{"id":1277,"date":"2026-02-23T09:51:08","date_gmt":"2026-02-23T09:51:08","guid":{"rendered":"https:\/\/dev-portal-registre.insp.gov.ro\/?page_id=1277"},"modified":"2026-02-24T08:22:21","modified_gmt":"2026-02-24T08:22:21","slug":"suport-pacienti","status":"publish","type":"page","link":"https:\/\/portal-registre.insp.gov.ro\/en\/suport-pacienti\/","title":{"rendered":"Patient Support"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1277\" class=\"elementor elementor-1277\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c01188f e-con-full e-flex e-con e-parent\" data-id=\"c01188f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-cee5136 e-con-full e-flex e-con e-child\" data-id=\"cee5136\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-65e25ba e-con-full e-flex e-con e-child\" data-id=\"65e25ba\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bce68aa elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"bce68aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formulare de suport<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4167f6e elementor-hidden-mobile e-n-tabs-mobile elementor-widget elementor-widget-n-tabs\" data-id=\"4167f6e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;tabs_justify_horizontal&quot;:&quot;start&quot;,&quot;horizontal_scroll&quot;:&quot;disable&quot;}\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"68583278\" aria-label=\"File. Deschizi elementele cu tasta Enter sau Spa\u021biu, le \u00eenchizi cu Esc \u0219i navighezi folosind tastele s\u0103ge\u021bi.\">\n\t\t\t<div class=\"e-n-tabs-heading\" role=\"tablist\">\n\t\t\t\t\t<button id=\"form-1\" data-tab-title-id=\"e-n-tab-title-685832781\" class=\"e-n-tab-title\" aria-selected=\"true\" data-tab-index=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"e-n-tab-content-685832781\" style=\"--n-tabs-title-order: 1;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-question-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm0 448c-110.532 0-200-89.431-200-200 0-110.495 89.472-200 200-200 110.491 0 200 89.471 200 200 0 110.53-89.431 200-200 200zm107.244-255.2c0 67.052-72.421 68.084-72.421 92.863V300c0 6.627-5.373 12-12 12h-45.647c-6.627 0-12-5.373-12-12v-8.659c0-35.745 27.1-50.034 47.579-61.516 17.561-9.845 28.324-16.541 28.324-29.579 0-17.246-21.999-28.693-39.784-28.693-23.189 0-33.894 10.977-48.942 29.969-4.057 5.12-11.46 6.071-16.666 2.124l-27.824-21.098c-5.107-3.872-6.251-11.066-2.644-16.363C184.846 131.491 214.94 112 261.794 112c49.071 0 101.45 38.304 101.45 88.8zM298 368c0 23.159-18.841 42-42 42s-42-18.841-42-42 18.841-42 42-42 42 18.841 42 42z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-question-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm0 448c-110.532 0-200-89.431-200-200 0-110.495 89.472-200 200-200 110.491 0 200 89.471 200 200 0 110.53-89.431 200-200 200zm107.244-255.2c0 67.052-72.421 68.084-72.421 92.863V300c0 6.627-5.373 12-12 12h-45.647c-6.627 0-12-5.373-12-12v-8.659c0-35.745 27.1-50.034 47.579-61.516 17.561-9.845 28.324-16.541 28.324-29.579 0-17.246-21.999-28.693-39.784-28.693-23.189 0-33.894 10.977-48.942 29.969-4.057 5.12-11.46 6.071-16.666 2.124l-27.824-21.098c-5.107-3.872-6.251-11.066-2.644-16.363C184.846 131.491 214.94 112 261.794 112c49.071 0 101.45 38.304 101.45 88.8zM298 368c0 23.159-18.841 42-42 42s-42-18.841-42-42 18.841-42 42-42 42 18.841 42 42z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tSuport general\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"form-3\" data-tab-title-id=\"e-n-tab-title-685832782\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-685832782\" style=\"--n-tabs-title-order: 2;\">\n\t\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-download\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M216 0h80c13.3 0 24 10.7 24 24v168h87.7c17.8 0 26.7 21.5 14.1 34.1L269.7 378.3c-7.5 7.5-19.8 7.5-27.3 0L90.1 226.1c-12.6-12.6-3.7-34.1 14.1-34.1H192V24c0-13.3 10.7-24 24-24zm296 376v112c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V376c0-13.3 10.7-24 24-24h146.7l49 49c20.1 20.1 52.5 20.1 72.6 0l49-49H488c13.3 0 24 10.7 24 24zm-124 88c0-11-9-20-20-20s-20 9-20 20 9 20 20 20 20-9 20-20zm64 0c0-11-9-20-20-20s-20 9-20 20 9 20 20 20 20-9 20-20z\"><\/path><\/svg>\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-download\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M216 0h80c13.3 0 24 10.7 24 24v168h87.7c17.8 0 26.7 21.5 14.1 34.1L269.7 378.3c-7.5 7.5-19.8 7.5-27.3 0L90.1 226.1c-12.6-12.6-3.7-34.1 14.1-34.1H192V24c0-13.3 10.7-24 24-24zm296 376v112c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V376c0-13.3 10.7-24 24-24h146.7l49 49c20.1 20.1 52.5 20.1 72.6 0l49-49H488c13.3 0 24 10.7 24 24zm-124 88c0-11-9-20-20-20s-20 9-20 20 9 20 20 20 20-9 20-20zm64 0c0-11-9-20-20-20s-20 9-20 20 9 20 20 20 20-9 20-20z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tDesc\u0103rcarea datelor\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div id=\"e-n-tab-content-685832781\" role=\"tabpanel\" aria-labelledby=\"form-1\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-df26095 e-con-full e-flex e-con e-child\" data-id=\"df26095\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-74cc23e e-con-full e-flex e-con e-child\" data-id=\"74cc23e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ddcb465 elementor-widget elementor-widget-text-editor\" data-id=\"ddcb465\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1>Formular de <strong>Suport General<\/strong><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-80fe3a4 elementor-widget elementor-widget-text-editor\" data-id=\"80fe3a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Completa\u021bi acest formular pentru probleme de ordin general. C\u00e2mpurile marcate cu\u00a0*\u00a0sunt obligatorii<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a672d75 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=\"a672d75\" 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-default fluentform_wrapper_9 ffs_default_wrap'><form data-form_id=\"9\" id=\"fluentform_9\" class=\"frm-fluent-form fluent_form_9 