"c234b44\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-387c815 elementor-widget elementor-widget-heading\" data-id=\"387c815\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Wype\u0142nij formularz:<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d7f6145 elementor-widget elementor-widget-shortcode\" data-id=\"d7f6145\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f12205-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"12205\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F12208#wpcf7-f12205-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-auto-return-first-step cf7mls-no-moving-animation\" aria-label=\"Formularz kontaktowy\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"12205\" \/><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-f12205-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:12205,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;papierosyy&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;papierosy&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Tak&quot;}]},{&quot;then_field&quot;:&quot;uzywkii&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;uzywki&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Tak&quot;}]},{&quot;then_field&quot;:&quot;alergiee&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;alergie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Tak&quot;}]},{&quot;then_field&quot;:&quot;lekii&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;leki&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Tak&quot;}]},{&quot;then_field&quot;:&quot;chorobypp&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;chorobyp&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Tak&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<\/fieldset>\n<div class=\"fieldset-cf7mls-wrapper\" data-transition-effects><fieldset class=\"fieldset-cf7mls cf7mls_current_fs\"><div class=\"cf tabletka\">\n\t<div class=\"cfe\">\n\t\t<h3 class=\"a\">1. Dane\n\t\t<\/h3>\n\t\t<h3>2. Wywiad\n\t\t<\/h3>\n\t\t<h3>3. Zgody\n\t\t<\/h3>\n\t\t<div class=\"cfe-m\">\n\t\t\t<h3 class=\"a\">1. Dane\n\t\t\t<\/h3>\n\t\t<\/div>\n\t<\/div>\n\t<p><label class=\"lb req\">Imi\u0119<\/label><br \/>\n<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=\"given-name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Anna\" value=\"\" type=\"text\" name=\"imie\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"lb req\">Nazwisko<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nazwisko\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" autocomplete=\"family-name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Kowalska\" value=\"\" type=\"text\" name=\"nazwisko\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"lb req\">Numer telefonu<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><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=\"623 623 623\" value=\"\" type=\"text\" name=\"tel\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"lb req\">Adres e-mail<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email in\" aria-invalid=\"false\" placeholder=\"twoj@email.com\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"lb req\">PESEL<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pesel\"><input size=\"40\" maxlength=\"11\" minlength=\"11\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"00000000000\" value=\"\" type=\"text\" name=\"pesel\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"lb req\">Miasto<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"miasto\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"miasto\"><option value=\"---\">---<\/option><option value=\"Warszawa\">Warszawa<\/option><option value=\"Pozna\u0144\">Pozna\u0144<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<p><div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-1\">Dalej<img decoding=\"async\" src=\"https:\/\/cleandrteraz.apchnk.xyz\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/cleandrteraz.apchnk.xyz\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n<\/p>\n<div class=\"cf tabletka\">\n\t<div class=\"cf tabletka\">\n\t\t<div class=\"cfe\">\n\t\t\t<h3 class=\"a\">1. Dane\n\t\t\t<\/h3>\n\t\t\t<h3 class=\"a\">Wywiad\n\t\t\t<\/h3>\n\t\t\t<h3>3. Zgody\n\t\t\t<\/h3>\n\t\t\t<div class=\"cfe-m\">\n\t\t\t\t<h3 class=\"a\">2. Wywiad\n\t\t\t\t<\/h3>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><label class=\"lb req\">Podaj aktualn\u0105 temperatur\u0119 cia\u0142a w stopniach Celsjusza<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"temp\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"36.6\" value=\"\" type=\"text\" name=\"temp\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label class=\"lb req\">Podaj sw\u00f3j wzrost w cm<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"wzrost\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"165\" value=\"\" type=\"text\" name=\"wzrost\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label class=\"lb req\">Podaj swoj\u0105 aktualn\u0105 wag\u0119 w kg<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"waga\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"55\" value=\"\" type=\"text\" name=\"waga\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label class=\"lb req\">Czy palisz papierosy?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"papierosy\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"papierosy\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Tak<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"papierosy\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">Nie<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"papierosyy\" data-orig_data_id=\"papierosyy\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label class=\"lb req\">Ile sztuk papieros\u00f3w dziennie palisz?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"papierosyile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"5\" value=\"\" type=\"text\" name=\"papierosyile\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label class=\"lb req\">Czy stosujesz u\u017cywki psychoaktywne (np. marihuana, kokaina, amfetamina, dopalacze)?