{"id":22,"date":"2025-05-14T18:00:05","date_gmt":"2025-05-14T09:00:05","guid":{"rendered":"https:\/\/racoo6.heteml.net\/jikosapo\/?page_id=22"},"modified":"2026-02-20T09:38:18","modified_gmt":"2026-02-20T00:38:18","slug":"consultation","status":"publish","type":"page","link":"https:\/\/jikosapo.co.jp\/test\/consultation","title":{"rendered":"\u76f8\u8ac7\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"<section class=\"form-wrapper\">\r\n\t<div class=\"section_inner\">\r\n\t\t<div class=\"form_block\">\r\n\t\t\t<div class=\"flex\">\r\n\t\t\t\t<div class=\"left_text\">\r\n\t\t\t\t\t<p>\u4e8b\u6545\u30b5\u30dd\u306b\u3066\u533b\u9662\u3092\u63a2\u3057\u3066\u6b32\u3057\u3044\u65b9\u306f\u30012\u3064\u306e\u65b9\u6cd5\u306e\u3069\u3061\u3089\u304b\u3067\u60c5\u5831\u3092\u304a\u9001\u308a\u3044\u305f\u3060\u304f\u3053\u3068\u3067\u3001\u3053\u3061\u3089\u3067\u533b\u9662\u3092\u63a2\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<br>\u2460LINE\u306eQR\u30b3\u30fc\u30c9\u3092\u8aad\u307f\u8fbc\u3080\uff08\u643a\u5e2f\u306e\u65b9\u306f\u753b\u9762\u6700\u4e0b\u90e8\u306e\u300cLINE\u3067\u76f8\u8ac7\u300d\u3092\u30af\u30ea\u30c3\u30af\uff01\uff09<br>\u2461\u4e0b\u8a18\u30d5\u30a9\u30fc\u30e0\u3088\u308a\u9001\u4fe1\u3044\u305f\u3060\u304f<br>\u3044\u305a\u308c\u304b\u3067\u73fe\u5728\u306e\u72b6\u6cc1\u306a\u3069\u3092\u5165\u529b\u3044\u305f\u3060\u304d\u3001\u304a\u9001\u308a\u304f\u3060\u3055\u3044\u307e\u305b\u3002<\/p>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t<div class=\"lineqr\"><a href=\"https:\/\/lin.ee\/MLuDrvI\" target=\"_blank\"><img decoding=\"async\" src=\"https:\/\/jikosapo.co.jp\/test\/wp-content\/themes\/jiko\/images\/common\/qr_line.png\" alt=\"LINE QR\"><\/a><\/div>\r\n\t\t\t<\/div>\r\n\t\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f44-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"44\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<script type=\"text\/javascript\" charset=\"UTF-8\" src=\"https:\/\/zipaddr.github.io\/zipaddrx.js?v=1.42\"><\/script><script defer src=\"data:text\/javascript;base64,ZnVuY3Rpb24gemlwYWRkcl9vd25iKCl7WlAuZGxpPSctJztaUC53cD0nMSc7WlAudXZlcj0nMzQxMDkuOTI3MTEnO1pQLnN5c2lkPSdDb250YWN0Rm9ybTcnO30=\"><\/script><script type=\"text\/javascript\" charset=\"UTF-8\" src=\"https:\/\/zipaddr.github.io\/contactform7.js\"><\/script><form action=\"\/test\/wp-json\/wp\/v2\/pages\/22#wpcf7-f44-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"44\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f44-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:44,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group_clinic&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;contact-purpose&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u533b\\u9662\\u3092\\u63a2\\u3057\\u3066\\u307b\\u3057\\u3044&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<\/fieldset>\n<table class=\"form-section\">\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u304a\u554f\u3044\u5408\u308f\u305b\u5185\u5bb9<span class=\"white bg_orange\">\u5fc5\u9808<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td class=\"size14\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"contact-purpose\"><span class=\"wpcf7-form-control wpcf7-radio vertical-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"contact-purpose\" value=\"\u533b\u9662\u3092\u63a2\u3057\u3066\u307b\u3057\u3044\" \/><span class=\"wpcf7-list-item-label\">\u533b\u9662\u3092\u63a2\u3057\u3066\u307b\u3057\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"contact-purpose\" value=\"\u304a\u898b\u821e\u3044\u91d1\u306b\u3064\u3044\u3066\" \/><span class=\"wpcf7-list-item-label\">\u304a\u898b\u821e\u3044\u91d1\u306b\u3064\u3044\u3066<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"contact-purpose\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<div data-id=\"group_clinic\" data-orig_data_id=\"group_clinic\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<table class=\"form-section\">\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>\u521d\u8a3a\u6765\u9662\u53ef\u80fd\u65e5\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<div class=\"visit-dates\">\n\t\t\t\t\t<div class=\"visit-row\">\n\t\t\t\t\t\t<p><span class=\"visit-label\">\u7b2c1\u5e0c\u671b\u65e5\uff1a<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"first-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"first-date\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"first-time\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"first-time\"><option value=\"AM\">AM<\/option><option value=\"PM\">PM<\/option><\/select><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"visit-row\">\n\t\t\t\t\t\t<p><span