{"id":10761,"date":"2025-11-03T12:53:08","date_gmt":"2025-11-03T12:53:08","guid":{"rendered":"https:\/\/www.betaklinik.de\/?page_id=10761"},"modified":"2025-12-10T10:48:18","modified_gmt":"2025-12-10T10:48:18","slug":"appointment-request","status":"publish","type":"page","link":"https:\/\/www.betaklinik.de\/en\/contact\/appointment-request\/","title":{"rendered":"Appointment request"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10761\" class=\"elementor elementor-10761 elementor-4394\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7b253088 e-flex e-con-boxed e-con e-parent\" data-id=\"7b253088\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6ae160a4 elementor-widget elementor-widget-text-editor\" data-id=\"6ae160a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<section><h1>Appointment request<\/h1><div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div id=\"gform_wrapper_9\" class=\"gf_browser_chrome gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework\" data-form-theme=\"legacy\" data-form-index=\"0\"><form id=\"gform_9\" action=\"https:\/\/www.betaklinik.de\/en\/contact\/appointment-request\/\" enctype=\"multipart\/form-data\" method=\"post\" novalidate=\"\" data-formid=\"9\"><div class=\"gform-body gform_body\"><h2 class=\"gsection_title\">Personal information<\/h2><div id=\"gfield_description_9_18\" class=\"gsection_description\">Please fill in the fields below. We will contact you as soon as possible.<\/div><div>\u00a0<\/div><\/div><\/form><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0148346 elementor-widget elementor-widget-shortcode\" data-id=\"0148346\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar 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 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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 d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' style='display:none'><style>#gform_wrapper_3[data-form-index=\"0\"].gform-theme,[data-parent-form=\"3_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 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fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Your contact to the Beta Klinik<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/en\/wp-json\/wp\/v2\/pages\/10761' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_53\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_53'>Facebook<\/label><div class='ginput_container'><input name='input_53' id='input_3_53' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_53'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_3_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Personal information<\/h2><div class='gsection_description' id='gfield_description_3_18'>Please fill in the fields below.\nWe will contact you as soon as possible.<\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >First and last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_3'>\n                            \n                            <span id='input_3_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_3_3_3' value=''   aria-required='true'   placeholder='First name'  \/>\n                                                    <label for='input_3_3_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_3_3_6' value=''   aria-required='true'   placeholder='Last name'  \/>\n                                                    <label for='input_3_3_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_49\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_49'>Telephone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_49' id='input_3_49' type='tel' value='' class='medium'  placeholder='Mobile telephone or fixed line' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-email gfield--input-type-email gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Email adress<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_3_4' type='email' value='' class='medium'   placeholder='Email adress' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_29'>How can we help you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_3_29' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select your choice<\/option><option value='Appointment request' >Appointment request<\/option><option value='Recall' >Recall<\/option><option value='Other concerns' >Other