Nieuwsbrief

Nieuwsbrief

Logo Antwerpen mailchimp : 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=4bc3477b58" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam <span class="asterisk">*</span> </label> <input type="text" value="" name="FNAME" class="required" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam <span class="asterisk">*</span> </label> <input type="text" value="" name="LNAME" class="required" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19481][1]" id="mce-group[19481]-19481-0"><label for="mce-group[19481]-19481-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19481][2]" id="mce-group[19481]-19481-1"><label for="mce-group[19481]-19481-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19481][4]" id="mce-group[19481]-19481-2"><label for="mce-group[19481]-19481-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19481][8]" id="mce-group[19481]-19481-3"><label for="mce-group[19481]-19481-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19481][16]" id="mce-group[19481]-19481-4"><label for="mce-group[19481]-19481-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_4bc3477b58" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Kempen mailchimp: 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=757025f547" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19497][1]" id="mce-group[19497]-19497-0"><label for="mce-group[19497]-19497-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19497][2]" id="mce-group[19497]-19497-1"><label for="mce-group[19497]-19497-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19497][4]" id="mce-group[19497]-19497-2"><label for="mce-group[19497]-19497-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19497][8]" id="mce-group[19497]-19497-3"><label for="mce-group[19497]-19497-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19497][16]" id="mce-group[19497]-19497-4"><label for="mce-group[19497]-19497-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_757025f547" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Mechelen mailchimp: 
<div id="mc_embed_signup"> <form action="https://logomechelen.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=8246e83431" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Subscribe</h2> <div class="indicates-required"><span class="asterisk">*</span> indicates required</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in gezondheid </strong> <ul><li><input type="checkbox" value="2" name="group[19501][2]" id="mce-group[19501]-19501-0"><label for="mce-group[19501]-19501-0">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19501][4]" id="mce-group[19501]-19501-1"><label for="mce-group[19501]-19501-1">op school</label></li> <li><input type="checkbox" value="8" name="group[19501][8]" id="mce-group[19501]-19501-2"><label for="mce-group[19501]-19501-2">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19501][16]" id="mce-group[19501]-19501-3"><label for="mce-group[19501]-19501-3">in de zorg</label></li> <li><input type="checkbox" value="32" name="group[19501][32]" id="mce-group[19501]-19501-4"><label for="mce-group[19501]-19501-4">... en milieu</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_8246e83431" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Limburg mailchimp: 
<div id="mc_embed_signup"> <form action="https://logolimburg.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=7132dbda5c" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group"> <label for="mce-MMERGE4">Functie </label> <input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4"> </div> <div class="mc-field-group input-group"> <strong>Nieuwsbrief Logo Limburg </strong> <ul><li><input type="radio" value="32" name="group[23613]" id="mce-group[23613]-23613-0"><label for="mce-group[23613]-23613-0">Algemene nieuwsbrief (tweewekelijks)</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Speciale edities (4-5x/jaar) </strong> <ul><li><input type="checkbox" value="1" name="group[23617][1]" id="mce-group[23617]-23617-0"><label for="mce-group[23617]-23617-0">Gezonde Gemeente</label></li> <li><input type="checkbox" value="2" name="group[23617][2]" id="mce-group[23617]-23617-1"><label for="mce-group[23617]-23617-1">Gezondheid in de zorg</label></li> <li><input type="checkbox" value="4" name="group[23617][4]" id="mce-group[23617]-23617-2"><label for="mce-group[23617]-23617-2">Gezonde School</label></li> <li><input type="checkbox" value="8" name="group[23617][8]" id="mce-group[23617]-23617-3"><label for="mce-group[23617]-23617-3">Gezond Werk</label></li> <li><input type="checkbox" value="16" name="group[23617][16]" id="mce-group[23617]-23617-4"><label for="mce-group[23617]-23617-4">Nieuwsbrief voor artsen</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Woonzorgcentra </strong> <ul><li><input type="checkbox" value="64" name="group[29073][64]" id="mce-group[29073]-29073-0"><label for="mce-group[29073]-29073-0">Valpreventie</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_7132dbda5c" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Oost-Brabant mailchimp: 
