0
+
Tevreden Patienten
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="voornaam"
as=${html``}
/>
${ parent.decodeEntities(`Voeg hier uw voornaam toe`) }
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="achternaam"
as=${html``}
/>
${ parent.decodeEntities(`Voeg hier uw achternaam toe`) }
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="telefoon"
as=${html``}
/>
${ parent.decodeEntities(`Voorbeeld: 06 1234 5678`) }
parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="email"
as=${html``}
/>
${ parent.decodeEntities(`Example: user@website.com`) }
<${props.Flatpickr}
name="Afspraak Datum"
className="mf-input mf-date-input mf-left-parent "
placeholder="${ parent.decodeEntities(`Date`) } "
options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}}
value=${parent.getValue('Afspraak Datum')}
onInput=${parent.handleDateTime}
aria-invalid=${validation.errors['Afspraak Datum'] ? 'true' : 'false'}
ref=${el => props.DateWidget(
el,
'',
{"message":"Verplicht in te vullen.","required":true},
register,
parent
)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="Afspraak Datum"
as=${html``}
/>
<${props.Flatpickr}
name="tijd"
className="mf-input mf-date-input mf-time-input mf-left-parent "
placeholder="${ parent.decodeEntities(`Afspraak tijd`) } "
options=${{"enableTime":true,"dateFormat":"H:i","noCalendar":true,"time_24hr":true,"static":true}}
value=${parent.getValue('tijd')}
onInput=${parent.handleDateTime}
aria-invalid=${validation.errors['tijd'] ? 'true' : 'false'}
ref=${
el => {
if( el && el.node.nextSibling ) {
if( el.props.value.trim().length ) {
el.node.nextSibling.classList.add('value-found');
}else {
el.node.nextSibling.classList.remove('value-found');
}
}
register({ name: "tijd" }, parent.activateValidation({"message":"Verplicht in te vullen.","required":true}))
}
}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="tijd"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="BSN"
as=${html``}
/>
${ parent.decodeEntities(`Vul hier uw BSN in te vinden achter uw paspoort of legitimatie`) }
Wat zijn ze daar vriendelijk als je bang bent. Alles wordt uitgelegd wat ze gaan doen.