concerns<\/option><\/select><\/div><\/li><li id=\"field_3_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Appointment request<\/h2><div class='gsection_description' id='gfield_description_3_19'>Please let us know who you would like to make an appointment with. Multiple choices are possible. <\/div><\/li><li id=\"field_3_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >How should we contact you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_6'>\n\t\t\t<li class='gchoice gchoice_3_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Email' checked='checked' id='choice_3_6_0'    \/>\n\t\t\t\t<label for='choice_3_6_0' id='label_3_6_0' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Recall'  id='choice_3_6_1'    \/>\n\t\t\t\t<label for='choice_3_6_1' id='label_3_6_1' class='gform-field-label gform-field-label--type-inline'>Recall<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Recall period<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_7'>\n\t\t\t<li class='gchoice gchoice_3_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='8 a.m. - 12 p.m.'  id='choice_3_7_0'    \/>\n\t\t\t\t<label for='choice_3_7_0' id='label_3_7_0' class='gform-field-label gform-field-label--type-inline'>8 a.m. - 12 p.m.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='12 p.m. - 6 p.m.'  id='choice_3_7_1'    \/>\n\t\t\t\t<label for='choice_3_7_1' id='label_3_7_1' class='gform-field-label gform-field-label--type-inline'>12 p.m. - 6 p.m.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_7_2'>\n\t\t\t\t<input name='input_7' type='radio' value='8 a.m. - 18 p.m.'  id='choice_3_7_2'    \/>\n\t\t\t\t<label for='choice_3_7_2' id='label_3_7_2' class='gform-field-label gform-field-label--type-inline'>8 a.m. - 18 p.m.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you have a preferred day of the week for your appointment?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_8'><li class='gchoice gchoice_3_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Monday'  id='choice_3_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_1' id='label_3_8_1' class='gform-field-label gform-field-label--type-inline'>Monday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Tuesday'  id='choice_3_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_2' id='label_3_8_2' class='gform-field-label gform-field-label--type-inline'>Tuesday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Wednesday'  id='choice_3_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_3' id='label_3_8_3' class='gform-field-label gform-field-label--type-inline'>Wednesday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Thursday'  id='choice_3_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_4' id='label_3_8_4' class='gform-field-label gform-field-label--type-inline'>Thursday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='Friday'  id='choice_3_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_5' id='label_3_8_5' class='gform-field-label gform-field-label--type-inline'>Friday<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >What time would suit you best?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_9'>\n\t\t\t<li class='gchoice gchoice_3_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='8 a.m. - 12 p.m.'  id='choice_3_9_0'    \/>\n\t\t\t\t<label for='choice_3_9_0' id='label_3_9_0' class='gform-field-label gform-field-label--type-inline'>8 a.m. - 12 p.m.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='12 p.m. - 6 p.m.'  id='choice_3_9_1'    \/>\n\t\t\t\t<label for='choice_3_9_1' id='label_3_9_1' class='gform-field-label gform-field-label--type-inline'>12 p.m. - 6 p.m.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_9_2'>\n\t\t\t\t<input name='input_9' type='radio' value='8 a.m. - 6 p.m.'  id='choice_3_9_2'    \/>\n\t\t\t\t<label for='choice_3_9_2' id='label_3_9_2' class='gform-field-label gform-field-label--type-inline'>8 a.m. - 6 p.m.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_10\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_10'>Which specialty would you like an appointment with?