{"id":2226,"date":"2021-01-23T14:28:23","date_gmt":"2021-01-23T13:28:23","guid":{"rendered":"https:\/\/muetterberatung-bl-bs.ch\/2\/?page_id=2226"},"modified":"2021-04-27T18:10:54","modified_gmt":"2021-04-27T16:10:54","slug":"uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende","status":"publish","type":"page","link":"https:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/","title":{"rendered":"\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1331.2px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:20px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><div id=\"quform-e87bd0\" class=\"quform quform-1 quform-support-page-caching\"><form id=\"quform-form-e87bd0\" class=\"quform-form quform-form-1\" action=\"\/2\/wp-json\/wp\/v2\/pages\/2226#quform-e87bd0\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:1,&quot;uniqueId&quot;:&quot;e87bd0&quot;,&quot;theme&quot;:&quot;&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:{&quot;142&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;141&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Andere&quot;}]},&quot;17&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;145&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;5&quot;,&quot;value&quot;:&quot;Andere&quot;}]},&quot;113&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;138&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;}]},&quot;144&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;143&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Andere&quot;}]},&quot;54&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;146&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;5&quot;,&quot;value&quot;:&quot;Andere&quot;}]}},&quot;dependents&quot;:{&quot;141&quot;:[142],&quot;145&quot;:[17],&quot;138&quot;:[113],&quot;143&quot;:[144],&quot;146&quot;:[54]},&quot;elementIds&quot;:[142,17,113,144,54],&quot;dependentElementIds&quot;:[&quot;141&quot;,&quot;145&quot;,&quot;138&quot;,&quot;143&quot;,&quot;146&quot;],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[1],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-1\"><input type=\"hidden\" name=\"quform_form_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"e87bd0\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-json\/wp\/v2\/pages\/2226\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_loaded\" value=\"1783438217|64eadbcd6cf0febfda5d636324e6de1c\" \/><div class=\"quform-form-title-description\"><span class=\"quform-form-title\">Dieses Formular steht Wochenbettstationen, Geburtsh\u00e4usern, Geburts- sowie nachbetreuende Hebammen und Pflegenden der Kantone BL, SO, BS, AG zur Verf\u00fcgung. <\/span><p class=\"quform-form-description\">Mit dem elektronischen Versand dieses \u00dcbergabeprotokolls best\u00e4tigt die Ausf\u00fcllende, dass die Eltern mit der Weitergabe ihrer Daten an die M\u00fctter-, V\u00e4terberatung BL bzw. Elternberatung BS und der Kontaktaufnahme durch die zust\u00e4ndige Beraterin einverstanden sind.\n<br>\nDas Formular wird verschl\u00fcsselt direkt per Email an die zust\u00e4ndige M\u00fctterberaterin BL bzw. an die Elternberatung BS \u00fcbermittelt.\n<br><br>\n\n<a target=\"_blank\" href=\"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-content\/uploads\/2021\/10\/Einverstaendniserklaerung_Eltern.pdf\">Download: Einverst\u00e4ndniserkl\u00e4rung f\u00fcr Eltern BL (PDF)<\/a>\n<br>\n<a target=\"_blank\" href=\"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-content\/uploads\/2024\/04\/Einverstaendniserklaerung-Uebergabe-EB-BS.pdf\">Download: Einverst\u00e4ndniserkl\u00e4rung Elternberatung BS (PDF)<\/a>\n<br><br>\nVielen Dank f\u00fcrs ausf\u00fcllen.\n\n<br>\n<br>\n<b style=\"color: #cc0101;font-size: 150%;font-weight: bold\">*<\/b>Pflichtfelder<br>\n<br><\/p><\/div><div class=\"quform-elements quform-elements-1 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-1 quform-page-1_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-html quform-element-1_8 quform-cf\"><div class=\"quform-spacer\"><h3>Personalien Mutter<\/h3><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_9 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_10\"><div class=\"quform-element quform-element-text quform-element-1_12 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_12\"><label class=\"quform-label-text\" for=\"quform_1_12_e87bd0\">Name Mutter<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_12\"><div class=\"quform-input quform-input-text quform-input-1_12 quform-cf\"><input type=\"text\" id=\"quform_1_12_e87bd0\" name=\"quform_1_12\" class=\"quform-field quform-field-text quform-field-1_12\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_14 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_14\"><label class=\"quform-label-text\" for=\"quform_1_14_e87bd0\">Vorname Mutter<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_14\"><div class=\"quform-input quform-input-text quform-input-1_14 quform-cf\"><input type=\"text\" id=\"quform_1_14_e87bd0\" name=\"quform_1_14\" class=\"quform-field quform-field-text quform-field-1_14\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_27 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_27\"><label class=\"quform-label-text\" for=\"quform_1_27_e87bd0\">Strasse und Nr.<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_27\"><div class=\"quform-input quform-input-text quform-input-1_27 quform-cf\"><input type=\"text\" id=\"quform_1_27_e87bd0\" name=\"quform_1_27\" class=\"quform-field quform-field-text quform-field-1_27\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-1_36 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_36\"><label class=\"quform-label-text\" for=\"quform_1_36_e87bd0\">PLZ + Ort<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_36\"><div class=\"quform-input quform-input-select quform-input-1_36 quform-cf\"><select id=\"quform_1_36_e87bd0\" name=\"quform_1_36\" class=\"quform-field quform-field-select quform-field-1_36\"><option value=\"\" selected=\"selected\">Bitte ausw\u00e4hlen<\/option><option value=\"4147 Aesch\">4147 Aesch<\/option><option value=\"4123 Allschwil\">4123 Allschwil<\/option><option value=\"4469 Anwil\">4469 Anwil<\/option><option value=\"4424 Arboldswil\">4424 Arboldswil<\/option><option value=\"4422 Arisdorf\">4422 Arisdorf<\/option><option value=\"4144 Arlesheim\">4144 Arlesheim<\/option><option value=\"4302 Augst\">4302 Augst<\/option><option value=\"4252 B\u00e4rschwil\">4252 B\u00e4rschwil<\/option><option value=\"4001 Basel\">4001 Basel<\/option><option value=\"4051 Basel\">4051 Basel<\/option><option value=\"4052 Basel\">4052 