{"id":1232,"date":"2019-03-10T11:34:58","date_gmt":"2019-03-10T09:34:58","guid":{"rendered":"https:\/\/dfineclinic.nl\/?page_id=1232"},"modified":"2026-02-02T15:39:40","modified_gmt":"2026-02-02T13:39:40","slug":"contact","status":"publish","type":"page","link":"https:\/\/dfineclinic.nl\/en\/contact\/","title":{"rendered":"Contact"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row&#8221; el_id=&#8221;head-page&#8221; el_class=&#8221;border-white&#8221;][vc_column width=&#8221;1\/3&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span style=\"color: #d3986e;\"><b>Please contact us<\/b><\/span><\/h3>\n<p><strong>Contact details<br \/>\n<\/strong>info[at]dfineclinic.nl<br \/>\nKerckeven 1<br \/>\n1902 AG Castricum<br \/>\nIBAN: NL49INGB0007690753[\/vc_column_text][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_gmaps 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                        <label for='input_4_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_3'><span class='gform-field-label__text'>E-mail address<\/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_3' id='input_4_3' type='email' value='' class='large' tabindex='305'  placeholder='E-mail address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'><span class='gform-field-label__text'>Telephone number<\/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_7' id='input_4_7' type='tel' value='' class='medium' tabindex='306' placeholder='Telephone number' aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/li><li id=\"field_4_20\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_20'><span class='gform-field-label__text'>Residence<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_4_20' type='text' value='' class='medium'   tabindex='307' placeholder='Residence'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_22\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_22'><span class='gform-field-label__text'>Appointment form<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_4_22' class='large gfield_select' tabindex='308'    aria-invalid=\"false\" ><option value='Appointment form' >Appointment form<\/option><option value='Treatment' >Treatment<\/option><option value='Intake' >Intake<\/option><\/select><\/div><\/li><li id=\"field_4_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_14'><span class='gform-field-label__text'>Treatment<\/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_4_14' class='large gfield_select' tabindex='309'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Treatment<\/option><option value='Free Intake' >Free Intake<\/option><option value='Cosmetic Permanent-Make-up' >Cosmetic Permanent-Make-up<\/option><option value='Medical Permanent-Make-up' >Medical Permanent-Make-up<\/option><option value='Bindweefselmassage' >Bindweefselmassage<\/option><option value='Microneedling' >Microneedling<\/option><\/select><\/div><\/li><li id=\"field_4_21\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_21'><span class='gform-field-label__text'>Have you been treated before?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_4_21' class='large gfield_select' tabindex='310'    aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Have you been treated before?<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_4_4\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><label class='gfield_label gform-field-label' for='input_4_4'><span class='gform-field-label__text'>Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='Date'\n\t\t\t\t\tid='input_4_4'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_4'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\ttabindex='311' \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_4_4' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_4_4' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_4_4' aria-label='Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_4_9\" class=\"gfield gfield--type-select gfield--input-type-select gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><label class='gfield_label gform-field-label' for='input_4_9'><span class='gform-field-label__text'>Time<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_4_9' class='small gfield_select' tabindex='312'    aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Time<\/option><option value='10:00' >10:00<\/option><option value='10:30' >10:30<\/option><option value='11:00' >11:00<\/option><option value='11:30' >11:30<\/option><option value='12:00' >12:00<\/option><option value='12:30' >12:30<\/option><option value='13:00' >13:00<\/option><option value='13:30' >13:30<\/option><option value='14:00' >14:00<\/option><option value='14:30' >14:30<\/option><option value='15:00' >15:00<\/option><option value='15:30' >15:30<\/option><option value='16:00' >16:00<\/option><\/select><\/div><\/li><li id=\"field_4_6\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_6'><span class='gform-field-label__text'>Wishes<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_4_6' class='textarea small' tabindex='313'   placeholder='Wishes' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_23\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_4_23'><span class='gform-field-label__text'>Please upload a photo of yourself<\/span><\/label><div class='gfield_description' id='gfield_description_4_23'>Please upload a photo of yourself<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_4_23' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_4_23&quot;,&quot;container&quot;:&quot;gform_multifile_upload_4_23&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_4_23&quot;,&quot;filelist&quot;:&quot;gform_preview_4_23&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/dfineclinic.nl\\\/?gf_page=1740f2e553b9d9a&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/dfineclinic.nl\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/dfineclinic.nl\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,jpeg,bmp,gif,png&quot;}],&quot;max_file_size&quot;:&quot;5242880b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:4,&quot;field_id&quot;:23,&quot;_gform_file_upload_nonce_4_23&quot;:&quot;42c19249e8&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_4_23&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_4_23' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_4_23' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_4_23 gfield_description_4_23\" tabindex='314' >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_23'>Accepted file types: jpg, jpeg, bmp, gif, png, Max. file size: 5 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_4_23'><\/ul> <div id='gform_preview_4_23' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_4_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below 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<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_13'><li class='gchoice gchoice_4_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='&lt;div align=&quot;center&quot;&gt;When you use this form, you agree with &lt;a href=&quot;\/en\/privacy-verklaring\/&quot;&gt;the privacy statement&lt;\/a&gt;, storage and processing of your data by this website.&lt;\/div&gt;'  id='choice_4_13_1' tabindex='315'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_1' id='label_4_13_1' class='gform-field-label gform-field-label--type-inline'><div align=\"center\">When you use this form, you agree with <a href=\"\/en\/privacy-verklaring\/\">the privacy statement<\/a>, storage and processing of your data by this website.<\/div><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' tabindex='316'>Send message<\/button> <input type='hidden' name='gform_ajax' value='form_id=4&amp;title=&amp;description=1&amp;tabindex=300&amp;theme=legacy&amp;styles=[]&amp;hash=32eea91ac233976dbdddca714605c44f' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='legacy' \/>\n            <input type='hidden' 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value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_4' value='' \/>\n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_4' id='gform_ajax_frame_4' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var 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link=&#8221;url:https%3A%2F%2Fdfineclinic.nl%2Fcontact%2F%23maak-afspraak|title:Maak%20een%20afspraak||&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;3\/4&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; el_id=&#8221;head-page&#8221; el_class=&#8221;border-white&#8221;][vc_column width=&#8221;1\/3&#8243;][vc_column_text css=&#8221;&#8221;] Please contact us Contact details info[at]dfineclinic.nl Kerckeven 1 1902 AG Castricum IBAN: NL49INGB0007690753[\/vc_column_text][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_gmaps 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