{"id":198,"date":"2023-07-26T13:14:47","date_gmt":"2023-07-26T11:14:47","guid":{"rendered":"https:\/\/teledoctor.pl\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/"},"modified":"2023-10-02T17:23:48","modified_gmt":"2023-10-02T15:23:48","slug":"%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc","status":"publish","type":"page","link":"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/","title":{"rendered":"\u0421\u0442\u0430\u0442\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c"},"content":{"rendered":"\n<p class=\"has-text-align-center has-luminous-vivid-amber-background-color has-background wp-block-paragraph\"><strong>\u0417\u0430\u043f\u043e\u0432\u043d\u0456\u0442\u044c \u0431\u0443\u0434\u044c \u043b\u0430\u0441\u043a\u0430 \u043f\u043e\u043b\u044c\u0441\u044c\u043a\u043e\u044e \u043c\u043e\u0432\u043e\u044e.<\/strong><\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"stepper-wrapper\">\n      <div class=\"stepper-item active\">\n        <div class=\"step-counter\">1<\/div>\n        <div class=\"step-name\">\u0417\u0430\u043f\u043e\u0432\u043d\u0456\u0442\u044c \u0444\u043e\u0440\u043c\u0443\u043b\u044f\u0440<\/div>\n      <\/div>\n      <div class=\"stepper-item\">\n        <div class=\"step-counter\">2<\/div>\n        <div class=\"step-name\">\u041f\u0456\u0434\u043f\u0438\u0448\u0456\u0442\u044c \u0442\u0430 \u0432\u0456\u0434\u043f\u0440\u0430\u0432\u0442\u0435 \u0434\u0435\u043a\u043b\u0430\u0440\u0430\u0446\u0456\u044e<\/div>\n      <\/div>\n      <div class=\"stepper-item\">\n        <div class=\"step-counter\">3<\/div>\n        <div class=\"step-name\">\u041f\u0440\u0438\u0437\u043d\u0430\u0447\u0438\u0442\u0438 \u0437\u0443\u0441\u0442\u0440\u0456\u0447<\/div>\n      <\/div>\n    <\/div><form action=\"\/uk\/wp-json\/wp\/v2\/pages\/198\" method=\"post\" class=\"form-declarations\"><div class=\"row\"><div class=\"col-md-6\"><div class=\"form-row\"><label for=\"d_name\">\u0456\u043c'\u044f: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"d_name\" id=\"d_name\" required placeholder=\"\u0456\u043c'\u044f\"><\/div><\/div><div class=\"col-md-6\"><div class=\"form-row\"><label for=\"d_surname\">\u043f\u0440\u0456\u0437\u0432\u0438\u0449\u0435: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"d_surname\" id=\"d_surname\" required  placeholder=\"\u043f\u0440\u0456\u0437\u0432\u0438\u0449\u0435\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-md-5\"><div class=\"form-row\"><label for=\"d_pesel\">PESEL: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"d_pesel\" id=\"d_pesel\" required placeholder=\"\u041d\u043e\u043c\u0435\u0440 PESEL\"><\/div><\/div><div class=\"col-md-4\"><div class=\"form-row\"><label for=\"d_birthday\">\u0414\u0430\u0442\u0430 \u043d\u0430\u0440\u043e\u0434\u0436\u0435\u043d\u043d\u044f: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"d_birthday\" id=\"d_birthday\" required><\/div><\/div><div class=\"col-md-3\"><div class=\"form-row\"><label for=\"d_sex\">\u0441\u0435\u043a\u0441: <span class=\"required\">*<\/span><\/label><select name=\"d_sex\" id=\"d_sex\" required placeholder=\"\u041e\u0431\u0435\u0440\u0438\">\n       <option value=\"\" disabled selected>\u041e\u0431\u0435\u0440\u0438<\/option>\n             <option>\u0436\u0456\u043d\u043a\u0430<\/option>\n             <option>\u043b\u044e\u0434\u0438\u043d\u0430<\/option>\n         <\/select><\/div><\/div><\/div><div class=\"row\"><div