{"id":5385,"date":"2023-08-27T15:48:50","date_gmt":"2023-08-27T06:48:50","guid":{"rendered":"https:\/\/kimurafamily.clinic\/?page_id=5385"},"modified":"2023-08-27T15:48:50","modified_gmt":"2023-08-27T06:48:50","slug":"%e7%99%ba%e7%86%b1%e3%83%bb%e6%84%9f%e6%9f%93%e7%97%87%e4%bb%a5%e5%a4%96%e3%81%ae%e4%b8%80%e8%88%ac%e7%94%a8%e5%95%8f%e8%a8%ba%e7%a5%a8","status":"publish","type":"page","link":"https:\/\/kimurafamily.clinic\/?page_id=5385","title":{"rendered":"\u767a\u71b1\u30fb\u611f\u67d3\u75c7\u4ee5\u5916\u306e\u4e00\u822c\u7528\u554f\u8a3a\u7968"},"content":{"rendered":"\n<p class=\"has-text-align-center\"><font size=\"+2\"><b>\u767a\u71b1\u30fb\u611f\u67d3\u75c7\u4ee5\u5916\u306e\u9ad8\u8840\u5727\u3084\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001\u4e2d\u6027\u8102\u80aa\u3001<\/b><\/font><br><font size=\"+2\"><b>\u80c3\u3084\u5927\u8178\uff08\u304a\u3046\u5410\u4e0b\u75e2\u306f\u611f\u67d3\u75c7\u3078\uff09\u3001\u809d\u81d3\u3001\u80c6\u56a2\u3001\u81b5\u81d3\u75be\u60a3\u7b49\u306e\u554f\u8a3a\u7968\u3067\u3059<br> \u4e0b\u8a18\u9805\u76ee\u306b\u8a18\u5165\u3001\u30c1\u30a7\u30c3\u30af\u3092\u304a\u9858\u3044\u81f4\u3057\u307e\u3059<\/b><\/font><\/p>\n\n\n\n<p><strong>\u3042\u3089\u304b\u3058\u3081Web\u3088\u308a\u53d7\u8a3a\u4e88\u7d04\u3092\u5165\u308c\u3066\u3044\u305f\u3060\u304d\u3001\u3061\u3087\u3063\u3068\u9805\u76ee\u304c\u591a\u3044\u3067\u3059\u304c\u3001\u4e0b\u8a18\u554f\u8a3a\u7968\u3092\u30c1\u30a7\u30c3\u30af\u3057\u3066\u30c7\u30fc\u30bf\u3092\u9001\u4fe1\u3044\u305f\u3060\u304f\u3068\u3001\u8a3a\u5bdf\u524d\u306b\u614c\u305f\u3060\u3057\u304f\u554f\u8a3a\u7968\u3092\u8a18\u5165\u305b\u305a\u306b\u6e08\u307f\u3001\u8a3a\u5bdf\u307e\u3067\u306e\u5f85\u3061\u6642\u9593\u304c\u77ed\u7e2e\u3055\u308c\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u4ed6\u306e\u60a3\u8005\u3055\u3093\u3068\u5f85\u5408\u5ba4\u3067\u4e00\u7dd2\u306b\u306a\u308b\u6642\u9593\u304c\u5c11\u306a\u304f\u306a\u308a\u3001\u9662\u5185\u3067\u306e\u611f\u67d3\u30ea\u30b9\u30af\u3082\u6e1b\u3089\u3059\u3053\u3068\u304c\u51fa\u6765\u307e\u3059\u3002<\/strong><br><strong>\u5927\u5909\u304a\u624b\u6570\u3067\u3059\u304c\u3001\u3054\u8a18\u5165\uff06\u30c1\u30a7\u30c3\u30af\u3001\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u81f4\u3057\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<p>\u306a\u304a\u3001\u3053\u306e\u554f\u8a3a\u7968\u306f\u3001\u304d\u3080\u3089\u30d5\u30a1\u30df\u30ea\u30fc\u30af\u30ea\u30cb\u30c3\u30af\u3092\u53d7\u8a3a\u3059\u308b\u4e88\u5b9a\u306e\u60a3\u8005\u69d8\u306e\u305f\u3081\u306e\u3082\u306e\u3067\u3059\u3002<br>\u53d7\u8a3a\u4e88\u5b9a\u306e\u306a\u3044\u65b9\u3001\u4ed6\u9662\u53d7\u8a3a\u4e88\u5b9a\u306e\u65b9\u306f\u3001\u8a18\u5165\uff06\u30c1\u30a7\u30c3\u30af\u306f\u3057\u306a\u3044\u3067\u4e0b\u3055\u3044\u3002<br>\u307e\u305f\u3001\u3053\u306e\u554f\u8a3a\u7968\u3092\u3054\u81ea\u8eab\u304b\u304b\u308a\u3064\u3051\u306e\u4ed6\u9662\u3078\u8ee2\u9001\u3059\u308b\u30b5\u30fc\u30d3\u30b9\u3082\u884c\u3063\u3066\u304a\u308a\u307e\u305b\u3093\u3002<br>\u60aa\u3057\u304b\u3089\u305a\u3054\u4e86\u627f\u306e\u307b\u3069\u3001\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u81f4\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