{"id":51418,"date":"2020-12-04T12:22:28","date_gmt":"2020-12-04T18:22:28","guid":{"rendered":"https:\/\/pdrehab.com\/formularze-dla-nowych-pacjentow\/"},"modified":"2026-03-03T23:11:31","modified_gmt":"2026-03-04T05:11:31","slug":"formularze-dla-nowych-pacjentow","status":"publish","type":"page","link":"https:\/\/pdrehab.com\/pl\/formularze-dla-nowych-pacjentow\/","title":{"rendered":"Formularze dla nowych pacjent\u00f3w"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.6.0&#8243; background_enable_color=&#8221;off&#8221; background_image=&#8221;https:\/\/pdrehab.com\/wp-content\/uploads\/2021\/07\/Untitled-design-10.png&#8221; background_size=&#8221;initial&#8221; custom_padding=&#8221;90px||90px||false|&#8221; saved_tabs=&#8221;all&#8221;][et_pb_row _builder_version=&#8221;4.6.0&#8243; custom_padding=&#8221;||0px|||&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.6.0&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_post_title meta=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;4.6.0&#8243; title_font=&#8221;Poppins|700|||||||&#8221; title_text_align=&#8221;left&#8221; title_text_color=&#8221;#ffffff&#8221; title_font_size=&#8221;30px&#8221; custom_margin=&#8221;||-1px|||&#8221; title_font_size_tablet=&#8221;&#8221; title_font_size_phone=&#8221;20px&#8221; title_font_size_last_edited=&#8221;on|desktop&#8221;][\/et_pb_post_title][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; specialty=&#8221;on&#8221; _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_sidebar area=&#8221;et_pb_widget_area_2&#8243; _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221;][\/et_pb_sidebar][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; specialty_columns=&#8221;3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_row_inner _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;5px||4px|||&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.6.0&#8243; text_font=&#8221;Lato||||||||&#8221; text_text_color=&#8221;#000000&#8243; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||-4px|||&#8221; custom_padding=&#8221;20px||19px|||&#8221; text_font_size_tablet=&#8221;&#8221; text_font_size_phone=&#8221;20px&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221;]<\/p>\n<h3 style=\"text-align: left;\">FORMULARZE DLA NOWYCH PACJENT\u00d3W<\/h3>\n<p style=\"text-align: left;\">Zanim udadz\u0105 si\u0119 Pa\u0144stwo na swoj\u0105 pierwsz\u0105 wizyt\u0119 w P D Rehab, bardzo prosimy o wydrukowanie, wype\u0142nienie i zabranie ze sob\u0105 poni\u017cszych form:<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-8px|||||&#8221;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_blurb title=&#8221;HIPAA Notice of Privacy&#8221; url=&#8221;https:\/\/pdrehab.com\/wp-content\/uploads\/2022\/09\/HIPAA-form.pdf&#8221; url_new_window=&#8221;on&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;%%209%%&#8221; icon_color=&#8221;#e02b20&#8243; use_circle=&#8221;on&#8221; circle_color=&#8221;rgba(0,0,0,0)&#8221; use_circle_border=&#8221;on&#8221; 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