{"id":5937,"date":"2023-07-18T08:37:45","date_gmt":"2023-07-18T08:37:45","guid":{"rendered":"https:\/\/imm-mg.com\/?page_id=5937"},"modified":"2023-07-18T10:19:18","modified_gmt":"2023-07-18T10:19:18","slug":"reservation","status":"publish","type":"page","link":"https:\/\/imm-mg.com\/en\/reservation\/","title":{"rendered":"R\u00e9servations"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbInformatioins\u00a0\u00bb _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbD\u00e9tails Informations\u00a0\u00bb _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb custom_css_main_element=\u00a0\u00bbmax-width: 600px;\u00a0\u00bb collapsed=\u00a0\u00bbon\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_code admin_label=\u00a0\u00bbCode\u00a0\u00bb _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb]<\/p>\n<div class=\"alert alert-primary\" role=\"alert\"><!-- [et_pb_line_break_holder] -->  Please note that your appointment can only be taken after a precise indication of the date and time of reservation as well as the reception of the payment by mobile money (MVola or Orange Money). <!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"alert alert-success\" role=\"alert\"><!-- [et_pb_line_break_holder] -->  In case of reservation, our team will contact you to inform you about the availability of places in our time slot and the rate for the requested service.<!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"alert alert-danger\" role=\"alert\"><!-- [et_pb_line_break_holder] -->  If you need to cancel or postpone an appointment, please inform us at least 3 hours in advance via our call center at 032 23 217 17 by typing 3<!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"alert alert-dark\" role=\"alert\"><!-- [et_pb_line_break_holder] --> If you do not show up at the indicated time within 15 minutes, we invite you to renew your request by calling our switchboard 032 23 217 17.<!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><link rel=\"stylesheet\" href=\"https:\/\/cdn.jsdelivr.net\/npm\/bootstrap@4.3.1\/dist\/css\/bootstrap.min.css\" integrity=\"sha384-ggOyR0iXCbMQv3Xipma34MD+dH\/1fQ784\/j6cY\/iJTQUOhcWr7x9JvoRxT2MZw1T\" crossorigin=\"anonymous\"><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/code.jquery.com\/jquery-3.3.1.slim.min.js\" integrity=\"sha384-q8i\/X+965DzO0rT7abK41JStQIAqVgRVzpbzo5smXKp4YfRvH+8abtTE1Pi6jizo\" crossorigin=\"anonymous\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn.jsdelivr.net\/npm\/popper.js@1.14.7\/dist\/umd\/popper.min.js\" integrity=\"sha384-UO2eT0CpHqdSJQ6hJty5KVphtPhzWj9WO1clHTMGa3JDZwrnQq4sF86dIHNDz0W1\" crossorigin=\"anonymous\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn.jsdelivr.net\/npm\/bootstrap@4.3.1\/dist\/js\/bootstrap.min.js\" integrity=\"sha384-JjSmVgyd0p3pXB1rRibZUAYoIIy6OrQ6VrjIEaFf\/nJGzIxFDsf4x0xIM+B07jRM\" crossorigin=\"anonymous\"><\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbFormulaire\u00a0\u00bb _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb0px||||false|false\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbContact form 7&Prime; module_id=\u00a0\u00bbappointment-form\u00a0\u00bb _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb0px||||false|false\u00a0\u00bb custom_css_main_element=\u00a0\u00bbmax-width: 600px;\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_code _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5940-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/5937#wpcf7-f5940-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/5937#wpcf7-f5940-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5940\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5940-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><script src=\"https:\/\/ajax.googleapis.com\/ajax\/libs\/jquery\/3.6.4\/jquery.min.js\"><\/script>\n<\/p>\n<div class=\"form-group row\" style=\"display: none;\">\n\t<p><label class=\"col-sm-4 col-form-label\">Type<span style=\"color:red;\">*<\/span><\/label>\n\t<\/p>\n\t<div class=\"col-sm-4\">\n\t\t<div id=\"nbValue\">\n\t\t\t<p>78\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div id=\"nbInput\">\n\t\t<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"num-ticket\" value=\"\" type=\"hidden\" name=\"num-ticket\" \/>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p><script type=\"text\/javascript\">\n jQuery(document).ready(function($) {\n var _nbValue = $('#nbValue').text();\n var _nbValueLen = _nbValue.length;\n function generate_zero(iteration){\n var zero = '';\n for (let i = 0; i < iteration; i++) {\n zero += '0';\n }\n return zero;\n }\n if (_nbValueLen < 5 ) {\n diff = 5 - _nbValueLen;\n console.log(diff);\n $('#nbInput input[type=\"hidden\"]').attr('value', generate_zero(diff) + _nbValue);\n } else {\n $('#nbInput