5383-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"5383\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5385#wpcf7-f5383-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-no-moving-animation\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"5383\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5383-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p>1. \u53d7\u8a3a\u76ee\u7684\uff08\u5065\u8a3a\u3067\u7570\u5e38\u3092\u6307\u6458\u3001\u80c3\u30ab\u30e1\u30e9\u7b49\uff09\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-subject\" \/><\/span>\n<\/p>\n<p>2. \u304a\u540d\u524d\uff08\u59d3\u3068\u540d\u306e\u9593\u306f\u3072\u3068\u30de\u30b9\u958b\u3051\u3066\u4e0b\u3055\u3044\uff09\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n<\/p>\n<p>3. \u3075\u308a\u304c\u306a\uff08\u59d3\u3068\u540d\u306e\u9593\u306f\u3072\u3068\u30de\u30b9\u958b\u3051\u3066\u4e0b\u3055\u3044\uff09\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-646\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-646\" \/><\/span>\n<\/p>\n<p>4. \u751f\u5e74\u6708\u65e5<br \/>\n\u5e74\u53f7\u306b\u30c1\u30a7\u30c3\u30af\u3092\u304a\u9858\u3044\u3057\u307e\u3059<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-693\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">\u5927\u6b63<\/span><input type=\"radio\" name=\"radio-693\" value=\"\u5927\u6b63\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">\u662d\u548c<\/span><input type=\"radio\" name=\"radio-693\" value=\"\u662d\u548c\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">\u5e73\u6210<\/span><input type=\"radio\" name=\"radio-693\" value=\"\u5e73\u6210\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">\u4ee4\u548c<\/span><input type=\"radio\" name=\"radio-693\" value=\"\u4ee4\u548c\" \/><\/label><\/span><\/span><\/span><br \/>\n\u5e74\u6708\u65e5\u306f12\u5e7412\u67088\u65e5\u306e\u5834\u5408\u3001121208\u306e\u69d8\u306b\u8a18\u5165\u3057\u3066\u4e0b\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"number-504\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" placeholder=\"121208\" value=\"\" type=\"number\" name=\"number-504\" \/><\/span>\n<\/p>\n<p>\u203b\u897f\u66a6\u3067\u306e\u8a18\u5165\u3092\u3054\u5e0c\u671b\u306e\u65b9\u306f\u3001\u4e0b\u6b04\u306b\u304a\u9858\u3044\u3057\u307e\u3059\u3002<br \/>\n\u4e0b\u6b04\u3092\u30bf\u30c3\u30d7\u3057\u30661988\/08\/12\u306e\u3088\u3046\u306b\u8a18\u8f09\u3059\u308b\u304b\u3001\u30ab\u30ec\u30f3\u30c0\u30fc\u304b\u3089\u65e5\u4ed8\u3092\u5165\u529b\u3057\u3066\u4e0b\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-938\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" min=\"1920-01-31\" max=\"2030-12-31\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-938\" \/><\/span>\n<\/p>\n<p>5. \u6027\u5225\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-422\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-422\" value=\"\u7537\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u7537<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-422\" value=\"\u5973\" \/><span