{"id":30065,"date":"2024-03-12T16:10:56","date_gmt":"2024-03-12T15:10:56","guid":{"rendered":"https:\/\/prod.djoglobal.ch\/produit\/cefar-peristim-pro\/"},"modified":"2025-01-12T08:12:57","modified_gmt":"2025-01-12T07:12:57","slug":"cefar-peristim-pro","status":"publish","type":"product","link":"https:\/\/djoglobal.ch\/it\/produit\/cefar-peristim-pro\/","title":{"rendered":"Cefar Peristim PRO"},"content":{"rendered":"<div class=\"row\"  id=\"row-1269895919\">\n\n\t<div id=\"col-1120084792\" 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 \u00e8 il punto di riferimento nella riabilitazione perineale domiciliare per il trattamento dell&#8217;incontinenza da sforzo, dell&#8217;instabilit\u00e0 vescicale, dell&#8217;incontinenza mista e del dolore perineale. Pu\u00f2 essere utilizzato con una sonda vaginale, una sonda anale o elettrodi di superficie.<\/p>\n<p>L&#8217;elettrostimolazione dell&#8217;area perineale \u00e8 utilizzata da molto tempo e ha ampiamente dimostrato la sua efficacia nel campo della riabilitazione.<\/p>\n<ul>\n<li>Il dispositivo \u00e8 dotato di un ampio display retroilluminato che ne facilita l&#8217;uso.<\/li>\n<li>La funzione &#8220;pausa&#8221; consente di interrompere e riprendere il trattamento in qualsiasi momento senza dover regolare l&#8217;intensit\u00e0.<\/li>\n<li>Oltre ai 9 programmi predefiniti, \u00e8 possibile impostare 3 programmi liberi.<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<div class=\"row\"  id=\"row-903292755\">\n\n\t<div id=\"col-656047164\" 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>Specifiche tecniche<\/span>\n  <\/a>\n\n<div class=\"headline no-margin\">\n<h3 style=\"text-align: center;\">Come funziona il noleggio?<\/h3>\n<\/div>\n<p style=\"text-align: center;\">Il medico prescrive l&#8217;assunzione di un dispositivo TENS uroginecologico, specificando la durata e gli obiettivi del trattamento.<\/p>\n<p style=\"text-align: center;\">Il paziente o l&#8217;operatore sanitario compila il modulo d&#8217;ordine online e accetta le condizioni generali di noleggio. Il dispositivo viene quindi inviato al paziente o all&#8217;operatore sanitario.<\/p>\n<a class=\"button primary is-outline is-smaller\"  >\n    <span>Scarica il contratto (pdf allegato)<\/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>Scarica la prescrizione medica (PDF allegato)<\/span>\n  <\/a>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-455311122\" 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;\">Quali sono i trattamenti disponibili?<\/h3>\n<\/div>\n<p style=\"text-align: center;\">Il noleggio di questi dispositivi costa 1,30 franchi al giorno (39 franchi al mese). La fattura viene emessa ogni 30 giorni e inviata direttamente al paziente. Saremo lieti di concederti un periodo di prova fino a 14 giorni. Il dispositivo pu\u00f2 essere acquistato in qualsiasi momento, con costi di noleggio a carico del paziente.<br \/>  Da gennaio 2024, i dispositivi TENS sono rimborsati dalle compagnie di assicurazione sanitaria, a condizione che siano acquistati a titolo definitivo e siano accompagnati dalla relativa prescrizione medica. Le compagnie di assicurazione sanitaria basano i loro rimborsi sulle tariffe indicate nel listino Lima e rimborsano l&#8217;attuale importo di 144 CHF (Pos-N\u00b0 achat : 09.02.01.00.1).<br \/>  Anche l&#8217;assicurazione complementare pu\u00f2 contribuire ai costi di affitto. Per ulteriori informazioni, contattare la propria compagnia di assicurazione.<\/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_2145949641\">\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=\"69e6597e3cacf\"><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=\"69e6597e3cacf\"\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_69e6597e3cacf\" id=\"forminator-field-29511__field--name-2_69e6597e3cacf-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-2-prefix\" id=\"forminator-field-29511__field--name-2_69e6597e3cacf\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-labelledby=\"forminator-field-29511__field--name-2_69e6597e3cacf-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_69e6597e3cacf\" id=\"forminator-field-first-name-2_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-last-name-2_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-1-street_address_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-1-city_69e6597e3cacf-label\" class=\"forminator-label\">Ville<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-1-city_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-1-zip_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-email-1_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-phone-1_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-date-1-picker_69e6597e3cacf-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_69e6597e3cacf\" 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-1-69e6597e3cacf-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69e6597e3cacf-label\" class=\"forminator-label\">Si le patient est mineur, veuillez compl\u00e9ter les informations d&#039;un parent:<\/span><label