input[type=\"hidden\"]').attr('value', _nbValue);\n }\n \n $(\".form-group > p\").each(function(){\n var save = $(this).contents();\n $(this).replaceWith(save);\n });\n \n\n\n });\n<\/script>\n<\/p>\n<div class=\"form-group row\">\n\t<p><label for=\"type-reservation\" class=\"col-sm-4 col-form-label\">Type<span style=\"color:red;\">*<\/span><\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"type-reservation\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" id=\"type-reservation\" aria-required=\"true\" aria-invalid=\"false\" name=\"type-reservation\"><option value=\"-None-\">-None-<\/option><option value=\"Pr\u00e9-r\u00e9servation\">Pr\u00e9-r\u00e9servation<\/option><option value=\"R\u00e9servation\">Reservation<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div id=\"num-ticket><\/div><input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"num-ticket\" \/>\n<div class=\"form-group row\">\n\t<p><label for=\"nom-patient\" class=\"col-sm-4 col-form-label\">Nom complet du patient<span style=\"color:red;\">*<\/span><\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nom-patient\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"nom-patient\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-patient\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"date-naissance\" class=\"col-sm-4 col-form-label\">Date of birth<span style=\"color:red;\">*<\/span><\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" id=\"date-naissance\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"DD\/MM\/YYYY\" value=\"\" type=\"date\" name=\"date-naissance\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"sexe\" class=\"col-sm-4 col-form-label\">Sex<span style=\"color:red;\">*<\/span><\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sexe\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" id=\"sexe\" aria-required=\"true\" aria-invalid=\"false\" name=\"sexe\"><option value=\"-None-\">-None-<\/option><option value=\"Masculin\">Male<\/option><option value=\"F\u00e9minin\">Female<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"poids\" class=\"col-sm-4 col-form-label\">Weight<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"poids\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"poids\" aria-invalid=\"false\" placeholder=\"en Kilogramme\" value=\"\" type=\"text\" name=\"poids\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"adresse\" class=\"col-sm-4 col-form-label\">Address<span style=\"color:red;\">*<\/span><\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"adresse\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresse\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"contact-patient\" class=\"col-sm-4 col-form-label\">Contact<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"contact-patient\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"contact-patient\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-patient\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"email\" class=\"col-sm-4 col-form-label\">Email<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email form-control\" id=\"email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"medecin-traitant\" class=\"col-sm-4 col-form-label\">Attending physician<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"medecin-traitant\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"medecin-traitant\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medecin-traitant\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"contact-medecin-traitant\" class=\"col-sm-4 col-form-label\">Contact of attending physician<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"contact-medecin-traitant\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"contact-medecin-traitant\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-medecin-traitant\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"examen-demande\" class=\"col-sm-4 col-form-label\">Your physical examination<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"examen-demande\"><select class=\"wpcf7-form-control wpcf7-select form-control\" id=\"examen-demande\" aria-invalid=\"false\" name=\"examen-demande\"><option value=\"ANALYSES\">ANALYSIS<\/option><option value=\"AUTRES\">OTHER<\/option><option value=\"CONSULTATION\">CONSULTATION<\/option><option value=\"CONSULTATION SPECIALISEE\">CONSULTATION SPECIALISEE<\/option><option value=\"CONSULTATION AVEC UN PROFESSEUR\">CONSULTATION AVEC UN PROFESSEUR<\/option><option value=\"VISITE A DOMICILE\">VISITE A DOMICILE<\/option><option value=\"ECG\">ECG<\/option><option value=\"ECHOGRAPHIE\">ULTRASOUND<\/option><option value=\"ENDOSCOPIE\">ENDOSCOPY<\/option><option value=\"EXAMENS SPECIAUX\">EXAMENS SPECIAUX<\/option><option value=\"MAMMOGRAPHIE\">MAMMOGRAPHY<\/option><option value=\"RADIOGRAPHIE\">X-RAYS<\/option><option