ff-el-form-top ff_form_instance_9_1 ff-form-loading ff_has_v3_recptcha ffs_default\" data-form_instance=\"ff_form_instance_9_1\" method=\"POST\" data-recptcha_key=\"6LdVoOQsAAAAAGVRaPpsMsETfrDZPpIvDy9_jj9g\" ><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;\">Suport General - Pacienti<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1277' \/><input type=\"hidden\" id=\"_fluentform_9_fluentformnonce\" name=\"_fluentform_9_fluentformnonce\" value=\"cad77d859a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1277\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_names_first_name_' id='label_ff_9_names_first_name_' >Nume<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_9_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi numele\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_names_last_name_' id='label_ff_9_names_last_name_' >Prenume<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_9_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi prenumele\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_email' id='label_ff_9_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_9_email\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi adresa de email\" data-name=\"email\"  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'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_phone' id='label_ff_9_phone' aria-label=\"Num\u0103r de telefon\">Num\u0103r de telefon<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Introduce\u021bi num\u0103rul de telefon\" data-name=\"phone\" id=\"ff_9_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_input_text' id='label_ff_9_input_text' aria-label=\"Subiect\">Subiect<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi subiectul mesajului\" data-name=\"input_text\" id=\"ff_9_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_dropdown' id='label_ff_9_dropdown' aria-label=\"Despre ce este \u00eentrebarea\">Despre ce este \u00eentrebarea<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_9_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_9_dropdown\"><option value=\"\">- Selecta\u021bi o op\u021biune -<\/option><option value=\"Nu m\u0103 pot autentifica cu ROeID\"  >Nu m\u0103 pot autentifica cu ROeID<\/option><option value=\"Date incorecte \u00een registru\"  >Date incorecte \u00een registru<\/option><option value=\"Eroare la afi\u0219area datelor\"  >Eroare la afi\u0219area datelor<\/option><option value=\"Alte solicit\u0103ri\"  >Alte solicit\u0103ri<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_description' id='label_ff_9_description' aria-label=\"Descriere problem\u0103\">Descriere problem\u0103<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"true\" aria-labelledby=\"label_ff_9_description\" name=\"description\" id=\"ff_9_description\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi descrierea problemei\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-dropzone'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_9_file-upload_1' id='label_ff_9_file-upload_1' aria-label=\"\u00cencarc\u0103 ata\u0219amente (max. 4MB)\">\u00cencarc\u0103 ata\u0219amente (max. 4MB)<\/label><\/div><div class='ff-el-input--content'><label for='ff_9_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Alege fi\u0219ierele<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_9_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: Declar pe propria r\u0103spundere c\u0103 informa\u021biile furnizate sunt complete \u0219i corecte, cunosc\u00e2nd prevederile art. 326 din Codul Penal privind falsul \u00een declara\u021bii. Confirm c\u0103 am fost informat(\u0103) cu privire la Politica de Confiden\u021bialitate a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 \u0219i c\u0103 \u00een\u021beleg c\u0103 INSP poate solicita, \u00een scopul verific\u0103rii \u0219i confirm\u0103rii declara\u021biei, documente justificative relevante. Contains 1 link. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_037479c509d35217a8f4ebdc276b2a3e><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition\" id=\"terms-n-condition_037479c509d35217a8f4ebdc276b2a3e\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Declar pe propria r\u0103spundere c\u0103 informa\u021biile furnizate sunt complete \u0219i corecte, cunosc\u00e2nd prevederile art. 326 din Codul Penal privind falsul \u00een declara\u021bii. Confirm c\u0103 am fost informat(\u0103) cu privire la <a href=\"https:\/\/portal-registre.insp.gov.ro\/politica-de-confidentialitate\/\">Politica de Confiden\u021bialitate<\/a> a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 \u0219i c\u0103 \u00een\u021beleg c\u0103 INSP poate solicita, \u00een scopul verific\u0103rii \u0219i confirm\u0103rii declara\u021biei, documente justificative relevante.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: GDPR: Confirm c\u0103 am luat la cuno\u0219tin\u021b\u0103 informa\u021biile privind prelucrarea datelor cu caracter personal, conform Regulamentului (UE) 2016\/679 \u0219i Politicii de Confiden\u021bialitate a INSP. Contains 2 links. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_1_35eb7709e1cbd304e876404c1601efb0><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_1\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_1\" id=\"terms-n-condition_1_35eb7709e1cbd304e876404c1601efb0\"  value='on' aria-invalid='false' aria-required=false><\/span> <div class='ff_t_c'><p><a href=\"https:\/\/portal-registre.insp.gov.ro\/gdpr\">GDPR<\/a>: Confirm c\u0103 am luat la cuno\u0219tin\u021b\u0103 informa\u021biile privind prelucrarea datelor cu caracter personal, conform Regulamentului (UE) 2016\/679 \u0219i <a href=\"https:\/\/portal-registre.insp.gov.ro\/politica-de-confidentialitate\/\">Politicii de Confiden\u021bialitate<\/a> a INSP.