class=\"col-md-6\"><div class=\"form-row\"><label for=\"d_phone\">\u041d\u043e\u043c\u0435\u0440 \u0442\u0435\u043b\u0435\u0444\u043e\u043d\u0443: <span class=\"required\">**<\/span><\/label><input type=\"text\" name=\"d_phone\" id=\"d_phone\"><\/div><\/div><div class=\"col-md-6\"><div class=\"form-row\"><label for=\"d_mail\">\u0415\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u0430 \u043f\u043e\u0448\u0442\u0430: <span class=\"required\">**<\/span><\/label><input type=\"email\" name=\"d_mail\" id=\"d_mail\" placeholder=\"\u0415\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u0430 \u043f\u043e\u0448\u0442\u0430\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-md-4\"><div class=\"form-row\"><label for=\"d_street\">\u0432\u0443\u043b\u0438\u0446\u044f: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"d_street\" id=\"d_street\" required placeholder=\"\u043d\u0430\u0437\u0432\u0430 \u0432\u0443\u043b\u0438\u0446\u0456\"><\/div><\/div><div class=\"col-md-3\"><div class=\"form-row\"><label for=\"d_address\">\u041d\u043e\u043c\u0435\u0440 \u0431\u0443\u0434\u0438\u043d\u043a\u0443 \/ \u043a\u0432\u0430\u0440\u0442\u0438\u0440\u0438: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"d_address\" id=\"d_address\" required placeholder=\"\u041d\u043e\u043c\u0435\u0440 \u0431\u0443\u0434\u0438\u043d\u043a\u0443* \/ \u041d\u043e\u043c\u0435\u0440 \u043a\u0432\u0430\u0440\u0442\u0438\u0440\u0438\"><\/div><\/div><div class=\"col-md-2\"><div class=\"form-row\"><label for=\"d_postcode\">\u0417\u0406\u041f \u043a\u043e\u0434: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"d_postcode\" id=\"d_postcode\" required><\/div><\/div><div class=\"col-md-3\"><div class=\"form-row\"><label for=\"d_city\">\u041c\u0456\u0441\u0442\u043e: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"d_city\" id=\"d_city\" required placeholder=\"\u041c\u0456\u0441\u0442\u043e\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-md-6\"><div class=\"form-row\"><label for=\"d_changetime\">W bie\u017c\u0105cym roku kalendarzowym dokonuj\u0119 wyboru: <span class=\"required\">*<\/span><\/label><select name=\"d_changetime\" id=\"d_changetime\" required>\n             <option value=\"first-time\">\u0412\u043f\u0435\u0440\u0448\u0435 \u0430\u0431\u043e \u0432\u0434\u0440\u0443\u0433\u0435<\/option>\n             <option value=\"more-time\">\u0432\u0442\u0440\u0435\u0442\u0454 \u0456 \u0437\u043d\u043e\u0432\u0443<\/option>\n         <\/select><\/div><\/div><div class=\"col-md-6\"><div class=\"form-row\"><label for=\"d_clinic\">\u0412\u0438\u0431\u0456\u0440 \u041f\u041c\u0413: <span class=\"required\">*<\/span><\/label><select name=\"d_clinic\" id=\"d_clinic\" required><option value=\"1\">Przychodnia Teledoctor, ul. Zielona 29, \u0141\u00f3d\u017a<\/option><\/select><\/div><\/div><\/div><div class=\"row\"><div class=\"col-md-12\"><div class=\"form-changed-options hidden-field\"><fieldset>\n       <legend>\u0423 \u0440\u0430\u0437\u0456 \u0437\u0434\u0456\u0439\u0441\u043d\u0435\u043d\u043d\u044f \u0432\u0438\u0431\u043e\u0440\u0443 \u0432\u043f\u0435\u0440\u0448\u0435 \u0430\u0431\u043e \u043d\u0430\u0441\u0442\u0443\u043f\u043d\u0438\u0439 \u0440\u0430\u0437 \u0443 \u043f\u043e\u0442\u043e\u0447\u043d\u043e\u043c\u0443 \u043a\u0430\u043b\u0435\u043d\u0434\u0430\u0440\u043d\u043e\u043c\u0443 \u0440\u043e\u0446\u0456 \u0441\u043b\u0456\u0434 \u0437\u0430\u0437\u043d\u0430\u0447\u0438\u0442\u0438, \u0447\u0438 \u0454 \u043f\u0440\u0438\u0447\u0438\u043d\u043e\u044e \u0437\u0434\u0456\u0439\u0441\u043d\u0435\u043d\u043d\u044f \u0432\u0438\u0431\u043e\u0440\u0443:  <span class=\"required\">*<\/span><\/legend>\n    <div class=\"checkbox-form\">\n      <input type=\"radio\" id=\"form-changed-options-1\" name=\"form-changed-option\" value=\"1\">\n      <label for=\"form-changed-options-1\">\u0412\u0438\u0431\u0456\u0440 \u041f\u041c\u0413okoliczno\u015b\u0107 okre\u015blona w art. 9 ust. 5 ustawy z dnia 27 pa\u017adziernika 2017 r. o podstawowej opiece zdrowotnej:<br>\n      <ul>\n      <li>\u0417\u043c\u0456\u043d\u0430 \u043c\u0456\u0441\u0446\u044f \u043f\u0440\u043e\u0436\u0438\u0432\u0430\u043d\u043d\u044f<\/li>\n      <li>\u041f\u0440\u0438\u043f\u0438\u043d\u0435\u043d\u043d\u044f \u043d\u0430\u0434\u0430\u043d\u043d\u044f \u043c\u0435\u0434\u0438\u0447\u043d\u0438\u0445 \u043f\u043e\u0441\u043b\u0443\u0433 \u043e\u0431\u0440\u0430\u043d\u0438\u043c \u043f\u043e\u0441\u0442\u0430\u0447\u0430\u043b\u044c\u043d\u0438\u043a\u043e\u043c, \u043b\u0456\u043a\u0430\u0440\u044f \u043f\u0435\u0440\u0432\u0438\u043d\u043d\u043e\u0457 \u043c\u0435\u0434\u0438\u0447\u043d\u043e\u0457 \u0434\u043e\u043f\u043e\u043c\u043e\u0433\u0438 \u0443 \u043e\u0431\u0440\u0430\u043d\u043e\u043c\u0443 \u043f\u043e\u0441\u0442\u0430\u0447\u0430\u043b\u044c\u043d\u0438\u043a\u0443<\/li>\n      <li>\u0434\u043e\u0441\u044f\u0433\u043d\u0435\u043d\u043d\u044f \u043f\u0456\u043b\u044c\u0433\u043e\u0432\u0438\u043a\u043e\u043c 18-\u0440\u0456\u0447\u043d\u043e\u0433\u043e \u0432\u0456\u043a\u0443, \u043a\u043e\u043b\u0438 \u043b\u0456\u043a\u0430\u0440\u0435\u043c \u043f\u0435\u0440\u0432\u0438\u043d\u043d\u043e\u0457 \u043b\u0430\u043d\u043a\u0438 \u0454 \u043b\u0456\u043a\u0430\u0440 \u0437\u0456 \u0441\u043f\u0435\u0446\u0456\u0430\u043b\u0456\u0437\u0430\u0446\u0456\u0454\u044e \u0406 \u0430\u0431\u043e \u0406\u0406 \u0441\u0442\u0443\u043f\u0435\u043d\u044f \u0430\u0431\u043e \u0437\u0432\u0430\u043d\u043d\u044f\u043c \u0441\u043f\u0435\u0446\u0456\u0430\u043b\u0456\u0441\u0442\u0430 \u0437 \u043f\u0435\u0434\u0456\u0430\u0442\u0440\u0456\u0457<\/li>\n      <li>\u0417 \u0456\u043d\u0448\u0438\u0445 \u043f\u0440\u0438\u0447\u0438\u043d, \u0449\u043e \u0432\u0438\u043d\u0438\u043a\u043b\u0438 \u0437 \u0431\u043e\u043a\u0443 \u043d\u0430\u0434\u0430\u0432\u0430\u0447\u0430 \u043f\u043e\u0441\u043b\u0443\u0433<br><\/li>\n      <\/ul><\/label>\n    <\/div><div class=\"checkbox-form\">\n      <input type=\"radio\" id=\"form-changed-options-2\" name=\"form-changed-option\" value=\"2\">\n      <label for=\"form-changed-options-2\">\u0449\u0435 \u043e\u0434\u043d\u0430 \u043e\u0431\u0441\u0442\u0430\u0432\u0438\u043d\u0430<\/label>\n    <\/div><\/div>\n \n \n <\/fieldset><\/div><\/div><div class=\"row\">\n <div class=\"col-md-12\">\n    <a class=\"add-representative\">\u0414\u043e\u0434\u0430\u0442\u0438 \u0437\u0430\u043a\u043e\u043d\u043d\u043e\u0433\u043e \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043d\u0438\u043a\u0430<\/a><br>\n    <span class=\"text-infoblock\">\u0423 \u0432\u0438\u043f\u0430\u0434\u043a\u0443, \u044f\u043a\u0449\u043e \u043e\u0434\u0435\u0440\u0436\u0443\u0432\u0430\u0447\u0435\u043c \u043f\u043e\u0441\u043b\u0443\u0433 \u0454 \u043d\u0435\u043f\u043e\u0432\u043d\u043e\u043b\u0456\u0442\u043d\u044f \u043e\u0441\u043e\u0431\u0430 \u0430\u0431\u043e \u043e\u0441\u043e\u0431\u0430 \u0437 \u043f\u043e\u0432\u043d\u043e\u044e \u043d\u0435\u0434\u0456\u0454\u0437\u0434\u0430\u0442\u043d\u0456\u0441\u0442\u044e<\/span>\n <\/div><div class=\" col-md-12\"><div class=\"representative-block hidden-field\">\n <legend>\u0414\u0430\u043d\u0456 \u043f\u0440\u043e \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043d\u0438\u043a\u0430 \u0437\u0430 \u0437\u0430\u043a\u043e\u043d\u043e\u043c<\/legend>\n <div class=\"row\"><div class=\"col-md-4\"><div class=\"form-row\"><input type=\"text\" name=\"is_represent\" id=\"is_represent\" value=\"no-represented\" style=\"display: none;\"><label for=\"rep_name\">\u0456\u043c'\u044f: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"rep_name\" id=\"rep_name\"><\/div><\/div><div class=\"col-md-4\"><div class=\"form-row\"><label for=\"rep_surname\">\u043f\u0440\u0456\u0437\u0432\u0438\u0449\u0435: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"rep_surname\" id=\"rep_surname\"><\/div><\/div><div class=\"col-md-4\"><div class=\"form-row\"><label for=\"rep_phone\">\u041d\u043e\u043c\u0435\u0440 \u0442\u0435\u043b\u0435\u0444\u043e\u043d\u0443: <span class=\"optional\">**<\/span><\/label><input type=\"text\" name=\"rep_phone\" id=\"rep_phone\"><\/div><\/div><div class=\"col-md-4\"><div class=\"form-row\"><label for=\"rep_street\">\u0432\u0443\u043b\u0438\u0446\u044f: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"rep_street\" id=\"rep_street\"><\/div><\/div><div class=\"col-md-3\"><div class=\"form-row\"><label for=\"rep_address\">\u041d\u043e\u043c\u0435\u0440 \u0431\u0443\u0434\u0438\u043d\u043a\u0443 \/ \u043a\u0432\u0430\u0440\u0442\u0438\u0440\u0438: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"rep_address\" id=\"rep_address\"><\/div><\/div><div class=\"col-md-2\"><div class=\"form-row\"><label for=\"rep_postcode\">\u0417\u0406\u041f \u043a\u043e\u0434: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"rep_postcode\" id=\"rep_postcode\"><\/div><\/div><div class=\"col-md-3\"><div class=\"form-row\"><label for=\"rep_city\">\u041c\u0456\u0441\u0442\u043e: <span class=\"required\">*<\/span><\/label><input type=\"text\" name=\"rep_city\" id=\"rep_city\"><\/div><\/div>\n    \n    \n    <\/div>\n    <\/div>\n <\/div><div class=\"col-md-12\"><div class=\"accepts-row\">\n \n<label for=\"accept_rules\"> <input type=\"checkbox\" id=\"accept_rules\" name=\"accept_rules\" value=\"accept_rules\" required> <strong>\u041f\u0456\u0434\u0442\u0432\u0435\u0440\u0434\u0436\u0443\u044e \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u0456\u0441\u0442\u044c \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u0445 \u0434\u0430\u043d\u0438\u0445<span class=\"required\">*<\/span><\/strong> <br>Dane podane w tym formularzu wykorzystujemy wy\u0142\u0105cznie do sporz\u0105dzenia deklaracji wyboru \u015bwiadczeniodawcy, lekarza, piel\u0119gniarki i po\u0142o\u017cnej podstawowej opieki zdrowotnej oraz do wpisania Ci\u0119 do dokumentacji wybranej przychodni. Administratorem danych jest Teledoctor sp. z o.o., ul. Zielona 29, 90-602 \u0141\u00f3d\u017a. Podstaw\u0105 przetwarzania s\u0105 przepisy o \u015bwiadczeniach opieki zdrowotnej finansowanych ze \u015brodk\u00f3w publicznych oraz art. 6 ust. 1 lit. c i art. 9 ust. 2 lit. h RODO \u2014 nie opieramy go na Twojej zgodzie, wi\u0119c nie musisz jej wyra\u017ca\u0107. Deklaracj\u0119 