{"id":7485,"date":"2025-10-09T16:17:05","date_gmt":"2025-10-09T14:17:05","guid":{"rendered":"https:\/\/cleandrteraz.apchnk.xyz\/?page_id=7485"},"modified":"2026-05-09T01:14:07","modified_gmt":"2026-05-08T23:14:07","slug":"skierowania","status":"publish","type":"page","link":"https:\/\/cleandrteraz.apchnk.xyz\/?page_id=7485","title":{"rendered":"Skierowania"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7485\" class=\"elementor elementor-7485\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3bcb1a7 e-con-full e-flex e-con e-parent\" data-id=\"3bcb1a7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ae86f3e e-con-full sc c2 e-flex e-con e-child\" data-id=\"ae86f3e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8a0d2f5 elementor-widget elementor-widget-heading\" data-id=\"8a0d2f5\" 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-fe82f45 elementor-widget elementor-widget-shortcode\" data-id=\"fe82f45\" 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-f7484-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"7484\">\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%2F7485#wpcf7-f7484-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-auto-return-first-step cf7mls-no-moving-animation\" aria-label=\"Formularz kontaktowy\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"7484\" \/><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-f7484-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;:7484,&quot;conditions&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=\"cf recepta\">\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\">Rok urodzenia<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rok\"><input size=\"40\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required in\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"1980\" value=\"\" type=\"text\" name=\"rok\" \/><\/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\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=\"623623623\" value=\"\" type=\"text\" name=\"tel\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"lb\">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-text in\" autocomplete=\"email\" aria-invalid=\"false\" placeholder=\"jan.kowalski@email.pl\" value=\"\" type=\"text\" name=\"email\" \/><\/span>\n\t<\/p>\n\t<p><label class=\"lb req subb\">Podaj, jakiego typu skierowania potrzebujesz <\/label><span class=\"sub\">Je\u015bli to mo\u017cliwe, podaj kod poradni lub jej precyzyjn\u0105 nazw\u0119.<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"skierowanie\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"skierowanie\"><\/textarea><\/span>\n\t<\/p>\n\t<p><label class=\"lb req subb\">Pow\u00f3d skierowania<\/label><span class=\"sub\">Opisz, z jakiego powodu potrzebujesz skierowania. Je\u015bli wynika to z dokumentacji, za\u0142\u0105cz j\u0105 w polu poni\u017cej.<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"powod\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" name=\"powod\"><\/textarea><\/span>\n\t<\/p>\n\t<div class=\"pliki\">\n\t\t<p><label class=\"lb\">Dodaj dokumentacj\u0119<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"plik\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file plik\" id=\"plik\" accept=\"audio\/*,video\/*,image\/*,.pdf\" aria-invalid=\"false\" type=\"file\" name=\"plik\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\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 <a href=\"\/regulamin\/\">Regulamin<\/a><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\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"zgoda2\" value=\"1\" class=\"zgoda\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Zapozna\u0142em\/am si\u0119 z i akceptuj\u0119 <a href=\"\/polityka-prywatnosci\/\">Polityk\u0119 prywatno\u015bci<\/a><i>*<\/i><\/span><\/label><\/span><\/span><\/span><br \/>\n\t<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"Skierowanie\" type=\"hidden\" name=\"typ\" \/><br \/>\n<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<\/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-8e65792 e-con-full e-flex e-con e-child\" data-id=\"8e65792\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-7a7eb92 e-con-full e-flex e-con e-child\" data-id=\"7a7eb92\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-dee8749 e-con-full e-flex e-con e-child\" data-id=\"dee8749\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1f42e14 elementor-widget elementor-widget-heading\" data-id=\"1f42e14\" 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 skierowanie<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2b73d7e e-con-full e-flex e-con e-child\" data-id=\"2b73d7e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f13ea78 elementor-widget elementor-widget-heading\" data-id=\"f13ea78\" 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<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-221e96d elementor-widget elementor-widget-heading\" data-id=\"221e96d\" 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-db32400 e-con-full e-flex e-con e-child\" data-id=\"db32400\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3a48dbe elementor-widget elementor-widget-heading\" data-id=\"3a48dbe\" 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\">Do 48h (dni robocze)\n\n<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b2e415 elementor-widget elementor-widget-heading\" data-id=\"5b2e415\" 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-fa6230c e-con-full e-flex e-con e-child\" data-id=\"fa6230c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5cf7f58 elementor-widget elementor-widget-heading\" data-id=\"5cf7f58\" 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\">Aktywna deklaracja POZ<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b149d79 elementor-widget elementor-widget-heading\" data-id=\"b149d79\" 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-7d10cfe e-con-full e-flex e-con e-child\" data-id=\"7d10cfe\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc89036 elementor-widget elementor-widget-heading\" data-id=\"dc89036\" 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 na numer podany w Przychodni<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-590a11f elementor-widget elementor-widget-heading\" data-id=\"590a11f\" 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\">Miejsce 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-ab2b719 e-con-full sc c2 oh e-flex e-con e-child\" data-id=\"ab2b719\" 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-52d6800 elementor-widget elementor-widget-heading\" data-id=\"52d6800\" 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-e2e0209 elementor-widget elementor-widget-heading\" data-id=\"e2e0209\" 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:<\/span>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-93bdb18 e-con-full e-flex e-con e-child\" data-id=\"93bdb18\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4b3da54 eb1-1 elementor-widget elementor-widget-button\" data-id=\"4b3da54\" 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-5ca8326 eb1-1 elementor-widget elementor-widget-button\" data-id=\"5ca8326\" 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=\"https:\/\/app.drteraz.pl\/create-account-username\/0\" target=\"_blank\" rel=\"noopener\">\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\">Um\u00f3w 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 class=\"elementor-element elementor-element-68cee8b elementor-widget elementor-widget-heading\" data-id=\"68cee8b\" 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-c06a0c8 eb1-1 elementor-widget elementor-widget-button\" data-id=\"c06a0c8\" 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 skierowanie Bezp\u0142atnie Koszt Do 48h (dni robocze) Pozytywna decyzja lekarza Aktywna deklaracja POZ Wymagania Kod SMS na numer podany w Przychodni Miejsce odbioru Nie jeste\u015b jeszcze naszym Pacjentem? Um\u00f3w pierwsz\u0105 wizyt\u0119: 699 570 191 Um\u00f3w online lub z\u0142\u00f3\u017c deklaracj\u0119 online: Z\u0142\u00f3\u017c deklaracj\u0119 online<\/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-7485","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/7485","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=7485"}],"version-history":[{"count":43,"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/7485\/revisions"}],"predecessor-version":[{"id":19985,"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=\/wp\/v2\/pages\/7485\/revisions\/19985"}],"wp:attachment":[{"href":"https:\/\/cleandrteraz.apchnk.xyz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}