{"id":277,"date":"2025-08-22T23:26:22","date_gmt":"2025-08-22T23:26:22","guid":{"rendered":"https:\/\/www.hansencare.nl\/?page_id=277"},"modified":"2025-08-24T23:32:52","modified_gmt":"2025-08-24T23:32:52","slug":"aanmelden-2","status":"publish","type":"page","link":"https:\/\/www.hansencare.nl\/?page_id=277","title":{"rendered":"Aanmelden"},"content":{"rendered":"<div data-colibri-id=\"277-c1\" class=\"style-350 style-local-277-c1 position-relative\">\n  <!---->\n  <div data-colibri-component=\"section\" data-colibri-id=\"277-c2\" id=\"custom\" class=\"h-section h-section-global-spacing d-flex align-items-lg-center align-items-md-center align-items-center style-397 style-local-277-c2 position-relative\">\n    <!---->\n    <!---->\n    <div class=\"h-section-grid-container h-section-boxed-container\">\n      <!---->\n      <div data-colibri-id=\"277-c3\" class=\"h-row-container gutters-row-lg-2 gutters-row-md-2 gutters-row-0 gutters-row-v-lg-2 gutters-row-v-md-2 gutters-row-v-2 style-398 style-local-277-c3 position-relative\">\n        <!---->\n        <div class=\"h-row justify-content-lg-center justify-content-md-center justify-content-center align-items-lg-stretch align-items-md-stretch align-items-stretch gutters-col-lg-2 gutters-col-md-2 gutters-col-0 gutters-col-v-lg-2 gutters-col-v-md-2 gutters-col-v-2\">\n          <!---->\n          <div class=\"h-column h-column-container d-flex h-col-lg-auto h-col-md-auto h-col-auto style-399-outer style-local-277-c4-outer\">\n            <div data-colibri-id=\"277-c4\" class=\"d-flex h-flex-basis h-column__inner h-px-lg-2 h-px-md-2 h-px-2 v-inner-lg-2 v-inner-md-2 v-inner-2 style-399 style-local-277-c4 position-relative\">\n              <!---->\n              <!---->\n              <div class=\"w-100 h-y-container h-column__content h-column__v-align flex-basis-100 align-self-lg-start align-self-md-start align-self-start\">\n                <!---->\n                <div data-colibri-id=\"277-c5\" class=\"h-contact-form__outer--forminator style-401 style-local-277-c5 position-relative h-element\">\n                  <!---->\n                  <div class=\"h-global-transition-all h-global-transition h-global-transition-all h-contact-form-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-334 forminator-design--default forminator-custom forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-334\" data-uid=\"6a22c6aa6de12\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-334\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-334 forminator-design--default forminator-custom forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"334\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\tdata-color-option=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"custom\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a22c6aa6de12\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-334--page-0\" class=\"forminator-pagination forminator-pagination-start\" aria-labelledby=\"forminator-custom-form-334--page-0-label\" data-step=\"0\" data-label=\"Medical Information\" data-name=\"page-break-1\"><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Persoonlijke gegevens<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a22c6aa6de12\" id=\"forminator-field-name-1_6a22c6aa6de12-label\" class=\"forminator-label\">Voornaam <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-1_6a22c6aa6de12\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a22c6aa6de12\" id=\"forminator-field-email-1_6a22c6aa6de12-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_6a22c6aa6de12\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a22c6aa6de12\" id=\"forminator-field-phone-1_6a22c6aa6de12-label\" class=\"forminator-label\">Telefoonnummer<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +316 000 00 000\" id=\"forminator-field-phone-1_6a22c6aa6de12\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a22c6aa6de12-label\"><span id=\"forminator-radiogroup-radio-1-6a22c6aa6de12-label\" class=\"forminator-label\">Geslacht<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a22c6aa6de12\" class=\"forminator-radio forminator-radio-inline\" title=\"Man\"><input type=\"radio\" name=\"radio-1\" value=\"Vrouw\" id=\"forminator-field-radio-1-1-6a22c6aa6de12\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Man<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a22c6aa6de12\" class=\"forminator-radio forminator-radio-inline\" title=\"Female\"><input type=\"radio\" name=\"radio-1\" value=\"female\" id=\"forminator-field-radio-1-2-6a22c6aa6de12\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Female<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6a22c6aa6de12\" id=\"forminator-field-address-1-street_address_6a22c6aa6de12-label\" class=\"forminator-label\">Straatnaam<\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"E.g. 42 Wallaby Way\" id=\"forminator-field-address-1-street_address_6a22c6aa6de12\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-address_line_6a22c6aa6de12\" id=\"forminator-field-address-1-address_line_6a22c6aa6de12-label\" class=\"forminator-label\">Apartement<\/label><input type=\"text\" name=\"address-1-address_line\" placeholder=\"\" id=\"forminator-field-address-1-address_line_6a22c6aa6de12\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6a22c6aa6de12\" id=\"forminator-field-address-1-city_6a22c6aa6de12-label\" class=\"forminator-label\">Stad<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"E.g. Sydney\" id=\"forminator-field-address-1-city_6a22c6aa6de12\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6a22c6aa6de12\" id=\"forminator-field-address-1-zip_6a22c6aa6de12-label\" class=\"forminator-label\">Postcode<\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"E.g. 0000AA\" id=\"forminator-field-address-1-zip_6a22c6aa6de12\" class=\"forminator-input\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-334--page-1\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-334--page-1-label\" aria-hidden=\"true\" data-step=\"1\" data-label=\"Personal Information\" data-name=\"\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Medische informatie<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a22c6aa6de12\" id=\"forminator-field-textarea-1_6a22c6aa6de12-label\" class=\"forminator-label\">Diagnoses \/ Aandoeningen<\/label><textarea name=\"textarea-1\" placeholder=\"Graag een korte beschrijving van eventuele relevante medische, psychische of verstandelijke beperkingen. Bijvoorbeeld: autisme, ADHD, licht verstandelijke beperking, depressie, angststoornis, burn-out, dementie, lichamelijke beperking, enzovoort.