{"id":30063,"date":"2024-03-12T16:10:56","date_gmt":"2024-03-12T15:10:56","guid":{"rendered":"https:\/\/prod.djoglobal.ch\/produit\/cefar-peristim-pro\/"},"modified":"2025-01-12T08:12:58","modified_gmt":"2025-01-12T07:12:58","slug":"cefar-peristim-pro","status":"publish","type":"product","link":"https:\/\/djoglobal.ch\/en\/produit\/cefar-peristim-pro\/","title":{"rendered":"Cefar Peristim PRO"},"content":{"rendered":"<div class=\"row\"  id=\"row-729417971\">\n\n\t<div id=\"col-386481649\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Cefar Peristim Pro is the benchmark in home perineal rehabilitation for stress incontinence, bladder instability, mixed incontinence and perineal pain. It can be used with vaginal probes, anal probes or surface electrodes.<\/p>\n<p>Electrostimulation of the perineal area has been used for a long time, and its effectiveness in rehabilitation has been widely demonstrated.<\/p>\n<ul>\n<li>The device features a large backlit display for ease of use.<\/li>\n<li>A &#8220;pause&#8221; function allows treatment to be interrupted and resumed at any time without having to adjust the intensity.<\/li>\n<li>3 free programs can be set in addition to the 9 preset programs.<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<div class=\"row\"  id=\"row-347066038\">\n\n\t<div id=\"col-1491763994\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<a href=\"https:\/\/djoglobal.ch\/wp-content\/uploads\/2024\/03\/0248_001.pdf\" target=\"_blank\" class=\"button primary is-outline is-smaller\" rel=\"noopener\"  >\n    <span>Technical Specifications<\/span>\n  <\/a>\n\n<div class=\"headline no-margin\">\n<h3 style=\"text-align: center;\">How does rental work?<\/h3>\n<\/div>\n<p style=\"text-align: center;\">The doctor prescribes the rental of a urogynecological TENS unit, specifying the duration and objectives of the treatment.<\/p>\n<p style=\"text-align: center;\">The patient or healthcare professional fills in the online order form and accepts the general rental conditions. We then send the device to the patient or healthcare professional.<\/p>\n<a class=\"button primary is-outline is-smaller\"  >\n    <span>Download the contract (pdf attached)<\/span>\n  <\/a>\n\n<a href=\"https:\/\/drive.google.com\/file\/d\/1JrE9-ur-zk9jH3YCPvZQfPU71DSJKOcZ\/view?usp=drive_link\" target=\"_blank\" class=\"button primary is-outline is-smaller\" rel=\"noopener\"  >\n    <span>Download the medical prescription (PDF attached)<\/span>\n  <\/a>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1808556182\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div class=\"headline no-margin\">\n<h3 style=\"text-align: center;\">How can we help?<\/h3>\n<\/div>\n<p style=\"text-align: center;\">Rental of these devices costs CHF 1.30\/day (CHF 39\/month). Invoices are issued every 30 days and sent directly to the patient. We are happy to grant you a trial period of up to 14 days. The device can be purchased at any time, with rental costs borne by the patient.<br \/>  Since January 2024, TENS devices have been reimbursed by health insurance companies, provided they are purchased directly and accompanied by a prescription. The health insurance companies base their reimbursements on the Lima list price, which is currently 144 CHF (Pos-N\u00b0 achat : 09.02.01.00.1).<br \/>  Supplementary insurance policies may also contribute to rental costs. For further information, please contact your insurance company.<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n<\/div>\n<p>\t<section class=\"section dark\" id=\"section_618095003\">\n\t\t<div class=\"bg section-bg fill bg-fill  bg-loaded\" >\n\n\t\t\t\n\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t<\/p>\n<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-29511 forminator-design--flat  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-29511\" data-uid=\"69e6471e2a405\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-29511\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-29511 forminator-design--flat  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"29511\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"flat\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69e6471e2a405\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-pagination-progress\" aria-hidden=\"true\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-29511--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-29511--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Finish\"\n\t\t\t\tdata-actual-label=\"Page 1\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00c9tape 1: Informations sur le Patient<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-29511__field--name-2_69e6471e2a405\" id=\"forminator-field-29511__field--name-2_69e6471e2a405-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-2-prefix\" id=\"forminator-field-29511__field--name-2_69e6471e2a405\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-labelledby=\"forminator-field-29511__field--name-2_69e6471e2a405-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-2_69e6471e2a405\" id=\"forminator-field-first-name-2_69e6471e2a405-label\" class=\"forminator-label\">Pr\u00e9nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2-first-name\" placeholder=\"Par