class=\"wpcf7-list-item-label\">\u5973<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>6. \u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n<\/p>\n<p>7. \u90f5\u4fbf\u756a\u53f7(8140015\u306e\u69d8\u306b\u6570\u5b57\u3067\u304a\u66f8\u304d\u4e0b\u3055\u3044)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"number-258\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"0000000\" max=\"9999999\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-258\" \/><\/span>\n<\/p>\n<p>8. \u4f4f\u6240\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-869\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u25cb\u25cb\u5e02\u25cb\u25cb\u533a\u25cb\u25cb \u25cb\u4e01\u76ee \u25cb\uff0d\u25cb\u25cb\uff0d\u25cb\u25cb\u25cb\" value=\"\" type=\"text\" name=\"text-869\" \/><\/span>\n<\/p>\n<p>9. \u643a\u5e2f\u30fb\u96fb\u8a71\u756a\u53f7\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-606\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"080-8000-0000\" value=\"\" type=\"tel\" name=\"tel-606\" \/><\/span>\n<\/p>\n<P>10. \u5177\u5408\u304c\u60aa\u304f\u3066\u5bdd\u8fbc\u3093\u3067\u9023\u7d61\u304c\u51fa\u6765\u306a\u304f\u306a\u3063\u305f\u5834\u5408\u306e\u3001\u7b2c\u4e8c\u9023\u7d61\u5148\u306e\u643a\u5e2f\u30fb\u96fb\u8a71\u756a\u53f7\u3092\u304a\u9858\u3044\u3057\u307e\u3059<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-467\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"080-8000-0000\" value=\"\" type=\"tel\" name=\"tel-467\" \/><\/span>\n<\/p>\n<p>11. \u305d\u308c\u306f\u3069\u306a\u305f\u306e\u643a\u5e2f\u30fb\u96fb\u8a71\u756a\u53f7\u3067\u3059\u304b\uff1f<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-167\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-167\"><option value=\"\u59bb\">\u59bb<\/option><option value=\"\u592b\">\u592b<\/option><option value=\"\u540c\u5c45\u4eba\">\u540c\u5c45\u4eba<\/option><option value=\"\u7236\">\u7236<\/option><option value=\"\u6bcd\">\u6bcd<\/option><option value=\"\u5144\">\u5144<\/option><option value=\"\u5f1f\">\u5f1f<\/option><option value=\"\u59c9\">\u59c9<\/option><option value=\"\u59b9\">\u59b9<\/option><option value=\"\u53cb\u4eba\">\u53cb\u4eba<\/option><option value=\"\u8077\u5834\">\u8077\u5834<\/option><option value=\"\u305d\u306e\u4ed6\">\u305d\u306e\u4ed6<\/option><\/select><\/span>\n<\/p>\n<p>12. \u521d\u8a3a\u3067\u3059\u304b\uff1f\u3000\u518d\u8a3a\u3067\u3059\u304b\uff1f\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-594\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-594\"><option value=\"\u521d\u8a3a\">\u521d\u8a3a<\/option><option value=\"\u518d\u8a3a\">\u518d\u8a3a<\/option><option value=\"\u308f\u304b\u3089\u306a\u3044\">\u308f\u304b\u3089\u306a\u3044<\/option><\/select><\/span>\n<\/p>\n<p>13. \u5f53\u9662\u306e\u8a3a\u5bdf\u5238\u304c\u3042\u308a\u307e\u3057\u305f\u3089\u3001\u756a\u53f7\u3092\u304a\u66f8\u304d\u4e0b\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"number-625\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-625\" \/><\/span>\n<\/p>\n<p>14. \u73fe\u5728\u75c7\u72b6\u306f\u3042\u308a\u307e\u3059\u304b\uff1f\u3000\u3042\u308b\u5834\u5408\u3001\u3069\u3093\u306a\u75c7\u72b6\u3067\u3059\u304b\uff1f\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-194\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u75c7\u72b6\u306f\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u75c7\u72b6\u306f\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u5065\u8a3a\u3067\u7570\u5e38\u3092\u6307\u6458\" \/><span