{"id":224896,"date":"2026-06-23T17:09:57","date_gmt":"2026-06-23T15:09:57","guid":{"rendered":"https:\/\/microbiome-center.nl\/bestellformular\/"},"modified":"2026-07-02T14:09:40","modified_gmt":"2026-07-02T12:09:40","slug":"bestellformular","status":"publish","type":"page","link":"https:\/\/microbiome-center.nl\/de\/bestellformular\/","title":{"rendered":"Bestellformular"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_flex_section preset--module--divi-section--default\">\n<div class=\"et_pb_row_0 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_0 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_0_wrapper preset--module--divi-button--default_wrapper\"><a class=\"et_pb_button_0 et_pb_button et_pb_bg_layout_dark et_pb_module et_flex_module button_outline_arrow preset--module--divi-button--default\" href=\"https:\/\/microbiome-center.nl\/de\/product\/mikrobiomanalyse-mit-persoenlichen-behandlungsratschlaegen\/\" id=\"keuze_wijzigen\">Wechselnde Entscheidungen<\/a><\/div>\n\n<div class=\"et_pb_heading_0 et_pb_heading et_pb_module et_flex_module\"><div class=\"et_pb_heading_container\"><h1 class=\"et_pb_module_header\">Best\u00e4tigen Sie Ihre Bestellung<\/h1><\/div><\/div>\n\n<div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p>\u00dcberpr\u00fcfen Sie unten Ihre Daten und schlie\u00dfen Sie die Bestellung aus.<br \/>Wir verwenden Ihre Daten ausschlie\u00dflich f\u00fcr den Versand des Test-Kit und die medizinische Verarbeitung Ihrer Analyse.<\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_1 et_pb_section et_section_regular et_flex_section preset--module--divi-section--default\">\n<div class=\"et_pb_row_1 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_1 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_13_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework bestelformulier_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_19' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_19' class='bestelformulier' action='\/de\/wp-json\/wp\/v2\/pages\/224896' data-formid='19' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_19' class='gform_fields top_label form_sublabel_above description_below validation_below' data-column-layout='fill'><div id=\"field_19_35\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_19_35' class='gfield_label gform-field-label' for='input_19_35'><span class='gform-field-label__text'>X\/Twitter<\/span><\/label><div class='ginput_container'><input name='input_35' id='input_19_35' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_19_35'>Dieses Feld dient zur Validierung und sollte nicht ver\u00e4ndert werden.<\/div><\/div><div id=\"field_19_24\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"691d4ffd\" data-field-span=\"12\"><h3 class=\"gsection_title\">Kontakt<\/h3><\/div><div id=\"field_19_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"696e7e5d\" data-field-span=\"12\"><label id='gfield_label_19_5' class='gfield_label gform-field-label' for='input_19_5'><span class='gform-field-label__text'>E-Mail-Adresse<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_19_5' type='email' value='' class='large'   placeholder='E-Mail-Adresse' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_19_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c282ba60\" data-field-span=\"12\"><h3 class=\"gsection_title\">Pers\u00f6nliche Daten<\/h3><\/div><div id=\"field_19_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"15e162a2\" data-field-span=\"6\"><label id='gfield_label_19_1' class='gfield_label gform-field-label' for='input_19_1'><span class='gform-field-label__text'>Vorname<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_19_1' type='text' value='' class='large'    placeholder='Vorname' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"given-name\" \/><\/div><\/div><div id=\"field_19_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"15e162a2\" data-field-span=\"6\"><label id='gfield_label_19_2' class='gfield_label gform-field-label' for='input_19_2'><span class='gform-field-label__text'>Nachname<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_19_2' type='text' value='' class='large'    placeholder='Nachname' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"family-name\" \/><\/div><\/div><div id=\"field_19_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"958afe4a\" data-field-span=\"6\"><label id='gfield_label_19_3' class='gfield_label gform-field-label' for='input_19_3'><span class='gform-field-label__text'>Geburtsdatum<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_19_3' type='text' value='' class='large'  aria-describedby=\"gfield_description_19_3\"  placeholder='Geburtsdatum' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99\/99\/9999\"\/><\/div><div class='gfield_description' id='gfield_description_19_3'>dd\/mm\/yyyy<\/div><\/div><div id=\"field_19_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"958afe4a\" data-field-span=\"6\"><label id='gfield_label_19_4' class='gfield_label gform-field-label' for='input_19_4'><span class='gform-field-label__text'>Telefonnummer<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_19_4' type='text' value='' class='large'    placeholder='Telefonnummer'  aria-invalid=\"false\"  autocomplete=\"tel\" data-mask=\"+31999999999\"\/><\/div><\/div><fieldset