exemple\u00a0: Jean\" id=\"forminator-field-first-name-2_69e6471e2a405\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-2_69e6471e2a405\" id=\"forminator-field-last-name-2_69e6471e2a405-label\" class=\"forminator-label\">Nom de famille <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2-last-name\" placeholder=\"Par exemple\u00a0: Durand\" id=\"forminator-field-last-name-2_69e6471e2a405\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_69e6471e2a405\" id=\"forminator-field-address-1-street_address_69e6471e2a405-label\" class=\"forminator-label\">Rue<\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"Par exemple\u00a0: 10 grande rue\" id=\"forminator-field-address-1-street_address_69e6471e2a405\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_69e6471e2a405\" id=\"forminator-field-address-1-city_69e6471e2a405-label\" class=\"forminator-label\">Ville<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-1-city_69e6471e2a405\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_69e6471e2a405\" id=\"forminator-field-address-1-zip_69e6471e2a405-label\" class=\"forminator-label\">Code postal<\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"Par exemple\u00a0: 2000\" id=\"forminator-field-address-1-zip_69e6471e2a405\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e6471e2a405\" id=\"forminator-field-email-1_69e6471e2a405-label\" class=\"forminator-label\">Adresse de messagerie <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Par exemple\u00a0: jacques@martin.com\" id=\"forminator-field-email-1_69e6471e2a405\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69e6471e2a405\" id=\"forminator-field-phone-1_69e6471e2a405-label\" class=\"forminator-label\">Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Par exemple\u00a0: +1 02 03 04 05\" id=\"forminator-field-phone-1_69e6471e2a405\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-validation=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69e6471e2a405\" id=\"forminator-field-date-1-picker_69e6471e2a405-label\" class=\"forminator-label\">Date de naissance<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-1-picker_69e6471e2a405\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69e6471e2a405-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69e6471e2a405-label\" class=\"forminator-label\">Si le patient est mineur, veuillez compl\u00e9ter les informations d&#039;un parent:<\/span><label id=\"forminator-field-checkbox-1-1-69e6471e2a405-label\" for=\"forminator-field-checkbox-1-1-69e6471e2a405\" class=\"forminator-checkbox\" title=\"Oui\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69e6471e2a405\" aria-labelledby=\"forminator-field-checkbox-1-1-69e6471e2a405-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Oui<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-29511__field--name-1_69e6471e2a405\" id=\"forminator-field-29511__field--name-1_69e6471e2a405-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-1-prefix\" id=\"forminator-field-29511__field--name-1_69e6471e2a405\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-labelledby=\"forminator-field-29511__field--name-1_69e6471e2a405-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69e6471e2a405\" id=\"forminator-field-first-name-1_69e6471e2a405-label\" class=\"forminator-label\">Pr\u00e9nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"Par exemple\u00a0: Jean\" id=\"forminator-field-first-name-1_69e6471e2a405\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69e6471e2a405\" id=\"forminator-field-last-name-1_69e6471e2a405-label\" class=\"forminator-label\">Nom de famille <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"Par exemple\u00a0: Durand\" id=\"forminator-field-last-name-1_69e6471e2a405\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-2-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-street_address_69e6471e2a405\" id=\"forminator-field-address-2-street_address_69e6471e2a405-label\" class=\"forminator-label\">Rue <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-2-street_address\" placeholder=\"Par exemple\u00a0: 10 grande rue\" id=\"forminator-field-address-2-street_address_69e6471e2a405\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-2-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-city_69e6471e2a405\" id=\"forminator-field-address-2-city_69e6471e2a405-label\" class=\"forminator-label\">Ville <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-2-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-2-city_69e6471e2a405\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-2-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-zip_69e6471e2a405\" id=\"forminator-field-address-2-zip_69e6471e2a405-label\" class=\"forminator-label\">Code postal <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-2-zip\" placeholder=\"Par exemple\u00a0: 2000\" id=\"forminator-field-address-2-zip_69e6471e2a405\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_69e6471e2a405\" id=\"forminator-field-date-2-picker_69e6471e2a405-label\" class=\"forminator-label\">Date de