class=\"wpcf7-list-item-label\">\u5065\u8a3a\u3067\u7570\u5e38\u3092\u6307\u6458<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u80c3\u306e\u75db\u307f\" \/><span class=\"wpcf7-list-item-label\">\u80c3\u306e\u75db\u307f<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u4e0b\u75e2\u3092\u4f34\u308f\u306a\u3044\u5410\u304d\u6c17\" \/><span class=\"wpcf7-list-item-label\">\u4e0b\u75e2\u3092\u4f34\u308f\u306a\u3044\u5410\u304d\u6c17<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u80f8\u713c\u3051\" \/><span class=\"wpcf7-list-item-label\">\u80f8\u713c\u3051<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u606f\u82e6\u3057\u3044\" \/><span class=\"wpcf7-list-item-label\">\u606f\u82e6\u3057\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u80f8\u304c\u75db\u3044\" \/><span class=\"wpcf7-list-item-label\">\u80f8\u304c\u75db\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u8840\u5727\u304c\u9ad8\u3044\" \/><span class=\"wpcf7-list-item-label\">\u8840\u5727\u304c\u9ad8\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u7acb\u3061\u304f\u3089\u307f\" \/><span class=\"wpcf7-list-item-label\">\u7acb\u3061\u304f\u3089\u307f<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u3081\u307e\u3044\" \/><span class=\"wpcf7-list-item-label\">\u3081\u307e\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u304a\u3046\u5410\" \/><span class=\"wpcf7-list-item-label\">\u304a\u3046\u5410<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u8840\u5c3f\" \/><span class=\"wpcf7-list-item-label\">\u8840\u5c3f<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u983b\u5c3f\" \/><span class=\"wpcf7-list-item-label\">\u983b\u5c3f<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u6162\u6027\u7684\u306a\u3060\u308b\u3055\" \/><span class=\"wpcf7-list-item-label\">\u6162\u6027\u7684\u306a\u3060\u308b\u3055<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u982d\u75db\" \/><span class=\"wpcf7-list-item-label\">\u982d\u75db<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u80a9\u3053\u308a\" \/><span class=\"wpcf7-list-item-label\">\u80a9\u3053\u308a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u4e0d\u7720\" \/><span class=\"wpcf7-list-item-label\">\u4e0d\u7720<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-194[]\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>15. \u75c7\u72b6\u304c\u3042\u308b\u5834\u5408\u3001\u305d\u306e\u75c7\u72b6\u304c\u51fa\u59cb\u3081\u305f\u306e\u306f\u3044\u3064\u9803\u304b\u3089\u3067\u3059\u304b\uff1f<br \/>\n\u4e0b\u6b04\u3092\u30bf\u30c3\u30d7\u3057\u30662023\/08\/12\u306e\u3088\u3046\u306b\u8a18\u8f09\u3059\u308b\u304b\u3001\u30ab\u30ec\u30f3\u30c0\u30fc\u304b\u3089\u65e5\u4ed8\u3092\u5165\u529b\u3057\u3066\u4e0b\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-205\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" min=\"2020-01-01\" max=\"2030-12-31\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-205\" \/><\/span>\u9803\u304b\u3089\n<\/p>\n<p>16. \u4e0a\u8a18\u3067\u300c\u305d\u306e\u4ed6\u300d\u3092\u9078\u3093\u3060\u65b9\