{"id":27,"date":"2023-11-13T14:00:53","date_gmt":"2023-11-13T05:00:53","guid":{"rendered":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/?page_id=27"},"modified":"2024-10-07T13:21:30","modified_gmt":"2024-10-07T04:21:30","slug":"reservation-form","status":"publish","type":"page","link":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/reservation-form\/","title":{"rendered":"\u4e88\u7d04\u30e1\u30fc\u30eb\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f73-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"73\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/jyoseikenshin\/wp-json\/wp\/v2\/pages\/27#wpcf7-f73-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"73\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f73-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<section>\n\t<header>\n\t\t<p>\u304a\u540d\u524d<span>\uff0a<\/span>\n\t\t<\/p>\n\t<\/header>\n\t<footer>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u304a\u540d\u524d\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t<\/p>\n\t<\/footer>\n<\/section>\n<section>\n\t<header>\n\t\t<p>\u30d5\u30ea\u30ac\u30ca<span>\uff0a<\/span>\n\t\t<\/p>\n\t<\/header>\n\t<footer>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-kananame\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u30d5\u30ea\u30ac\u30ca\" value=\"\" type=\"text\" name=\"your-kananame\" \/><\/span>\n\t\t<\/p>\n\t<\/footer>\n<\/section>\n<section>\n\t<header>\n\t\t<p>\u751f\u5e74\u6708\u65e5<span>\uff0a<\/span>\n\t\t<\/p>\n\t<\/header>\n\t<footer>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-birthday\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"0000\/00\/00\" value=\"\" type=\"date\" name=\"date-birthday\" \/><\/span>\n\t\t<\/p>\n\t<\/footer>\n<\/section>\n<section>\n\t<header>\n\t\t<p>\u5e74\u9f62<span>\uff0a<\/span>\n\t\t<\/p>\n\t<\/header>\n\t<footer>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-old\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"00\u6b73\" value=\"\" type=\"text\" name=\"your-old\" \/><\/span>\n\t\t<\/p>\n\t<\/footer>\n<\/section>\n<section>\n\t<header>\n\t\t<p>\u53d7\u8a3a\u5e0c\u671b\u65e5<span>\uff0a<\/span>\n\t\t<\/p>\n\t<\/header>\n\t<footer>\n\t\t<dl>\n\t\t\t<dt>\n\t\t\t\t<p>\u7b2c1\u5e0c\u671b\u65e5\n\t\t\t\t<\/p>\n\t\t\t<\/dt>\n\t\t\t<dd>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-day1\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"0000\/00\/00\" value=\"\" type=\"date\" name=\"date-day1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/dd>\n\t\t<\/dl>\n\t\t<dl>\n\t\t\t<dt>\n\t\t\t\t<p>\u7b2c2\u5e0c\u671b\u65e5\n\t\t\t\t<\/p>\n\t\t\t<\/dt>\n\t\t\t<dd>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-day2\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"0000\/00\/00\" value=\"\" type=\"date\" name=\"date-day2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/dd>\n\t\t<\/dl>\n\t\t<dl>\n\t\t\t<dt>\n\t\t\t\t<p>\u7b2c3\u5e0c\u671b\u65e5\n\t\t\t\t<\/p>\n\t\t\t<\/dt>\n\t\t\t<dd>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-day3\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"0000\/00\/00\" value=\"\" type=\"date\" name=\"date-day3\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/dd>\n\t\t<\/dl>\n\t<\/footer>\n<\/section>\n<section>\n\t<header>\n\t\t<p>\u5065\u8a3a\u30b3\u30fc\u30b9<span>\uff0a<\/span>\n\t\t<\/p>\n\t<\/header>\n\t<footer>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-course\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-course\" value=\"\u30ec\u30c7\u30a3\u30fc\u30b9\u30c9\u30c3\u30af\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u30ec\u30c7\u30a3\u30fc\u30b9\u30c9\u30c3\u30af<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-course\" value=\"\u30d7\u30ec\u30df\u30a2\u30e0\u30c9\u30c3\u30af\" \/><span