Basel<\/option><option value=\"4053 Basel\">4053 Basel<\/option><option value=\"4054 Basel\">4054 Basel<\/option><option value=\"4055 Basel\">4055 Basel<\/option><option value=\"4056 Basel\">4056 Basel<\/option><option value=\"4057 Basel\">4057 Basel<\/option><option value=\"4058 Basel\">4058 Basel<\/option><option value=\"4059 Basel\">4059 Basel<\/option><option value=\"4112 B\u00e4ttwil\">4112 B\u00e4ttwil<\/option><option value=\"4229 Beinwil\">4229 Beinwil<\/option><option value=\"4431 Bennwil\">4431 Bennwil<\/option><option value=\"4126 Bettingen\">4126 Bettingen<\/option><option value=\"4105 Biel-Benken\">4105 Biel-Benken<\/option><option value=\"4102 Binningen\">4102 Binningen<\/option><option value=\"4127 Birsfelden\">4127 Birsfelden<\/option><option value=\"4223 Blauen\">4223 Blauen<\/option><option value=\"4461 B\u00f6ckten\">4461 B\u00f6ckten<\/option><option value=\"4103 Bottmingen\">4103 Bottmingen<\/option><option value=\"4226 Breitenbach\">4226 Breitenbach<\/option><option value=\"4207 Bretzwil\">4207 Bretzwil<\/option><option value=\"4225 Brislach\">4225 Brislach<\/option><option value=\"4416 Bubendorf\">4416 Bubendorf<\/option><option value=\"4446 Buckten\">4446 Buckten<\/option><option value=\"4413 B\u00fcren\">4413 B\u00fcren<\/option><option value=\"4117 Burg\">4117 Burg<\/option><option value=\"4227 B\u00fcsserach\">4227 B\u00fcsserach<\/option><option value=\"4463 Buus\">4463 Buus<\/option><option value=\"4457 Diegten\">4457 Diegten<\/option><option value=\"4442 Diepflingen\">4442 Diepflingen<\/option><option value=\"4243 Dittingen\">4243 Dittingen<\/option><option value=\"4143 Dornach\">4143 Dornach<\/option><option value=\"4202 Duggingen\">4202 Duggingen<\/option><option value=\"4458 Eptingen\">4458 Eptingen<\/option><option value=\"4228 Erschwil\">4228 Erschwil<\/option><option value=\"4107 Ettingen\">4107 Ettingen<\/option><option value=\"4232 Fehren\">4232 Fehren<\/option><option value=\"4112 Fl\u00fch\">4112 Fl\u00fch<\/option><option value=\"4402 Frenkendorf\">4402 Frenkendorf<\/option><option value=\"4414 F\u00fcllinsdorf\">4414 F\u00fcllinsdorf<\/option><option value=\"4460 Gelterkinden\">4460 Gelterkinden<\/option><option value=\"4145 Gempen\">4145 Gempen<\/option><option value=\"4304 Giebenach\">4304 Giebenach<\/option><option value=\"4203 Grellingen\">4203 Grellingen<\/option><option value=\"4247 Grindel\">4247 Grindel<\/option><option value=\"4445 H\u00e4felfingen\">4445 H\u00e4felfingen<\/option><option value=\"4316 Hellikon\">4316 Hellikon<\/option><option value=\"4465 Hemmiken\">4465 Hemmiken<\/option><option value=\"4423 Hersberg\">4423 Hersberg<\/option><option value=\"4204 Himmelried\">4204 Himmelried<\/option><option value=\"4146 Hochwald\">4146 Hochwald<\/option><option value=\"4114 Hofstetten\">4114 Hofstetten<\/option><option value=\"4434 H\u00f6lstein\">4434 H\u00f6lstein<\/option><option value=\"4452 Itingen\">4452 Itingen<\/option><option value=\"4303 Kaiseraugst\">4303 Kaiseraugst<\/option><option value=\"4447 K\u00e4nerkinden\">4447 K\u00e4nerkinden<\/option><option value=\"4496 Kilchberg\">4496 Kilchberg<\/option><option value=\"4245 Kleinl\u00fctzel\">4245 Kleinl\u00fctzel<\/option><option value=\"4432 Lampenberg\">4432 Lampenberg<\/option><option value=\"4438 Langenbruck\">4438 Langenbruck<\/option><option value=\"4448 L\u00e4ufelfingen\">4448 L\u00e4ufelfingen<\/option><option value=\"4242 Laufen\">4242 Laufen<\/option><option value=\"4415 Lausen\">4415 Lausen<\/option><option value=\"4426 Lauwil\">4426 Lauwil<\/option><option value=\"4436 Liedertswil\">4436 Liedertswil<\/option><option value=\"4254 Liesberg\">4254 Liesberg<\/option><option value=\"4410 Liestal\">4410 Liestal<\/option><option value=\"4419 Lupsingen\">4419 Lupsingen<\/option><option value=\"4312 Magden\">4312 Magden<\/option><option value=\"4464 Maisprach\">4464 Maisprach<\/option><option value=\"4115 Mariastein\">4115 Mariastein<\/option><option value=\"4233 Meltingen\">4233 Meltingen<\/option><option value=\"4115 Metzerlen\">4115 Metzerlen<\/option><option value=\"4313 M\u00f6hlin\">4313 M\u00f6hlin<\/option><option value=\"4322 Mumpf\">4322 Mumpf<\/option><option value=\"4142 M\u00fcnchenstein\">4142 M\u00fcnchenstein<\/option><option value=\"4132 Muttenz\">4132 Muttenz<\/option><option value=\"4224 Nenzlingen\">4224 Nenzlingen<\/option><option value=\"4435 Niederdorf\">4435 Niederdorf<\/option><option value=\"4412 Nuglar\">4412 Nuglar<\/option><option value=\"4208 Nunningen\">4208 Nunningen<\/option><option value=\"4453 Nusshof\">4453 Nusshof<\/option><option value=\"4436 Oberdorf\">4436 Oberdorf<\/option><option value=\"4324 Obermumpf\">4324 Obermumpf<\/option><option value=\"4104 Oberwil\">4104 Oberwil<\/option><option value=\"4305 Olsberg\">4305 Olsberg<\/option><option value=\"4494 Oltingen\">4494 Oltingen<\/option><option value=\"4466 Ormalingen\">4466 Ormalingen<\/option><option value=\"4148 Pfeffingen\">4148 Pfeffingen<\/option><option value=\"4133 Pratteln\">4133 Pratteln<\/option><option value=\"4433 Ramlinsburg\">4433 Ramlinsburg<\/option><option value=\"4418 Reigoldswil\">4418 Reigoldswil<\/option><option value=\"4153 Reinach\">4153 Reinach<\/option><option value=\"4310 Rheinfelden\">4310 Rheinfelden<\/option><option value=\"4462 Rickenbach\">4462 Rickenbach<\/option><option value=\"4125 Riehen\">4125 Riehen<\/option><option value=\"4118 Rodersdorf\">4118 Rodersdorf<\/option><option value=\"2814 Roggenburg\">2814 Roggenburg<\/option><option value=\"4244 R\u00f6schenz\">4244 R\u00f6schenz<\/option><option value=\"4467 Rothenfluh\">4467 Rothenfluh<\/option><option value=\"4444 R\u00fcmlingen\">4444 R\u00fcmlingen<\/option><option value=\"4497 R\u00fcnenberg\">4497 R\u00fcnenberg<\/option><option value=\"4124 Sch\u00f6nenbuch\">4124 Sch\u00f6nenbuch<\/option><option value=\"4325 Schupfart\">4325 Schupfart<\/option><option value=\"4206 Seewen\">4206 Seewen<\/option><option value=\"4411 Seltisberg\">4411 Seltisberg<\/option><option value=\"4450 Sissach\">4450 Sissach<\/option><option value=\"4332 Stein\">4332 Stein<\/option><option value=\"4421 St.Panteleon\">4421 St.Panteleon<\/option><option value=\"4492 Tecknau\">4492 Tecknau<\/option><option value=\"4456 Tenniken\">4456 Tenniken<\/option><option value=\"4106 Therwil\">4106 Therwil<\/option><option value=\"4441 Th\u00fcrnen\">4441 Th\u00fcrnen<\/option><option value=\"4425 Titterten\">4425 Titterten<\/option><option value=\"4246 Wahlen\">4246 Wahlen<\/option><option value=\"4437 Waldenburg\">4437 Waldenburg<\/option><option value=\"4323 Wallbach\">4323 Wallbach<\/option><option value=\"4317 Wegenstetten\">4317 