{"id":1170,"date":"2025-08-04T10:43:44","date_gmt":"2025-08-04T10:43:44","guid":{"rendered":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/?page_id=1170"},"modified":"2026-05-12T13:24:27","modified_gmt":"2026-05-12T13:24:27","slug":"ihr-weg-zur-reha","status":"publish","type":"page","link":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/?page_id=1170","title":{"rendered":"Ihr Weg zur Reha"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][rev_slider_vc alias=&#8221;klinik-rosenhof&#8221;][\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"130\" data-normal_resolution=\"1024\" data-normal_size=\"120\" data-tablet_resolution=\"800\" data-tablet_size=\"100\" data-mobile_resolution=\"480\" data-mobile_size=\"80\" style=\"height: 130px;\"><\/div><div class=\"dfd-heading-shortcode\"><div class=\"dfd-heading-module-wrap  text-center style_02 cr-animate-gen dfd-heading-6a1d60b1501d2 dfd-disable-resposive-headings\" id=\"dfd-heading-6a1d60b1501d2\" data-animate-type = \"transition.expandIn\" ><div class=\"inline-block\"><div class=\"dfd-heading-module\"><div class=\"widget-sub-title dfd-sub-title subtitle\" style=\"font-size: 11px; line-height: 28px; letter-spacing: 3px; font-weight:bold; \">Ihr Rehaprozess beginnt hier<\/div><h3 class=\"widget-title dfd-title \" style=\"line-height: 48px; \">Schritt f\u00fcr Schritt zur\u00fcck ins Leben<\/h3><\/div><\/div><\/div><script type=\"text\/javascript\">\r\n\t\t\t\t\t\t\t\t\t(function($) {\r\n\t\t\t\t\t\t\t\t\t\t$(\"head\").append(\"<style>.dfd-heading-6a1d60b1501d2.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {margin-top:10px;margin-bottom:10px;}@media (max-width: 799px){.dfd-heading-6a1d60b1501d2 .dfd-title{font-size: 24px !important;letter-spacing: 0px !important;line-height: 32px !important;}}<\/style>\");\r\n\t\t\t\t\t\t\t\t\t})(jQuery);\r\n\t\t\t\t\t\t\t\t<\/script><\/div>[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243; dfd_column_responsive_enable=&#8221;dfd-column-responsive-enable&#8221; css=&#8221;.vc_custom_1492522537527{padding-left: 20px !important;}&#8221; col_shadow=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; col_shadow_hover=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; responsive_styles=&#8221;padding_right_desktop:20|padding_left_tablet:20|padding_right_tablet:20|padding_left_mobile:20|padding_right_mobile:20&#8243; el_class=&#8221;dfd_col-tablet-12&#8243; offset=&#8221;vc_col-lg-6 vc_col-md-6 vc_col-xs-12&#8243;]<div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"130\" data-normal_resolution=\"1024\" data-normal_size=\"120\" data-tablet_resolution=\"800\" data-tablet_size=\"100\" data-mobile_resolution=\"480\" data-mobile_size=\"80\" style=\"height: 130px;\"><\/div><div class=\"dfd-heading-shortcode\"><div class=\"dfd-heading-module-wrap  text-center style_01 dfd-heading-6a1d60b1502d1 dfd-disable-resposive-headings\" id=\"dfd-heading-6a1d60b1502d1\" ><div class=\"inline-block\"><div class=\"dfd-heading-module\"><h5 class=\"widget-title dfd-title \" style=\"\"><strong>Wer hat Anspruch auf eine Reha?<\/strong><\/h5><div class=\"dfd-heading-delimiter dfd-img-lazy-load\"><\/div><\/div><\/div><\/div><script type=\"text\/javascript\">\r\n\t\t\t\t\t\t\t\t\t(function($) {\r\n\t\t\t\t\t\t\t\t\t\t$(\"head\").append(\"<style>.dfd-heading-6a1d60b1502d1.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {border-bottom-style:solid;border-bottom-width:1px;width:100px;border-bottom-color:#dddddd;}.dfd-heading-6a1d60b1502d1.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {margin-top:10px;margin-bottom:10px;}<\/style>\");\r\n\t\t\t\t\t\t\t\t\t})(jQuery);\r\n\t\t\t\t\t\t\t\t<\/script><\/div>[vc_column_text css=&#8221;&#8221;]<\/p>\n<p data-start=\"51\" data-end=\"325\">Jede sozialversicherte Person in Deutschland kann eine medizinische Reha erhalten, wenn sie von einem Arzt oder Therapeuten verordnet wird. Das Gesetz sichert das Recht auf Ma\u00dfnahmen zur Erhaltung, Verbesserung oder Wiederherstellung von Gesundheit und Leistungsf\u00e4higkeit.<\/p>\n<p>[\/vc_column_text]<div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"10\" data-normal_resolution=\"1024\" data-normal_size=\"10\" data-tablet_resolution=\"800\" data-tablet_size=\"10\" data-mobile_resolution=\"480\" data-mobile_size=\"10\" style=\"height: 10px;\"><\/div>[vc_column_text css=&#8221;&#8221;]<strong>Heilverfahren (HV)<\/strong><\/p>\n<p><span style=\"font-family: Arial, sans-serif;\">kann immer dann erfolgen, wenn Ihr Gesundheitszustand eine Reha medizinisch erfordert \u2013 also auch losgel\u00f6st von einem medizinischen Notfall oder einer Operation.<\/span><\/p>\n<p><strong>Je nach Erkrankung verfolgt das HV das Ziel,<\/strong><\/p>\n<ul>\n<li>Ihren Gesundheitszustand zu verbessern;<\/li>\n<li>ein Fortschreiten des Krankheitsprozesses aufzuhalten;<\/li>\n<li>bereits eingetretene Funktionsst\u00f6rungen weitestgehend zu reduzieren<\/li>\n<\/ul>\n<p><strong>Anschlussheilbehandlung (AHB)<\/strong><\/p>\n<p data-start=\"317\" data-end=\"599\">Die AHB beginnt direkt nach einem Krankenhausaufenthalt, sp\u00e4testens zwei Wochen nach der Entlassung. Sie unterst\u00fctzt die Genesung und die Wiederherstellung beeintr\u00e4chtigter k\u00f6rperlicher Funktionen, etwa nach Operationen wie H\u00fcft- oder Knie-TEP.<\/p>\n<p>[\/vc_column_text]<div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"130\" data-normal_resolution=\"1024\" data-normal_size=\"120\" data-tablet_resolution=\"800\" data-tablet_size=\"100\" data-mobile_resolution=\"480\" data-mobile_size=\"80\" style=\"height: 130px;\"><\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243; dfd_column_responsive_enable=&#8221;dfd-column-responsive-enable&#8221; css=&#8221;.vc_custom_1615884114618{padding-right: 20px !important;}&#8221; col_shadow=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; col_shadow_hover=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; responsive_styles=&#8221;padding_left_desktop:20|padding_left_mobile:20|padding_right_mobile:20&#8243; el_class=&#8221;dfd_col-tablet-12&#8243; offset=&#8221;vc_col-lg-6 vc_col-md-6 vc_col-xs-12&#8243;]<div id=\"dfd-image-layers-6a1d60b1503a1-2898\" class=\"dfd-image-layers-wrap  layers-center\"><div class=\"dfd-layer-container slideRightBigIn\"><div class=\"dfd-layer-centered\" style=\"-webkit-transform: translate(7%, 18%); -moz-transform: translate(7%, 18%); -o-transform: translate(7%, 18%); transform: translate(7%, 18%); \"><div class=\"dfd-layer-item dfd-img-lazy-load\"><img loading=\"lazy\" decoding=\"async\" src=\"data:image\/svg+xml;charset=utf-8,%3Csvg xmlns%3D'http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg' viewBox%3D'0 0 1536 1024'%2F%3E\" data-src=\"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/wp-content\/uploads\/2026\/01\/0364acce-ffcd-40a6-8b04-d8f914bb149f.png\" alt=\"Layer\"  