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agenda.doktercatherineverkest.be Open in urlscan Pro
2606:4700:3035::6815:17e1  Public Scan

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Submitted URL: http://agenda.doktercatherineverkest.be/schedule/dr-verkest/raadpleging?day=8&month=7&year=2020
Effective URL: https://agenda.doktercatherineverkest.be/schedule/dr-verkest/raadpleging?day=8&month=7&year=2020
Submission: On September 07 via api from BE

Form analysis 2 forms found in the DOM

POST /schedule/dr-verkest/raadpleging?day=8&month=7&year=2020

<form action="/schedule/dr-verkest/raadpleging?day=8&amp;month=7&amp;year=2020" accept-charset="UTF-8" method="post">
  <div id="oldres_error"></div>
  <table class="first_label">
    <tbody>
      <tr class="t">
        <td><label for="oldres_start_time">Tijdstip</label></td>
        <td>
          <table>
            <tbody>
              <tr>
                <td><input size="18" onfocus="show_datepick(this,0)" onblur="hide_datepick(this, false, true)" autocomplete="off" type="text" name="oldres[start_time]" id="oldres_start_time">
                  <div id="oldres_startm" class="g"></div>
                </td>
                <td><label for="oldres_finish_time">tot</label></td>
                <td><input size="18" class="ro" readonly="readonly" type="text" name="oldres[finish_time]" id="oldres_finish_time">
                  <div id="oldres_finishm" class="g"></div>
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr id="oldres_resr" style="display:none">
        <td>Omschrijving</td>
        <td id="oldres_res"></td>
      </tr>
      <tr class="rq">
        <td><label for="oldres_full_name">Naam</label></td>
        <td><input size="30" maxlength="50" required="required" type="text" name="oldres[full_name]" id="oldres_full_name"></td>
      </tr>
      <tr class="rq">
        <td><label for="oldres_email">E-mail</label></td>
        <td><input size="30" maxlength="50" required="required" type="text" name="oldres[email]" id="oldres_email"></td>
      </tr>
      <tr>
        <td><label for="oldres_phone">Telefoon</label></td>
        <td><input size="30" maxlength="31" type="text" name="oldres[phone]" id="oldres_phone"></td>
      </tr>
      <tr>
        <td><label for="oldres_field_1">Rijksregisternummer</label></td>
        <td><input size="30" maxlength="50" type="text" name="oldres[field_1]" id="oldres_field_1"></td>
      </tr>
      <tr style="display:none">
        <td colspan="2"><input type="hidden" name="oldres[resource_id]" id="oldres_resource_id"></td>
      </tr>
      <tr id="oldres_req">
        <td colspan="2" class="rt small">* = Verplicht veld</td>
      </tr>
      <tr id="oldres_statrow" style="display:none">
        <td> Status </td>
        <td id="oldres_status"></td>
      </tr>
      <tr id="oldrescreated_by" class="small">
        <td>Gemaakt&nbsp;op</td>
        <td id="oldres_created_by"></td>
      </tr>
      <tr id="oldresupdated_by" class="small" style="display:none">
        <td>Gewijzigd&nbsp;op</td>
        <td id="oldres_updated_by"></td>
      </tr>
    </tbody>
  </table>
  <div class="dbtn_w">
    <div class="dbtn_i">
      <i class="id id-ical" title="Download afspraak als iCalendar file" onclick="download_ical('oldres')"></i>
    </div>
    <div class="dbtn_n dbtn_n_e">
      <span id="oldres_editlink"><input type="hidden" name="oldres[id]" id="oldres_id">
        <button name="edit" type="submit" id="oldres_sedit" onclick="return showIndicator(this)" class="but">Afspraak Aanpassen</button>
        <button name="destroy" type="submit" id="oldres_sdestroy" onclick="return removeRes(this)" class="but but-d"><span>Afspraak Verwijderen</span></button>
      </span>
      <a href="javascript:void(0)" onclick="hideDialog('oldres');" class="small l-c">Sluiten</a><input type="hidden" name="oldres[xpos]" id="oldres_xpos"><input type="hidden" name="oldres[ypos]" id="oldres_ypos">
      <div class="spin_w">
        <div class="spin il" id="oldres_progress" style="display:none"></div>
      </div>
    </div>
  </div>
</form>

