{"id":3335,"date":"2025-07-07T08:13:49","date_gmt":"2025-07-07T06:13:49","guid":{"rendered":"https:\/\/043arts.nl\/?post_type=praktijkinformatie&#038;p=3335"},"modified":"2026-08-26T08:56:36","modified_gmt":"2026-08-26T06:56:36","slug":"changement-de-rapport","status":"publish","type":"praktijkinformatie","link":"https:\/\/huisartsen.gcschalkwijk.nl\/fr\/praktijkinformatie\/wijziging-doorgeven\/","title":{"rendered":"Changement de rapport"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3335\" class=\"elementor elementor-3335\" data-elementor-post-type=\"praktijkinformatie\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3077fb4b e-flex e-con-boxed e-con e-parent\" data-id=\"3077fb4b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-68a7f10 elementor-widget elementor-widget-heading\" data-id=\"68a7f10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Wijziging doorgeven<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-023beb4 e-flex e-con-boxed e-con e-parent\" data-id=\"023beb4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-572cc52 e-con-full e-flex e-con e-child\" data-id=\"572cc52\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-3660994 e-con-full e-flex e-con e-child\" data-id=\"3660994\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-762d111 fluentform-widget-submit-button-right fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"762d111\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-inherit-theme-style fluentform_wrapper_5'><form data-form_id=\"5\" id=\"fluentform_5\" class=\"frm-fluent-form fluent_form_5 ff-el-form-top ff_form_instance_5_1 ff-form-loading ff-form-has-steps ffs_inherit_theme\" data-form_instance=\"ff_form_instance_5_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Wijziging<\/legend>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_5_item_sf\" aria-label=\"Subscribe\">\n                    Subscribe                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_5__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_5_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n                <input type=\"hidden\" id=\"__fluent_protection_token_5\" class=\"fluent-form-token-field\" name=\"__fluent_protection_token_5\">\n        <input type='hidden' name='__fluent_form_embded_post_id' value='3335' \/><input type=\"hidden\" id=\"_fluentform_5_fluentformnonce\" name=\"_fluentform_5_fluentformnonce\" value=\"4f547f146b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/praktijkinformatie\/3335\" \/><div class='ff-step-container' data-name=\"step_start-5_13\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" data-progress_layout=\"top\" ><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-5_13\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" data-progress_layout=\"top\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_1\" ><h2>Wijziging doorgeven<\/h2>\n<p>Wilt u uw adres wijzigen, uw apotheek wijzigen, een geboorte melden of zich uitschrijven? Maak een keuze en klik vervolgens op \"Volgende\".<\/p><\/div><div class='ff-el-group ff-el-form-top ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Maak een keuze\">Maak een keuze<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/043arts.nl\/wp-content\/uploads\/2026\/08\/adres-wijzigen.webp)' class='ff-el-image-input-src' for='checkbox_5a278f631ec935cb61618ee7b191433c' aria-label='Adres wijzigen'><\/label><label class='ff-el-form-check-label' for='checkbox_5a278f631ec935cb61618ee7b191433c'><input  type=\"radio\" name=\"checkbox\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Adres wijzigen\"  id='checkbox_5a278f631ec935cb61618ee7b191433c' aria-label='Adres wijzigen' aria-invalid='false' aria-required=true> <span>Adres wijzigen<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/043arts.nl\/wp-content\/uploads\/2026\/08\/Apotheek.webp)' class='ff-el-image-input-src' for='checkbox_d9c9c809aef0dadb5ed452e2bf7294e5' aria-label='Apotheek wijzigen'><\/label><label class='ff-el-form-check-label' for='checkbox_d9c9c809aef0dadb5ed452e2bf7294e5'><input  type=\"radio\" name=\"checkbox\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Apotheek wijzigen\"  id='checkbox_d9c9c809aef0dadb5ed452e2bf7294e5' aria-label='Apotheek wijzigen' aria-invalid='false' aria-required=true> <span>Apotheek wijzigen<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/043arts.nl\/wp-content\/uploads\/2026\/08\/Geboorte.webp)' class='ff-el-image-input-src' for='checkbox_302391aaf361f96c0cbeea501825bffd' aria-label='Geboorte melden'><\/label><label class='ff-el-form-check-label' for='checkbox_302391aaf361f96c0cbeea501825bffd'><input  type=\"radio\" name=\"checkbox\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Geboorte melden\"  id='checkbox_302391aaf361f96c0cbeea501825bffd' aria-label='Geboorte melden' aria-invalid='false' aria-required=true> <span>Geboorte melden<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/043arts.nl\/wp-content\/uploads\/2026\/08\/Uitschrijven.webp)' class='ff-el-image-input-src' for='checkbox_320953b7288009ba3d121b6d9c0925b1' aria-label='Uitschrijven'><\/label><label