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.eael-gravity-form .gfield .ginput_container input[type="number"], html body .elementor-15421 .elementor-element.elementor-element-915bb6c .eael-gravity-form .gfield .ginput_container_date input[type="text"], html body .elementor-15421 .elementor-element.elementor-element-915bb6c .eael-gravity-form .gfield .ginput_container_phone input[type="text"], html body .elementor-15421 .elementor-element.elementor-element-915bb6c .eael-gravity-form .gfield .ginput_container_email input[type="text"], html body .elementor-15421 .elementor-element.elementor-element-915bb6c .eael-gravity-form .gfield .ginput_container_text input[type="text"], html body .elementor-15421 .elementor-element.elementor-element-915bb6c .eael-gravity-form .gfield textarea, html body .elementor-15421 .elementor-element.elementor-element-915bb6c .eael-gravity-form .gfield select{font-size:16px;}}/* Start custom CSS for eael-gravity-form, class: .elementor-element-915bb6c */.elementor-15421 .elementor-element.elementor-element-915bb6c .gform_title {
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}

.elementor-15421 .elementor-element.elementor-element-915bb6c select {
    padding-left: 0;
}/* End custom CSS */</style>{"id":15421,"date":"2021-06-11T06:17:04","date_gmt":"2021-06-11T05:17:04","guid":{"rendered":"https:\/\/somnomed.com\/nl\/contact-2\/"},"modified":"2022-06-14T10:59:56","modified_gmt":"2022-06-14T09:59:56","slug":"contact-2","status":"publish","type":"page","link":"https:\/\/somnomed.com\/nl\/contact-2\/","title":{"rendered":"Contact us patient"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15421\" class=\"elementor elementor-15421\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-7040c9bd elementor-section-content-top elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"7040c9bd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4b24cf49 padding-col--right\" data-id=\"4b24cf49\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-531022ea elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"531022ea\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-583def16\" data-id=\"583def16\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-284d019d elementor-widget elementor-widget-heading\" data-id=\"284d019d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Contact us<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf6ea0c elementor-widget elementor-widget-text-editor\" data-id=\"cf6ea0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; color: #00549d;\">Please refer to find a provider to get information on a dental provider. For all current patients that have inquiries about their device please refer to your <strong>prescribing dentist.<\/strong><\/span><\/p>\n<gwmw style=\"display:none;\"><\/gwmw>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-915bb6c eael-gravity-form-button-custom elementor-widget elementor-widget-eael-gravity-form\" data-id=\"915bb6c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"eael-contact-form eael-gravity-form labels-hide title-description-hide eael-custom-radio-checkbox eael-contact-form-align-default\">\n\t\t        \t\t\t\t\t<div class=\"eael-gravity-form-heading\">\n\t\t\t\t        \t\t\t\t\t\t\t<h3 class=\"eael-contact-form-title eael-gravity-form-title\">\n\t\t\t\t\t\t        How can we help?\t\t\t\t\t\t\t<\/h3>\n\t\t\t\t        \t\t\t\t        \t\t\t\t\t<\/div>\n\t\t        \n            <script type=\"text\/javascript\">\n                \/* EA Gravity Forms - fallback dispatch of GF's per-form post-render event.\n                 *\n                 * GF normally dispatches this itself from GFFormDisplay::footer_init_scripts().\n                 * In render contexts where that never runs, GF add-ons that bind to\n                 * `gform\/post_render` - e.g. the reCAPTCHA Add-On v2.2.2+, which registers its\n                 * v3 token submission filter there - are never initialised.\n                 *\n                 * Dispatching unconditionally is not safe. GF's multi-file uploader calls\n                 * `new plupload.Uploader()` on every post_render with no idempotency guard\n                 * (gravityforms\/js\/gravityforms.js), so a second dispatch binds a second\n                 * uploader to the same field and every selected file is submitted twice. GF's\n                 * own guard is function-local to the script it prints and cannot be read from\n                 * here, so we watch for the event instead and only step in if it never comes.\n                 *\n                 * This is the single fallback for this widget. Tickets 84410 and 84529 each\n                 * added one independently and both were merged, leaving two mutually-blind\n                 * shims that raced (issue #894). Do not add another - extend this one, and\n                 * keep the `window.__eaelGfPostRender*` flags as the shared source of truth.\n                 *\n                 * Printed before the form markup so the listeners are in place ahead of any\n                 * GF init script for this form, whether printed inline or in the footer.