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Trimite formularul\">Trimite formularul<\/button><\/div><\/fieldset><\/form><div id='fluentform_9_errors' class='ff-errors-in-stack ff_form_instance_9_1 ff-form-loading_errors ff_form_instance_9_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_9_1 = {\"id\":\"9\",\"ajaxUrl\":\"https:\\\/\\\/portal-registre.insp.gov.ro\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_9_1\",\"form_id_selector\":\"fluentform_9\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"email\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true},\"email\":{\"value\":true,\"message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 un format de email valid.\",\"global_message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 un format de email valid.\",\"global\":true}},\"phone\":{\"required\":{\"value\":true,\"global\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\"},\"valid_phone_number\":{\"value\":true,\"global\":true,\"message\":\"Num\\u0103rul de telefon nu este valid.\",\"global_message\":\"Num\\u0103rul de telefon nu este valid.\"}},\"input_text\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"dropdown\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"description\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"file-upload\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true},\"max_file_size\":{\"value\":4194304,\"message\":\"M\\u0103rimea fi\\u0219ierului dep\\u0103\\u0219e\\u0219te limita permis\\u0103.\",\"global_message\":\"M\\u0103rimea fi\\u0219ierului dep\\u0103\\u0219e\\u0219te limita permis\\u0103.\",\"global\":true},\"max_file_count\":{\"value\":\"5\",\"message\":\"Num\\u0103rul de fi\\u0219iere dep\\u0103\\u0219e\\u0219te limita permis\\u0103.\",\"global_message\":\"Num\\u0103rul de fi\\u0219iere dep\\u0103\\u0219e\\u0219te limita permis\\u0103.\",\"global\":true},\"allowed_file_types\":{\"value\":[\"jpg|jpeg|gif|png|bmp\",\"pdf\",\"doc|ppt|pps|xls|mdb|docx|xlsx|pptx|odt|odp|ods|odg|odc|odb|odf|rtf|txt\"],\"message\":\"Tip de fi\\u0219ier invalid.\",\"global_message\":\"Tip de fi\\u0219ier invalid.\",\"global\":true}},\"terms-n-condition\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"terms-n-condition_1\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"g-recaptcha-response\":[]},\"debounce_time\":300,\"file_upload_settings\":[]};\n                            <\/script>\n                        <\/div>\n\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-685832782\" role=\"tabpanel\" aria-labelledby=\"form-3\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-b391e0b e-con-full e-flex e-con e-child\" data-id=\"b391e0b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-108e80e e-con-full e-flex e-con e-child\" data-id=\"108e80e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a267c16 elementor-widget elementor-widget-text-editor\" data-id=\"a267c16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1>Cerere de <strong>Access<\/strong> \u0219i <strong>Desc\u0103rcare<\/strong> a <strong>Datelor<\/strong> cu <strong>Caracter Personal<\/strong><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7711f1c elementor-widget elementor-widget-text-editor\" data-id=\"7711f1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Completa\u021bi acest formular pentru a cere access-ul \u0219i desc\u0103rcarea datelor cu caracter personal. C\u00e2mpurile marcate cu * sunt obligatorii<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10a8677 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=\"10a8677\" 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-default fluentform_wrapper_12 ffs_default_wrap'><form data-form_id=\"12\" id=\"fluentform_12\" class=\"frm-fluent-form fluent_form_12 ff-el-form-top ff_form_instance_12_2 ff-form-loading ff_has_v3_recptcha ff_has_v3_recptcha ffs_default\" data-form_instance=\"ff_form_instance_12_2\" method=\"POST\" data-recptcha_key=\"6LdVoOQsAAAAAGVRaPpsMsETfrDZPpIvDy9_jj9g\" ><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;\">Formular cerere de descarcare date - Pacienti<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1277' \/><input type=\"hidden\" id=\"_fluentform_12_fluentformnonce\" name=\"_fluentform_12_fluentformnonce\" value=\"cad77d859a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1277\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_2_names_first_name_' id='label_ff_12_2_names_first_name_' >Nume<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_12_2_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi numele\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_2_names_last_name_' id='label_ff_12_2_names_last_name_' >Prenume<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_12_2_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi prenumele\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_2_email' id='label_ff_12_2_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_12_2_email\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi adresa de email\" data-name=\"email\"  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'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_2_phone' id='label_ff_12_2_phone' aria-label=\"Num\u0103r de telefon\">Num\u0103r de telefon<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Introduce\u021bi num\u0103rul de telefon\" data-name=\"phone\" id=\"ff_12_2_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_2_numeric_field' id='label_ff_12_2_numeric_field' aria-label=\"CNP\">CNP<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_12_2_numeric_field\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi CNP-ul\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-12_1\" ><h3 class='ff-el-section-title'><\/h3><div class='ff-section_break_desk'><p>V\u0103 solicit, \u00een temeiul art. 15 \u0219i art. 20 din Regulamentul UE 2016\/679 privind protec\u021bia datelor cu caracter personal, accesul la datele mele personale \u0219i furnizarea unei copii a acestora \u00eentr-un format electronic accesibil.