naissance<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-2-picker_69e6471e2a405\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-29511--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-29511--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"Page  1\"\n\t\t\t\tdata-actual-label=\"Page 2\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00c9tape 2: Coordonn\u00e9es du Physioth\u00e9rapeute<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-29511__field--name-3_69e6471e2a405\" id=\"forminator-field-29511__field--name-3_69e6471e2a405-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-3-prefix\" id=\"forminator-field-29511__field--name-3_69e6471e2a405\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-labelledby=\"forminator-field-29511__field--name-3_69e6471e2a405-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-3_69e6471e2a405\" id=\"forminator-field-first-name-3_69e6471e2a405-label\" class=\"forminator-label\">Pr\u00e9nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3-first-name\" placeholder=\"Par exemple\u00a0: Jean\" id=\"forminator-field-first-name-3_69e6471e2a405\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-3_69e6471e2a405\" id=\"forminator-field-last-name-3_69e6471e2a405-label\" class=\"forminator-label\">Nom de famille <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3-last-name\" placeholder=\"Par exemple\u00a0: Durand\" id=\"forminator-field-last-name-3_69e6471e2a405\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69e6471e2a405\" id=\"forminator-field-text-2_69e6471e2a405-label\" class=\"forminator-label\">Nom du cabinet<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Par exemple\u00a0: texte indicatif\" id=\"forminator-field-text-2_69e6471e2a405\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69e6471e2a405\" id=\"forminator-field-phone-2_69e6471e2a405-label\" class=\"forminator-label\">Num\u00e9ro de t\u00e9l\u00e9phone<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"Par exemple\u00a0: +1 02 03 05 06\" id=\"forminator-field-phone-2_69e6471e2a405\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-3\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-3-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-street_address_69e6471e2a405\" id=\"forminator-field-address-3-street_address_69e6471e2a405-label\" class=\"forminator-label\">Rue<\/label><input type=\"text\" name=\"address-3-street_address\" placeholder=\"Par exemple\u00a0: 10 grande rue\" id=\"forminator-field-address-3-street_address_69e6471e2a405\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-3-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-city_69e6471e2a405\" id=\"forminator-field-address-3-city_69e6471e2a405-label\" class=\"forminator-label\">Ville<\/label><input type=\"text\" name=\"address-3-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-3-city_69e6471e2a405\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-3-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-zip_69e6471e2a405\" id=\"forminator-field-address-3-zip_69e6471e2a405-label\" class=\"forminator-label\">Code postal<\/label><input type=\"text\" name=\"address-3-zip\" placeholder=\"Par exemple\u00a0: 2000\" id=\"forminator-field-address-3-zip_69e6471e2a405\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-29511--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-29511--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"Page  2\"\n\t\t\t\tdata-actual-label=\"Page 3\"\n\t\t\t\tdata-name=\"page-break-3\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00c9tape 3: Coordonn\u00e9es du Prescripteur<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-29511__field--name-4_69e6471e2a405\" id=\"forminator-field-29511__field--name-4_69e6471e2a405-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-4-prefix\" id=\"forminator-field-29511__field--name-4_69e6471e2a405\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-labelledby=\"forminator-field-29511__field--name-4_69e6471e2a405-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-4_69e6471e2a405\" id=\"forminator-field-first-name-4_69e6471e2a405-label\" class=\"forminator-label\">Pr\u00e9nom<\/label><input type=\"text\" name=\"name-4-first-name\" placeholder=\"Par exemple\u00a0: Jean\" id=\"forminator-field-first-name-4_69e6471e2a405\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-4_69e6471e2a405\" id=\"forminator-field-last-name-4_69e6471e2a405-label\" class=\"forminator-label\">Nom de famille<\/label><input type=\"text\" name=\"name-4-last-name\" placeholder=\"Par exemple\u00a0: Durand\" id=\"forminator-field-last-name-4_69e6471e2a405\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69e6471e2a405\" id=\"forminator-field-text-3_69e6471e2a405-label\" class=\"forminator-label\">Nom du cabinet<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Par exemple\u00a0: texte indicatif\" id=\"forminator-field-text-3_69e6471e2a405\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-4\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-4-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-4-street_address_69e6471e2a405\" id=\"forminator-field-address-4-street_address_69e6471e2a405-label\" class=\"forminator-label\">Rue<\/label><input type=\"text\" name=\"address-4-street_address\" placeholder=\"Par exemple\u00a0: 10 grande