<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple' data-placeholder='Click to select...' size='7' name='input_10[]' id='input_3_10' class='medium gfield_select'   aria-invalid=\"false\"  ><option value='Anesthesia' >Anesthesia<\/option><option value='Angiology' >Angiology<\/option><option value='Beta Prevent' >Beta Prevent<\/option><option value='Gastroenterology' >Gastroenterology<\/option><option value='Health checkup' >Health checkup<\/option><option value='Cardiology' >Cardiology<\/option><option value='Neurosurgery' >Neurosurgery<\/option><option value='Neurology' >Neurology<\/option><option value='Nuclear Medicine' >Nuclear Medicine<\/option><option value='Orthopaedics' >Orthopaedics<\/option><option value='Physiotherapy' >Physiotherapy<\/option><option value='Plastic surgery' >Plastic surgery<\/option><option value='Psychiatry \/ Psychosomatics' >Psychiatry \/ Psychosomatics<\/option><option value='Sleep medicine' >Sleep medicine<\/option><option value='Radiology' >Radiology<\/option><option value='Sports Medicine' >Sports Medicine<\/option><option value='Urology' >Urology<\/option><option value='Visceral surgery' >Visceral surgery<\/option><option value='Dental clinic' >Dental clinic<\/option><\/select><\/div><\/li><li id=\"field_3_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >An\u00e4sthesie - Ihr Termin in der<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_34'>\n\t\t\t<li class='gchoice gchoice_3_34_0'>\n\t\t\t\t<input name='input_34' type='radio' value='An\u00e4sthesie' checked='checked' id='choice_3_34_0'    \/>\n\t\t\t\t<label for='choice_3_34_0' id='label_3_34_0' class='gform-field-label gform-field-label--type-inline'>An\u00e4sthesie<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Angiology - Your appointment with<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_35'>\n\t\t\t<li class='gchoice gchoice_3_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Dr. med. Sven Hausen' checked='checked' id='choice_3_35_0'    \/>\n\t\t\t\t<label for='choice_3_35_0' id='label_3_35_0' class='gform-field-label gform-field-label--type-inline'>Dr. med. Sven Hausen<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Gastroenterology - Your appointment with<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_36'>\n\t\t\t<li class='gchoice gchoice_3_36_0'>\n\t\t\t\t<input name='input_36' type='radio' value='Dr. med. Peter L\u00fcsebrink' checked='checked' id='choice_3_36_0'    \/>\n\t\t\t\t<label for='choice_3_36_0' id='label_3_36_0' class='gform-field-label gform-field-label--type-inline'>Dr. med. Peter L\u00fcsebrink<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Gesundheitsvorsorge - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_33'>\n\t\t\t<li class='gchoice gchoice_3_33_0'>\n\t\t\t\t<input name='input_33' type='radio' value='No preference'  id='choice_3_33_0'    \/>\n\t\t\t\t<label for='choice_3_33_0' id='label_3_33_0' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_33_1'>\n\t\t\t\t<input name='input_33' type='radio' value='Beta Prevent - Check-up'  id='choice_3_33_1'    \/>\n\t\t\t\t<label for='choice_3_33_1' id='label_3_33_1' class='gform-field-label gform-field-label--type-inline'>Beta Prevent - Check-up<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_33_2'>\n\t\t\t\t<input name='input_33' type='radio' value='Beta Vital - Preventive medicine'  id='choice_3_33_2'    \/>\n\t\t\t\t<label for='choice_3_33_2' id='label_3_33_2' class='gform-field-label gform-field-label--type-inline'>Beta Vital - Preventive medicine<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Cardiology - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_25'>\n\t\t\t<li class='gchoice gchoice_3_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='No preference'  id='choice_3_25_0'    \/>\n\t\t\t\t<label for='choice_3_25_0' id='label_3_25_0' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='Dr. med. Sven Hausen'  id='choice_3_25_1'    \/>\n\t\t\t\t<label for='choice_3_25_1' id='label_3_25_1' class='gform-field-label gform-field-label--type-inline'>Dr. med. Sven Hausen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_25_2'>\n\t\t\t\t<input name='input_25' type='radio' value='Prof. Dr. med. J\u00f6rg Otto Schwab'  id='choice_3_25_2'    \/>\n\t\t\t\t<label for='choice_3_25_2' id='label_3_25_2' class='gform-field-label gform-field-label--type-inline'>Prof. Dr. med. J\u00f6rg Otto Schwab<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_25_3'>\n\t\t\t\t<input name='input_25' type='radio' value='Dr. med. Diana Mom\u010dilovi\u0107'  id='choice_3_25_3'    \/>\n\t\t\t\t<label