Wegenstetten<\/option><option value=\"4493 Wenslingen\">4493 Wenslingen<\/option><option value=\"4451 Wintersingen\">4451 Wintersingen<\/option><option value=\"4108 Witterswil\">4108 Witterswil<\/option><option value=\"4443 Wittinsburg\">4443 Wittinsburg<\/option><option value=\"4495 Zeglingen\">4495 Zeglingen<\/option><option value=\"4314 Zeiningen\">4314 Zeiningen<\/option><option value=\"4417 Ziefen\">4417 Ziefen<\/option><option value=\"4234 Zullwil\">4234 Zullwil<\/option><option value=\"4455 Zunzgen\">4455 Zunzgen<\/option><option value=\"4315 Zuzgen\">4315 Zuzgen<\/option><option value=\"4222 Zwingen\">4222 Zwingen<\/option><option value=\"9999 Musterstadt\">9999 Musterstadt<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_26 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_26\"><label class=\"quform-label-text\" for=\"quform_1_26_e87bd0\">Telefon<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_26\"><div class=\"quform-input quform-input-text quform-input-1_26 quform-cf\"><input type=\"text\" id=\"quform_1_26_e87bd0\" name=\"quform_1_26\" class=\"quform-field quform-field-text quform-field-1_26\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_11\"><div class=\"quform-element quform-element-select quform-element-1_141 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_141\"><label class=\"quform-label-text\" for=\"quform_1_141_e87bd0\">Nationalit\u00e4t<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_141\"><div class=\"quform-input quform-input-select quform-input-1_141 quform-cf\"><select id=\"quform_1_141_e87bd0\" name=\"quform_1_141\" class=\"quform-field quform-field-select quform-field-1_141\"><option value=\"\" selected=\"selected\">Bitte w\u00e4hlen<\/option><option value=\"Schweiz\">Schweiz<\/option><option value=\"Andere\">Andere<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_142 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_142\"><label class=\"quform-label-text\" for=\"quform_1_142_e87bd0\">Welche Nationalit\u00e4t?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_142\"><div class=\"quform-input quform-input-text quform-input-1_142 quform-cf\"><input type=\"text\" id=\"quform_1_142_e87bd0\" name=\"quform_1_142\" class=\"quform-field quform-field-text quform-field-1_142\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-1_145 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_145\"><label class=\"quform-label-text\" for=\"quform_1_145_e87bd0\">Verst\u00e4ndigungssprache<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_145\"><div class=\"quform-input quform-input-select quform-input-1_145 quform-cf\"><select id=\"quform_1_145_e87bd0\" name=\"quform_1_145\" class=\"quform-field quform-field-select quform-field-1_145\"><option value=\"\" selected=\"selected\">Bitte w\u00e4hlen<\/option><option value=\"Deutsch\">Deutsch<\/option><option value=\"Englisch\">Englisch<\/option><option value=\"Franz\u00f6sisch\">Franz\u00f6sisch<\/option><option value=\"Italienisch\">Italienisch<\/option><option value=\"Andere\">Andere<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_17 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_17\"><label class=\"quform-label-text\" for=\"quform_1_17_e87bd0\">Verst\u00e4ndigungssprache<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_17\"><div class=\"quform-input quform-input-text quform-input-1_17 quform-cf\"><input type=\"text\" id=\"quform_1_17_e87bd0\" name=\"quform_1_17\" class=\"quform-field quform-field-text quform-field-1_17\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-1_40 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_40\"><label class=\"quform-label-text\" for=\"quform_1_40_e87bd0\">Email<\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-1_40\"><div class=\"quform-input quform-input-email quform-input-1_40 quform-cf\"><input type=\"email\" id=\"quform_1_40_e87bd0\" name=\"quform_1_40\" class=\"quform-field quform-field-email quform-field-1_40\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-1_641379 quform-sr-only quform-cf\" style=\"clip: rect(1px, 1px, 1px, 1px); clip-path: inset(50%); position: absolute !important; height: 1px; width: 1px; overflow: hidden;\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_641379\"><label class=\"quform-label-text\" for=\"quform_1_641379_e87bd0\">Website URL<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-1_641379\"><textarea id=\"quform_1_641379_e87bd0\" name=\"quform_1_641379\" class=\"quform-field quform-field-textarea quform-field-1_641379\" tabindex=\"-1\" autocomplete=\"new-password\"><\/textarea><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-1_58 quform-cf\"><div class=\"quform-spacer\"><h3>Personalien Kind 1<\/h3><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_71 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_72\"><div class=\"quform-element quform-element-text quform-element-1_73 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_73\"><label class=\"quform-label-text\" for=\"quform_1_73_e87bd0\">Name Kind 1<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_73\"><div class=\"quform-input quform-input-text quform-input-1_73 quform-cf\"><input type=\"text\" id=\"quform_1_73_e87bd0\" name=\"quform_1_73\" class=\"quform-field quform-field-text quform-field-1_73\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_79 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_79\"><label class=\"quform-label-text\" for=\"quform_1_79_e87bd0\">Vorname Kind 1<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_79\"><div class=\"quform-input quform-input-text quform-input-1_79 quform-cf\"><input type=\"text\" id=\"quform_1_79_e87bd0\" name=\"quform_1_79\" class=\"quform-field quform-field-text quform-field-1_79\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-1_80 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_80\"><label class=\"quform-label-text\" for=\"quform_1_80_e87bd0\">Geburtsdatum<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-1_80\"><div class=\"quform-input quform-input-date quform-input-1_80 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_1_80_e87bd0\" name=\"quform_1_80\" class=\"quform-field quform-field-date quform-field-1_80\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;1_80&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-1_23 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_23\"><label class=\"quform-label-text\" id=\"quform_1_23_e87bd0_label\">Geschlecht<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-checkbox quform-inner-1_23\"><div class=\"quform-input quform-input-checkbox quform-input-1_23 