u3084\u3001\u75c7\u72b6\u306a\u3069\u306b\u3064\u3044\u3066\u8a73\u7d30\u304c\u3042\u308c\u3070\u4e0b\u6b04\u306b\u304a\u66f8\u304d\u4e0b\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-484\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u606f\u82e6\u3057\u3044\u3001\u30bc\u30a8\u30bc\u30a8\u3059\u308b\u3001\u8272\u306e\u3064\u3044\u305f\u75f0\u304c\u51fa\u308b\u7b49\" value=\"\" type=\"text\" name=\"text-484\" \/><\/span>\n<\/p>\n<p>17. \u73fe\u5728\u6cbb\u7642\u4e2d\u306e\u75c5\u6c17\u3084\u3001\u5065\u8a3a\u3067\u7570\u5e38\u3092\u6307\u6458\u3055\u308c\u305f\u308a\u3001\u5165\u9662\u6cbb\u7642\u3057\u305f\u75c5\u6c17\u3001\u55ab\u7159\u6b74\u306f\u3042\u308a\u307e\u3059\u304b\uff1f\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-597\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u7cd6\u5c3f\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u7cd6\u5c3f\u75c5<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u814e\u81d3\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u814e\u81d3\u75c5<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u5fc3\u81d3\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u5fc3\u81d3\u75c5<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u547c\u5438\u5668\u75be\u60a3\" \/><span class=\"wpcf7-list-item-label\">\u547c\u5438\u5668\u75be\u60a3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u60aa\u6027\u816b\u760d\uff08\u764c\u7b49\uff09\" \/><span class=\"wpcf7-list-item-label\">\u60aa\u6027\u816b\u760d\uff08\u764c\u7b49\uff09<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u9ad8\u8840\u5727\" \/><span class=\"wpcf7-list-item-label\">\u9ad8\u8840\u5727<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u8133\u8840\u7ba1\u75be\u60a3\" \/><span class=\"wpcf7-list-item-label\">\u8133\u8840\u7ba1\u75be\u60a3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\" \/><span class=\"wpcf7-list-item-label\">\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u4e2d\u6027\u8102\u80aa\" \/><span class=\"wpcf7-list-item-label\">\u4e2d\u6027\u8102\u80aa<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u55ab\u7159\" \/><span class=\"wpcf7-list-item-label\">\u55ab\u7159<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-597[]\" value=\"\u7279\u306b\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u7279\u306b\u306a\u3044<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>18. \u4e0a\u8a18\u4ee5\u5916\u306e\u6301\u75c5\u3001\u3042\u308b\u3044\u306f\u624b\u8853\u6b74\u306a\u3069\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u4e0b\u6b04\u306b\u304a\u66f8\u304d\u4e0b\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-359\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-359\" \/><\/span>\n<\/p>\n<p>19. \u4ed6\u306e\u533b\u7642\u6a5f\u95a2\u3067\u5b9a\u671f\u7684\u306b\u53d7\u8a3a\u3001\u51e6\u65b9\u3055\u308c\u3066\u3044\u308b\u304a\u85ac\u304c\u3042\u308a\u307e\u3059\u304b\uff1f\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-729\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-729\" value=\"\u306a\u3044\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-729\" value=\"\u3042\u308b\" \/><span