1<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "https://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> 2<html xmlns="https://www.w3.org/1999/xhtml" xml:lang="en"><!-- InstanceBegin template="/Templates/sub.dwt" codeOutsideHTMLIsLocked="false" --> 3<head> 4 5 <!-- Meta Tags --> 6 <meta http-equiv="Content-Type" content="text/html;charset=UTF-8" /> 7 <meta http-equiv="X-UA-Compatible" content="IE=7" /> 8 <meta name="Description" content="調å¸å¸ã®ç¯æ£æ¯ç§ãªãåäºç¯æ£æ¯ç§ã¯ãªããã¯ã京çç·èª¿å¸é§ ããå¾æ©5åã§ãã調å¸å¨è¾ºã¯ãã¡ããã23åºã»ç¨²åå¸ã»å·å´å¸ã»çæ±å¸ã»å¤æ©å¸ã»å «çåå¸ã»åºä¸å¸ã»ä¸é·¹å¸ãçãå¤ãã®æ£è æ§ã«ãæ¥é¢ããã ãã¦ããã¾ããé§è»å ´ãå®åãã¦ããã¾ãã®ã§ããæ°è»½ã«ãæ¥é¢ä¸ããã¾ãã" /> 9 <meta name="Keywords" content="調å¸å¸,ç¯æ£æ¯ç§,åäºç¯æ£æ¯ç§,調å¸,ãã³ã¿ã«,ã¯ãªããã¯" /> 10 <!-- Page Title --> 11 <!-- InstanceBeginEditable name="doctitle" --> 12 <title>ãååãï½èª¿å¸é§ ãã調å¸å¸åä¾ã®ç¯æ£ æ人ç¯æ£ãªãç¯æ£å°éå»ã®åäºç¯æ£æ¯ç§ã¯ãªããã¯</title> 13 <!-- InstanceEndEditable --> 14 <link rel="shortcut icon" href="favicon.ico" /> 15 <!-- java --> 16 <link rel="stylesheet" type="text/css" href="css/styles.css?20231025" /> 17
17<script src="js/jquery-1.6.1.min.js" language="JavaScript" type="text/javascript"></script>
17 18
18<script src="js/jquery.easing.1.3.js" language="JavaScript" type="text/javascript"></script>
18 19
19<script src="js/slidebreadcrumbslist.js" language="JavaScript" type="text/javascript"></script>
19 20
20<script type="text/javascript" src="js/img_move.js"></script>
20 21
21<script src="js/script.js" language="JavaScript" type="text/javascript"></script>
21 22
22<script src="js/smoothscroll.js" type="text/javascript"></script>
22 23
23<script src="https://www.yoshii-ortho.or.jp/js/displayImages.js"></script>
23 24 <!-- CSS --> 25<!-- InstanceBeginEditable name="sp" -->
26<script type="text/javascript"> 27// iPhoneã¾ãã¯ãAndroidã®å ´åã¯æ¯ãåããå¤æ 28if (document.referrer.indexOf('yoshii-ortho.or.jp') == -1 && (navigator.userAgent.indexOf('iPhone') > 0 && navigator.userAgent.indexOf('iPad') == -1) || navigator.userAgent.indexOf('iPod') > 0 || navigator.userAgent.indexOf('Android') > 0) { 29 if(confirm('ãã®ãµã¤ãã«ã¯ã¹ãã¼ããã©ã³ç¨ã®ãµã¤ããããã¾ãã表示ãã¾ããï¼')) { 30 location.href = '/sp/contact.html'; 31 } 32} 33</script>
33 34<!-- InstanceEndEditable --> 35<!-- Google Tag Manager -->
36<script>
vendor: 327 bytes, lines 36-40
36(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': 37new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], 38j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 39'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); 40})(window,document,'script','dataLayer','
40GTM-TSZ6V2KB
vendor: 3 bytes, line 40
40');
40</script>
40 41<!-- End Google Tag Manager --> 42<!-- Global site tag (gtag.js) - Google Analytics -->
