{"id":4140,"date":"2025-07-14T22:40:52","date_gmt":"2025-07-14T20:40:52","guid":{"rendered":"https:\/\/frosty-mclean.141-95-55-172.plesk.page\/?page_id=4140"},"modified":"2026-04-15T15:23:21","modified_gmt":"2026-04-15T13:23:21","slug":"zloz-deklaracje-online","status":"publish","type":"page","link":"https:\/\/cleandrteraz.apchnk.xyz\/?page_id=4140","title":{"rendered":"Z\u0142\u00f3\u017c deklaracj\u0119 online"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4140\" class=\"elementor elementor-4140\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e1102a e-con-full e-flex e-con e-parent\" data-id=\"6e1102a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6165da8 e-con-full e-flex e-con e-child\" data-id=\"6165da8\" 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-74198b5 elementor-widget elementor-widget-image\" data-id=\"74198b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"110\" height=\"41\" src=\"https:\/\/cleandrteraz.apchnk.xyz\/wp-content\/uploads\/2024\/04\/nfz.svg\" class=\"attachment-large size-large wp-image-1052\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-58d47b5 e-con-full e-flex e-con e-child\" data-id=\"58d47b5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ecf836 e-con-full dekf e-flex e-con e-child\" data-id=\"0ecf836\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ecf5747 e-con-full e-flex e-con e-child\" data-id=\"ecf5747\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4c1fb8f e-con-full e-flex e-con e-child\" data-id=\"4c1fb8f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-01870dd g1 elementor-widget elementor-widget-heading\" data-id=\"01870dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Od 2005 roku zaufa\u0142o nam <span>ponad 10 000<\/span> pacjent\u00f3w!<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a10356c e-con-full e-flex e-con e-child\" data-id=\"a10356c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a9fdd0 ol1 elementor-widget elementor-widget-heading\" data-id=\"2a9fdd0\" 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\"><ol>\n<li>Z\u0142o\u017cenie deklaracji jest bezp\u0142atne\n<li>Wymagany podpis Profilem Zaufanym\n<li>R\u00f3wnie\u017c mo\u017cesz z\u0142o\u017cy\u0107 deklaracj\u0119 w przychodni przed pierwsz\u0105 wizyt\u0105 \n<li>Po z\u0142o\u017ceniu deklaracji online:\n<br>- od razu mo\u017cesz korzysta\u0107 z naszych us\u0142ug,\n<br>- mo\u017cesz um\u00f3wi\u0107 si\u0119 do dowolnego lekarza lub piel\u0119gniarki,\n<br>- zostaniesz automatycznie wypisany z poprzedniej przychodni.\n<li>Wymagane ubezpieczenie NFZ\n<li>U\u017cyj opcji \"Deklaracja dla mnie i dziecka\" dla ka\u017cdego dziecka osobno\n<li>Je\u015bli jeste\u015b ju\u017c naszym pacjentem i chcesz zapisa\u0107 dziecko, wybierz opcj\u0119 \"Deklaracja dla mnie i dziecka\"\n<\/ol><\/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-ea14e81 e-con-full sc c2 cf-form e-flex e-con e-child\" data-id=\"ea14e81\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b99e3c6 elementor-widget elementor-widget-heading\" data-id=\"b99e3c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Zapisz si\u0119 do przychodni Dr Teraz<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b33dada elementor-widget elementor-widget-shortcode\" data-id=\"b33dada\" 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-f4158-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"4158\">\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%2F4140#wpcf7-f4158-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=\"4158\" \/><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-f4158-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;:4158,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;twojedane&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;dlakogo&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Deklaracja dla mnie&quot;}]},{&quot;then_field&quot;:&quot;opiekun&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;dlakogo&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Deklaracja dla mnie i dziecka&quot;}]},{&quot;then_field&quot;:&quot;dziecko&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;dlakogo&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Deklaracja dla mnie i dziecka&quot;}]},{&quot;then_field&quot;:&quot;bp&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;brakpesel&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Dziecko