{"id":51013,"date":"2025-02-25T14:14:35","date_gmt":"2025-02-25T13:14:35","guid":{"rendered":"https:\/\/www.stpierre-bru.be\/aanvragen-van-documenten-spoedgevallen\/"},"modified":"2025-02-25T14:14:39","modified_gmt":"2025-02-25T13:14:39","slug":"aanvragen-van-documenten-spoedgevallen","status":"publish","type":"page","link":"https:\/\/www.stpierre-bru.be\/nl\/aanvragen-van-documenten-spoedgevallen\/","title":{"rendered":"Aanvragen van documenten – Spoedgevallen"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_contact_form email=”secretariat.urgences@stpierre-bru.be” title=”Aanvragen van documenten – Spoedgevallen” custom_message=”Bonjour,||et_pb_line_break_holder||||et_pb_line_break_holder||Vous avez re\u00e7u une nouvelle demande de document d'un patient par le biais du site internet du CHU Saint-Pierre.||et_pb_line_break_holder||||et_pb_line_break_holder||PATIENT||et_pb_line_break_holder||||et_pb_line_break_holder||Date de passage: %%date-passage%%||et_pb_line_break_holder||Je suis: %%je-suis%%||et_pb_line_break_holder||||et_pb_line_break_holder||Nom : %%patient-lastname%%||et_pb_line_break_holder||Pr\u00e9nom : %%patient-firstname%%||et_pb_line_break_holder||Email : %%patient-email%%||et_pb_line_break_holder||Tel: %%patient-tel%%||et_pb_line_break_holder||Rue : %%patient-street%%||et_pb_line_break_holder||Code postale : %%patient-zip%%||et_pb_line_break_holder||Ville : %%patient-city%%||et_pb_line_break_holder||Date de naissance : %%patient-birthdate%%||et_pb_line_break_holder||Carte d'identit\u00e9 : %%patient-carte-ID%%||et_pb_line_break_holder||||et_pb_line_break_holder||MEDECIN TRAITANT||et_pb_line_break_holder||||et_pb_line_break_holder||Nom & Pr\u00e9nom : %%doctor-lastname%%||et_pb_line_break_holder||Rue : %%doctor-street%%||et_pb_line_break_holder||Code postale : %%doctor-zip%%||et_pb_line_break_holder||Ville : %%doctor-city%%||et_pb_line_break_holder||||et_pb_line_break_holder||DEMANDE||et_pb_line_break_holder||||et_pb_line_break_holder||R\u00e9ponse demand\u00e9e via: %%biais-demande%%||et_pb_line_break_holder||||et_pb_line_break_holder||Type(s) de la demande :||et_pb_line_break_holder||||et_pb_line_break_holder||Rapport m\u00e9dical: %%type-demande-rapport-med%%||et_pb_line_break_holder||Certificat m\u00e9dical: %%type-demande-certificat%%||et_pb_line_break_holder||Papiers assurance : %%type-demande-assurance%%||et_pb_line_break_holder||||et_pb_line_break_holder||Document assurance: %%patient-assurance-doc%%||et_pb_line_break_holder||||et_pb_line_break_holder||Si le patient \u00e0 r\u00e9pondu %22autre%22 :||et_pb_line_break_holder||%%Autre%%||et_pb_line_break_holder||||et_pb_line_break_holder||Belle journ\u00e9e ! ” success_message=”Je aanvraag is verzonden naar het secretariaat. Het zal binnen 3 werkdagen worden verwerkt. Als er een probleem is, nemen we telefonisch of per e-mail contact met je op. ” submit_button_text=”Verzend uw verzoek.” disabled_on=”off|off|off” admin_label=”Contact Form Annulation RDV” _builder_version=”4.27.4″ _module_preset=”default” _unique_id=”12de8d00-7f10-4cca-9065-07a8d84093a9″ title_text_color=”#E09900″ custom_button=”on” button_text_color=”#FFFFFF” button_bg_color=”#E83B42″ button_border_radius=”25px” button_on_hover=”off” display_conditions=”W10=” admin_email_subject=”CHU Saint-Pierre – Demande de document patient” save_entries_to_db=”off” use_confirmation_email=”on” confirmation_email_subject=”CHU Saint-Pierre – Demande de documents” confirmation_email_message=”Bonjour,
\nNous avons bien re\u00e7u votre demande de documents suite \u00e0 votre passage aux urgences du CHU Saint-Pierre de Bruxelles.<\/p>\n

Votre demande sera trait\u00e9e end\u00e9ans les 3 jours ouvrables.
\nEn cas de probl\u00e8me, nous vous contacterons par t\u00e9l\u00e9phone ou par mail. <\/p>\n

Le secr\u00e9tariat des Urgences est disponible par mail (secretariat.urgences@stpierre-bru.be) ou par t\u00e9l\u00e9phone au 02\/535.40.60 du lundi au vendredi de 08h00 \u00e0 15h30. <\/p>\n

Cordialement,
\nLe CHU Saint-Pierre” submit_button_wait_text=”Envoi en cours…” field_label_font=”||||||||” field_label_border=”on||||” locked=”off” global_colors_info=”{}”][et_pb_contact_field field_id=”date-passage” field_title=”Datum van je bezoek” _builder_version=”4.25.2″ form_field_background_color=”rgba(0,0,0,0.08)” form_field_font=”||||||||” use_field_label=”on” field_placeholder=”Date de passage aux urgences” use_field_icon=”on” field_icon=”||fa||400″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” 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button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”patient-firstname” field_title=”Je voornaam” _builder_version=”4.25.2″ use_field_label=”on” field_placeholder=”Votre pr\u00e9nom” use_field_icon=”on” field_icon=”||fa||400″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” 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