{"id":6601,"date":"2016-05-24T08:22:42","date_gmt":"2016-05-24T08:22:42","guid":{"rendered":"http:\/\/innwithemes.com\/composer\/?page_id=6601"},"modified":"2021-11-19T15:32:11","modified_gmt":"2021-11-19T14:32:11","slug":"euro-medica","status":"publish","type":"page","link":"https:\/\/e-rejestracja.info.pl\/rejestracja-euro-medica\/","title":{"rendered":"Euro-medica"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:30px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/rejestracja-euro-medica\/wp-json\/wp\/v2\/pages\/6601#gf_1'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Prosimy wype\u0142ni\u0107 formularz:<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id='field_1_5'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_5' >Wybierz rodzaj poradni<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_1_5' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Poradnia Psychologiczna dla dzieci i m\u0142odzie\u017cy - NFZ' >Poradnia Psychologiczna dla dzieci i m\u0142odzie\u017cy - NFZ<\/option><option value='Poradnia Zdrowia Psychicznego dla dzieci i m\u0142odzie\u017cy - NFZ' >Poradnia Zdrowia Psychicznego dla dzieci i m\u0142odzie\u017cy - NFZ<\/option><option value='Oddzia\u0142 Dzienny Psychiatryczny Rehabilitacyjny dla dzieci i m\u0142odzie\u017cy - NFZ' >Oddzia\u0142 Dzienny Psychiatryczny Rehabilitacyjny dla dzieci i m\u0142odzie\u017cy - NFZ<\/option><option value='Poradnia Psychologiczna i Psychoterapeutyczna - Prywatnie' >Poradnia Psychologiczna i Psychoterapeutyczna - Prywatnie<\/option><option value='Poradnia Zdrowia Psychicznego - Prywatnie' >Poradnia Zdrowia Psychicznego - Prywatnie<\/option><option value='Poradnia Dietetyczna - Prywatnie' >Poradnia Dietetyczna - Prywatnie<\/option><\/select><\/div><\/li><li id='field_1_25'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_25' >Wybierz miasto<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_1_25' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='' selected='selected'><\/option><option value='Che\u0142m' >Che\u0142m<\/option><option value='Jaros\u0142aw' >Jaros\u0142aw<\/option><option value='Krak\u00f3w' >Krak\u00f3w<\/option><option value='Krasnystaw' >Krasnystaw<\/option><option value='Kutno' >Kutno<\/option><option value='Lublin' >Lublin<\/option><option value='\u0141uk\u00f3w' >\u0141uk\u00f3w<\/option><option value='Mielec' >Mielec<\/option><option value='Ostrowiec \u015awi\u0119tokrzyski' >Ostrowiec \u015awi\u0119tokrzyski<\/option><option value='Pabianice' >Pabianice<\/option><option value='P\u0142ock' >P\u0142ock<\/option><option value='Przeworsk' >Przeworsk<\/option><option value='Rzesz\u00f3w' >Rzesz\u00f3w<\/option><option value='Sandomierz' >Sandomierz<\/option><option value='Siedlce' >Siedlce<\/option><option value='\u015awidnik' >\u015awidnik<\/option><option value='Tarnobrzeg' >Tarnobrzeg<\/option><option value='W\u0142odawa' >W\u0142odawa<\/option><option value='Zamo\u015b\u0107' >Zamo\u015b\u0107<\/option><\/select><\/div><\/li><li id='field_1_54'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_54' >Wybierz miasto<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_1_54' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='' ><\/option><option value='Che\u0142m' >Che\u0142m<\/option><option value='Krak\u00f3w' >Krak\u00f3w<\/option><option value='Lublin' >Lublin<\/option><option value='Mielec' >Mielec<\/option><option value='Rzesz\u00f3w' >Rzesz\u00f3w<\/option><option value='Sandomierz' >Sandomierz<\/option><option value='Zamo\u015b\u0107' >Zamo\u015b\u0107<\/option><\/select><\/div><\/li><li id='field_1_68'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_68' >Wybierz miasto<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_68' id='input_1_68' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='' selected='selected'><\/option><option value='Krak\u00f3w' >Krak\u00f3w<\/option><option value='Zamo\u015b\u0107' >Zamo\u015b\u0107<\/option><\/select><\/div><\/li><li id='field_1_74'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_74' >Wybierz miasto<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_1_74' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='' selected='selected'><\/option><option value='Lublin' >Lublin<\/option><option value='Ostrowiec \u015awi\u0119tokrzyski' >Ostrowiec \u015awi\u0119tokrzyski<\/option><\/select><\/div><\/li><li id='field_1_77'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_77' >Wybierz miasto<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_77' id='input_1_77' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Zamo\u015b\u0107' selected='selected'>Zamo\u015b\u0107<\/option><\/select><\/div><\/li><li id='field_1_58'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_58' >Wybierz miasto<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_1_58' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='' ><\/option><option value='Lublin' >Lublin<\/option><option value='Rzesz\u00f3w' >Rzesz\u00f3w<\/option><option value='Zamo\u015b\u0107' >Zamo\u015b\u0107<\/option><\/select><\/div><\/li><li