{"id":243,"date":"2023-05-10T07:07:27","date_gmt":"2023-05-10T07:07:27","guid":{"rendered":"https:\/\/test.juliushuisartsennetwerk.nl\/?page_id=243"},"modified":"2024-06-26T07:41:51","modified_gmt":"2024-06-26T07:41:51","slug":"deelnemen","status":"publish","type":"page","link":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/huisartsen\/deelnemen\/","title":{"rendered":"Participating with JHN"},"content":{"rendered":"<div class=\"header-image-sub\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-245\" src=\"http:\/\/test.juliushuisartsennetwerk.nl\/wp-content\/uploads\/2023\/05\/belinda-fewings-6wAGwpsXHE0-unsplash.jpg\" alt=\"\" width=\"598\" height=\"336\" srcset=\"\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" data-srcset=\"\" \/><\/div>\n<p>Would your practice like to participate with JHN? Please fill out your information below and we will contact you as soon as possible.<\/p>\n<p>For questions, please contact the secretariat at <a href=\"mailto:SecretariaatJHN-3@umcutrecht.nl\">SecretariaatJHN@umcutrecht.nl<\/a>.<\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-301 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-301\" data-uid=\"69eed99e3287a\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-301\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-301 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"301\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69eed99e3287a\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69eed99e3287a\" id=\"forminator-field-name-1_69eed99e3287a-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69eed99e3287a\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69eed99e3287a\" id=\"forminator-field-text-1_69eed99e3287a-label\" class=\"forminator-label\">Name practice <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69eed99e3287a\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69eed99e3287a\" id=\"forminator-field-email-1_69eed99e3287a-label\" class=\"forminator-label\">Email address contact person <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69eed99e3287a\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69eed99e3287a\" id=\"forminator-field-phone-1_69eed99e3287a-label\" class=\"forminator-label\">Phone number contact person<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_69eed99e3287a\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69eed99e3287a-label\"><span id=\"forminator-radiogroup-radio-1-69eed99e3287a-label\" class=\"forminator-label\">Are you affiliated with an umbrella healthcare organization? If so, which one?<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69eed99e3287a\" class=\"forminator-radio\" title=\"Ja\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69eed99e3287a\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ja<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69eed99e3287a\" class=\"forminator-radio\" title=\"Nee\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69eed99e3287a\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nee<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69eed99e3287a\" id=\"forminator-field-text-2_69eed99e3287a-label\" class=\"forminator-label\">Naam zorgkoepel<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69eed99e3287a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"captcha-1\" class=\"forminator-field-captcha forminator-col forminator-col-12\"><div class=\"forminator-captcha-left forminator-g-recaptcha\" data-theme=\"light\"  data-sitekey=\"6Lf-tjYrAAAAABbrHO5G23GdkAh0Qt-0TFVKAlTX\" data-size=\"normal\"><\/div> <\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"cdafeb8352\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/243\" \/><input type=\"hidden\" name=\"form_id\" value=\"301\"><input type=\"hidden\" name=\"page_id\" value=\"243\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.juliushuisartsennetwerk.nl\/en\/huisartsen\/deelnemen\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>","protected":false},"excerpt":{"rendered":"<p>Wil uw praktijk deelnemen aan JHN? Vul onderstaand uw gegevens in en dan nemen we zo snel mogelijk contact met u op. Voor vragen kunt u contact opnemen met het secretariaat via SecretariaatJHN@umcutrecht.nl.<\/p>","protected":false},"author":1,"featured_media":0,"parent":206,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"sub-page.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-243","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/pages\/243","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/comments?post=243"}],"version-history":[{"count":9,"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/pages\/243\/revisions"}],"predecessor-version":[{"id":606,"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/pages\/243\/revisions\/606"}],"up":[{"embeddable":true,"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/pages\/206"}],"wp:attachment":[{"href":"https:\/\/www.juliushuisartsennetwerk.nl\/en\/wp-json\/wp\/v2\/media?parent=243"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}