nie ma nadanego PESEL&quot;}]},{&quot;then_field&quot;:&quot;bp2&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;brakpesel&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;Dziecko nie ma nadanego PESEL&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 deklaracja\">\n\t<div class=\"cfe\">\n\t\t<h3 class=\"a\">1. Deklaracja\n\t\t<\/h3>\n\t\t<h3>2. Dane\n\t\t<\/h3>\n\t\t<h3>3. Adres\n\t\t<\/h3>\n\t\t<h3>4. Zgody\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"cfe-m\">\n\t\t<h3 class=\"a\">1. Deklaracja\n\t\t<\/h3>\n\t<\/div>\n\t<p><label class=\"lb req\">Wybierz przychodni\u0119<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"przychodnia\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"miasto\" aria-required=\"true\" aria-invalid=\"false\" name=\"przychodnia\"><option value=\"\">Wybierz przychodni\u0119...<\/option><option value=\"Pozna\u0144 D\u0119biec (ul. Grabowa)\">Pozna\u0144 D\u0119biec (ul. Grabowa)<\/option><option value=\"Warszawa Bia\u0142o\u0142\u0119ka (ul. Modli\u0144ska)\">Warszawa Bia\u0142o\u0142\u0119ka (ul. Modli\u0144ska)<\/option><option value=\"Warszawa Ochota (ul. Niemcewicza)\">Warszawa Ochota (ul. Niemcewicza)<\/option><\/select><\/span>\n\t<\/p>\n\t<p><label class=\"lb req\">Kogo dotyczy deklaracja<\/label>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dlakogo\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"dlakogo\" value=\"Deklaracja dla mnie\" \/><span class=\"wpcf7-list-item-label\">Deklaracja dla mnie<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"dlakogo\" value=\"Deklaracja dla mnie i dziecka\" \/><span class=\"wpcf7-list-item-label\">Deklaracja dla mnie i dziecka<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><label class=\"lb req\">Od 1 stycznia tego roku zmieniam przychodni\u0119 po raz<\/label>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"raz\"><span class=\"wpcf7-form-control wpcf7-radio cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"raz\" value=\"Pierwszy lub drugi\" \/><span class=\"wpcf7-list-item-label\">Pierwszy lub drugi<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"raz\" value=\"Trzeci lub wi\u0119cej\" \/><span class=\"wpcf7-list-item-label\">Trzeci lub wi\u0119cej<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"Druk\" type=\"hidden\" name=\"druk\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"punkt\" \/>\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 deklaracja\">\n\t<div class=\"cfe\">\n\t\t<h3 class=\"a\">1. Deklaracja\n\t\t<\/h3>\n\t\t<h3 class=\"a\">2. Dane\n\t\t<\/h3>\n\t\t<h3>3. Adres\n\t\t<\/h3>\n\t\t<h3>4. Zgody\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"cfe-m\">\n\t\t<h3 class=\"a\">2. Dane\n\t\t<\/h3>\n\t<\/div>\n\t<div data-id=\"twojedane\" data-orig_data_id=\"twojedane\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<h4>Twoje dane\n\t\t<\/h4>\n\t<\/div>\n\t<div data-id=\"opiekun\" data-orig_data_id=\"opiekun\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<h4>Dane opiekuna\n\t\t<\/h4>\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=\"Jan\" 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=\"Kowalski\" 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-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel in\" autocomplete=\"tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"000 000 000\" value=\"\" type=\"tel\" 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-validates-as-required wpcf7-text wpcf7-validates-as-email in\" aria-required=\"true\" 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<div data-id=\"dziecko\" data-orig_data_id=\"dziecko\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<h4>Dane dziecka\n\t\t<\/h4>\n\t\t<p><label class=\"lb req\">Imi\u0119<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"imied\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Antoni\" value=\"\" type=\"text\" name=\"imied\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label class=\"lb req\">Nazwisko<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nazwiskod\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Kowalski\" value=\"\" type=\"text\" name=\"nazwiskod\" \/><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"bp2\" data-orig_data_id=\"bp2\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label class=\"lb