id=\"forminator-field-checkbox-1-1-69e6597e3cacf-label\" for=\"forminator-field-checkbox-1-1-69e6597e3cacf\" class=\"forminator-checkbox\" title=\"Oui\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69e6597e3cacf\" aria-labelledby=\"forminator-field-checkbox-1-1-69e6597e3cacf-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_69e6597e3cacf\" id=\"forminator-field-29511__field--name-1_69e6597e3cacf-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-1-prefix\" id=\"forminator-field-29511__field--name-1_69e6597e3cacf\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-labelledby=\"forminator-field-29511__field--name-1_69e6597e3cacf-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_69e6597e3cacf\" id=\"forminator-field-first-name-1_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-last-name-1_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-2-street_address_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-2-city_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-2-zip_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-date-2-picker_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-29511__field--name-3_69e6597e3cacf-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-3-prefix\" id=\"forminator-field-29511__field--name-3_69e6597e3cacf\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-labelledby=\"forminator-field-29511__field--name-3_69e6597e3cacf-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_69e6597e3cacf\" id=\"forminator-field-first-name-3_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-last-name-3_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-text-2_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-phone-2_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-3-street_address_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-3-city_69e6597e3cacf-label\" class=\"forminator-label\">Ville<\/label><input type=\"text\" name=\"address-3-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-3-city_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-3-zip_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-29511__field--name-4_69e6597e3cacf-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-4-prefix\" id=\"forminator-field-29511__field--name-4_69e6597e3cacf\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-labelledby=\"forminator-field-29511__field--name-4_69e6597e3cacf-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_69e6597e3cacf\" id=\"forminator-field-first-name-4_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-last-name-4_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-text-3_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-4-street_address_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-4-city_69e6597e3cacf-label\" class=\"forminator-label\">Ville<\/label><input type=\"text\" name=\"address-4-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-4-city_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-address-4-zip_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-textarea-1_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-form-29511__field--select-1_69e6597e3cacf-label\" class=\"forminator-label\">Articulation concern\u00e9e :<\/label><select  id=\"forminator-form-29511__field--select-1_69e6597e3cacf\" 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_69e6597e3cacf-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_69e6597e3cacf\" id=\"forminator-field-date-3-picker_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-text-4_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-form-29511__field--select-2_69e6597e3cacf-label\" class=\"forminator-label\">Type de cas : <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-29511__field--select-2_69e6597e3cacf\" 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_69e6597e3cacf-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_69e6597e3cacf\" id=\"forminator-field-text-5_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-text-6_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-text-7_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-date-4-month_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-date-4-day_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-field-date-4-year_69e6597e3cacf-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_69e6597e3cacf\" 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_69e6597e3cacf\" id=\"forminator-form-29511__field--select-3_69e6597e3cacf-label\" class=\"forminator-label\">Programme de pathologie<\/label><select  id=\"forminator-form-29511__field--select-3_69e6597e3cacf\" 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_69e6597e3cacf-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_69e6597e3cacf\" id=\"forminator-field-upload-1_69e6597e3cacf-label\" class=\"forminator-label\">Prescription m\u00e9dicale<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_69e6597e3cacf\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_69e6597e3cacf\" 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_69e6597e3cacf_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_69e6597e3cacf\">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-1-69e6597e3cacf-label\"><span id=\"forminator-radiogroup-radio-1-69e6597e3cacf-label\" class=\"forminator-label\">Options d&#039;Envoi :<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69e6597e3cacf\" class=\"forminator-radio\" title=\"Envoyer au Patient\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69e6597e3cacf\" 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