<div id="mc_embed_signup"> <form action="https://logo-oostbrabant.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=9643ddb0b6" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Subscribe</h2> <div class="indicates-required"><span class="asterisk">*</span> indicates required</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik wil me graag inschrijven voor </strong> <ul><li><input type="checkbox" value="32" name="group[29206][32]" id="mce-group[29206]-29206-0"><label for="mce-group[29206]-29206-0">De Gezonde Gazet (tweemaandelijks)</label></li> <li><input type="checkbox" value="64" name="group[29206][64]" id="mce-group[29206]-29206-1"><label for="mce-group[29206]-29206-1">Scholennieuwsbrief Basisonderwijs (3x per jaar)</label></li> <li><input type="checkbox" value="128" name="group[29206][128]" id="mce-group[29206]-29206-2"><label for="mce-group[29206]-29206-2">Scholennieuwsbrief Secundair onderwijs (3x per jaar)</label></li> <li><input type="checkbox" value="2048" name="group[29206][2048]" id="mce-group[29206]-29206-3"><label for="mce-group[29206]-29206-3">Nieuwsbrief Huis van het Kind (4x per jaar)</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19509][1]" id="mce-group[19509]-19509-0"><label for="mce-group[19509]-19509-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19509][2]" id="mce-group[19509]-19509-1"><label for="mce-group[19509]-19509-1">de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19509][4]" id="mce-group[19509]-19509-2"><label for="mce-group[19509]-19509-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19509][8]" id="mce-group[19509]-19509-3"><label for="mce-group[19509]-19509-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19509][16]" id="mce-group[19509]-19509-4"><label for="mce-group[19509]-19509-4">in de zorg</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Specifieke thema's </strong> <ul><li><input type="checkbox" value="256" name="group[29210][256]" id="mce-group[29210]-29210-0"><label for="mce-group[29210]-29210-0">Griepvaccinatie</label></li> <li><input type="checkbox" value="512" name="group[29210][512]" id="mce-group[29210]-29210-1"><label for="mce-group[29210]-29210-1">Valpreventie</label></li> <li><input type="checkbox" value="1024" name="group[29210][1024]" id="mce-group[29210]-29210-2"><label for="mce-group[29210]-29210-2">Bullshitfree Generation</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_9643ddb0b6" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Brussel mailchimp: 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=fec2da6f21" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19517][1]" id="mce-group[19517]-19517-0"><label for="mce-group[19517]-19517-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19517][2]" id="mce-group[19517]-19517-1"><label for="mce-group[19517]-19517-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19517][4]" id="mce-group[19517]-19517-2"><label for="mce-group[19517]-19517-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19517][8]" id="mce-group[19517]-19517-3"><label for="mce-group[19517]-19517-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19517][16]" id="mce-group[19517]-19517-4"><label for="mce-group[19517]-19517-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_fec2da6f21" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Waasland mailchimp: 
<div id="mc_embed_signup"> <form action="https://logowaasland.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=1c3ceaa4ef" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam <span class="asterisk">*</span> </label> <input type="text" value="" name="FNAME" class="required" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam <span class="asterisk">*</span> </label> <input type="text" value="" name="LNAME" class="required" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie <span class="asterisk">*</span> </label> <input type="text" value="" name="ORG" class="required" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19521][1]" id="mce-group[19521]-19521-0"><label for="mce-group[19521]-19521-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19521][2]" id="mce-group[19521]-19521-1"><label for="mce-group[19521]-19521-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19521][4]" id="mce-group[19521]-19521-2"><label for="mce-group[19521]-19521-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19521][8]" id="mce-group[19521]-19521-3"><label for="mce-group[19521]-19521-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19521][16]" id="mce-group[19521]-19521-4"><label for="mce-group[19521]-19521-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_1c3ceaa4ef" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Dender mailchimp: 
<div id="mc_embed_signup"> <form action="https://logodender.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=7be3b6c886" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19525][1]" id="mce-group[19525]-19525-0"><label for="mce-group[19525]-19525-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19525][2]" id="mce-group[19525]-19525-1"><label for="mce-group[19525]-19525-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19525][4]" id="mce-group[19525]-19525-2"><label for="mce-group[19525]-19525-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19525][8]" id="mce-group[19525]-19525-3"><label for="mce-group[19525]-19525-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19525][16]" id="mce-group[19525]-19525-4"><label for="mce-group[19525]-19525-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_7be3b6c886" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Gezondplus mailchimp: 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=ad6a4767d2" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19529][1]" id="mce-group[19529]-19529-0"><label for="mce-group[19529]-19529-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19529][2]" id="mce-group[19529]-19529-1"><label for="mce-group[19529]-19529-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19529][4]" id="mce-group[19529]-19529-2"><label for="mce-group[19529]-19529-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19529][8]" id="mce-group[19529]-19529-3"><label for="mce-group[19529]-19529-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19529][16]" id="mce-group[19529]-19529-4"><label for="mce-group[19529]-19529-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_ad6a4767d2" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Leieland mailchimp: 