\n                 *\/\n                ( function () {\n                    var formId    = 8;\n                    var seenFlag  = '__eaelGfPostRenderSeen_'  + formId; \/\/ dispatched, by anyone\n                    var boundFlag = '__eaelGfPostRenderBound_' + formId; \/\/ this shim is installed\n\n                    if ( window[ boundFlag ] ) {\n                        return;\n                    }\n                    window[ boundFlag ] = true;\n\n                    function markSeen( id ) {\n                        if ( parseInt( id, 10 ) === formId ) {\n                            window[ seenFlag ] = true;\n                        }\n                    }\n\n                    \/\/ triggerPostRenderEvents() always fires the jQuery event first and the\n                    \/\/ gform.utils one after, whoever calls it - so between them these observe\n                    \/\/ GF core's own dispatch as well as any other caller's.\n                    if ( window.jQuery ) {\n                        window.jQuery( document ).on( 'gform_post_render', function ( event, id ) {\n                            markSeen( typeof id !== 'undefined' ? id : formId );\n                        } );\n                    }\n                    if ( window.gform && window.gform.utils\n                         && typeof window.gform.utils.addEventListener === 'function' ) {\n                        window.gform.utils.addEventListener( 'gform\/post_render', function ( e ) {\n                            markSeen( e && e.detail && typeof e.detail.formId !== 'undefined'\n                                      ? e.detail.formId : formId );\n                        } );\n                    }\n\n                    function maybeDispatch() {\n                        if ( window[ seenFlag ] ) {\n                            return;\n                        }\n\n                        \/\/ GF leaves this marker beside a hidden form while it waits for the\n                        \/\/ form to become visible, and removes it once it dispatches. Still\n                        \/\/ present means GF's script did run and will dispatch on its own -\n                        \/\/ firing now is the double-dispatch that duplicates file uploads.\n                        if ( document.getElementById( 'gform_visibility_test_' + formId ) ) {\n                            return;\n                        }\n\n                        if ( ! window.gform || ! window.gform.core\n                             || typeof window.gform.core.triggerPostRenderEvents !== 'function' ) {\n                            return;\n                        }\n\n                        var pageInput   = document.getElementById( 'gform_source_page_number_' + formId );\n                        var currentPage = pageInput ? parseInt( pageInput.value, 10 ) : 1;\n\n                        window[ seenFlag ] = true;\n                        window.gform.core.triggerPostRenderEvents( formId, currentPage || 1 );\n                    }\n\n                    \/\/ Wait for the window load event and then for GF's own gate, which needs\n                    \/\/ DOMContentLoaded plus its main and theme script events. Registering the\n                    \/\/ callback this late puts it behind GF's in the queue, and the timeout\n                    \/\/ puts it in a later task again, so GF always gets to dispatch first.\n                    function schedule() {\n                        if ( window.gform && typeof window.gform.initializeOnLoaded === 'function' ) {\n                            window.gform.initializeOnLoaded( function () {\n                                setTimeout( maybeDispatch, 0 );\n                            } );\n                        } else {\n                            setTimeout( maybeDispatch, 0 );\n                        }\n                    }\n\n                    if ( document.readyState === 'complete' ) {\n                        schedule();\n                    } else {\n                        window.addEventListener( 'load', schedule );\n                    }\n                } )();\n            <\/script>\n\n            <script>\nvar 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3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_8' ><div id='gf_8' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_8' id='gform_8'  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gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_1'>\n                            \n                            <span id='input_8_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_8_1_3' value=''   aria-required='true'   placeholder='Voornaam'  \/>\n                                                    <label for='input_8_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_8_1_6' value=''   aria-required='true'   placeholder='Achternaam'  \/>\n                                                    <label for='input_8_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_2'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_8_2' type='email' value='' class='large'   placeholder='Email*' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_8_3\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_8_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_8_3_1' value=''   placeholder='Straat' aria-required='false'    \/>\n                                        <label for='input_8_3_1' id='input_8_3_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Straat + huisnummer<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_8_3_3' value=''   placeholder='Stad' aria-required='false'    \/>\n                                    <label for='input_8_3_3' id='input_8_3_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Plaats<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_3.4' id='input_8_3_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_8_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_8_3_5' value=''   placeholder='Postcode' aria-required='false'    \/>\n                                    <label for='input_8_3_5' id='input_8_3_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Postcode<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_8_3_6_container' >\n                                        <select name='input_3.6' id='input_8_3_6'   aria-required='false'    ><option value='' >Land<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland-eilanden<\/option><option value='AL' >Albani\u00eb<\/option><option value='DZ' >Algerije<\/option><option value='AS' >Amerikaans Samoa<\/option><option value='VI' >Amerikaanse Maagdeneilanden<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua en Barbuda<\/option><option value='SY' >Arabische Republiek Syri\u00eb<\/option><option value='AR' >Argentini\u00eb<\/option><option value='AM' >Armeni\u00eb<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australi\u00eb<\/option><option value='AZ' >Azerbeidzjan<\/option><option value='BS' >Bahama&#039;s<\/option><option value='BH' >Bahrein<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BE' >Belgi\u00eb<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius en Saba<\/option><option value='BA' >Bosni\u00eb en Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet eiland<\/option><option value='BR' >Brazili\u00eb<\/option><option value='IO' >Brits-Indisch oceaan gebied<\/option><option value='VG' >Britse Maagdeneilanden<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgarije<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodja<\/option><option value='CA' >Canada<\/option><option value='CF' >Centraal-Afrikaanse Republiek<\/option><option value='CL' >Chili<\/option><option value='CN' >China<\/option><option value='CC' >Cocoseilanden<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoren<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratische Republiek<\/option><option value='CK' >Cook eilanden<\/option><option value='CR' >Costa Rica<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='DK' >Denemarken<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominicaanse Republiek<\/option><option value='DE' >Duitsland<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypte<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatoriaal-Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estland<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopi\u00eb<\/option><option value='FO' >Faer\u00f6er<\/option><option value='FK' >Falkland eilanden<\/option><option value='FJ' >Fiji<\/option><option value='PH' >Filipijnen<\/option><option value='FI' >Finland<\/option><option value='FR' >Frankrijk<\/option><option value='GF' >Frans Guyana<\/option><option value='PF' >Frans-Polynesi\u00eb<\/option><option value='TF' >Franse zuidelijke gebieden<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgi\u00eb<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GD' >Grenada<\/option><option value='GR' >Griekenland<\/option><option value='GL' >Groenland<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinee<\/option><option value='GW' >Guinee-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Ha\u00efti<\/option><option value='HM' >Heard Eiland en McDonald Eilanden<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hongarije<\/option><option value='IE' >Ierland<\/option><option value='IS' >IJsland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesi\u00eb<\/option><option value='IQ' >Irak<\/option><option value='IR' >Iran<\/option><option value='IL' >Isra\u00ebl<\/option><option value='IT' >Itali\u00eb<\/option><option value='CI' >Ivoorkust<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='GS' >Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy<\/option><option value='JO' >Jordani\u00eb<\/option><option value='KY' >Kaaimaneilanden<\/option><option value='CV' >Kaapverdi\u00eb<\/option><option value='CM' >Kameroen<\/option><option value='KZ' >Kazachstan<\/option><option value='KE' >Kenia<\/option><option value='CX' >Kersteiland<\/option><option value='KG' >Kirgizi\u00eb<\/option><option value='KI' >Kiribati<\/option><option value='UM' >Kleine eilanden van de Verenigde Staten<\/option><option value='KW' >Koeweit<\/option><option value='KP' >Korea, Democratische Volksrepubliek<\/option><option value='KR' >Korea, Republiek van<\/option><option value='HR' >Kroati\u00eb<\/option><option value='LA' >Lao Democratische Volksrepubliek<\/option><option value='LS' >Lesotho<\/option><option value='LV' >Letland<\/option><option value='LB' >Libanon<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libi\u00eb<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Litouwen<\/option><option value='LU' >Luxemburg<\/option><option value='MO' >Macau<\/option><option value='MG' >Madagaskar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldiven<\/option><option