vendor: 64 bytes, lines 42-43
42 43<script async src="https://www.googletagmanager.com/gtag/js?id=
43G-49FTEPXQB0
vendor: 12 bytes, line 43
43"></script>
44<script> 45
vendor: 134 bytes, lines 45-49
45window.dataLayer = window.dataLayer || []; 46 function gtag(){dataLayer.push(arguments);} 47 gtag('js', new Date()); 48 49 gtag('config', '
49G-49FTEPXQB0
vendor: 4 bytes, line 49
49');
50</script>
50 51<!-- InstanceBeginEditable name="head" --> 52<!-- InstanceEndEditable --> 53<!-- Global site tag (gtag.js) - Google Ads: 938797318 -->
vendor: 64 bytes, lines 53-54
53 54<script async src="https://www.googletagmanager.com/gtag/js?id=
54AW-938797318
vendor: 12 bytes, line 54
54"></script>
55<script> 56
vendor: 134 bytes, lines 56-60
56window.dataLayer = window.dataLayer || []; 57 function gtag(){dataLayer.push(arguments);} 58 gtag('js', new Date()); 59 60 gtag('config', '
60AW-938797318
vendor: 4 bytes, line 60
60');
61</script>
61 62 63</head> 64 65<body> 66<!-- Google Tag Manager (noscript) -->
vendor: 68 bytes, lines 66-67
66 67<noscript><iframe src="https://www.googletagmanager.com/ns.html?id=
67GTM-TSZ6V2KB
vendor: 83 bytes, lines 67-68
67" 68height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
69<!-- End Google Tag Manager (noscript) --> 70<div id="wrapper"> 71 <!-- #header --> 72 <div id="header"> 73 <p class="logo"><a href="index.php"><img src="img/logo.png" alt="調å¸é§ ãã調å¸å¸åä¾ã®ç¯æ£ æ人ç¯æ£ãªãç¯æ£å°éå»ã®åäºç¯æ£æ¯ç§ã¯ãªããã¯" width="446" height="93" /></a></p> 74 <p class="info01"><img src="img/time_.png" alt="æ±äº¬é½èª¿å¸å¸å°å³¶çº1-30-1診çæ¥å¹³æ¥ã»åã»æ¥ã»ç¥æ¥ä¼è¨ºæ¥æ¨æ" /><a href="calendar/index.html"><img src="img/time_btn_.png" alt="診çæéã»ã«ã¬ã³ãã¼ã¯ãã¡ã" class="hover" /></a></p> 75 <p class="info"><a href="contact.html"><img src="img/tel05_.png" alt="調å¸é§ ãã調å¸å¸åä¾ã®ç¯æ£ æ人ç¯æ£ãªãç¯æ£å°éå»ã®åäºç¯æ£æ¯ç§ã¯ãªããã¯" width="285" height="93" class="hover" /></a></p> 76 </div> 77 <!-- /#header --> 78 79 <!-- #nav --> 80 81 <!-- /#nav --> 82 83 <!-- #main_image --> 84 <div class="sub_img"><!-- InstanceBeginEditable name="main_img" --><img src="images/sub_img_019.png" width="980" height="320" /><!-- InstanceEndEditable --></div> 85 <!-- /#main_image --> 86</div> 87 88<div id="navi_out"> 89 <div id="nav"> 90 <ul> 91 <li><a href="innai/index.html"><img src="images/header_04.png" alt="ã¯ãªããã¯ç´¹ä»" class="hover" /></a></li> 92 <li><a href="staff.html"><img src="images/header_02.png" alt="ã¹ã¿ããç´¹ä»" class="hover" /></a></li> 93 <li><a href="ortho.html"><img src="images/header_03.png" alt="ç¯æ£æ²»çã«ã¤ãã¦" class="hover" /></a></li> 94 <li><a href="map_time.html"><img src="images/header_05.png" alt="å°å³ã»è¨ºçæé" class="hover" /></a></li> 95 <li><a href="kyuujin/index.html"><img src="images/header_07.png" alt="æ±äººæ å ±" class="hover" /></a></li> 96 <li><a href="blog_index.html"><img src="images/header_06.png" alt="ããã°" class="hover" /></a></li> 97 </ul> 98</div> 99</div> 100 101 102 103<div id="wrapper_contents"> 104 <!