{"id":576,"date":"2026-09-30T10:05:33","date_gmt":"2026-09-30T10:05:33","guid":{"rendered":"https:\/\/zahnarztpraxis-rivero.de\/?page_id=576"},"modified":"2026-09-30T22:22:48","modified_gmt":"2026-09-30T22:22:48","slug":"terminvereinbarung","status":"publish","type":"page","link":"https:\/\/zahnarztpraxis-rivero.de\/de_de\/terminvereinbarung\/","title":{"rendered":"Termin online anfragen"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_7 ffs_default_wrap'><form data-form_id=\"7\" id=\"fluentform_7\" class=\"frm-fluent-form fluent_form_7 ff-el-form-top ff_form_instance_7_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_7_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Termin online anfragen<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='576' \/><input type=\"hidden\" id=\"_fluentform_7_fluentformnonce\" name=\"_fluentform_7_fluentformnonce\" value=\"95abca67bf\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/de_de\/wp-json\/wp\/v2\/pages\/576\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-7_1\" ><h2>Termin online anfragen<\/h2>\n<p><strong>Herzlich willkommen in der Zahnarztpraxis Rivero.<\/strong><\/p>\n<p>Nutzen Sie dieses Formular, um Ihren Terminwunsch an uns zu senden. Wir pr\u00fcfen Ihre Anfrage und melden uns schnellstm\u00f6glich bei Ihnen, um einen passenden Termin zu vereinbaren.<\/p><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-7_2\" ><h3 class='ff-el-section-title'>Pers\u00f6nliche Daten<\/h3><div class='ff-section_break_desk'><p>Bitte geben Sie Ihre Kontaktdaten ein.<\/p><\/div><hr \/><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_names_first_name_' id='label_ff_7_names_first_name_'>Vorname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_7_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_names_last_name_' id='label_ff_7_names_last_name_'>Nachname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_7_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your Last Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50.41%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_phone' id='label_ff_7_phone'>Phone\/Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobilnummer\" data-name=\"phone\" id=\"ff_7_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 49.59%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_email' id='label_ff_7_email'>E-Mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_7_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Sind Sie bereits Patient\/in unserer Praxis?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4f51c7c68be27f1d8e579c67beeb396c'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_4f51c7c68be27f1d8e579c67beeb396c' aria-label='Ja' aria-invalid='false' aria-required=true> <span>Ja<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_927145a2cf7cd14131aaec161943415e'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nein\"  id='input_radio_927145a2cf7cd14131aaec161943415e' aria-label='Nein' aria-invalid='false' aria-required=true> <span>Nein<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-7_3\" ><h3 class='ff-el-section-title'>Grund Ihres Besuches<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Was ist der Grund Ihres Besuches?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_b524eb43dae3677043b765dcd4c4dfe5'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Kontrolluntersuchung\"  id='input_radio_1_b524eb43dae3677043b765dcd4c4dfe5' aria-label='Kontrolluntersuchung' aria-invalid='false' aria-required=true> <span>Kontrolluntersuchung<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_9dd79a2bcbc9e60b216f9ebfc52dfd8b'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Schmerzen\"  id='input_radio_1_9dd79a2bcbc9e60b216f9ebfc52dfd8b' aria-label='Schmerzen' aria-invalid='false' aria-required=true> <span>Schmerzen<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_c91913f2266f9a82c2823203f15a0948'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Beratung\"  id='input_radio_1_c91913f2266f9a82c2823203f15a0948' aria-label='Beratung' aria-invalid='false' aria-required=true> <span>Beratung<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_2f4e990d53bc85481ab1f8f0db4ab922'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Zweitmeinung\"  id='input_radio_1_2f4e990d53bc85481ab1f8f0db4ab922' aria-label='Zweitmeinung' aria-invalid='false' aria-required=true> <span>Zweitmeinung<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_3c724dfbfd80f6bcaafc8b2359dd7829'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Sonstiges\"  id='input_radio_1_3c724dfbfd80f6bcaafc8b2359dd7829' aria-label='Sonstiges' aria-invalid='false' aria-required=true> <span>Sonstiges<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_multi_select' id='label_ff_7_multi_select'>Wobei m\u00f6chten Sie sich beraten lassen?<\/label><\/div><div class='ff-el-input--content'><select name=\"multi_select[]\" id=\"ff_7_multi_select\" class=\"ff-el-form-control  ff_has_multi_select\" multiple=\"1\" data-name=\"multi_select\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_7_multi_select\"><option value=\"Zahnersatz\"  >Zahnersatz<\/option><option value=\"Implantat\"  >Implantat<\/option><option value=\"Bleaching\"  >Bleaching<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_description' id='label_ff_7_description'>Bitte beschreiben Sie kurz Ihr Anliegen.<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_7_description\" name=\"description\" id=\"ff_7_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-7_4\" ><div>\n<p><strong>Akute Beschwerden?<\/strong><\/p>\n<p>Bei akuten Schmerzen rufen Sie uns bitte m\u00f6glichst direkt an. Wir werden unser Bestes tun, um Ihre Wartezeit so kurz wie m\u00f6glich zu halten.<\/p>\n<\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-7_5\" ><h3 class='ff-el-section-title'>Terminwunsch<\/h3><div class='ff-section_break_desk'><p>Teilen Sie uns mit, wann es Ihnen am besten passt.<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Welche Tageszeit passt Ihnen am besten?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_3375f84a8d0b1ded3c8aa814bbbfadef'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Vormittag\"  id='input_radio_2_3375f84a8d0b1ded3c8aa814bbbfadef' aria-label='Vormittag' aria-invalid='false' aria-required=true> <span>Vormittag<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_b92000a9309995962198e9f3da9d9a88'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nachmittag\"  id='input_radio_2_b92000a9309995962198e9f3da9d9a88' aria-label='Nachmittag' aria-invalid='false' aria-required=true> <span>Nachmittag<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_892db01beb7df9f01a7be64940d7b88c'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Egal\"  id='input_radio_2_892db01beb7df9f01a7be64940d7b88c' aria-label='Egal' aria-invalid='false' aria-required=true> <span>Egal<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_datetime' id='label_ff_7_datetime'>Gew\u00fcnschtes Datum<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Gew\u00fcnschtes Datum Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_7_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_datetime_1' id='label_ff_7_datetime_1'>Alternatives Datum<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Alternatives Datum Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_7_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_description_1' id='label_ff_7_description_1'>M\u00f6chten Sie uns noch etwas mitteilen?<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_7_description_1\" name=\"description_1\" id=\"ff_7_description_1\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Datenschutz<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' 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