POST /schedule/dr-verkest/raadpleging?day=8&month=7&year=2020

<form action="/schedule/dr-verkest/raadpleging?day=8&amp;month=7&amp;year=2020" accept-charset="UTF-8" method="post">
  <div id="reservation_error"></div>
  <table class="first_label">
    <tbody>
      <tr class="t">
        <td><label for="reservation_start_time">Tijdstip</label></td>
        <td>
          <table>
            <tbody>
              <tr>
                <td><input size="18" onfocus="show_datepick(this,0)" onblur="hide_datepick(this, false, true)" autocomplete="off" type="text" name="reservation[start_time]" id="reservation_start_time">
                  <div id="reservation_startm" class="g"></div>
                </td>
                <td><label for="reservation_finish_time">tot</label></td>
                <td><input size="18" class="ro" readonly="readonly" type="text" name="reservation[finish_time]" id="reservation_finish_time">
                  <div id="reservation_finishm" class="g"></div>
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr class="rq">
        <td><label for="reservation_full_name">Naam</label></td>
        <td><input size="30" maxlength="50" required="required" type="text" name="reservation[full_name]" id="reservation_full_name"></td>
      </tr>
      <tr class="rq">
        <td><label for="reservation_email">E-mail</label></td>
        <td><input size="30" maxlength="50" required="required" type="text" name="reservation[email]" id="reservation_email"></td>
      </tr>
      <tr>
        <td><label for="reservation_phone">Telefoon</label></td>
        <td><input size="30" maxlength="31" type="text" name="reservation[phone]" id="reservation_phone"></td>
      </tr>
      <tr>
        <td><label for="reservation_field_1">Rijksregisternummer</label></td>
        <td><input size="30" maxlength="50" type="text" name="reservation[field_1]" id="reservation_field_1"></td>
      </tr>
      <tr style="display:none">
        <td colspan="2"><input type="hidden" value="600598" name="reservation[resource_id]" id="reservation_resource_id"></td>
      </tr>
      <tr id="reservation_req">
        <td colspan="2" class="rt small">* = Verplicht veld</td>
      </tr>
    </tbody>
  </table>
  <div class="dbtn_n">
    <span><button name="button" type="submit" onclick="return showIndicator(this)" class="but">Maak Afspraak</button></span>
    <a href="javascript:void(0)" onclick="hideDialog('reservation');" class="small l-c">Annuleren</a><input type="hidden" name="reservation[xpos]" id="reservation_xpos"><input type="hidden" name="reservation[ypos]" id="reservation_ypos">
    <div class="spin_w">
      <div class="spin" id="reservation_progress" style="display:none"></div>
    </div>
  </div>
</form>

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MAAK EEN AFSPRAAK

Klik op een leeg vak om een afspraak in te plannen.






 * Week 28Vandaag

Week
 * Week
 * Vrij


(GEEN BESCHIKBARE RUIMTE GEVONDEN)

Zo 5/7
Ma 6/7
Di 7/7
Wo 8/7
Do 9/7
Vr 10/7
Za 11/7

8:00   9:00   10:00   11:00   12:00   13:00   14:00   15:00   16:00   17:00   18:00   19:00   

                                                

                                                

                                                

                                                

                                                

                                                

                                                

 

Afspraak WijzigenAfspraak Bekijken

Tijdstip

tot


Omschrijving Naam E-mail Telefoon Rijksregisternummer * = Verplicht veld Status
Gemaakt op Gewijzigd op

Afspraak Aanpassen Afspraak Verwijderen Sluiten

Afspraak Toevoegen

Tijdstip

tot


Naam E-mail Telefoon Rijksregisternummer * = Verplicht veld

Maak Afspraak Annuleren