for='choice_3_25_3' id='label_3_25_3' class='gform-field-label gform-field-label--type-inline'>Dr. med. Diana Mom\u010dilovi\u0107<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Neurosurgery - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_26'>\n\t\t\t<li class='gchoice gchoice_3_26_0'>\n\t\t\t\t<input name='input_26' type='radio' value='No preference'  id='choice_3_26_0'    \/>\n\t\t\t\t<label for='choice_3_26_0' id='label_3_26_0' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_26_1'>\n\t\t\t\t<input name='input_26' type='radio' value='Prof. Dr. med. Thomas Gasser'  id='choice_3_26_1'    \/>\n\t\t\t\t<label for='choice_3_26_1' id='label_3_26_1' class='gform-field-label gform-field-label--type-inline'>Prof. Dr. med. Thomas Gasser<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_26_2'>\n\t\t\t\t<input name='input_26' type='radio' value='Dr. med. Axel Jung'  id='choice_3_26_2'    \/>\n\t\t\t\t<label for='choice_3_26_2' id='label_3_26_2' class='gform-field-label gform-field-label--type-inline'>Dr. med. Axel Jung<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Neurology - Who do you want to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_27'>\n\t\t\t<li class='gchoice gchoice_3_27_0'>\n\t\t\t\t<input name='input_27' type='radio' value='No preference'  id='choice_3_27_0'    \/>\n\t\t\t\t<label for='choice_3_27_0' id='label_3_27_0' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_27_1'>\n\t\t\t\t<input name='input_27' type='radio' value='Prof. Dr. med. Christian E. Elger'  id='choice_3_27_1'    \/>\n\t\t\t\t<label for='choice_3_27_1' id='label_3_27_1' class='gform-field-label gform-field-label--type-inline'>Prof. Dr. med. Christian E. Elger<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_27_2'>\n\t\t\t\t<input name='input_27' type='radio' value='Dr. med. Monika Jeub'  id='choice_3_27_2'    \/>\n\t\t\t\t<label for='choice_3_27_2' id='label_3_27_2' class='gform-field-label gform-field-label--type-inline'>Dr. med. Monika Jeub<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Nuclear Medicine - Your appointment with<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_37'>\n\t\t\t<li class='gchoice gchoice_3_37_0'>\n\t\t\t\t<input name='input_37' type='radio' value='Prof. Dr. Hans-J\u00fcrgen Biersack' checked='checked' id='choice_3_37_0'    \/>\n\t\t\t\t<label for='choice_3_37_0' id='label_3_37_0' class='gform-field-label gform-field-label--type-inline'>Prof. Dr. Hans-J\u00fcrgen Biersack<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Orthopaedics - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_24'>\n\t\t\t<li class='gchoice gchoice_3_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='No preference'  id='choice_3_24_0'    \/>\n\t\t\t\t<label for='choice_3_24_0' id='label_3_24_0' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='Peter Braun'  id='choice_3_24_1'    \/>\n\t\t\t\t<label for='choice_3_24_1' id='label_3_24_1' class='gform-field-label gform-field-label--type-inline'>Peter Braun<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_24_2'>\n\t\t\t\t<input name='input_24' type='radio' value='Dr. med. Markus Klingenberg'  id='choice_3_24_2'    \/>\n\t\t\t\t<label for='choice_3_24_2' id='label_3_24_2' class='gform-field-label gform-field-label--type-inline'>Dr. med. Markus Klingenberg<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_24_3'>\n\t\t\t\t<input name='input_24' type='radio' value='Dr. med. Hans-Philipp Springorum'  id='choice_3_24_3'    \/>\n\t\t\t\t<label for='choice_3_24_3' id='label_3_24_3' class='gform-field-label gform-field-label--type-inline'>Dr. med. Hans-Philipp Springorum<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_24_4'>\n\t\t\t\t<input name='input_24' type='radio' value='Dr. med. Wiebke Terwedow'  id='choice_3_24_4'    \/>\n\t\t\t\t<label for='choice_3_24_4' id='label_3_24_4' class='gform-field-label gform-field-label--type-inline'>Dr. med. Wiebke Terwedow<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_24_5'>\n\t\t\t\t<input name='input_24' type='radio' value='Verena Lamm'  id='choice_3_24_5'    \/>\n\t\t\t\t<label for='choice_3_24_5' id='label_3_24_5' class='gform-field-label gform-field-label--type-inline'>Verena Lamm<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Physiotherapy - Your appointment with<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_40'>\n\t\t\t<li