{"id":2436,"date":"2023-04-10T16:02:30","date_gmt":"2023-04-10T13:02:30","guid":{"rendered":"https:\/\/app.smartdoctors.gr\/?page_id=2436"},"modified":"2023-05-26T19:57:51","modified_gmt":"2023-05-26T16:57:51","slug":"register-patient","status":"publish","type":"page","link":"https:\/\/app.smartdoctors.gr\/index.php\/register-patient\/","title":{"rendered":"\u0395\u03b3\u03b3\u03c1\u03b1\u03c6\u03ae"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2436\" class=\"elementor elementor-2436\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-13707c6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"13707c6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3d39372\" data-id=\"3d39372\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-19ae8a6 elementor-widget elementor-widget-shortcode\" data-id=\"19ae8a6\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><br>\r\n<script src=\"https:\/\/cdn.rawgit.com\/PascaleBeier\/bootstrap-validate\/v2.2.5\/dist\/bootstrap-validate.js\" ><\/script>\r\n\r\n<script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script>\r\n\r\n<style>\r\n\tinput[type=checkbox]:checked + label:before { display: none; }\r\n<\/style>\r\n\r\n<!-- <div class=\"\" style=\"display: inline-flex; font-size:20px; width: 100%; justify-content: center;\">\r\n\t<p>\u03a3\u03c5\u03bd\u03b4\u03b5\u03b8\u03b5\u03af\u03c4\u03b5 \u03b1\u03c0\u03cc&nbsp;<a href=\"#\"> \u03b5\u03b4\u03ce<\/a><\/p>\r\n<\/div> -->\r\n\r\n<form id=\"reg_form\" action=\"..\/fast-login\/\" method=\"get\">\r\n\t\t\t\t\t<input type=\"text\" name=\"doctorId\" value=\"<br \/>\n<b>Notice<\/b>:  Undefined index: doctorId in <b>\/var\/www\/vhosts\/smartdoctors.gr\/app.SMARTDOCTORS.GR\/public\/wp-content\/plugins\/insert-headers-and-footers\/includes\/class-wpcode-snippet-execute.php(277) : eval()'d code<\/b> on line <b>73<\/b><br \/>\n\" hidden required>\r\n\t\t\t\t\t<input type=\"text\" name=\"isVideo\" value=\"<br \/>\n<b>Notice<\/b>:  Undefined index: isVideo in <b>\/var\/www\/vhosts\/smartdoctors.gr\/app.SMARTDOCTORS.GR\/public\/wp-content\/plugins\/insert-headers-and-footers\/includes\/class-wpcode-snippet-execute.php(277) : eval()'d code<\/b> on line <b>74<\/b><br \/>\n\" hidden required>\r\n\t\t\t\t\t<input type=\"text\" name=\"insurance\" value=\"<br \/>\n<b>Notice<\/b>:  Undefined index: insurance in <b>\/var\/www\/vhosts\/smartdoctors.gr\/app.SMARTDOCTORS.GR\/public\/wp-content\/plugins\/insert-headers-and-footers\/includes\/class-wpcode-snippet-execute.php(277) : eval()'d code<\/b> on line <b>75<\/b><br \/>\n\" hidden required>\r\n\t\t\t\t\t<input type=\"text\" name=\"timeInterval\" value=\"<br \/>\n<b>Notice<\/b>:  Undefined index: timeInterval in <b>\/var\/www\/vhosts\/smartdoctors.gr\/app.SMARTDOCTORS.GR\/public\/wp-content\/plugins\/insert-headers-and-footers\/includes\/class-wpcode-snippet-execute.php(277) : eval()'d code<\/b> on line <b>76<\/b><br \/>\n\" hidden required>\r\n\t\t\t\t\t<input type=\"text\" name=\"visitReason\" value=\"<br \/>\n<b>Notice<\/b>:  Undefined index: visitReason in <b>\/var\/www\/vhosts\/smartdoctors.gr\/app.SMARTDOCTORS.GR\/public\/wp-content\/plugins\/insert-headers-and-footers\/includes\/class-wpcode-snippet-execute.php(277) : eval()'d