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"uzywki\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"uzywki\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Tak<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"uzywki\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">Nie<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"uzywkii\" data-orig_data_id=\"uzywkii\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label class=\"lb req\">Jakie u\u017cywki psychoaktywne stosujesz?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"uzywkijakie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"uzywkijakie\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label class=\"lb req\">Czy masz uczulenia\/alergi\u0119\/nietolerancj\u0119 na leki lub substancje (\u017cywno\u015b\u0107, barwniki spo\u017cywcze, jad owad\u00f3w)?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"alergie\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"alergie\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Tak<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"alergie\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">Nie<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"alergiee\" data-orig_data_id=\"alergiee\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label class=\"lb req\">Podaj, jakich substacji lub lek\u00f3w to dotyczy, i jak si\u0119 objawia (obrz\u0119k, wysypka, duszno\u015bci)?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"alergiejakie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"alergiejakie\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label class=\"lb req\">Czy przyjmujesz leki na sta\u0142e?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"leki\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"leki\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Tak<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"leki\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">Nie<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"lekii\" data-orig_data_id=\"lekii\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label class=\"lb req\">Podaj nazwy przyjmowanych lek\u00f3w wraz z dawkowaniem<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lekijakie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"lekijakie\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label class=\"lb req\">Czy chorujesz na choroby przewlek\u0142e (nadci\u015bnienie, cukrzyca, zesp\u00f3\u0142 policystycznych jajnik\u00f3w, niedoczynno\u015b\u0107 tarczycy, astma, mi\u0119\u015bniaki macicy)?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chorobyp\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"chorobyp\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Tak<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"chorobyp\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">Nie<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"chorobypp\" data-orig_data_id=\"chorobypp\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label class=\"lb req\">Podaj nazwy chor\u00f3b przewlek\u0142ych, na kt\u00f3re chorujesz<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chorobypjakie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"chorobypjakie\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label class=\"lb req\">Czy karmisz piersi\u0105?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"karmienie\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"karmienie\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Tak<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"karmienie\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">Nie<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"karmienie\" value=\"Nie dotyczy\" \/><span class=\"wpcf7-list-item-label\">Nie dotyczy<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<p><label class=\"lb req\">Ile godzin up\u0142yn\u0119\u0142o od stosunku bez zabezpieczenia?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ilegodzin\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"ilegodzin\" value=\"Poni\u017cej 72h\" \/><span class=\"wpcf7-list-item-label\">Poni\u017cej 72h<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"ilegodzin\" value=\"Od 72h do 120h\" \/><span class=\"wpcf7-list-item-label\">Od 72h do 120h<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"ilegodzin\" value=\"Powy\u017cej 120h\" \/><span class=\"wpcf7-list-item-label\">Powy\u017cej 120h<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-2\">Cofnij<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-2\">Dalej<img decoding=\"async\" src=\"https:\/\/cleandrteraz.apchnk.xyz\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/cleandrteraz.apchnk.xyz\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n\t<\/p>\n\t<div class=\"cf tabletka\">\n\t\t<div class=\"cf tabletka\">\n\t\t\t<div class=\"cfe\">\n\t\t\t\t<h3 class=\"a\">1. Dane\n\t\t\t\t<\/h3>\n\t\t\t\t<h3 class=\"a\">Wywiad\n\t\t\t\t<\/h3>\n\t\t\t\t<h3 class=\"a\">3. Zgody\n\t\t\t\t<\/h3>\n\t\t\t\t<div class=\"cfe-m\">\n\t\t\t\t\t<h3 class=\"a\">3. Zgody\n\t\t\t\t\t<\/h3>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"wszystkiezgody\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"wszystkiezgody\" value=\"1\" class=\"zgoda\" id=\"all\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Zaznacz wszystkie.<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"zgody\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda1\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"zgoda1\" value=\"1\" class=\"zgoda\" id=\"zgoda1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">O\u015bwiadczam, \u017ce wprowadzone przeze mnie dane s\u0105 prawid\u0142owe<i>*<\/i><\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda2\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"zgoda2\" value=\"1\" class=\"zgoda\" id=\"zgoda2\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Wyra\u017cam zgod\u0119 na otrzymywanie informacji handlowych i ofert promocyjnych od Dr Teraz za po\u015brednictwem e-maila oraz telefonu<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda3\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"zgoda3\" value=\"1\" class=\"zgoda\" id=\"zgoda3\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Akceptuj\u0119 <a href=\"\/regulamin\/\">Regulamin<\/a> i <a href=\"\/polityka-prywatnosci\/\">Polityk\u0119 prywatno\u015bci<\/a><i>*<\/i><\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner wyslij\" type=\"submit\" value=\"Wy\u015blij\" \/>\n\t\t\t<\/p>\n\t\t\t<div class=\"bezp\">\n\t\t\t\t<p>Przesy\u0142ane przez szyfrowane po\u0142\u0105czenie.