id='field_1_26'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_26' >Wybierz specjalist\u0119<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_1_26' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Psycholog' selected='selected'>Psycholog<\/option><option value='Psychoterapeuta' >Psychoterapeuta<\/option><option value='Terapeuta \u015brodowiskowy' >Terapeuta \u015brodowiskowy<\/option><\/select><\/div><\/li><li id='field_1_59'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_59' >Wybierz specjalist\u0119<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_59' id='input_1_59' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Lekarz Psychiatra' selected='selected'>Lekarz Psychiatra<\/option><option value='Psycholog' >Psycholog<\/option><option value='Psychoterapeuta' >Psychoterapeuta<\/option><\/select><\/div><\/li><li id='field_1_110'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_110'><li class='gchoice_1_110_0'><input name='input_110' type='radio' value='Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142'  id='choice_1_110_0'    \/><label for='choice_1_110_0' id='label_1_110_0'>Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142<\/label><\/li><li class='gchoice_1_110_1'><input name='input_110' type='radio' value='Porada psychologiczna - 140 z\u0142'  id='choice_1_110_1'    \/><label for='choice_1_110_1' id='label_1_110_1'>Porada psychologiczna - 140 z\u0142<\/label><\/li><li class='gchoice_1_110_2'><input name='input_110' type='radio' value='Porada psychologiczna diagnostyczna - 140 z\u0142'  id='choice_1_110_2'    \/><label for='choice_1_110_2' id='label_1_110_2'>Porada psychologiczna diagnostyczna - 140 z\u0142<\/label><\/li><li class='gchoice_1_110_3'><input name='input_110' type='radio' value='Psychoterapia par - 250 z\u0142'  id='choice_1_110_3'    \/><label for='choice_1_110_3' id='label_1_110_3'>Psychoterapia par - 250 z\u0142<\/label><\/li><li class='gchoice_1_110_4'><input name='input_110' type='radio' value='Sesja psychoterapii indywidualnej - 170 z\u0142'  id='choice_1_110_4'    \/><label for='choice_1_110_4' id='label_1_110_4'>Sesja psychoterapii indywidualnej - 170 z\u0142<\/label><\/li><li class='gchoice_1_110_5'><input name='input_110' type='radio' value='Sesja psychoterapii rodzinnej - 300 z\u0142'  id='choice_1_110_5'    \/><label for='choice_1_110_5' id='label_1_110_5'>Sesja psychoterapii rodzinnej - 300 z\u0142<\/label><\/li><li class='gchoice_1_110_6'><input name='input_110' type='radio' value='Trening umiej\u0119tno\u015bci spo\u0142ecznych - 100 z\u0142'  id='choice_1_110_6'    \/><label for='choice_1_110_6' id='label_1_110_6'>Trening umiej\u0119tno\u015bci spo\u0142ecznych - 100 z\u0142<\/label><\/li><li class='gchoice_1_110_7'><input name='input_110' type='radio' value='Za\u015bwiadczenie - 20 z\u0142'  id='choice_1_110_7'    \/><label for='choice_1_110_7' id='label_1_110_7'>Za\u015bwiadczenie - 20 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_111'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_111'><li class='gchoice_1_111_0'><input name='input_111' type='radio' value='Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142'  id='choice_1_111_0'    \/><label for='choice_1_111_0' id='label_1_111_0'>Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142<\/label><\/li><li class='gchoice_1_111_1'><input name='input_111' type='radio' value='Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142'  id='choice_1_111_1'    \/><label for='choice_1_111_1' id='label_1_111_1'>Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142<\/label><\/li><li class='gchoice_1_111_2'><input name='input_111' type='radio' value='Test diagnostyczny MOXO z opisem - 1 h - dzieci i m\u0142odzie\u017c - 300 z\u0142'  id='choice_1_111_2'    \/><label for='choice_1_111_2' id='label_1_111_2'>Test diagnostyczny MOXO z opisem - 1 h - dzieci i m\u0142odzie\u017c - 300 z\u0142<\/label><\/li><li class='gchoice_1_111_3'><input name='input_111' type='radio' value='Test diagnostyczny MOXO z opisem - 1 h - doro\u015bli - 350 z\u0142'  id='choice_1_111_3'    \/><label for='choice_1_111_3' id='label_1_111_3'>Test diagnostyczny MOXO z opisem - 1 h - doro\u015bli - 350 z\u0142<\/label><\/li><li class='gchoice_1_111_4'><input name='input_111' type='radio' value='Wizyta diagnostyczna z wykorzystaniem DIVA-5 i Connersa , podsumowanie wynik\u00f3w - dzieci i m\u0142odzie\u017c - 200 z\u0142'  id='choice_1_111_4'    \/><label for='choice_1_111_4' id='label_1_111_4'>Wizyta diagnostyczna z wykorzystaniem DIVA-5 i Connersa , podsumowanie wynik\u00f3w - dzieci i m\u0142odzie\u017c - 200 z\u0142<\/label><\/li><li class='gchoice_1_111_5'><input name='input_111' type='radio' value='Wizyta diagnostyczna z wykorzystaniem DIVA-5 i Connersa , podsumowanie wynik\u00f3w - doro\u015bli - 250 z\u0142'  id='choice_1_111_5'    \/><label for='choice_1_111_5' id='label_1_111_5'>Wizyta diagnostyczna z wykorzystaniem DIVA-5 i Connersa , podsumowanie wynik\u00f3w - doro\u015bli - 250 z\u0142<\/label><\/li><li class='gchoice_1_111_6'><input name='input_111' type='radio' value='Test diagnostyczny MOXO x 2  (tego samego dnia) - 