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"group\" aria-labelledby=\"quform_1_23_e87bd0_label\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_23[]\" id=\"quform_1_23_e87bd0_1\" class=\"quform-field quform-field-checkbox quform-field-1_23 quform-field-1_23_1\" value=\"M\" \/><label for=\"quform_1_23_e87bd0_1\" class=\"quform-option-label quform-option-label-1_23_1\"><span class=\"quform-option-text\">M<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_23[]\" id=\"quform_1_23_e87bd0_2\" class=\"quform-field quform-field-checkbox quform-field-1_23 quform-field-1_23_2\" value=\"F\" \/><label for=\"quform_1_23_e87bd0_2\" class=\"quform-option-label quform-option-label-1_23_2\"><span class=\"quform-option-text\">F<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_78\"><div class=\"quform-element quform-element-select quform-element-1_139 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_139\"><label class=\"quform-label-text\" for=\"quform_1_139_e87bd0\">Geburtsart<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_139\"><div class=\"quform-input quform-input-select quform-input-1_139 quform-cf\"><select id=\"quform_1_139_e87bd0\" name=\"quform_1_139\" class=\"quform-field quform-field-select quform-field-1_139\"><option value=\"\" selected=\"selected\">Bitte w\u00e4hlen<\/option><option value=\"Spontan\">Spontan<\/option><option value=\"Vacuum\">Vacuum<\/option><option value=\"Forceps\">Forceps<\/option><option value=\"1\u00b0 Sectio\">1\u00b0 Sectio<\/option><option value=\"2\u00b0 Sectio\">2\u00b0 Sectio<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_81 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_81\"><label class=\"quform-label-text\" for=\"quform_1_81_e87bd0\">SSW<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_81\"><div class=\"quform-input quform-input-text quform-input-1_81 quform-cf\"><input type=\"text\" id=\"quform_1_81_e87bd0\" name=\"quform_1_81\" class=\"quform-field quform-field-text quform-field-1_81\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_76 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_76\"><label class=\"quform-label-text\" for=\"quform_1_76_e87bd0\">Geburtsgewicht<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_76\"><div class=\"quform-input quform-input-text quform-input-1_76 quform-cf\"><input type=\"text\" id=\"quform_1_76_e87bd0\" name=\"quform_1_76\" class=\"quform-field quform-field-text quform-field-1_76\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_82 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_82\"><label class=\"quform-label-text\" for=\"quform_1_82_e87bd0\">Austrittsgewicht<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_82\"><div class=\"quform-input quform-input-text quform-input-1_82 quform-cf\"><input type=\"text\" id=\"quform_1_82_e87bd0\" name=\"quform_1_82\" class=\"quform-field quform-field-text quform-field-1_82\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-1_140 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_140\"><label class=\"quform-label-text\" for=\"quform_1_140_e87bd0\">Ern\u00e4hrung<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_140\"><div class=\"quform-input quform-input-select quform-input-1_140 quform-cf\"><select id=\"quform_1_140_e87bd0\" name=\"quform_1_140\" class=\"quform-field quform-field-select quform-field-1_140\"><option value=\"\" selected=\"selected\">Bitte w\u00e4hlen<\/option><option value=\"voll-gestillt\">Voll gestillt<\/option><option value=\"teils-gestillt\">Teils gestillt<\/option><option value=\"formula\">Formula<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-1_83 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_83\"><label class=\"quform-label-text\" for=\"quform_1_83_e87bd0\">Spezielles (Bemerkungen)<\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-1_83\"><div class=\"quform-input quform-input-textarea quform-input-1_83 quform-cf\"><textarea id=\"quform_1_83_e87bd0\" name=\"quform_1_83\" class=\"quform-field quform-field-textarea quform-field-1_83\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-1_137 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_137\"><label class=\"quform-label-text\" for=\"quform_1_137_e87bd0\">Ausgef\u00fcllt durch<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_137\"><div class=\"quform-input quform-input-select quform-input-1_137 quform-cf\"><select id=\"quform_1_137_e87bd0\" name=\"quform_1_137\" class=\"quform-field quform-field-select quform-field-1_137\"><option value=\"\" selected=\"selected\">Bitte ausw\u00e4hlen<\/option><option value=\"Nachbetreuende Hebamme\">Nachbetreuende Hebamme<\/option><option value=\"Nachbetreuende Pflegefachfrau\">Nachbetreuende Pflegefachfrau<\/option><option value=\"Kantonsspital Baselland Liestal\">Kantonsspital Baselland Liestal<\/option><option value=\"Universit\u00e4ts Frauenklinik Basel\">Universit\u00e4ts Frauenklinik Basel<\/option><option value=\"Bethesda Spital\">Bethesda Spital<\/option><option value=\"GZF Rheinfelden\">GZF Rheinfelden<\/option><option value=\"Geburtshaus Matthea\">Geburtshaus Matthea<\/option><option value=\"Geburtshaus Tagmond\">Geburtshaus Tagmond<\/option><option value=\"Haus der Geburt Bethesda\">Haus der Geburt Bethesda<\/option><option value=\"Kinderarzt*in\">Kinderarzt*in<\/option><option value=\"Andere\">Andere<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-1_114 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_114\"><label class=\"quform-label-text\" for=\"quform_1_114_e87bd0\">\u00dcbergabe<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_114\"><div class=\"quform-input quform-input-select quform-input-1_114 quform-cf\"><select id=\"quform_1_114_e87bd0\" name=\"quform_1_114\" class=\"quform-field quform-field-select quform-field-1_114\"><option value=\"\" selected=\"selected\">Bitte ausw\u00e4hlen<\/option><option value=\"hausbesuch\">gemeinsamer Hausbesuch erw\u00fcnscht<\/option><option value=\"telefonisch\">Telefonisch gew\u00fcnscht<\/option><option value=\"formular\">Nur mit diesem Formular<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-1_128 quform-cf\"><div class=\"quform-spacer\"><h3>Kontakt f\u00fcr R\u00fcckfragen<\/h3><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_129 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_130\"><div class=\"quform-element quform-element-text quform-element-1_131 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_131\"><label class=\"quform-label-text\" for=\"quform_1_131_e87bd0\">Anlaufstelle f\u00fcr R\u00fcckfragen<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_131\"><div class=\"quform-input quform-input-text quform-input-1_131 