{"id":267,"date":"2022-10-18T08:20:34","date_gmt":"2022-10-18T08:20:34","guid":{"rendered":"https:\/\/activano.nedigoit.de\/?page_id=267"},"modified":"2022-10-18T08:20:35","modified_gmt":"2022-10-18T08:20:35","slug":"reha-sport-beratungsprotokoll","status":"publish","type":"page","link":"https:\/\/beratung.wst.activano.de\/index.php\/reha-sport-beratungsprotokoll\/","title":{"rendered":"REHA-Sport Beratungsprotokoll"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f266-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"266\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/267#wpcf7-f266-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontaktformular\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"266\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f266-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_cf_logic\" value=\"\" \/><input type=\"hidden\" name=\"redirect_nonce\" value=\"48f414e2aa\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_name\" value=\"document-pdf\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_reference\" value=\"6444a197\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_date\" value=\"April21,2026\" \/>\n<\/fieldset>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1511681290919\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666081043969\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><strong>Antrag auf Anerkennung als Leistungserbringer von Rehabilitationssport nach \u00a7 44 SGB IX<\/strong>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-1666081135260\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Beratungsprotokoll\/Beratungsleitfaden\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083146328\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-1666083082841\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Am\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-1666083096837\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Datum\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-antrag\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-antrag\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-1666083109236\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>legte\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"ui-sortable-placeholder cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" >\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666082924325\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-1511783505381\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Name\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-4060317\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Email\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083253396\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083256022\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>eine Verordnung \u00fcber Rehabilitationssport vor.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083308827\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Es erfolgte eine Information zum Angebot des Vereins als Leistungserbringer im Rehabilitationssport. Dabei wurden folgende Punkte angesprochen:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083315655\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Tag, Zeit und Ort der Angebote bzw. des ausgew\u00e4hlten Angebotes.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083360331\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Dauer einer \u00dcbungsveranstaltung (Rehabilitationssport: mindestens 45 Minuten bzw. 60 Minuten im Herzsport).\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083385183\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Gr\u00f6\u00dfe der Gruppe (maximal 15 TN, im Herzsport maximal 20 TN, bei \u00dcbungen zur St\u00e4rkung des Selbstbewusstseins maximal 12 TN).\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083405643\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Inhalt des Sportangebotes: Gymnastik, Bewegungsspiele, Schwimmen, Leichtathletik (Gehen\/Laufen), \u00dcbungen zur St\u00e4rkung des Selbstbewusstseins, geeignete Inhalte anderer Sportarten (z.B. Entspannung, o.\u00e4.).\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083447590\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Organisatorischer Rahmen (\u00dcbungsleiter Rehabilitationssport und \u00e4rztliche Betreuung bzw. \u00dcberwachung im Herzsport).\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083461154\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Eine Unfallversicherung ist vom Verein abgeschlossen.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083473918\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Absicherung durch Defibrillator\/Notfallkoffer im Herzsport.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083489758\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Zur Mitgliedschaft und Zuzahlung wurden folgende Informationen weitergegeben:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083534501\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Es gibt keine Verpflichtung, Mitglied im Verein zu werden oder Zuzahlungen zu entrichten, um am Rehabilitationssport teilzunehmen.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083549214\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Im Interesse der Nachhaltigkeit der Rehabilitationsma\u00dfnahme wird jedoch auch von den Kostentr\u00e4gern eine Mitgliedschaft auf freiwilliger Basis bef\u00fcrwortet.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083566013\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Wenn die Mitgliedschaft freiwillig eingegangen wird, k\u00f6nnen folgende zus\u00e4tzliche Leistungen des Vereins in Anspruch genommen werden: Premiumkurse, Nutzung der med. Trainingsger\u00e4te und vertraglich vereinbarte Zusatzleistungen\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083588850\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Der Mitgliedsbeitrag wir im Falle einer Mitgliedschaft je nach beanspruchten Zusatzleistungen separat berechnet und aufgef\u00fchrt.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083605220\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Wird die Mitgliedschaft \u00fcber den Zeitraum der Verordnung fortgesetzt, so richtet sich die Mitgliedschaft nach den im Verein allgemein g\u00fcltigen Regelungen.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083618613\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>- Die M\u00f6glichkeit der Teilnahme endet f\u00fcr Nicht-Mitglieder nach Ablauf der Verordnungsdauer bzw. nach Absolvierung der verordneten Einheiten ohne K\u00fcndigungsfrist.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083662387\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Von diesem Protokoll wurde dem Versicherten eine Kopie ausgeh\u00e4ndigt.