width=\"1536\" height=\"1024\" \/><\/div><\/div><\/div><div class=\"dfd-layer-container slideDownBigIn\"><div class=\"dfd-layer-centered\" style=\"-webkit-transform: translate(0%, 0%); -moz-transform: translate(0%, 0%); -o-transform: translate(0%, 0%); transform: translate(0%, 0%); \"><div class=\"dfd-layer-item dfd-img-lazy-load\"><img loading=\"lazy\" decoding=\"async\" src=\"data:image\/svg+xml;charset=utf-8,%3Csvg xmlns%3D'http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg' viewBox%3D'0 0 816 624'%2F%3E\" data-src=\"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/wp-content\/uploads\/2024\/10\/Unser_Angebot.png\" alt=\"Layer\"  width=\"816\" height=\"624\" \/><\/div><\/div><\/div><script type=\"text\/javascript\">(function($) {$(\"head\").append(\"<style>#dfd-image-layers-6a1d60b1503a1-2898 .dfd-layer-container .dfd-layer-item {-webkit-transition-duration: 0.5s; -moz-transition-duration: 0.5s; -o-transition-duration: 0.5s; transition-duration: 0.5s;}#dfd-image-layers-6a1d60b1503a1-2898 .dfd-layer-container:nth-child(2) .dfd-layer-item {-webkit-transition-delay: 1s; -moz-transition-delay: 1s; -o-transition-delay: 1s; transition-delay: 1s;}#dfd-image-layers-6a1d60b1503a1-2898 .dfd-layer-container:nth-child(3) .dfd-layer-item {-webkit-transition-delay: 2s; -moz-transition-delay: 2s; -o-transition-delay: 2s; transition-delay: 2s;}<\/style>\");})(jQuery);<\/script><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"dfd-heading-shortcode\"><div class=\"dfd-heading-module-wrap  text-center style_01 dfd-heading-6a1d60b1506a4 dfd-disable-resposive-headings\" id=\"dfd-heading-6a1d60b1506a4\" ><div class=\"inline-block\"><div class=\"dfd-heading-module\"><h5 class=\"widget-title dfd-title \" style=\"\"><\/p>\n<p style=\"text-align: center;\"><strong>Wer verordnet die AHB?<\/strong><\/p>\n<p><\/h5><div class=\"dfd-heading-delimiter dfd-img-lazy-load\"><\/div><\/div><\/div><\/div><script type=\"text\/javascript\">\r\n\t\t\t\t\t\t\t\t\t(function($) {\r\n\t\t\t\t\t\t\t\t\t\t$(\"head\").append(\"<style>.dfd-heading-6a1d60b1506a4.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {border-bottom-style:solid;border-bottom-width:1px;width:100px;border-bottom-color:#dddddd;}.dfd-heading-6a1d60b1506a4.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {margin-top:10px;margin-bottom:10px;}<\/style>\");\r\n\t\t\t\t\t\t\t\t\t})(jQuery);\r\n\t\t\t\t\t\t\t\t<\/script><\/div>[vc_column_text css=&#8221;&#8221;]<\/p>\n<p style=\"line-height: 150%; text-align: center;\"><span style=\"font-family: 'Arial',sans-serif;\">Ob Ihnen eine AHB helfen kann, pr\u00fcft der Arzt oder die \u00c4rztin im Krankenhaus. Wenn ja, wird Ihnen eine AHB verordnet. <\/span><\/p>\n<p>[\/vc_column_text]<div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"130\" data-normal_resolution=\"1024\" data-normal_size=\"120\" data-tablet_resolution=\"800\" data-tablet_size=\"100\" data-mobile_resolution=\"480\" data-mobile_size=\"80\" style=\"height: 130px;\"><\/div><div class=\"dfd-heading-shortcode\"><div class=\"dfd-heading-module-wrap  text-center style_01 dfd-heading-6a1d60b15076f dfd-disable-resposive-headings\" id=\"dfd-heading-6a1d60b15076f\" ><div class=\"inline-block\"><div class=\"dfd-heading-module\"><h5 class=\"widget-title dfd-title \" style=\"\"><strong>Wer regelt die Antrags-Formalit\u00e4ten?<\/strong><\/h5><div class=\"dfd-heading-delimiter dfd-img-lazy-load\"><\/div><\/div><\/div><\/div><script type=\"text\/javascript\">\r\n\t\t\t\t\t\t\t\t\t(function($) {\r\n\t\t\t\t\t\t\t\t\t\t$(\"head\").append(\"<style>.dfd-heading-6a1d60b15076f.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {border-bottom-style:solid;border-bottom-width:1px;width:100px;border-bottom-color:#dddddd;}.dfd-heading-6a1d60b15076f.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {margin-top:10px;margin-bottom:10px;}<\/style>\");\r\n\t\t\t\t\t\t\t\t\t})(jQuery);\r\n\t\t\t\t\t\t\t\t<\/script><\/div>[vc_column_text css=&#8221;&#8221;]<\/p>\n<p style=\"line-height: 150%; text-align: center;\"><span style=\"font-family: 'Arial',sans-serif;\">Der Sozialdienst im Krankenhaus wird Ihnen rund um den Antrag zur Seite stehen und die Formalit\u00e4ten f\u00fcr Sie regeln. <\/span><\/p>\n<p>[\/vc_column_text]<div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"130\" data-normal_resolution=\"1024\" data-normal_size=\"120\" data-tablet_resolution=\"800\" data-tablet_size=\"100\" data-mobile_resolution=\"480\" data-mobile_size=\"80\" style=\"height: 130px;\"><\/div>[\/vc_column][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2075-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2075\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1170#wpcf7-f2075-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2075\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2075-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h3>Pers\u00f6nliche Angaben\n<\/h3>\n<div class=\"form-grid\">\n\t<p><label> Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nachname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"family-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nachname\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label> Vorname*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vorname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"given-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vorname\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label> Geburtsdatum*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geburtsdatum\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"geburtsdatum\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label> Telefon \/ Handy<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label> E-Mail-Adresse*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n<\/div>\n<hr \/>\n<h3>1.1 Jetzige Beschwerden\n<\/h3>\n<p><label> Hauptbeschwerden<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"beschwerden\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Schildern sie bitte m\u00f6glichst pr\u00e4zise Ihre gegenw\u00e4rtigen Hauptbeschwerden: Seit wann-zu welchen Tages-oder Nachtzeiten-Verschlimmerung wodurch-Besserung wodurch\" name=\"beschwerden\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Ursache der Erkrankung \/ Ausl\u00f6ser<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ursache\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Was ist nach Ihrer Ansicht die Ursache Ihrer Erkrankung bzw. wodurch wurden Ihre Beschwerden ausgel\u00f6st?\" name=\"ursache\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Gehstrecke eingeschr\u00e4nkt?