<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_2_multi_select' id='label_ff_12_2_multi_select' aria-label=\"Solicit furnizarea datelor prelucrate \u00een cadrul:\">Solicit furnizarea datelor prelucrate \u00een cadrul:<\/label><\/div><div class='ff-el-input--content'><select name=\"multi_select[]\" id=\"ff_12_2_multi_select\" class=\"ff-el-form-control  ff_has_multi_select\" placeholder=\"- Selecta\u021bi o op\u021biune sau mai multe -\" multiple=\"1\" data-name=\"multi_select\" data-max_selected_options=\"3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_12_2_multi_select\"><option value=\"\">- Selecta\u021bi o op\u021biune sau mai multe -<\/option><option value=\"Registrele in care ma regasesc\"  >Registrele in care ma regasesc<\/option><option value=\"Istoric acces \u0219i activitate \u00een portal\"  >Istoric acces \u0219i activitate \u00een portal<\/option><option value=\"Toate datele disponibile\"  >Toate datele disponibile<\/option><\/select><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-12_2\" ><h3 class='ff-el-section-title'><\/h3><div class='ff-section_break_desk'><p>V\u0103 rog s\u0103 \u00eemi transmite\u021bi datele la adresa de email men\u021bionat\u0103 mai sus sau printr-un mijloc securizat pus la dispozi\u021bie de institu\u021bie.<\/p>\n<p>V\u0103 solicit confirmarea primirii cererii \u0219i transmiterea r\u0103spunsului \u00een termenul prev\u0103zut de lege.<\/p><\/div><hr \/><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: Declar pe propria r\u0103spundere c\u0103 informa\u021biile furnizate sunt complete \u0219i corecte, cunosc\u00e2nd prevederile art. 326 din Codul Penal privind falsul \u00een declara\u021bii. Confirm c\u0103 am fost informat(\u0103) cu privire la Politica de Confiden\u021bialitate a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 \u0219i c\u0103 \u00een\u021beleg c\u0103 INSP poate solicita, \u00een scopul verific\u0103rii \u0219i confirm\u0103rii declara\u021biei, documente justificative relevante. Contains 1 link. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_562b8ecbe18902fe8b34e55553b498e1><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition\" id=\"terms-n-condition_562b8ecbe18902fe8b34e55553b498e1\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Declar pe propria r\u0103spundere c\u0103 informa\u021biile furnizate sunt complete \u0219i corecte, cunosc\u00e2nd prevederile art. 326 din Codul Penal privind falsul \u00een declara\u021bii. Confirm c\u0103 am fost informat(\u0103) cu privire la <a href=\"https:\/\/portal-registre.insp.gov.ro\/politica-de-confidentialitate\/\">Politica de Confiden\u021bialitate<\/a> a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 \u0219i c\u0103 \u00een\u021beleg c\u0103 INSP poate solicita, \u00een scopul verific\u0103rii \u0219i confirm\u0103rii declara\u021biei, documente justificative relevante.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: GDPR: Confirm c\u0103 am luat la cuno\u0219tin\u021b\u0103 informa\u021biile privind prelucrarea datelor cu caracter personal, conform Regulamentului (UE) 2016\/679 \u0219i Politicii de Confiden\u021bialitate a INSP. Contains 2 links. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_1_36e0bfb10cd66ee6d1fb3a44985f1727><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_1\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_1\" id=\"terms-n-condition_1_36e0bfb10cd66ee6d1fb3a44985f1727\"  value='on' aria-invalid='false' aria-required=false><\/span> <div class='ff_t_c'><p><a href=\"https:\/\/portal-registre.insp.gov.ro\/gdpr\">GDPR<\/a>: Confirm c\u0103 am luat la cuno\u0219tin\u021b\u0103 informa\u021biile privind prelucrarea datelor cu caracter personal, conform Regulamentului (UE) 2016\/679 \u0219i <a href=\"https:\/\/portal-registre.insp.gov.ro\/politica-de-confidentialitate\/\">Politicii de Confiden\u021bialitate<\/a> a INSP.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: Confirm c\u0103 solicit transmiterea datelor mele personale \u00een format electronic \u0219i \u00een\u021beleg c\u0103 acestea \u00eemi vor fi furnizate printr-un canal securizat, \u00een conformitate cu GDPR. Contains 1 link. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_2_6e05423ece387a0549e6a08e642df369><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_2\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_2\" id=\"terms-n-condition_2_6e05423ece387a0549e6a08e642df369\"  value='on' aria-invalid='false' aria-required=false><\/span> <div class='ff_t_c'><p>Confirm c\u0103 solicit transmiterea datelor mele personale \u00een format electronic \u0219i \u00een\u021beleg c\u0103 acestea \u00eemi vor fi furnizate printr-un canal securizat, \u00een conformitate cu <a href=\"https:\/\/portal-registre.insp.gov.ro\/gdpr\">GDPR<span style=\"text-decoration: underline\">.<\/span><\/a><\/p><\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Trimite formularul\">Trimite formularul<\/button><\/div><\/fieldset><\/form><div id='fluentform_12_errors' class='ff-errors-in-stack ff_form_instance_12_2 ff-form-loading_errors ff_form_instance_12_2_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_12_2 = {\"id\":\"12\",\"ajaxUrl\":\"https:\\\/\\\/portal-registre.insp.gov.ro\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_12_2\",\"form_id_selector\":\"fluentform_12\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"email\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true},\"email\":{\"value\":true,\"message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 un format de email valid.\",\"global_message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 un format de email valid.\",\"global\":true}},\"phone\":{\"required\":{\"value\":true,\"global\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\"},\"valid_phone_number\":{\"value\":true,\"global\":true,\"message\":\"Num\\u0103rul de telefon nu este valid.\",\"global_message\":\"Num\\u0103rul de telefon nu este valid.\"}},\"numeric_field\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true},\"numeric\":{\"value\":true,\"message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 o valoare numeric\\u0103.\",\"global_message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 o valoare numeric\\u0103.\",\"global\":true},\"min\":{\"value\":\"\",\"message\":\"Validare incorect\\u0103 pentru valoarea minim\\u0103.