{"id":317,"date":"2022-11-16T17:46:29","date_gmt":"2022-11-16T17:46:29","guid":{"rendered":"https:\/\/ajansacropolia.com\/form\/?p=317"},"modified":"2022-11-16T17:46:29","modified_gmt":"2022-11-16T17:46:29","slug":"surp-pirgic-hekime-sorun-ingilizce","status":"publish","type":"post","link":"https:\/\/ajansacropolia.com\/form\/surp-pirgic-hekime-sorun-ingilizce\/","title":{"rendered":"Surp P\u0131rgi\u00e7 Hekime Sorun \u0130ngilizce"},"content":{"rendered":"\n<style>\n\ninput[type=\"submit\"] {\n    background-color: #7f9183;\n}\n.entry-content > *:not(.alignwide):not(.alignfull):not(.alignleft):not(.alignright):not(.is-style-wide) {\n       margin-left: 51px;\n}\n\n.wpcf7 form.sent .wpcf7-response-output {\n    font-size: 15px;\n    text-align: center;\n    font-weight: bold;\n}\n\n.entry-content p, .entry-content li {\n    line-height: 1.476;\n    font-size: 11px;\n    font-weight: 100;\n}\n\nselect {\n    font-size: 1em;\n    width: 100%;\n    height: 48px;\n    padding: 12px;\n    border: 1px solid #dadada;\n}\n\n.wpcf7-list-item {\n    margin-bottom: 14px;\n}\n\n\n<\/style>\n\n\n\n\n\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f316-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/form\/wp-json\/wp\/v2\/posts\/317#wpcf7-f316-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"316\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f316-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div style=\"float:left; width:49%; margin-right:2%\">\n<label> Name <span style=\"color:#cc0000\">*<\/span> <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n<\/div>\n<div style=\"float:left; width:49%;\">\n<label> Surname<span style=\"color:#cc0000\">*<\/span> <span class=\"wpcf7-form-control-wrap text-990\"><input type=\"text\" name=\"text-990\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n<\/div>\n<p><br clear=\"all\"\/><\/p>\n<div style=\"float:left; width:49%; margin-right:2%\">\n<label> Mobile Phone<span style=\"color:#cc0000\">*<\/span> <span class=\"wpcf7-form-control-wrap your-phone\"><input type=\"tel\" name=\"your-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n<\/div>\n<div style=\"float:left; width:49%;\">\n<label> E-mail<span style=\"color:#cc0000\">*<\/span> <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n<\/div>\n<p><br clear=\"all\"\/><\/p>\n<div style=\"float:left; width:49%; margin-right:2%\">\n<label> Select Medical Services <span style=\"color:#cc0000\">*<\/span><span class=\"wpcf7-form-control-wrap menu-321\"><select name=\"menu-321\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Emergency\">Emergency<\/option><option value=\"Anesthesiology and Reanimation\">Anesthesiology and Reanimation<\/option><option value=\"Nutrition and Dietetics\">Nutrition and Dietetics<\/option><option value=\"Pediatric Surgery\">Pediatric Surgery<\/option><option value=\"Pediatrics\">Pediatrics<\/option><option value=\"General Internal Medicine\">General Internal Medicine<\/option><option value=\"Dermatology\">Dermatology<\/option><option value=\"Infectious Diseases and Microbiology\">Infectious Diseases and Microbiology<\/option><option value=\"Aesthetic, Plastic and Reconstructive Surgery\">Aesthetic, Plastic and Reconstructive Surgery<\/option><option value=\"Physical Therapy and Rehabilitation\">Physical Therapy and Rehabilitation<\/option><option value=\"Gastroenterology and Hepatology\">Gastroenterology and Hepatology<\/option><option value=\"General Surgery\">General Surgery<\/option><option value=\"Chest Diseases and Tuberculosis\">Chest Diseases and Tuberculosis<\/option><option value=\"Ophthalmology\">Ophthalmology<\/option><option value=\"Obstetrics and Gynecology\">Obstetrics and Gynecology<\/option><option value=\"Cardiovascular Surgery \/ Varicose\">Cardiovascular Surgery \/ Varicose<\/option><option value=\"Cardiology\">Cardiology<\/option><option value=\"Clinical Laboratory\">Clinical Laboratory<\/option><option value=\"Ear Nose Throat\">Ear Nose Throat<\/option><option value=\"Neurology\">Neurology<\/option><option value=\"Neurosurgery\">Neurosurgery<\/option><option value=\"Orthopedics and Traumatology\">Orthopedics and Traumatology<\/option><option value=\"Psychiatry (Adult)\">Psychiatry (Adult)<\/option><option value=\"Psychology\">Psychology<\/option><option value=\"Radiology\">Radiology<\/option><option value=\"Urology\">Urology<\/option><option value=\"Intensive Care\">Intensive Care<\/option><\/select><\/span> <\/label><\/p>\n<\/div>\n<div style=\"float:left; width:49%;\">\n<label> Select Service<span style=\"color:#cc0000\">*<\/span> <span class=\"wpcf7-form-control-wrap menu-321\"><select name=\"menu-321\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"CONSULTATION\">CONSULTATION<\/option><option value=\"SUGGESTION\">SUGGESTION<\/option><option value=\"COMPLAINT\">COMPLAINT<\/option><option value=\"INFORMATION\">INFORMATION<\/option><\/select><\/span> <\/label><\/p>\n<\/div>\n<p><br clear=\"all\"\/><\/p>\n<div style=\"width:100%; margin-top:-10px;\">\n<label> Details <span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label>\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap checkbox-346\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-346[]\" value=\"I approve and give my consent to Surp P\u0131rgi\u00e7 Armenian Hospital Foundation for processing, recording, storing and transferring my personal data and contact information, which I provided during the registration process, with its third party service providers, for the limited purposes as described in the Information Text in accordance with Personal Data Protection Law No 6698.\" \/><span class=\"wpcf7-list-item-label\">I approve and give my consent to Surp P\u0131rgi\u00e7 Armenian Hospital Foundation for processing, recording, storing and transferring my personal data and contact information, which I provided during the registration process, with its third party service providers, for the limited purposes as described in the Information Text in accordance with Personal Data Protection Law No 6698.<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-346[]\" value=\"I give my permission to Surp P\u0131rgi\u00e7 Armenian Hospital Foundation to send me any kind of information, survey, promotion, opening, invitation and event, etc. reminders as well as Commercial Electronic Messages (call, SMS, email, etc.) for marketing and advertising purposes.\" \/><span class=\"wpcf7-list-item-label\">I give my permission to Surp P\u0131rgi\u00e7 Armenian Hospital Foundation to send me any kind of information, survey, promotion, opening, invitation and event, etc. reminders as well as Commercial Electronic Messages (call, SMS, email, etc.) for marketing and advertising purposes.<\/span><\/span><\/span><\/span><\/p>\n<div style=\"width:100%; 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