class=\"wpcf7-list-item-label\">\u30d7\u30ec\u30df\u30a2\u30e0\u30c9\u30c3\u30af<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-course\" value=\"\u57fa\u672c\u30c9\u30c3\u30af\" \/><span class=\"wpcf7-list-item-label\">\u57fa\u672c\u30c9\u30c3\u30af<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-course\" value=\"\u30b9\u30de\u30fc\u30c8\u30b3\u30fc\u30b9\" \/><span class=\"wpcf7-list-item-label\">\u30b9\u30de\u30fc\u30c8\u30b3\u30fc\u30b9<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/footer>\n<\/section>\n<section>\n\t<header>\n\t\t<p>\u30aa\u30d7\u30b7\u30e7\u30f3\u691c\u67fb\uff08\u8907\u6570\u9078\u629e\u53ef\uff09\n\t\t<\/p>\n\t<\/header>\n\t<footer>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-option\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\" \/><span class=\"wpcf7-list-item-label\">\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u4e73\u623f\u30a8\u30b3\u30fc\" \/><span class=\"wpcf7-list-item-label\">\u4e73\u623f\u30a8\u30b3\u30fc<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u5b50\u5bae\u9838\u304c\u3093\u691c\u67fb\" \/><span class=\"wpcf7-list-item-label\">\u5b50\u5bae\u9838\u304c\u3093\u691c\u67fb<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u5b50\u5bae\u4f53\u304c\u3093\u691c\u67fb\uff0a\" \/><span class=\"wpcf7-list-item-label\">\u5b50\u5bae\u4f53\u304c\u3093\u691c\u67fb\uff0a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"HPV\uff0a\" \/><span class=\"wpcf7-list-item-label\">HPV\uff0a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u9aa8\u5bc6\u5ea6\u691c\u67fb\" \/><span class=\"wpcf7-list-item-label\">\u9aa8\u5bc6\u5ea6\u691c\u67fb<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u7532\u72b6\u817a\u691c\u67fb\uff08\u30a8\u30b3\u30fc\u30fb\u8840\u6db2\u691c\u67fb\uff09\" \/><span class=\"wpcf7-list-item-label\">\u7532\u72b6\u817a\u691c\u67fb\uff08\u30a8\u30b3\u30fc\u30fb\u8840\u6db2\u691c\u67fb\uff09<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u816b\u760d\u30de\u30fc\u30ab\u30fc\u8840\u6db2\u691c\u67fb\uff085\u7a2e\uff09\" \/><span class=\"wpcf7-list-item-label\">\u816b\u760d\u30de\u30fc\u30ab\u30fc\u8840\u6db2\u691c\u67fb\uff085\u7a2e\uff09<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u30d4\u30ed\u30ea\u83cc\uff08\u63a1\u8840\uff09\" \/><span class=\"wpcf7-list-item-label\">\u30d4\u30ed\u30ea\u83cc\uff08\u63a1\u8840\uff09<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u80ba\u304c\u3093CT\" \/><span class=\"wpcf7-list-item-label\">\u80ba\u304c\u3093CT<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u5185\u81d3\u8102\u80aaCT\" \/><span class=\"wpcf7-list-item-label\">\u5185\u81d3\u8102\u80aaCT<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u66f4\u5e74\u671f\u30db\u30eb\u30e2\u30f3\u691c\u67fb\uff08\u30a8\u30b9\u30c8\u30e9\u30b8\u30aa\u30fc\u30eb\u30fbFSH\uff09\" \/><span class=\"wpcf7-list-item-label\">\u66f4\u5e74\u671f\u30db\u30eb\u30e2\u30f3\u691c\u67fb\uff08\u30a8\u30b9\u30c8\u30e9\u30b8\u30aa\u30fc\u30eb\u30fbFSH\uff09<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"RA\uff08\u30ea\u30a6\u30de\u30c1\u56e0\u5b50\uff09\" \/><span class=\"wpcf7-list-item-label\">RA\uff08\u30ea\u30a6\u30de\u30c1\u56e0\u5b50\uff09<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u30d6\u30e9\u30a4\u30c0\u30eb\u30c1\u30a7\u30c3\u30af\uff08\u6885\u6bd2\u691c\u67fb\u30fbHIV\u30fb\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u30fb\u98a8\u75b9\u30fb\u30c8\u30ad\u30bd\u30d7\u30e9\u30ba\u30de\u30fbHTLV-1\u30fb\u6dcb\u83cc\u30af\u30e9\u30df\u30b8\u30a2\uff09\uff0a\" \/><span