{"id":7376,"date":"2020-09-04T20:31:21","date_gmt":"2020-09-05T03:31:21","guid":{"rendered":"https:\/\/2020jpdev.rakuten-med.com\/?page_id=7376"},"modified":"2020-09-12T11:49:46","modified_gmt":"2020-09-12T18:49:46","slug":"hcp","status":"publish","type":"page","link":"https:\/\/rakuten-med.com\/jp\/contact\/hcp\/","title":{"rendered":"\u533b\u7642\u95a2\u4fc2\u8005\u306e\u7686\u3055\u307e"},"content":{"rendered":"<div id=\"pl-7376\"  class=\"panel-layout\" ><div id=\"pg-7376-0\"  class=\"panel-grid panel-has-style\" ><div class=\"siteorigin-panels-stretch lazy rocket-lazyload panel-row-style panel-row-style-for-7376-0\" id=\"page-title-banner\" data-stretch-type=\"full\" data-bg=\"https:\/\/rakuten-med.com\/jp\/wp-content\/uploads\/sites\/8\/2020\/08\/contact-banner.png\" ><div id=\"pgc-7376-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-7376-0-0-0\" class=\"so-panel widget widget_sow-headline panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-headline so-widget-sow-headline-default-a715b857d04d-7376\"\n\t\t\t\n\t\t><div class=\"sow-headline-container \">\n\t\t\t\t\t\t\t<h1 class=\"sow-headline\">\n\t\t\t\t\t\tContact Us\t\t\t\t\t\t<\/h1>\n\t\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"sow-sub-headline\">\n\t\t\t\t\t\t\u304a\u554f\u3044\u5408\u308f\u305b\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-7376-1\"  class=\"panel-grid panel-has-style\" ><div class=\"siteorigin-panels-stretch panel-row-style panel-row-style-for-7376-1\" id=\"medical-info-form\" data-stretch-type=\"full\" ><div id=\"pgc-7376-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-7376-1-0-0\" class=\"so-panel widget widget_sow-headline panel-first-child panel-last-child\" data-index=\"1\" ><div class=\"panel-widget-style panel-widget-style-for-7376-1-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-headline so-widget-sow-headline-default-b55f2ec20a20-7376\"\n\t\t\t\n\t\t><div class=\"sow-headline-container \">\n\t\t\t\t\t\t\t<h2 class=\"sow-headline\">\n\t\t\t\t\t\t\u533b\u7642\u95a2\u4fc2\u8005\u306e\u7686\u3055\u307e\t\t\t\t\t\t<\/h2>\n\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-7376-2\"  class=\"panel-grid panel-has-style\" ><div class=\"siteorigin-panels-stretch panel-row-style panel-row-style-for-7376-2\" data-stretch-type=\"full\" ><div id=\"pgc-7376-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-7376-2-0-0\" class=\"so-panel widget widget_gform_widget gform_widget panel-first-child panel-last-child\" data-index=\"2\" ><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' ><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/jp\/wp-json\/wp\/v2\/pages\/7376' data-formid='3' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LeeGZkjAAAAAD2W1AkT7NFjopqRJgIfc7FXn-NR' data-tabindex='0'><input id=\"input_758befbaf0db4f55f79edb12dec25966\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_758befbaf0db4f55f79edb12dec25966\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_3_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u6c0f\u540d<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='true'   placeholder='\u59d3'  \/>\n                                                    <label for='input_3_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u59d3<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='true'   placeholder='\u540d'  \/>\n                                                    <label for='input_3_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u540d<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_12\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u6c0f\u540d\uff08\u30d5\u30ea\u30ac\u30ca\uff09<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_12'>\n                            \n                            <span id='input_3_12_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.3' id='input_3_12_3' value=''   aria-required='true'   placeholder='\u30bb\u30a4'  \/>\n                                                    <label for='input_3_12_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u30bb\u30a4<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_12_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_12.6' id='input_3_12_6' value=''   aria-required='true'   placeholder='\u30e1\u30a4'  \/>\n                                                    <label for='input_3_12_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u30e1\u30a4<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_13\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'><span class='gform-field-label__text'>\u8077\u696d<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_3_13' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='\u533b\u5e2b' >\u533b\u5e2b<\/option><option