quform-cf\"><input type=\"text\" id=\"quform_1_131_e87bd0\" name=\"quform_1_131\" class=\"quform-field quform-field-text quform-field-1_131\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_132 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_132\"><label class=\"quform-label-text\" for=\"quform_1_132_e87bd0\">Telefon<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_132\"><div class=\"quform-input quform-input-text quform-input-1_132 quform-cf\"><input type=\"text\" id=\"quform_1_132_e87bd0\" name=\"quform_1_132\" class=\"quform-field quform-field-text quform-field-1_132\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-1_135 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_135\"><label class=\"quform-label-text\" for=\"quform_1_135_e87bd0\">Email<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-1_135\"><div class=\"quform-input quform-input-email quform-input-1_135 quform-cf\"><input type=\"email\" id=\"quform_1_135_e87bd0\" name=\"quform_1_135\" class=\"quform-field quform-field-email quform-field-1_135\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-1_167 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_167\"><label class=\"quform-label-text\" id=\"quform_1_167_e87bd0_label\">Ich m\u00f6chte eine Kopie dieses Formulars via E-Mail erhalten.<\/label><\/div><div class=\"quform-inner quform-inner-checkbox quform-inner-1_167\"><div class=\"quform-input quform-input-checkbox quform-input-1_167 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"group\" aria-labelledby=\"quform_1_167_e87bd0_label\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_167[]\" id=\"quform_1_167_e87bd0_1\" class=\"quform-field quform-field-checkbox quform-field-1_167 quform-field-1_167_1\" value=\"Ja\" \/><label for=\"quform_1_167_e87bd0_1\" class=\"quform-option-label quform-option-label-1_167_1\"><span class=\"quform-option-text\">Ja<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_133\"><div class=\"quform-element quform-element-text quform-element-1_134 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_134\"><label class=\"quform-label-text\" for=\"quform_1_134_e87bd0\">Name\/Vorname f\u00fcr R\u00fcckfragen<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_134\"><div class=\"quform-input quform-input-text quform-input-1_134 quform-cf\"><input type=\"text\" id=\"quform_1_134_e87bd0\" name=\"quform_1_134\" class=\"quform-field quform-field-text quform-field-1_134\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_136 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_136\"><label class=\"quform-label-text\" for=\"quform_1_136_e87bd0\">Funktion<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_136\"><div class=\"quform-input quform-input-text quform-input-1_136 quform-cf\"><input type=\"text\" id=\"quform_1_136_e87bd0\" name=\"quform_1_136\" class=\"quform-field quform-field-text quform-field-1_136\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-1_115 quform-cf\"><div class=\"quform-spacer\"><h3>Austritt<\/h3><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_102 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_103\"><div class=\"quform-element quform-element-date quform-element-1_105 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_105\"><label class=\"quform-label-text\" for=\"quform_1_105_e87bd0\">Austritt aus dem Spital \/ Geburtshaus<\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-1_105\"><div class=\"quform-input quform-input-date quform-input-1_105 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_1_105_e87bd0\" name=\"quform_1_105\" class=\"quform-field quform-field-date quform-field-1_105\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;1_105&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_108\"><div class=\"quform-element quform-element-select quform-element-1_138 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_138\"><label class=\"quform-label-text\" for=\"quform_1_138_e87bd0\">Ambulante Nachbetreuung abgeschlossen:<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_138\"><div class=\"quform-input quform-input-select quform-input-1_138 quform-cf\"><select id=\"quform_1_138_e87bd0\" name=\"quform_1_138\" class=\"quform-field quform-field-select quform-field-1_138\"><option value=\"\" selected=\"selected\">Bitte w\u00e4hlen<\/option><option value=\"Ja\">Ja<\/option><option value=\"Nein\">Nein<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-1_113 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_113\"><label class=\"quform-label-text\" for=\"quform_1_113_e87bd0\">Letzter Besuch der Nachbetreuung<\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-1_113\"><div class=\"quform-input quform-input-date quform-input-1_113 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_1_113_e87bd0\" name=\"quform_1_113\" class=\"quform-field quform-field-date quform-field-1_113\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;1_113&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-1_154 quform-cf\"><div class=\"quform-spacer\"><h3>Ambulante Nachbetreuung durch<\/h3><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_116 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_117\"><div class=\"quform-element quform-element-text quform-element-1_118 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_118\"><label class=\"quform-label-text\" for=\"quform_1_118_e87bd0\">Name Nachbetreuung<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_118\"><div class=\"quform-input quform-input-text quform-input-1_118 quform-cf\"><input type=\"text\" id=\"quform_1_118_e87bd0\" name=\"quform_1_118\" class=\"quform-field quform-field-text quform-field-1_118\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_123 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_123\"><label class=\"quform-label-text\" for=\"quform_1_123_e87bd0\">Vorname Nachbetreuung<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_123\"><div class=\"quform-input quform-input-text quform-input-1_123 quform-cf\"><input type=\"text\" id=\"quform_1_123_e87bd0\" name=\"quform_1_123\" class=\"quform-field quform-field-text quform-field-1_123\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_122\"><div class=\"quform-element quform-element-text quform-element-1_121 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_121\"><label class=\"quform-label-text\" for=\"quform_1_121_e87bd0\">Telefon<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_121\"><div class=\"quform-input quform-input-text quform-input-1_121 quform-cf\"><input type=\"text\" id=\"quform_1_121_e87bd0\" name=\"quform_1_121\" class=\"quform-field quform-field-text quform-field-1_121\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-1_127 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_127\"><label class=\"quform-label-text\" for=\"quform_1_127_e87bd0\">Email<\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-1_127\"><div class=\"quform-input quform-input-email quform-input-1_127 quform-cf\"><input type=\"email\" id=\"quform_1_127_e87bd0\" name=\"quform_1_127\" class=\"quform-field quform-field-email quform-field-1_127\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-1_101 quform-cf\"><div class=\"quform-spacer\"><h3>Weitere Angaben<\/h3><\/div><\/div><div class=\"quform-element quform-element-select quform-element-1_25 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_25\"><label class=\"quform-label-text\" for=\"quform_1_25_e87bd0\">Wievieltes Kind?