class=\"wpcf7-list-item-label\">\u3042\u308b<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>20. \u3042\u308b\u5834\u5408\u306f\u3001\u4e0b\u6b04\u306b\u304a\u85ac\u306e\u540d\u524d\u3092\u304a\u66f8\u304d\u304f\u3060\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-697\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-697\" \/><\/span>\n<\/p>\n<p>21. \u98f2\u3081\u306a\u3044\u304a\u85ac\uff08\u7c89\u85ac\u7b49\uff09\u3001\u5408\u308f\u306a\u3044\u85ac\u3001\u30a2\u30ec\u30eb\u30ae\u30fc\u304c\u51fa\u308b\u304a\u85ac\u306f\u3042\u308a\u307e\u3059\u304b\uff1f\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-886\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-886\" value=\"\u306a\u3044\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-886\" value=\"\u3042\u308b\" \/><span class=\"wpcf7-list-item-label\">\u3042\u308b<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>22. \u3042\u308b\u5834\u5408\u306f\u3001\u4e0b\u6b04\u306b\u304a\u66f8\u304d\u304f\u3060\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-117\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-117\" \/><\/span>\n<\/p>\n<p>23. \u3054\u81ea\u8eab\u304c\u3001\u65b0\u578b\u30b3\u30ed\u30ca\u306b\u304b\u304b\u3063\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304b\uff1f<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-119\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-119\"><option value=\"\u306a\u3044\">\u306a\u3044<\/option><option value=\"2021\u5e74\">2021\u5e74<\/option><option value=\"2022\u5e74\">2022\u5e74<\/option><option value=\"2023\u5e74\">2023\u5e74<\/option><option value=\"2024\u5e74\">2024\u5e74<\/option><\/select><\/span>\u306b\u304b\u304b\u3063\u305f\n<\/p>\n<p>24. \u305d\u306e\u6708\u3001\u3042\u308b\u3044\u306f\u5b63\u7bc0\u306f\uff1f<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-97\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-97\"><option value=\"\u3088\u304f\u899a\u3048\u3066\u3044\u306a\u3044\">\u3088\u304f\u899a\u3048\u3066\u3044\u306a\u3044<\/option><option value=\"1\u6708\">1\u6708<\/option><option value=\"2\u6708\">2\u6708<\/option><option value=\"3\u6708\">3\u6708<\/option><option value=\"4\u6708\">4\u6708<\/option><option value=\"5\u6708\">5\u6708<\/option><option value=\"6\u6708\">6\u6708<\/option><option value=\"7\u6708\">7\u6708<\/option><option value=\"8\u6708\">8\u6708<\/option><option value=\"9\u6708\">9\u6708<\/option><option value=\"10\u6708\">10\u6708<\/option><option value=\"11\u6708\">11\u6708<\/option><option value=\"12\u6708\">12\u6708<\/option><option value=\"\u6625\u9803\">\u6625\u9803<\/option><option value=\"\u590f\u9803\">\u590f\u9803<\/option><option value=\"\u79cb\u9803\">\u79cb\u9803<\/option><option value=\"\u51ac\u9803\">\u51ac\u9803<\/option><\/select><\/span>\n<\/p>\n<p>25. \u65b0\u578b\u30b3\u30ed\u30ca\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u306f\u4f55\u56de\u3057\u3066\u3044\u307e\u3059\u304b\uff1f\uff08\u5fc5\u9808\uff09<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-973\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-973\"><option value=\"\u672a\u63a5\u7a2e\">\u672a\u63a5\u7a2e<\/option><option value=\"1\u56de\u63a5\u7a2e\">1\u56de\u63a5\u7a2e<\/option><option value=\"2\u56de\u63a5\u7a2e\">2\u56de\u63a5\u7a2e<\/option><option