przechowujemy przez okres wymagany przepisami o dokumentacji medycznej. Masz prawo dost\u0119pu do danych, ich sprostowania i ograniczenia przetwarzania, a tak\u017ce prawo wniesienia skargi do Prezesa Urz\u0119du Ochrony Danych Osobowych, ul. Stanis\u0142awa Moniuszki 1A, 00-014 Warszawa. Kontakt do Inspektora Ochrony Danych: iod@teledoctor.pl. Ta strona korzysta z us\u0142ugi Google reCAPTCHA, kt\u00f3ra sprawdza, czy formularz wype\u0142nia cz\u0142owiek, i w tym celu przekazuje do Google adres IP oraz informacje o urz\u0105dzeniu. Zast\u0119pujemy j\u0105 rozwi\u0105zaniem dzia\u0142aj\u0105cym wy\u0142\u0105cznie na naszym serwerze. [UA] \u0414\u0430\u043d\u0456 \u0437 \u0446\u0456\u0454\u0457 \u0444\u043e\u0440\u043c\u0438 \u043c\u0438 \u0432\u0438\u043a\u043e\u0440\u0438\u0441\u0442\u043e\u0432\u0443\u0454\u043c\u043e \u0432\u0438\u043a\u043b\u044e\u0447\u043d\u043e \u0434\u043b\u044f \u043e\u0444\u043e\u0440\u043c\u043b\u0435\u043d\u043d\u044f \u0434\u0435\u043a\u043b\u0430\u0440\u0430\u0446\u0456\u0457 \u0432\u0438\u0431\u043e\u0440\u0443 \u043d\u0430\u0434\u0430\u0432\u0430\u0447\u0430, \u043b\u0456\u043a\u0430\u0440\u044f, \u043c\u0435\u0434\u0438\u0447\u043d\u043e\u0457 \u0441\u0435\u0441\u0442\u0440\u0438 \u0442\u0430 \u0430\u043a\u0443\u0448\u0435\u0440\u043a\u0438 \u043f\u0435\u0440\u0432\u0438\u043d\u043d\u043e\u0457 \u043c\u0435\u0434\u0438\u0447\u043d\u043e\u0457 \u0434\u043e\u043f\u043e\u043c\u043e\u0433\u0438 \u0456 \u0434\u043b\u044f \u0432\u043d\u0435\u0441\u0435\u043d\u043d\u044f \u0432\u0430\u0441 \u0434\u043e \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0456\u0457 \u0432\u0438\u0431\u0440\u0430\u043d\u043e\u0457 \u043f\u043e\u043b\u0456\u043a\u043b\u0456\u043d\u0456\u043a\u0438. \u0410\u0434\u043c\u0456\u043d\u0456\u0441\u0442\u0440\u0430\u0442\u043e\u0440 \u0434\u0430\u043d\u0438\u0445: Teledoctor sp. z o.o., ul. Zielona 29, 90-602 \u0141\u00f3d\u017a. \u041f\u0456\u0434\u0441\u0442\u0430\u0432\u0430 \u043e\u0431\u0440\u043e\u0431\u043a\u0438 \u2014 \u043f\u043e\u043b\u044c\u0441\u044c\u043a\u0456 \u043d\u043e\u0440\u043c\u0438 \u043f\u0440\u043e \u043f\u0443\u0431\u043b\u0456\u0447\u043d\u043e \u0444\u0456\u043d\u0430\u043d\u0441\u043e\u0432\u0430\u043d\u0443 \u043e\u0445\u043e\u0440\u043e\u043d\u0443 \u0437\u0434\u043e\u0440\u043e\u0432'\u044f \u0442\u0430 \u0441\u0442. 6(1)(c) \u0456 \u0441\u0442. 9(2)(h) GDPR; \u043c\u0438 \u043d\u0435 \u0441\u043f\u0438\u0440\u0430\u0454\u043c\u043e\u0441\u044f \u043d\u0430 \u0432\u0430\u0448\u0443 \u0437\u0433\u043e\u0434\u0443, \u0442\u043e\u043c\u0443 \u0432\u0430\u043c \u043d\u0435 \u043f\u043e\u0442\u0440\u0456\u0431\u043d\u043e \u0457\u0457 \u0432\u0438\u0441\u043b\u043e\u0432\u043b\u044e\u0432\u0430\u0442\u0438. \u0421\u0442\u0440\u043e\u043a \u0437\u0431\u0435\u0440\u0456\u0433\u0430\u043d\u043d\u044f \u0432\u0438\u0437\u043d\u0430\u0447\u0430\u044e\u0442\u044c \u043d\u043e\u0440\u043c\u0438 \u043f\u0440\u043e \u043c\u0435\u0434\u0438\u0447\u043d\u0443 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0456\u044e. \u0412\u0438 \u043c\u0430\u0454\u0442\u0435 \u043f\u0440\u0430\u0432\u043e \u043d\u0430 \u0434\u043e\u0441\u0442\u0443\u043f \u0434\u043e \u0434\u0430\u043d\u0438\u0445, \u0457\u0445 \u0432\u0438\u043f\u0440\u0430\u0432\u043b\u0435\u043d\u043d\u044f \u0442\u0430 \u043e\u0431\u043c\u0435\u0436\u0435\u043d\u043d\u044f \u043e\u0431\u0440\u043e\u0431\u043a\u0438, \u0430 \u0442\u0430\u043a\u043e\u0436 \u043f\u0440\u0430\u0432\u043e \u043f\u043e\u0434\u0430\u0442\u0438 \u0441\u043a\u0430\u0440\u0433\u0443 \u0434\u043e Prezes Urz\u0119du Ochrony Danych Osobowych, ul. Stanis\u0142awa Moniuszki 1A, 00-014 Warszawa. \u0406\u043d\u0441\u043f\u0435\u043a\u0442\u043e\u0440 \u0456\u0437 \u0437\u0430\u0445\u0438\u0441\u0442\u0443 \u0434\u0430\u043d\u0438\u0445: iod@teledoctor.pl. \u0426\u044f \u0441\u0442\u043e\u0440\u0456\u043d\u043a\u0430 \u0432\u0438\u043a\u043e\u0440\u0438\u0441\u0442\u043e\u0432\u0443\u0454 Google reCAPTCHA, \u044f\u043a\u0430 \u043f\u0435\u0440\u0435\u0434\u0430\u0454 \u0434\u043e Google \u0432\u0430\u0448\u0443 IP-\u0430\u0434\u0440\u0435\u0441\u0443 \u0442\u0430 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044e \u043f\u0440\u043e \u043f\u0440\u0438\u0441\u0442\u0440\u0456\u0439; \u043c\u0438 \u0437\u0430\u043c\u0456\u043d\u044e\u0454\u043c\u043e \u0457\u0457 \u0440\u0456\u0448\u0435\u043d\u043d\u044f\u043c, \u0449\u043e \u043f\u0440\u0430\u0446\u044e\u0454 \u043b\u0438\u0448\u0435 \u043d\u0430 \u043d\u0430\u0448\u043e\u043c\u0443 \u0441\u0435\u0440\u0432\u0435\u0440\u0456. [EN] We use the data in this form solely to prepare your declaration of choice of provider, doctor, nurse and midwife in primary health care, and to enter you into the records of the clinic you select. Controller: Teledoctor sp. z o.o., ul. Zielona 29, 90-602 \u0141\u00f3d\u017a, Poland. The processing is based on Polish legislation on publicly funded health care and on Article 6(1)(c) and Article 9(2)(h) GDPR; it is not based on your consent, so you do not need to give one. The retention period follows the rules on medical records. You have the right to access your data, to have it corrected, to have its processing restricted, and to lodge a complaint with Prezes Urz\u0119du Ochrony Danych Osobowych, ul. Stanis\u0142awa Moniuszki 1A, 00-014 Warszawa. Data Protection Officer: iod@teledoctor.pl. This page uses Google reCAPTCHA, which sends your IP address and device information to Google; we are replacing it with a solution running solely on our own server.<\/label><\/div><\/div><div class=\"col-md-12\"><div class=\"form-legends\">\n <p>Legenda:<\/p>\n <span class=\"required\">*<\/span> - \u041e\u0431\u043e\u0432'\u044f\u0437\u043a\u043e\u0432\u0435 \u043f\u043e\u043b\u0435<br>\n <span class=\"optional\">**<\/span> - \u041e\u0431\u043e\u0432'\u044f\u0437\u043a\u043e\u0432\u0435 \u043f\u043e\u043b\u0435, \u043d\u0430\u0434\u0430\u043d\u043d\u044f \u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u0438\u0445 \u0434\u0430\u043d\u0438\u0445 \u0434\u043e\u0437\u0432\u043e\u043b\u0438\u0442\u044c \u043b\u0456\u043a\u0430\u0440\u044e \u0437\u0432'\u044f\u0437\u0430\u0442\u0438\u0441\u044f \u0437 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c \u0434\u043b\u044f \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u043d\u044f \u0442\u0435\u043b\u0435\u043a\u043e\u043d\u0441\u0443\u043b\u044c\u0442\u0430\u0446\u0456\u0457, \u0430 \u0442\u0430\u043a\u043e\u0436 \u0443\u0441\u043f\u0456\u0448\u043d\u043e \u0437\u0430\u0432\u0435\u0440\u0448\u0438\u0442\u0438 \u0440\u0435\u0454\u0441\u0442\u0440\u0430\u0446\u0456\u044e<\/div><\/div><div class=\"col-md-12\"><div class=\"form-row\"><input type=\"submit\" name=\"d-submitted-pdf\" value=\"\u0417\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0442\u0435 \u0434\u0435\u043a\u043b\u0430\u0440\u0430\u0446\u0456\u044e \u0442\u0430 \u043f\u0456\u0434\u043f\u0438\u0448\u0456\u0442\u044c\"><input type=\"hidden\" name=\"recaptcha_token\" id=\"recaptchaToken\"><\/div><\/div><\/div><\/form><!