500 z\u0142'  id='choice_1_111_6'    \/><label for='choice_1_111_6' id='label_1_111_6'>Test diagnostyczny MOXO x 2  (tego samego dnia) - 500 z\u0142<\/label><\/li><li class='gchoice_1_111_7'><input name='input_111' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD dzieci i m\u0142odzie\u017cy  3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 700 z\u0142'  id='choice_1_111_7'    \/><label for='choice_1_111_7' id='label_1_111_7'>Pe\u0142na diagnoza psychologiczna ADHD dzieci i m\u0142odzie\u017cy  3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 700 z\u0142<\/label><\/li><li class='gchoice_1_111_8'><input name='input_111' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD dzieci i m\u0142odzie\u017cy  4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 900 z\u0142'  id='choice_1_111_8'    \/><label for='choice_1_111_8' id='label_1_111_8'>Pe\u0142na diagnoza psychologiczna ADHD dzieci i m\u0142odzie\u017cy  4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 900 z\u0142<\/label><\/li><li class='gchoice_1_111_9'><input name='input_111' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 850 z\u0142'  id='choice_1_111_9'    \/><label for='choice_1_111_9' id='label_1_111_9'>Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 850 z\u0142<\/label><\/li><li class='gchoice_1_111_10'><input name='input_111' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 1100 z\u0142'  id='choice_1_111_10'    \/><label for='choice_1_111_10' id='label_1_111_10'>Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 1100 z\u0142<\/label><\/li><li class='gchoice_1_111_11'><input name='input_111' type='radio' value='Za\u015bwiadczenie - 20 z\u0142'  id='choice_1_111_11'    \/><label for='choice_1_111_11' id='label_1_111_11'>Za\u015bwiadczenie - 20 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_112'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_112'><li class='gchoice_1_112_0'><input name='input_112' type='radio' value='Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142'  id='choice_1_112_0'    \/><label for='choice_1_112_0' id='label_1_112_0'>Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142<\/label><\/li><li class='gchoice_1_112_1'><input name='input_112' type='radio' value='Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142'  id='choice_1_112_1'    \/><label for='choice_1_112_1' id='label_1_112_1'>Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142<\/label><\/li><li class='gchoice_1_112_2'><input name='input_112' type='radio' value='Diagnoza ADHD - pakiet 3 wizyty - 750 z\u0142'  id='choice_1_112_2'    \/><label for='choice_1_112_2' id='label_1_112_2'>Diagnoza ADHD - pakiet 3 wizyty - 750 z\u0142<\/label><\/li><li class='gchoice_1_112_3'><input name='input_112' type='radio' value='Za\u015bwiadczenie - 20 z\u0142'  id='choice_1_112_3'    \/><label for='choice_1_112_3' id='label_1_112_3'>Za\u015bwiadczenie - 20 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_114'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_114'><li class='gchoice_1_114_0'><input name='input_114' type='radio' value='Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142'  id='choice_1_114_0'    \/><label for='choice_1_114_0' id='label_1_114_0'>Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142<\/label><\/li><li class='gchoice_1_114_1'><input name='input_114' type='radio' value='Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142'  id='choice_1_114_1'    \/><label for='choice_1_114_1' id='label_1_114_1'>Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142<\/label><\/li><li class='gchoice_1_114_2'><input name='input_114' type='radio' value='Trening umiej\u0119tno\u015bci spo\u0142ecznych - 150 z\u0142'  id='choice_1_114_2'    \/><label for='choice_1_114_2' id='label_1_114_2'>Trening umiej\u0119tno\u015bci spo\u0142ecznych - 150 z\u0142<\/label><\/li><li class='gchoice_1_114_3'><input name='input_114' type='radio' value='Za\u015bwiadczenie - 20 z\u0142'  id='choice_1_114_3'    \/><label for='choice_1_114_3' id='label_1_114_3'>Za\u015bwiadczenie - 20 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_115'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_115'><li class='gchoice_1_115_0'><input name='input_115' type='radio' value='Badanie intelektu dzieci i m\u0142odzie\u017cy \u2013 badanie podstawowe - 300 z\u0142'  id='choice_1_115_0'    \/><label for='choice_1_115_0' id='label_1_115_0'>Badanie intelektu dzieci i m\u0142odzie\u017cy \u2013 badanie podstawowe - 300 z\u0142<\/label><\/li><li class='gchoice_1_115_1'><input name='input_115' type='radio' value='Badanie og\u00f3lnego rozwoju \u2013 IDS 2 - 400 z\u0142'  id='choice_1_115_1'    \/><label for='choice_1_115_1' id='label_1_115_1'>Badanie og\u00f3lnego rozwoju \u2013 IDS 2 - 400 z\u0142<\/label><\/li><li class='gchoice_1_115_2'><input name='input_115' type='radio' value='Diagnoza funkcjonalna profilem psychoedukacyjnym Pep-r - 300 z\u0142'  id='choice_1_115_2'    \/><label for='choice_1_115_2' id='label_1_115_2'>Diagnoza funkcjonalna profilem psychoedukacyjnym Pep-r - 300 z\u0142<\/label><\/li><li