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><div class=\"cf7mls-btns cf7mls-btns-last-step\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-3\">Cofnij<\/button><button type=\"button\" style=\"display: none;\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\"><img decoding=\"async\" src=\"https:\/\/cleandrteraz.apchnk.xyz\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/cleandrteraz.apchnk.xyz\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button>\n\t\t<\/p>\n\t<\/div>\n<\/div><\/fieldset><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1507247 e-con-full e-flex e-con e-child\" data-id=\"1507247\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-2ff0b04 e-con-full e-flex e-con e-child\" data-id=\"2ff0b04\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a99b2ec e-con-full e-flex e-con e-child\" data-id=\"a99b2ec\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-df48143 elementor-widget elementor-widget-heading\" data-id=\"df48143\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Wniosek o recept\u0119<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8f8fefd e-con-full e-flex e-con e-child\" data-id=\"8f8fefd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7648970 elementor-widget elementor-widget-heading\" data-id=\"7648970\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Bezp\u0142atnie (je\u015bli zapiszesz si\u0119 do Przychodni w ramach NFZ)<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0dbdecd elementor-widget elementor-widget-heading\" data-id=\"0dbdecd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Koszt<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-162205a e-con-full e-flex e-con e-child\" data-id=\"162205a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e5b2ef elementor-widget elementor-widget-heading\" data-id=\"6e5b2ef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">60-240 minut<br> (od 8:00 do 18:00)<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-621c0d7 elementor-widget elementor-widget-heading\" data-id=\"621c0d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Pozytywna decyzja lekarza<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-726cb39 e-con-full e-flex e-con e-child\" data-id=\"726cb39\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-49e2773 elementor-widget elementor-widget-heading\" data-id=\"49e2773\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Pozytywna kwalifikacja przez lekarza na bazie kwestionariusza<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e39dd60 elementor-widget elementor-widget-heading\" data-id=\"e39dd60\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Wymagania<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33ffa1c e-con-full e-flex e-con e-child\" data-id=\"33ffa1c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-571d775 elementor-widget elementor-widget-heading\" data-id=\"571d775\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Kod SMS, kt\u00f3ry zrealizujesz w aptece<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e5908b elementor-widget elementor-widget-heading\" data-id=\"7e5908b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Spos\u00f3b odbioru<\/span>\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-4e2dfe7 e-con-full sc c2 oh e-flex e-con e-child\" data-id=\"4e2dfe7\" 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-1b2f368 elementor-widget elementor-widget-heading\" data-id=\"1b2f368\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Nie jeste\u015b jeszcze<br> naszym Pacjentem?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87470ad elementor-widget elementor-widget-heading\" data-id=\"87470ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Um\u00f3w pierwsz\u0105 wizyt\u0119 telefonicznie:<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a61d10 eb1-1 elementor-widget elementor-widget-button\" data-id=\"2a61d10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"tel:+48699570191\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">699 570 191<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-207cdc5 elementor-widget elementor-widget-heading\" data-id=\"207cdc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">lub z\u0142\u00f3\u017c deklaracj\u0119 online:<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6fea124 eb1-1 elementor-widget elementor-widget-button\" data-id=\"6fea124\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/zloz-deklaracje-online\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Z\u0142\u00f3\u017c deklaracj\u0119 online<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\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>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Wype\u0142nij formularz: Wniosek o recept\u0119 Bezp\u0142atnie (je\u015bli zapiszesz si\u0119 do Przychodni w ramach NFZ) Koszt 60-240 minut (od 8:00 do 18:00) Pozytywna decyzja lekarza Pozytywna kwalifikacja przez lekarza na bazie kwestionariusza Wymagania Kod SMS, kt\u00f3ry zrealizujesz w aptece Spos\u00f3b odbioru Nie jeste\u015b jeszcze naszym Pacjentem? Um\u00f3w pierwsz\u0105 wizyt\u0119 telefonicznie: 699 570 191 lub z\u0142\u00f3\u017c deklaracj\u0119 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_angie_page":false,"footnotes":""},"class_list":["post-12208","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/12208","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12208"}],"version-history":[{"count":16,"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/12208\/revisions"}],"predecessor-version":[{"id":17087,"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/12208\/revisions\/17087"}],"wp:attachment":[{"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}