class='ff-el-form-check-label' for='checkbox_320953b7288009ba3d121b6d9c0925b1'><input  type=\"radio\" name=\"checkbox\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Uitschrijven\"  id='checkbox_320953b7288009ba3d121b6d9c0925b1' aria-label='Uitschrijven' aria-invalid='false' aria-required=true> <span>Uitschrijven<\/span><\/label><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Vorige'>Vorige<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Volgende'>Volgende<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_2\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_3\" ><h2>Uw gegevens<\/h2>\n<p>Vul uw persoons - en contactgegevens in en klik vervolgens op \"Volgende\".<\/p><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 23.63%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_voorletters_praktijk' id='label_ff_5_input_voorletters_praktijk' aria-label=\"Voorletter(s)\">Voorletter(s)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_voorletters_praktijk\" class=\"ff-el-form-control\" data-name=\"input_voorletters_praktijk\" id=\"ff_5_input_voorletters_praktijk\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 43.04%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_achternaam_praktijk' id='label_ff_5_input_achternaam_praktijk' aria-label=\"Achternaam\">Achternaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_achternaam_praktijk\" class=\"ff-el-form-control\" data-name=\"input_achternaam_praktijk\" id=\"ff_5_input_achternaam_praktijk\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_gebdatum_praktijk' id='label_ff_5_input_gebdatum_praktijk' aria-label=\"Geboortedatum\">Geboortedatum<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_gebdatum_praktijk\" class=\"ff-el-form-control\" data-name=\"input_gebdatum_praktijk\" id=\"ff_5_input_gebdatum_praktijk\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 23.21%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_dropdown_geslacht' id='label_ff_5_dropdown_geslacht' aria-label=\"Geslacht\">Geslacht<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_geslacht\" id=\"ff_5_dropdown_geslacht\" class=\"ff-el-form-control\" data-name=\"dropdown_geslacht\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_5_dropdown_geslacht\"><option value=\"\">- Selecteer -<\/option><option value=\"Man\"  >Man<\/option><option value=\"Vrouw\"  >Vrouw<\/option><option value=\"X\"  >X<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 43.41%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_email' id='label_ff_5_email' aria-label=\"E-mailadres\">E-mailadres<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_5_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.38%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_telefoonnummer' id='label_ff_5_telefoonnummer' aria-label=\"Telefoonnummer\">Telefoonnummer<\/label><\/div><div class='ff-el-input--content'><input name=\"telefoonnummer\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"telefoonnummer\" id=\"ff_5_telefoonnummer\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Meerdere personen adres wijzigen?\">Meerdere personen adres wijzigen?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_089328ed50a0c2834530130ab3564941'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_4_089328ed50a0c2834530130ab3564941' aria-label='Ja' aria-invalid='false' aria-required=true> <span>Ja<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_c694bee201ad2205d3061cfbe33164d2'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nee\"  id='input_radio_4_c694bee201ad2205d3061cfbe33164d2' aria-label='Nee' aria-invalid='false' aria-required=true> <span>Nee<\/span><\/label><\/div><\/div><\/div>        <div class=\"ff-repeater-container ff-el-repeater  ff_columns_total_4 has-conditions\" data-name=\"Meerdere_personen_2\" data-root_name=\"Meerdere_personen_2\" data-type=\"repeater_container\" >\n            <div class='ff-el-input--label asterisk-right'><label aria-label='Welke personen?' for=''>Welke personen?<\/label><\/div>            <div class='ff-el-input--content'>\n                <div role=\"list\" aria-label=\"\" data-max_repeat=\"\" data-root_name=\"Meerdere_personen_2\" class=\"ff_repeater_container_list ff_flexible_list\">\n                    <div class=\"ff_repeater_body\" role=\"rowgroup\">\n                        <div class=\"ff_repeater_cont_row\" role=\"row\">\n                            <div class='ff-t-cell ff-t-column-1' style='flex-basis: 30%;'>\n                <div class=\"ff_repeater_cell\" role=\"cell\">\n<!--                    <div class=\"--><!--\">-->\n<!--                        <label for=\"--><!--\">-->\n<!--                            --><!--                        <\/label>-->\n<!