class='gchoice_1_115_3'><input name='input_115' type='radio' value='Diagnoza integracji sensorycznej - 350 z\u0142'  id='choice_1_115_3'    \/><label for='choice_1_115_3' id='label_1_115_3'>Diagnoza integracji sensorycznej - 350 z\u0142<\/label><\/li><li class='gchoice_1_115_4'><input name='input_115' type='radio' value='Integracja sensoryczna - 170 z\u0142'  id='choice_1_115_4'    \/><label for='choice_1_115_4' id='label_1_115_4'>Integracja sensoryczna - 170 z\u0142<\/label><\/li><li class='gchoice_1_115_5'><input name='input_115' type='radio' value='Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142'  id='choice_1_115_5'    \/><label for='choice_1_115_5' id='label_1_115_5'>Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142<\/label><\/li><li class='gchoice_1_115_6'><input name='input_115' type='radio' value='Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142'  id='choice_1_115_6'    \/><label for='choice_1_115_6' id='label_1_115_6'>Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142<\/label><\/li><li class='gchoice_1_115_7'><input name='input_115' type='radio' value='Opinia psychologiczno-pedagogiczna (2 specjalist\u00f3w) - 400 z\u0142'  id='choice_1_115_7'    \/><label for='choice_1_115_7' id='label_1_115_7'>Opinia psychologiczno-pedagogiczna (2 specjalist\u00f3w) - 400 z\u0142<\/label><\/li><li class='gchoice_1_115_8'><input name='input_115' type='radio' value='Terapia TSR - 140 z\u0142'  id='choice_1_115_8'    \/><label for='choice_1_115_8' id='label_1_115_8'>Terapia TSR - 140 z\u0142<\/label><\/li><li class='gchoice_1_115_9'><input name='input_115' type='radio' value='Konsultacja logopedyczna - 150 z\u0142'  id='choice_1_115_9'    \/><label for='choice_1_115_9' id='label_1_115_9'>Konsultacja logopedyczna - 150 z\u0142<\/label><\/li><li class='gchoice_1_115_10'><input name='input_115' type='radio' value='Porada psychologiczna - 130 z\u0142'  id='choice_1_115_10'    \/><label for='choice_1_115_10' id='label_1_115_10'>Porada psychologiczna - 130 z\u0142<\/label><\/li><li class='gchoice_1_115_11'><input name='input_115' type='radio' value='Porada psychologiczna diagnostyczna - 140 z\u0142'  id='choice_1_115_11'    \/><label for='choice_1_115_11' id='label_1_115_11'>Porada psychologiczna diagnostyczna - 140 z\u0142<\/label><\/li><li class='gchoice_1_115_12'><input name='input_115' type='radio' value='Psychoterapia par - 330 z\u0142'  id='choice_1_115_12'    \/><label for='choice_1_115_12' id='label_1_115_12'>Psychoterapia par - 330 z\u0142<\/label><\/li><li class='gchoice_1_115_13'><input name='input_115' type='radio' value='Sesja psychoterapii rodzinnej - 250 z\u0142'  id='choice_1_115_13'    \/><label for='choice_1_115_13' id='label_1_115_13'>Sesja psychoterapii rodzinnej - 250 z\u0142<\/label><\/li><li class='gchoice_1_115_14'><input name='input_115' type='radio' value='Sesja psychoterapii rodzinnej - 2 prowadz\u0105cych - 360 z\u0142'  id='choice_1_115_14'    \/><label for='choice_1_115_14' id='label_1_115_14'>Sesja psychoterapii rodzinnej - 2 prowadz\u0105cych - 360 z\u0142<\/label><\/li><li class='gchoice_1_115_15'><input name='input_115' type='radio' value='Sesja psychoterapii indywidualnej - 180 z\u0142'  id='choice_1_115_15'    \/><label for='choice_1_115_15' id='label_1_115_15'>Sesja psychoterapii indywidualnej - 180 z\u0142<\/label><\/li><li class='gchoice_1_115_16'><input name='input_115' type='radio' value='Trening umiej\u0119tno\u015bci spo\u0142ecznych - 120 z\u0142'  id='choice_1_115_16'    \/><label for='choice_1_115_16' id='label_1_115_16'>Trening umiej\u0119tno\u015bci spo\u0142ecznych - 120 z\u0142<\/label><\/li><li class='gchoice_1_115_17'><input name='input_115' type='radio' value='Us\u0142uga terapeutyczna - 110 z\u0142'  id='choice_1_115_17'    \/><label for='choice_1_115_17' id='label_1_115_17'>Us\u0142uga terapeutyczna - 110 z\u0142<\/label><\/li><li class='gchoice_1_115_18'><input name='input_115' type='radio' value='Warsztaty psychoedukacyjne - 250 z\u0142'  id='choice_1_115_18'    \/><label for='choice_1_115_18' id='label_1_115_18'>Warsztaty psychoedukacyjne - 250 z\u0142<\/label><\/li><li class='gchoice_1_115_19'><input name='input_115' type='radio' value='Diagnoza neuropsychologiczna - 300 z\u0142'  id='choice_1_115_19'    \/><label for='choice_1_115_19' id='label_1_115_19'>Diagnoza neuropsychologiczna - 300 z\u0142<\/label><\/li><li class='gchoice_1_115_20'><input name='input_115' type='radio' value='Test diagnostyczny MOXO z opisem - 1h - 350 z\u0142'  id='choice_1_115_20'    \/><label for='choice_1_115_20' id='label_1_115_20'>Test diagnostyczny MOXO z opisem - 1h - 350 z\u0142<\/label><\/li><li class='gchoice_1_115_21'><input name='input_115' type='radio' value='Test diagnostyczny MOXO x2  (tego samego dnia) - 500 z\u0142'  id='choice_1_115_21'    \/><label for='choice_1_115_21' id='label_1_115_21'>Test diagnostyczny MOXO x2  (tego samego dnia) - 500 z\u0142<\/label><\/li><li class='gchoice_1_115_22'><input name='input_115' type='radio' value='Wizyta diagnostyczna z wykorzystaniem Connersa, podsumowanie wynik\u00f3w - 250 z\u0142'  id='choice_1_115_22'    \/><label for='choice_1_115_22' id='label_1_115_22'>Wizyta diagnostyczna z wykorzystaniem Connersa, podsumowanie wynik\u00f3w - 250 z\u0142<\/label><\/li><li class='gchoice_1_115_23'><input name='input_115' type='radio' value='Wizyta diagnostyczna z wykorzystaniem DIVA-5 - 220 z\u0142'  id='choice_1_115_23'    \/><label for='choice_1_115_23' id='label_1_115_23'>Wizyta diagnostyczna z wykorzystaniem DIVA-5 - 220 z\u0142<\/label><\/li><li class='gchoice_1_115_24'><input name='input_115' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD - 3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 850 z\u0142'  id='choice_1_115_24'    \/><label for='choice_1_115_24' id='label_1_115_24'>Pe\u0142na diagnoza psychologiczna ADHD - 3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 850 z\u0142<\/label><\/li><li class='gchoice_1_115_25'><input name='input_115' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD - 4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 1100 z\u0142'  id='choice_1_115_25'    \/><label for='choice_1_115_25' id='label_1_115_25'>Pe\u0142na diagnoza psychologiczna ADHD - 4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 1100 z\u0142<\/label><\/li><li class='gchoice_1_115_26'><input name='input_115' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD - 5 spotka\u0144 (test MOXO + 3 wizyty diagnostyczne + diagnoza neuropsychologiczna) - 1400 z\u0142'  id='choice_1_115_26'    \/><label for='choice_1_115_26' id='label_1_115_26'>Pe\u0142na diagnoza psychologiczna ADHD - 5 spotka\u0144 (test MOXO + 3 wizyty diagnostyczne + diagnoza neuropsychologiczna) - 1400 z\u0142<\/label><\/li><li class='gchoice_1_115_27'><input name='input_115' type='radio' value='Diagnoza autyzmu ADOS-2 - 1 wizyta z pakietu - 1000 z\u0142'  id='choice_1_115_27'    \/><label for='choice_1_115_27' id='label_1_115_27'>Diagnoza autyzmu ADOS-2 - 1 wizyta z pakietu - 1000 z\u0142<\/label><\/li><li class='gchoice_1_115_28'><input name='input_115' type='radio' value='Diagnoza autyzmu ADOS-2 - 2 i 3 wizyta z pakietu - 750 z\u0142'  id='choice_1_115_28'    \/><label for='choice_1_115_28' id='label_1_115_28'>Diagnoza autyzmu ADOS-2 - 2 i 3 wizyta z pakietu - 750 z\u0142<\/label><\/li><li class='gchoice_1_115_29'><input name='input_115' type='radio' value='Diagnoza autyzmu ADOS-2 - pakiet 3 wizyty - 2500 z\u0142'  id='choice_1_115_29'    \/><label for='choice_1_115_29' id='label_1_115_29'>Diagnoza autyzmu ADOS-2 - pakiet 3 wizyty - 2500 z\u0142<\/label><\/li><li class='gchoice_1_115_30'><input name='input_115' type='radio' value='Za\u015bwiadczenie - 20 z\u0142'  id='choice_1_115_30'    \/><label for='choice_1_115_30' id='label_1_115_30'>Za\u015bwiadczenie - 20 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_116'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_116'><li class='gchoice_1_116_0'><input name='input_116' type='radio' value='Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142'  id='choice_1_116_0'    \/><label for='choice_1_116_0' id='label_1_116_0'>Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142<\/label><\/li><li class='gchoice_1_116_1'><input name='input_116' type='radio' value='Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142'  id='choice_1_116_1'    \/><label for='choice_1_116_1' id='label_1_116_1'>Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142<\/label><\/li><li class='gchoice_1_116_2'><input name='input_116' type='radio' value='Porada psychologiczna - 150 z\u0142'  id='choice_1_116_2'    \/><label for='choice_1_116_2' id='label_1_116_2'>Porada psychologiczna - 150 z\u0142<\/label><\/li><li class='gchoice_1_116_3'><input name='input_116' type='radio' value='Za\u015bwiadczenie - 20 z\u0142'  id='choice_1_116_3'    \/><label for='choice_1_116_3' id='label_1_116_3'>Za\u015bwiadczenie - 20 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_117'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_117'><li class='gchoice_1_117_0'><input name='input_117' type='radio' value='Badanie diagnostyczne ADOS 2 - 800 z\u0142'  id='choice_1_117_0'    \/><label for='choice_1_117_0' id='label_1_117_0'>Badanie diagnostyczne ADOS 2 - 800 z\u0142<\/label><\/li><li class='gchoice_1_117_1'><input name='input_117' type='radio' value='Porada Neuropsychologa - 180 z\u0142'  id='choice_1_117_1'    \/><label for='choice_1_117_1' id='label_1_117_1'>Porada Neuropsychologa - 180 z\u0142<\/label><\/li><li class='gchoice_1_117_2'><input name='input_117' type='radio' value='Diagnoza neuropsychologiczna - 300 z\u0142'  id='choice_1_117_2'    \/><label for='choice_1_117_2' id='label_1_117_2'>Diagnoza neuropsychologiczna - 300 z\u0142<\/label><\/li><li class='gchoice_1_117_3'><input name='input_117' type='radio' value='Porada psychiatryczna - 300 z\u0142'  id='choice_1_117_3'    \/><label for='choice_1_117_3' id='label_1_117_3'>Porada psychiatryczna - 300 z\u0142<\/label><\/li><li class='gchoice_1_117_4'><input name='input_117' type='radio' value='Porada psychiatryczna kontrolna - 180 z\u0142'  id='choice_1_117_4'    \/><label for='choice_1_117_4' id='label_1_117_4'>Porada psychiatryczna