value=\"SCANNER\">CT-Scan<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"date-heure-demande\" class=\"col-sm-4 col-form-label\">Date et heure demand\u00e9e<span style=\"color:red;\">*<\/span><\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<div class=\"row datetime\">\n\t\t\t<div class=\"col-sm-3\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-heure-demande\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" id=\"date-heure-demande\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"DD\/MM\/YYYY\" value=\"\" type=\"date\" name=\"date-heure-demande\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-sm-3\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"heure-demande\"><select class=\"wpcf7-form-control wpcf7-select form-control\" id=\"heure-demande\" aria-invalid=\"false\" name=\"heure-demande\"><option value=\"01\">01<\/option><option value=\"02\">02<\/option><option value=\"03\">03<\/option><option value=\"04\">04<\/option><option value=\"05\">05<\/option><option value=\"06\">06<\/option><option value=\"07\">07<\/option><option value=\"08\">08<\/option><option value=\"09\">09<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-sm-3\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"minute-demande\"><select class=\"wpcf7-form-control wpcf7-select form-control\" id=\"minute-demande\" aria-invalid=\"false\" name=\"minute-demande\"><option value=\"00\">00<\/option><option value=\"01\">01<\/option><option value=\"02\">02<\/option><option value=\"03\">03<\/option><option value=\"04\">04<\/option><option value=\"05\">05<\/option><option value=\"06\">06<\/option><option value=\"07\">07<\/option><option value=\"08\">08<\/option><option value=\"09\">09<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><option value=\"32\">32<\/option><option value=\"33\">33<\/option><option value=\"34\">34<\/option><option value=\"35\">35<\/option><option value=\"36\">36<\/option><option value=\"37\">37<\/option><option value=\"38\">38<\/option><option value=\"39\">39<\/option><option value=\"40\">40<\/option><option value=\"41\">41<\/option><option value=\"42\">42<\/option><option value=\"43\">43<\/option><option value=\"44\">44<\/option><option value=\"45\">45<\/option><option value=\"46\">46<\/option><option value=\"47\">47<\/option><option value=\"48\">48<\/option><option value=\"49\">49<\/option><option value=\"50\">50<\/option><option value=\"51\">51<\/option><option value=\"52\">52<\/option><option value=\"53\">53<\/option><option value=\"54\">54<\/option><option value=\"55\">55<\/option><option value=\"56\">56<\/option><option value=\"57\">57<\/option><option value=\"58\">58<\/option><option value=\"59\">59<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-sm-3\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"am-pm-demande\"><select class=\"wpcf7-form-control wpcf7-select form-control\" id=\"am-pm-demande\" aria-invalid=\"false\" name=\"am-pm-demande\"><option value=\"AM\">AM<\/option><option value=\"PM\">PM<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label  class=\"col-sm-12 col-form-label\">Etes-vous:<\/label>\n\t<\/p>\n\t<div class=\"col-sm-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"etes-vous\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"etes-vous\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"etes-vous[]\" value=\"Diab\u00e8te\" \/><span class=\"wpcf7-list-item-label\">Diabetes<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"etes-vous[]\" value=\"Asthme\" \/><span class=\"wpcf7-list-item-label\">Asthma<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"etes-vous[]\" value=\"HTA\" \/><span class=\"wpcf7-list-item-label\">HTA<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"etes-vous[]\" value=\"Allergie fruit de mer\" \/><span class=\"wpcf7-list-item-label\">Seafood allergy<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"etes-vous[]\" value=\"Grossesse en cours\" \/><span class=\"wpcf7-list-item-label\">Pregnancy<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"motif-examen\" class=\"col-sm-4 col-form-label\">Motif d'examen sur ordonnance<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"motif-examen\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"motif-examen\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"motif-examen\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"traitement-en-cours\" class=\"col-sm-4 col-form-label\">Traitement en cours<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traitement-en-cours\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"traitement-en-cours\" aria-invalid=\"false\" name=\"traitement-en-cours\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group row\">\n\t\t\t<p><label for=\"mode-paiement\" class=\"col-sm-4 col-form-label\">Mode de