{"id":458,"date":"2026-09-23T12:46:47","date_gmt":"2026-09-23T12:46:47","guid":{"rendered":"https:\/\/medical-devices.localhost\/my-account\/register\/"},"modified":"2026-10-05T14:34:22","modified_gmt":"2026-10-05T14:34:22","slug":"register","status":"publish","type":"page","link":"https:\/\/medical-devices.formfabrik.rocks\/en\/my-account\/register\/","title":{"rendered":"Register"},"content":{"rendered":"<div class=\"row members-form\">\n    <div class=\"col-md-4 offset-md-4\">\n        <div class=\"members-form-wrap\">\n                                    <form action=\"\" method=\"post\" name=\"member_registration\" id=\"registerForm\"\n                  enctype=\"multipart\/form-data\">\n                <h3 class=\"pt-3\">Create an account<\/h3>\n                <div class=\"mb-3\">\n                    <label class=\"form-label\" for=\"register_email\">Email address <span\n                                class=\"text-danger\">*<\/span><\/label>\n                    <input class=\"form-control\" name=\"email\" id=\"register_email\" required=\"\" type=\"email\" autocomplete=\"email\"\n                           value=\"\"\/>\n                <\/div>\n                        <div class=\"mb-3 member-profile-field member-profile-field--select\">\r\n                        <div class=\"form-floating\">\r\n                <select class=\"form-select\"\r\n                        name=\"member_profile_fields[field_6ab4c525e425d]\"\r\n                        id=\"member_registration_field_6ab4c525e425d\" required>\r\n                                                                <option value=\"medic-primar-medicina-umana\" >Medic primar medicina umana<\/option>\r\n                                            <option value=\"medic-primar-medicina-dentara\" >Medic primar medicina dentara<\/option>\r\n                                            <option value=\"medic-specialist-medicina-umana\" >Medic specialist medicina umana<\/option>\r\n                                            <option value=\"medic-specialist-medicina-dentara\" >Medic specialist medicina dentara<\/option>\r\n                                            <option value=\"medic-rezident-medicina-umana\" >Medic rezident medicina umana<\/option>\r\n                                            <option value=\"medic-rezident-medicina-dentara\" >Medic rezident medicina dentara<\/option>\r\n                                            <option value=\"student-medicina-umana\" >Student medicina umana<\/option>\r\n                                            <option value=\"student-medicina-dentara\" >Student medicina dentara<\/option>\r\n                                            <option value=\"farmacist\" >Farmacist<\/option>\r\n                                            <option value=\"asistent-medical\" >Asistent medical<\/option>\r\n                                            <option value=\"psiholog\" >Psiholog<\/option>\r\n                                            <option value=\"naturopat\" >Naturopat<\/option>\r\n                                            <option value=\"terapeut-sau-practician-in-medicina-alternativa-si-complementara\" >Terapeut sau practician in medicina alternativa si complementara<\/option>\r\n                                            <option value=\"nutritionist-sau-dietetician\" >Nutritionist sau dietetician<\/option>\r\n                                            <option value=\"biolog-ecolog-specialist-in-mediu\" >Biolog, ecolog, specialist in mediu<\/option>\r\n                                            <option value=\"alta-profesie-medicala\" >Alta profesie medicala<\/option>\r\n                                    <\/select>\r\n                <label class=\"form-label\" for=\"member_registration_field_6ab4c525e425d\">\r\n                    Profesia <span\r\n                            class=\"text-danger\">*<\/span>                <\/label>\r\n            <\/div>\r\n                                <\/div>\r\n           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class=\"form-control\"\r\n                       placeholder=\"CNP\"\r\n                       name=\"member_profile_fields[field_6ac4f4420b3ad]\"\r\n                       id=\"member_registration_field_6ac4f4420b3ad\" type=\"text\"\r\n                       value=\"\"\r\n                         required                                                                         \/>\r\n                <label class=\"form-label\" for=\"member_registration_field_6ac4f4420b3ad\">\r\n                    CNP <span\r\n                            class=\"text-danger\">*<\/span>                <\/label>\r\n            <\/div>\r\n                                <\/div>\r\n                <div class=\"mb-3 member-profile-field member-profile-field--text\">\r\n                                    <div class=\"form-floating\">\r\n                <input class=\"form-control\"\r\n                       placeholder=\"CUIM (optional)\"\r\n                       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value=\"f7944fe7cd\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/458\" \/>                <input name=\"member_registration\" type=\"submit\" class=\"ff-members-btn btn btn-primary d-inline-block\"\n                       value=\"Register\"\/>\n            <\/form>\n                    <\/div>\n    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