kontrolna - 180 z\u0142<\/label><\/li><li class='gchoice_1_117_5'><input name='input_117' type='radio' value='Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142'  id='choice_1_117_5'    \/><label for='choice_1_117_5' id='label_1_117_5'>Opinia psychologiczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 200 z\u0142<\/label><\/li><li class='gchoice_1_117_6'><input name='input_117' type='radio' value='Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142'  id='choice_1_117_6'    \/><label for='choice_1_117_6' id='label_1_117_6'>Opinia psychologiczna kliniczna - opis z om\u00f3wieniem wynik\u00f3w bada\u0144 - 250 z\u0142<\/label><\/li><li class='gchoice_1_117_7'><input name='input_117' type='radio' value='Test diagnostyczny MOXO z opisem - 1h - dzieci i m\u0142odzie\u017c - 300 z\u0142'  id='choice_1_117_7'    \/><label for='choice_1_117_7' id='label_1_117_7'>Test diagnostyczny MOXO z opisem - 1h - dzieci i m\u0142odzie\u017c - 300 z\u0142<\/label><\/li><li class='gchoice_1_117_8'><input name='input_117' type='radio' value='Test diagnostyczny MOXO z opisem - 1h - doro\u015bli - 350 z\u0142'  id='choice_1_117_8'    \/><label for='choice_1_117_8' id='label_1_117_8'>Test diagnostyczny MOXO z opisem - 1h - doro\u015bli - 350 z\u0142<\/label><\/li><li class='gchoice_1_117_9'><input name='input_117' type='radio' value='Test diagnostyczny MOXO x2  (tego samego dnia) - 500 z\u0142'  id='choice_1_117_9'    \/><label for='choice_1_117_9' id='label_1_117_9'>Test diagnostyczny MOXO x2  (tego samego dnia) - 500 z\u0142<\/label><\/li><li class='gchoice_1_117_10'><input name='input_117' type='radio' value='Wizyta diagnostyczna z wykorzystaniem DIVA-5 i Connersa , podsumowanie wynik\u00f3w - dzieci i m\u0142odzie\u017c - 200 z\u0142'  id='choice_1_117_10'    \/><label for='choice_1_117_10' id='label_1_117_10'>Wizyta diagnostyczna z wykorzystaniem DIVA-5 i Connersa , podsumowanie wynik\u00f3w - dzieci i m\u0142odzie\u017c - 200 z\u0142<\/label><\/li><li class='gchoice_1_117_11'><input name='input_117' type='radio' value='Wizyta diagnostyczna z wykorzystaniem DIVA-5 i Connersa , podsumowanie wynik\u00f3w - doro\u015bli - 250 z\u0142'  id='choice_1_117_11'    \/><label for='choice_1_117_11' id='label_1_117_11'>Wizyta diagnostyczna z wykorzystaniem DIVA-5 i Connersa , podsumowanie wynik\u00f3w - doro\u015bli - 250 z\u0142<\/label><\/li><li class='gchoice_1_117_12'><input name='input_117' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD dzieci i m\u0142odzie\u017cy  3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 700 z\u0142'  id='choice_1_117_12'    \/><label for='choice_1_117_12' id='label_1_117_12'>Pe\u0142na diagnoza psychologiczna ADHD dzieci i m\u0142odzie\u017cy  3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 700 z\u0142<\/label><\/li><li class='gchoice_1_117_13'><input name='input_117' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD dzieci i m\u0142odzie\u017cy  4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 900 z\u0142'  id='choice_1_117_13'    \/><label for='choice_1_117_13' id='label_1_117_13'>Pe\u0142na diagnoza psychologiczna ADHD dzieci i m\u0142odzie\u017cy  4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 900 z\u0142<\/label><\/li><li class='gchoice_1_117_14'><input name='input_117' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 850 z\u0142'  id='choice_1_117_14'    \/><label for='choice_1_117_14' id='label_1_117_14'>Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 3 spotkania (test MOXO + 2 wizyty diagnostyczne) - 850 z\u0142<\/label><\/li><li class='gchoice_1_117_15'><input name='input_117' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 1100 z\u0142'  id='choice_1_117_15'    \/><label for='choice_1_117_15' id='label_1_117_15'>Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 4 spotkania (test MOXO + 3 wizyty diagnostyczne) - 1100 z\u0142<\/label><\/li><li class='gchoice_1_117_16'><input name='input_117' type='radio' value='Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 5 spotka\u0144 (test MOXO + 3 wizyty diagnostyczne + diagnoza neuropsychologiczna) - 1400 z\u0142'  id='choice_1_117_16'    \/><label for='choice_1_117_16' id='label_1_117_16'>Pe\u0142na diagnoza psychologiczna ADHD doro\u015bli 5 spotka\u0144 (test MOXO + 3 wizyty diagnostyczne + diagnoza neuropsychologiczna) - 1400 z\u0142<\/label><\/li><li class='gchoice_1_117_17'><input name='input_117' type='radio' value='Za\u015bwiadczenie - 20 z\u0142'  id='choice_1_117_17'    \/><label for='choice_1_117_17' id='label_1_117_17'>Za\u015bwiadczenie - 20 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_118'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_118'><li class='gchoice_1_118_0'><input name='input_118' type='radio' value='Porada psychiatryczna diagnostyczna - 200 z\u0142'  id='choice_1_118_0'    \/><label for='choice_1_118_0' id='label_1_118_0'>Porada psychiatryczna diagnostyczna - 200 z\u0142<\/label><\/li><li class='gchoice_1_118_1'><input name='input_118' type='radio' value='Porada psychiatryczna kontrolna - 170 z\u0142'  id='choice_1_118_1'    \/><label for='choice_1_118_1' id='label_1_118_1'>Porada psychiatryczna kontrolna - 170 z\u0142<\/label><\/li><li class='gchoice_1_118_2'><input name='input_118' type='radio' value='Za\u015bwiadczenie - 20 z\u0142'  id='choice_1_118_2'    \/><label for='choice_1_118_2' id='label_1_118_2'>Za\u015bwiadczenie - 20 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_119'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_119'><li class='gchoice_1_119_0'><input name='input_119' type='radio' value='Jad\u0142ospis 7 dniowy - 200 z\u0142'  id='choice_1_119_0'    \/><label for='choice_1_119_0' id='label_1_119_0'>Jad\u0142ospis 7 dniowy - 200 z\u0142<\/label><\/li><li class='gchoice_1_119_1'><input name='input_119' type='radio' value='Jad\u0142ospis 14 dniowy - 260 z\u0142'  id='choice_1_119_1'    \/><label for='choice_1_119_1' id='label_1_119_1'>Jad\u0142ospis 14 dniowy - 260 z\u0142<\/label><\/li><li class='gchoice_1_119_2'><input name='input_119' type='radio' value='Konsultacja psychodietetyczna - 1 wizyta - 200 z\u0142'  id='choice_1_119_2'    \/><label for='choice_1_119_2' id='label_1_119_2'>Konsultacja psychodietetyczna - 1 wizyta - 200 z\u0142<\/label><\/li><li class='gchoice_1_119_3'><input name='input_119' type='radio' value='Konsultacja psychodietetyczna - kolejna wizyta - 150 z\u0142'  id='choice_1_119_3'    \/><label for='choice_1_119_3' id='label_1_119_3'>Konsultacja psychodietetyczna - kolejna wizyta - 150 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_120'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wybierz us\u0142ug\u0119<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_120'><li class='gchoice_1_120_0'><input name='input_120' type='radio' value='I konsultacja dietetyczna - 130 z\u0142'  id='choice_1_120_0'    \/><label for='choice_1_120_0' id='label_1_120_0'>I konsultacja dietetyczna - 130 z\u0142<\/label><\/li><li class='gchoice_1_120_1'><input name='input_120' type='radio' value='Kolejna konsultacja dietetyczna - 90 z\u0142'  id='choice_1_120_1'    \/><label for='choice_1_120_1' id='label_1_120_1'>Kolejna konsultacja dietetyczna - 90 z\u0142<\/label><\/li><li class='gchoice_1_120_2'><input name='input_120' type='radio' value='Analiza sk\u0142adu cia\u0142a - 30 z\u0142'  id='choice_1_120_2'    \/><label for='choice_1_120_2' id='label_1_120_2'>Analiza sk\u0142adu cia\u0142a - 30 z\u0142<\/label><\/li><li class='gchoice_1_120_3'><input name='input_120' type='radio' value='Dieta dla dzieci - 320 z\u0142'  id='choice_1_120_3'    \/><label for='choice_1_120_3' id='label_1_120_3'>Dieta dla dzieci - 320 z\u0142<\/label><\/li><li class='gchoice_1_120_4'><input name='input_120' type='radio' value='Jad\u0142ospis 7 dniowy - 180 z\u0142'  id='choice_1_120_4'    \/><label for='choice_1_120_4' id='label_1_120_4'>Jad\u0142ospis 7 dniowy - 180 z\u0142<\/label><\/li><li class='gchoice_1_120_5'><input name='input_120' type='radio' value='Jad\u0142ospis 14 dniowy - 240 z\u0142'  id='choice_1_120_5'    \/><label for='choice_1_120_5' id='label_1_120_5'>Jad\u0142ospis 14 dniowy - 240 z\u0142<\/label><\/li><\/ul><\/div><\/li><li id='field_1_48'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Dane pacjenta<\/h2><\/li><li id='field_1_9'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Imi\u0119 i nazwisko<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_9'>\n                            \n                            <span id='input_1_9_3_container' class='name_first' >\n                                                    <input type='text' name='input_9.3' id='input_1_9_3' value='' aria-label='Nazwa'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_1_9_3' >Imi\u0119<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_9_6_container' class='name_last' >\n                                                    <input type='text' name='input_9.6' id='input_1_9_6' value='' aria-label='Nazwisko'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_1_9_6' >Nazwisko<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_1_11'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_11' >PESEL<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_1_11' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_14'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_1_14_container'>\n                                <span id='input_1_14_1_container' class='ginput_left'>\n                                    <input class='' type='text' name='input_14' id='input_1_14' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                    <label for='input_1_14' >Podaj e-mail<\/label>\n                                <\/span>\n                                <span id='input_1_14_2_container' class='ginput_right'>\n                                    <input class='' type='text' name='input_14_2' id='input_1_14_2' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                    <label for='input_1_14_2' >powt\u00f3rz e-mail<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_1_17'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_17' >Telefon<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_1_17' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_1_49'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Adres