value='MY' >Maleisi\u00eb<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='IM' >Man<\/option><option value='MA' >Marokko<\/option><option value='MH' >Marshalleilanden<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritani\u00eb<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldavi\u00eb<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongoli\u00eb<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibi\u00eb<\/option><option value='NR' >Nauru<\/option><option value='NL' >Nederland<\/option><option value='NP' >Nepal<\/option><option value='NI' >Nicaragua<\/option><option value='NC' >Nieuw-Caledoni\u00eb<\/option><option value='NZ' >Nieuw-Zeeland<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='MK' >Noord-Macedoni\u00eb<\/option><option value='MP' >Noordelijke Marianen<\/option><option value='NO' >Noorwegen<\/option><option value='NF' >Norfolk eiland<\/option><option value='UG' >Oeganda<\/option><option value='UA' >Oekra\u00efne<\/option><option value='UZ' >Oezbekistan<\/option><option value='OM' >Oman<\/option><option value='AT' >Oostenrijk<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestina, Staat<\/option><option value='PA' >Panama<\/option><option value='PG' >Papoea-Nieuw-Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Polen<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Roemeni\u00eb<\/option><option value='RU' >Russische Federatie<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='KN' >Saint Kitts en Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='PM' >Saint Pierre en Miquelon<\/option><option value='VC' >Saint Vincent en de Grenadines<\/option><option value='SB' >Salomonseilanden<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tom\u00e9 en Principe<\/option><option value='SA' >Saoedi-Arabi\u00eb<\/option><option value='SN' >Senegal<\/option><option value='RS' >Servi\u00eb<\/option><option value='SC' >Seychellen<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='MF' >Sint Maarten<\/option><option value='SH' >Sint-Helena, Hemelvaart en Tristan da Cunha<\/option><option value='SI' >Sloveni\u00eb<\/option><option value='SK' >Slowakije<\/option><option value='SD' >Soedan<\/option><option value='SO' >Somali\u00eb<\/option><option value='ES' >Spanje<\/option><option value='SJ' >Spitsbergen en Jan Mayen<\/option><option value='LK' >Sri Lanka<\/option><option value='SR' >Suriname<\/option><option value='TJ' >Tadzjikistan<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tanzania, de Verenigde Republiek van<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad en Tobago<\/option><option value='TD' >Tsjaad<\/option><option value='CZ' >Tsjechi\u00eb<\/option><option value='TN' >Tunesi\u00eb<\/option><option value='TR' >Turkije<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks- en Caicoseilanden<\/option><option value='TV' >Tuvalu<\/option><option value='UY' >Uruguay<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vaticaanstad<\/option><option value='VE' >Venezuela<\/option><option value='GB' >Verenigd Koninkrijk<\/option><option value='AE' >Verenigde Arabische Emiraten<\/option><option value='US' >Verenigde Staten<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis en Futuna<\/option><option value='EH' >Westelijke Sahara<\/option><option value='BY' >Wit-Rusland<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><option value='SS' >Zuid Soedan<\/option><option value='ZA' >Zuid-Afrika<\/option><option value='SE' >Zweden<\/option><option value='CH' >Zwitserland<\/option><\/select>\n                                        <label for='input_8_3_6' id='input_8_3_6_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Land<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_8_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_11'><span class='gform-field-label__text'>How did you hear about us<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_8_11' type='text' value='' class='large'    placeholder='Hoe heb je over ons gehoord?' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_13'><span class='gform-field-label__text'>Message<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_8_13' class='textarea large'    placeholder='Bericht'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_8_15\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_15.1' id='input_8_15_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_15_1' ><span class='gform-field-label__text'>Ik geef hierbij, in overeenstemming met het <a href=\" https:\/\/somnomed.com\/nl\/wp-content\/uploads\/sites\/13\/2022\/11\/NLEU_Datenschutzbestimmungen_202207.pdf \"target=\"_blank\"><u>Privacybeleid<\/u><\/a> voor gegevens van SomnoMed, toestemming voor het verzamelen en gebruiken van mijn hierboven ingevulde gegevens.<\/span><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/label><input type='hidden' name='input_15.2' value='Ik geef hierbij, in overeenstemming met het &lt;a href=&quot; https:\/\/somnomed.com\/nl\/wp-content\/uploads\/sites\/13\/2022\/11\/NLEU_Datenschutzbestimmungen_202207.pdf &quot;target=&quot;_blank&quot;&gt;&lt;u&gt;Privacybeleid&lt;\/u&gt;&lt;\/a&gt; voor gegevens van SomnoMed, toestemming voor het verzamelen en gebruiken van mijn hierboven ingevulde gegevens.' class='gform_hidden' \/><input type='hidden' name='input_15.3' value='2' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_8_16\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_16.1' id='input_8_16_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_16_1' ><span class='gform-field-label__text'>Ik verklaar hierbij akkoord te gaan met de <a href=\"https:\/\/cdn.somnomed.com\/uploads\/Xy3o8qAHGZhvySAwT\/original.pdf\" target=\"_blank\"><u>Algemene voorwaarden<\/u><\/a>.