<div id="mc_embed_signup"> <form action="https://logoleieland.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=b7e5efcd73" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group"> <label for="mce-MMERGE4">Type contact </label> <input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4"> </div> <div class="mc-field-group"> <label for="mce-MMERGE5">Functie </label> <input type="text" value="" name="MMERGE5" class="" id="mce-MMERGE5"> </div> <div class="mc-field-group"> <label for="mce-MMERGE6">Telefoonnummer </label> <input type="text" value="" name="MMERGE6" class="" id="mce-MMERGE6"> </div> <div class="mc-field-group"> <label for="mce-MMERGE7">Straat + nr </label> <input type="text" value="" name="MMERGE7" class="" id="mce-MMERGE7"> </div> <div class="mc-field-group"> <label for="mce-MMERGE8">Locatie </label> <input type="text" value="" name="MMERGE8" class="" id="mce-MMERGE8"> </div> <div class="mc-field-group"> <label for="mce-MMERGE9">Organisatiegroep </label> <input type="text" value="" name="MMERGE9" class="" id="mce-MMERGE9"> </div> <div class="mc-field-group"> <label for="mce-MMERGE10">Project </label> <input type="text" value="" name="MMERGE10" class="" id="mce-MMERGE10"> </div> <div class="mc-field-group"> <label for="mce-MMERGE11">GSM </label> <input type="text" value="" name="MMERGE11" class="" id="mce-MMERGE11"> </div> <div class="mc-field-group"> <label for="mce-MMERGE12">E-mail ZOCO </label> <input type="text" value="" name="MMERGE12" class="" id="mce-MMERGE12"> </div> <div class="mc-field-group"> <label for="mce-MMERGE13">ZOCO Naam </label> <input type="text" value="" name="MMERGE13" class="" id="mce-MMERGE13"> </div> <div class="mc-field-group"> <label for="mce-MMERGE14">Afdeling ZOCO </label> <input type="text" value="" name="MMERGE14" class="" id="mce-MMERGE14"> </div> <div class="mc-field-group"> <label for="mce-MMERGE15">Type onderwijs </label> <input type="text" value="" name="MMERGE15" class="" id="mce-MMERGE15"> </div> <div class="mc-field-group"> <label for="mce-MMERGE16">GSM </label> <input type="text" value="" name="MMERGE16" class="" id="mce-MMERGE16"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19533][1]" id="mce-group[19533]-19533-0"><label for="mce-group[19533]-19533-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19533][2]" id="mce-group[19533]-19533-1"><label for="mce-group[19533]-19533-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19533][4]" id="mce-group[19533]-19533-2"><label for="mce-group[19533]-19533-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19533][8]" id="mce-group[19533]-19533-3"><label for="mce-group[19533]-19533-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19533][16]" id="mce-group[19533]-19533-4"><label for="mce-group[19533]-19533-4">in de zorg</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Setting </strong> <ul><li><input type="checkbox" value="32" name="group[23305][32]" id="mce-group[23305]-23305-0"><label for="mce-group[23305]-23305-0">Lokaal bestuur</label></li> <li><input type="checkbox" value="64" name="group[23305][64]" id="mce-group[23305]-23305-1"><label for="mce-group[23305]-23305-1">Onderwijs</label></li> <li><input type="checkbox" value="128" name="group[23305][128]" id="mce-group[23305]-23305-2"><label for="mce-group[23305]-23305-2">Zorg</label></li> <li><input type="checkbox" value="256" name="group[23305][256]" id="mce-group[23305]-23305-3"><label for="mce-group[23305]-23305-3">Bedrijf</label></li> <li><input type="checkbox" value="512" name="group[23305][512]" id="mce-group[23305]-23305-4"><label for="mce-group[23305]-23305-4">Bevolkingsonderzoek Baarmoederhalskanker</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_b7e5efcd73" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Midden WVL mailchimp: 
<div id="mc_embed_signup"> <form action="https://vlaamse-logos.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=fa4bd33f2d" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group input-group"> <strong>Ik heb interesse in </strong> <ul><li><input type="checkbox" value="1" name="group[19537][1]" id="mce-group[19537]-19537-0"><label for="mce-group[19537]-19537-0">gezondheid</label></li> <li><input type="checkbox" value="2" name="group[19537][2]" id="mce-group[19537]-19537-1"><label for="mce-group[19537]-19537-1">in de gemeente</label></li> <li><input type="checkbox" value="4" name="group[19537][4]" id="mce-group[19537]-19537-2"><label for="mce-group[19537]-19537-2">op school</label></li> <li><input type="checkbox" value="8" name="group[19537][8]" id="mce-group[19537]-19537-3"><label for="mce-group[19537]-19537-3">op het werk</label></li> <li><input type="checkbox" value="16" name="group[19537][16]" id="mce-group[19537]-19537-4"><label for="mce-group[19537]-19537-4">in de zorg</label></li> </ul> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_fa4bd33f2d" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
Logo Brugge-Oostende mailchimp: 