value=\"3\u56de\u63a5\u7a2e\">3\u56de\u63a5\u7a2e<\/option><option value=\"4\u56de\u63a5\u7a2e\">4\u56de\u63a5\u7a2e<\/option><option value=\"5\u56de\u63a5\u7a2e\">5\u56de\u63a5\u7a2e<\/option><option value=\"6\u56de\u63a5\u7a2e\">6\u56de\u63a5\u7a2e<\/option><option value=\"7\u56de\u63a5\u7a2e\">7\u56de\u63a5\u7a2e<\/option><\/select><\/span>\n<\/p>\n<p>26. \u6700\u5f8c\u306b\u63a5\u7a2e\u3057\u305f\u65b0\u578b\u30b3\u30ed\u30ca\u30ef\u30af\u30c1\u30f3\u306e\u7a2e\u985e\u306f\uff1f<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-503\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-503\"><option value=\"\u30d5\u30a1\u30a4\u30b6\u30fc\">\u30d5\u30a1\u30a4\u30b6\u30fc<\/option><option value=\"\u30e2\u30c7\u30eb\u30ca\">\u30e2\u30c7\u30eb\u30ca<\/option><option value=\"\u4e0d\u660e\">\u4e0d\u660e<\/option><\/select><\/span>\n<\/p>\n<p>27. \u6700\u5f8c\u306b\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u3057\u305f\u969b\u306e\u5e74\u306f\uff1f<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-322\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-322\"><option value=\"2021\u5e74\">2021\u5e74<\/option><option value=\"2022\u5e74\">2022\u5e74<\/option><option value=\"2023\u5e74\">2023\u5e74<\/option><option value=\"2024\u5e74\">2024\u5e74<\/option><option value=\"\u4e0d\u660e\">\u4e0d\u660e<\/option><\/select><\/span>\n<\/p>\n<p>28. \u6700\u5f8c\u306b\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u3057\u305f\u969b\u306e\u6708\u306f\uff1f<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-362\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-362\"><option value=\"\u63a5\u7a2e\u6708\u4e0d\u660e\">\u63a5\u7a2e\u6708\u4e0d\u660e<\/option><option value=\"1\u6708\">1\u6708<\/option><option value=\"2\u6708\">2\u6708<\/option><option value=\"3\u6708\">3\u6708<\/option><option value=\"4\u6708\">4\u6708<\/option><option value=\"5\u6708\">5\u6708<\/option><option value=\"6\u6708\">6\u6708<\/option><option value=\"7\u6708\">7\u6708<\/option><option value=\"8\u6708\">8\u6708<\/option><option value=\"9\u6708\">9\u6708<\/option><option value=\"10\u6708\">10\u6708<\/option><option value=\"11\u6708\">11\u6708<\/option><option value=\"12\u6708\">12\u6708<\/option><\/select><\/span>\n<\/p>\n<p>29. \u5973\u6027\u306e\u65b9\u306f\u3001\u598a\u5a20\u4e2d\u3001\u598a\u5a20\u306e\u53ef\u80fd\u6027\u306e\u6709\u7121\u3001\u6388\u4e73\u4e2d\u306b\u3064\u3044\u3066\u3001\u30c1\u30a7\u30c3\u30af\u3057\u3066\u4e0b\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-831\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-831\"><option value=\"\u7537\u6027\u306f\u30c1\u30a7\u30c3\u30af\u4e0d\u8981\">\u7537\u6027\u306f\u30c1\u30a7\u30c3\u30af\u4e0d\u8981<\/option><option value=\"\u598a\u5a20\u30fb\u6388\u4e73\u306f\u3057\u3066\u3044\u306a\u3044\">\u598a\u5a20\u30fb\u6388\u4e73\u306f\u3057\u3066\u3044\u306a\u3044<\/option><option value=\"\u598a\u5a20\u3057\u3066\u3044\u308b\">\u598a\u5a20\u3057\u3066\u3044\u308b<\/option><option value=\"\u598a\u5a20\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\">\u598a\u5a20\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b<\/option><option value=\"\u6388\u4e73\u4e2d\">\u6388\u4e73\u4e2d<\/option><\/select><\/span>\n<\/p>\n<p>30.