{"id":5151,"date":"2020-04-27T17:51:03","date_gmt":"2020-04-27T15:51:03","guid":{"rendered":"https:\/\/www.atlaspraxis.de\/?page_id=5151"},"modified":"2026-02-15T13:28:30","modified_gmt":"2026-02-15T11:28:30","slug":"bescheinigung","status":"publish","type":"page","link":"https:\/\/www.atlaspraxis.de\/en\/kontakt\/bescheinigung\/","title":{"rendered":"Attestation"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Info-4.png\" alt=\"Information\" class=\"wp-image-9882\" style=\"width:150px\" srcset=\"https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Info-4.png 800w, https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Info-4-600x600.png 600w, https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Info-4-150x150.png 150w, https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Info-4-768x768.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>Do you need an attestation for your visit at our clinic? Then please fill out this form and we will send you an attestation by email.<\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wpforms-container wpforms-render-modern\" id=\"wpforms-8668\"><form id=\"wpforms-form-8668\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"8668\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/5151\" data-token=\"199a9d0df80937eb980ca15f9a983e6f\" data-token-time=\"1777213789\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-8668-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_9\">First name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8668-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-8668-field_9-error\" required><\/div><div id=\"wpforms-8668-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_5\">Last name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8668-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-8668-field_5-error\" required><\/div><div id=\"wpforms-8668-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_6\">Street <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8668-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-8668-field_6-error\" required><\/div><div id=\"wpforms-8668-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_12\">ZIP <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8668-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-8668-field_12-error\" required><\/div>\t\t<div id=\"wpforms-8668-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-8668-field_1\" >Message E-mail GDPR<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-8668-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-8668-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_7\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8668-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-8668-field_7-error\" required><\/div><div id=\"wpforms-8668-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_8\">Country<\/label><input type=\"text\" id=\"wpforms-8668-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-8668-field_8-error\" ><\/div><div id=\"wpforms-8668-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_2\">E-mail address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-8668-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-8668-field_2-error\" required><\/div><div id=\"wpforms-8668-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_13\">Appointment  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8668-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-8668-field_13-error\" required><\/div><div id=\"wpforms-8668-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Costs <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-8668-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-8668-field_11_1\" name=\"wpforms[fields][11]\" value=\"Employer\" aria-errormessage=\"wpforms-8668-field_11_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8668-field_11_1\">Employer<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-8668-field_11_2\" name=\"wpforms[fields][11]\" value=\"School\" aria-errormessage=\"wpforms-8668-field_11_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8668-field_11_2\">School<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-8668-field_11_3\" name=\"wpforms[fields][11]\" value=\"Other\" aria-errormessage=\"wpforms-8668-field_11_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8668-field_11_3\">Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-8668-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-8668-field_3\">Message<\/label><textarea id=\"wpforms-8668-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-8668-field_3-error\" ><\/textarea><\/div><div id=\"wpforms-8668-field_14-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"14\"><label class=\"wpforms-field-label\">GDPR consent <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><ul id=\"wpforms-8668-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-8668-field_14_1\" name=\"wpforms[fields][14][]\" value=\"I consent to this website storing the information I submit so that my inquiry can be answered.\" aria-errormessage=\"wpforms-8668-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8668-field_14_1\">I consent to this website storing the information I submit so that my inquiry can be answered.<\/label><\/li><\/ul><\/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-8668-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-8668-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-8668-field_1-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-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"8668\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/5151\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-8668\" class=\"wpforms-submit\" data-alt-text=\"Wird gesendet\u00a0\u2026\" data-submit-text=\"Absenden\" aria-live=\"assertive\" value=\"wpforms-submit\">Absenden<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.atlaspraxis.de\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<p class=\"has-small-font-size\">By using this contact form you agree to our&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.atlaspraxis.de\/en\/datenschutzerklaerung\/?lang=en\" target=\"_blank\">privacy policy<\/a>. You also agree to the use of Google reCAPTCHA.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Do you need an attestation for your visit at our clinic? Then please fill out this form and we will send you an attestation by email. By using this contact form you agree to our&nbsp;privacy policy. You also agree to the use of Google reCAPTCHA.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":153,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5151","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"en","enabled_languages":["de","en"],"languages":{"de":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/5151","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/comments?post=5151"}],"version-history":[{"count":32,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/5151\/revisions"}],"predecessor-version":[{"id":9929,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/5151\/revisions\/9929"}],"up":[{"embeddable":true,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/153"}],"wp:attachment":[{"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/media?parent=5151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}