id=\"field_19_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_3col gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-columns\" data-group-id=\"d67d0511\" data-field-span=\"12\"><legend id='gfield_label_19_10' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Geschlecht<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_19_10'>\n\t\t\t<div class='gchoice gchoice_19_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='M'  id='choice_19_10_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_19_10_0 gfield_label_19_10\"   \/>\n\t\t\t\t\t<label for='choice_19_10_0' id='label_19_10_0' class='gform-field-label gform-field-label--type-inline'>M\u00e4nnlich<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='F' checked='checked' id='choice_19_10_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_19_10_1' id='label_19_10_1' class='gform-field-label gform-field-label--type-inline'>Ehefrau<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_19_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='O'  id='choice_19_10_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_19_10_2' id='label_19_10_2' class='gform-field-label gform-field-label--type-inline'>X \/ Nicht-bin\u00e4r<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_19_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"14afa16b\" data-field-span=\"12\"><h3 class=\"gsection_title\">Lieferung<\/h3><\/div><fieldset id=\"field_19_16\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0870c6f7\" data-field-span=\"12\"><legend id='gfield_label_19_16' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Adresse<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip has_country ginput_container_address gform-grid-row' id='input_19_16' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_19_16_1_container' >\n                                        <label for='input_19_16_1' id='input_19_16_1_label' class='gform-field-label gform-field-label--type-sub '>Stra\u00dfe<\/label>\n                                        <input type='text' name='input_16.1' id='input_19_16_1' value=''    aria-required='true'    aria-labelledby=\"input_19_16_1_label gfield_label_19_16\"\/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_19_16_2_container' >\n                                        <label for='input_19_16_2' id='input_19_16_2_label' class='gform-field-label gform-field-label--type-sub '>Hausnummer<\/label>\n                                        <input type='text' name='input_16.2' id='input_19_16_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_19_16_3_container' >\n                                    <label for='input_19_16_3' id='input_19_16_3_label' class='gform-field-label gform-field-label--type-sub '>Stadt<\/label>\n                                    <input type='text' name='input_16.3' id='input_19_16_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_16.4' id='input_19_16_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_19_16_5_container' >\n                                    <label for='input_19_16_5' id='input_19_16_5_label' class='gform-field-label gform-field-label--type-sub '>PLZ<\/label>\n                                    <input type='text' name='input_16.5' id='input_19_16_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_19_16_6_container' >\n                                        <label for='input_19_16_6' id='input_19_16_6_label' class='gform-field-label gform-field-label--type-sub '>Land<\/label>\n                                        <select name='input_16.6' id='input_19_16_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='EG' >\u00c4gypten<\/option><option value='AX' >\u00c5landinseln<\/option><option value='AL' >Albanien<\/option><option value='DZ' >Algerien<\/option><option value='AS' >Amerikanisch-Samoa<\/option><option value='VI' >Amerikanische Jungferninseln<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarktis<\/option><option value='AG' >Antigua und Barbuda<\/option><option value='GQ' >\u00c4quatorial Guinea<\/option><option value='AR' >Argentinien<\/option><option value='AM' >Armenien<\/option><option value='AW' >Aruba<\/option><option value='AZ' >Aserbaidschan<\/option><option value='ET' >\u00c4thopien<\/option><option value='AU' >Australien<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BE' >Belgien<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivien<\/option><option value='BA' >Bosnien und Herzegowina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvetinsel<\/option><option value='BR' >Brasilien<\/option><option value='VG' >Britische Jungferninseln<\/option><option value='IO' >Britisches Territorium im Indischen Ozean<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgarien<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KY' >Caymen Inseln<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CK' >Cookinseln<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='DK' >D\u00e4nemark<\/option><option value='LA' >Demokratische Volksrepublik Laos<\/option><option value='DE' >Deutschland<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominikanische Republik<\/option><option value='EC' >Ecuador<\/option><option value='SV' >El Salvador<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estland<\/option><option value='SZ' >Eswatini<\/option><option