{"id":748,"date":"2025-07-22T11:09:34","date_gmt":"2025-07-22T09:09:34","guid":{"rendered":"https:\/\/medica3nec.cz\/zp\/?page_id=748"},"modified":"2025-10-01T15:28:55","modified_gmt":"2025-10-01T13:28:55","slug":"zadost-o-peci","status":"publish","type":"page","link":"https:\/\/medica3nec.cz\/zp\/zadost-o-peci\/","title":{"rendered":"\u017d\u00e1dost o p\u00e9\u010di"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"748\" class=\"elementor elementor-748\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-69d0dac e-ecs-flex e-flex e-con-boxed e-con e-parent\" data-id=\"69d0dac\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3975500 elementor-widget elementor-widget-image\" data-id=\"3975500\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"255\" height=\"182\" src=\"https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/Medica_logo_Kreslici-platno-1-kopie-3-01.png\" class=\"attachment-full size-full wp-image-301\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b0ffd7c elementor-widget elementor-widget-heading\" data-id=\"b0ffd7c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formul\u00e1\u0159 dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-454ef99 elementor-widget elementor-widget-text-editor\" data-id=\"454ef99\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Jsme p\u0159ipraveni v\u00e1m pomoci a t\u011b\u0161\u00edme se na va\u0161i zpr\u00e1vu<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b074e10 e-ecs-flex e-flex e-con-boxed e-con e-parent\" data-id=\"b074e10\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e5b756c e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"e5b756c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d76269b elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"d76269b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\" aria-label=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"748\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"d76269b\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\u017d\u00e1dost o p\u00e9\u010di - Medica3nec - Dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"748\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_de6d5e8 elementor-col-100\">\n\t\t\t\t\t<h5>Formul\u00e1\u0159 vypl\u0148uji jako<h5>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFormul\u00e1\u0159 vypl\u0148uji jako\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Pacient\">Pacient<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Osoba bl\u00edzk\u00e1\">Osoba bl\u00edzk\u00e1<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"L\u00e9ka\u0159\">L\u00e9ka\u0159<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nemocnice\">Nemocnice<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Jin\u00fd\">Jin\u00fd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_84b81c9 elementor-col-100\">\n\t\t\t\t\t<h5>Informace o pacientovi<h5>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9351482 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9351482\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJm\u00e9no\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9351482]\" id=\"form-field-field_9351482\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Jm\u00e9no\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3d6973f elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3d6973f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tP\u0159\u00edjmen\u00ed\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3d6973f]\" id=\"form-field-field_3d6973f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"P\u0159\u00edjmen\u00ed\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_36e2471 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_36e2471\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTitul\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_36e2471]\" id=\"form-field-field_36e2471\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Titul\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_db155be elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_db155be\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_db155be]\" id=\"form-field-field_db155be\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telefon\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8441ab1 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8441ab1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRodn\u00e9 \u010d\u00edslo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8441ab1]\" id=\"form-field-field_8441ab1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Rodn\u00e9 \u010d\u00edslo\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_cc8ff2f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cc8ff2f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tZdravotn\u00ed poji\u0161\u0165ovna\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_cc8ff2f]\" id=\"form-field-field_cc8ff2f\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"111 \u2013 V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna\">111 \u2013 V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"211 \u2013 Zdravotn\u00ed poji\u0161\u0165ovna ministerstva vnitra \u010cR\">211 \u2013 Zdravotn\u00ed poji\u0161\u0165ovna ministerstva vnitra \u010cR<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"205 \u2013 \u010cesk\u00e1 pr\u016fmyslov\u00e1 zdravotn\u00ed poji\u0161\u0165ovna\">205 \u2013 \u010cesk\u00e1 pr\u016fmyslov\u00e1 zdravotn\u00ed poji\u0161\u0165ovna<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"213 \u2013 RBP \u2013 Zdravotn\u00ed poji\u0161\u0165ovna\">213 \u2013 RBP \u2013 Zdravotn\u00ed poji\u0161\u0165ovna<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1bb6a7e elementor-col-100\">\n\t\t\t\t\t<h5>Trval\u00e9 bydli\u0161t\u011b pacienta<h5>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3fdf1a3 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3fdf1a3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUlice\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3fdf1a3]\" id=\"form-field-field_3fdf1a3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Ulice\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8cfb1f5 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8cfb1f5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u010cP\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8cfb1f5]\" id=\"form-field-field_8cfb1f5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"\u010cP\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ed3b18b elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ed3b18b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPS\u010c\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ed3b18b]\" id=\"form-field-field_ed3b18b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"PS\u010c\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d3a3ed6 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d3a3ed6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tObec\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d3a3ed6]\" id=\"form-field-field_d3a3ed6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Obec\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_ad53e12 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ad53e12\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPozn\u00e1mka\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_ad53e12]\" id=\"form-field-field_ad53e12\" rows=\"4\" placeholder=\"Pozn\u00e1mka\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1925f15 elementor-col-100\">\n\t\t\t\t\t<h5>Adresa poskytov\u00e1n\u00ed p\u00e9\u010de<h5>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a8e4e10 elementor-col-100\">\n\t\t\t\t\t<h6>V p\u0159\u00edpad\u011b zvolen\u00ed mo\u017enosti <b>Ano<\/b> v poli ,,Stejn\u00e1 jako trval\u00e9 bydli\u0161t\u011b pacienta\" nevypl\u0148ujte ostatn\u00ed adresn\u00ed \u00fadaje<h6>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_371a004 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_371a004\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStejn\u00e1 jako trval\u00e9 bydli\u0161t\u011b pacienta\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_371a004]\" id=\"form-field-field_371a004\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Ano\">Ano<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ne\">Ne<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_699ab57 elementor-col-100\">\n\t\t\t\t\t<p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c62e4ce elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c62e4ce\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUlice\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c62e4ce]\" id=\"form-field-field_c62e4ce\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Ulice\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e4e8764 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e4e8764\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u010cP\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e4e8764]\" id=\"form-field-field_e4e8764\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"\u010cP\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_157ccde elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_157ccde\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPS\u010c\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_157ccde]\" id=\"form-field-field_157ccde\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"PS\u010c\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4f1c4f0 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4f1c4f0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tObec\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4f1c4f0]\" id=\"form-field-field_4f1c4f0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Obec\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_1620c6e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1620c6e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPozn\u00e1mka\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_1620c6e]\" id=\"form-field-field_1620c6e\" rows=\"4\" placeholder=\"Pozn\u00e1mka\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_2613d74 elementor-col-100\">\n\t\t\t\t\t<h5>Informace o kontaktn\u00ed osob\u011b<h5>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_98b41bc elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_98b41bc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVztah k pacientovi\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_98b41bc]\" id=\"form-field-field_98b41bc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Vztah k pacientovi\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_cd41fe1 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cd41fe1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJm\u00e9no\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_cd41fe1]\" id=\"form-field-field_cd41fe1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Jm\u00e9no\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c426812 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c426812\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tP\u0159\u00edjmen\u00ed\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c426812]\" id=\"form-field-field_c426812\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"P\u0159\u00edjmen\u00ed\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4016869 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4016869\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4016869]\" id=\"form-field-field_4016869\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telefon\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-mail\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_5cea882 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5cea882\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPozn\u00e1mka\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_5cea882]\" id=\"form-field-field_5cea882\" rows=\"4\" placeholder=\"Pozn\u00e1mka\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_e811508 elementor-col-100\">\n\t\t\t\t\t<h5>Zdravotn\u00ed a dal\u0161\u00ed \u00fadaje<h5>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_f8e414f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f8e414f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDatum propu\u0161t\u011bn\u00ed\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_f8e414f]\" id=\"form-field-field_f8e414f\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Datum propu\u0161t\u011bn\u00ed\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_20eb086 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_20eb086\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDatum zah\u00e1jen\u00ed p\u00e9\u010de\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_20eb086]\" id=\"form-field-field_20eb086\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Datum zah\u00e1jen\u00ed p\u00e9\u010de\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_37470c4 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_37470c4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiagn\u00f3za \u010d\u00edslem\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_37470c4]\" id=\"form-field-field_37470c4\" rows=\"4\" placeholder=\"Diagn\u00f3za \u010d\u00edslem\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_6c77501 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6c77501\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOnemocn\u011bn\u00ed\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_6c77501]\" id=\"form-field-field_6c77501\" rows=\"4\" placeholder=\"Onemocn\u011bn\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_50c5c5a elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_50c5c5a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiagn\u00f3za\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_50c5c5a]\" id=\"form-field-field_50c5c5a\" rows=\"4\" placeholder=\"Diagn\u00f3za\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_7675818 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7675818\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tP\u0159\u00edznaky a jin\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_7675818]\" id=\"form-field-field_7675818\" rows=\"4\" placeholder=\"P\u0159\u00edznaky a jin\u00e9\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_e947cc0 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e947cc0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSmyslov\u00e1 omezen\u00ed\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_e947cc0]\" id=\"form-field-field_e947cc0\" rows=\"4\" placeholder=\"Smyslov\u00e1 omezen\u00ed\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_2c2cfd3 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2c2cfd3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPo\u017eadovan\u00e9 v\u00fdkony\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_2c2cfd3]\" id=\"form-field-field_2c2cfd3\" rows=\"4\" placeholder=\"Po\u017eadovan\u00e9 v\u00fdkony\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5b60126 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5b60126\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFrekvence p\u00e9\u010de\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5b60126]\" id=\"form-field-field_5b60126\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Po, \u00dat, St, \u010ct, P\u00e1, So, Ne, Denn\u011b, T\u00fddn\u011b ...\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3dbca1f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3dbca1f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPot\u0159eba kompenza\u010dn\u00edch pom\u016fcek\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3dbca1f]\" id=\"form-field-field_3dbca1f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Pot\u0159eba kompenza\u010dn\u00edch pom\u016fcek\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b36f23a elementor-col-100\">\n\t\t\t\t\t<h5>L\u00e9ka\u0159<h5>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9556ac3 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9556ac3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tI\u010cP odd\u011blen\u00ed\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9556ac3]\" id=\"form-field-field_9556ac3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"I\u010cP odd\u011blen\u00ed\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_341aea2 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_341aea2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOdbornost\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_341aea2]\" id=\"form-field-field_341aea2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Odbornost\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_85eaba4 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_85eaba4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t Jm\u00e9no\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_85eaba4]\" id=\"form-field-field_85eaba4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\" Jm\u00e9no\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f9a8689 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f9a8689\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tP\u0159\u00edjmen\u00ed\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f9a8689]\" id=\"form-field-field_f9a8689\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"P\u0159\u00edjmen\u00ed\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_20e19cb elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_20e19cb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelefon\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_20e19cb]\" id=\"form-field-field_20e19cb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telefon\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ddad1a0 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ddad1a0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ddad1a0]\" id=\"form-field-field_ddad1a0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-mail\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_6628d9b elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_6628d9b]\" id=\"form-field-field_6628d9b\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_6628d9b\">P\u0159e\u010detl\/a jsem si <b><u><a href=\"https:\/\/www.medica3nec.cz\/kontakty\/gdpr\/\" target=\"_blank\">Z\u00e1sady ochrany osobn\u00edch \u00fadaj\u016f<\/a><\/u><\/b> a souhlas\u00edm s nimi.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_0249da4 elementor-col-100\">\n\t\t\t\t\t<p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_02f7616 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_02f7616\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LcyzI0rAAAAAExel6fnW44sTrtJlCxI3ofpEmcz\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Odeslat<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff759ab elementor-widget elementor-widget-heading\" data-id=\"ff759ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Po odesl\u00e1n\u00ed formul\u00e1\u0159e V\u00e1s nejpozd\u011bji dal\u0161\u00ed pracovn\u00ed den bude telefonicky kontaktovat pracovn\u00edk pro up\u0159esn\u011bn\u00ed detail\u016f p\u00e9\u010de.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Formul\u00e1\u0159 dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de Jsme p\u0159ipraveni v\u00e1m pomoci a t\u011b\u0161\u00edme se na va\u0161i zpr\u00e1vu Po odesl\u00e1n\u00ed formul\u00e1\u0159e V\u00e1s nejpozd\u011bji dal\u0161\u00ed pracovn\u00ed den bude telefonicky kontaktovat pracovn\u00edk pro up\u0159esn\u011bn\u00ed detail\u016f p\u00e9\u010de.<\/p>\n","protected":false},"author":1,"featured_media":580,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-748","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is 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