{"id":23,"date":"2024-09-11T16:45:59","date_gmt":"2024-09-11T07:45:59","guid":{"rendered":"https:\/\/asakadai-hp.jp\/neuro-icu\/?page_id=23"},"modified":"2026-05-01T15:22:28","modified_gmt":"2026-05-01T06:22:28","slug":"inquiry","status":"publish","type":"page","link":"https:\/\/www.asakadai-hp.jp\/acnes\/inquiry\/","title":{"rendered":"\u304a\u554f\u3044\u5408\u308f\u305b"},"content":{"rendered":"\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1035-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"1035\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/acnes\/wp-json\/wp\/v2\/pages\/23#wpcf7-f1035-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1035\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1035-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact-form\">\n\t<p class=\"comment\">\u4ee5\u4e0b\u306e\u30d5\u30a9\u30fc\u30e0\u306b\u5fc5\u9808\u9805\u76ee\u3001\u5fc5\u8981\u60c5\u5831\u3092\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002\n\t<\/p>\n\t<table class=\"form-table\">\n\t\t<tbody>\n\t\t\t<tr>\n\t\t\t\t<th>\n\t\t\t\t\t<p><span class=\"required\">\u5fc5\u9808<\/span>\u6c0f\u540d\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/th>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text 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name=\"text-todoufuken\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<th>\n\t\t\t\t\t<p><span class=\"required\">\u5fc5\u9808<\/span>\u5e74\u9f62\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/th>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"35\u6b73\" value=\"\" type=\"text\" name=\"text-age\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<th>\n\t\t\t\t\t<p><span class=\"required\">\u5fc5\u9808<\/span>\u6027\u5225\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/th>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-gender\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u7537\u6027 \/ 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size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text text-jyushinreki\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-jyushinreki\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<th>\n\t\t\t\t\t<p>\u624b\u8853\u6b74\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/th>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-surgery-history\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text text-surgery-history\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-surgery-history\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<th>\n\t\t\t\t\t<p>\u5185\u670d\u85ac\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/th>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-naihukuyaku\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text text-naihukuyaku\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-naihukuyaku\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<th>\n\t\t\t\t\t<p>\u305d\u306e\u4ed6<span class=\"half-size\">\uff08\u5e0c\u671b\u4e8b\u9805\uff09<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/th>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-others\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"text-others\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t<\/tbody>\n\t<\/table>\n\t<div class=\"personal-information\">\n\t\t<h3>\u30a6\u30a7\u30d6\u30b5\u30a4\u30c8\u4e0a\u306e\u500b\u4eba\u60c5\u5831\u306e\u53d6\u6271\u3044\u306b\u3064\u3044\u3066\n\t\t<\/h3>\n\t\t<p>\u3044\u305f\u3060\u3044\u305f\u500b\u4eba\u60c5\u5831\u306f\u3001\u304a\u554f\u3044\u5408\u308f\u305b\u3078\u306e\u5bfe\u5fdc\u306e\u307f\u4f7f\u7528\u3057\u3001\u4ed6\u306e\u76ee\u7684\u306b\u5229\u7528\u3059\u308b\u3053\u3068\u306f\u3054\u3056\u3044\u307e\u305b\u3093\u3002\u307e\u305f\u3001\u5f0a\u793e\u306f\u3042\u3089\u304b\u3058\u3081\u304a\u5ba2\u69d8\u306e\u540c\u610f\u3092\u5f97\u306a\u3044\u3067\u3001\u3044\u305f\u3060\u3044\u305f\u500b\u4eba\u60c5\u5831\u3092\u7b2c\u4e09\u8005\u306b\u63d0\u4f9b\u3044\u305f\u3057\u307e\u305b\u3093\u3002\u5f0a\u793e\u306e \u305d\u306e\u4ed6\u306e\u500b\u4eba\u60c5\u5831\u306b\u95a2\u3059\u308b\u53d6\u308a\u6271\u3044\u306b\u3064\u3044\u3066\u306f\u300c<a href=\"\/about\/privacy-policy\/\" 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aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"swell_btn_cv_data":"","footnotes":""},"class_list":["post-23","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.asakadai-hp.jp\/acnes\/wp-json\/wp\/v2\/pages\/23","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.asakadai-hp.jp\/acnes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.asakadai-hp.jp\/acnes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.asakadai-hp.jp\/acnes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.asakadai-hp.jp\/acnes\/wp-json\/wp\/v2\/comments?post=23"}],"version-history":[{"count":2,"href":"https:\/\/www.asakadai-hp.jp\/acnes\/wp-json\/wp\/v2\/pages\/23\/revisions"}],"predecessor-version":[{"id":1036,"href":"https:\/\/www.asakadai-hp.jp\/acnes\/wp-json\/wp\/v2\/pages\/23\/revisions\/1036"}],"wp:attachment":[{"href":"https:\/\/www.asakadai-hp.jp\/acnes\/wp-json\/wp\/v2\/media?parent=23"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}