<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_25\"><div class=\"quform-input quform-input-select quform-input-1_25 quform-cf\"><select id=\"quform_1_25_e87bd0\" name=\"quform_1_25\" class=\"quform-field quform-field-select quform-field-1_25\"><option value=\"\" selected=\"selected\">Bitte ausw\u00e4hlen<\/option><option value=\"1\">1.<\/option><option value=\"2\">2.<\/option><option value=\"3\">3.<\/option><option value=\"4\">4.<\/option><option value=\"5\">5.<\/option><option value=\"6\">6.<\/option><option value=\"7\">7.<\/option><option value=\"8\">8.<\/option><option value=\"9\">9.<\/option><option value=\"10\">10.<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-1_57 quform-cf\"><div class=\"quform-spacer\"><h3>Personalien Vater<\/h3><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_46 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_47\"><div class=\"quform-element quform-element-text quform-element-1_48 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_48\"><label class=\"quform-label-text\" for=\"quform_1_48_e87bd0\">Name Vater<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_48\"><div class=\"quform-input quform-input-text quform-input-1_48 quform-cf\"><input type=\"text\" id=\"quform_1_48_e87bd0\" name=\"quform_1_48\" class=\"quform-field quform-field-text quform-field-1_48\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_53 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_53\"><label class=\"quform-label-text\" for=\"quform_1_53_e87bd0\">Vorname Vater<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_53\"><div class=\"quform-input quform-input-text quform-input-1_53 quform-cf\"><input type=\"text\" id=\"quform_1_53_e87bd0\" name=\"quform_1_53\" class=\"quform-field quform-field-text quform-field-1_53\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-1_143 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_143\"><label class=\"quform-label-text\" for=\"quform_1_143_e87bd0\">Nationalit\u00e4t<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_143\"><div class=\"quform-input quform-input-select quform-input-1_143 quform-cf\"><select id=\"quform_1_143_e87bd0\" name=\"quform_1_143\" class=\"quform-field quform-field-select quform-field-1_143\"><option value=\"\" selected=\"selected\">Bitte w\u00e4hlen<\/option><option value=\"Schweiz\">Schweiz<\/option><option value=\"Andere\">Andere<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_144 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_144\"><label class=\"quform-label-text\" for=\"quform_1_144_e87bd0\">Welche Nationalit\u00e4t?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_144\"><div class=\"quform-input quform-input-text quform-input-1_144 quform-cf\"><input type=\"text\" id=\"quform_1_144_e87bd0\" name=\"quform_1_144\" class=\"quform-field quform-field-text quform-field-1_144\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_52\"><div class=\"quform-element quform-element-select quform-element-1_146 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_146\"><label class=\"quform-label-text\" for=\"quform_1_146_e87bd0\">Verst\u00e4ndigungssprache<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-1_146\"><div class=\"quform-input quform-input-select quform-input-1_146 quform-cf\"><select id=\"quform_1_146_e87bd0\" name=\"quform_1_146\" class=\"quform-field quform-field-select quform-field-1_146\"><option value=\"\" selected=\"selected\">Bitte w\u00e4hlen<\/option><option value=\"Deutsch\">Deutsch<\/option><option value=\"Englisch\">Englisch<\/option><option value=\"Franz\u00f6sisch\">Franz\u00f6sisch<\/option><option value=\"Italienisch\">Italienisch<\/option><option value=\"Andere\">Andere<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_54 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_54\"><label class=\"quform-label-text\" for=\"quform_1_54_e87bd0\">Verst\u00e4ndigungssprache<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_54\"><div class=\"quform-input quform-input-text quform-input-1_54 quform-cf\"><input type=\"text\" id=\"quform_1_54_e87bd0\" name=\"quform_1_54\" class=\"quform-field quform-field-text quform-field-1_54\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_50 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_50\"><label class=\"quform-label-text\" for=\"quform_1_50_e87bd0\">Telefon<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_50\"><div class=\"quform-input quform-input-text quform-input-1_50 quform-cf\"><input type=\"text\" id=\"quform_1_50_e87bd0\" name=\"quform_1_50\" class=\"quform-field quform-field-text quform-field-1_50\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-1_55 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_55\"><label class=\"quform-label-text\" for=\"quform_1_55_e87bd0\">Email<\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-1_55\"><div class=\"quform-input quform-input-email quform-input-1_55 quform-cf\"><input type=\"email\" id=\"quform_1_55_e87bd0\" name=\"quform_1_55\" class=\"quform-field quform-field-email quform-field-1_55\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-1_84 quform-cf\"><div class=\"quform-spacer\"><h3>Personalien Kind 2 (falls zutreffend)<\/h3><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_85 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_86\"><div class=\"quform-element quform-element-checkbox quform-element-1_87 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_87\"><label class=\"quform-label-text\" id=\"quform_1_87_e87bd0_label\">Geschlecht<\/label><\/div><div class=\"quform-inner quform-inner-checkbox quform-inner-1_87\"><div class=\"quform-input quform-input-checkbox quform-input-1_87 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"group\" aria-labelledby=\"quform_1_87_e87bd0_label\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_87[]\" id=\"quform_1_87_e87bd0_1\" class=\"quform-field