rue\" id=\"forminator-field-address-4-street_address_69e6471e2a405\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-4-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-4-city_69e6471e2a405\" id=\"forminator-field-address-4-city_69e6471e2a405-label\" class=\"forminator-label\">Ville<\/label><input type=\"text\" name=\"address-4-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-4-city_69e6471e2a405\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-4-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-4-zip_69e6471e2a405\" id=\"forminator-field-address-4-zip_69e6471e2a405-label\" class=\"forminator-label\">Code postal<\/label><input type=\"text\" name=\"address-4-zip\" placeholder=\"Par exemple\u00a0: 2000\" id=\"forminator-field-address-4-zip_69e6471e2a405\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-29511--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-29511--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"Page  3\"\n\t\t\t\tdata-actual-label=\"Page 4\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00c9tape 4: Diagnostic et D\u00e9tails de la Location<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69e6471e2a405\" id=\"forminator-field-textarea-1_69e6471e2a405-label\" class=\"forminator-label\">Diagnostic :<\/label><textarea name=\"textarea-1\" placeholder=\"Par exemple\u00a0: Texte indicatif pour le champ texte\nVous pouvez ajouter une nouvelle ligne\" id=\"forminator-field-textarea-1_69e6471e2a405\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-29511__field--select-1_69e6471e2a405\" id=\"forminator-form-29511__field--select-1_69e6471e2a405-label\" class=\"forminator-label\">Articulation concern\u00e9e :<\/label><select  id=\"forminator-form-29511__field--select-1_69e6471e2a405\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-29511__field--select-1_69e6471e2a405-label\"><option value=\"one\"  data-calculation=\"0\">\u00c9paule<\/option><option value=\"two\"  data-calculation=\"0\">Coude<\/option><option value=\"Genou\"  data-calculation=\"0\">Genou<\/option><option value=\"Hanche\"  data-calculation=\"0\">Hanche<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_69e6471e2a405\" id=\"forminator-field-date-3-picker_69e6471e2a405-label\" class=\"forminator-label\">Date de livraison souhait\u00e9e :<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-3-picker_69e6471e2a405\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69e6471e2a405\" id=\"forminator-field-text-4_69e6471e2a405-label\" class=\"forminator-label\">Dur\u00e9e de location :<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Par exemple\u00a0: texte indicatif\" id=\"forminator-field-text-4_69e6471e2a405\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-29511__field--select-2_69e6471e2a405\" id=\"forminator-form-29511__field--select-2_69e6471e2a405-label\" class=\"forminator-label\">Type de cas : <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-29511__field--select-2_69e6471e2a405\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"Maladie\" data-hidden-behavior=\"zero\" data-placeholder=\"Please select an option\" data-search=\"false\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-29511__field--select-2_69e6471e2a405-label\"><option value=\"\"  >Please select an option<\/option><option value=\"Maladie\" selected=\"selected\" data-calculation=\"0\">Maladie<\/option><option value=\"one\"  data-calculation=\"0\">Accident LAA<\/option><option value=\"two\"  data-calculation=\"0\">Non LAA<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">En cas d&#039;accident LAA, veuillez compl\u00e9ter :<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69e6471e2a405\" id=\"forminator-field-text-5_69e6471e2a405-label\" class=\"forminator-label\">Nom de l&#039;assurance :<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Par exemple\u00a0: texte indicatif\" id=\"forminator-field-text-5_69e6471e2a405\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69e6471e2a405\" id=\"forminator-field-text-6_69e6471e2a405-label\" class=\"forminator-label\">Ville de l&#039;assurance :<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Par exemple\u00a0: texte indicatif\" id=\"forminator-field-text-6_69e6471e2a405\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_69e6471e2a405\" id=\"forminator-field-text-7_69e6471e2a405-label\" class=\"forminator-label\">N\u00b0 du sinistre :<\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"Par exemple\u00a0: texte indicatif\" id=\"forminator-field-text-7_69e6471e2a405\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-12 \"><label for=\"forminator-field-date-4\" id=\"forminator-field-date-4-label\" class=\"forminator-label\">Date de l&#039;accident :<\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-4-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-month_69e6471e2a405\" id=\"forminator-field-date-4-month_69e6471e2a405-label\" class=\"forminator-label\">Mois<\/label><input type=\"number\" min=\"1\" max=\"12\" name=\"date-4-month\" value=\"\" placeholder=\"Par exemple\u00a0: 01\" id=\"forminator-field-date-4-month_69e6471e2a405\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-4\" \/><\/div><\/div><div