value='FK' >Falklandinseln<\/option><option value='FO' >F\u00e4r\u00f6er-Inseln<\/option><option value='FJ' >Fidschi<\/option><option value='FI' >Finnland<\/option><option value='FR' >Frankreich<\/option><option value='GF' >Franz\u00f6sisch-Guayana<\/option><option value='PF' >Franz\u00f6sisch-Polynesien<\/option><option value='TF' >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value='WF' >Futuna (Wallis und Futuna)<\/option><option value='GA' >Gabun<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GD' >Grenada<\/option><option value='GR' >Griechenland<\/option><option value='GL' >Gr\u00f6nland<\/option><option value='GB' >Gro\u00dfbritannien<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard und McDonaldinseln<\/option><option value='VA' >Heiliger Stuhl<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hongkong<\/option><option value='IN' >Indien<\/option><option value='ID' >Indonesien<\/option><option value='IQ' >Irak<\/option><option value='IR' >Iran<\/option><option value='IE' >Irland<\/option><option value='IS' >Island<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italien<\/option><option value='JM' >Jamaika<\/option><option value='JP' >Japan<\/option><option value='YE' >Jemen<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordanien<\/option><option value='KH' >Kambodscha<\/option><option value='CM' >Kamerun<\/option><option value='CA' >Kanada<\/option><option value='CV' >Kap Verde<\/option><option value='BQ' >Karibische Niederlande<\/option><option value='KZ' >Kasachstan<\/option><option value='QA' >Katar<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirgistan<\/option><option value='KI' >Kiribati<\/option><option value='CC' >Kokosinseln<\/option><option value='CO' >Kolumbien<\/option><option value='KM' >Komoren<\/option><option value='CG' >Kongo<\/option><option value='CD' >Kongo, Demokratische Republik des<\/option><option value='KP' >Korea. Demokratische Volksrepublik<\/option><option value='HR' >Kroatien<\/option><option value='CU' >Kuba<\/option><option value='KW' >Kuwait<\/option><option value='LS' >Lesotho<\/option><option value='LV' >Lettland<\/option><option value='LB' >Libanon<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libyen<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Litauen<\/option><option value='LU' >Luxemburg<\/option><option value='MO' >Macau<\/option><option value='MG' >Madagaskar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Malediven<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marokko<\/option><option value='MH' >Marshall-Inseln<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauretanien<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexiko<\/option><option value='FM' >Mikronesien<\/option><option value='MD' >Moldawien<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolei<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mosambik<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NC' >Neukaledonien<\/option><option value='NZ' >Neuseeland<\/option><option value='NI' >Nicaragua<\/option><option value='NL' selected='selected'>Niederlande<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='MP' >N\u00f6rdliche Marianen<\/option><option value='MK' >Nordmazedonien<\/option><option value='NF' >Norfolkinsel<\/option><option value='NO' >Norwegen<\/option><option value='OM' >Oman<\/option><option value='AT' >\u00d6sterreich<\/option><option value='TL' >Osttimor<\/option><option value='PK' >Pakistan<\/option><option value='PS' >Pal\u00e4stina, Bundesstaat<\/option><option value='PW' >Palau<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua Neu Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippinen<\/option><option value='PN' >Pitcairninseln<\/option><option value='PL' >Polen<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='RE' >R\u00e9union<\/option><option value='RW' >Ruanda<\/option><option value='RO' >Rum\u00e4nien<\/option><option value='RU' >Russische F\u00f6deration<\/option><option value='BL' >Saint-Barth\u00e9lemy<\/option><option value='PM' >Saint-Pierre und Miquelon<\/option><option value='SB' >Salomonen<\/option><option value='ZM' >Sambia<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value='SA' >Saudi-Arabien<\/option><option value='SE' >Schweden<\/option><option value='CH' >Schweiz<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbien<\/option><option value='SC' >Seychellen<\/option><option value='SL' >Sierra Leone<\/option><option value='ZW' >Simbabwe<\/option><option value='SG' >Singapur<\/option><option value='SX' >Sint Maarten<\/option><option value='SI' >Slovenien<\/option><option value='SK' >Slowakei<\/option><option value='SO' >Somalia<\/option><option value='ES' >Spanien<\/option><option value='LK' >Sri Lanka<\/option><option value='SH' >St. Helena, Ascension und Tristan da Cunha<\/option><option value='KN' >St. Kitts und Nevis<\/option><option value='LC' >St. Lucia<\/option><option value='MF' >St. Martin<\/option><option value='VC' >St. Vincent und die Grenadinen<\/option><option value='ZA' >S\u00fcdafrika<\/option><option value='SD' >Sudan<\/option><option value='GS' >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value='KR' >S\u00fcdkorea<\/option><option value='SS' >S\u00fcdsudan<\/option><option value='SR' >Surinam<\/option><option