value='\u85ac\u5264\u5e2b' >\u85ac\u5264\u5e2b<\/option><option value='\u770b\u8b77\u5e2b' >\u770b\u8b77\u5e2b<\/option><option value='\u305d\u306e\u4ed6\u533b\u7642\u95a2\u4fc2\u8005' >\u305d\u306e\u4ed6\u533b\u7642\u95a2\u4fc2\u8005<\/option><\/select><\/div><\/li><li id=\"field_3_2\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_2'><span class='gform-field-label__text'>\u52e4\u52d9\u5148\u65bd\u8a2d\u540d<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_3_2' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_18\" class=\"gfield gfield--type-phone gfield--phone-format-international gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_18'><span class='gform-field-label__text'>\u96fb\u8a71\u756a\u53f7<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_3_18' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/li><li id=\"field_3_14\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_14'><span class='gform-field-label__text'>\u3054\u9023\u7d61\u5e0c\u671b\u66dc\u65e5\uff08\u7b2c1\u5019\u88dc\uff09<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_3_14' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='\u6708' >\u6708<\/option><option value='\u706b' >\u706b<\/option><option value='\u6c34' >\u6c34<\/option><option value='\u6728' >\u6728<\/option><option value='\u91d1' >\u91d1<\/option><option value='\u3044\u3064\u3067\u3082\u53ef' >\u3044\u3064\u3067\u3082\u53ef<\/option><\/select><\/div><\/li><li id=\"field_3_15\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_15'><span class='gform-field-label__text'>\u3054\u9023\u7d61\u5e0c\u671b\u6642\u9593\uff08\u7b2c1\u5019\u88dc\uff09<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_3_15' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='9\u6642\uff5e12\u6642' >9\u6642\uff5e12\u6642<\/option><option value='12\u6642\uff5e14\u6642' >12\u6642\uff5e14\u6642<\/option><option value='14\u6642\uff5e16\u6642' >14\u6642\uff5e16\u6642<\/option><option value='16\u6642\uff5e17\u664230\u5206' >16\u6642\uff5e17\u664230\u5206<\/option><option value='\u3044\u3064\u3067\u3082\u53ef' >\u3044\u3064\u3067\u3082\u53ef<\/option><\/select><\/div><\/li><li id=\"field_3_16\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_16'><span class='gform-field-label__text'>\u3054\u9023\u7d61\u5e0c\u671b\u66dc\u65e5\uff08\u7b2c2\u5019\u88dc\uff09<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_3_16' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='\u6708' >\u6708<\/option><option value='\u706b' >\u706b<\/option><option value='\u6c34' >\u6c34<\/option><option value='\u6728' >\u6728<\/option><option value='\u91d1' >\u91d1<\/option><option value='\u3044\u3064\u3067\u3082\u53ef' >\u3044\u3064\u3067\u3082\u53ef<\/option><\/select><\/div><\/li><li id=\"field_3_17\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'><span class='gform-field-label__text'>\u3054\u9023\u7d61\u5e0c\u671b\u6642\u9593\uff08\u7b2c2\u5019\u88dc\uff09<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_3_17' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='9\u6642\uff5e12\u6642' >9\u6642\uff5e12\u6642<\/option><option value='12\u6642\uff5e14\u6642' >12\u6642\uff5e14\u6642<\/option><option value='14\u6642\uff5e16\u6642' >14\u6642\uff5e16\u6642<\/option><option value='16\u6642\uff5e17\u664230\u5206' >16\u6642\uff5e17\u664230\u5206<\/option><option value='\u3044\u3064\u3067\u3082\u53ef' >\u3044\u3064\u3067\u3082\u53ef<\/option><\/select><\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'><span class='gform-field-label__text'>\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_3_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-text field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_3'><span class='gform-field-label__text'>\u304a\u554f\u3044\u5408\u308f\u305b\u30bf\u30a4\u30c8\u30eb<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_10\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_10'><span class='gform-field-label__text'>\u304a\u554f\u3044\u5408\u308f\u305b\u5185\u5bb9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='600' data-text-counter-template='{current} of {max} max characters'><textarea name='input_10' id='input_3_10' class='textarea medium'   maxlength='600'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Privacy Agreement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_11'>\u5165\u529b\u3044\u305f\u3060\u3044\u305f\u500b\u4eba\u60c5\u5831\u306f\u3001\u304a\u554f\u3044\u5408\u308f\u305b\u306b\u5bfe\u3059\u308b\u56de\u7b54\u306e\u307f\u306b\u5229\u7528\u3057\u3001\u4ed6\u306e\u76ee\u7684\u306b\u5229\u7528\u3059\u308b\u3053\u3068\u306f\u3054\u3056\u3044\u307e\u305b\u3093\u3002\n\u300c<a 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