-- #contents --> 105 <div id="contents"> 106 <div class="p-navi"> 107 <ul> 108 <!-- InstanceBeginEditable name="p-navi" --> 109 <li><a href="https://www.yoshii-ortho.or.jp/">TOP</a></li> 110 <li>ãååã</li> 111 <!-- InstanceEndEditable --> 112 </ul> 113 </div> 114 115 <!-- #sidenavi --> 116 <div id="sidenavi"> 117 <div class="navi1"><!-- InstanceBeginEditable name="side_menu" --> 118 <h2><img src="images/side_info_mail.png" width="239" height="92" /></h2> 119 <div class="menu"> 120 <ul> 121 <li><a href="#">ãååãã»è¨ºçäºç´</a></li> 122 </ul> 123 </div> 124 <!-- InstanceEndEditable --> 125<div class="btn"><a href="contact.html"><img src="images/side_btn_01.jpg" alt="ç¡æç¸è«åä»ä¸" width="240" height="90" class="hover" /></a></div> 126<div class="btn"><a href="category/%E9%99%A2%E9%95%B7%E3%83%96%E3%83%AD%E3%82%B0/"><img src="images/side_btn_04.jpg" alt="é¢é·ããã°" width="240" height="90" class="hover" /></a></div> 127<div class="btn"><a href="category/%E3%82%B9%E3%82%BF%E3%83%83%E3%83%95%E3%83%96%E3%83%AD%E3%82%B0/"><img src="images/side_btn_03.jpg" alt="ã¹ã¿ããããã°" width="240" height="90" class="hover" /></a></div> 128<div class="btn"><a href="kyuujin/index.html"><img src="images/side_btn_07.jpg" alt="æ±äººæ å ±" width="240" height="90" class="hover" /></a></div> 129<!--<div class="btn"><a href="../voice.html"><img src="../images/side_btn_02.jpg" alt="æ£è æ§ã®å£°" width="240" height="90" class="hover" /></a></div>--> 130 131 132 133 <img src="images/left_title_05.jpg" alt="ã¢ã¯ã»ã¹" class="mat15" /><a href="access/index.html"><img src="images/left-map.jpg" alt="ã¢ã¯ã»ã¹ããã" width="240" /></a> 134 <!--<div class="btn"><a title="åºå ±ä»£è¡çªå£ åäºç¯æ£æ¯ç§ã¯ãªãã㯠åäºè³¢ä¸é" 135href="https://yoshii-ortho.press-pr.info/index.html" 136target="_blank"><img 137src="https://yoshii-ortho.press-pr.info/images/banner.png" alt="åºå ±ä»£è¡çªå£ 138åäºç¯æ£æ¯ç§ã¯ãªãã㯠åäºè³¢ä¸é" width="240"/></a> 139</div>--> 140 141 142 <p> </p> 143 144 </div> 145 146 147 </div> 148 <!-- /#sidenavi --> 149 150 <!-- #main --> 151 <div id="main"><!