code<\/b> on line <b>77<\/b><br \/>\n\" hidden required>\r\n\t\t\t\t\t<input type=\"text\" name=\"appointmentPlace\" value=\"<br \/>\n<b>Notice<\/b>:  Undefined index: appointmentPlace in <b>\/var\/www\/vhosts\/smartdoctors.gr\/app.SMARTDOCTORS.GR\/public\/wp-content\/plugins\/insert-headers-and-footers\/includes\/class-wpcode-snippet-execute.php(277) : eval()'d code<\/b> on line <b>78<\/b><br \/>\n\" hidden > \r\n\t\t\t\t\t<input type=\"text\" name=\"appointmentDate\" value=\"<br \/>\n<b>Notice<\/b>:  Undefined index: appointmentDate in <b>\/var\/www\/vhosts\/smartdoctors.gr\/app.SMARTDOCTORS.GR\/public\/wp-content\/plugins\/insert-headers-and-footers\/includes\/class-wpcode-snippet-execute.php(277) : eval()'d code<\/b> on line <b>79<\/b><br \/>\n\" id=\"appointmentDate\" hidden required>\r\n\t\t\t\t\t<div class=\"\" style=\"display: inline-flex; font-size:20px; width: 100%; justify-content: center;\">\r\n\t\t\t\t\t\t<p>\u03a3\u03c5\u03bd\u03b4\u03b5\u03b8\u03b5\u03af\u03c4\u03b5 \u03b1\u03c0\u03cc&nbsp;<a href=\"javascript:{}\" onclick=\"document.getElementById('reg_form').submit();\"><b>\u03b5\u03b4\u03ce<\/b><\/a><\/p>\r\n\t\t\t\t\t<\/div>\t\t\t\t\r\n<\/form>\r\n\r\n<script>\r\nfunction toUpperCase(input) {\r\n    input.value = input.value.toUpperCase();\r\n}\r\n<\/script>\r\n\r\n<form method=\"post\" action=''>\r\n\t<div class=\"form-group\">\r\n\t\t<label for=\"FirstLastName\">* \u039f\u03bd\u03bf\u03bc\u03b1\u03c4\u03b5\u03c0\u03ce\u03bd\u03c5\u03bc\u03bf<\/label>\r\n\t\t<input type=\"text\" value=\"\" class=\"form-control\" name=\"FirstLastName\" id=\"FirstLastName\" placeholder=\"\u038c\u03bd\u03bf\u03bc\u03b1\u03c4\u03b5\u03c0\u03ce\u03bd\u03c5\u03bc\u03bf\" required oninput=\"toUpperCase(this)\">\r\n\t<\/div>\r\n\t\r\n\t<div class=\"form-group\">\r\n\t\t<label for=\"AMKA\">* AMKA<\/label>\r\n\t\t<input type=\"text\" value=\"\" class=\"form-control\" name=\"AMKA\" id=\"AMKA\" placeholder=\"AMKA\" required>\r\n\t<\/div>\r\n\t\r\n\t<div class=\"form-group\">\r\n\t\t<label for=\"Email\">* \u0397\u03bb. \u03a4\u03b1\u03c7\u03c5\u03b4\u03c1\u03bf\u03bc\u03b5\u03af\u03bf (Email)<\/label>\r\n\t\t<input type=\"email\" value=\"\" class=\"form-control\" name=\"Email\" id=\"Email\" aria-describedby=\"Email\" placeholder=\"Email\" required>\r\n\t\t<!--<small id=\"emailHelp\" class=\"form-text text-muted\">We'll never share your email with anyone else.<\/small> -->\r\n\t<\/div>\r\n\r\n\t<div class=\"row\">\r\n\t\t<div class=\"form-group col-md-6\">\r\n\t\t\t<label for=\"Mobile\">* \u039a\u03b9\u03bd\u03b7\u03c4\u03cc<\/label>\r\n\t\t\t<input type=\"text\" value=\"\" class=\"form-control\" name=\"Mobile\" id=\"Mobile\" placeholder=\"\u039a\u03b9\u03bd\u03b7\u03c4\u03cc\" required>\r\n\t\t<\/div>\r\n\t\t\r\n\t\t<div class=\"form-group col-md-6\">\r\n\t\t\t<label for=\"Phone\">\u03a3\u03c4\u03b1\u03b8\u03b5\u03c1\u03cc \u03a4\u03b7\u03bb\u03ad\u03c6\u03c9\u03bd\u03bf<\/label>\r\n\t\t\t<input type=\"text\" value=\"\" class=\"form-control\" name=\"Phone\" id=\"Phone\" placeholder=\"\u03a3\u03c4\u03b1\u03b8\u03b5\u03c1\u03cc \u03a4\u03b7\u03bb\u03ad\u03c6\u03c9\u03bd\u03bf\">\r\n\t\t<\/div>\r\n\t<\/div>\r\n\t\r\n\t<div