class=\"visit-label\">\u7b2c2\u5e0c\u671b\u65e5\uff1a<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"second-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"second-date\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"second-time\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"second-time\"><option value=\"AM\">AM<\/option><option value=\"PM\">PM<\/option><\/select><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"visit-row\">\n\t\t\t\t\t\t<p><span class=\"visit-label\">\u7b2c3\u5e0c\u671b\u65e5\uff1a<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"third-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"third-date\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"third-time\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"third-time\"><option value=\"AM\">AM<\/option><option value=\"PM\">PM<\/option><\/select><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>\u75c7\u72b6\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"contact_symptoms\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"contact_symptoms\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>\u4e8b\u6545\u767a\u751f\u65e5\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accident-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"accident-date\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>\u6574\u5f62\u5916\u79d1\u3078\u306e\u901a\u9662\u306e\u6709\u7121\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"seikei\"><span class=\"wpcf7-form-control wpcf7-radio vertical-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"seikei\" value=\"\u3042\u308a\" \/><span class=\"wpcf7-list-item-label\">\u3042\u308a<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"seikei\" value=\"\u306a\u3057\" \/><span class=\"wpcf7-list-item-label\">\u306a\u3057<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>\u8a3a\u65ad\u66f8\u8a18\u8f09\u75c7\u72b6\u540d\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your_symptom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u901a\u9662\u304c\u3042\u308b\u65b9\u306f\u8a18\u8f09\u304f\u3060\u3055\u3044\" value=\"\" type=\"text\" name=\"your_symptom\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>\u4f4f\u6240\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td class=\"zip\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u30cf\u30a4\u30d5\u30f3\u306a\u3057\u3067\u90f5\u4fbf\u756a\u53f7\u3092\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002\" value=\"\" type=\"text\" name=\"zip\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pref\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u90f5\u4fbf\u756a\u53f7\u3092\u5165\u529b\u3059\u308b\u3053\u3068\u3067\u90fd\u9053\u5e9c\u770c\u540d\u304c\u5165\u529b\u3055\u308c\u307e\u3059\u3002\" value=\"\" type=\"text\" name=\"pref\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"addr\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u5e02\u753a\u6751\u533a\" value=\"\" type=\"text\" name=\"addr\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>\u901a\u9662\u5e0c\u671b\u5730\u57df\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nearest_station\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u8907\u6570\u8a18\u8f09\u53ef\u80fd\u3067\u3059\u3000\u4f8b\uff09\u25cb\u25cb\u99c5\u5468\u8fba\u306a\u3069\" name=\"nearest_station\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/div>\n<table class=\"form-section\">\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u540d\u524d<span class=\"white bg_orange\">\u5fc5\u9808<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your_name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your_name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u3075\u308a\u304c\u306a<span class=\"white bg_orange\">\u5fc5\u9808<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your_name_kana\"><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_kana\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u96fb\u8a71\u756a\u53f7<span class=\"white bg_orange\">\u5fc5\u9808<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your_tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your_tel\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9<span class=\"white bg_orange\">\u5fc5\u9808<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your_mail\"><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_mail\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\uff08\u78ba\u8a8d\u7528\uff09<span class=\"white bg_orange\">\u5fc5\u9808<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your_mail_confirm\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u4e0a\u8a18\u3068\u540c\u3058\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u3092\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002\" value=\"\" type=\"email\" name=\"your_mail_confirm\" 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