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gehstrecke\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"gehstrecke\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"gehstrecke\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Falls ja \u2013 maximal m\u00f6gliche Gehstrecke<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gehstrecke_max\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"z.B. 500m\" value=\"\" type=\"text\" name=\"gehstrecke_max\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Schmerzintensit\u00e4t (0\u201310)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"schmerzintensitaet\"><input class=\"wpcf7-form-control wpcf7-range wpcf7-validates-as-number\" min=\"0\" max=\"10\" step=\"1\" aria-invalid=\"false\" value=\"5\" type=\"range\" name=\"schmerzintensitaet\" \/><\/span>\n<\/p>\n<hr \/>\n<h3>1.2 Bisheriger Verlauf der Beschwerden\n<\/h3>\n<p><label> Welche Therapien wurden durchgef\u00fchrt?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"therapien\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"therapien\" value=\"Krankengymnastik\" \/><span class=\"wpcf7-list-item-label\">Krankengymnastik<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"therapien\" value=\"Massage\" \/><span class=\"wpcf7-list-item-label\">Massage<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"therapien\" value=\"Akupunktur\" \/><span class=\"wpcf7-list-item-label\">Akupunktur<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"therapien\" value=\"Infiltration\" \/><span class=\"wpcf7-list-item-label\">Infiltration<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"therapien\" value=\"Schmerztherapie\" \/><span class=\"wpcf7-list-item-label\">Schmerztherapie<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"therapien\" value=\"TENS\" \/><span class=\"wpcf7-list-item-label\">TENS<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"therapien\" value=\"Andere\" \/><span class=\"wpcf7-list-item-label\">Andere<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Welche Hilfsmittel benutzen Sie?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hilfsmittel\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Einlagen\" \/><span class=\"wpcf7-list-item-label\">Einlagen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Orthop\u00e4dische Schuhe\" \/><span class=\"wpcf7-list-item-label\">Orthop\u00e4dische Schuhe<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Orthesen\" \/><span class=\"wpcf7-list-item-label\">Orthesen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Korsett\" \/><span class=\"wpcf7-list-item-label\">Korsett<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Bandagen\" \/><span class=\"wpcf7-list-item-label\">Bandagen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Unterarmgehst\u00fctzen\" \/><span class=\"wpcf7-list-item-label\">Unterarmgehst\u00fctzen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Rollator\" \/><span class=\"wpcf7-list-item-label\">Rollator<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Gehstock\" \/><span class=\"wpcf7-list-item-label\">Gehstock<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Rollstuhl\" \/><span class=\"wpcf7-list-item-label\">Rollstuhl<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"hilfsmittel\" value=\"Elektrorollstuhl\" \/><span class=\"wpcf7-list-item-label\">Elektrorollstuhl<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Diagnostische Untersuchungen<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diagnostik\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"diagnostik\" value=\"R\u00f6ntgen\" \/><span class=\"wpcf7-list-item-label\">R\u00f6ntgen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"diagnostik\" value=\"CT\" \/><span class=\"wpcf7-list-item-label\">CT<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"diagnostik\" value=\"MRT\" \/><span class=\"wpcf7-list-item-label\">MRT<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"diagnostik\" value=\"Knochendichtemessung\" \/><span class=\"wpcf7-list-item-label\">Knochendichtemessung<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"diagnostik\" value=\"Spezialsprechstunden\" \/><span class=\"wpcf7-list-item-label\">Spezialsprechstunden<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> F\u00fchlen Sie sich \u00fcber Ihre Erkrankung aufgekl\u00e4rt?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aufgeklaert\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"aufgeklaert\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"aufgeklaert\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h3>1.3 Vor- und Begleiterkrankungen\n<\/h3>\n<p><label> Fr\u00fchere Operationen<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"operationen\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"operationen\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Unf\u00e4lle \/ Knochenbr\u00fcche \/ Verletzungen<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"unfalle\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"unfalle\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Sonstige Erkrankungen<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"erkrankungen\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"erkrankungen\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Neurologische Erkrankungen<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"neurologie\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"neurologie[]\" value=\"Epilepsie\" \/><span class=\"wpcf7-list-item-label\">Epilepsie<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"neurologie[]\" value=\"Schlaganfall\" \/><span class=\"wpcf7-list-item-label\">Schlaganfall<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Herz-\/Kreislauferkrankungen<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"herz\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"herz[]\" value=\"Bluthochdruck\" \/><span class=\"wpcf7-list-item-label\">Bluthochdruck<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"herz[]\" value=\"Thrombosen \/ Embolien\" \/><span class=\"wpcf7-list-item-label\">Thrombosen \/ Embolien<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"herz[]\" value=\"Herzrhythmusst\u00f6rungen\" \/><span class=\"wpcf7-list-item-label\">Herzrhythmusst\u00f6rungen<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"herz[]\" value=\"Infarkte\" \/><span class=\"wpcf7-list-item-label\">Infarkte<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Lungenerkrankungen<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lunge\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"lunge[]\" value=\"Asthma\" \/><span class=\"wpcf7-list-item-label\">Asthma<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"lunge[]\" value=\"Schlafapnoe\" \/><span class=\"wpcf7-list-item-label\">Schlafapnoe<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"lunge[]\" value=\"Chronische Bronchitis\" \/><span class=\"wpcf7-list-item-label\">Chronische