--                    <\/div>-->\n            \n                    <div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_Meerdere_personen_2_0' id='label_ff_5_Meerdere_personen_2_0' aria-label=\"Voornaam\">Voornaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Meerdere_personen_2[0][0]\" class=\"ff-el-form-control\" data-name=\"Meerdere_personen_2_0_0\" aria-label=\"repeater level 1 and field Voornaam\" id=\"ff_5_Meerdere_personen_2_0\" data-repeater_index=\"0\" data-type=\"repeater_container\" data-error_index=\"Meerdere_personen_2[0]\" data-condition_field_name=\"Meerdere_personen_2_condition_0_0\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                <\/div>\n                <\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 30%;'>\n                <div class=\"ff_repeater_cell\" role=\"cell\">\n<!--                    <div class=\"--><!--\">-->\n<!--                        <label for=\"--><!--\">-->\n<!--                            --><!--                        <\/label>-->\n<!--                    <\/div>-->\n            \n                    <div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_Meerdere_personen_2_1' id='label_ff_5_Meerdere_personen_2_1' aria-label=\"Achternaam\">Achternaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Meerdere_personen_2[0][1]\" class=\"ff-el-form-control\" data-name=\"Meerdere_personen_2_1_0\" aria-label=\"repeater level 1 and field Achternaam\" id=\"ff_5_Meerdere_personen_2_1\" data-repeater_index=\"1\" data-type=\"repeater_container\" data-error_index=\"Meerdere_personen_2[1]\" data-condition_field_name=\"Meerdere_personen_2_condition_1_0\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                <\/div>\n                <\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'>\n                <div class=\"ff_repeater_cell\" role=\"cell\">\n<!--                    <div class=\"--><!--\">-->\n<!--                        <label for=\"--><!--\">-->\n<!--                            --><!--                        <\/label>-->\n<!--                    <\/div>-->\n            \n                    <div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_Meerdere_personen_2_2' id='label_ff_5_Meerdere_personen_2_2' aria-label=\"Geboortedatum\">Geboortedatum<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Meerdere_personen_2[0][2]\" class=\"ff-el-form-control\" data-name=\"Meerdere_personen_2_2_0\" aria-label=\"repeater level 1 and field Geboortedatum\" id=\"ff_5_Meerdere_personen_2_2\" data-repeater_index=\"2\" data-type=\"repeater_container\" data-error_index=\"Meerdere_personen_2[2]\" data-condition_field_name=\"Meerdere_personen_2_condition_2_0\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                <\/div>\n                <\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 15%;'>\n                <div class=\"ff_repeater_cell\" role=\"cell\">\n<!--                    <div class=\"--><!--\">-->\n<!--                        <label for=\"--><!--\">-->\n<!--                            --><!--                        <\/label>-->\n<!--                    <\/div>-->\n            \n                    <div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_Meerdere_personen_2_3' id='label_ff_5_Meerdere_personen_2_3' aria-label=\"Geslacht\">Geslacht<\/label><\/div><div class='ff-el-input--content'><select name=\"Meerdere_personen_2[0][3]\" id=\"ff_5_Meerdere_personen_2_3\" class=\"ff-el-form-control\" data-name=\"Meerdere_personen_2_3_0\" aria-label=\"repeater level 1 and field Geslacht\" data-repeater_index=\"3\" data-type=\"repeater_container\" data-error_index=\"Meerdere_personen_2[3]\" data-condition_field_name=\"Meerdere_personen_2_condition_3_0\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_5_Meerdere_personen_2_3\"><option value=\"\">- Selecteer -<\/option><option value=\"Man\"  >Man<\/option><option value=\"Vrouw\"  >Vrouw<\/option><option value=\"X\"  >X<\/option><\/select><\/div><\/div>                <\/div>\n                <\/div><div class='ff_repeater_cell repeat_btn' role='cell' style='flex-basis: 0%;'><div class=\"ff-el-repeat-buttons-list js-container-repeat-buttons\"><span role=\"button\" aria-label=\"add repeater\" class=\"repeat-plus\"><svg tabindex=\"0\" width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span role=\"button\" aria-label=\"remove repeater\" class=\"repeat-minus\"><svg tabindex=\"0\" width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div>                        <\/div>\n                    <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Meerdere personen uitschrijven?\">Meerdere personen uitschrijven?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_8447b3edafcad8993efdda3fec0be7fb'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_2_8447b3edafcad8993efdda3fec0be7fb' aria-label='Ja' aria-invalid='false' aria-required=true> <span>Ja<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_d4c192e8b214e5a9bdffc0867ff096d0'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nee\"  id='input_radio_2_d4c192e8b214e5a9bdffc0867ff096d0' aria-label='Nee' aria-invalid='false' aria-required=true> <span>Nee<\/span><\/label><\/div><\/div><\/div>        <div class=\"ff-repeater-container ff-el-repeater  ff_columns_total_4 has-conditions\" data-name=\"Meerdere_personen_1\" data-root_name=\"Meerdere_personen_1\" data-type=\"repeater_container\" >\n            <div class='ff-el-input--label asterisk-right'><label aria-label='Welke personen?' for=''>Welke personen?