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083698561\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083719686\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Ort\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"teiln-ort-antrag-sign\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"Westerngrund\" type=\"text\" name=\"teiln-ort-antrag-sign\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083850975\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Unterschrift Unterschrift Teilnehmer\/in\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap teiln-sign-antrag\"><div class='cf7_signature-container cf7_signature-container-teiln-sign-antrag'><div class='cf7_signature_clear'><img src='https:\/\/beratung.wst.activano.de\/wp-content\/plugins\/contact-form-7-signature\/frontend\/lib\/images\/remove-icon.png' alt='' \/><\/div><div class='cf7_signature cf7_signature-teiln-sign-antrag'  data-id=\"teiln-sign-antrag\" data-background=\"#fff\" data-color=\"#000\" data-width=\"400\" data-height=\"200\" data-name=\"\"><\/div><\/div><style>\n            .cf7_signature-container-teiln-sign-antrag .cf7_signature_name,.cf7_signature-container-teiln-sign-antrag {\n                width: 400px;\n            }\n            .cf7_signature-container-teiln-sign-antrag .kbw-signature,.cf7_signature-container-teiln-sign-antrag .gf_signature  { width: 400px; height: 200px; }\n        <\/style><input class=\"wpcf7-form-control wpcf7-signature wpcf7-text\" aria-invalid=\"false\" type=\"hidden\" name=\"teiln-sign-antrag\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666083834303\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Datum\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"teiln-date-antrag-sign\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"teiln-date-antrag-sign\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-8941663\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6104213\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Ort\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"vv-ort-antrag-sign\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"Westerngrund\" type=\"text\" name=\"vv-ort-antrag-sign\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6459857\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Unterschrift Vereinsvertreter\/in\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap vv-sign-antrag\"><div class='cf7_signature-container cf7_signature-container-vv-sign-antrag'><div class='cf7_signature_clear'><img src='https:\/\/beratung.wst.activano.de\/wp-content\/plugins\/contact-form-7-signature\/frontend\/lib\/images\/remove-icon.png' alt='' \/><\/div><div class='cf7_signature cf7_signature-vv-sign-antrag'  data-id=\"vv-sign-antrag\" data-background=\"#fff\" data-color=\"#000\" data-width=\"400\" data-height=\"200\" data-name=\"\"><\/div><\/div><style>\n            .cf7_signature-container-vv-sign-antrag .cf7_signature_name,.cf7_signature-container-vv-sign-antrag {\n                width: 400px;\n            }\n            .cf7_signature-container-vv-sign-antrag .kbw-signature,.cf7_signature-container-vv-sign-antrag .gf_signature  { width: 400px; height: 200px; }\n        <\/style><input class=\"wpcf7-form-control wpcf7-signature wpcf7-text\" aria-invalid=\"false\" type=\"hidden\" name=\"vv-sign-antrag\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-7797201\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Datum\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"vv-date-antrag-sign\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"vv-date-antrag-sign\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084080531\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084103489\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><strong>Vereinbarung zur Informationsweitergabe<\/strong>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084647803\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084661087\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Name:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"vereinb-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vereinb-name\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084674280\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>geboren am:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"vereinb-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"vereinb-date\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084699336\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084708716\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Sehr geehrte Patientin, sehr geehrter Patient,\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084715022\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>wir stellen vermehrt fest, dass Patienten ihre gesetzliche Krankenkasse wechseln, ohne uns dar\u00fcber zu informieren. In diesen F\u00e4llen \u00fcbernimmt weder ihre alte Krankenkasse die Kosten der Rehasport-Einheiten, die Sie nach dem Wechsel in Anspruch genommen haben noch ihre neue Krankenkasse, wenn diese nicht \u00fcber die Rehasport-Verordnung informiert wurde.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084731021\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Die dadurch entstehenden Kosten sind f\u00fcr uns in keiner Form abrechenbar und m\u00fcssen Ihnen privat in Rechnung gestellt werden bei einem Vers\u00e4umnis der Informationsweitergabe.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666084743454\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Hiermit best\u00e4tige ich, dass ich die activano medical fitness GmbH sofort \u00fcber einen anstehenden Wechsel der Krankenkasse informiere. Bei einem Vers\u00e4umnis der rechtzeitigen Informationsweitergabe wurde ich dar\u00fcber informiert, dass mir die anfallenden Kosten privat in Rechnung gestellt werden k\u00f6nnen.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-9680781\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-3773084\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Ort\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"teiln-ort-vereinb-sign\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"Westerngrund\" type=\"text\" name=\"teiln-ort-vereinb-sign\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-5073051\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Unterschrift Teilnehmer\/in\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap teiln-sign-vereinb\"><div class='cf7_signature-container cf7_signature-container-teiln-sign-vereinb'><div class='cf7_signature_clear'><img src='https:\/\/beratung.wst.activano.de\/wp-content\/plugins\/contact-form-7-signature\/frontend\/lib\/images\/remove-icon.png' alt='' \/><\/div><div class='cf7_signature cf7_signature-teiln-sign-vereinb'  data-id=\"teiln-sign-vereinb\" data-background=\"#fff\" data-color=\"#000\" data-width=\"400\" data-height=\"200\" data-name=\"\"><\/div><\/div><style>\n            .cf7_signature-container-teiln-sign-vereinb .cf7_signature_name,.cf7_signature-container-teiln-sign-vereinb {\n                width: 400px;\n            }\n            .cf7_signature-container-teiln-sign-vereinb .kbw-signature,.cf7_signature-container-teiln-sign-vereinb .gf_signature  { width: 400px; height: 200px; }\n        <\/style><input class=\"wpcf7-form-control wpcf7-signature wpcf7-text\" aria-invalid=\"false\" type=\"hidden\" name=\"teiln-sign-vereinb\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6543260\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Datum\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"teiln-date-vereinb-sign\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"teiln-date-vereinb-sign\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085150644\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085159366\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><strong>Einwilligung