{"id":2493,"date":"2022-06-10T15:46:49","date_gmt":"2022-06-10T12:46:49","guid":{"rendered":"https:\/\/santamonica.lv\/zarejestrowac-sie-na-wizyte\/"},"modified":"2025-02-27T22:39:05","modified_gmt":"2025-02-27T20:39:05","slug":"zarejestrowac-sie-na-wizyte","status":"publish","type":"page","link":"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/","title":{"rendered":"Zarejestrowa\u0107 si\u0119 na wizyt\u0119"},"content":{"rendered":"<style>.kb-row-layout-id2493_cd8749-08 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id2493_cd8749-08 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id2493_cd8749-08 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:140px;padding-bottom:100px;grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id2493_cd8749-08 > .kt-row-layout-overlay{opacity:0.07;background-image:url('https:\/\/santamonica.lv\/wp-content\/uploads\/2023\/08\/blommor.jpg');background-size:cover;background-position:51% 55.00000000000001%;background-attachment:scroll;background-repeat:no-repeat;mix-blend-mode:normal;}@media all and (max-width: 1024px){.kb-row-layout-id2493_cd8749-08 > .kt-row-column-wrap{padding-top:80px;padding-bottom:80px;grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id2493_cd8749-08 > .kt-row-column-wrap{padding-top:100px;padding-right:30px;padding-bottom:100px;padding-left:30px;grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id2493_cd8749-08 alignnone has-theme-palette8-background-color kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-layout-overlay kt-row-overlay-normal\"><\/div><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column2493_7b1d6d-80 > .kt-inside-inner-col,.kadence-column2493_7b1d6d-80 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2493_7b1d6d-80 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2493_7b1d6d-80 > .kt-inside-inner-col{flex-direction:column;}.kadence-column2493_7b1d6d-80 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column2493_7b1d6d-80 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2493_7b1d6d-80{position:relative;}@media all and (max-width: 1024px){.kadence-column2493_7b1d6d-80 > .kt-inside-inner-col{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column2493_7b1d6d-80 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2493_7b1d6d-80 inner-column-1\"><div class=\"kt-inside-inner-col\"><style>.kb-row-layout-id2493_097d99-ff > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id2493_097d99-ff > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id2493_097d99-ff > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:600px;margin-left:auto;margin-right:auto;padding-top:0px;padding-bottom:0px;grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id2493_097d99-ff > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id2493_097d99-ff > .kt-row-column-wrap{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id2493_097d99-ff > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id2493_097d99-ff alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column2493_b53945-68 > .kt-inside-inner-col{padding-right:40px;padding-left:40px;}.kadence-column2493_b53945-68 > .kt-inside-inner-col,.kadence-column2493_b53945-68 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2493_b53945-68 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2493_b53945-68 > .kt-inside-inner-col{flex-direction:column;}.kadence-column2493_b53945-68 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column2493_b53945-68 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2493_b53945-68{position:relative;}@media all and (max-width: 1024px){.kadence-column2493_b53945-68 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column2493_b53945-68 > .kt-inside-inner-col{padding-right:0px;padding-left:0px;flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2493_b53945-68 