class=\"wpcf7-list-item-label\">\u30d6\u30e9\u30a4\u30c0\u30eb\u30c1\u30a7\u30c3\u30af\uff08\u6885\u6bd2\u691c\u67fb\u30fbHIV\u30fb\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u30fb\u98a8\u75b9\u30fb\u30c8\u30ad\u30bd\u30d7\u30e9\u30ba\u30de\u30fbHTLV-1\u30fb\u6dcb\u83cc\u30af\u30e9\u30df\u30b8\u30a2\uff09\uff0a<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-option[]\" value=\"\u8178\u5185\u30d5\u30ed\u30fc\u30e9\" \/><span class=\"wpcf7-list-item-label\">\u8178\u5185\u30d5\u30ed\u30fc\u30e9<\/span><\/label><\/span><\/span><\/span><br \/>\n<small>\uff0a\u306f\u5b50\u5bae\u9838\u304c\u3093\u691c\u67fb\u3092\u53d7\u3051\u3089\u308c\u308b\u65b9\u306b\u9650\u308a\u307e\u3059<\/small>\n\t\t<\/p>\n\t<\/footer>\n<\/section>\n<section>\n\t<header>\n\t\t<p>\u7533\u8fbc\u65b9\u6cd5<span>\uff0a<\/span>\n\t\t<\/p>\n\t<\/header>\n\t<footer>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-group\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-group\" value=\"\u500b\u4eba\u7533\u8fbc\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u500b\u4eba\u7533\u8fbc<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-group\" value=\"\u4f01\u696d\u7533\u8fbc\" \/><span class=\"wpcf7-list-item-label\">\u4f01\u696d\u7533\u8fbc<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-group\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/footer>\n\t<section>\n\t\t<header>\n\t\t\t<p>\u3054\u9023\u7d61\u5148<span>\uff0a<\/span>\n\t\t\t<\/p>\n\t\t<\/header>\n\t\t<footer>\n\t\t\t<dl class=\"h-adr\"><span class=\"p-country-name\" style=\"display:none;\">Japan<\/span>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>\u4f4f\u6240\u2460\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-zip1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required inputs p-postal-code\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u3012 000-0000\" value=\"\" type=\"text\" name=\"text-zip1\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"text-address1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required inputm p-region p-locality p-street-address\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u90fd\u9053\u5e9c\u770c \/ \u756a\u5730\u53f7 \/ \u5efa\u7269\u540d\u3000\u90e8\u5c4b\u756a\u53f7\" value=\"\" type=\"text\" name=\"text-address1\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t\t<dl class=\"m-lines\">\n\t\t\t\t<dt>\n\t\t\t\t\t<p>\u4e8b\u524d\u8cc7\u6599\u30fb<br \/>\n\u7d50\u679c\u306e\u304a\u9001\u308a\u5148\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-send\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-send\" value=\"\u4f4f\u6240\u2460\u3068\u540c\u3058\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u4f4f\u6240\u2460\u3068\u540c\u3058<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-send\" value=\"\u4f4f\u6240\u2460\u3068\u7570\u306a\u308b\uff08\u4f4f\u6240\u2461\u306b\u3054\u5165\u529b\u304f\u3060\u3055\u3044\uff09\" \/><span class=\"wpcf7-list-item-label\">\u4f4f\u6240\u2460\u3068\u7570\u306a\u308b\uff08\u4f4f\u6240\u2461\u306b\u3054\u5165\u529b\u304f\u3060\u3055\u3044\uff09<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t\t<dl class=\"h-adr\"><span class=\"p-country-name\" style=\"display:none;\">Japan<\/span>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>\u4f4f\u6240\u2461\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-zip2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text inputs p-postal-code\" aria-invalid=\"false\" placeholder=\"\u3012 