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CareNetお問い合わせ

<!DOCTYPE html> <html lang="ja" id="carenet" xmlns="http://www.w3.org/1999/xhtml" dir="ltr"> <head> <meta http-equiv="Content-type" content="text/html; charset=utf-8" /> <meta name="viewport" content="width=1155"> <title>CareNetお問い合わせ</title> <meta name="description" content="CareNetお問い合わせ"> <meta name="keywords" content="CareNetお問い合わせ,carenet" /> <!-- OGP設定 --> <meta property="og:site_name" content="CareNetお問い合わせ" /> <meta property="og:title" content="CareNetお問い合わせ" /> <meta property="og:description" content="CareNetお問い合わせ" /> <meta property="og:type" content="website"> <meta property="og:url" content="https://contact.carenet.com" /> <link rel="shortcut icon" href="https://contact.carenet.com/favicon.ico"> <link rel="apple-touch-icon" href="/apple-touch-icon.png"> <link rel="dns-prefetch" href=//www.carenet.com> <link rel="dns-prefetch" href=//webapi.carenet.com> <link rel="dns-prefetch" href=//ad.carenet.com> <link rel="dns-prefetch" href=//www.googletagmanager.com> <link 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ケアネット"></h2> </a> </div> </header> <div id="cn-wrapper" class="cn-wrapper" style="min-height: auto;"> <div class="cn-content"> <div class="cn-titleArea"> <div class="cn-innr"> <h1 class="cn-title"><span>CareNetお問い合わせ</span></h1> </div> </div> <div id="cn-formprogressArea" class="cn-formprogressArea cn-margin-t--2"> <div class="cn-innr"> <ul class="cn-formprogress is-equal"> <li class="cn-formprogress__li is-current">お問い合わせ選択</li> <li class="cn-formprogress__li">お問い合わせ入力</li> <li class="cn-formprogress__li">お問い合わせ完了</li> </ul> </div> </div> <section class="cn-form"> <form id="formSelect" method="post" action="/input?id1=8&amp;id2=A&amp;keiro=bcf.toiawase" accept-charset="UTF-8"> <input type="hidden" name="_token" value="5b16emtT1p9fj3FYhmWYUqJ51SfcckEozmSMxJs8"> <div class="cn-forminnr"> <div class="cn-text--md cn-margin-t--2"> 下記のフォームに必要事項をご入力ください。 <br>ご入力のメールアドレス宛にご連絡いたします。 <div class="cn-formBlock cn-margin-t--2"> <div class="cn-formBlock__title"> <span class="label_title">氏名</span> <div class="cn-formBlock__require"> <span class="is-ok" style="display:none">OK</span> <span class="is-ng">必須</span> </div> </div> <div class="cn-formBlock__wrap cn-formBlock_lr"> <div class="cn-formBlock__input__l">姓</div> <div class="cn-formBlock__input__r"> <input type="text" class="required cn-input cn-input--s" name="family_name" value="" data-max_length="254" placeholder="例)山田"> </div> <div class="cn-formBlock__input__l">名</div> <div class="cn-formBlock__input__r"> <input type="text" class="required cn-input cn-input--s" name="last_name" value="" data-max_length="254" placeholder="例)太郎"> </div> <div class="cn-formBlock__error cn-formBlock__error_lr"><span></span></div> </div> </div> <div class="cn-formBlock"> <div class="cn-formBlock__title"> <span class="label_title">メールアドレス</span> <div class="cn-formBlock__require"> <span class="is-ok" style="display:none">OK</span> <span class="is-ng">必須</span> </div> </div> <div class="cn-formBlock__wrap cn-formBlock_select"> <div class="cn-formBlock__input"> <input type="email" class="required cn-input cn-input--xl" name="mail" value="" inputmode="email" data-format="mail" data-max_length="254" placeholder="例)taro@carenet.co.jp"> </div> <div class="cn-formBlock__error"><span></span></div> </div> </div> <div class="cn-formBlock"> <div class="cn-formBlock__title"> <span class="label_title">カテゴリ</span> <div class="cn-formBlock__require"> <span class="is-ok" style="display:none">OK</span> <span class="is-ng">必須</span> </div> <input type="hidden" id="category_txt" name="category_txt" value=""> </div> <div class="cn-formBlock__wrap cn-formBlock_select cn-formBlock__radio" style="display: block;"> <div class="cn-formBlock__checkbox"> <div class="cn-formBlock__checkbox__li"> <label for="category8"> <input type="radio" id="category8" class="required cn-radio" name="category" value="8" checked="true" > <label for="category8">その他</label> </label> </div> </div> <div class="cn-formBlock__error"><span></span></div> <div id="CancelMember" style="display: none;"> <a class="link" href="https://carenetv.carenet.com/contractinfo.php" target="_blank" rel="noopener noreferrer"> 有料サービス(CareNeTVプレミアム)のみ解約をご希望の場合、こちらより「契約情報ページ」にアクセスのうえ、お手続きください。 </a> </div> </div> </div> <div id="formItem" class="cn-formBlock" style="display: none;"> <div class="cn-formBlock__title"> <span class="label_title">項目</span> <div class="cn-formBlock__require"> <span class="is-ok" style="display:none">OK</span> <span class="is-ng">必須</span> <input type="hidden" id="item_txt" name="item_txt" value=""> </div> </div> <div class="cn-formBlock__wrap cn-formBlock_select cn-formBlock__radio" style="display: block;"> <div class="cn-formBlock__checkbox"> <div class="cn-formBlock__checkbox__li"> <label class="itemkbn" for="item35" data-category="8"> <input type="radio" id="item35" class="required cn-radio" name="item" value="A" data-category="8" checked="true" > <label for="item35">掲載記事に関するご指摘・ご質問</label> </label> </div> </div> <div class="cn-formBlock__error"><span></span></div> <div id="ResetPw" style="display: none;"> <a class="link" href="https://www.carenet.com/member/resetting_pre.php" target="_blank" rel="noopener noreferrer"> パスワードをお忘れの方はこちらからお手続きください。 </a> </div> <div id="LinkCareer" style="display: none;"> <a class="link" href="https://career.carenet.com/succession/seller/?linkfrom=contact" target="_blank" rel="noopener noreferrer"> 弊社では、「閉院をお考えの医師向け」に診療所の医業承継サービスを運営しております。ご興味をお持ちでしたら、こちらをクリックしてください。 </a> </div> </div> </div> <div class="cn-other_select"> <div class="cn-text--md cn-mailchange__title"> <a href="https://contact.carenet.com/select" class="link no_beforeunload">他のお問い合わせ内容の方はこちら</a> </div> </div> <div class="cn-flexclm cn-margin-t--5 cn-margin-b--4" style="justify-content: center;"> <div class="cn-flexclm__li"> <div class="cn-btnWrap"> <button type="submit" id="btnNext" class="cn-btn cn-btn--orange cn-text--lg"> <span>次へ</span> </button> </div> </div> </div> </div> </div> </form> </section> </div> </div> <script type="text/javascript" defer src="/common/js/contact-select.js?time=29d5a7872d98546bb8b28d916b78a8eb++-"></script> <script type="text/javascript" defer src="/common/js/before-unload.js?time=29d5a7872d98546bb8b28d916b78a8eb++-"></script> <!-- #container --> <footer id="cn-globalFooter" class="cn-globalFooter"> <div class="cn-globalFooter__bg"></div> <p class="cn-globalFooter__cr" style="position: fixed;"><small>Copyright&copy;2000 CareNet,Inc All Rights Reserved.</small></p> </footer> </body> </html>

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