req\">PESEL<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"peseld\"><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=\"peseld\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"brakpesel\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox cb\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"brakpesel\" value=\"Dziecko nie ma nadanego PESEL\" \/><span class=\"wpcf7-list-item-label\">Dziecko nie ma nadanego PESEL<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"bp\" data-orig_data_id=\"bp\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label class=\"lb req\">Data urodzenia dziecka<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dataurd\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date dt\" min=\"2008-01-01\" max=\"2026-05-21\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dataurd\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label class=\"lb req\">P\u0142e\u0107 dziecka<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"plecd\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox cb\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"plecd\" value=\"Ch\u0142opiec\" \/><span class=\"wpcf7-list-item-label\">Ch\u0142opiec<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"plecd\" value=\"Dziewczynka\" \/><span class=\"wpcf7-list-item-label\">Dziewczynka<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\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 deklaracja\">\n\t\t<div class=\"cfe\">\n\t\t\t<h3 class=\"a\">1. Deklaracja\n\t\t\t<\/h3>\n\t\t\t<h3 class=\"a\">2. Dane\n\t\t\t<\/h3>\n\t\t\t<h3 class=\"a\">>3. Adres\n\t\t\t<\/h3>\n\t\t\t<h3>4. Zgody\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"cfe-m\">\n\t\t\t<h3 class=\"a\">3. Adres\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"r3\">\n\t\t\t<p><label class=\"lb req\">Ulica<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ulica\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Przyk\u0142adowa\" value=\"\" type=\"text\" name=\"ulica\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label class=\"lb req\">Nr domu<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nrdomu\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"10\" value=\"\" type=\"text\" name=\"nrdomu\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label class=\"lb\">Numer mieszkania<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nrmiesz\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text in\" aria-invalid=\"false\" placeholder=\"10\" value=\"\" type=\"text\" name=\"nrmiesz\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"r2\">\n\t\t\t<p><label class=\"lb req\">Kod pocztowy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"kodp\"><input size=\"40\" maxlength=\"6\" minlength=\"6\" class=\"wpcf7-form-control wpcf7-text in\" aria-invalid=\"false\" placeholder=\"00-000\" value=\"\" type=\"text\" name=\"kodp\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label class=\"lb req\">Miejscowo\u015b\u0107<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"miejscowosc\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Warszawa\" value=\"\" type=\"text\" name=\"miejscowosc\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label class=\"lb req\">Wojew\u00f3dztwo<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"wojewodztwo\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"wojewodztwo\"><option value=\"\">---<\/option><option value=\"Dolno\u015bl\u0105skie\">Dolno\u015bl\u0105skie<\/option><option value=\"Kujawsko-pomorskie\">Kujawsko-pomorskie<\/option><option value=\"Lubelskie\">Lubelskie<\/option><option value=\"Lubuskie\">Lubuskie<\/option><option value=\"\u0141\u00f3dzkie\">\u0141\u00f3dzkie<\/option><option value=\"Ma\u0142opolskie\">Ma\u0142opolskie<\/option><option value=\"Mazowieckie\">Mazowieckie<\/option><option value=\"Opolskie\">Opolskie<\/option><option value=\"Podkarpackie\">Podkarpackie<\/option><option value=\"Podlaskie\">Podlaskie<\/option><option value=\"Pomorskie\">Pomorskie<\/option><option value=\"\u015al\u0105skie\">\u015al\u0105skie<\/option><option value=\"\u015awi\u0119tokrzyskie\">\u015awi\u0119tokrzyskie<\/option><option value=\"Warmi\u0144sko-mazurskie\">Warmi\u0144sko-mazurskie<\/option><option value=\"Wielkopolskie\">Wielkopolskie<\/option><option value=\"Zachodniopomorskie\">Zachodniopomorskie<\/option><\/select><\/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-3\">Cofnij<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\">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 