paiement<\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mode-paiement\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" id=\"mode-paiement\" aria-required=\"true\" aria-invalid=\"false\" name=\"mode-paiement\"><option value=\"-None-\">-None-<\/option><option value=\"Esp\u00e8ce\">Esp\u00e8ce<\/option><option value=\"MVola\">MVola<\/option><option value=\"Ch\u00e8que\">Ch\u00e8que<\/option><option value=\"Carte bancaire\">Carte bancaire<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group row\">\n\t\t\t<p><label for=\"prise-en-charge\" class=\"col-sm-4 col-form-label\">Health Coverage<\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prise-en-charge\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" id=\"prise-en-charge\" aria-required=\"true\" aria-invalid=\"false\" name=\"prise-en-charge\"><option value=\"-None-\">-None-<\/option><option value=\"Client divers\">Client divers<\/option><option value=\"Assur\u00e9\">Assur\u00e9<\/option><option value=\"Fonctionnaire\">Fonctionnaire<\/option><option value=\"Autres\">Autres<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\">\n\t<p><label for=\"ordonnance-input\" class=\"col-sm-4 col-form-label\">Upload prescription<\/label>\n\t<\/p>\n\t<div class=\"col-sm-8\" data-id=\"multifilecontainer\" id=\"ordonnance-file\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ordonnance\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" id=\"ordonnance-input\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"ordonnance\" \/><\/span><br \/>\n<span class=\"file-field-description\">La limite maximale de taille du ou des fichiers est de 20 Mo.<\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-group row\" id=\"arovy-captcha\">\n\t<p><label for=\"cap-reservation\" class=\"col-sm-4 col-form-label\">Enter captcha <\/label>\n\t<\/p>\n\t<div class=\"col-sm-8 text-centered\">\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"captcha-reservation\"><input size=\"6\" maxlength=\"6\" class=\"wpcf7-form-control wpcf7-captchar\" id=\"cap-reservation\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"captcha-reservation\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-sm-6\">\n\t\t\t\t<p><input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-reservation\" value=\"661246780\" \/><img loading=\"lazy\" decoding=\"async\" class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-reservation\" width=\"84\" height=\"28\" alt=\"captcha\" src=\"https:\/\/imm-mg.com\/wp-content\/uploads\/wpcf7_captcha\/661246780.png\" \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-sm-6\">\n\t\t\t\t<p><span class=\"refresh-captcha\" onclick=\"updateDiv(); return false;\">Reload<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<p><script src=\"https:\/\/ajax.googleapis.com\/ajax\/libs\/jquery\/3.6.4\/jquery.min.js\"><\/script><br \/>\n<script type=\"text\/javascript\">\n function updateDiv(){ \n jQuery( \"#arovy-captcha\" ).load(window.location.href + \" #arovy-captcha\" );\n }\n<\/script>\n\t<\/p>\n<\/div>\n<div class=\"form-group row\" id=\"politique-confidentialite\">\n\t<div class=\"col-sm-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"politique-confidentialite\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"politique-confidentialite[]\" value=\"J\u2019accepte la politique de confidentialit\u00e9 et les conditions d\u2019utilisation du service.\" \/><span class=\"wpcf7-list-item-label\">I agree to the Privacy Policy and Terms of Service.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div id=\"buttons-wrapper\">\n\t<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit btn-outline-primary\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n\t<p class=\"btn-reset\"><input type=\"reset\" value=\"Reset\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbInformatioins\u00a0\u00bb _builder_version=\u00a0\u00bb4.9.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb][et_pb_row 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[&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-5937","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/imm-mg.com\/en\/wp-json\/wp\/v2\/pages\/5937","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/imm-mg.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/imm-mg.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/imm-mg.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/imm-mg.com\/en\/wp-json\/wp\/v2\/comments?post=5937"}],"version-history":[{"count":13,"href":"https:\/\/imm-mg.com\/en\/wp-json\/wp\/v2\/pages\/5937\/revisions"}],"predecessor-version":[{"id":5969,"href":"https:\/\/imm-mg.com\/en\/wp-json\/wp\/v2\/pages\/5937\/revisions\/5969"}],"wp:attachment":[{"href":"https:\/\/imm-mg.com\/en\/wp-json\/wp\/v2\/media?parent=5937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}