inner-column-1\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading2493_0c81c5-d0, .wp-block-kadence-advancedheading.kt-adv-heading2493_0c81c5-d0[data-kb-block=\"kb-adv-heading2493_0c81c5-d0\"]{padding-top:0px;padding-right:0px;padding-bottom:20px;padding-left:0px;margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;text-align:center;font-style:normal;text-transform:capitalize;}.wp-block-kadence-advancedheading.kt-adv-heading2493_0c81c5-d0 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2493_0c81c5-d0[data-kb-block=\"kb-adv-heading2493_0c81c5-d0\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h1 class=\"kt-adv-heading2493_0c81c5-d0 wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading2493_0c81c5-d0\">Zarejestrowa\u0107 si\u0119 na wizyt\u0119<\/h1>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading2493_0aed4d-a9, .wp-block-kadence-advancedheading.kt-adv-heading2493_0aed4d-a9[data-kb-block=\"kb-adv-heading2493_0aed4d-a9\"]{padding-right:0px;padding-left:0px;text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2493_0aed4d-a9 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2493_0aed4d-a9[data-kb-block=\"kb-adv-heading2493_0aed4d-a9\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading2493_0aed4d-a9, .wp-block-kadence-advancedheading.kt-adv-heading2493_0aed4d-a9[data-kb-block=\"kb-adv-heading2493_0aed4d-a9\"]{padding-right:0px;padding-left:0px;}}<\/style>\n<p class=\"kt-adv-heading2493_0aed4d-a9 wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading2493_0aed4d-a9\">Je\u015bli jeste\u015b zainteresowany us\u0142ugami naszej kliniki, skorzystaj z poni\u017cszego formularza i um\u00f3w si\u0119 na wizyt\u0119 w klinice, a nasi konsultanci oddzwoni\u0105 do Ciebie w celu ustalenia najbli\u017cszego i najdogodniejszego dla Ciebie terminu.<\/p>\n<\/div><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id2493_dc8b4e-17 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id2493_dc8b4e-17 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id2493_dc8b4e-17 > .kt-row-column-wrap{column-gap:20px;row-gap:20px;max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:80px;padding-right:20px;padding-bottom:80px;padding-left:20px;grid-template-columns:minmax(0, calc(65% - ((20px * 1 )\/2)))minmax(0, calc(35% - ((20px * 1 )\/2)));}.kb-row-layout-id2493_dc8b4e-17{background-color:#ffffff;}.kb-row-layout-id2493_dc8b4e-17 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id2493_dc8b4e-17 > .kt-row-column-wrap{padding-top:60px;padding-right:150px;padding-bottom:60px;padding-left:150px;grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id2493_dc8b4e-17 > .kt-row-column-wrap{padding-top:20px;padding-right:20px;padding-bottom:20px;padding-left:20px;grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id2493_dc8b4e-17 alignnone kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column2493_123dd0-0b > .kt-inside-inner-col{display:flex;}.kadence-column2493_123dd0-0b > .kt-inside-inner-col{padding-top:40px;padding-right:20px;padding-bottom:40px;padding-left:20px;}.kadence-column2493_123dd0-0b > .kt-inside-inner-col,.kadence-column2493_123dd0-0b > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2493_123dd0-0b > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2493_123dd0-0b > .kt-inside-inner-col{flex-direction:column;justify-content:center;align-items:flex-start;}.kadence-column2493_123dd0-0b > .kt-inside-inner-col > .kb-image-is-ratio-size{align-self:stretch;}.kadence-column2493_123dd0-0b > .kt-inside-inner-col > .wp-block-kadence-advancedgallery{align-self:stretch;}.kadence-column2493_123dd0-0b > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column2493_123dd0-0b{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column2493_123dd0-0b{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column2493_123dd0-0b > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column2493_123dd0-0b > .kt-inside-inner-col{background-color:var(--global-palette9, #ffffff);}.kadence-column2493_123dd0-0b > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2493_123dd0-0b{position:relative;}.kadence-column2493_123dd0-0b, .kt-inside-inner-col > .kadence-column2493_123dd0-0b:not(.specificity){margin-right:0px;margin-left:60px;}@media