{"id":10425,"date":"2024-05-22T07:47:59","date_gmt":"2024-05-22T05:47:59","guid":{"rendered":"https:\/\/dev.konsept.ch\/aivd\/?page_id=10425"},"modified":"2026-02-03T11:08:25","modified_gmt":"2026-02-03T10:08:25","slug":"formulaire-changement-adresse-corps-medical-employeurs","status":"publish","type":"page","link":"https:\/\/dev.konsept.ch\/aivd\/formulaire-changement-adresse-corps-medical-employeurs\/","title":{"rendered":"Demande de changement adresse &#8211; Corps m\u00e9dical et Employeurs"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10425\" class=\"elementor elementor-10425\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cb46492 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cb46492\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-33382d3\" data-id=\"33382d3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b35735d bdt-gravity-form-button-custom elementor-widget elementor-widget-bdt-gravity-form\" data-id=\"b35735d\" data-element_type=\"widget\" data-widget_type=\"bdt-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div class=\"bdt-gravity-forms\">\n\t\t\t<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_12' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Changement d'adresse corps m\u00e9dical et employeurs<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/aivd\/wp-json\/wp\/v2\/pages\/10425' data-formid='12' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_12_36\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_36\"><h3 class=\"gsection_title\">Vos informations<\/h3><\/div><div id=\"field_12_68\"  class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_68\"><label class='gfield_label gform-field-label' for='input_12_68' >Je suis<\/label><div class='ginput_container ginput_container_select'><select name='input_68' id='input_12_68' class='large gfield_select'  aria-describedby=\"gfield_description_12_68\"   aria-invalid=\"false\" ><option value='M\u00e9decin' >M\u00e9decin<\/option><option value='Employeur' >Employeur<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_12_68'>Si vous \u00eates un b\u00e9n\u00e9ficiaire, veuillez utiliser le formulaire accessible <a href=\"https:\/\/dev.konsept.ch\/aivd\/formulaire-changement-adresse\/\">ici<\/a>.<\/div><\/div><div id=\"field_12_38\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_38\"><h3 class=\"gsection_title\">Ancienne adresse<\/h3><\/div><fieldset id=\"field_12_8\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_8\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Raison sociale<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_12_8'>\n                            \n                            \n                            \n                            <span id='input_12_8_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_12_8_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_8.6' id='input_12_8_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_12_71\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_71\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Cabinet<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_12_71'>\n                            \n                            \n                            \n                            <span id='input_12_71_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_12_71_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_71.6' id='input_12_71_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_12_76\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_76\"><label class='gfield_label gform-field-label' for='input_12_76' >Titre<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_12_76' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_12_70\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_70\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_12_70'>\n                            \n                            <span id='input_12_70_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_12_70_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_70.3' id='input_12_70_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_12_70_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_12_70_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_70.6' id='input_12_70_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_12_23\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_23\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street ginput_container_address gform-grid-row' id='input_12_23' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_23_1_container' >\n                                        <label for='input_12_23_1' id='input_12_23_1_label' class='gform-field-label gform-field-label--type-sub '>Rue et n\u00b0<\/label>\n                                        <input type='text' name='input_23.1' id='input_12_23_1' value=''    aria-required='true'    \/>\n                                   <\/span><input type='hidden' class='gform_hidden' name='input_23.4' id='input_12_23_4' value=''\/><input type='hidden' class='gform_hidden' name='input_23.6' id='input_12_23_6' value='Suisse' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_12_63\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_63\"><label class='gfield_label gform-field-label' for='input_12_63' >Code postal (NPA)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_12_63' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_12_29\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_29\"><label class='gfield_label gform-field-label' for='input_12_29' >Localit\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_12_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_12_58\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_12_58\"><label class='gfield_label gform-field-label' for='input_12_58' >T\u00e9l\u00e9phone professionnel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_12_58'>Format international: +41 ...<\/div><div class='ginput_container ginput_container_text'><input name='input_58' id='input_12_58' type='text' value='' class='large'  aria-describedby=\"gfield_description_12_58\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_12_50\"  class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_50\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_12_50_container'>\n                                <span id='input_12_50_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_12_50' class='gform-field-label gform-field-label--type-sub '>Saisissez un e-mail<\/label>\n                                    <input class='' type='email' name='input_50' id='input_12_50' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_12_50_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_12_50_2' class='gform-field-label gform-field-label--type-sub '>Confirmez l\u2019e-mail<\/label>\n                                    <input class='' type='email' name='input_50_2' id='input_12_50_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_12_40\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_40\"><h3 class=\"gsection_title\">Nouvelle adresse<\/h3><\/div><div id=\"field_12_60\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_60\"><label class='gfield_label