<\/label><\/div>            <div class='ff-el-input--content'>\n                <div role=\"list\" aria-label=\"\" data-max_repeat=\"\" data-root_name=\"Meerdere_personen_1\" class=\"ff_repeater_container_list ff_flexible_list\">\n                    <div class=\"ff_repeater_body\" role=\"rowgroup\">\n                        <div class=\"ff_repeater_cont_row\" role=\"row\">\n                            <div class='ff-t-cell ff-t-column-1' style='flex-basis: 30%;'>\n                <div class=\"ff_repeater_cell\" role=\"cell\">\n<!--                    <div class=\"--><!--\">-->\n<!--                        <label for=\"--><!--\">-->\n<!--                            --><!--                        <\/label>-->\n<!--                    <\/div>-->\n            \n                    <div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_Meerdere_personen_1_0' id='label_ff_5_Meerdere_personen_1_0' aria-label=\"Voornaam\">Voornaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Meerdere_personen_1[0][0]\" class=\"ff-el-form-control\" data-name=\"Meerdere_personen_1_0_0\" aria-label=\"repeater level 1 and field Voornaam\" id=\"ff_5_Meerdere_personen_1_0\" data-repeater_index=\"0\" data-type=\"repeater_container\" data-error_index=\"Meerdere_personen_1[0]\" data-condition_field_name=\"Meerdere_personen_1_condition_0_0\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                <\/div>\n                <\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 30%;'>\n                <div class=\"ff_repeater_cell\" role=\"cell\">\n<!--                    <div class=\"--><!--\">-->\n<!--                        <label for=\"--><!--\">-->\n<!--                            --><!--                        <\/label>-->\n<!--                    <\/div>-->\n            \n                    <div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_Meerdere_personen_1_1' id='label_ff_5_Meerdere_personen_1_1' aria-label=\"Achternaam\">Achternaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Meerdere_personen_1[0][1]\" class=\"ff-el-form-control\" data-name=\"Meerdere_personen_1_1_0\" aria-label=\"repeater level 1 and field Achternaam\" id=\"ff_5_Meerdere_personen_1_1\" data-repeater_index=\"1\" data-type=\"repeater_container\" data-error_index=\"Meerdere_personen_1[1]\" data-condition_field_name=\"Meerdere_personen_1_condition_1_0\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                <\/div>\n                <\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'>\n                <div class=\"ff_repeater_cell\" role=\"cell\">\n<!--                    <div class=\"--><!--\">-->\n<!--                        <label for=\"--><!--\">-->\n<!--                            --><!--                        <\/label>-->\n<!--                    <\/div>-->\n            \n                    <div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_Meerdere_personen_1_2' id='label_ff_5_Meerdere_personen_1_2' aria-label=\"Geboortedatum\">Geboortedatum<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Meerdere_personen_1[0][2]\" class=\"ff-el-form-control\" data-name=\"Meerdere_personen_1_2_0\" aria-label=\"repeater level 1 and field Geboortedatum\" id=\"ff_5_Meerdere_personen_1_2\" data-repeater_index=\"2\" data-type=\"repeater_container\" data-error_index=\"Meerdere_personen_1[2]\" data-condition_field_name=\"Meerdere_personen_1_condition_2_0\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                <\/div>\n                <\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 15%;'>\n                <div class=\"ff_repeater_cell\" role=\"cell\">\n<!--                    <div class=\"--><!--\">-->\n<!--                        <label for=\"--><!--\">-->\n<!--                            --><!--                        <\/label>-->\n<!--                    <\/div>-->\n            \n                    <div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_Meerdere_personen_1_3' id='label_ff_5_Meerdere_personen_1_3' aria-label=\"Geslacht\">Geslacht<\/label><\/div><div class='ff-el-input--content'><select name=\"Meerdere_personen_1[0][3]\" id=\"ff_5_Meerdere_personen_1_3\" class=\"ff-el-form-control\" data-name=\"Meerdere_personen_1_3_0\" aria-label=\"repeater level 1 and field Geslacht\" data-repeater_index=\"3\" data-type=\"repeater_container\" data-error_index=\"Meerdere_personen_1[3]\" data-condition_field_name=\"Meerdere_personen_1_condition_3_0\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_5_Meerdere_personen_1_3\"><option value=\"\">- Selecteer -<\/option><option value=\"Man\"  >Man<\/option><option value=\"Vrouw\"  >Vrouw<\/option><option value=\"X\"  >X<\/option><\/select><\/div><\/div>                <\/div>\n                <\/div><div class='ff_repeater_cell repeat_btn' role='cell' style='flex-basis: 0%;'><div class=\"ff-el-repeat-buttons-list js-container-repeat-buttons\"><span role=\"button\" aria-label=\"add repeater\" class=\"repeat-plus\"><svg tabindex=\"0\" width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span role=\"button\" aria-label=\"remove repeater\" class=\"repeat-minus\"><svg tabindex=\"0\" width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/div>                        <\/div>\n                    <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Vorige'>Vorige<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Volgende'>Volgende<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-5_4\" ><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-5_5\" ><h2>Nieuwe adresgegevens<\/h2>\n<p>Vul uw nieuwe adres in en klik op \"verzenden\".<\/p><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 56.31%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_3' id='label_ff_5_input_text_3' aria-label=\"Straat\">Straat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_5_input_text_3\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 21.69%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_numeric_field' id='label_ff_5_numeric_field' aria-label=\"Huisnummer\">Huisnummer<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_5_numeric_field\" class=\"ff-el-form-control\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 22%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_input_text_4' id='label_ff_5_input_text_4' aria-label=\"Toevoeging\">Toevoeging<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_5_input_text_4\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 24.31%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text' id='label_ff_5_input_text' aria-label=\"Postcode (cijfers)\">Postcode (cijfers)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"bijv. 1012\" data-name=\"input_text\" id=\"ff_5_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 24.59%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_5' id='label_ff_5_input_text_5' aria-label=\"Postcode (letters)\">Postcode (letters)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" placeholder=\"bijv. AB\" data-name=\"input_text_5\" id=\"ff_5_input_text_5\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 51.1%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_6' id='label_ff_5_input_text_6' aria-label=\"Plaats\">Plaats<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" data-name=\"input_text_6\" id=\"ff_5_input_text_6\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-top has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_description' id='label_ff_5_description' aria-label=\"Opmerking(en)\">Opmerking(en)<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_5_description\" name=\"description\" id=\"ff_5_description\" class=\"ff-el-form-control\" rows=\"4\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-5_6\" ><p><img decoding=\"async\" class=\"alignnone size-full wp-image-4782\" src=\"https:\/\/043arts.nl\/wp-content\/uploads\/2026\/08\/adres-wijzigen.webp\" alt=\"\" width=\"150\" height=\"150\" \/><br \/>Klik op <strong>verzenden<\/strong> om uw adreswijziging door te geven.<\/p><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-5_7\" ><h2>Gegevens nieuwe apotheek<\/h2>\n<p>Vul de naam en plaats van uw nieuwe apotheek in en klik op \"verzenden\".<\/p><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_18' id='label_ff_5_input_text_18' aria-label=\"Naam van uw nieuwe apotheek\">Naam van uw nieuwe apotheek<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_18\" class=\"ff-el-form-control\" data-name=\"input_text_18\" id=\"ff_5_input_text_18\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_19' id='label_ff_5_input_text_19' aria-label=\"Plaats van uw nieuwe apotheek\">Plaats van uw nieuwe apotheek<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_19\" class=\"ff-el-form-control\" data-name=\"input_text_19\" id=\"ff_5_input_text_19\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-top has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_description_2' id='label_ff_5_description_2' aria-label=\"Opmerking(en)\">Opmerking(en)<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_5_description_2\" name=\"description_2\" id=\"ff_5_description_2\" class=\"ff-el-form-control\" rows=\"4\" cols=\"2\" data-name=\"description_2\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-5_8\" ><p><img decoding=\"async\" class=\"alignnone size-full wp-image-4783\" src=\"https:\/\/043arts.nl\/wp-content\/uploads\/2026\/08\/Apotheek.webp\" alt=\"\" width=\"150\" height=\"150\" \/><br \/>Klik op <strong>verzenden<\/strong> om de apotheekwijziging door te geven.<\/p><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-5_9\" ><h2>Gegevens van de pasgeborene<\/h2>\n<p>Vul de gegevens van uw kind in en klik op \"verzenden\". Meerdere kinderen aanmelden? Vul dit formulier dan meerdere keren in.