all and (max-width: 1024px){.kadence-column2493_123dd0-0b > .kt-inside-inner-col{padding-top:20px;padding-right:0px;padding-bottom:0px;padding-left:0px;flex-direction:column;justify-content:center;align-items:flex-start;}}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column2493_123dd0-0b{align-self:center;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column2493_123dd0-0b{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column2493_123dd0-0b > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column2493_123dd0-0b, .kt-inside-inner-col > .kadence-column2493_123dd0-0b:not(.specificity){margin-right:0px;margin-left:0px;}}@media all and (max-width: 767px){.kadence-column2493_123dd0-0b > .kt-inside-inner-col{padding-top:20px;padding-right:20px;padding-bottom:20px;padding-left:20px;flex-direction:column;justify-content:center;align-items:flex-start;}.kt-row-column-wrap > .kadence-column2493_123dd0-0b{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column2493_123dd0-0b{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column2493_123dd0-0b > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column2493_123dd0-0b, .kt-inside-inner-col > .kadence-column2493_123dd0-0b:not(.specificity){margin-right:0px;margin-left:0px;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2493_123dd0-0b kb-section-dir-vertical inner-column-2\"><div class=\"kt-inside-inner-col\"><style>.kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field{margin-bottom:10px;}.kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field{padding-right:15px;padding-left:15px;}.kadence-form-2493_e4b0d3-14 .kb-form{margin-right:-15px;margin-left:-15px;}.kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field .kb-text-style-field, .kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field .kb-select-style-field{color:var(--global-palette3, #1A202C);border-radius:0px;border-width:0px 0px 2px 0px;background:var(--global-palette8, #F7FAFC);border-color:var(--global-palette7, #EDF2F7);}.kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field > label{font-family:Prompt;font-style:normal;font-weight:500;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field .kb-forms-submit{color:#ffffff;}.kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field .kb-forms-submit:hover, .kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field .kb-forms-submit:focus {color:#ffffff;}.kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field .kb-forms-submit{text-transform:capitalize;font-family:Prompt;font-style:normal;font-weight:500;}.kb-form input.kadence-blocks-field.verify{opacity:0.0;position:absolute;top:0.0;left:0.0;width:0.0;height:0.0;z-index:-1;}@media all and (max-width: 767px){.kadence-form-2493_e4b0d3-14 .kb-form .kadence-blocks-form-field .kb-forms-submit{margin-top:20px;}}<\/style>\n<div class=\"wp-block-kadence-form kadence-form-2493_e4b0d3-14 kb-form-wrap\"><form class=\"kb-form\" action=\"\" method=\"post\" data-error-message=\"Prosimy o dok\u0142adne wype\u0142nienie formularza zg\u0142oszeniowego.\"><div class=\"kadence-blocks-form-field kb-field-desk-width-50 kb-field-mobile-width-100 kb-input-size-standard\"><label for=\"kb_field_2493_e4b0d3-14_0\">Imi\u0119, Nazwisko<span class=\"required\">*<\/span><\/label><input name=\"kb_field_0\" id=\"kb_field_2493_e4b0d3-14_0\" data-label=\"Imi\u0119, Nazwisko\" type=\"text\" placeholder=\"np. Jan Kowalski\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-0\" data-required=\"yes\" data-required-message=\"Pe\u0142ne imi\u0119 i nazwisko jest wymagane.\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-1 kb-field-desk-width-50 kb-field-mobile-width-100 kb-input-size-standard\"><label for=\"kb_field_2493_e4b0d3-14_1\">Nr telefonu<\/label><input name=\"kb_field_1\" id=\"kb_field_2493_e4b0d3-14_1\" data-label=\"Nr telefonu\" type=\"text\" placeholder=\"np. +48 XX XXX XXX\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-1\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-2 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_2493_e4b0d3-14_2\">E-mail<span class=\"required\">*<\/span><\/label><input name=\"kb_field_2\" id=\"kb_field_2493_e4b0d3-14_2\" data-label=\"E-mail\" type=\"email\" placeholder=\"np. xxxxx@yyyyy.com\" value=\"\" data-type=\"email\" class=\"kb-field kb-text-style-field kb-email-field kb-field-2\" data-required=\"yes\" data-required-message=\"Adres e-mail jest wymagany.