pacjenta<\/h2><\/li><li id='field_1_50'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Kod pocztowy i miejscowo\u015b\u0107<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_50'>\n                            \n                            <span id='input_1_50_3_container' class='name_first' >\n                                                    <input type='text' name='input_50.3' id='input_1_50_3' value='' aria-label='Nazwa'   aria-required=\"true\" aria-invalid=\"false\" placeholder='wymagane'\/>\n                                                    <label for='input_1_50_3' >Kod pocztowy<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_50_6_container' class='name_last' >\n                                                    <input type='text' name='input_50.6' id='input_1_50_6' value='' aria-label='Nazwisko'   aria-required=\"true\" aria-invalid=\"false\" placeholder='wymagane'\/>\n                                                    <label for='input_1_50_6' >Miejscowo\u015b\u0107<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_1_51'  class='gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Ulica<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name' id='input_1_51'>\n                            \n                            <span id='input_1_51_3_container' class='name_first' >\n                                                    <input type='text' name='input_51.3' id='input_1_51_3' value='' aria-label='Nazwa'    aria-invalid=\"false\" placeholder='opcjonalne'\/>\n                                                    <label for='input_1_51_3' >Ulica<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/li><li id='field_1_53'  class='gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Numer domu<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name' id='input_1_53'>\n                            \n                            \n                            \n                            <span id='input_1_53_6_container' class='name_last' >\n                                                    <input type='text' name='input_53.6' id='input_1_53_6' value='' aria-label='Nazwisko'   aria-required=\"true\" aria-invalid=\"false\" placeholder='wymagane'\/>\n                                                    <label for='input_1_53_6' >Numer domu<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_1_20'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_20' >Uwagi: np: preferowany dzie\u0144 i godzina wizyty<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_1_20' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_1_24'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Wyra\u017cenie zgody na przetwarzanie danych osobowych<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_24'><li class='gchoice_1_24_1'>\n\t\t\t\t\t\t\t\t<input name='input_24.1' type='checkbox'  value='Wyra\u017cam zgod\u0119 na przetwarzanie swoich danych osobowych przez Euro-Medica Sp. z o.o. w Zamo\u015bciu w celu realizacji us\u0142ugi rejestracji internetowej zgodnie z ustaw\u0105 z dnia 29 sierpnia 1997 r. o ochronie danych osobowych (Dz. U. Nr 133, poz. 883 z p\u00f3\u017an. zm.) oraz ustaw\u0105 z dnia 18 lipca 2002 r. o \u015bwiadczeniu us\u0142ug drog\u0105 elektroniczn\u0105 (Dz. U. Nr 144, poz. 1204). Podanie danych osobowych jest dobrowolne, lecz niezb\u0119dne dla potrzeb \u015bwiadczenia us\u0142ugi rejestracji internetowej.'  id='choice_1_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_24_1' id='label_1_24_1'>Wyra\u017cam zgod\u0119 na przetwarzanie swoich danych osobowych przez Euro-Medica Sp. z o.o. w Zamo\u015bciu w celu realizacji us\u0142ugi rejestracji internetowej zgodnie z ustaw\u0105 z dnia 29 sierpnia 1997 r. o ochronie danych osobowych (Dz. U. Nr 133, poz. 883 z p\u00f3\u017an. zm.) oraz ustaw\u0105 z dnia 18 lipca 2002 r. o \u015bwiadczeniu us\u0142ug drog\u0105 elektroniczn\u0105 (Dz. U. Nr 144, poz. 1204). Podanie danych osobowych jest dobrowolne, lecz niezb\u0119dne dla potrzeb \u015bwiadczenia us\u0142ugi rejestracji internetowej.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_108'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_108' >Pok\u00f3j<\/label><div class='ginput_container ginput_container_number'><input name='input_108' id='input_1_108' type='text'    value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_121'  class='gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_121' >Email<\/label><div class='ginput_container'><input name='input_121' id='input_1_121' type='text' value='' \/><\/div><div class='gfield_description' id='gfield_description_1_121'>Pole to jest przeznaczone dla cel\u00f3w weryfikacji i powinno by\u0107 pozostawione bez zmian.<\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='Rejestruj on-line'  onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=1&amp;description=1&amp;tabindex=0' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' 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