-- reCAPTCHA v3 \u2013 token generowany przy wys\u0142aniu formularza (nie przy \u0142adowaniu strony) -->\n      <script src=\"https:\/\/www.google.com\/recaptcha\/api.js?render=6LfTTCArAAAAABSHqj6UxMQVz09z8YkkO8M0pzoE\"><\/script>\n      <script>\n      (function() {\n         var form = document.querySelector(\"form.form-declarations\");\n         var tokenInput = document.getElementById(\"recaptchaToken\");\n         var siteKey = \"6LfTTCArAAAAABSHqj6UxMQVz09z8YkkO8M0pzoE\";\n         if (!form || !tokenInput) return;\n         form.addEventListener(\"submit\", function(e) {\n            if (tokenInput.value) return;\n            e.preventDefault();\n            var f = form;\n            if (window.grecaptcha && window.grecaptcha.execute) {\n               grecaptcha.ready(function() {\n                  grecaptcha.execute(siteKey, { action: \"declaration_form\" }).then(function(token) {\n                     tokenInput.value = token;\n                     var hid = document.createElement(\"input\");\n                     hid.type = \"hidden\";\n                     hid.name = \"d-submitted-pdf\";\n                     hid.value = \"1\";\n                     f.appendChild(hid);\n                     f.submit();\n                  }).catch(function() {\n                     f.submit();\n                  });\n               });\n            } else {\n               f.submit();\n            }\n         });\n      })();\n      <\/script>\n","protected":false},"excerpt":{"rendered":"\u0417\u0430\u043f\u043e\u0432\u043d\u0456\u0442\u044c \u0431\u0443\u0434\u044c \u043b\u0430\u0441\u043a\u0430 \u043f\u043e\u043b\u044c\u0441\u044c\u043a\u043e\u044e \u043c\u043e\u0432\u043e\u044e.","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-198","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0421\u0442\u0430\u0442\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c - Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/\" \/>\n<meta property=\"og:locale\" content=\"uk_UA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0421\u0442\u0430\u0442\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c - Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi\" \/>\n<meta property=\"og:description\" content=\"\u0417\u0430\u043f\u043e\u0432\u043d\u0456\u0442\u044c \u0431\u0443\u0434\u044c \u043b\u0430\u0441\u043a\u0430 \u043f\u043e\u043b\u044c\u0441\u044c\u043a\u043e\u044e \u043c\u043e\u0432\u043e\u044e.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/\" \/>\n<meta property=\"og:site_name\" content=\"Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-02T15:23:48+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u041f\u0440\u0438\u0431\u043b. \u0447\u0430\u0441 \u0447\u0438\u0442\u0430\u043d\u043d\u044f\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 \u0445\u0432\u0438\u043b\u0438\u043d\u0430\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u0421\u0442\u0430\u0442\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c - Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/","og_locale":"uk_UA","og_type":"article","og_title":"\u0421\u0442\u0430\u0442\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c - Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi","og_description":"\u0417\u0430\u043f\u043e\u0432\u043d\u0456\u0442\u044c \u0431\u0443\u0434\u044c \u043b\u0430\u0441\u043a\u0430 \u043f\u043e\u043b\u044c\u0441\u044c\u043a\u043e\u044e \u043c\u043e\u0432\u043e\u044e.","og_url":"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/","og_site_name":"Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi","article_modified_time":"2023-10-02T15:23:48+00:00","twitter_card":"summary_large_image","twitter_misc":{"\u041f\u0440\u0438\u0431\u043b. \u0447\u0430\u0441 \u0447\u0438\u0442\u0430\u043d\u043d\u044f":"1 \u0445\u0432\u0438\u043b\u0438\u043d\u0430"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/","url":"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/","name":"\u0421\u0442\u0430\u0442\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c - Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi","isPartOf":{"@id":"https:\/\/teledoctor.pl\/uk\/#website"},"datePublished":"2023-07-26T11:14:47+00:00","dateModified":"2023-10-02T15:23:48+00:00","breadcrumb":{"@id":"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/#breadcrumb"},"inLanguage":"uk","potentialAction":[{"@type":"ReadAction","target":["https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/teledoctor.pl\/uk\/%d1%81%d1%82%d0%b0%d1%82%d0%b8-%d0%bf%d0%b0%d1%86%d1%96%d1%94%d0%bd%d1%82%d0%be%d0%bc\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Strona g\u0142\u00f3wna","item":"https:\/\/teledoctor.pl\/uk\/"},{"@type":"ListItem","position":2,"name":"\u0421\u0442\u0430\u0442\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c"}]},{"@type":"WebSite","@id":"https:\/\/teledoctor.pl\/uk\/#website","url":"https:\/\/teledoctor.pl\/uk\/","name":"Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi","description":"Bezp\u0142atne przychodnie lekarskie w \u0141odzi, Lekarz rodzinny","publisher":{"@id":"https:\/\/teledoctor.pl\/uk\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/teledoctor.pl\/uk\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"uk"},{"@type":"Organization","@id":"https:\/\/teledoctor.pl\/uk\/#organization","name":"Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi","url":"https:\/\/teledoctor.pl\/uk\/","logo":{"@type":"ImageObject","inLanguage":"uk","@id":"https:\/\/teledoctor.pl\/uk\/#\/schema\/logo\/image\/","url":"https:\/\/teledoctor.pl\/wp-content\/uploads\/2022\/09\/logoNowe.png","contentUrl":"https:\/\/teledoctor.pl\/wp-content\/uploads\/2022\/09\/logoNowe.png","width":11381,"height":2577,"caption":"Teledoctor \u2013 sie\u0107 bezp\u0142atnych przychodni w \u0141odzi"},"image":{"@id":"https:\/\/teledoctor.pl\/uk\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/teledoctor.pl\/uk\/wp-json\/wp\/v2\/pages\/198","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/teledoctor.pl\/uk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/teledoctor.pl\/uk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/teledoctor.pl\/uk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/teledoctor.pl\/uk\/wp-json\/wp\/v2\/comments?post=198"}],"version-history":[{"count":5,"href":"https:\/\/teledoctor.pl\/uk\/wp-json\/wp\/v2\/pages\/198\/revisions"}],"predecessor-version":[{"id":231,"href":"https:\/\/teledoctor.pl\/uk\/wp-json\/wp\/v2\/pages\/198\/revisions\/231"}],"wp:attachment":[{"href":"https:\/\/teledoctor.pl\/uk\/wp-json\/wp\/v2\/media?parent=198"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}