<div id="mc_embed_signup"> <form action="https://logobrugge-oostende.us9.list-manage.com/subscribe/post?u=5fabdfb944297194e20b620bd&amp;id=bdbc8a89d0" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> <div id="mc_embed_signup_scroll"> <h2>Nieuwsbrief</h2> <div class="indicates-required"><span class="asterisk">*</span> verplichte velden</div> <div class="mc-field-group"> <label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span> </label> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> </div> <div class="mc-field-group"> <label for="mce-FNAME">Voornaam </label> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"> </div> <div class="mc-field-group"> <label for="mce-LNAME">Naam </label> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"> </div> <div class="mc-field-group"> <label for="mce-ORG">Organisatie </label> <input type="text" value="" name="ORG" class="" id="mce-ORG"> </div> <div class="mc-field-group"> <label for="mce-MMERGE4">Gemeente/Stad </label> <input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4"> </div> <div class="mc-field-group"> <label for="mce-MMERGE5">Functie </label> <input type="text" value="" name="MMERGE5" class="" id="mce-MMERGE5"> </div> <div class="mc-field-group input-group"> <strong>Ik wens mij te abonneren op deze nieuwsbrieven </strong> <ul><li><input type="checkbox" value="1" name="group[19541][1]" id="mce-group[19541]-19541-0"><label for="mce-group[19541]-19541-0">algemene nieuwsbrief (1 x per maand)</label></li> <li><input type="checkbox" value="32" name="group[19541][32]" id="mce-group[19541]-19541-1"><label for="mce-group[19541]-19541-1">nieuwsbrief voor basisonderwijs (3à4 x per jaar)</label></li> <li><input type="checkbox" value="2" name="group[19541][2]" id="mce-group[19541]-19541-2"><label for="mce-group[19541]-19541-2">nieuwsbrief voor secundair onderwijs (3à4 x per jaar)</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Ik ben geïnteresseerd in nieuws specifiek voor </strong> <ul><li><input type="checkbox" value="1024" name="group[29185][1024]" id="mce-group[29185]-29185-0"><label for="mce-group[29185]-29185-0">lokale besturen</label></li> <li><input type="checkbox" value="128" name="group[29185][128]" id="mce-group[29185]-29185-1"><label for="mce-group[29185]-29185-1">bedrijven</label></li> <li><input type="checkbox" value="256" name="group[29185][256]" id="mce-group[29185]-29185-2"><label for="mce-group[29185]-29185-2">zorgverleners</label></li> <li><input type="checkbox" value="512" name="group[29185][512]" id="mce-group[29185]-29185-3"><label for="mce-group[29185]-29185-3">kwetsbare groepen</label></li> </ul> </div> <div class="mc-field-group input-group"> <strong>Ik ben geïntereseerd in mailings over de thema's </strong> <ul><li><input type="checkbox" value="4" name="group[26521][4]" id="mce-group[26521]-26521-0"><label for="mce-group[26521]-26521-0">bewegen</label></li> <li><input type="checkbox" value="8" name="group[26521][8]" id="mce-group[26521]-26521-1"><label for="mce-group[26521]-26521-1">geestelijke gezondheid</label></li> <li><input type="checkbox" value="64" name="group[26521][64]" id="mce-group[26521]-26521-2"><label for="mce-group[26521]-26521-2">gezondheid &amp; milieu</label></li> <li><input type="checkbox" value="8192" name="group[26521][8192]" id="mce-group[26521]-26521-3"><label for="mce-group[26521]-26521-3">tabak, alcohol &amp; drugs</label></li> <li><input type="checkbox" value="16384" name="group[26521][16384]" id="mce-group[26521]-26521-4"><label for="mce-group[26521]-26521-4">vaccinatie</label></li> <li><input type="checkbox" value="32768" name="group[26521][32768]" id="mce-group[26521]-26521-5"><label for="mce-group[26521]-26521-5">valpreventie</label></li> <li><input type="checkbox" value="65536" name="group[26521][65536]" id="mce-group[26521]-26521-6"><label for="mce-group[26521]-26521-6">voeding</label></li> </ul> </div> <div id="mergeRow-gdpr" class="mergeRow gdpr-mergeRow content__gdprBlock mc-field-group"> <div class="content__gdpr"> <label>Marketing Toestemming</label> <p>Selecteer langs welke weg je graag informatie wenst te ontvangen van Logo Brugge-Oostende:</p> <fieldset class="mc_fieldset gdprRequired mc-field-group" name="interestgroup_field"> <label class="checkbox subfield" for="gdpr_1"><input type="checkbox" id="gdpr_1" name="gdpr[1]" value="Y" class="av-checkbox "><span>Emails</span> </label><label class="checkbox subfield" for="gdpr_5"><input type="checkbox" id="gdpr_5" name="gdpr[5]" value="Y" class="av-checkbox "><span>Nieuwsbrieven</span> </label><label class="checkbox subfield" for="gdpr_9"><input type="checkbox" id="gdpr_9" name="gdpr[9]" value="Y" class="av-checkbox "><span>Gepersonaliseerde online boodschappen</span> </label> </fieldset> <p>Je kan op elk ogenblik uitschrijven door te klikken op de link in de footer van je emails. Informatie over onze privacy policy vind je op onze website.</p> </div> <div class="content__gdprLegal"> <p>We use Mailchimp as our marketing platform. By clicking below to subscribe, you acknowledge that your information will be transferred to Mailchimp for processing. <a href="https://mailchimp.com/legal/" target="_blank">Learn more about Mailchimp's privacy practices here.</a></p> </div> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_5fabdfb944297194e20b620bd_bdbc8a89d0" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="Abonneren" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> </div>
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Stappenplan uitnodiging bevolkingsonderzoek voor huisartsen