Bronchitis<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Stoffwechselerkrankungen<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stoffwechsel\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"stoffwechsel[]\" value=\"Diabetes mellitus\" \/><span class=\"wpcf7-list-item-label\">Diabetes mellitus<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"stoffwechsel[]\" value=\"Schilddr\u00fcsenerkrankung\" \/><span class=\"wpcf7-list-item-label\">Schilddr\u00fcsenerkrankung<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"stoffwechsel[]\" value=\"Fettstoffwechselst\u00f6rung\" \/><span class=\"wpcf7-list-item-label\">Fettstoffwechselst\u00f6rung<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"stoffwechsel[]\" value=\"Gicht\" \/><span class=\"wpcf7-list-item-label\">Gicht<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Psychische Erkrankungen<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"psyche\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"psyche[]\" value=\"Depressionen\" \/><span class=\"wpcf7-list-item-label\">Depressionen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"psyche[]\" value=\"Angstst\u00f6rungen\" \/><span class=\"wpcf7-list-item-label\">Angstst\u00f6rungen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"psyche[]\" value=\"Bipolare St\u00f6rung\" \/><span class=\"wpcf7-list-item-label\">Bipolare St\u00f6rung<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"psyche[]\" value=\"Sucht-\/Abh\u00e4ngigkeitserkrankung\" \/><span class=\"wpcf7-list-item-label\">Sucht-\/Abh\u00e4ngigkeitserkrankung<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h3>1.5 Vegetative Anamnese\n<\/h3>\n<p><label> Schlafst\u00f6rungen<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"schlafstoerungen\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"schlafstoerungen[]\" value=\"Keine\" \/><span class=\"wpcf7-list-item-label\">Keine<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"schlafstoerungen[]\" value=\"Einschlafst\u00f6rung\" \/><span class=\"wpcf7-list-item-label\">Einschlafst\u00f6rung<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"schlafstoerungen[]\" value=\"Durchschlafst\u00f6rung\" \/><span class=\"wpcf7-list-item-label\">Durchschlafst\u00f6rung<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"schlafstoerungen[]\" value=\"Schmerzbedingte Schlafst\u00f6rung\" \/><span class=\"wpcf7-list-item-label\">Schmerzbedingte Schlafst\u00f6rung<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"schlafstoerungen[]\" value=\"Morgendliche Zerschlagenheit\" \/><span class=\"wpcf7-list-item-label\">Morgendliche Zerschlagenheit<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Appetit<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"appetit\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"appetit\"><option value=\"Gut\">Gut<\/option><option value=\"Normal\">Normal<\/option><option value=\"M\u00e4\u00dfig\">M\u00e4\u00dfig<\/option><option value=\"Schlecht\">Schlecht<\/option><option value=\"Wechselnd\">Wechselnd<\/option><\/select><\/span>\n<\/p>\n<p><label> Stuhlgang<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stuhlgang\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"stuhlgang\"><option value=\"Normal\">Normal<\/option><option value=\"Verstopft\">Verstopft<\/option><option value=\"Durchfall\">Durchfall<\/option><option value=\"Wechselnd\">Wechselnd<\/option><\/select><\/span>\n<\/p>\n<p><label> Allergien \/ Unvertr\u00e4glichkeiten<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"allergien\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"allergien\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Gewicht (kg)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gewicht\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"gewicht\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> K\u00f6rpergr\u00f6\u00dfe (cm)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"groesse\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"groesse\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Alkoholkonsum<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"alkohol\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"alkohol\"><option value=\"Nie\">Nie<\/option><option value=\"Selten\">Selten<\/option><option value=\"Gelegentlich\">Gelegentlich<\/option><option value=\"T\u00e4glich\">T\u00e4glich<\/option><\/select><\/span>\n<\/p>\n<p><label> Rauchen<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rauchen\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"rauchen\"><option value=\"Nie\">Nie<\/option><option value=\"Selten\">Selten<\/option><option value=\"Gelegentlich\">Gelegentlich<\/option><option value=\"T\u00e4glich\">T\u00e4glich<\/option><\/select><\/span>\n<\/p>\n<p><label> Drogenkonsum<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"drogen\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"drogen\"><option value=\"Nie\">Nie<\/option><option value=\"Selten\">Selten<\/option><option value=\"Gelegentlich\">Gelegentlich<\/option><option value=\"T\u00e4glich\">T\u00e4glich<\/option><\/select><\/span>\n<\/p>\n<hr \/>\n<h3>1.6 Medikamente\n<\/h3>\n<p><label> Aktuelle Medikamente<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medikamente\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Medikament \/ St\u00e4rke \/ Einnahme\" name=\"medikamente\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<hr \/>\n<h3>2 Sozialanamnese\n<\/h3>\n<p><label> Familienstand<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"familienstand\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"familienstand\"><option value=\"Ledig\">Ledig<\/option><option value=\"Verheiratet\">Verheiratet<\/option><option value=\"Geschieden\">Geschieden<\/option><option value=\"Verwitwet\">Verwitwet<\/option><option value=\"Getrennt lebend\">Getrennt lebend<\/option><option value=\"Partnerschaft\">Partnerschaft<\/option><\/select><\/span>\n<\/p>\n<p><label> Anzahl der Kinder<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"kinder\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"kinder\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label> Wohnsituation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"wohnsituation\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"wohnsituation[]\" value=\"Mietwohnung\" \/><span class=\"wpcf7-list-item-label\">Mietwohnung<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"wohnsituation[]\" value=\"Eigentumswohnung\" \/><span class=\"wpcf7-list-item-label\">Eigentumswohnung<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"wohnsituation[]\" value=\"Eigenes Haus\" \/><span class=\"wpcf7-list-item-label\">Eigenes Haus<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Sportarten \/ Hobbys<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hobbies\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"hobbies\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<hr \/>\n<h3>Datenschutz\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"datenschutz\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"datenschutz\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ich stimme der Verarbeitung meiner Daten gem\u00e4\u00df Datenschutzerkl\u00e4rung zu.