{"id":1106,"date":"2018-07-12T16:54:06","date_gmt":"2018-07-12T14:54:06","guid":{"rendered":"https:\/\/www.mmc.nl\/geboortezorg\/?page_id=1106"},"modified":"2022-05-31T13:26:56","modified_gmt":"2022-05-31T11:26:56","slug":"contactformulier","status":"publish","type":"page","link":"https:\/\/www.mmc.nl\/geboortezorg\/contact-en-route\/contactformulier\/","title":{"rendered":"Contactformulier"},"content":{"rendered":"<p>Bent u al pati\u00ebnt bij M\u00e1xima MC? MijnMMC is d\u00e9 digitale omgeving voor u als pati\u00ebnt. Via uw computer, tablet of smartphone heeft u altijd uw medische gegevens bij de hand en kunt u zelf veilig en gemakkelijk uw ziekenhuiszaken regelen. Waar en wanneer het u uitkomt.<\/p>\n<p><a class=\"button-primary\" href=\"https:\/\/medimapp1.mmc.nl\/\">Ga naar MijnMMC<\/a><\/p>\n<p><strong>Contactformulier<\/strong><br \/>\nBent u (nog) geen pati\u00ebnt in M\u00e1xima MC en heeft u een algemene (niet-medische) vraag? Maak dan gebruik van onderstaand contactformulier.<\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var 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data-formid='8' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_8_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_8_2\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_2\" ><label class='gfield_label gform-field-label' for='input_8_2'>Naam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_8_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_8_4\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_4\" ><label class='gfield_label gform-field-label' for='input_8_4'>E-mailadres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_8_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_8_5\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_5\" ><label class='gfield_label gform-field-label' for='input_8_5'>Telefoonnummer<\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_8_5' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_8_6\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_6\" ><label class='gfield_label gform-field-label' for='input_8_6'>Geboortedatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_8_6' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='dd-mm-yyyy' aria-describedby=\"input_8_6_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_8_6_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_8_6' class='gform_hidden' value='https:\/\/www.mmc.nl\/geboortezorg\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_8_7\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_7\" ><label class='gfield_label gform-field-label' for='input_8_7'>Bericht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_8_7' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_8_8\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_8\" ><p><span style=\"font-size:10px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Wij vragen u om uw contactgegevens en uw geboortedatum zodat wij gericht uw vraag kunnen beantwoorden.Bekijk ook onze <a href=\"https:\/\/www.mmc.nl\/privacy\" target=\"_blank\">privacystatement<\/a>.<\/span><\/span><\/p>\n<\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_8_9' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Controleer en verstuur'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_2' class='gform_page gform_review_page ' data-js='page-field-id-9' style='display:none;'>\n                 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MijnMMC is d\u00e9 digitale omgeving voor u als pati\u00ebnt. Via uw computer, tablet of smartphone heeft u altijd uw medische gegevens bij de hand en kunt u zelf veilig en gemakkelijk uw ziekenhuiszaken regelen. Waar en wanneer het u uitkomt. Ga naar MijnMMC Contactformulier Bent u (nog) geen [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1,"parent":582,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"footnotes":""},"tags":[1037,1038],"class_list":["post-1106","page","type-page","status-publish","has-post-thumbnail","hentry","tag-contactformulier","tag-e-mail"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.8 (Yoast SEO v24.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Contactformulier - Geboortezorg<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mmc.nl\/geboortezorg\/contact-en-route\/contactformulier\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contactformulier\" \/>\n<meta property=\"og:description\" content=\"Bent u al pati\u00ebnt bij M\u00e1xima MC? 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