{"id":11,"date":"2024-01-09T15:01:55","date_gmt":"2024-01-09T19:01:55","guid":{"rendered":"https:\/\/clinicmaxillaris.com\/?page_id=11"},"modified":"2024-01-10T23:30:06","modified_gmt":"2024-01-11T03:30:06","slug":"referral","status":"publish","type":"page","link":"https:\/\/clinicmaxillaris.com\/fr\/referral\/","title":{"rendered":"R\u00e9f\u00e9rence"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:30px;--awb-margin-bottom:3%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1365px;margin-left: calc(-5% \/ 2 );margin-right: calc(-5% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.375%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.375%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:2.375%;--awb-spacing-left-medium:2.375%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:2.375%;--awb-spacing-left-small:2.375%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color8);--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\">R\u00e9f\u00e9rer un patient<\/h1><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:2%;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color7);border-color:var(--awb-color7);border-top-width:1px;\"><\/div><\/div><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:var(--awb-color8);--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h4 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\">Pour les professionnels dentaires<\/h4><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--link_hover_color: var(--awb-color8);--link_color: var(--awb-color1);--awb-background-position:center top;--awb-background-repeat:repeat-x;--awb-border-sizes-left:3vw;--awb-border-sizes-right:3vw;--awb-border-color:var(--awb-color1);--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:7vw;--awb-padding-bottom:3%;--awb-padding-left:7vw;--awb-padding-bottom-medium:8vw;--awb-padding-bottom-small:14vw;--awb-margin-bottom:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1300px + 7vw );margin-left: calc(-7vw \/ 2 );margin-right: calc(-7vw \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_3_5 3_5 fusion-flex-column fusion-animated\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color3);--awb-bg-color-hover:var(--awb-color3);--awb-bg-size:cover;--awb-border-color:var(--awb-color3);--awb-border-top:20px;--awb-border-right:20px;--awb-border-bottom:20px;--awb-border-left:20px;--awb-border-style:solid;--awb-border-radius:8px 8px 8px 8px;--awb-width-large:60%;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.033333333333333 * calc( 100% - 7vw ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.033333333333333 * calc( 100% - 7vw ) );--awb-width-medium:60%;--awb-order-medium:0;--awb-spacing-right-medium:calc( 0.033333333333333 * calc( 100% - 7vw ) );--awb-spacing-left-medium:calc( 0.033333333333333 * calc( 100% - 7vw ) );--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:3.5vw;--awb-margin-bottom-small:9vw;--awb-spacing-left-small:3.5vw;\" data-animationtype=\"fadeInUp\" data-animationduration=\"1.3\" data-animationoffset=\"top-into-view\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:var(--awb-color7);--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h4 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Utilisez notre formulaire de r\u00e9f\u00e9rence en ligne pour nous envoyer directement votre demande de consultation et notre \u00e9quipe prendra contact avec le patient.<\/h4><\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-2292\" style=\"--awb-tooltip-text-color:var(--awb-color1);--awb-tooltip-background-color:#333333;--awb-form-placeholder-color:hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc(var(--awb-color8-a) - 50%));--awb-form-text-color:var(--awb-color8);--awb-form-label-color:var(--awb-color7);--awb-form-border-color:var(--awb-color7);--awb-form-focus-border-color:var(--awb-color7);--awb-form-focus-border-hover-color:hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 50%));\" data-form-id=\"2292\" data-config=\"{&quot;form_id&quot;:&quot;2292&quot;,&quot;form_post_id&quot;:&quot;2292&quot;,&quot;post_id&quot;:11,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;doc_name&quot;:&quot;Doctor&#039;s Name&quot;,&quot;doc_phone_number&quot;:&quot;Telephone&quot;,&quot;doc_email_address&quot;:&quot;Email&quot;,&quot;patient_surname&quot;:&quot;Patient&#039;s