\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-3 kb-field-desk-width-50 kb-field-mobile-width-100 kb-input-size-standard\"><label for=\"kb_field_2493_e4b0d3-14_3\">Us\u0142ugi<\/label><div data-type=\"checkbox\" data-label=\"Us\u0142ugi\" id=\"kb_field_2493_e4b0d3-14_3\" class=\"kb-field kb-checkbox-style-field kb-checkbox-field kb-field-3 kb-radio-style-normal\"><div data-type=\"checkbox\" class=\"kb-checkbox-item kb-checkbox-item-0\"><input type=\"checkbox\" name=\"kb_field_3[]\" id=\"kb_field_3_0\" class=\"kb-sub-field kb-checkbox-style\" value=\"Leczenie raka\"\/><label for=\"kb_field_3_0\">Leczenie raka<\/label><\/div><div data-type=\"checkbox\" class=\"kb-checkbox-item kb-checkbox-item-1\"><input type=\"checkbox\" name=\"kb_field_3[]\" id=\"kb_field_3_1\" class=\"kb-sub-field kb-checkbox-style\" value=\"Analizy\"\/><label for=\"kb_field_3_1\">Analizy<\/label><\/div><div data-type=\"checkbox\" class=\"kb-checkbox-item kb-checkbox-item-2\"><input type=\"checkbox\" name=\"kb_field_3[]\" id=\"kb_field_3_2\" class=\"kb-sub-field kb-checkbox-style\" value=\"Rehabilitacja\"\/><label for=\"kb_field_3_2\">Rehabilitacja<\/label><\/div><div data-type=\"checkbox\" class=\"kb-checkbox-item kb-checkbox-item-3\"><input type=\"checkbox\" name=\"kb_field_3[]\" id=\"kb_field_3_3\" class=\"kb-sub-field kb-checkbox-style\" value=\"Przewlek\u0142y b\u00f3l\"\/><label for=\"kb_field_3_3\">Przewlek\u0142y b\u00f3l<\/label><\/div><div data-type=\"checkbox\" class=\"kb-checkbox-item kb-checkbox-item-4\"><input type=\"checkbox\" name=\"kb_field_3[]\" id=\"kb_field_3_4\" class=\"kb-sub-field kb-checkbox-style\" value=\"Choroby autoimmunologiczne\"\/><label for=\"kb_field_3_4\">Choroby autoimmunologiczne<\/label><\/div><div data-type=\"checkbox\" class=\"kb-checkbox-item kb-checkbox-item-5\"><input type=\"checkbox\" name=\"kb_field_3[]\" id=\"kb_field_3_5\" class=\"kb-sub-field kb-checkbox-style\" value=\" Detoksykacja metali ci\u0119\u017ckich\"\/><label for=\"kb_field_3_5\"> Detoksykacja metali ci\u0119\u017ckich<\/label><\/div><div data-type=\"checkbox\" class=\"kb-checkbox-item kb-checkbox-item-6\"><input type=\"checkbox\" name=\"kb_field_3[]\" id=\"kb_field_3_6\" class=\"kb-sub-field kb-checkbox-style\" value=\"Doradztwo \/ Inne\"\/><label for=\"kb_field_3_6\">Doradztwo \/ Inne<\/label><\/div><\/div><\/div><div class=\"kadence-blocks-form-field kb-form-field-4 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field_2493_e4b0d3-14_4\">Uwagi<\/label><textarea name=\"kb_field_4\" id=\"kb_field_2493_e4b0d3-14_4\" data-label=\"Uwagi\" type=\"textarea\" placeholder=\"Je\u015bli chcesz dowiedzie\u0107 si\u0119 wi\u0119cej na temat kt\u00f3rej\u015b z us\u0142ug, mo\u017cesz zostawi\u0107 w tym polu komentarze, pytania lub notatki.\" data-type=\"textarea\" class=\"kb-field kb-text-style-field kb-textarea-field kb-field-4\" rows=\"5\"><\/textarea><\/div><div class=\"kadence-blocks-form-field kb-form-field-5 kb-field-desk-width-50 kb-field-mobile-width-100 kb-input-size-standard\"><label for=\"kb_field_2493_e4b0d3-14_5\">Preferowany czas<\/label><input name=\"kb_field_5\" id=\"kb_field_2493_e4b0d3-14_5\" data-label=\"Preferowany czas\" type=\"text\" placeholder=\"np. 16 lub 17 sierpnia 2025 r., po 15:00\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-5\"\/><\/div><input type=\"hidden\" name=\"_kb_form_id\" value=\"2493_e4b0d3-14\"\/><input type=\"hidden\" name=\"_kb_form_post_id\" value=\"2493\"\/><input type=\"hidden\" name=\"action\" value=\"kb_process_ajax_submit\"\/><div class=\"kadence-blocks-form-field google-recaptcha-checkout-wrap\"><p