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Patientenfragebogen absenden\" \/><br \/>\n```\n<\/p>\n<p>---\n<\/p>\n<hr \/>\n<h3>2.1 Belastungsfaktoren\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"belastungen\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"belastungen[]\" value=\"Zeitdruck \/ Leistungsanforderungen\" \/><span class=\"wpcf7-list-item-label\">Zeitdruck \/ Leistungsanforderungen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"belastungen[]\" value=\"Schlechtes Betriebsklima\" \/><span class=\"wpcf7-list-item-label\">Schlechtes Betriebsklima<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"belastungen[]\" value=\"Konflikte mit Vorgesetzten\" \/><span class=\"wpcf7-list-item-label\">Konflikte mit Vorgesetzten<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"belastungen[]\" value=\"Famili\u00e4re Probleme\" \/><span class=\"wpcf7-list-item-label\">Famili\u00e4re Probleme<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"belastungen[]\" value=\"Pflege Angeh\u00f6riger\" \/><span class=\"wpcf7-list-item-label\">Pflege Angeh\u00f6riger<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"belastungen[]\" value=\"Finanzielle Sorgen\" \/><span class=\"wpcf7-list-item-label\">Finanzielle Sorgen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"belastungen[]\" value=\"Beruf \/ Privatleben schwer vereinbar\" \/><span class=\"wpcf7-list-item-label\">Beruf \/ Privatleben schwer vereinbar<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"belastungen[]\" value=\"Sonstige\" \/><span class=\"wpcf7-list-item-label\">Sonstige<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Sonstige Belastungsfaktoren<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"belastung_sonstige\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"belastung_sonstige\"><\/textarea><\/span> <\/label>\n<\/p>\n<h3>2.1.5 Berufliche Situation\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"beruf_status\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Ganztags berufst\u00e4tig\" \/><span class=\"wpcf7-list-item-label\">Ganztags berufst\u00e4tig<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Mindestens halbtags berufst\u00e4tig\" \/><span class=\"wpcf7-list-item-label\">Mindestens halbtags berufst\u00e4tig<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Weniger als halbtags berufst\u00e4tig\" \/><span class=\"wpcf7-list-item-label\">Weniger als halbtags berufst\u00e4tig<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Hausfrau\/-mann\" \/><span class=\"wpcf7-list-item-label\">Hausfrau\/-mann<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Altersrentner\/-in\" \/><span class=\"wpcf7-list-item-label\">Altersrentner\/-in<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Arbeits-\/erwerbslos\" \/><span class=\"wpcf7-list-item-label\">Arbeits-\/erwerbslos<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Altersteilzeit\" \/><span class=\"wpcf7-list-item-label\">Altersteilzeit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Erwerbsminderungsrente voll\" \/><span class=\"wpcf7-list-item-label\">Erwerbsminderungsrente voll<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"beruf_status[]\" value=\"Erwerbsminderungsrente teil\" \/><span class=\"wpcf7-list-item-label\">Erwerbsminderungsrente teil<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Seit wann?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"beruf_seit\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"beruf_seit\" \/><\/span> <\/label>\n<\/p>\n<h3>2.1.6 Sozialleistungen\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sozialleistungen\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"sozialleistungen[]\" value=\"Arbeitslosengeld I\" \/><span class=\"wpcf7-list-item-label\">Arbeitslosengeld I<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"sozialleistungen[]\" value=\"B\u00fcrgergeld\" \/><span class=\"wpcf7-list-item-label\">B\u00fcrgergeld<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"sozialleistungen[]\" value=\"Krankengeld\" \/><span class=\"wpcf7-list-item-label\">Krankengeld<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"sozialleistungen[]\" value=\"\u00dcbergangsgeld\" \/><span class=\"wpcf7-list-item-label\">\u00dcbergangsgeld<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"sozialleistungen[]\" value=\"Berufsgenossenschaftliche Rente\" \/><span class=\"wpcf7-list-item-label\">Berufsgenossenschaftliche Rente<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"sozialleistungen[]\" value=\"Witwenrente\" \/><span class=\"wpcf7-list-item-label\">Witwenrente<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"sozialleistungen[]\" value=\"Sozialgerichtsverfahren\" \/><span class=\"wpcf7-list-item-label\">Sozialgerichtsverfahren<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Weitere Angaben<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sozialleistungen_text\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"sozialleistungen_text\"><\/textarea><\/span> <\/label>\n<\/p>\n<h3>2.1.7 Behinderung \/ Pflegegrad\n<\/h3>\n<p><label> Grad der Behinderung anerkannt?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"behinderung\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"behinderung\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"behinderung\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> H\u00f6he \/ Merkzeichen<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"behinderung_details\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"behinderung_details\" \/><\/span> <\/label>\n<\/p>\n<p><label> Pflegegrad vorhanden?