\",\"global_message\":\"Validare incorect\\u0103 pentru valoarea minim\\u0103.\",\"global\":true},\"max\":{\"value\":\"\",\"message\":\"Validare incorect\\u0103 pentru valoarea maxim\\u0103.\",\"global_message\":\"Validare incorect\\u0103 pentru valoarea maxim\\u0103.\",\"global\":true},\"digits\":{\"value\":\"\",\"message\":\"Validare incorect\\u0103 pentru limita de numere.\",\"global_message\":\"Validare incorect\\u0103 pentru limita de numere.\",\"global\":true}},\"multi_select\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"terms-n-condition\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"terms-n-condition_1\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"terms-n-condition_2\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"g-recaptcha-response\":[]},\"debounce_time\":300,\"file_upload_settings\":[]};\n                            <\/script>\n                        <\/div>\n\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2e4d852 e-con-full elementor-hidden-desktop elementor-hidden-tablet e-flex e-con e-child\" data-id=\"2e4d852\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-539a7a5 elementor-widget elementor-widget-text-editor\" data-id=\"539a7a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Formulare de <strong>Suport<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f52d979 elementor-widget elementor-widget-text-editor\" data-id=\"f52d979\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Mai jos reg\u0103si\u021bi o serie de formulare de suport destinate solu\u021bion\u0103rii problemelor care pot ap\u0103rea.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd6debd elementor-hidden-desktop elementor-hidden-tablet elementor-widget elementor-widget-n-accordion\" data-id=\"fd6debd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2650\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2650\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Suport general <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2650\" class=\"elementor-element elementor-element-a48bdd2 e-con-full e-flex e-con e-child\" data-id=\"a48bdd2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2650\" class=\"elementor-element elementor-element-6d7bcee e-con-full e-flex e-con e-child\" data-id=\"6d7bcee\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a9a33d8 elementor-widget elementor-widget-text-editor\" data-id=\"a9a33d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1>Formular de <strong>Suport General<\/strong><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c31261 elementor-widget elementor-widget-text-editor\" data-id=\"4c31261\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Completa\u021bi acest formular pentru probleme de ordin general. C\u00e2mpurile marcate cu\u00a0*\u00a0sunt obligatorii<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a76859a 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=\"a76859a\" 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-default fluentform_wrapper_9 ffs_default_wrap'><form data-form_id=\"9\" id=\"fluentform_9\" class=\"frm-fluent-form fluent_form_9 ff-el-form-top ff_form_instance_9_3 ff-form-loading ff_has_v3_recptcha ff_has_v3_recptcha ff_has_v3_recptcha ffs_default\" data-form_instance=\"ff_form_instance_9_3\" method=\"POST\" data-recptcha_key=\"6LdVoOQsAAAAAGVRaPpsMsETfrDZPpIvDy9_jj9g\" ><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;\">Suport General - Pacienti<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1277' \/><input type=\"hidden\" id=\"_fluentform_9_fluentformnonce\" name=\"_fluentform_9_fluentformnonce\" value=\"cad77d859a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1277\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_3_names_first_name_' id='label_ff_9_3_names_first_name_' >Nume<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_9_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi numele\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_3_names_last_name_' id='label_ff_9_3_names_last_name_' >Prenume<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_9_3_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi prenumele\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_3_email' id='label_ff_9_3_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_9_3_email\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi adresa de email\" data-name=\"email\"  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'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_3_phone' id='label_ff_9_3_phone' aria-label=\"Num\u0103r de telefon\">Num\u0103r de telefon<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Introduce\u021bi num\u0103rul de telefon\" data-name=\"phone\" id=\"ff_9_3_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_3_input_text' id='label_ff_9_3_input_text' aria-label=\"Subiect\">Subiect<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi subiectul mesajului\" data-name=\"input_text\" id=\"ff_9_3_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_3_dropdown' id='label_ff_9_3_dropdown' aria-label=\"Despre ce este \u00eentrebarea\">Despre ce este \u00eentrebarea<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_9_3_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_9_3_dropdown\"><option value=\"\">- Selecta\u021bi o op\u021biune -<\/option><option value=\"Nu m\u0103 pot autentifica cu ROeID\"  >Nu m\u0103 pot autentifica cu ROeID<\/option><option value=\"Date incorecte \u00een registru\"  >Date incorecte \u00een registru<\/option><option value=\"Eroare la afi\u0219area datelor\"  >Eroare la afi\u0219area datelor<\/option><option value=\"Alte solicit\u0103ri\"  >Alte solicit\u0103ri<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_3_description' id='label_ff_9_3_description' aria-label=\"Descriere problem\u0103\">Descriere problem\u0103<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"true\" aria-labelledby=\"label_ff_9_3_description\" name=\"description\" id=\"ff_9_3_description\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi descrierea