id=\"kb-container-g-recaptcha\" class=\"google-recaptcha-container\"><span id=\"kb_recaptcha_2493_e4b0d3-14\" class=\"kadence-blocks-g-recaptcha-v2 g-recaptcha kb_recaptcha_2493_e4b0d3-14\" style=\"display:inline-block\"><\/span><\/p><\/div><label class=\"kadence-verify-label\">Email<input class=\"kadence-blocks-field verify\" type=\"text\" name=\"_kb_verify_email\" autocomplete=\"new-password\" aria-hidden=\"true\" placeholder=\"Email\" tabindex=\"-1\" data-1p-ignore=\"true\" data-lpignore=\"true\" \/><\/label><div class=\"kadence-blocks-form-field kb-submit-field kb-field-desk-width-100\"><button class=\"kb-forms-submit button kb-button-size-large kb-button-width-full\">Zastosuj wizyt\u0119<\/button><\/div><\/form><\/div>\n<noscript><div class=\"kadence-blocks-form-message kadence-blocks-form-warning\">Please enable JavaScript in your browser to submit the form<\/div><style>.kadence-form-2493_e4b0d3-14 .kadence-blocks-form-field.kb-submit-field { display: none; }<\/style><\/noscript><\/div><\/div>\n\n\n<style>.kadence-column2493_9bd694-65 > .kt-inside-inner-col,.kadence-column2493_9bd694-65 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2493_9bd694-65 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2493_9bd694-65 > .kt-inside-inner-col{flex-direction:column;}.kadence-column2493_9bd694-65 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column2493_9bd694-65 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2493_9bd694-65{position:relative;}@media all and (max-width: 1024px){.kadence-column2493_9bd694-65 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column2493_9bd694-65 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2493_9bd694-65\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Rozszerzony formularz wniosku pacjenta<\/h2>\n\n\n<style>.kb-row-layout-id2493_547321-c3 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id2493_547321-c3 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id2493_547321-c3 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id2493_547321-c3 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id2493_547321-c3 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id2493_547321-c3 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id2493_547321-c3 alignnone has-theme-palette7-background-color kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column2493_9236b1-b2 > .kt-inside-inner-col,.kadence-column2493_9236b1-b2 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2493_9236b1-b2 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2493_9236b1-b2 > .kt-inside-inner-col{flex-direction:column;}.kadence-column2493_9236b1-b2 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column2493_9236b1-b2 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2493_9236b1-b2{position:relative;}@media all and (max-width: 1024px){.kadence-column2493_9236b1-b2 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column2493_9236b1-b2 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2493_9236b1-b2\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedbtn.kb-btns2493_50dda1-33{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:center;align-items:center;}.kt-btns2493_50dda1-33 .kt-button{font-weight:normal;font-style:normal;}.kt-btns2493_50dda1-33 .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns2493_50dda1-33 .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns2493_50dda1-33 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns2493_50dda1-33 .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns2493_50dda1-33 .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns2493_50dda1-33 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns2493_50dda1-33 .