Als huisarts geniet u het volste vertrouwen van uw patiënt. Wat u zegt, telt!

Daarom vragen we graag uw medewerking om de deelname aan het bevolkingsonderzoek naar borstkanker te verhogen. Waarom? Een proefproject van het Centrum voor Kankeropsporing (CvKO) toonde aan dat er aanzienlijk meer vrouwen deelnemen aan het bevolkingsonderzoek naar borstkanker als ze hiervoor ook door hun huisarts worden uitgenodigd. De vrouwen ontvingen bij de algemene uitnodiging van het bevolkingsonderzoek een persoonlijke brief van hun huisarts. 

Hoe gaat u best te werk?

Wie willen we bereiken?

Vrouwen die de laatste 4 jaar niet deelnamen aan het bevolkingsonderzoek of nooit eerder een screeningsmammografie hebben laten uitvoeren.

Wat moet u doen zodat ook uw patiënten uw brief ontvangen samen met de algemene uitnodiging?

1. U stelt een excel-lijst van de vrouwelijke GMD-patiënten van 50 tot en met 69 jaar op:

               Deze lijst bevat de volgende kolommen:

               a.            Naam

               b.            Voornaam

               c.            Geboortedatum

               d.            Straat en huisnummer

               e.            Postcode en woonplaats

               f.             Rijksregisternummer indien geregistreerd.

2. U verstuurt de lijsten via eHealth naar Eliane Kellen, eliane.kellen@uzleuven.be.

3. Het CvKO voegt aan uw lijst de datum van de laatste screening toe en selecteert de vrouwen die dus daadwerkelijk in aanmerking komen voor een uitnodiging.

4. U ontvangt van het CvKO de aangevulde lijst terug met een voorbeeldbrief: De modelbrief kan u, indien gewenst, aanpassen of aanvullen met het logo van uw praktijk om de herkenbaarheid te verhogen. We adviseren om de teruggestuurde adressenlijst van het CvKO nog eens te controleren. Het kan zijn dat er patiënten op de lijst staan waarvan u vindt dat zij momenteel niet in aanmerking komen voor screening omwille van bepaalde familiale of andere omstandigheden. Deze  patiënten verwijdert u uit de lijst. De exclusieredenen mogen niet per persoon doorgegeven worden omwille van de wet op de privacy, wel graag op geaggregeerd niveau (vb. 5 omwille van dementie, 1 omwille van longkanker).

5. U stuurt de definitieve lijst én de brief terug naar eliane.kellen@uzleuven.be.

6. Het CvKO stuurt de door u geselecteerde adressen een algemene uitnodiging voor het bevolkingsonderzoek, samen met de door u ondertekende brief.

Vragen?

Heeft u vragen, neem dan gerust contact op met Logo Dender vzw via evelien.muylaert@logodender.be of bel 053/41 75 58.

Download het stappenplan

 

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