Surname&quot;,&quot;patient_name&quot;:&quot;Patient&#039;s Name&quot;,&quot;phone_number&quot;:&quot;Telephone&quot;,&quot;pat_email_address&quot;:&quot;Email&quot;,&quot;date_of_birth&quot;:&quot;Date of Birth&quot;,&quot;ramq_num&quot;:&quot;RAMQ Number&quot;,&quot;ramq_expiry_date&quot;:&quot;RAMQ Expiration&quot;,&quot;message&quot;:&quot;Reason for Referral&quot;,&quot;file_upload&quot;:&quot;Upload your Radiographs&quot;,&quot;xray&quot;:&quot;Date of Radiographs&quot;},&quot;field_logics&quot;:{&quot;doc_name&quot;:&quot;&quot;,&quot;doc_phone_number&quot;:&quot;&quot;,&quot;doc_email_address&quot;:&quot;&quot;,&quot;patient_surname&quot;:&quot;&quot;,&quot;patient_name&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;pat_email_address&quot;:&quot;&quot;,&quot;date_of_birth&quot;:&quot;&quot;,&quot;ramq_num&quot;:&quot;&quot;,&quot;ramq_expiry_date&quot;:&quot;&quot;,&quot;message&quot;:&quot;&quot;,&quot;file_upload&quot;:&quot;&quot;,&quot;xray&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;[]&quot;},&quot;field_types&quot;:{&quot;doc_name&quot;:&quot;text&quot;,&quot;doc_phone_number&quot;:&quot;phone_number&quot;,&quot;doc_email_address&quot;:&quot;email&quot;,&quot;patient_surname&quot;:&quot;text&quot;,&quot;patient_name&quot;:&quot;text&quot;,&quot;phone_number&quot;:&quot;phone_number&quot;,&quot;pat_email_address&quot;:&quot;email&quot;,&quot;date_of_birth&quot;:&quot;date&quot;,&quot;ramq_num&quot;:&quot;text&quot;,&quot;ramq_expiry_date&quot;:&quot;date&quot;,&quot;message&quot;:&quot;textarea&quot;,&quot;file_upload&quot;:&quot;upload&quot;,&quot;xray&quot;:&quot;date&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;recaptcha_1&quot;:&quot;recaptcha&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/clinicmaxillaris.com\/fr\/referral\/\" method=\"post\" class=\"fusion-form fusion-form-2292\" enctype=\"multipart\/form-data\" data-trp-original-action=\"https:\/\/clinicmaxillaris.com\/fr\/referral\/\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-color3);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:103% !important;max-width:103% !important;margin-left: calc(-3% \/ 2 );margin-right: calc(-3% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-color:var(--awb-color3);--awb-bg-color-hover:var(--awb-color3);--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-style:solid;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color7);border-color:var(--awb-color7);border-top-width:1px;\"><\/div><\/div><div class=\"fusion-text fusion-text-1 fusion-text-no-margin\" style=\"--awb-text-color:var(--awb-color7);--awb-margin-bottom:0px px;\"><p><strong>R\u00e9f\u00e9rent<\/strong><\/p>\n<\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div class=\"fusion-form-label-wrapper\"><label for=\"doc_name\">Nom du docteur <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\"  data-empty-notice=\"Please enter the referring Doctor's Name\" name=\"doc_name\" id=\"doc_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"5\"\/><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div class=\"fusion-form-label-wrapper\"><label for=\"doc_phone_number\">T\u00e9l\u00e9phone<\/label><\/div><input type=\"tel\" autocomplete=\"off\" name=\"doc_phone_number\" id=\"doc_phone_number\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div class=\"fusion-form-label-wrapper\"><label for=\"doc_email_address\">Courriel<\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"doc_email_address\" id=\"doc_email_address\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Le professionnel dentaire recevra une copie de cette r\u00e9f\u00e9rence \" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color7);border-color:var(--awb-color7);border-top-width:1px;\"><\/div><\/div><div class=\"fusion-text fusion-text-2 fusion-text-no-margin\" style=\"--awb-text-color:var(--awb-color7);--awb-margin-bottom:0px px;\"><p><strong>Information du patient<\/strong><\/p>\n<\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div class=\"fusion-form-label-wrapper\"><label for=\"patient_surname\">Pr\u00e9nom du patient <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"patient_surname\" id=\"patient_surname\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"2\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div