-- InstanceBeginEditable name="main" --> 152 <div class="h2_area"> 153 <h1>ãååã</h1> 154 <h2><a name="01" id="01"></a>ãååãã»è¨ºçäºç´</h2> 155<p>å½é¢ã¸ã®ãååãã¯ãé»è©±ãã¾ãã¯ä¸è¨ãã©ã¼ã ã«å¿ è¦äºé ãå ¥åãéä¿¡ãã¦ãã ããã</p> 156<p><strong><font color="#FF6600">â»ä¼è¨ºæ¥ããã³åæã»æ¥æã«éä¿¡ããã ããå ´åã¯ãè¿äºããå¾ ããããå ´åããããã¾ãã®ã§ã<br /> 157 158ãæ¥ãã®æ¹ã¯æãå ¥ãã¾ãããé»è©±ã«ã¦ãé£çµ¡ããé¡ããããã¾ãã<br /> 159 â»ç¶æ³ã«ããå ã®æ¥ç¨ã§ã®ãæ¡å ã¨ãªãå ´åããããã¾ãããäºããäºæ¿ããã ãããåãã¾ãã</font></strong><br /><br /> 160 <em class = "must">*</em>å°ã¯å¿ é é ç®ã§ãã<br /> 161</p> 162<form method="POST" action="confirm.php"> 163 <table class="contact"> 164 <tr> 165 <th>ãåå<em class = "must">*</em></th> 166 <td><input type = "text" name = "name" value = "" size = "30" maxlength = "30" /></td> 167 </tr> 168 <tr> 169 <th>ããªã¬ã<em class = "must">*</em></th> 170 <td><input type = "text" name = "furigana" value = "" size = "30" maxlength = "30" /></td> 171 </tr> 172 <tr> 173 <th>æ§å¥</th> 174 <td><input type="radio" name="kubun" value="1" checked /> 175 ç·ãã 176 <input type="radio" name="kubun" value="4" /> 177 女ã</td> 178 </tr> 179 <tr> 180 <th>å¹´é½¢<em class = "must">*</em></th> 181 <td><input type = "text" name = "age" value = "" size = "4" maxlength = "3" /> 182 æ³(åè§)</td> 183 </tr> 184 <tr> 185 <th>ä½æ</th> 186 <td><input type = "text" name = "address" value = "" size = "40" maxlength = "70" /></td> 187 </tr> 188 <tr> 189 <th>ã¡ã¼ã«ã¢ãã¬ã¹<em class = "must">*</em></th> 190 <td> 191 <input type = "text" name = "mail1" value = "" size = "30" maxlength = "50" /> 192 <br /> 193 â»ç¢ºèªã®ãããååº¦å ¥åãã¦ãã ãã<br /> 194 <input type = "text" name = "mail2" value = "" size = "30" maxlength = "50" /> 195 </td> 196 </tr> 197 <tr> 198 <th>é»è©±çªå·<em class = "must">*</em></th> 199 <td> 200 <input type = "text" name = "tel1" value = "" size = "5" maxlength = "5" /> 201 ï¼ 202 <input type = "text" name = "tel2" value = "" size = "5" maxlength = "5" /> 203 ï¼ 204 <input type = "text" name = "tel3" value = "" size = "5" maxlength = "5" /> 205 </td> 206 </tr> 207 <tr> 208 <th>ãç¸è«å 容<em class = "must">*</em></th> 209 <td> 210 <textarea name = "naiyou" cols = "40" rows = "10" wrap="soft"></textarea> 211 </td> 212 </tr> 213 <tr> 214 <td colspan="2">ä¸è¨ã¯ãã¡ã¼ã«ç¸è«ã®æ¹ã¯å¿ è¦ããã¾ãã</td> 215 </tr> 216 <tr> 217 <th>診çå¸ææ¥</th> 218 <td><p><strong><font color="#FF6600">â»ãå ¥åããã ãæ¥ç¨ã¯âãå¸ææ¥âã§ãã<br /> 219 å»é¢ããã®ç¢ºèªé»è©±ããã£ã¦äºç´ç¢ºå®ã¨ãªãã¾ãã<br /> 220 ãå¸æã«æ·»ããªãå ´åããããã¾ãã®ã§ãäºããäºæ¿ããã ãããåãã¾ãã</font></strong></p>1, 221 <input type = "text" name = "month1" value = "" size = "2" maxlength = "2" /> 222 æã 223 <input type = "text" name = "day1" value = "" size = "2" maxlength = "2" /> 224 æ¥ãæé 225 <select name="time1"> 226 <option value="9:00">9:00</option> 227 <option value="9:30">9:30</option> 228 <option value="10:00">10:00</option> 229 <option value="10:30">10:30</option> 230 <option value="11:00">11:00</option> 231 <option value="14:00">14:00</option> 232 <option value="14:30">14:30</option> 233 <option value="15:00">15:00</option> 234 <option value="15:30">15:30</option> 235 <option value="16:00">16:00</option> 