gform-field-label' for='input_12_60' >Valable d\u00e8s le<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_60' id='input_12_60' type='text' value='' class='datepicker gform-datepicker dmy_dot datepicker_no_icon gdatepicker-no-icon'   placeholder='jj.mm.aaaa' aria-describedby=\"input_12_60_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_12_60_date_format' class='screen-reader-text'>JJ . MM . AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_60' class='gform_hidden' value='https:\/\/dev.konsept.ch\/aivd\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_12_72\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_72\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Raison sociale<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_12_72'>\n                            \n                            \n                            \n                            <span id='input_12_72_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_12_72_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_72.6' id='input_12_72_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_12_73\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_73\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Cabinet<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_12_73'>\n                            \n                            \n                            \n                            <span id='input_12_73_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_12_73_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_73.6' id='input_12_73_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_12_74\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_74\"><label class='gfield_label gform-field-label' for='input_12_74' >Titre<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_12_74' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_12_42\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_42\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_12_42'>\n                            \n                            <span id='input_12_42_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_12_42_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_42.3' id='input_12_42_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_12_42_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_12_42_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_42.6' id='input_12_42_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_12_44\"  class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_44\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street ginput_container_address gform-grid-row' id='input_12_44' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_44_1_container' >\n                                        <label for='input_12_44_1' id='input_12_44_1_label' class='gform-field-label gform-field-label--type-sub '>Rue et n\u00b0<\/label>\n                                        <input type='text' name='input_44.1' id='input_12_44_1' value=''    aria-required='true'    \/>\n                                   <\/span><input type='hidden' class='gform_hidden' name='input_44.4' id='input_12_44_4' value=''\/><input type='hidden' class='gform_hidden' name='input_44.6' id='input_12_44_6' value='Suisse' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_12_64\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_64\"><label class='gfield_label gform-field-label' for='input_12_64' >Code postal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_12_64' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_12_46\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_46\"><label class='gfield_label gform-field-label' for='input_12_46' >Localit\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_12_46' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_12_15\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_15\"><label class='gfield_label gform-field-label' for='input_12_15' >Remarque<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_12_15' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_12_62\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_62\"><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_12_61\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_61\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Politique de confidentialit\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_61.1' id='input_12_61_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_12_61\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_12_61_1' >J\u2019accepte la politique de confidentialit\u00e9.<\/label><input type='hidden' name='input_61.2' value='J\u2019accepte la politique de confidentialit\u00e9.' class='gform_hidden' \/><input type='hidden' name='input_61.3' value='24' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_12_61'>J'accepte le traitement de mes donn\u00e9es personnelles tel que d\u00e9crit dans le document <a href=\"https:\/\/dev.konsept.ch\/aivd\/wp-content\/uploads\/2023\/07\/20230719_lpd_mentions-legales.pdf\" target=\"_blank\">&laquo;D\u00e9claration de protection des donn\u00e9es et mentions l\u00e9gales&raquo;<\/a>.<\/div><\/fieldset><div id=\"field_12_66\"  class=\"gfield gfield--type-turnstile gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_66\"><\/div><div id=\"field_12_77\"  class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_77\"><label class='gfield_label gform-field-label' for='input_12_77' >Phone<\/label><div class='ginput_container'><input name='input_77' id='input_12_77' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_12_77'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_12' class='gform_button button' value='Envoyer'  onclick='if(window[\"gf_submitting_12\"]){return false;}  if( !jQuery(\"#gform_12\")[0].checkValidity || jQuery(\"#gform_12\")[0].checkValidity()){window[\"gf_submitting_12\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_12\"]){return false;} if( !jQuery(\"#gform_12\")[0].checkValidity || jQuery(\"#gform_12\")[0].checkValidity()){window[\"gf_submitting_12\"]=true;}  jQuery(\"#gform_12\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_12' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='12' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' 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informations Je suisM\u00e9decinEmployeurSi vous \u00eates un b\u00e9n\u00e9ficiaire, veuillez utiliser le formulaire accessible ici. Ancienne adresse [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10425","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dev.konsept.ch\/aivd\/wp-json\/wp\/v2\/pages\/10425","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.konsept.ch\/aivd\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.konsept.ch\/aivd\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.konsept.ch\/aivd\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.konsept.ch\/aivd\/wp-json\/wp\/v2\/comments?post=10425"}],"version-history":[{"count":0,"href":"https:\/\/dev.konsept.ch\/aivd\/wp-json\/wp\/v2\/pages\/10425\/revisions"}],"wp:attachment":[{"href":"https:\/\/dev.konsept.ch\/aivd\/wp-json\/wp\/v2\/media?parent=10425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}