class=\"fusion-form-label-wrapper\"><label for=\"patient_name\">Nom du patient <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"patient_name\" id=\"patient_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"2\"\/><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone_number\">T\u00e9l\u00e9phone <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"tel\" autocomplete=\"off\"  data-empty-notice=\"Please enter a phone number\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div class=\"fusion-form-label-wrapper\"><label for=\"pat_email_address\">Courriel<\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"pat_email_address\" id=\"pat_email_address\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Le patient recevra une copie de cette r\u00e9f\u00e9rence \" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><label for=\"date_of_birth\">Date de naissance<\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"date_of_birth\" name=\"date_of_birth\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div class=\"fusion-form-label-wrapper\"><label for=\"ramq_num\">Numero RAMQ<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"ramq_num\" id=\"ramq_num\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><label for=\"ramq_expiry_date\">RAMQ Expiration<\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"ramq_expiry_date\" name=\"ramq_expiry_date\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\"\/><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><label for=\"message\">Raison de consultation <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\" autocomplete=\"off\" data-empty-notice=\"Please enter a reason for the referral\"  minlength=\"5\"  rows=\"4\" tabindex=\"\" id=\"message\" name=\"message\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"fusion-form-field fusion-form-upload-field fusion-form-label-above\" style=\"--awb-preview-thumb-width:115px;\" data-form-id=\"2292\"><label for=\"file_upload\">T\u00e9l\u00e9chargez vos radiographies<\/label><div class=\"fusion-form-input-with-icon\"><i class=\"fa-upload fas\"><\/i><div class=\"fusion-form-upload-field-container\"><input type=\"file\" id=\"file_upload\" name=\"file_upload[]\" value=\"\"  class=\"fusion-form-input\"accept=\".jpeg,.jpg,.png,.zip\" placeholder=\"Cliquez ou faites glisser vos fichiers ici (jpg, png, zip seulement) \" data-size=\"10\" multiple data-single-add-remove=\"no\" data-min-upload-files=\"0\" data-max-upload-files=\"0\" data-uploads-preview=\"filenames\"\/><div class=\"fusion-form-upload-field\"  data-holds-private-data=\"false\"><span class=\"awb-upload-placeholder\" data-default=\"Click or drag the files to this area to upload (jpg, png, zip only)\">Cliquez ou faites glisser vos fichiers ici (jpg, png, zip seulement)<\/span><div class=\"awb-uploads-preview\"><div class=\"awb-preview-thumbs\"><\/div><\/div><\/div><div ><a class=\"fusion-button button-flat button-medium button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type fusion-form-upload-field-button\" style=\"--button-border-radius-top-left:0px;--button-border-radius-top-right:0px;--button-border-radius-bottom-right:0px;--button-border-radius-bottom-left:0px;\" target=\"_self\" href=\"javascript:void();\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Choose File<\/span><\/a><\/div><\/div><\/div><\/div><div class=\"fusion-text fusion-text-3\" style=\"--awb-content-alignment:right;--awb-font-size:14px;\"><p>10Mo maximum \u2022 jpg, png, zip seulement \u2022 Envoyez par courrier \u00e9lectronique des radiographies de plus de 10 Mo \u00e0 info@clinicmaxillaris.com<\/p>\n<\/div>\n<div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><label for=\"xray\">Date de radiographies<\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"xray\" name=\"xray\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\"\/><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\"><div style=\"text-align:center;\"><button type=\"submit\" class=\"fusion-button button-flat button-xlarge button-custom fusion-button-default button-2 fusion-button-default-span  button-default form-form-submit\" style=\"--button_accent_color:var(--awb-color5);--button_accent_hover_color:var(--awb-color7);--button_border_hover_color:var(--awb-color7);--button_gradient_top_color:var(--awb-color7);--button_gradient_bottom_color:var(--awb-color7);--button_gradient_top_color_hover:hsla(var(--awb-color5-h),var(--awb-color5-s),calc(var(--awb-color5-l) + 4%),var(--awb-color5-a));--button_gradient_bottom_color_hover:hsla(var(--awb-color5-h),var(--awb-color5-s),calc(var(--awb-color5-l) + 4%),var(--awb-color5-a));\" data-form-number=\"2292\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Envoyer<\/span><\/button><\/div><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Merci pour votre message. Il a \u00e9t\u00e9 envoy\u00e9.