000-0000\" value=\"\" type=\"text\" name=\"text-zip2\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"text-address2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text inputm p-region p-locality p-street-address\" aria-invalid=\"false\" placeholder=\"\u90fd\u9053\u5e9c\u770c \/ \u756a\u5730\u53f7 \/ \u5efa\u7269\u540d\u3000\u90e8\u5c4b\u756a\u53f7\" value=\"\" type=\"text\" name=\"text-address2\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t<\/footer>\n\t<\/section>\n\t<section>\n\t\t<footer>\n\t\t\t<dl>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>\u96fb\u8a71\u756a\u53f7\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"000-0000-0000\" value=\"\" type=\"text\" name=\"text-tel\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t\t<dl>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>\u9023\u7d61\u304c\u53ef\u80fd\u306a\u6642\u9593\u5e2f\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-teltime\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"00:00 - 00:00\" value=\"\" type=\"text\" name=\"text-teltime\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t\t<dl>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"xxxxxxxxxxxxxxxx@xxxxx\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t\t<dl>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\uff08\u518d\u78ba\u8a8d\uff09\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email_confirm\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"xxxxxxxxxxxxxxxx@xxxxx\" value=\"\" type=\"email\" name=\"your-email_confirm\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t\t<dl>\n\t\t\t\t<dt>\n\t\t\t\t\t<p>\u3054\u6765\u9662\u6b74\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dt>\n\t\t\t\t<dd>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-reki\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-reki\" value=\"\u306f\u3058\u3081\u3066\u306e\u3054\u6765\u9662\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3058\u3081\u3066\u306e\u3054\u6765\u9662<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-reki\" value=\"2\u56de\u76ee\u4ee5\u964d\u306e\u3054\u6765\u9662\" \/><span class=\"wpcf7-list-item-label\">2\u56de\u76ee\u4ee5\u964d\u306e\u3054\u6765\u9662<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/dd>\n\t\t\t<\/dl>\n\t\t<\/footer>\n\t<\/section>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n\t<section class=\"send-from\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u5165\u529b\u5185\u5bb9\u306e\u78ba\u8a8d\" \/>\n\t\t<\/p>\n\t<\/section>\n\t\n<!-- CF7MSM -->\n<div style='display:none;'><input type=\"hidden\" name=\"_cf7msm_multistep_tag\" class=\"wpcf7-form-control wpcf7-multistep cf7msm-multistep\" value=\"{&quot;first_step&quot;:1,&quot;next_url&quot;:&quot;\/jyoseikenshin\/reservation-form-confirm&quot;}\" \/><input type=\"hidden\" name=\"cf7msm-no-ss\" value=\"\" \/>\n\t<\/div>\n<!-- End CF7MSM -->\n\n<\/section>\n<\/form>\n<\/div>\n\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":{"footnotes":""},"class_list":["post-27","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/wp-json\/wp\/v2\/pages\/27","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/wp-json\/wp\/v2\/comments?post=27"}],"version-history":[{"count":5,"href":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/wp-json\/wp\/v2\/pages\/27\/revisions"}],"predecessor-version":[{"id":116,"href":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/wp-json\/wp\/v2\/pages\/27\/revisions\/116"}],"wp:attachment":[{"href":"https:\/\/www.kaneko-clinic.or.jp\/jyoseikenshin\/wp-json\/wp\/v2\/media?parent=27"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}