id=\"date-4-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-day_69e6471e2a405\" id=\"forminator-field-date-4-day_69e6471e2a405-label\" class=\"forminator-label\">Jour<\/label><input type=\"number\" min=\"1\" max=\"31\" name=\"date-4-day\" value=\"\" placeholder=\"Par exemple\u00a0: 01\" id=\"forminator-field-date-4-day_69e6471e2a405\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-4\" \/><\/div><\/div><div id=\"date-4-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-year_69e6471e2a405\" id=\"forminator-field-date-4-year_69e6471e2a405-label\" class=\"forminator-label\">Ann\u00e9e<\/label><input type=\"number\" min=\"1\" name=\"date-4-year\" placeholder=\"Par exemple\u00a0: 2000\" id=\"forminator-field-date-4-year_69e6471e2a405\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-4\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-29511__field--select-3_69e6471e2a405\" id=\"forminator-form-29511__field--select-3_69e6471e2a405-label\" class=\"forminator-label\">Programme de pathologie<\/label><select  id=\"forminator-form-29511__field--select-3_69e6471e2a405\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Programme de pathologie\" data-search=\"false\" data-search-placeholder=\"Programme de pathologie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-29511__field--select-3_69e6471e2a405-label\"><option value=\"\"  >Programme de pathologie<\/option><option value=\"LCA-(-F002A)\"  data-calculation=\"0\">LCA ( F002A)<\/option><option value=\"Amyotrophie-&amp;-renforcement-(-F001A)\"  data-calculation=\"0\">Amyotrophie &amp; renforcement ( F001A)<\/option><option value=\"D\u00e9nerv\u00e9\"  data-calculation=\"0\">D\u00e9nerv\u00e9<\/option><option value=\"TENS\"  data-calculation=\"0\">TENS<\/option><option value=\"Antidouleur-:-Endorphinique,-Capillarisation,-cervicalgie,-Lombalgie,-Lumbago\"  data-calculation=\"0\">Antidouleur : Endorphinique, Capillarisation, cervicalgie, Lombalgie, Lumbago<\/option><option value=\"Epicondylite\"  data-calculation=\"0\">Epicondylite<\/option><option value=\"Spasticit\u00e9\"  data-calculation=\"0\">Spasticit\u00e9<\/option><option value=\"Coiffe-des-rotateurs\"  data-calculation=\"0\">Coiffe des rotateurs<\/option><option value=\"Syndrome-rotulien\"  data-calculation=\"0\">Syndrome rotulien<\/option><option value=\"Incontinence\"  data-calculation=\"0\">Incontinence<\/option><option value=\"Proth\u00e8se-de-Hanche\"  data-calculation=\"0\">Proth\u00e8se de Hanche<\/option><option value=\"Proth\u00e8se-de-genou\"  data-calculation=\"0\">Proth\u00e8se de genou<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_69e6471e2a405\" id=\"forminator-field-upload-1_69e6471e2a405-label\" class=\"forminator-label\">Prescription m\u00e9dicale<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_69e6471e2a405\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_69e6471e2a405\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.json,.ttf,.otf\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_69e6471e2a405_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_69e6471e2a405\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69e6471e2a405-label\"><span id=\"forminator-radiogroup-radio-1-69e6471e2a405-label\" class=\"forminator-label\">Options d&#039;Envoi :<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69e6471e2a405\" class=\"forminator-radio\" title=\"Envoyer au Patient\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69e6471e2a405\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Envoyer au Patient<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69e6471e2a405\" class=\"forminator-radio\" title=\"Envoyer au Physioth\u00e9rapeute\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69e6471e2a405\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Envoyer au Physioth\u00e9rapeute<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" 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value=\"Cefar Peristim PRO\" \/><\/div><div class=\"forminator-row\"><div id=\"captcha-1\" class=\"forminator-field-captcha forminator-col forminator-col-12 \"><div class=\"forminator-captcha-left forminator-g-recaptcha recaptcha-invisible\" data-theme=\"light\" data-badge=\"bottomright\" data-sitekey=\"6LdMuAYqAAAAAEIU-gOWfL4HGqc2KNJUfdu4NTes\" data-size=\"invisible\"><\/div> <\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Demander un devis<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"110598f26e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/product\/30063\" \/><input type=\"hidden\" name=\"form_id\" value=\"29511\"><input type=\"hidden\" name=\"page_id\" value=\"30063\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/djoglobal.ch\/en\/produit\/cefar-peristim-pro\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n<p>\t\t<\/div>\n\n\t\t\n<style>\n#section_618095003 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n  background-color: rgb(40, 40, 40);\n}\n<\/style>\n\t<\/section>\n\t<br \/>\n\t<div id=\"gap-2004370516\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-2004370516 {\n  padding-top: 30px;\n}\n<\/style>\n\t<\/div>\n\t<\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>Cefar Peristim PRO enables electrostimulation treatments to be applied during perineal rehabilitation. 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