value='SJ' >Svalbard und Jan Mayen<\/option><option value='SY' >Syrien, Arabische Republik<\/option><option value='TJ' >Tadschikistan<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tansania, Vereinte Republik<\/option><option value='TH' >Thailand<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad und Tobago<\/option><option value='TD' >Tschad<\/option><option value='CZ' >Tschechien<\/option><option value='TN' >Tunesien<\/option><option value='TR' >T\u00fcrkei<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks- und Caicosinseln<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='HU' >Ungarn<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Usbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='AE' >Vereinigte Arabische Emirate<\/option><option value='US' >Vereinigte Staaten von Amerika<\/option><option value='VN' >Vietnam<\/option><option value='CX' >Weihnachtsinsel<\/option><option value='BY' >Wei\u00dfrussland<\/option><option value='EH' >Westsahara<\/option><option value='CF' >Zentralafrikanische Republik<\/option><option value='CY' >Zypern<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_19_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"889f36e9\" data-field-span=\"12\"><legend id='gfield_label_19_28' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Rechnungsadresse gleich?<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_19_28'><div class='gchoice gchoice_19_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Die Rechnungsadresse ist dieselbe wie die Lieferadresse' checked='checked' id='choice_19_28_1'    aria-labelledby=\"label_19_28_1 gfield_label_19_28\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_19_28_1' id='label_19_28_1' class='gform-field-label gform-field-label--type-inline'>Die Rechnungsadresse ist dieselbe wie die Lieferadresse<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_19_29\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7d39d772\" data-field-span=\"12\"><legend id='gfield_label_19_29' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Lieferadresse<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip has_country ginput_container_address gform-grid-row' id='input_19_29' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_19_29_1_container' >\n                                        <label for='input_19_29_1' id='input_19_29_1_label' class='gform-field-label gform-field-label--type-sub '>Stra\u00dfe<\/label>\n                                        <input type='text' name='input_29.1' id='input_19_29_1' value=''    aria-required='true'    aria-labelledby=\"input_19_29_1_label gfield_label_19_29\"\/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_19_29_2_container' >\n                                        <label for='input_19_29_2' id='input_19_29_2_label' class='gform-field-label gform-field-label--type-sub '>Hausnummer<\/label>\n                                        <input type='text' name='input_29.2' id='input_19_29_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_19_29_3_container' >\n                                    <label for='input_19_29_3' id='input_19_29_3_label' class='gform-field-label gform-field-label--type-sub '>Stadt<\/label>\n                                    <input type='text' name='input_29.3' id='input_19_29_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_29.4' id='input_19_29_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_19_29_5_container' >\n                                    <label for='input_19_29_5' id='input_19_29_5_label' class='gform-field-label gform-field-label--type-sub '>PLZ<\/label>\n                                    <input type='text' name='input_29.5' id='input_19_29_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_19_29_6_container' >\n                                        <label for='input_19_29_6' id='input_19_29_6_label' class='gform-field-label gform-field-label--type-sub '>Land<\/label>\n                                        <select name='input_29.6' id='input_19_29_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='EG' >\u00c4gypten<\/option><option value='AX' >\u00c5landinseln<\/option><option value='AL' >Albanien<\/option><option value='DZ' >Algerien<\/option><option value='AS' >Amerikanisch-Samoa<\/option><option value='VI' >Amerikanische Jungferninseln<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarktis<\/option><option value='AG' >Antigua und Barbuda<\/option><option value='GQ' >\u00c4quatorial Guinea<\/option><option value='AR' >Argentinien<\/option><option value='AM' >Armenien<\/option><option value='AW' >Aruba<\/option><option value='AZ' >Aserbaidschan<\/option><option value='ET' >\u00c4thopien<\/option><option value='AU' >Australien<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BE' >Belgien<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivien<\/option><option value='BA' >Bosnien und Herzegowina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvetinsel<\/option><option value='BR' >Brasilien<\/option><option value='VG' >Britische Jungferninseln<\/option><option value='IO' >Britisches Territorium im Indischen Ozean<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgarien<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KY' >Caymen