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pflegegrad\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"pflegegrad\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"pflegegrad\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Pflegegrad<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pflegegrad_wert\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pflegegrad_wert\" \/><\/span> <\/label>\n<\/p>\n<hr \/>\n<h3>2.2 Arbeitsanamnese\n<\/h3>\n<p><label> Schulabschluss<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"schulabschluss\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"schulabschluss\"><option value=\"Kein Schulabschluss\">Kein Schulabschluss<\/option><option value=\"8. Klasse\">8. Klasse<\/option><option value=\"9. Klasse\">9. Klasse<\/option><option value=\"10. Klasse\">10. Klasse<\/option><option value=\"Abitur\">Abitur<\/option><\/select><\/span>\n<\/p>\n<p><label> Berufsausbildung<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"berufsausbildung\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"berufsausbildung\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Bisherige T\u00e4tigkeiten<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"taetigkeiten\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"taetigkeiten\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Umschulung \/ Qualifikation<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"umschulung\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"umschulung\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitsveraenderung\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"arbeitsveraenderung[]\" value=\"Arbeitsplatzwechsel\" \/><span class=\"wpcf7-list-item-label\">Arbeitsplatzwechsel<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitsveraenderung[]\" value=\"Arbeitszeiteinschr\u00e4nkung\" \/><span class=\"wpcf7-list-item-label\">Arbeitszeiteinschr\u00e4nkung<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"arbeitsveraenderung[]\" value=\"Umschulung\" \/><span class=\"wpcf7-list-item-label\">Umschulung<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Arbeitgeber<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitgeber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"arbeitgeber\" \/><\/span> <\/label>\n<\/p>\n<p><label> Anschrift Arbeitgeber<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitgeber_adresse\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"arbeitgeber_adresse\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Arbeitsvertrag<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitsvertrag\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"arbeitsvertrag[]\" value=\"Unbefristet\" \/><span class=\"wpcf7-list-item-label\">Unbefristet<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitsvertrag[]\" value=\"Befristet\" \/><span class=\"wpcf7-list-item-label\">Befristet<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitsvertrag[]\" value=\"Ungek\u00fcndigt\" \/><span class=\"wpcf7-list-item-label\">Ungek\u00fcndigt<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"arbeitsvertrag[]\" value=\"Gek\u00fcndigt\" \/><span class=\"wpcf7-list-item-label\">Gek\u00fcndigt<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> T\u00e4tigkeit ausge\u00fcbt als<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitszeitmodell\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Vollzeit\" \/><span class=\"wpcf7-list-item-label\">Vollzeit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Teilzeit\" \/><span class=\"wpcf7-list-item-label\">Teilzeit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Minijob\" \/><span class=\"wpcf7-list-item-label\">Minijob<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Fr\u00fchschicht\" \/><span class=\"wpcf7-list-item-label\">Fr\u00fchschicht<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Sp\u00e4tschicht\" \/><span class=\"wpcf7-list-item-label\">Sp\u00e4tschicht<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Dreischicht\" \/><span class=\"wpcf7-list-item-label\">Dreischicht<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Nachtschicht\" \/><span class=\"wpcf7-list-item-label\">Nachtschicht<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Maschinengebundener Arbeitstakt\" \/><span class=\"wpcf7-list-item-label\">Maschinengebundener Arbeitstakt<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Einzelakkord\" \/><span class=\"wpcf7-list-item-label\">Einzelakkord<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"arbeitszeitmodell[]\" value=\"Gruppenakkord\" \/><span class=\"wpcf7-list-item-label\">Gruppenakkord<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><label> Beschreibung der aktuellen \/ letzten T\u00e4tigkeit<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitsbeschreibung\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"arbeitsbeschreibung\"><\/textarea><\/span> <\/label>\n<\/p>\n<hr \/>\n<h3>2.2.8 K\u00f6rperliche Belastung\n<\/h3>\n<p><label> Heben \/ Tragen < 10kg<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lasten_10\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"lasten_10\"><option value=\"Nein\">Nein<\/option><option value=\"Gelegentlich\">Gelegentlich<\/option><option value=\"H\u00e4ufig\">H\u00e4ufig<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> Heben \/ Tragen 10\u201315kg<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lasten_15\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"lasten_15\"><option value=\"Nein\">Nein<\/option><option value=\"Gelegentlich\">Gelegentlich<\/option><option value=\"H\u00e4ufig\">H\u00e4ufig<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> Heben \/ Tragen > 15kg<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lasten_ueber15\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"lasten_ueber15\"><option value=\"Nein\">Nein<\/option><option value=\"Gelegentlich\">Gelegentlich<\/option><option value=\"H\u00e4ufig\">H\u00e4ufig<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> Arbeitshaltungen \/ Belastungen<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitshaltung\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"\u00dcberkopfarbeiten\" \/><span class=\"wpcf7-list-item-label\">\u00dcberkopfarbeiten<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Armvorhalte\" \/><span class=\"wpcf7-list-item-label\">Armvorhalte<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Extreme Wirbels\u00e4ulenbewegungen\" \/><span class=\"wpcf7-list-item-label\">Extreme Wirbels\u00e4ulenbewegungen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"B\u00fccken\" \/><span class=\"wpcf7-list-item-label\">B\u00fccken<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Hocken \/ Knien\" \/><span class=\"wpcf7-list-item-label\">Hocken \/ Knien<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Erh\u00f6hte Stand- und Gangsicherheit\" \/><span class=\"wpcf7-list-item-label\">Erh\u00f6hte Stand- und Gangsicherheit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Ger\u00fcste \/ Leitern\" \/><span class=\"wpcf7-list-item-label\">Ger\u00fcste \/ Leitern<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Vibrationen\" \/><span class=\"wpcf7-list-item-label\">Vibrationen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"K\u00e4lte \/ N\u00e4sse\" \/><span class=\"wpcf7-list-item-label\">K\u00e4lte \/ N\u00e4sse<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Hitze\" \/><span class=\"wpcf7-list-item-label\">Hitze<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Staub\" \/><span