deklaracja\">\n\t\t<div class=\"cfe\">\n\t\t\t<h3 class=\"a\">1. Deklaracja\n\t\t\t<\/h3>\n\t\t\t<h3 class=\"a\">2. Dane\n\t\t\t<\/h3>\n\t\t\t<h3 class=\"a\">3. Adres\n\t\t\t<\/h3>\n\t\t\t<h3 class=\"a\">4. Zgody\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"cfe-m\">\n\t\t\t<h3 class=\"a\">4. Zgody\n\t\t\t<\/h3>\n\t\t<\/div>\n\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<\/p>\n\t\t<div class=\"zgody\">\n\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<\/p>\n\t\t<\/div>\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner wyslij\" type=\"submit\" value=\"Wy\u015blij\" \/>\n\t\t<\/p>\n\t\t<div class=\"bezp\">\n\t\t\t<p>Przesy\u0142ane przez szyfrowane po\u0142\u0105czenie.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\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-4\">Cofnij<\/button><button type=\"button\" style=\"display: none;\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-4\"><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<\/p>\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 class=\"elementor-element elementor-element-8f511da elementor-widget elementor-widget-heading\" data-id=\"8f511da\" 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\">Przychodnia Dr Teraz, OTMED sp. z o.o. z siedzib\u0105 w Warszawie jest podmiotem leczniczym wpisanym do Rejestru Podmiot\u00f3w Wykonuj\u0105cych Dzia\u0142alno\u015b\u0107 Lecznicz\u0105 prowadzonego przez Wojewod\u0119 Mazowieckiego - numer ksi\u0119gi rejestrowej: 000000009383.<\/span>\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<div class=\"elementor-element elementor-element-269fba2 e-con-full e-flex e-con e-parent\" data-id=\"269fba2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-354d573 e-con-full e-flex e-con e-child\" data-id=\"354d573\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e5f9ae6 g1 elementor-widget elementor-widget-heading\" data-id=\"e5f9ae6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dlaczego <span>warto?<\/span><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c7c0113 ul1 g2 elementor-widget elementor-widget-heading\" data-id=\"c7c0113\" 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\"><ul>\n<li>\ud83d\udc68\u200d\u2695\ufe0f Bezp\u0142atne konsultacje i teleporady\n<li>\ud83d\udc89 Szybki dost\u0119p do recept, skierowa\u0144 i zwolnie\u0144 lekarskich\n<li>\ud83d\udcc5 Kr\u00f3tkie terminy i przyjazna obs\u0142uga\n<li>\ud83e\udded Nowoczesna aplikacja mobilna\n<\/ul><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ce29e8b e-con-full elementor-hidden-tablet elementor-hidden-mobile e-flex e-con e-child\" data-id=\"ce29e8b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5550b6e e-con-full e-flex e-con e-parent\" data-id=\"5550b6e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a6d37d6 g1 elementor-widget elementor-widget-heading\" data-id=\"a6d37d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Najcz\u0119\u015bciej zadawane <span>pytania<\/span><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-096f78d elementor-widget elementor-widget-n-accordion\" data-id=\"096f78d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-9890\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-9890\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Czy z\u0142o\u017cenie deklaracji co\u015b kosztuje? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-9890\" class=\"elementor-element elementor-element-2d35de5 e-con-full e-flex e-con e-child\" data-id=\"2d35de5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-9890\" class=\"elementor-element elementor-element-dde80e7 e-con-full e-flex e-con e-child\" data-id=\"dde80e7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-65a4db8 elementor-widget elementor-widget-text-editor\" data-id=\"65a4db8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Nie. Sk\u0142adanie deklaracji jest bezp\u0142atne i pozwala na korzystanie z bezp\u0142atnych us\u0142ug.<\/p>\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\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-9891\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-9891\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Czy mog\u0119 mie\u0107 wi\u0119cej ni\u017c jedn\u0105 przychodni\u0119? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-9891\" class=\"elementor-element elementor-element-ace45ac e-con-full e-flex e-con e-child\" data-id=\"ace45ac\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-9891\" class=\"elementor-element elementor-element-380386b e-con-full e-flex e-con e-child\" data-id=\"380386b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-760c515 elementor-widget elementor-widget-text-editor\" data-id=\"760c515\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Nie. Narodowy Fundusz Zdrowia pozwala korzysta\u0107 w jednym czasie z us\u0142ug tylko jednej przychodni. Je\u015bli zapiszesz si\u0119 do Dr Teraz zostaniesz automatycznie wypisany\/a z poprzedniej przychodni. Nie ma potrzeby sk\u0142adania \u017cadnych dodatkowych dokument\u00f3w w Twojej poprzedniej plac\u00f3wce.<\/p>\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\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-9892\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-9892\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Czy mog\u0119 zmieni\u0107 przychodni\u0119? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-9892\" class=\"elementor-element elementor-element-05c6edb e-con-full e-flex e-con e-child\" data-id=\"05c6edb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-9892\" class=\"elementor-element elementor-element-dd6e52b e-con-full e-flex e-con e-child\" data-id=\"dd6e52b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-35d9c07 elementor-widget elementor-widget-text-editor\" data-id=\"35d9c07\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Tak, deklaracj\u0119 mo\u017cna zmieni\u0107 w dowolnym momencie \u2013 nie trzeba si\u0119 wypisywa\u0107 z poprzedniej plac\u00f3wki.<\/p>\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\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ea7cd48 e-con-full ldn e-flex e-con e-parent\" data-id=\"ea7cd48\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-aaa9d99 e-con-full ldn-bg e-flex e-con e-child\" data-id=\"aaa9d99\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f0000c3 e-con-full ldn-c sc c1 e-flex e-con e-child\" data-id=\"f0000c3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4e1f587 elementor-widget elementor-widget-html\" data-id=\"4e1f587\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div class=\"ldn-o\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59f5bd1 elementor-widget elementor-widget-heading\" data-id=\"59f5bd1\" 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\">Przetwarzanie...<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b01682c elementor-widget elementor-widget-heading\" data-id=\"b01682c\" 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\">Prosimy o chwil\u0119 cierpliwo\u015bci.<\/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-ea38e7c e-con-full e-flex e-con e-parent\" data-id=\"ea38e7c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;position&quot;:&quot;absolute&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f7241b elementor-widget elementor-widget-html\" data-id=\"8f7241b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script>\n$(document).ready(function() {\n  $('.wyslij').on('click', function() {\n    if ($('#zgoda1').is(':checked') && $('#zgoda3').is(':checked')) {\n      $('.ldn').addClass('ldn-a');\n    }\n  });\n});\n<\/script>\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>Od 2005 roku zaufa\u0142o nam ponad 10 000 pacjent\u00f3w! Z\u0142o\u017cenie deklaracji jest bezp\u0142atne Wymagany podpis Profilem Zaufanym R\u00f3wnie\u017c mo\u017cesz z\u0142o\u017cy\u0107 deklaracj\u0119 w przychodni przed pierwsz\u0105 wizyt\u0105 Po z\u0142o\u017ceniu deklaracji online: &#8211; od razu mo\u017cesz korzysta\u0107 z naszych us\u0142ug, &#8211; mo\u017cesz um\u00f3wi\u0107 si\u0119 do dowolnego lekarza lub piel\u0119gniarki, &#8211; zostaniesz automatycznie wypisany z poprzedniej przychodni. Wymagane [&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-4140","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/4140","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=4140"}],"version-history":[{"count":440,"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/4140\/revisions"}],"predecessor-version":[{"id":19093,"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/4140\/revisions\/19093"}],"wp:attachment":[{"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}