Inseln<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CK' >Cookinseln<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='DK' >D\u00e4nemark<\/option><option value='LA' >Demokratische Volksrepublik Laos<\/option><option value='DE' >Deutschland<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominikanische Republik<\/option><option value='EC' >Ecuador<\/option><option value='SV' >El Salvador<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estland<\/option><option value='SZ' >Eswatini<\/option><option value='FK' >Falklandinseln<\/option><option value='FO' >F\u00e4r\u00f6er-Inseln<\/option><option value='FJ' >Fidschi<\/option><option value='FI' >Finnland<\/option><option value='FR' >Frankreich<\/option><option value='GF' >Franz\u00f6sisch-Guayana<\/option><option value='PF' >Franz\u00f6sisch-Polynesien<\/option><option value='TF' >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value='WF' >Futuna (Wallis und Futuna)<\/option><option value='GA' >Gabun<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GD' >Grenada<\/option><option value='GR' >Griechenland<\/option><option value='GL' >Gr\u00f6nland<\/option><option value='GB' >Gro\u00dfbritannien<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard und McDonaldinseln<\/option><option value='VA' >Heiliger Stuhl<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hongkong<\/option><option value='IN' >Indien<\/option><option value='ID' >Indonesien<\/option><option value='IQ' >Irak<\/option><option value='IR' >Iran<\/option><option value='IE' >Irland<\/option><option value='IS' >Island<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italien<\/option><option value='JM' >Jamaika<\/option><option value='JP' >Japan<\/option><option value='YE' >Jemen<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordanien<\/option><option value='KH' >Kambodscha<\/option><option value='CM' >Kamerun<\/option><option value='CA' >Kanada<\/option><option value='CV' >Kap Verde<\/option><option value='BQ' >Karibische Niederlande<\/option><option value='KZ' >Kasachstan<\/option><option value='QA' >Katar<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirgistan<\/option><option value='KI' >Kiribati<\/option><option value='CC' >Kokosinseln<\/option><option value='CO' >Kolumbien<\/option><option value='KM' >Komoren<\/option><option value='CG' >Kongo<\/option><option value='CD' >Kongo, Demokratische Republik des<\/option><option value='KP' >Korea. Demokratische Volksrepublik<\/option><option value='HR' >Kroatien<\/option><option value='CU' >Kuba<\/option><option value='KW' >Kuwait<\/option><option value='LS' >Lesotho<\/option><option value='LV' >Lettland<\/option><option value='LB' >Libanon<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libyen<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Litauen<\/option><option value='LU' >Luxemburg<\/option><option value='MO' >Macau<\/option><option value='MG' >Madagaskar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Malediven<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marokko<\/option><option value='MH' >Marshall-Inseln<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauretanien<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexiko<\/option><option value='FM' >Mikronesien<\/option><option value='MD' >Moldawien<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolei<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mosambik<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NC' >Neukaledonien<\/option><option value='NZ' >Neuseeland<\/option><option value='NI' >Nicaragua<\/option><option value='NL' selected='selected'>Niederlande<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='MP' >N\u00f6rdliche Marianen<\/option><option value='MK' >Nordmazedonien<\/option><option value='NF' >Norfolkinsel<\/option><option value='NO' >Norwegen<\/option><option value='OM' >Oman<\/option><option value='AT' >\u00d6sterreich<\/option><option value='TL' >Osttimor<\/option><option value='PK' >Pakistan<\/option><option value='PS' >Pal\u00e4stina, Bundesstaat<\/option><option value='PW' >Palau<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua Neu Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippinen<\/option><option value='PN' >Pitcairninseln<\/option><option value='PL' >Polen<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='RE' >R\u00e9union<\/option><option value='RW' >Ruanda<\/option><option value='RO' >Rum\u00e4nien<\/option><option value='RU' >Russische F\u00f6deration<\/option><option value='BL' >Saint-Barth\u00e9lemy<\/option><option value='PM' >Saint-Pierre und Miquelon<\/option><option value='SB' >Salomonen<\/option><option value='ZM' >Sambia<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value='SA' >Saudi-Arabien<\/option><option value='SE' >Schweden<\/option><option value='CH' >Schweiz<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbien<\/option><option value='SC' >Seychellen<\/option><option value='SL' >Sierra Leone<\/option><option value='ZW' >Simbabwe<\/option><option value='SG' >Singapur<\/option><option value='SX' >Sint Maarten<\/option><option value='SI' >Slovenien<\/option><option value='SK' >Slowakei<\/option><option value='SO' >Somalia<\/option><option value='ES' >Spanien<\/option><option value='LK' >Sri Lanka<\/option><option value='SH' >St. Helena, Ascension und Tristan da Cunha<\/option><option