\" id=\"forminator-field-textarea-1_6a22c6aa6de12\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6a22c6aa6de12\" id=\"forminator-field-textarea-2_6a22c6aa6de12-label\" class=\"forminator-label\">Medicatie &amp; allergieen<\/label><textarea name=\"textarea-2\" placeholder=\"Vermeld hier medicatie die u op dit moment gebruikt en eventuele allergie\u00ebn (zoals voor voeding, medicatie, insecten, etc.). Deze informatie helpt ons om rekening te houden met uw gezondheid en veiligheid.\" id=\"forminator-field-textarea-2_6a22c6aa6de12\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6a22c6aa6de12\" id=\"forminator-field-textarea-3_6a22c6aa6de12-label\" class=\"forminator-label\">Allergie toelichting<\/label><textarea name=\"textarea-3\" placeholder=\"Omschrijving en ernst (eventuele EPOPEN\/medicatie).\" id=\"forminator-field-textarea-3_6a22c6aa6de12\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_6a22c6aa6de12\" id=\"forminator-field-textarea-4_6a22c6aa6de12-label\" class=\"forminator-label\">Additionele Informatie<\/label><textarea name=\"textarea-4\" placeholder=\"Doel en verwachtingen van begeleiding\/ dagbesteding\" id=\"forminator-field-textarea-4_6a22c6aa6de12\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6a22c6aa6de12\" id=\"forminator-field-consent-1_6a22c6aa6de12-label\" class=\"forminator-label\">Consent <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6a22c6aa6de12__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-1_6a22c6aa6de12-label\" aria-hidden=\"true\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6a22c6aa6de12\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6a22c6aa6de12-label\" aria-describedby=\"forminator-field-consent-1_6a22c6aa6de12__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6a22c6aa6de12__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p><em>\"Ik geef Hansen Care toestemming mijn gegevens te verwerken ten behoeve van aanmelding en begeleiding conform de privacyverklaring\"<\/em><\/p><\/div><\/div><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Versturen<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"9c3910acc0\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F277\" \/><input type=\"hidden\" name=\"form_id\" value=\"334\"><input type=\"hidden\" name=\"page_id\" value=\"277\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.hansencare.nl\/?page_id=277\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n                <\/div>\n              <\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div data-colibri-component=\"section\" data-colibri-id=\"277-c6\" id=\"custom-2\" class=\"h-section h-section-global-spacing d-flex align-items-lg-center align-items-md-center align-items-center style-408 style-local-277-c6 position-relative\">\n    <!---->\n    <!---->\n    <div class=\"h-section-grid-container h-section-boxed-container\">\n      <!---->\n      <div data-colibri-id=\"277-c7\" class=\"h-row-container gutters-row-lg-2 gutters-row-md-2 gutters-row-0 gutters-row-v-lg-2 gutters-row-v-md-2 gutters-row-v-2 style-409 style-local-277-c7 position-relative\">\n        <!---->\n        <div class=\"h-row justify-content-lg-center justify-content-md-center justify-content-center align-items-lg-stretch align-items-md-stretch align-items-stretch gutters-col-lg-2 gutters-col-md-2 gutters-col-0 gutters-col-v-lg-2 gutters-col-v-md-2 gutters-col-v-2\">\n          <!---->\n          <div class=\"h-column h-column-container d-flex h-col-lg-auto h-col-md-auto h-col-auto style-410-outer style-local-277-c8-outer\">\n            <div data-colibri-id=\"277-c8\" class=\"d-flex h-flex-basis h-column__inner h-px-lg-2 h-px-md-2 h-px-2 v-inner-lg-2 v-inner-md-2 v-inner-2 style-410 style-local-277-c8 position-relative\">\n              <!---->\n              <!---->\n              <div class=\"w-100 h-y-container h-column__content h-column__v-align flex-basis-100 align-self-lg-start align-self-md-start align-self-start\">\n                <!---->\n                <div data-colibri-id=\"277-c9\" class=\"h-text h-text-component style-411 style-local-277-c9 position-relative h-element\">\n                  <!---->\n                  <!---->\n                  <div class=\"\">\n                    <p>Jouw aanmelding is de eerste stap naar passende begeleiding. Binnen enkele werkdagen nemen wij contact met je op.<\/p>\n                  <\/div>\n                <\/div>\n              <\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Jouw aanmelding is de eerste stap naar passende begeleiding. Binnen enkele werkdagen nemen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width-page.php","meta":{"footnotes":""},"class_list":["post-277","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.hansencare.nl\/index.php?rest_route=\/wp\/v2\/pages\/277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hansencare.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hansencare.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hansencare.nl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hansencare.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=277"}],"version-history":[{"count":7,"href":"https:\/\/www.hansencare.nl\/index.php?rest_route=\/wp\/v2\/pages\/277\/revisions"}],"predecessor-version":[{"id":405,"href":"https:\/\/www.hansencare.nl\/index.php?rest_route=\/wp\/v2\/pages\/277\/revisions\/405"}],"wp:attachment":[{"href":"https:\/\/www.hansencare.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}