quform-field-checkbox quform-field-1_87 quform-field-1_87_1\" value=\"M\" \/><label for=\"quform_1_87_e87bd0_1\" class=\"quform-option-label quform-option-label-1_87_1\"><span class=\"quform-option-text\">M<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_87[]\" id=\"quform_1_87_e87bd0_2\" class=\"quform-field quform-field-checkbox quform-field-1_87 quform-field-1_87_2\" value=\"F\" \/><label for=\"quform_1_87_e87bd0_2\" class=\"quform-option-label quform-option-label-1_87_2\"><span class=\"quform-option-text\">F<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_88\"><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_89 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_90\"><div class=\"quform-element quform-element-text quform-element-1_91 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_91\"><label class=\"quform-label-text\" for=\"quform_1_91_e87bd0\">Name Kind 2<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_91\"><div class=\"quform-input quform-input-text quform-input-1_91 quform-cf\"><input type=\"text\" id=\"quform_1_91_e87bd0\" name=\"quform_1_91\" class=\"quform-field quform-field-text quform-field-1_91\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_96 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_96\"><label class=\"quform-label-text\" for=\"quform_1_96_e87bd0\">Vorname Kind 2<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_96\"><div class=\"quform-input quform-input-text quform-input-1_96 quform-cf\"><input type=\"text\" id=\"quform_1_96_e87bd0\" name=\"quform_1_96\" class=\"quform-field quform-field-text quform-field-1_96\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-1_92 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_92\"><label class=\"quform-label-text\" for=\"quform_1_92_e87bd0\">Geburtsdatum<\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-1_92\"><div class=\"quform-input quform-input-date quform-input-1_92 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_1_92_e87bd0\" name=\"quform_1_92\" class=\"quform-field quform-field-date quform-field-1_92\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;1_92&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_97 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_97\"><label class=\"quform-label-text\" for=\"quform_1_97_e87bd0\">Geburtsart<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_97\"><div class=\"quform-input quform-input-text quform-input-1_97 quform-cf\"><input type=\"text\" id=\"quform_1_97_e87bd0\" name=\"quform_1_97\" class=\"quform-field quform-field-text quform-field-1_97\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-1_95\"><div class=\"quform-element quform-element-text quform-element-1_93 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_93\"><label class=\"quform-label-text\" for=\"quform_1_93_e87bd0\">SSW<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_93\"><div class=\"quform-input quform-input-text quform-input-1_93 quform-cf\"><input type=\"text\" id=\"quform_1_93_e87bd0\" name=\"quform_1_93\" class=\"quform-field quform-field-text quform-field-1_93\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_94 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_94\"><label class=\"quform-label-text\" for=\"quform_1_94_e87bd0\">Geburtsgewicht<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_94\"><div class=\"quform-input quform-input-text quform-input-1_94 quform-cf\"><input type=\"text\" id=\"quform_1_94_e87bd0\" name=\"quform_1_94\" class=\"quform-field quform-field-text quform-field-1_94\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_99 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_99\"><label class=\"quform-label-text\" for=\"quform_1_99_e87bd0\">Austrittsgewicht<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_99\"><div class=\"quform-input quform-input-text quform-input-1_99 quform-cf\"><input type=\"text\" id=\"quform_1_99_e87bd0\" name=\"quform_1_99\" class=\"quform-field quform-field-text quform-field-1_99\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-1_98 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_98\"><label class=\"quform-label-text\" for=\"quform_1_98_e87bd0\">Ern\u00e4hrung<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-1_98\"><div class=\"quform-input quform-input-text quform-input-1_98 quform-cf\"><input type=\"text\" id=\"quform_1_98_e87bd0\" name=\"quform_1_98\" class=\"quform-field quform-field-text quform-field-1_98\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-1_100 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-1_100\"><label class=\"quform-label-text\" for=\"quform_1_100_e87bd0\"><h3>Spezielles (Bemerkungen)<\/h3><\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-1_100\"><div class=\"quform-input quform-input-textarea quform-input-1_100 quform-cf\"><textarea id=\"quform_1_100_e87bd0\" name=\"quform_1_100\" class=\"quform-field quform-field-textarea quform-field-1_100\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-1_156 quform-cf\"><div class=\"quform-spacer\">Der Vater \/ Die Mutter sind mit der Weitergabe der Daten dieses Formulars an die zust\u00e4ndige M\u00fctterberaterin und mit der anonymen Auswertung der Meldungen einverstanden und w\u00fcnschen sich folgende Kontaktaufnahme:<\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-1_147 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-checkbox quform-inner-1_147\"><div class=\"quform-input quform-input-checkbox quform-input-1_147 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_147[]\" id=\"quform_1_147_e87bd0_1\" class=\"quform-field quform-field-checkbox quform-field-1_147 quform-field-1_147_1\" value=\"Die Eltern w\u00fcnschen einen Kennenlerntermin\" \/><label for=\"quform_1_147_e87bd0_1\" class=\"quform-option-label quform-option-label-1_147_1\"><span class=\"quform-option-text\">Die Eltern w\u00fcnschen einen Kennenlerntermin<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_147[]\" id=\"quform_1_147_e87bd0_4\" class=\"quform-field quform-field-checkbox quform-field-1_147 quform-field-1_147_4\" value=\"Die Eltern w\u00fcnschen eine Kontaktaufnahme per Brief\" \/><label for=\"quform_1_147_e87bd0_4\" class=\"quform-option-label quform-option-label-1_147_4\"><span class=\"quform-option-text\">Die Eltern w\u00fcnschen eine Kontaktaufnahme per Brief<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_147[]\" id=\"quform_1_147_e87bd0_5\" class=\"quform-field quform-field-checkbox quform-field-1_147 quform-field-1_147_5\" value=\"Die Eltern w\u00fcnschen eine