value='KN' >St. Kitts und Nevis<\/option><option value='LC' >St. Lucia<\/option><option value='MF' >St. Martin<\/option><option value='VC' >St. Vincent und die Grenadinen<\/option><option value='ZA' >S\u00fcdafrika<\/option><option value='SD' >Sudan<\/option><option value='GS' >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value='KR' >S\u00fcdkorea<\/option><option value='SS' >S\u00fcdsudan<\/option><option value='SR' >Surinam<\/option><option value='SJ' >Svalbard und Jan Mayen<\/option><option value='SY' >Syrien, Arabische Republik<\/option><option value='TJ' >Tadschikistan<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tansania, Vereinte Republik<\/option><option value='TH' >Thailand<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad und Tobago<\/option><option value='TD' >Tschad<\/option><option value='CZ' >Tschechien<\/option><option value='TN' >Tunesien<\/option><option value='TR' >T\u00fcrkei<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks- und Caicosinseln<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='HU' >Ungarn<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Usbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='AE' >Vereinigte Arabische Emirate<\/option><option value='US' >Vereinigte Staaten von Amerika<\/option><option value='VN' >Vietnam<\/option><option value='CX' >Weihnachtsinsel<\/option><option value='BY' >Wei\u00dfrussland<\/option><option value='EH' >Westsahara<\/option><option value='CF' >Zentralafrikanische Republik<\/option><option value='CY' >Zypern<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_19_25\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"95555709\" data-field-span=\"12\"><h3 class=\"gsection_title\">Versandart<\/h3><\/div><div id=\"field_19_33\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"07f9c54b\" data-field-span=\"12\"><div id=\"shipping\">\n<div id=\"shipping_left\">\n<p><strong>Standardversand<\/strong><br\/>Ihr Testkit wird in der Regel innerhalb von 2 bis 5 Werktagen zu Ihnen nach Hause geliefert.<\/p>\n<\/div>\n<div id=\"shipping_right\">\n7,00 \u20ac\n<\/div>\n<\/div><\/div><div id=\"field_19_18\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_19_18 gfield_product_19_18 field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"4a2ab161\" data-field-span=\"12\"><label id='gfield_label_19_18' class='gfield_label gform-field-label' for='input_19_18'><span class='gform-field-label__text'>Produkt<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_19_18' class='large gfield_select'     aria-invalid=\"false\" ><option value='analyse;B-01|236' >Regul\u00e4re Mikrobiomanalyse<\/option><option value='analyse-consult;B-02|313' >Konsultation mit einem angeschlossenen Therapeuten<\/option><\/select><\/div><\/div><fieldset id=\"field_19_30\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_price gfield_price_19_18 gfield_option_19_18 field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"36b81921\" data-field-span=\"12\"><legend id='gfield_label_19_30' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Optionen<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_19_30'><div class='gchoice gchoice_19_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Glutenunvertr\u00e4glichkeitsanalyse; A-A480|34'  id='choice_19_30_1'    aria-labelledby=\"label_19_30_1 gfield_label_19_30\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_19_30_1' id='label_19_30_1' class='gform-field-label gform-field-label--type-inline'>Glutenintoleranzanalyse (optional)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_19_32\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_price gfield_price_19_18 gfield_option_19_18 field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"4879384d\" data-field-span=\"12\"><legend id='gfield_label_19_32' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Versandkosten<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_19_32'><div class='gchoice gchoice_19_32_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.1' type='checkbox'  value='Versandkosten;S-NL|7' checked='checked' id='choice_19_32_1'    aria-labelledby=\"label_19_32_1 gfield_label_19_32\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_19_32_1' id='label_19_32_1' class='gform-field-label gform-field-label--type-inline'>Standardversand<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_19_32_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.2' type='checkbox'  value='Versandkosten; S-DE|11.76'  id='choice_19_32_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_32_2' id='label_19_32_2' class='gform-field-label gform-field-label--type-inline'>Versand innerhalb von DE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_19_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"cd1a8644\" data-field-span=\"12\"><h3 class=\"gsection_title\">Zahlung<\/h3><div class='gsection_description' id='gfield_description_19_26'>Zahlungsmethoden werden sicher gem\u00e4\u00df europ\u00e4ischen Sicherheitsstandards abgewickelt.