class=\"row\">\r\n\t\t<div class=\"form-group col-md-6\">\r\n\t\t\t<label for=\"Password\">* \u039d\u03ad\u03bf\u03c2 \u039a\u03c9\u03b4\u03b9\u03ba\u03cc\u03c2<\/label>\r\n\t\t\t<input type=\"password\" minlength=6 class=\"form-control\" name=\"Password\" id=\"Password\" placeholder=\"\u039a\u03c9\u03b4\u03b9\u03ba\u03cc\u03c2 \u03c0\u03c1\u03cc\u03c3\u03b2\u03b1\u03c3\u03b7\u03c2\" required>\r\n\t\t<\/div>\r\n\t\t\r\n\t\t<div class=\"form-group col-md-6\">\r\n\t\t\t<label for=\"Password2\">* \u0395\u03c0\u03b1\u03bb\u03ae\u03b8\u03b5\u03c5\u03c3\u03b7 \u039d\u03ad\u03bf\u03c5 \u039a\u03c9\u03b4\u03b9\u03ba\u03bf\u03cd<\/label>\r\n\t\t\t<input type=\"password\" minlength=6 class=\"form-control\" name=\"Password2\" id=\"Password2\" placeholder=\"\u0395\u03c0\u03b1\u03bb\u03ae\u03b8\u03b5\u03c5\u03c3\u03b7 \u03ba\u03c9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c0\u03c1\u03cc\u03c3\u03b2\u03b1\u03c3\u03b7\u03c2\" required>\r\n\t\t<\/div>\r\n\t\t\r\n\t<\/div>\r\n\t\r\n\t<div class=\"g-recaptcha\" data-sitekey=\"6Ld25nolAAAAABDxDFVTD_4wA0JECLxbQtulND--\"><\/div>\r\n\t<br\/>\r\n\t\r\n\t<div class=\"form-check\">\r\n\t\t<input type=\"checkbox\" class=\"form-check-input\" id=\"terms\" checked required>\r\n\t\t<label class=\"form-check-label\" for=\"terms\">\u0391\u03c0\u03bf\u03b4\u03ad\u03c7\u03bf\u03bc\u03b1\u03b9 \u03c4\u03bf\u03c5\u03c2 <a href=\"https:\/\/app.smartdoctors.gr\/index.php\/terms\/\">\u03cc\u03c1\u03bf\u03c5\u03c2 \u03c7\u03c1\u03ae\u03c3\u03b7\u03c2<\/a> \u03c4\u03b7\u03c2 \u03c5\u03c0\u03b7\u03c1\u03b5\u03c3\u03af\u03b1\u03c2.<\/label>\r\n\t<\/div>\r\n\t\r\n\t<button type=\"submit\" class=\"btn btn-primary\" style=\"margin-top: 15px;\">\u0394\u03b7\u03bc\u03b9\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b1\u03c7\u03ce\u03c1\u03b7\u03c3\u03b7 \u03c1\u03b1\u03bd\u03c4\u03b5\u03b2\u03bf\u03cd<\/button>\r\n<\/form>\r\n<br>\r\n\r\n\r\n<script>\r\n\tbootstrapValidate(['#Password', '#Password2'], 'min:6:\u039f \u03ba\u03c9\u03b4\u03b9\u03ba\u03cc\u03c2 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd 6 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03ae\u03c1\u03b5\u03c2. | password');\r\n<\/script>\r\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"redux-templates_contained","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-2436","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/app.smartdoctors.gr\/index.php\/wp-json\/wp\/v2\/pages\/2436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/app.smartdoctors.gr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/app.smartdoctors.gr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/app.smartdoctors.gr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/app.smartdoctors.gr\/index.php\/wp-json\/wp\/v2\/comments?post=2436"}],"version-history":[{"count":62,"href":"https:\/\/app.smartdoctors.gr\/index.php\/wp-json\/wp\/v2\/pages\/2436\/revisions"}],"predecessor-version":[{"id":2953,"href":"https:\/\/app.smartdoctors.gr\/index.php\/wp-json\/wp\/v2\/pages\/2436\/revisions\/2953"}],"wp:attachment":[{"href":"https:\/\/app.smartdoctors.gr\/index.php\/wp-json\/wp\/v2\/media?parent=2436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}