<\/span><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/label><input type='hidden' name='input_16.2' value='Ik verklaar hierbij akkoord te gaan met de &lt;a href=&quot;https:\/\/cdn.somnomed.com\/uploads\/Xy3o8qAHGZhvySAwT\/original.pdf&quot; target=&quot;_blank&quot;&gt;&lt;u&gt;Algemene voorwaarden&lt;\/u&gt;&lt;\/a&gt;.' class='gform_hidden' \/><input type='hidden' name='input_16.3' value='2' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_8_17\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_17.1' id='input_8_17_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_17_1' ><span class='gform-field-label__text'>Door mijn e-mailadres in te voeren en op de knop \"Inschrijven\" te klikken, verklaar ik dat ik ermee akkoord ga dat SomnoMed mij regelmatig via e-mail informatie over nieuwe en bestaande productreeksen kan sturen. Mijn toestemming kan ik op ieder moment intrekken door een verzoek te sturen aan SomnoMed.<\/span><\/label><input type='hidden' name='input_17.2' value='Door mijn e-mailadres in te voeren en op de knop &quot;Inschrijven&quot; te klikken, verklaar ik dat ik ermee akkoord ga dat SomnoMed mij regelmatig via e-mail informatie over nieuwe en bestaande productreeksen kan sturen. Mijn toestemming kan ik op ieder moment intrekken door een verzoek te sturen aan SomnoMed.' class='gform_hidden' \/><input type='hidden' name='input_17.3' value='2' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_8_9\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_9'><span class='gform-field-label__text'>CAPTCHA<\/span><\/label><div id='input_8_9' class='ginput_container ginput_recaptcha' data-sitekey='6Ld4eyMbAAAAABSIfbDYurF-KeyBpyjcvJZgx1G6'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_8' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' 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Voer een unieke titel voor het formulier in.\",\"ValidateFormMissingFormTitleTitle\":\"Ontbrekende formulier titel\",\"ValidateFormMissingFormTitle\":\"Voer een Titel voor dit formulier in. Wanneer het formulier wordt toegevoegd aan een pagina of bericht, heb je de optie om de titel te verbergen.\",\"ValidateFormEmptyPageTitle\":\"Lege pagina\",\"ValidateFormEmptyPage\":\"Dit formulier heeft op dit moment \\u00e9\\u00e9n of meer pagina&#039;s zonder velden. Blanco pagina&#039;s zijn het gevolg van paginascheidingen die als eerste of laatste veld in het formulier of vlak na elkaar staan. Pas het pagina einde aan.\",\"ValidateFormMissingProductLabelTitle\":\"Ontbrekend productlabel\",\"ValidateFormMissingProductLabel\":\"Dit formulier heeft een productveld met een lege label. Voer een label in voor elk productveld.\",\"ValidateFormMissingProductFieldTitle\":\"Ontbrekend productveld\",\"ValidateFormMissingProductField\":\"Dit formulier heeft een optie veld zonder een product veld. Je moet een product veld toevoegen aan je formulier.\",\"FormulaIsValidTitle\":\"Succes\",\"FormulaIsValid\":\"De formule lijkt geldig te zijn.\",\"FormulaIsInvalid\":\"Er lijkt een probleem met de formule te zijn.\",\"DeleteFormTitle\":\"Bevestigen\",\"DeleteForm\":\"Je staat op het punt dit formulier naar de prullenbak te verplaatsen. &#039;Annuleren&#039; om te stoppen. &#039;OK&#039; om te verwijderen.\",\"DeleteCustomChoice\":\"Deze aangepaste keuzelijst verwijderen? &#039;Annuleren&#039; om te stoppen. &#039;OK&#039; om te verwijderen.\",\"FieldAdded\":\"&nbsp;veld toegevoegd aan formulier\",\"nameFieldDefaultPrefixes\":[{\"text\":\"Dr.\",\"value\":\"Dr.\"},{\"text\":\"Ds.\",\"value\":\"Ds.\"},{\"text\":\"Mevr.\",\"value\":\"Mevr.\"},{\"text\":\"Mr.,Dhr.\",\"value\":\"Mr.,Dhr.\"},{\"text\":\"Ms.\",\"value\":\"Ms.\"},{\"text\":\"Prof.\",\"value\":\"Prof.\"}]};\t\t\t<\/script>\n\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Contact us Please refer to find a provider to get information on a dental provider. For all current patients that have inquiries about their device please refer to your prescribing dentist. &nbsp; How can we help? Name(Required) First name Last name Email(Required) Address City State \/ Province \/ Region ZIP \/ Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua &#8230;<\/p>\n","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-15421","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/somnomed.com\/nl\/wp-json\/wp\/v2\/pages\/15421","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/somnomed.com\/nl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/somnomed.com\/nl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/somnomed.com\/nl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/somnomed.com\/nl\/wp-json\/wp\/v2\/comments?post=15421"}],"version-history":[{"count":0,"href":"https:\/\/somnomed.com\/nl\/wp-json\/wp\/v2\/pages\/15421\/revisions"}],"wp:attachment":[{"href":"https:\/\/somnomed.com\/nl\/wp-json\/wp\/v2\/media?parent=15421"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}