sp\u00e4tere Kontaktaufnahme\" \/><label for=\"quform_1_147_e87bd0_5\" class=\"quform-option-label quform-option-label-1_147_5\"><span class=\"quform-option-text\">Die Eltern w\u00fcnschen eine sp\u00e4tere Kontaktaufnahme<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_147[]\" id=\"quform_1_147_e87bd0_7\" class=\"quform-field quform-field-checkbox quform-field-1_147 quform-field-1_147_7\" value=\"Die Eltern melden sich selber bei der MVB\" \/><label for=\"quform_1_147_e87bd0_7\" class=\"quform-option-label quform-option-label-1_147_7\"><span class=\"quform-option-text\">Die Eltern melden sich selber bei der MVB<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_1_147[]\" id=\"quform_1_147_e87bd0_6\" class=\"quform-field quform-field-checkbox quform-field-1_147 quform-field-1_147_6\" value=\"Die Eltern w\u00fcnschen keine Beratung\" \/><label for=\"quform_1_147_e87bd0_6\" class=\"quform-option-label quform-option-label-1_147_6\"><span class=\"quform-option-text\">Die Eltern w\u00fcnschen keine Beratung<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-1_162 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-1_163\"><\/div><div class=\"quform-element quform-element-column quform-element-1_164\"><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-1_2 quform-cf quform-button-style-theme\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-1_2 quform-button-icon-right\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Senden<\/span><span class=\"quform-button-icon quform-button-submit-icon\"><i class=\"qicon-send\"><\/i><\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/form><\/div>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-2226","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende &#8211; M\u00fctter- und V\u00e4terberatung BL<\/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:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende &#8211; M\u00fctter- und V\u00e4terberatung BL\" \/>\n<meta property=\"og:url\" content=\"https:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/\" \/>\n<meta property=\"og:site_name\" content=\"M\u00fctter- und V\u00e4terberatung BL\" \/>\n<meta property=\"article:modified_time\" content=\"2021-04-27T16:10:54+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data1\" content=\"2\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\\\/\",\"url\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\\\/\",\"name\":\"\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende &#8211; M\u00fctter- und V\u00e4terberatung BL\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/#website\"},\"datePublished\":\"2021-01-23T13:28:23+00:00\",\"dateModified\":\"2021-04-27T16:10:54+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\\\/#breadcrumb\"},\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/#website\",\"url\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/\",\"name\":\"M\u00fctter- und V\u00e4terberatung BL\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"de\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/#organization\",\"name\":\"M\u00fctter- und V\u00e4terberatung BL\",\"url\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/wp-content\\\/uploads\\\/2020\\\/11\\\/MV_Beratung_Logo_rgb.svg\",\"contentUrl\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/wp-content\\\/uploads\\\/2020\\\/11\\\/MV_Beratung_Logo_rgb.svg\",\"width\":191,\"height\":65,\"caption\":\"M\u00fctter- und V\u00e4terberatung BL\"},\"image\":{\"@id\":\"https:\\\/\\\/muetterberatung-bl-bs.ch\\\/2\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende &#8211; M\u00fctter- und V\u00e4terberatung BL","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:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/","og_locale":"de_DE","og_type":"article","og_title":"\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende &#8211; M\u00fctter- und V\u00e4terberatung BL","og_url":"https:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/","og_site_name":"M\u00fctter- und V\u00e4terberatung BL","article_modified_time":"2021-04-27T16:10:54+00:00","twitter_card":"summary_large_image","twitter_misc":{"Gesch\u00e4tzte Lesezeit":"2\u00a0Minuten"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/","url":"https:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/","name":"\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende &#8211; M\u00fctter- und V\u00e4terberatung BL","isPartOf":{"@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/#website"},"datePublished":"2021-01-23T13:28:23+00:00","dateModified":"2021-04-27T16:10:54+00:00","breadcrumb":{"@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/#breadcrumb"},"inLanguage":"de","potentialAction":[{"@type":"ReadAction","target":["https:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/uebergabeformular-fuer-spitaeler-und-nachbetreuende-hebammen-und-pflegende\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Startseite","item":"https:\/\/muetterberatung-bl-bs.ch\/2\/"},{"@type":"ListItem","position":2,"name":"\u00dcbergabeformular f\u00fcr Spit\u00e4ler und nachbetreuende Hebammen und Pflegende"}]},{"@type":"WebSite","@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/#website","url":"https:\/\/muetterberatung-bl-bs.ch\/2\/","name":"M\u00fctter- und V\u00e4terberatung BL","description":"","publisher":{"@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/muetterberatung-bl-bs.ch\/2\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"de"},{"@type":"Organization","@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/#organization","name":"M\u00fctter- und V\u00e4terberatung BL","url":"https:\/\/muetterberatung-bl-bs.ch\/2\/","logo":{"@type":"ImageObject","inLanguage":"de","@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/#\/schema\/logo\/image\/","url":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-content\/uploads\/2020\/11\/MV_Beratung_Logo_rgb.svg","contentUrl":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-content\/uploads\/2020\/11\/MV_Beratung_Logo_rgb.svg","width":191,"height":65,"caption":"M\u00fctter- und V\u00e4terberatung BL"},"image":{"@id":"https:\/\/muetterberatung-bl-bs.ch\/2\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-json\/wp\/v2\/pages\/2226","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-json\/wp\/v2\/comments?post=2226"}],"version-history":[{"count":0,"href":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-json\/wp\/v2\/pages\/2226\/revisions"}],"wp:attachment":[{"href":"https:\/\/muetterberatung-bl-bs.ch\/2\/wp-json\/wp\/v2\/media?parent=2226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}