<\/div><\/div><div id=\"field_19_20\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_19_ gfield_total gfield_total_19_ field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" aria-atomic=\"true\" aria-live=\"polite\" data-group-id=\"23f818b4\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_19_20' class='gfield_label gform-field-label' for='input_19_20'><span class='gform-field-label__text'>Gesamt<\/span><\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_20' id='input_19_20' value='\u20ac 0,00' class='gform-text-input-reset ginput_total ginput_total_19'  \/>\n\t\t\t\t\t\t<\/div><\/div><fieldset id=\"field_19_17\" class=\"gfield gfield--type-mollie gfield--input-type-mollie field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield_mollie\" data-field-class=\"gfield_mollie\" data-group-id=\"ab73022b\" data-field-span=\"12\"><legend class='gfield_label gfield_label_before_complex gfield_label_mollie gform-field-label'  >Zahlungsmethode<\/legend><div class='ginput_container ginput_container_select ginput_mollie_payment_method' ><select name='input_17.6' id='input_19_17' class='medium gfield_select' aria-label='Zahlungsmethode' ><option value='creditcard' >Card<\/option><option value='ideal' >iDEAL | Wero<\/option><option value='klarna' >Pay with Klarna<\/option><\/select><\/div><div class='ginput_complex ginput_container ginput_container_mollie_components gform-grid-row' id='input_19_17' ><span class='ginput_full gform-grid-col' id='input_19_17_1_container'>\n                                    <div class='gform_card_icon_container gform_card_icon_style1'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><div class='gform_card_icon gform_card_icon_maestro' >Maestro<\/div><span class='screen-reader-text' id='field_19_17_supported_creditcards'>Unterst\u00fctzte Kreditkarten: American Express, Discover, MasterCard, Visa, Maestro<\/span><\/div>\n                                    <label for='input_19_17_1' id='input_19_17_1_label'  class='gform-field-label gform-field-label--type-sub'>Kartennummer<\/label>\n                                    <span id='input_19_17_1' class='ginput_card_field ginput_card_number gform-theme-field-control'><\/span>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_19_17_2_container'>\n                                            <span class='ginput_cardinfo_left gform-grid-col' id='input_19_17_2_cardinfo_left'>\n                                                <label for='input_19_17_2'  class='gform-field-label gform-field-label--type-sub'>Ablaufdatum<\/label>\n                                                <span id='input_19_17_2' class='ginput_card_field ginput_card_expiration gform-theme-field-control'><\/span>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_19_17_2_cardinfo_right gform-theme-field-control'>\n                                                <label for='input_19_17_3'  class='gform-field-label gform-field-label--type-sub'>Pr\u00fcfziffer (Sicherheitscode)<\/label>\n                                                <span id='input_19_17_3' class='ginput_card_field ginput_card_security_code gform-theme-field-control'><\/span>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_19_17_5_container'>\n                                            <label for='input_19_17_5' id='input_19_17_5_label'  class='gform-field-label gform-field-label--type-sub'>Name des Karteninhabers<\/label>\n                                            <span id='input_19_17_5' class='ginput_card_field ginput_card_name gform-theme-field-control'><\/span>\n                                        <\/span> <\/div><\/fieldset><fieldset id=\"field_19_21\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"1e252b86\" data-field-span=\"12\"><legend id='gfield_label_19_21' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Zustimmung<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_21.1' id='input_19_21_1' type='checkbox' value='1'   aria-labelledby=\"input_19_21_1_label gfield_label_19_21\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_19_21_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_19_21_1' ><span class='gform-field-label__text'>Ich stimme den <a href=\"https:\/\/microbiome-center.nl\/de\/geschaeftsbedingungen\/\" target=\"_blank\">Nutzungsbedingungen<\/a> zu und stimme der Verarbeitung meiner (medizinischen) Daten gem\u00e4\u00df der <a href=\"https:\/\/microbiome-center.nl\/de\/privacy-statement\/\" target=\"_blank\">Datenschutzerkl\u00e4rung<\/a> zu.<\/span><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/label><input type='hidden' name='input_21.2' value='Ich stimme den &lt;a href=&quot;https:\/\/microbiome-center.nl\/de\/geschaeftsbedingungen\/&quot; target=&quot;_blank&quot;&gt;Nutzungsbedingungen&lt;\/a&gt; zu und stimme der Verarbeitung meiner (medizinischen) Daten gem\u00e4\u00df der &lt;a href=&quot;https:\/\/microbiome-center.nl\/de\/privacy-statement\/&quot; target=&quot;_blank&quot;&gt;Datenschutzerkl\u00e4rung&lt;\/a&gt; zu.' class='gform_hidden' \/><input type='hidden' name='input_21.3' value='7' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_19_34\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9bc3899c\" data-field-span=\"12\"><div class='ginput_container ginput_container_text'><input name='input_34' id='input_19_34' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_19' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Jetzt bezahlen<\/button> <input