{"id":347,"date":"2025-03-13T11:06:00","date_gmt":"2025-03-13T11:06:00","guid":{"rendered":"https:\/\/tandartsmuijsers.nl\/?page_id=347"},"modified":"2026-09-30T09:06:02","modified_gmt":"2026-09-30T09:06:02","slug":"verzoek-voor-afspraak","status":"publish","type":"page","link":"https:\/\/tandartsmuijsers.nl\/en\/verzoek-voor-afspraak\/","title":{"rendered":"Maak, wijzig of annuleer afspraak"},"content":{"rendered":"<div id=\"wp-block-themeisle-blocks-advanced-columns-40db0924\" class=\"wp-block-themeisle-blocks-advanced-columns alignfull has-2-columns has-desktop-equal-layout has-tablet-equal-layout has-mobile-collapsedRows-layout has-vertical-top ticss-c00aadba\"><div class=\"wp-block-themeisle-blocks-advanced-columns-overlay\"><\/div><div class=\"innerblocks-wrap\">\n<div id=\"wp-block-themeisle-blocks-advanced-column-006aede9\" class=\"wp-block-themeisle-blocks-advanced-column\">\n<h2 id=\"wp-block-themeisle-blocks-advanced-heading-8e35b90f\" class=\"wp-block-themeisle-blocks-advanced-heading wp-block-themeisle-blocks-advanced-heading-8e35b90f\">Request an appointment <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Vul uw gegevens in en wij pakken uw verzoek zo spoedig mogelijk op. U krijgt vervolgens een bevestiging van ons. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Note:<\/strong> <strong>Annuleren binnen 48 uur?<\/strong>\u00a0Appointments canceled less than 48 hours in advance may be\u00a0<em><strong>kunnen mogelijk in rekening worden gebracht<\/strong><\/em>.<\/p>\n\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p id=\"wp-block-themeisle-blocks-advanced-heading-9b27b614\" class=\"wp-block-themeisle-blocks-advanced-heading wp-block-themeisle-blocks-advanced-heading-9b27b614\"><\/p>\n<\/div>\n\n\n\n<div id=\"wp-block-themeisle-blocks-advanced-column-ee3078f9\" class=\"wp-block-themeisle-blocks-advanced-column\"><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-3c1ef346-f294-402c-b2a3-856710a86ecf\" id=\"wpforms-531\"><form id=\"wpforms-form-531\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"531\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/347\" data-token=\"c1fdde1a0597a9069cddf66de0f0d94f\" data-token-time=\"1791246890\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/347\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-531-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Kies uw vestiging: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-531-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-531-field_12_1\" name=\"wpforms[fields][12]\" value=\"Amsterdam\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-531-field_12_1\">Amsterdam<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-531-field_12_2\" name=\"wpforms[fields][12]\" value=\"Purmerend\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-531-field_12_2\">Purmerend<\/label><\/li><\/ul><\/div><div id=\"wpforms-531-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Name: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-531-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" required><label for=\"wpforms-531-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-531-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" required><label for=\"wpforms-531-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-531-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-531-field_13\">Geboortedatum <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-531-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-531-field_8-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-531-field_8\">E-mail: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-531-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-531-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-531-field_9\">Phone number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-531-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-531-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\">Het gaat om een afspraak bij de: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-531-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-531-field_10_1\" name=\"wpforms[fields][10]\" value=\"Tandarts\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-531-field_10_1\">Dentist<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-531-field_10_2\" name=\"wpforms[fields][10]\" value=\"Mondhygi\u00ebniste\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-531-field_10_2\">Dental hygienist<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-531-field_10_3\" name=\"wpforms[fields][10]\" value=\"Beiden\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-531-field_10_3\">Beiden<\/label><\/li><\/ul><\/div><div id=\"wpforms-531-field_11-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-531-field_11\">Verzoek, aanvraag of wijziging: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-531-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LfQNPIqAAAAAHMmX1AfETdtOHZQd0rz6YUoJPHG\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" 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