class='gchoice gchoice_3_40_0'>\n\t\t\t\t<input name='input_40' type='radio' value='Beta Sport &amp; Reha' checked='checked' id='choice_3_40_0'    \/>\n\t\t\t\t<label for='choice_3_40_0' id='label_3_40_0' class='gform-field-label gform-field-label--type-inline'>Beta Sport &amp; Reha<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Plastic and Aesthetic Surgery - Your appointment with<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_39'>\n\t\t\t<li class='gchoice gchoice_3_39_0'>\n\t\t\t\t<input name='input_39' type='radio' value='Dr. med. Daniel Sattler' checked='checked' id='choice_3_39_0'    \/>\n\t\t\t\t<label for='choice_3_39_0' id='label_3_39_0' class='gform-field-label gform-field-label--type-inline'>Dr. med. Daniel Sattler<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Psychiatry \/ Psychosomatics - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_51'>\n\t\t\t<li class='gchoice gchoice_3_51_0'>\n\t\t\t\t<input name='input_51' type='radio' value='Keine Pr\u00e4ferenz'  id='choice_3_51_0'    \/>\n\t\t\t\t<label for='choice_3_51_0' id='label_3_51_0' class='gform-field-label gform-field-label--type-inline'>Keine Pr\u00e4ferenz<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_51_1'>\n\t\t\t\t<input name='input_51' type='radio' value='BetaGenese Klinik (Privatklinik f\u00fcr Psychiatrie &amp; Psychosomatik)'  id='choice_3_51_1'    \/>\n\t\t\t\t<label for='choice_3_51_1' id='label_3_51_1' class='gform-field-label gform-field-label--type-inline'>BetaGenese Klinik (Privatklinik f\u00fcr Psychiatrie &amp; Psychosomatik)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_51_2'>\n\t\t\t\t<input name='input_51' type='radio' value='Dr. med. Barbara Hawellek'  id='choice_3_51_2'    \/>\n\t\t\t\t<label for='choice_3_51_2' id='label_3_51_2' class='gform-field-label gform-field-label--type-inline'>Dr. med. Barbara Hawellek<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Radiology \/ Neuroradiology - What do you need?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_42'>\n\t\t\t<li class='gchoice gchoice_3_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='CT examination'  id='choice_3_42_0'    \/>\n\t\t\t\t<label for='choice_3_42_0' id='label_3_42_0' class='gform-field-label gform-field-label--type-inline'>CT examination<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='MRI examination'  id='choice_3_42_1'    \/>\n\t\t\t\t<label for='choice_3_42_1' id='label_3_42_1' class='gform-field-label gform-field-label--type-inline'>MRI examination<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_2'>\n\t\t\t\t<input name='input_42' type='radio' value='X-ray examination'  id='choice_3_42_2'    \/>\n\t\t\t\t<label for='choice_3_42_2' id='label_3_42_2' class='gform-field-label gform-field-label--type-inline'>X-ray examination<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_3'>\n\t\t\t\t<input name='input_42' type='radio' value='Others'  id='choice_3_42_3'    \/>\n\t\t\t\t<label for='choice_3_42_3' id='label_3_42_3' class='gform-field-label gform-field-label--type-inline'>Others<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sleep medicine - Your appointment with<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_41'>\n\t\t\t<li class='gchoice gchoice_3_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='Katharina Diamantis' checked='checked' id='choice_3_41_0'    \/>\n\t\t\t\t<label for='choice_3_41_0' id='label_3_41_0' class='gform-field-label gform-field-label--type-inline'>Katharina Diamantis<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sports medicine - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_43'>\n\t\t\t<li class='gchoice gchoice_3_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='No preference'  id='choice_3_43_0'    \/>\n\t\t\t\t<label for='choice_3_43_0' id='label_3_43_0' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='Peter Braun'  id='choice_3_43_1'    \/>\n\t\t\t\t<label for='choice_3_43_1' id='label_3_43_1' class='gform-field-label gform-field-label--type-inline'>Peter Braun<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_43_2'>\n\t\t\t\t<input name='input_43' type='radio' value='Dr. med. Markus Klingenberg'  id='choice_3_43_2'    \/>\n\t\t\t\t<label for='choice_3_43_2' id='label_3_43_2' class='gform-field-label gform-field-label--type-inline'>Dr. med. Markus