problemei\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-dropzone'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_9_3_file-upload_3' id='label_ff_9_3_file-upload_3' aria-label=\"\u00cencarc\u0103 ata\u0219amente (max. 4MB)\">\u00cencarc\u0103 ata\u0219amente (max. 4MB)<\/label><\/div><div class='ff-el-input--content'><label for='ff_9_3_file-upload_3' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Alege fi\u0219ierele<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_9_3_file-upload_3\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: Declar pe propria r\u0103spundere c\u0103 informa\u021biile furnizate sunt complete \u0219i corecte, cunosc\u00e2nd prevederile art. 326 din Codul Penal privind falsul \u00een declara\u021bii. Confirm c\u0103 am fost informat(\u0103) cu privire la Politica de Confiden\u021bialitate a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 \u0219i c\u0103 \u00een\u021beleg c\u0103 INSP poate solicita, \u00een scopul verific\u0103rii \u0219i confirm\u0103rii declara\u021biei, documente justificative relevante. Contains 1 link. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_3e37c7825d9f6ce806128bb0af75253f><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition\" id=\"terms-n-condition_3e37c7825d9f6ce806128bb0af75253f\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Declar pe propria r\u0103spundere c\u0103 informa\u021biile furnizate sunt complete \u0219i corecte, cunosc\u00e2nd prevederile art. 326 din Codul Penal privind falsul \u00een declara\u021bii. Confirm c\u0103 am fost informat(\u0103) cu privire la <a href=\"https:\/\/portal-registre.insp.gov.ro\/politica-de-confidentialitate\/\">Politica de Confiden\u021bialitate<\/a> a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 \u0219i c\u0103 \u00een\u021beleg c\u0103 INSP poate solicita, \u00een scopul verific\u0103rii \u0219i confirm\u0103rii declara\u021biei, documente justificative relevante.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: GDPR: Confirm c\u0103 am luat la cuno\u0219tin\u021b\u0103 informa\u021biile privind prelucrarea datelor cu caracter personal, conform Regulamentului (UE) 2016\/679 \u0219i Politicii de Confiden\u021bialitate a INSP. Contains 2 links. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_1_c9ad80c1492396df694c7511a22fb140><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_1\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_1\" id=\"terms-n-condition_1_c9ad80c1492396df694c7511a22fb140\"  value='on' aria-invalid='false' aria-required=false><\/span> <div class='ff_t_c'><p><a href=\"https:\/\/portal-registre.insp.gov.ro\/gdpr\">GDPR<\/a>: Confirm c\u0103 am luat la cuno\u0219tin\u021b\u0103 informa\u021biile privind prelucrarea datelor cu caracter personal, conform Regulamentului (UE) 2016\/679 \u0219i <a href=\"https:\/\/portal-registre.insp.gov.ro\/politica-de-confidentialitate\/\">Politicii de Confiden\u021bialitate<\/a> a INSP.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Trimite formularul\">Trimite formularul<\/button><\/div><\/fieldset><\/form><div id='fluentform_9_errors' class='ff-errors-in-stack ff_form_instance_9_3 ff-form-loading_errors ff_form_instance_9_3_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_9_3 = {\"id\":\"9\",\"ajaxUrl\":\"https:\\\/\\\/portal-registre.insp.gov.ro\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_9_3\",\"form_id_selector\":\"fluentform_9\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"email\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true},\"email\":{\"value\":true,\"message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 un format de email valid.\",\"global_message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 un format de email valid.\",\"global\":true}},\"phone\":{\"required\":{\"value\":true,\"global\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\"},\"valid_phone_number\":{\"value\":true,\"global\":true,\"message\":\"Num\\u0103rul de telefon nu este valid.\",\"global_message\":\"Num\\u0103rul de telefon nu este valid.\"}},\"input_text\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"dropdown\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"description\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"file-upload\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true},\"max_file_size\":{\"value\":4194304,\"message\":\"M\\u0103rimea fi\\u0219ierului dep\\u0103\\u0219e\\u0219te limita permis\\u0103.\",\"global_message\":\"M\\u0103rimea fi\\u0219ierului dep\\u0103\\u0219e\\u0219te limita permis\\u0103.\",\"global\":true},\"max_file_count\":{\"value\":\"5\",\"message\":\"Num\\u0103rul de fi\\u0219iere dep\\u0103\\u0219e\\u0219te limita permis\\u0103.\",\"global_message\":\"Num\\u0103rul de fi\\u0219iere dep\\u0103\\u0219e\\u0219te limita permis\\u0103.\",\"global\":true},\"allowed_file_types\":{\"value\":[\"jpg|jpeg|gif|png|bmp\",\"pdf\",\"doc|ppt|pps|xls|mdb|docx|xlsx|pptx|odt|odp|ods|odg|odc|odb|odf|rtf|txt\"],\"message\":\"Tip de fi\\u0219ier invalid.\",\"global_message\":\"Tip de fi\\u0219ier invalid.\",\"global\":true}},\"terms-n-condition\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"terms-n-condition_1\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"g-recaptcha-response\":[]},\"debounce_time\":300,\"file_upload_settings\":[]};\n                            <\/script>\n                        <\/div>\n\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2651\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2651\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Desc\u0103rcarea datelor <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2651\" class=\"elementor-element elementor-element-5fba7e4 e-con-full e-flex e-con e-child\" data-id=\"5fba7e4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2651\" class=\"elementor-element elementor-element-73a2200 e-con-full e-flex e-con e-child\" data-id=\"73a2200\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0b7c10f elementor-widget elementor-widget-text-editor\" data-id=\"0b7c10f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1>Cerere de <strong>Access<\/strong> \u0219i <strong>Desc\u0103rcare<\/strong> a <strong>Datelor<\/strong> cu <strong>Caracter Personal<\/strong><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac597bc elementor-widget elementor-widget-text-editor\" data-id=\"ac597bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Completa\u021bi acest formular pentru a cere access-ul \u0219i desc\u0103rcarea datelor cu caracter personal. C\u00e2mpurile marcate cu * sunt obligatorii<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58f1a42 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=\"58f1a42\" 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-default fluentform_wrapper_12 ffs_default_wrap'><form data-form_id=\"12\" id=\"fluentform_12\" class=\"frm-fluent-form fluent_form_12 ff-el-form-top ff_form_instance_12_4 ff-form-loading ff_has_v3_recptcha ff_has_v3_recptcha ff_has_v3_recptcha ff_has_v3_recptcha ffs_default\" data-form_instance=\"ff_form_instance_12_4\" method=\"POST\" data-recptcha_key=\"6LdVoOQsAAAAAGVRaPpsMsETfrDZPpIvDy9_jj9g\" ><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;\">Formular cerere de descarcare date - Pacienti<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1277' \/><input type=\"hidden\" id=\"_fluentform_12_fluentformnonce\" name=\"_fluentform_12_fluentformnonce\" value=\"cad77d859a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1277\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_4_names_first_name_' id='label_ff_12_4_names_first_name_' >Nume<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_12_4_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi numele\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_4_names_last_name_' id='label_ff_12_4_names_last_name_' >Prenume<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_12_4_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi prenumele\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_4_email' id='label_ff_12_4_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_12_4_email\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi adresa de email\" data-name=\"email\"  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'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_4_phone' id='label_ff_12_4_phone' aria-label=\"Num\u0103r de telefon\">Num\u0103r de telefon<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Introduce\u021bi num\u0103rul de telefon\" data-name=\"phone\" id=\"ff_12_4_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_4_numeric_field' id='label_ff_12_4_numeric_field' aria-label=\"CNP\">CNP<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_12_4_numeric_field\" class=\"ff-el-form-control\" placeholder=\"Introduce\u021bi CNP-ul\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-12_1\" ><h3 class='ff-el-section-title'><\/h3><div class='ff-section_break_desk'><p>V\u0103 solicit, \u00een temeiul art. 15 \u0219i art. 20 din Regulamentul UE 2016\/679 privind protec\u021bia datelor cu caracter personal, accesul la datele mele personale \u0219i furnizarea unei copii a acestora \u00eentr-un format electronic accesibil.<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_4_multi_select' id='label_ff_12_4_multi_select' aria-label=\"Solicit furnizarea datelor prelucrate \u00een cadrul:\">Solicit furnizarea datelor prelucrate \u00een cadrul:<\/label><\/div><div class='ff-el-input--content'><select name=\"multi_select[]\" id=\"ff_12_4_multi_select\" class=\"ff-el-form-control  ff_has_multi_select\" placeholder=\"- Selecta\u021bi o op\u021biune sau mai multe -\" multiple=\"1\" data-name=\"multi_select\" data-max_selected_options=\"3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_12_4_multi_select\"><option value=\"\">- Selecta\u021bi o op\u021biune sau mai multe -<\/option><option value=\"Registrele in care ma regasesc\"  >Registrele in care ma regasesc<\/option><option value=\"Istoric acces \u0219i activitate \u00een portal\"  >Istoric acces \u0219i activitate \u00een portal<\/option><option value=\"Toate datele disponibile\"  >Toate datele disponibile<\/option><\/select><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-12_2\" ><h3 class='ff-el-section-title'><\/h3><div class='ff-section_break_desk'><p>V\u0103 rog s\u0103 \u00eemi transmite\u021bi datele la adresa de email men\u021bionat\u0103 mai sus sau printr-un mijloc securizat pus la dispozi\u021bie de institu\u021bie.<\/p>\n<p>V\u0103 solicit confirmarea primirii cererii \u0219i transmiterea r\u0103spunsului \u00een termenul prev\u0103zut de lege.<\/p><\/div><hr \/><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: Declar pe propria r\u0103spundere c\u0103 informa\u021biile furnizate sunt complete \u0219i corecte, cunosc\u00e2nd prevederile art. 326 din Codul Penal privind falsul \u00een declara\u021bii. Confirm c\u0103 am fost informat(\u0103) cu privire la Politica de Confiden\u021bialitate a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 \u0219i c\u0103 \u00een\u021beleg c\u0103 INSP poate solicita, \u00een scopul verific\u0103rii \u0219i confirm\u0103rii declara\u021biei, documente justificative relevante. Contains 1 link. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_62642787e6d9181aac6b96c54ff077bd><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition\" id=\"terms-n-condition_62642787e6d9181aac6b96c54ff077bd\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Declar pe propria r\u0103spundere c\u0103 informa\u021biile furnizate sunt complete \u0219i corecte, cunosc\u00e2nd prevederile art. 326 din Codul Penal privind falsul \u00een declara\u021bii. Confirm c\u0103 am fost informat(\u0103) cu privire la <a href=\"https:\/\/portal-registre.insp.gov.ro\/politica-de-confidentialitate\/\">Politica de Confiden\u021bialitate<\/a> a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 \u0219i c\u0103 \u00een\u021beleg c\u0103 INSP poate solicita, \u00een scopul verific\u0103rii \u0219i confirm\u0103rii declara\u021biei, documente justificative relevante.