236 <option value="16:30">16:30</option> 237 <option value="17:00">17:00</option> 238 <option value="17:30">17:30</option> 239 <option value="18:00">18:00</option> 240 <option value="18:30">18:30</option> 241 <option value="19:00">19:00</option> 242 </select> 243 <br /> 244 2, 245 <input type = "text" name = "month2" value = "" size = "2" maxlength = "2" /> 246 æã 247 <input type = "text" name = "day2" value = "" size = "2" maxlength = "2" /> 248 æ¥ãæé 249 <select name="time2"> 250 <option value="9:00">9:00</option> 251 <option value="9:30">9:30</option> 252 <option value="10:00">10:00</option> 253 <option value="10:30">10:30</option> 254 <option value="11:00">11:00</option> 255 <option value="14:00">14:00</option> 256 <option value="14:30">14:30</option> 257 <option value="15:00">15:00</option> 258 <option value="15:30">15:30</option> 259 <option value="16:00">16:00</option> 260 <option value="16:30">16:30</option> 261 <option value="17:00">17:00</option> 262 <option value="17:30">17:30</option> 263 <option value="18:00">18:00</option> 264 <option value="18:30">18:30</option> 265 <option value="19:00">19:00</option> 266 </select> 267 <br /> 268 3, 269 <input type = "text" name = "month3" value = "" size = "2" maxlength = "2" /> 270 æã 271 <input type = "text" name = "day3" value = "" size = "2" maxlength = "2" /> 272 æ¥ãæé 273 <select name="time3"> 274 <option value="9:00">9:00</option> 275 <option value="9:30">9:30</option> 276 <option value="10:00">10:00</option> 277 <option value="10:30">10:30</option> 278 <option value="11:00">11:00</option> 279 <option value="14:00">14:00</option> 280 <option value="14:30">14:30</option> 281 <option value="15:00">15:00</option> 282 <option value="15:30">15:30</option> 283 <option value="16:00">16:00</option> 284 <option value="16:30">16:30</option> 285 <option value="17:00">17:00</option> 286 <option value="17:30">17:30</option> 287 <option value="18:00">18:00</option> 288 <option value="18:30">18:30</option> 289 <option value="19:00">19:00</option> 290 </select> 291 <br> 292<p><strong>â診çæé</strong><br> 293<a href="calendar/index.html" target="_blank">ï¼ï¼è¨ºçæ¥ã«ã¤ãã¦ã¯ãã¡ããã覧ãã ãã</a></p> 294 </tr> 295 <tr> 296 <th>å人æ å ±ä¿è·æ¹éã«åæãã<em class = "must">*</em></th> 297 <td><span class="title">å人æ å ±ä¿è·æ¹é</span> 298 <div class="text_box"> 299 <p>[æ³ä»¤ã®éµå®]<br> 300 åäºç¯æ£æ¯ç§ã¯ãªããã¯(以ä¸ããå½é¢ã)ã¯ãå人æ å ±(ç¹å®ã®å人ãèå¥ã§ãããã®ã以ä¸ãåæ§ã¨ãã¾ãã)ãåãæ±ãéã«ãå人æ å ±ã®ä¿è·ã«é¢ããæ³å¾ãã¯ããå人æ å ±ä¿è·ã«é¢ãã諸æ³ä»¤ãããã³ä¸»å大è£ã®ã¬ã¤ãã©ã¤ã³ã«å®ãããã義åããªãã³ã«æ¬ããªã·ã¼ãéµå®ãã¾ãã<br> 301 302[å©ç¨ç®çã®ç¯å²å ã§ã®å©ç¨]<br>å½é¢ã¯ãããããããæ¬äººã®åæãå¾ãå ´åãããã³æ³ä»¤ã«ããèªããããå ´åãé¤ãããããããç¹å®ãããå©ç¨ç®çã®
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