type='hidden' class='gform_hidden' name='gform_submission_speeds' value='{&quot;pages&quot;:[]}' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_19' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_19' id='gform_theme_19' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_19' id='gform_style_settings_19' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_19' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='19' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='lYXWDGoqu8NlQ4moPE0\/DlcYPwGQEcTP\/PhFVCAr4+BByG7HHjwxzVwt5WVJLQA4Xg9X7kjEATf+wvXcNPSI67DVTHE45Wzw3TUXWmcFYw0hbMc=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_19' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_19' id='gform_target_page_number_19' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_19' id='gform_source_page_number_19' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_column_2 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_11_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_heading_1 et_pb_heading et_pb_module et_flex_module\"><div class=\"et_pb_heading_container\"><h3 class=\"et_pb_module_header\">Bestellzusammenfassung<\/h3><\/div><\/div>\n\n<div class=\"et_pb_group_0 et_pb_group et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough overzicht_product_microbioomanalyse\">\n<div class=\"et_pb_group_1 et_pb_group et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_2 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p><strong>Regelm\u00e4\u00dfige Mikrobiomanalyse<\/strong><\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_3 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p>\u20ac236,00<\/p>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_text_4 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><ul>\n<li>Heimsammlungstestkit<\/li>\n<li>Analyse durch ein europ\u00e4isches Labor<\/li>\n<li>Ergebnisdiskussion mit dem Praktiker<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_group_2 et_pb_group et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough overzicht_product_consult\">\n<div class=\"et_pb_group_3 et_pb_group et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_5 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p><strong>Beratung mit einem angeschlossenen Praktiker<\/strong><\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_6 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p>77,00 \u20ac<\/p>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_text_7 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p>Nach Ihrer Bestellung vermitteln wir Ihnen eine Behandlerin oder einen Behandler aus dem Microbiome-Center-Netzwerk. Sie m\u00fcssen sich um nichts k\u00fcmmern. Innerhalb weniger Tage wird sich Ihre Behandlerin bzw. Ihr Behandler mit Ihnen in Verbindung setzen, um einen Online-Termin zu vereinbaren.  <\/p>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_group_4 et_pb_group et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough overzicht_product_gluten\">\n<div class=\"et_pb_group_5 et_pb_group et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_8 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p><strong>Analyse der Glutenintoleranz<\/strong><\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_9 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p>\u20ac34,00<\/p>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_divider_0 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_group_6 et_pb_group et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_10 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p><strong>Standardversand<\/strong><\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_11 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p>7,00 \u20ac<\/p>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_divider_1 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div>\n\n<div class=\"et_pb_group_7 et_pb_group et_pb_module et_flex_group et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_12 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\"><div class=\"et_pb_text_inner\"><p><strong>Gesamt<\/strong><\/p>\n<\/div><\/div>\n\n<div class=\"et_pb_text_13 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module\" id=\"order_total\"><div class=\"et_pb_text_inner\"><p>\u20ac0,00<\/p>\n<\/div><\/div>\n<\/div>\n\n<div class=\"et_pb_divider_2 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div>\n\n<ul class=\"et_pb_icon_list_0 et_pb_icon_list et_pb_module et_flex_module\">\n<li class=\"et_pb_icon_list_item_0 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">~<\/span><div class=\"et_pb_icon_list_text\">Sichere Verarbeitung medizinischer Daten (DSGVO)<\/div><\/li>\n\n<li class=\"et_pb_icon_list_item_1 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">\ue010<\/span><div class=\"et_pb_icon_list_text\">Sie erhalten eine sofortige Best\u00e4tigung per E-Mail<\/div><\/li>\n\n<li class=\"et_pb_icon_list_item_2 et_pb_icon_list_item et_pb_module et_flex_module\"><span class=\"et-pb-icon\">\uf0d1<\/span><div class=\"et_pb_icon_list_text\"> Versand innerhalb weniger Werktage<\/div><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":305,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"doelgroep":[89],"class_list":["post-224896","page","type-page","status-publish","hentry","doelgroep-privatperson"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - 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