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns2493_50dda1-33\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn2493_6d26ae-93.kb-button{width:initial;}<\/style><a class=\"kb-button kt-button button kb-btn2493_6d26ae-93 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-inherit  kt-btn-has-text-true kt-btn-has-svg-false  wp-block-button__link wp-block-kadence-singlebtn\" href=\"https:\/\/santamonica.lv\/wp-content\/uploads\/2024\/06\/patient-extended-application-form-santamonica.docx\" download=\"\"><span class=\"kt-btn-inner-text\">Pobierz ankiet\u0119<\/span><\/a><\/div>\n\n\n\n<p>Na nasz\u0105 pro\u015bb\u0119 prosimy o wype\u0142nienie rozszerzonego formularza zg\u0142oszeniowego i przes\u0142anie go na adres e-mail: <strong><a href=\"mailto:info@santamonica.lv\">info@santamonica.lv<\/a><\/strong><\/p>\n<\/div><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Zarejestrowa\u0107 si\u0119 na wizyt\u0119 Je\u015bli jeste\u015b zainteresowany us\u0142ugami naszej kliniki, skorzystaj z poni\u017cszego formularza i um\u00f3w si\u0119 na wizyt\u0119 w klinice, a nasi konsultanci oddzwoni\u0105 do Ciebie w celu ustalenia najbli\u017cszego i najdogodniejszego dla Ciebie terminu. Rozszerzony formularz wniosku pacjenta Na nasz\u0105 pro\u015bb\u0119 prosimy o wype\u0142nienie rozszerzonego formularza zg\u0142oszeniowego i przes\u0142anie go na adres e-mail:&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"hide","_kad_post_layout":"fullwidth","_kad_post_sidebar_id":"","_kad_post_content_style":"unboxed","_kad_post_vertical_padding":"hide","_kad_post_feature":"hide","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"class_list":["post-2493","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Zarejestrowa\u0107 si\u0119 na wizyt\u0119 - Santa Monica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Zarejestrowa\u0107 si\u0119 na wizyt\u0119 - Santa Monica\" \/>\n<meta property=\"og:description\" content=\"Zarejestrowa\u0107 si\u0119 na wizyt\u0119 Je\u015bli jeste\u015b zainteresowany us\u0142ugami naszej kliniki, skorzystaj z poni\u017cszego formularza i um\u00f3w si\u0119 na wizyt\u0119 w klinice, a nasi konsultanci oddzwoni\u0105 do Ciebie w celu ustalenia najbli\u017cszego i najdogodniejszego dla Ciebie terminu. Rozszerzony formularz wniosku pacjenta Na nasz\u0105 pro\u015bb\u0119 prosimy o wype\u0142nienie rozszerzonego formularza zg\u0142oszeniowego i przes\u0142anie go na adres e-mail:...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/\" \/>\n<meta property=\"og:site_name\" content=\"Santa Monica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/klinikasantamonica\" \/>\n<meta property=\"article:modified_time\" content=\"2025-02-27T20:39:05+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/\",\"url\":\"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/\",\"name\":\"Zarejestrowa\u0107 si\u0119 na wizyt\u0119 - Santa Monica\",\"isPartOf\":{\"@id\":\"https:\/\/santamonica.lv\/pl\/#website\"},\"datePublished\":\"2022-06-10T12:46:49+00:00\",\"dateModified\":\"2025-02-27T20:39:05+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/#breadcrumb\"},\"inLanguage\":\"pl-PL\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/santamonica.lv\/pl\/poczatek\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Zarejestrowa\u0107 si\u0119 na wizyt\u0119\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/santamonica.lv\/pl\/#website\",\"url\":\"https:\/\/santamonica.lv\/pl\/\",\"name\":\"Santa Monica\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/santamonica.lv\/pl\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pl-PL\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Zarejestrowa\u0107 si\u0119 na wizyt\u0119 - Santa Monica","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/santamonica.lv\/pl\/zarejestrowac-sie-na-wizyte\/","og_locale":"pl_PL","og_type":"article","og_title":"Zarejestrowa\u0107 si\u0119 na wizyt\u0119 - Santa Monica","og_description":"Zarejestrowa\u0107 si\u0119 na wizyt\u0119 Je\u015bli jeste\u015b zainteresowany us\u0142ugami naszej kliniki, skorzystaj z poni\u017cszego formularza i um\u00f3w si\u0119 na wizyt\u0119 w klinice, a nasi konsultanci oddzwoni\u0105 do Ciebie w celu ustalenia najbli\u017cszego i najdogodniejszego dla Ciebie terminu. 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