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: GDPR: Confirm c\u0103 am luat la cuno\u0219tin\u021b\u0103 informa\u021biile privind prelucrarea datelor cu caracter personal, conform Regulamentului (UE) 2016\/679 \u0219i Politicii de Confiden\u021bialitate a INSP. Contains 2 links. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_1_c3b8b464ee3d9c3a29c39f8d4362c397><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_1\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_1\" id=\"terms-n-condition_1_c3b8b464ee3d9c3a29c39f8d4362c397\"  value='on' aria-invalid='false' aria-required=false><\/span> <div class='ff_t_c'><p><a href=\"https:\/\/portal-registre.insp.gov.ro\/gdpr\">GDPR<\/a>: Confirm c\u0103 am luat la cuno\u0219tin\u021b\u0103 informa\u021biile privind prelucrarea datelor cu caracter personal, conform Regulamentului (UE) 2016\/679 \u0219i <a href=\"https:\/\/portal-registre.insp.gov.ro\/politica-de-confidentialitate\/\">Politicii de Confiden\u021bialitate<\/a> a INSP.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: Confirm c\u0103 solicit transmiterea datelor mele personale \u00een format electronic \u0219i \u00een\u021beleg c\u0103 acestea \u00eemi vor fi furnizate printr-un canal securizat, \u00een conformitate cu GDPR. Contains 1 link. Use tab navigation to review.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_2_b5096ff0951035b1dcfbcda8a017cab0><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_2\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_2\" id=\"terms-n-condition_2_b5096ff0951035b1dcfbcda8a017cab0\"  value='on' aria-invalid='false' aria-required=false><\/span> <div class='ff_t_c'><p>Confirm c\u0103 solicit transmiterea datelor mele personale \u00een format electronic \u0219i \u00een\u021beleg c\u0103 acestea \u00eemi vor fi furnizate printr-un canal securizat, \u00een conformitate cu <a href=\"https:\/\/portal-registre.insp.gov.ro\/gdpr\">GDPR<span style=\"text-decoration: underline\">.<\/span><\/a><\/p><\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Trimite formularul\">Trimite formularul<\/button><\/div><\/fieldset><\/form><div id='fluentform_12_errors' class='ff-errors-in-stack ff_form_instance_12_4 ff-form-loading_errors ff_form_instance_12_4_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_12_4 = {\"id\":\"12\",\"ajaxUrl\":\"https:\\\/\\\/portal-registre.insp.gov.ro\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_12_4\",\"form_id_selector\":\"fluentform_12\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"email\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true},\"email\":{\"value\":true,\"message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 un format de email valid.\",\"global_message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 un format de email valid.\",\"global\":true}},\"phone\":{\"required\":{\"value\":true,\"global\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\"},\"valid_phone_number\":{\"value\":true,\"global\":true,\"message\":\"Num\\u0103rul de telefon nu este valid.\",\"global_message\":\"Num\\u0103rul de telefon nu este valid.\"}},\"numeric_field\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true},\"numeric\":{\"value\":true,\"message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 o valoare numeric\\u0103.\",\"global_message\":\"Acest c\\u00e2mp trebuie s\\u0103 con\\u021bin\\u0103 o valoare numeric\\u0103.\",\"global\":true},\"min\":{\"value\":\"\",\"message\":\"Validare incorect\\u0103 pentru valoarea minim\\u0103.\",\"global_message\":\"Validare incorect\\u0103 pentru valoarea minim\\u0103.\",\"global\":true},\"max\":{\"value\":\"\",\"message\":\"Validare incorect\\u0103 pentru valoarea maxim\\u0103.\",\"global_message\":\"Validare incorect\\u0103 pentru valoarea maxim\\u0103.\",\"global\":true},\"digits\":{\"value\":\"\",\"message\":\"Validare incorect\\u0103 pentru limita de numere.\",\"global_message\":\"Validare incorect\\u0103 pentru limita de numere.\",\"global\":true}},\"multi_select\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"terms-n-condition\":{\"required\":{\"value\":true,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"terms-n-condition_1\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"terms-n-condition_2\":{\"required\":{\"value\":false,\"message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global_message\":\"Acest c\\u00e2mp este obligatoriu.\",\"global\":true}},\"g-recaptcha-response\":[]},\"debounce_time\":300,\"file_upload_settings\":[]};\n                            <\/script>\n                        <\/div>\n\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Formulare de suport Suport general Desc\u0103rcarea datelor Formular de Suport General Completa\u021bi acest formular pentru probleme de ordin general. C\u00e2mpurile marcate cu\u00a0*\u00a0sunt obligatorii Suport General &#8211; Pacienti NumePrenumeEmailNum\u0103r de telefonSubiectDespre ce este \u00eentrebarea&#8211; Selecta\u021bi o op\u021biune &#8211;Nu m\u0103 pot autentifica cu ROeIDDate incorecte \u00een registruEroare la afi\u0219area datelorAlte solicit\u0103riDescriere problem\u0103\u00cencarc\u0103 ata\u0219amente (max. 4MB)Alege fi\u0219ierele Declar [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1277","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/portal-registre.insp.gov.ro\/en\/wp-json\/wp\/v2\/pages\/1277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/portal-registre.insp.gov.ro\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/portal-registre.insp.gov.ro\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/portal-registre.insp.gov.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/portal-registre.insp.gov.ro\/en\/wp-json\/wp\/v2\/comments?post=1277"}],"version-history":[{"count":27,"href":"https:\/\/portal-registre.insp.gov.ro\/en\/wp-json\/wp\/v2\/pages\/1277\/revisions"}],"predecessor-version":[{"id":1350,"href":"https:\/\/portal-registre.insp.gov.ro\/en\/wp-json\/wp\/v2\/pages\/1277\/revisions\/1350"}],"wp:attachment":[{"href":"https:\/\/portal-registre.insp.gov.ro\/en\/wp-json\/wp\/v2\/media?parent=1277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}