Klingenberg<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Urology - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_44'>\n\t\t\t<li class='gchoice gchoice_3_44_0'>\n\t\t\t\t<input name='input_44' type='radio' value='No preference'  id='choice_3_44_0'    \/>\n\t\t\t\t<label for='choice_3_44_0' id='label_3_44_0' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_44_1'>\n\t\t\t\t<input name='input_44' type='radio' value='Prof. Dr. med. Sebastian Wille'  id='choice_3_44_1'    \/>\n\t\t\t\t<label for='choice_3_44_1' id='label_3_44_1' class='gform-field-label gform-field-label--type-inline'>Prof. Dr. med. Sebastian Wille<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_44_2'>\n\t\t\t\t<input name='input_44' type='radio' value='Prof. Dr. med. Dr. hc Stefan C. M\u00fcller'  id='choice_3_44_2'    \/>\n\t\t\t\t<label for='choice_3_44_2' id='label_3_44_2' class='gform-field-label gform-field-label--type-inline'>Prof. Dr. med. Dr. hc Stefan C. M\u00fcller<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Visceral surgery - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_46'>\n\t\t\t<li class='gchoice gchoice_3_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='Stefan M\u00fchlbauer'  id='choice_3_46_0'    \/>\n\t\t\t\t<label for='choice_3_46_0' id='label_3_46_0' class='gform-field-label gform-field-label--type-inline'>Stefan M\u00fchlbauer<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Dental clinic - Who do you wish to see?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_47'>\n\t\t\t<li class='gchoice gchoice_3_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='Dr. Dr. Manuel Moroni'  id='choice_3_47_0'    \/>\n\t\t\t\t<label for='choice_3_47_0' id='label_3_47_0' class='gform-field-label gform-field-label--type-inline'>Dr. Dr. Manuel Moroni<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Callback request<\/h2><div class='gsection_description' id='gfield_description_3_31'>At what time of day may we call you back?<\/div><\/li><li id=\"field_3_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Recall period (weekdays)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_17'>\n\t\t\t<li class='gchoice gchoice_3_17_0'>\n\t\t\t\t<input name='input_17' type='radio' value='8 a.m. - 12 p.m.'  id='choice_3_17_0'    \/>\n\t\t\t\t<label for='choice_3_17_0' id='label_3_17_0' class='gform-field-label gform-field-label--type-inline'>8 a.m. - 12 p.m.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_17_1'>\n\t\t\t\t<input name='input_17' type='radio' value='12 p.m. - 6 p.m.'  id='choice_3_17_1'    \/>\n\t\t\t\t<label for='choice_3_17_1' id='label_3_17_1' class='gform-field-label gform-field-label--type-inline'>12 p.m. - 6 p.m.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_17_2'>\n\t\t\t\t<input name='input_17' type='radio' value='8 a.m. - 6 p.m.'  id='choice_3_17_2'    \/>\n\t\t\t\t<label for='choice_3_17_2' id='label_3_17_2' class='gform-field-label gform-field-label--type-inline'>8 a.m. - 6 p.m.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_30\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Your message<\/h2><div class='gsection_description' id='gfield_description_3_30'>You are welcome to describe your concerns to us in more detail if you wish. <\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Message<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_3_11' class='textarea large'    placeholder='Write your message to the Beta Klinik.' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_12\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_12.1' id='input_3_12_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_12_1' >Yes I have read and accepted the <a class=\"link\" href=\"https:\/\/www.betaklinik.de\/datenschutz\/\" target=\"_blank\">terms and conditions<\/a>.<\/label><input type='hidden' name='input_12.2' value='Yes I have read and accepted the &lt;a class=&quot;link&quot; href=&quot;https:\/\/www.betaklinik.de\/datenschutz\/&quot; target=&quot;_blank&quot;&gt;terms and conditions&lt;\/a&gt;.' class='gform_hidden' \/><input type='hidden' name='input_12.3' value='3' class='gform_hidden' \/><\/div><\/li><li id=\"field_3_52\" class=\"gfield gfield--type-frcaptcha gfield--input-type-frcaptcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' 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