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Une erreur s'est produite lors de la tentative d'envoi de votre message. Veuillez r\u00e9essayer plus tard. Si vous avez plusieurs pi\u00e8ces jointes, vous pouvez les envoyer s\u00e9par\u00e9ment \u00e0 info@clinicmaxillaris.com<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-recaptcha-field fusion-form-label-above\" style=\"\" data-form-id=\"2292\">\t\t\t\t<div class=\"form-creator-recaptcha\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-form-recaptcha-wrapper\">\n\t\t\t\t\t\t\t\t\t\t<div\n\t\t\t\t\t\t\tid=\"g-recaptcha-id-form-2292\"\n\t\t\t\t\t\t\tclass=\"fusion-form-recaptcha-v3 recaptcha-container\"\n\t\t\t\t\t\t\tdata-sitekey=\"6Lc1f8UoAAAAAIF8XEyjflLLqI4whNHjeBNabSD2\"\n\t\t\t\t\t\t\tdata-badge=\"bottomright\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\t\t\tname=\"fusion-form-recaptcha-response\"\n\t\t\t\t\t\t\tclass=\"g-recaptcha-response\"\n\t\t\t\t\t\t\tid=\"fusion-form-recaptcha-response-2292\"\n\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"6\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"delete\"><input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 awb-sticky awb-sticky-small awb-sticky-medium awb-sticky-large fusion_builder_column_2_5 2_5 fusion-flex-column fusion-animated\" style=\"--awb-padding-top:40px;--awb-padding-right:20px;--awb-padding-bottom:40px;--awb-padding-left:20px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color7);--awb-bg-color-hover:var(--awb-color7);--awb-bg-size:cover;--awb-border-color:var(--awb-color1);--awb-border-style:solid;--awb-border-radius:8px 8px 8px 8px;--awb-width-large:40%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.5vw;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.5vw;--awb-width-medium:40%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.5vw;--awb-spacing-left-medium:3.5vw;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:3.5vw;--awb-spacing-left-small:3.5vw;--awb-sticky-offset:120px;\" data-animationtype=\"fadeInUp\" data-animationduration=\"1.3\" data-animationoffset=\"top-into-view\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:30px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h4 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\">R\u00e9f\u00e9rence Version PDF (imprimable)<\/h4><\/div><div ><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-3 fusion-button-span-yes fusion-button-default-type\" style=\"--awb-margin-bottom:25px;\" target=\"_blank\" rel=\"noopener noreferrer\" title=\"T\u00e9l\u00e9charger le formulaire de r\u00e9f\u00e9rencement PDF\" aria-label=\"T\u00e9l\u00e9charger le formulaire de r\u00e9f\u00e9rencement PDF\" href=\"https:\/\/clinicmaxillaris.com\/wp-content\/uploads\/MAXILLARIS_FORMULAIRE_FR.pdf\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">T\u00e9l\u00e9charger<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-11","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/clinicmaxillaris.com\/fr\/wp-json\/wp\/v2\/pages\/11","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clinicmaxillaris.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/clinicmaxillaris.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/clinicmaxillaris.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clinicmaxillaris.com\/fr\/wp-json\/wp\/v2\/comments?post=11"}],"version-history":[{"count":61,"href":"https:\/\/clinicmaxillaris.com\/fr\/wp-json\/wp\/v2\/pages\/11\/revisions"}],"predecessor-version":[{"id":2423,"href":"https:\/\/clinicmaxillaris.com\/fr\/wp-json\/wp\/v2\/pages\/11\/revisions\/2423"}],"wp:attachment":[{"href":"https:\/\/clinicmaxillaris.com\/fr\/wp-json\/wp\/v2\/media?parent=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}