class=\"wpcf7-list-item-label\">Staub<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Rauch\" \/><span class=\"wpcf7-list-item-label\">Rauch<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"L\u00e4rm\" \/><span class=\"wpcf7-list-item-label\">L\u00e4rm<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Hautreizende Stoffe\" \/><span class=\"wpcf7-list-item-label\">Hautreizende Stoffe<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"arbeitshaltung[]\" value=\"Atemwegsreizende Stoffe\" \/><span class=\"wpcf7-list-item-label\">Atemwegsreizende Stoffe<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><label> Weitere Arbeitsplatzbelastungen<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitsplatz_belastung\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"arbeitsplatz_belastung\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Arbeiten am PC (% der Arbeitszeit)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pc_arbeit\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"pc_arbeit\" \/><\/span> <\/label>\n<\/p>\n<p><label> Arbeitsweg einfache Strecke (km)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitsweg\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"arbeitsweg\" \/><\/span> <\/label>\n<\/p>\n<p><label> Weitere Bemerkungen Arbeitsplatz<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitsplatz_bemerkung\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"arbeitsplatz_bemerkung\"><\/textarea><\/span> <\/label>\n<\/p>\n<hr \/>\n<h3>2.2.9 Berufliche Zukunft\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"beruf_zukunft\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"beruf_zukunft[]\" value=\"Weiter im bisherigen Beruf arbeiten\" \/><span class=\"wpcf7-list-item-label\">Weiter im bisherigen Beruf arbeiten<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_zukunft[]\" value=\"Nicht mehr im bisherigen Beruf arbeiten\" \/><span class=\"wpcf7-list-item-label\">Nicht mehr im bisherigen Beruf arbeiten<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_zukunft[]\" value=\"Andere Arbeit gew\u00fcnscht\" \/><span class=\"wpcf7-list-item-label\">Andere Arbeit gew\u00fcnscht<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_zukunft[]\" value=\"Nicht mehr arbeitsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Nicht mehr arbeitsf\u00e4hig<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_zukunft[]\" value=\"Rente beantragen\" \/><span class=\"wpcf7-list-item-label\">Rente beantragen<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_zukunft[]\" value=\"Arbeitslosigkeit erwartet\" \/><span class=\"wpcf7-list-item-label\">Arbeitslosigkeit erwartet<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"beruf_zukunft[]\" value=\"Weiter krankgeschrieben\" \/><span class=\"wpcf7-list-item-label\">Weiter krankgeschrieben<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"beruf_zukunft[]\" value=\"Noch unklar\" \/><span class=\"wpcf7-list-item-label\">Noch unklar<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h3>2.2.10 Arbeitsunf\u00e4higkeit\n<\/h3>\n<p><label> Arbeitsunf\u00e4higkeit in den letzten 12 Monaten<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"arbeitsunfaehigkeit\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"arbeitsunfaehigkeit\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Zur Zeit krankgeschrieben?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"krankgeschrieben\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"krankgeschrieben\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"krankgeschrieben\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Seit wann?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"krank_seit\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"krank_seit\" \/><\/span> <\/label>\n<\/p>\n<p><label> Bereits ausgesteuert?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ausgesteuert\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"ausgesteuert\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"ausgesteuert\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h3>2.3 Einschr\u00e4nkungen\n<\/h3>\n<p><label> Beschreiben Sie Ihre Einschr\u00e4nkungen in Freizeit und Beruf<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"einschraenkungen\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"einschraenkungen\"><\/textarea><\/span> <\/label>\n<\/p>\n<hr \/>\n<h3>Einwilligung Entlassunterlagen\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"empfaenger\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"empfaenger[]\" value=\"An mich selbst\" \/><span class=\"wpcf7-list-item-label\">An mich selbst<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"empfaenger[]\" value=\"Einweisende Klinik\" \/><span class=\"wpcf7-list-item-label\">Einweisende Klinik<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"empfaenger[]\" value=\"Hausarzt\" \/><span class=\"wpcf7-list-item-label\">Hausarzt<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"empfaenger[]\" value=\"Facharzt\" \/><span class=\"wpcf7-list-item-label\">Facharzt<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"empfaenger[]\" value=\"Krankenkasse\" \/><span class=\"wpcf7-list-item-label\">Krankenkasse<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"empfaenger[]\" value=\"MDK\" \/><span class=\"wpcf7-list-item-label\">MDK<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Empf\u00e4nger \/ Adresse<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"empfaenger_adresse\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"empfaenger_adresse\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"datenschutz2\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"datenschutz2\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ich willige in die Verarbeitung und \u00dcbermittlung meiner Gesundheitsdaten gem\u00e4\u00df DSGVO ein.