<\/p><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_23' id='label_ff_5_input_text_23' aria-label=\"Voornaam pasgeborene\">Voornaam pasgeborene<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_23\" class=\"ff-el-form-control\" data-name=\"input_text_23\" id=\"ff_5_input_text_23\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_24' id='label_ff_5_input_text_24' aria-label=\"Voorletter(s) pasgeborene\">Voorletter(s) pasgeborene<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_24\" class=\"ff-el-form-control\" data-name=\"input_text_24\" id=\"ff_5_input_text_24\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_25' id='label_ff_5_input_text_25' aria-label=\"Achternaam pasgeborene\">Achternaam pasgeborene<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_25\" class=\"ff-el-form-control\" data-name=\"input_text_25\" id=\"ff_5_input_text_25\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_16' id='label_ff_5_input_text_16' aria-label=\"Geboortedatum pasgeborene\">Geboortedatum pasgeborene<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_16\" class=\"ff-el-form-control\" data-name=\"input_text_16\" id=\"ff_5_input_text_16\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text_17' id='label_ff_5_input_text_17' aria-label=\"Geboorteplaats pasgeborene\">Geboorteplaats pasgeborene<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_17\" class=\"ff-el-form-control\" data-name=\"input_text_17\" id=\"ff_5_input_text_17\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_dropdown_1' id='label_ff_5_dropdown_1' aria-label=\"Geslacht pasgeborene\">Geslacht pasgeborene<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_5_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_5_dropdown_1\"><option value=\"\">- Selecteer -<\/option><option value=\"Man\"  >Man<\/option><option value=\"Vrouw\"  >Vrouw<\/option><option value=\"X\"  >X<\/option><\/select><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-top has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_description_1' id='label_ff_5_description_1' aria-label=\"Opmerking(en)\">Opmerking(en)<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_5_description_1\" name=\"description_1\" id=\"ff_5_description_1\" class=\"ff-el-form-control\" rows=\"4\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-5_10\" ><p><img decoding=\"async\" class=\"alignnone size-full wp-image-4781\" src=\"https:\/\/043arts.nl\/wp-content\/uploads\/2026\/08\/Geboorte.webp\" alt=\"\" width=\"150\" height=\"150\" \/><br \/>Klik op <strong>verzenden<\/strong> om de geboorte te melden.<\/p><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-5_11\" ><h2>Gegevens nieuwe huisarts<\/h2>\n<p>Vul onderstaande gegevens in en klik op \"verzenden\".<\/p><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_input_text_12' id='label_ff_5_input_text_12' aria-label=\"Naam nieuwe huisarts\">Naam nieuwe huisarts<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_12\" class=\"ff-el-form-control\" data-name=\"input_text_12\" id=\"ff_5_input_text_12\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_5_input_text_13' id='label_ff_5_input_text_13' aria-label=\"Woonplaats nieuwe huisarts\">Woonplaats nieuwe huisarts<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_13\" class=\"ff-el-form-control\" data-name=\"input_text_13\" id=\"ff_5_input_text_13\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-top has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_datetime_1' id='label_ff_5_datetime_1' aria-label=\"Gewenste uitschrijfdatum\">Gewenste uitschrijfdatum<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Gewenste uitschrijfdatum Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_5_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group ff-el-form-top has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Ik ga akkoord met het versturen van mijn dossier naar mijn nieuwe huisarts\">Ik ga akkoord met het versturen van mijn dossier naar mijn nieuwe huisarts <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_0ef998e708d86b82897a0a82602b07b5'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_0ef998e708d86b82897a0a82602b07b5' aria-label='Ja' aria-invalid='false' aria-required=true> <span>Ja<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_b09a4c3f271ae51855a42232370df209'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nee\"  id='input_radio_b09a4c3f271ae51855a42232370df209' aria-label='Nee' aria-invalid='false' aria-required=true> <span>Nee<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-5_12\" ><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4784\" src=\"https:\/\/043arts.nl\/wp-content\/uploads\/2026\/08\/Uitschrijven.webp\" alt=\"\" width=\"150\" height=\"150\" \/><br \/>Klik op <strong>verzenden<\/strong> om uw uitschrijving door te geven.<\/p><\/div>        <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n       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