zur Datenweitergabe an den durchf\u00fchrenden Verein und ein Abrechnungszentrum<\/strong>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085189112\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085203194\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Ort\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ort-einw\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"Westerngrund\" type=\"text\" name=\"ort-einw\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085222469\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Datum\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-einw\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-einw\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085252129\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085258441\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Sehr geehrter Patient, sehr geehrte Patientin,\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085264979\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>der Rehasport wird zugelassen und verwaltet \u00fcber den Verein f\u00fcr Bewegung Rehasport und Pr\u00e4vention e.V., Hohenstaufenring 62, 50674 K\u00f6ln. Es liegen die notwenigen Unterlagen zur Auftragsdatenverarbeitung vor.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085289625\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Zur Entlastung unserer Verwaltung werden unsere Rechnungen f\u00fcr Ihre in Anspruch genommenen Therapieleistungen durch die AS Abrechnungsstelle AG, Am Wall 96-98, 28195 Bremen bearbeitet. Dies erm\u00f6glicht uns einen gr\u00f6\u00dferen Freiraum f\u00fcr die Therapie.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085336119\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Wir bitten Sie daher, uns mittels Ihrer Unterschrift die Einwilligung zur \u00dcbermittlung aller zum Zwecke der Abrechnung notwendigen personenbezogenen Daten zu erteilen.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085346912\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Von der \u00dcbermittlung erfasst sind insbesondere Anschrift, Geburtsdatum, Kostentr\u00e4ger, Diagnosen, Behandlungsdatum und erbrachte Therapiema\u00dfnahmen.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085358716\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Hiermit erteile ich oben genannter Praxis f\u00fcr alle k\u00fcnftigen Therapiema\u00dfnahmen die Einwilligung in die Datenweitergabe:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-8204256\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-376732\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Name:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"name-einw\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"name-einw\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085537769\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>ggf. gesetzlicher Vertreter\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"vertreter-einw\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vertreter-einw\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1708826\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>geboren am:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"birthdate-einw\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birthdate-einw\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085613785\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085623396\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Mir ist bekannt, dass ich sie freiwillig ausstelle.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666085629422\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Ich habe davon Kenntnis genommen, dass ich diese Einwilligung jederzeit ohne Angabe von Gr\u00fcnden, mit Wirkung f\u00fcr die Zukunft widerrufen kann. Der Widerruf hat bei oben genannter Praxis zu erfolgen.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"ui-sortable-placeholder cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" >\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-5623701\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-929225\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Ort\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"teiln-ort-einw-sign\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"Westerngrund\" type=\"text\" name=\"teiln-ort-einw-sign\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1302017\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Unterschrift Teilnehmer\/in\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap teiln-sign-einw\"><div class='cf7_signature-container cf7_signature-container-teiln-sign-einw'><div class='cf7_signature_clear'><img src='https:\/\/beratung.wst.activano.de\/wp-content\/plugins\/contact-form-7-signature\/frontend\/lib\/images\/remove-icon.png' alt='' \/><\/div><div class='cf7_signature cf7_signature-teiln-sign-einw'  data-id=\"teiln-sign-einw\" data-background=\"#fff\" data-color=\"#000\" data-width=\"400\" data-height=\"200\" data-name=\"\"><\/div><\/div><style>\n            .cf7_signature-container-teiln-sign-einw .cf7_signature_name,.cf7_signature-container-teiln-sign-einw {\n                width: 400px;\n            }\n            .cf7_signature-container-teiln-sign-einw .kbw-signature,.cf7_signature-container-teiln-sign-einw .gf_signature  { width: 400px; height: 200px; }\n        <\/style><input class=\"wpcf7-form-control wpcf7-signature wpcf7-text\" aria-invalid=\"false\" type=\"hidden\" name=\"teiln-sign-einw\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-9547241\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Datum\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"teiln-date-einw-sign\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"teiln-date-einw-sign\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"ui-sortable-placeholder cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" >\n<\/div>\n<div class=\"ui-sortable-placeholder cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" >\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1666082981850\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-4191720\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Absenden\" \/>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-267","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/beratung.wst.activano.de\/index.php\/wp-json\/wp\/v2\/pages\/267","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/beratung.wst.activano.de\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/beratung.wst.activano.de\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/beratung.wst.activano.de\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/beratung.wst.activano.de\/index.php\/wp-json\/wp\/v2\/comments?post=267"}],"version-history":[{"count":1,"href":"https:\/\/beratung.wst.activano.de\/index.php\/wp-json\/wp\/v2\/pages\/267\/revisions"}],"predecessor-version":[{"id":268,"href":"https:\/\/beratung.wst.activano.de\/index.php\/wp-json\/wp\/v2\/pages\/267\/revisions\/268"}],"wp:attachment":[{"href":"https:\/\/beratung.wst.activano.de\/index.php\/wp-json\/wp\/v2\/media?parent=267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}