{"id":398,"date":"2025-06-19T22:37:01","date_gmt":"2025-06-19T20:37:01","guid":{"rendered":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/?page_id=398"},"modified":"2025-06-19T22:37:01","modified_gmt":"2025-06-19T20:37:01","slug":"objednavaci-formular","status":"publish","type":"page","link":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/objednavaci-formular\/","title":{"rendered":"Objedn\u00e1vac\u00ed formul\u00e1\u0159"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-7bffdd55-074f-4337-ab8d-eb22461efaf3 wpforms-render-modern\" id=\"wpforms-394\"><form id=\"wpforms-form-394\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"394\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/domovska-stranka\/wp-json\/wp\/v2\/pages\/398\" data-token=\"55215471af9adabf022a744d0968bc31\" data-token-time=\"1781247062\"><noscript class=\"wpforms-error-noscript\">Chcete-li vyplnit tento formul\u00e1\u0159, pros\u00edm povolte v prohl\u00ed\u017ee\u010di JavaScript.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Chcete-li vyplnit tento formul\u00e1\u0159, pros\u00edm povolte v prohl\u00ed\u017ee\u010di JavaScript.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-394-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Va\u0161e jm\u00e9no <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-394-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-394-field_1-error\" required><label for=\"wpforms-394-field_1\" class=\"wpforms-field-sublabel after\">K\u0159estn\u00ed jm\u00e9no<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-394-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-394-field_1-last-error\" required><label for=\"wpforms-394-field_1-last\" class=\"wpforms-field-sublabel after\">P\u0159\u00edjmen\u00ed<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-394-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-394-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-394-field_2-error\" required><\/div><div id=\"wpforms-394-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_3\">Telefon <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-394-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-394-field_3-error\" required><\/div><div id=\"wpforms-394-field_4-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">Druh zv\u00ed\u0159ete <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-394-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_4_1\" name=\"wpforms[fields][4]\" value=\"Pes\" aria-errormessage=\"wpforms-394-field_4_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_4_1\">Pes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_4_2\" name=\"wpforms[fields][4]\" value=\"Ko\u010dka\" aria-errormessage=\"wpforms-394-field_4_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_4_2\">Ko\u010dka<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_4_3\" name=\"wpforms[fields][4]\" value=\"Jin\u00e9\" aria-errormessage=\"wpforms-394-field_4_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_4_3\">Jin\u00e9<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-394-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_13\">Jm\u00e9no zv\u00ed\u0159ete <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-394-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-394-field_13-error\" required><\/div><div id=\"wpforms-394-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_11\">Plemeno zv\u00ed\u0159ete<\/label><input type=\"text\" id=\"wpforms-394-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-394-field_11-error\" ><\/div><div id=\"wpforms-394-field_5-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Pohlav\u00ed zv\u00ed\u0159ete <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-394-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-394-field_5_1\" name=\"wpforms[fields][5][]\" value=\"Samec - kastrovan\u00fd\" aria-errormessage=\"wpforms-394-field_5_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_5_1\">Samec &#8211; kastrovan\u00fd<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-394-field_5_2\" name=\"wpforms[fields][5][]\" value=\"Samice - kastrovan\u00e1\" aria-errormessage=\"wpforms-394-field_5_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_5_2\">Samice &#8211; kastrovan\u00e1<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-394-field_5_3\" name=\"wpforms[fields][5][]\" value=\"Samec - nekastrovan\u00fd\" aria-errormessage=\"wpforms-394-field_5_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_5_3\">Samec &#8211; nekastrovan\u00fd<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-394-field_5_7\" name=\"wpforms[fields][5][]\" value=\"Samice - nekastrovan\u00e1\" aria-errormessage=\"wpforms-394-field_5_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_5_7\">Samice &#8211; nekastrovan\u00e1<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-394-field_12-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_12\">V\u011bk zv\u00ed\u0159ete <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-394-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-394-field_12-error\" required><\/div><div id=\"wpforms-394-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_15\">Hmotnost zv\u00ed\u0159ete<\/label><input type=\"text\" id=\"wpforms-394-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-394-field_15-error\" ><\/div><div id=\"wpforms-394-field_6-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_6\">Kr\u00e1tce popi\u0161te aktu\u00e1ln\u00ed pot\u00ed\u017ee\/ diagn\u00f3zu <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-394-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-394-field_6-error\" required><\/textarea><\/div><div id=\"wpforms-394-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_17\">Jak dlouho pot\u00ed\u017ee trvaj\u00ed? (dny, t\u00fddny, m\u011bs\u00edce&#8230;)<\/label><input type=\"text\" id=\"wpforms-394-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-394-field_17-error\" ><\/div><div id=\"wpforms-394-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">M\u00e1te za sebou n\u011bjak\u00e9 vy\u0161et\u0159en\u00ed? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-394-field_14\" class=\"wpforms-field-required\"><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_14_3\" name=\"wpforms[fields][14]\" value=\"Na zv\u00ed\u0159e se pod\u00edval veterin\u00e1\u0159\" aria-errormessage=\"wpforms-394-field_14_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_14_3\">Na zv\u00ed\u0159e se pod\u00edval veterin\u00e1\u0159<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_14_2\" name=\"wpforms[fields][14]\" value=\"Vy\u0161et\u0159en\u00ed krve (hematologie, biochemie); ne star\u0161\u00ed ne\u017e 1 m\u011bs\u00edc\" aria-errormessage=\"wpforms-394-field_14_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_14_2\">Vy\u0161et\u0159en\u00ed krve (hematologie, biochemie); ne star\u0161\u00ed ne\u017e 1 m\u011bs\u00edc<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_14_1\" name=\"wpforms[fields][14]\" value=\"Rentgenologick\u00e9 (RTG)\" aria-errormessage=\"wpforms-394-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_14_1\">Rentgenologick\u00e9 (RTG)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_14_4\" name=\"wpforms[fields][14]\" value=\"Magnetick\u00e1 rezonance (MRI)\" aria-errormessage=\"wpforms-394-field_14_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_14_4\">Magnetick\u00e1 rezonance (MRI)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_14_5\" name=\"wpforms[fields][14]\" value=\"Po\u010d\u00edta\u010dov\u00e1 tomografie (CT)\" aria-errormessage=\"wpforms-394-field_14_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_14_5\">Po\u010d\u00edta\u010dov\u00e1 tomografie (CT)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_14_6\" name=\"wpforms[fields][14]\" value=\"Ne\" aria-errormessage=\"wpforms-394-field_14_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_14_6\">Ne<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-394-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_16\">Vypi\u0161t\u011b medikaci, kterou V\u00e1\u0161 mazl\u00ed\u010dek u\u017e\u00edv\u00e1 (kr\u00e1tkodob\u011b i dlouhodob\u011b):<\/label><textarea id=\"wpforms-394-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-394-field_16-error\" ><\/textarea><\/div><div id=\"wpforms-394-field_20-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">M\u00e1te z\u00e1jem sp\u00ed\u0161 o term\u00edn<\/legend><ul id=\"wpforms-394-field_20\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_20_1\" name=\"wpforms[fields][20]\" value=\"Odpoledn\u00ed\" aria-errormessage=\"wpforms-394-field_20_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_20_1\">Odpoledn\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_20_2\" name=\"wpforms[fields][20]\" value=\"Rann\u00ed\" aria-errormessage=\"wpforms-394-field_20_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_20_2\">Rann\u00ed<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-394-field_20_3\" name=\"wpforms[fields][20]\" value=\"Jsem flexibiln\u00ed\" aria-errormessage=\"wpforms-394-field_20_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-394-field_20_3\">Jsem flexibiln\u00ed<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-394-field_7-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"7\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-394-field_7\" >vy\u0161et\u0159en\u00ed? Email o<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-394-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-394-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_19\">Pros\u00edm uve\u010fte zp\u016fsob, jak\u00fdm V\u00e1s m\u00e1m kontaktovat (e-mail, telefonn\u00ed \u010d\u00edslo&#8230;) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-394-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-394-field_19-error\" required><\/div><div id=\"wpforms-394-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-394-field_21\">Prostor pro dotazy\/dopl\u0148uj\u00edc\u00ed informace<\/label><textarea id=\"wpforms-394-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-394-field_21-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-394-field_7-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-394-field_7-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-394-field_7-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"394\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/pages\/398\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-394\" class=\"wpforms-submit\" data-alt-text=\"Odes\u00edl\u00e1n\u00ed...\" data-submit-text=\"Odeslat\" aria-live=\"assertive\" value=\"wpforms-submit\">Odeslat<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.pohnipsem.cz\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Na\u010d\u00edt\u00e1n\u00ed\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p class=\"wp-block-paragraph\"><\/p>\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-398","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/pages\/398","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/comments?post=398"}],"version-history":[{"count":1,"href":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/pages\/398\/revisions"}],"predecessor-version":[{"id":399,"href":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/pages\/398\/revisions\/399"}],"wp:attachment":[{"href":"https:\/\/www.pohnipsem.cz\/domovska-stranka\/wp-json\/wp\/v2\/media?parent=398"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}