{"id":16091,"date":"2017-02-16T11:05:40","date_gmt":"2017-02-16T08:05:40","guid":{"rendered":"https:\/\/www.galaksidisklinigi.com\/online-randevu\/"},"modified":"2023-08-08T01:09:21","modified_gmt":"2023-08-07T22:09:21","slug":"online-appointment","status":"publish","type":"page","link":"https:\/\/www.galaksidisklinigi.com\/en\/online-appointment\/","title":{"rendered":"Make an Online Appointment"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row pix_particles_check=&#8221;&#8221;][vc_column][vc_empty_space]<div class=\"text-center \"><div class=\"slide-in-container w-100 pix-slogan-text\"><h6 data-anim-type=\"slide-in-up\" class=\" font-weight-bold text-primary animate-in\" >You can request an appointment from our dentists with this form available on the website of Galaksi Dental Clinic. You will be contacted by our staff as soon as possible covering working hours.<\/h6><\/div><div><h1 class=\"pix-headline my-3  loading-bar text-heading-default font-weight-bold  \" style=\"\"><span>Free <\/span><span class=\"pix-words-wrapper \"><span class=\"is-visible text-gradient-primary\" >Online Appointment<\/span> <span class=\"pix-bar bg-heading-default\" ><\/span><\/span><span>Form<\/span><\/h1><\/div><\/div><style>#mdp-lottier-box-c20c28f7bb25da32720881d81dbcd864 .mdp-lottier-svg .mdp-lottier-player{ width: 100%; }#mdp-lottier-box-c20c28f7bb25da32720881d81dbcd864 .mdp-lottier-svg { justify-content: flex-start; }<\/style><!-- Start Lottier for WPBakery WordPress Plugin --><div id=\"mdp-lottier-box-c20c28f7bb25da32720881d81dbcd864\" class=\"mdp-lottier-box\">\n\t    <div class=\"mdp-lottier-svg\">\n\t\t    <div class=\"mdp-lottier-player\"\n                 data-id=\"c20c28f7bb25da32720881d81dbcd864\"\n                 data-finish-before-pause=\"\"\n\t\t         data-autoplay=\"autoplay\"\n\t\t         data-speed=\"1\"\n\t\t         data-loop=\"true\"\n\t\t         data-controls=\"false\"\n\t\t         data-mode=\"normal\"\n\t\t    >\n\t\t\t    <!--suppress HtmlUnknownTag -->\n\t\t\t                        <lottie-player id=\"mdp-lottier-c20c28f7bb25da32720881d81dbcd864\"\n                                   class=\"mdp-lottier-animation \"\n                                   src='https:\/\/assets4.lottiefiles.com\/temporary_files\/PH5YkW.json'><\/lottie-player>\n                \t\t    <\/div>\n\t    <\/div>\n\n\t    \n\t    \t    <\/div>\n\t    <!-- End Lottier for WPBakery WordPress Plugin -->\n\n\t    [\/vc_column][\/vc_row][vc_row pix_particles_check=&#8221;&#8221; css=&#8221;.vc_custom_1624026256964{padding-top: 35px !important;padding-bottom: 25px !important;}&#8221;][vc_column][vc_column_text]<div class=\"forminator-ui forminator-custom-form forminator-custom-form-14727 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-14727\" data-uid=\"6a0972328b13b\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-14727\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-14727 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"14727\"\r\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"6a0972328b13b\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a0972328b13b\" id=\"forminator-field-name-1_6a0972328b13b-label\" class=\"forminator-label\">\u0130sminiz <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a0972328b13b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a0972328b13b\" id=\"forminator-field-email-1_6a0972328b13b-label\" class=\"forminator-label\">E-posta Adresi <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a0972328b13b\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a0972328b13b\" id=\"forminator-field-phone-1_6a0972328b13b-label\" class=\"forminator-label\">Telefon Numaras\u0131 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+905...\" id=\"forminator-field-phone-1_6a0972328b13b\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-14727__field--select-1_6a0972328b13b\" id=\"forminator-form-14727__field--select-1_6a0972328b13b-label\" class=\"forminator-label\">B\u00f6l\u00fcm Se\u00e7iniz <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-14727__field--select-1_6a0972328b13b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"listeden se\u00e7\" data-search=\"false\" data-search-placeholder=\"listeden se\u00e7\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-14727__field--select-1_6a0972328b13b-label\" aria-describedby=\"forminator-form-14727__field--select-1_6a0972328b13b-description\"><option value=\"\"  >listeden se\u00e7<\/option><option value=\"ortodonti\"  data-calculation=\"0\">Ortodonti<\/option><option value=\"pedodonti\"  data-calculation=\"0\">Pedodonti<\/option><option value=\"genel-dis\"  data-calculation=\"0\">Genel Di\u015f<\/option><option value=\"diger\"  data-calculation=\"0\">Di\u011fer<\/option><\/select><span id=\"forminator-form-14727__field--select-1_6a0972328b13b-description\" class=\"forminator-description\">Hangi B\u00f6l\u00fcme Randevu Talep Ediyorsunuz?<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a0972328b13b\" id=\"forminator-field-date-1-picker_6a0972328b13b-label\" class=\"forminator-label\">Tarih <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"17-05-2026\" placeholder=\"Tarih Se\u00e7\" id=\"forminator-field-date-1-picker_6a0972328b13b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"week\" data-restrict=\"0\" data-start-year=\"2026\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"2026-05-18\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" aria-describedby=\"forminator-field-date-1-picker_6a0972328b13b-description\" \/><\/div><span id=\"forminator-field-date-1-picker_6a0972328b13b-description\" class=\"forminator-description\">Randevu \u0130stedi\u011finiz Tarihi Se\u00e7ebilirsiniz, Format (G\u00fcn-Ay-Y\u0131l)<\/span><\/div><\/div><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a0972328b13b-label\"><span id=\"forminator-radiogroup-radio-1-6a0972328b13b-label\" class=\"forminator-label\">Cinsiyet <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a0972328b13b\" class=\"forminator-radio forminator-radio-inline\" title=\"Kad\u0131n\"><input type=\"radio\" name=\"radio-1\" value=\"kadin\" id=\"forminator-field-radio-1-1-6a0972328b13b\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Kad\u0131n<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a0972328b13b\" class=\"forminator-radio forminator-radio-inline\" title=\"Erkek\"><input type=\"radio\" name=\"radio-1\" value=\"erkek\" id=\"forminator-field-radio-1-2-6a0972328b13b\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Erkek<\/span><\/label><\/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_6a0972328b13b\" id=\"forminator-field-textarea-1_6a0972328b13b-label\" class=\"forminator-label\">Mesaj<\/label><textarea name=\"textarea-1\" placeholder=\"Mesaj\u0131n\u0131z\u0131 giriniz...\" id=\"forminator-field-textarea-1_6a0972328b13b\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" maxlength=\"180\" aria-describedby=\"forminator-field-textarea-1_6a0972328b13b-description\" ><\/textarea><span id=\"forminator-field-textarea-1_6a0972328b13b-description\" class=\"forminator-description\">Doktorunuza eklemek istedi\u011finiz bir ayr\u0131nt\u0131 var ise l\u00fctfen belirtiniz.<span data-limit=\"180\" data-type=\"characters\" data-editor=\"\">0 \/ 180<\/span><\/span><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Mesaj G&ouml;nder<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" 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