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p># Optionales CSS\n<\/p>\n<p>```css<br \/>\n.form-grid {<br \/>\ndisplay:grid;<br \/>\ngrid-template-columns:1fr 1fr;<br \/>\ngap:20px;<br \/>\n}\n<\/p>\n<p>label {<br \/>\ndisplay:block;<br \/>\nmargin-bottom:15px;<br \/>\nfont-weight:600;<br \/>\n}\n<\/p>\n<p>input, textarea, select {<br \/>\nwidth:100%;<br \/>\npadding:10px;<br \/>\nborder:1px solid #ccc;<br \/>\nborder-radius:6px;<br \/>\n}\n<\/p>\n<p>textarea {<br \/>\nmin-height:120px;<br \/>\n}\n<\/p>\n<p>@media(max-width:768px){<br \/>\n.form-grid {<br \/>\ngrid-template-columns:1fr;<br \/>\n}<br \/>\n}<br \/>\n```\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row][vc_row bg_check=&#8221;row-background-dark&#8221; dfd_enable_overlay=&#8221;&#8221; force_equal_height_columns=&#8221;main_row&#8221; mobile_destroy_equal_heights_resolution=&#8221;799&#8243; dfd_row_config=&#8221;full_width_content&#8221; css=&#8221;.vc_custom_1723496589987{background-color: #86acb1 !important;}&#8221; mobile_destroy_equal_heights=&#8221;yes&#8221;][vc_column dfd_column_responsive_enable=&#8221;dfd-column-responsive-enable&#8221; css=&#8221;.vc_custom_1615899921140{padding-right: 0px !important;}&#8221; col_shadow=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; col_shadow_hover=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; offset=&#8221;vc_col-lg-6 vc_col-md-6 vc_col-xs-12&#8243; responsive_styles=&#8221;padding_left_desktop:30|padding_right_desktop:30|margin_top_tablet:-3|padding_left_tablet:30|padding_right_tablet:30|padding_left_mobile:0|padding_right_mobile:0&#8243;]<div id=\"dfd-single-image-module6a1d60b1532c4-2351\" class=\"dfd-single-image-module  image-center  dfd-img-lazy-load\" ><img loading=\"lazy\" decoding=\"async\" src=\"data:image\/svg+xml;charset=utf-8,%3Csvg xmlns%3D'http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg' viewBox%3D'0 0 2142 1771'%2F%3E\" data-src=\"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/wp-content\/uploads\/2024\/08\/Ubersichten_Angebot.png\" width=\"2142\" height=\"1771\"  alt=\"Image module\" \/><\/div>[\/vc_column][vc_column dfd_column_responsive_enable=&#8221;dfd-column-responsive-enable&#8221; css=&#8221;.vc_custom_1615883035691{padding-right: 10% !important;padding-left: 10% !important;}&#8221; col_shadow=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; col_shadow_hover=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; responsive_styles=&#8221;padding_left_desktop:0|padding_right_desktop:30|padding_left_tablet:30|padding_right_tablet:30|padding_left_mobile:20|padding_right_mobile:20&#8243; offset=&#8221;vc_col-lg-6 vc_col-md-6 vc_col-xs-12&#8243;]<div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"170\" data-normal_resolution=\"1024\" data-normal_size=\"100\" data-tablet_resolution=\"800\" data-tablet_size=\"100\" data-mobile_resolution=\"480\" data-mobile_size=\"100\" style=\"height: 170px;\"><\/div><div class=\"dfd-heading-shortcode\"><div class=\"dfd-heading-module-wrap  text-left style_01 cr-animate-gen dfd-heading-6a1d60b153323 dfd-disable-resposive-headings\" id=\"dfd-heading-6a1d60b153323\" data-animate-type = \"transition.slideLeftBigIn\" ><div class=\"inline-block\"><div class=\"dfd-heading-module\"><h3 class=\"widget-title dfd-title \" style=\"\"><\/p>\n<h3>Patientenverwaltung mit Herz und Verstand<\/h3>\n<p><\/h3><\/div><\/div><\/div><script type=\"text\/javascript\">\r\n\t\t\t\t\t\t\t\t\t(function($) {\r\n\t\t\t\t\t\t\t\t\t\t$(\"head\").append(\"<style>.dfd-heading-6a1d60b153323.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {margin-top:10px;margin-bottom:10px;}@media (max-width: 799px){.dfd-heading-6a1d60b153323 .dfd-title{font-size: 24px !important;letter-spacing: 0px !important;line-height: 32px !important;}}<\/style>\");\r\n\t\t\t\t\t\t\t\t\t})(jQuery);\r\n\t\t\t\t\t\t\t\t<\/script><\/div>[vc_column_text css=&#8221;&#8221;]F\u00fcr alle Fragen bez\u00fcglich Abrechnung, Wahlleistungen und Unterbringung von Begleitpersonen steht Ihnen unsere Patientenverwaltung zur Verf\u00fcgung.[\/vc_column_text]<div class=\"dfd-heading-shortcode\"><div class=\"dfd-heading-module-wrap  text-left style_01 cr-animate-gen dfd-heading-6a1d60b1533db dfd-disable-resposive-headings\" id=\"dfd-heading-6a1d60b1533db\" data-animate-type = \"transition.slideLeftBigIn\" ><div class=\"inline-block\"><div class=\"dfd-heading-module\"><div class=\"widget-title dfd-title block-title\" style=\"font-family:Montserrat; font-weight:400; font-style:normal; font-size: 11px; line-height: 11px; letter-spacing: 3px; \"><\/p>\n<h3><strong data-start=\"1815\" data-end=\"1853\">Unterst\u00fctzung bei der Organisation<\/strong><\/h3>\n<p><\/div><\/div><\/div><\/div><script type=\"text\/javascript\">\r\n\t\t\t\t\t\t\t\t\t(function($) {\r\n\t\t\t\t\t\t\t\t\t\t$(\"head\").append(\"<style>.dfd-heading-6a1d60b1533db.dfd-heading-module-wrap .dfd-heading-module .dfd-heading-delimiter {margin-top:10px;margin-bottom:10px;}<\/style>\");\r\n\t\t\t\t\t\t\t\t\t})(jQuery);\r\n\t\t\t\t\t\t\t\t<\/script><\/div>[vc_column_text css=&#8221;&#8221;]<\/p>\n<p data-start=\"1368\" data-end=\"1587\">Sollten Sie Hilfe bei der Planung Ihrer Anreise ben\u00f6tigen, stehen wir Ihnen gerne unterst\u00fctzend zur Seite. Auf Wunsch organisieren wir auch einen Transfer vom n\u00e4chstgelegenen Bahnhof.<\/p>\n<p data-start=\"1589\" data-end=\"1715\">Wir w\u00fcnschen Ihnen eine angenehme Anreise und freuen uns darauf, Sie in der Klinik Rosenhof Bad Birnbach willkommen zu hei\u00dfen!<\/p>\n<p>[\/vc_column_text]<div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"10\" data-normal_resolution=\"1024\" data-normal_size=\"10\" data-tablet_resolution=\"800\" data-tablet_size=\"10\" data-mobile_resolution=\"480\" data-mobile_size=\"10\" style=\"height: 10px;\"><\/div><div class=\"dfd-spacer-module\"  data-units=\"px\" data-wide_resolution=\"1280\" data-wide_size=\"45\" data-normal_resolution=\"1024\" data-normal_size=\"35\" data-tablet_resolution=\"30\" data-tablet_size=\"30\" data-mobile_resolution=\"30\" data-mobile_size=\"\" style=\"height: 45px;\"><\/div>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][rev_slider_vc alias=&#8221;klinik-rosenhof&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243; dfd_column_responsive_enable=&#8221;dfd-column-responsive-enable&#8221; css=&#8221;.vc_custom_1492522537527{padding-left: 20px !important;}&#8221; col_shadow=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; col_shadow_hover=&#8221;box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)&#8221; responsive_styles=&#8221;padding_right_desktop:20|padding_left_tablet:20|padding_right_tablet:20|padding_left_mobile:20|padding_right_mobile:20&#8243; el_class=&#8221;dfd_col-tablet-12&#8243; offset=&#8221;vc_col-lg-6 vc_col-md-6 vc_col-xs-12&#8243;][vc_column_text css=&#8221;&#8221;] Jede sozialversicherte Person in Deutschland kann eine medizinische Reha erhalten, wenn sie von einem Arzt<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"page-custom.php","meta":{"footnotes":""},"class_list":["post-1170","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/index.php?rest_route=\/wp\/v2\/pages\/1170","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1170"}],"version-history":[{"count":30,"href":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/index.php?rest_route=\/wp\/v2\/pages\/1170\/revisions"}],"predecessor-version":[{"id":2208,"href":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/index.php?rest_route=\/wp\/v2\/pages\/1170\/revisions\/2208"}],"wp:attachment":[{"href":"https:\/\/klinik-rosenhof.eu.144-76-111-172.server6.bluemeetsyou.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}