\u691c\u67fb\u7b49\u306e\u5e0c\u671b\u3001\u3054\u8981\u671b\u3001\u8cea\u554f\u7b49\u304c\u3042\u308a\u307e\u3057\u305f\u3089\u3001\u4e0b\u6b04\u306b\u304a\u66f8\u304d\u4e0b\u3055\u3044\u3002<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-message\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u9001\u4fe1\" \/><br \/>\n\u203b\u300c\u5fc5\u9808\u9805\u76ee\u306b\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u300d\u306e\u30b3\u30e1\u30f3\u30c8\u304c\u51fa\u305f\u5834\u5408\u3001\u305d\u306e\u6b04\u3092\u3059\u3079\u3066\u57cb\u3081\u306a\u3044\u3068\u3001\u300c\u5165\u529b\u5185\u5bb9\u306b\u554f\u984c\u304c\u3042\u308a\u307e\u3059\u3002\u78ba\u8a8d\u3057\u3066\u518d\u5ea6\u304a\u8a66\u3057\u304f\u3060\u3055\u3044\u3002\u300d\u306e\u30b3\u30e1\u30f3\u30c8\u304c\u51fa\u3066\u3001\u9001\u4fe1\u30dc\u30bf\u30f3\u3092\u62bc\u3057\u3066\u3082\u3001\u9001\u4fe1\u3055\u308c\u307e\u305b\u3093\u3002\n<\/p>\n<p><br \/>\n\u6b63\u3057\u304f\u9001\u4fe1\u3055\u308c\u307e\u3059\u3068\u3001\u304a\u66f8\u304d\u306b\u306a\u3063\u305f\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u306b\u3001\u5185\u5bb9\u78ba\u8a8d\u30e1\u30fc\u30eb\u304c\u5c4a\u304d\u307e\u3059\u3002<br \/>\n\u5c4a\u304b\u306a\u3044\u5834\u5408\u306f\u3001\u8d64\u3044\u30a8\u30e9\u30fc\u30e1\u30c3\u30bb\u30fc\u30b8\u304c\u51fa\u3066\u3044\u3066\u3001\u9001\u4fe1\u51fa\u6765\u3066\u3044\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u5834\u5408\u306b\u306f\u3001\u4fee\u6b63\u5f8c\u3001\u518d\u5ea6\u9001\u4fe1\u3057\u3066\u3044\u305f\u3060\u304f\u304b\u3001\u4fee\u6b63\u90e8\u5206\u304c\u308f\u304b\u3089\u306a\u3044\u5834\u5408\u306f\u3001\u96fb\u8a71\u3067\u305d\u306e\u65e8\u3001\u304a\u4f1d\u3048\u304f\u3060\u3055\u3044\u3002\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"\u767a\u71b1\u30fb\u611f\u67d3\u75c7\u4ee5\u5916\u306e\u9ad8\u8840\u5727\u3084\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001\u4e2d\u6027\u8102\u80aa\u3001\u80c3\u3084\u5927\u8178\uff08\u304a\u3046\u5410\u4e0b\u75e2\u306f\u611f\u67d3\u75c7\u3078\uff09\u3001\u809d\u81d3\u3001\u80c6\u56a2\u3001\u81b5\u81d3\u75be\u60a3\u7b49\u306e\u554f\u8a3a\u7968\u3067\u3059 \u4e0b\u8a18\u9805\u76ee\u306b\u8a18\u5165\u3001\u30c1\u30a7\u30c3\u30af\u3092\u304a\u9858\u3044\u81f4\u3057\u307e\u3059 \u3042\u3089\u304b\u3058\u3081Web\u3088\u308a\u53d7\u8a3a\u4e88\u7d04\u3092\u5165\u308c\u3066\u3044\u305f\u3060\u304d\u3001\u3061\u3087\u3063\u3068\u9805 [&hellip;]","protected":false},"author":1,"featured_media":2992,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5385","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=\/wp\/v2\/pages\/5385","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5385"}],"version-history":[{"count":6,"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=\/wp\/v2\/pages\/5385\/revisions"}],"predecessor-version":[{"id":5392,"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=\/wp\/v2\/pages\/5385\/revisions\/5392"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=\/wp\/v2\/media\/2992"}],"wp:attachment":[{"href":"https:\/\/kimurafamily.clinic\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5385"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}