{"id":1248,"date":"2025-04-08T11:53:58","date_gmt":"2025-04-08T09:53:58","guid":{"rendered":"https:\/\/plateforme.hopital-foch.com\/?page_id=1248"},"modified":"2025-04-08T11:53:59","modified_gmt":"2025-04-08T09:53:59","slug":"demande-de-rdv-en-emg-eeg","status":"publish","type":"page","link":"https:\/\/plateforme.hopital-foch.com\/fr\/demande-de-rdv-en-emg-eeg\/","title":{"rendered":"Demande de rdv en EMG\/EEG"},"content":{"rendered":"<script type=\"text\/javascript\">var 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\">Pays<\/label>\n                                    <\/span>\n                    <div class=\"gf_clear gf_clear_complex\"><\/div>\n                <\/div><\/fieldset><div id=\"field_37_7\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_37_7\"><label class=\"gfield_label gform-field-label\" for=\"input_37_7\">E\u2011mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class=\"ginput_container ginput_container_email\">\n                            <input name=\"input_7\" id=\"input_37_7\" type=\"email\" value class=\"large\" aria-required=\"true\" aria-invalid=\"false\">\n                        <\/div><\/div><div id=\"field_37_8\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_37_8\"><label class=\"gfield_label gform-field-label\" for=\"input_37_8\">T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class=\"ginput_container ginput_container_phone\"><input name=\"input_8\" id=\"input_37_8\" type=\"tel\" value class=\"large\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/div><fieldset id=\"field_37_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_37_12\"><legend class=\"gfield_label gform-field-label\">Type de RDV<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_radio\"><div class=\"gfield_radio\" id=\"input_37_12\">\n\t\t\t<div class=\"gchoice gchoice_37_12_0\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"EEG\" id=\"choice_37_12_0\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_37_12_0\" id=\"label_37_12_0\" class=\"gform-field-label gform-field-label--type-inline\">EEG<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_37_12_1\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"EMG\" id=\"choice_37_12_1\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_37_12_1\" id=\"label_37_12_1\" class=\"gform-field-label gform-field-label--type-inline\">EMG<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_37_12_2\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"Polygraphie ventilatoire\" id=\"choice_37_12_2\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_37_12_2\" id=\"label_37_12_2\" class=\"gform-field-label gform-field-label--type-inline\">Polygraphie ventilatoire<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"gchoice gchoice_37_12_3\">\n\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_12\" type=\"radio\" value=\"PES\/PEM\" id=\"choice_37_12_3\" onchange=\"gformToggleRadioOther( this )\">\n\t\t\t\t\t<label for=\"choice_37_12_3\" id=\"label_37_12_3\" class=\"gform-field-label gform-field-label--type-inline\">PES\/PEM<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_37_9\" class=\"gfield gfield--type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_37_9\"><label class=\"gfield_label gform-field-label\" for=\"input_37_9\">Ordonnance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class=\"ginput_container ginput_container_fileupload\"><input type=\"hidden\" name=\"MAX_FILE_SIZE\" value=\"20971520\"><input name=\"input_9\" id=\"input_37_9\" type=\"file\" class=\"large\" aria-describedby=\"gfield_upload_rules_37_9\" onchange=\"javascript:gformValidateFileSize( this, 20971520 );\"><span class=\"gfield_description gform_fileupload_rules\" id=\"gfield_upload_rules_37_9\">Types de fichiers accept\u00e9s&nbsp;: jpg, jpeg, png, pdf, Taille max. des fichiers&nbsp;: 20&nbsp;MB.<\/span><div class=\"gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty\" id=\"live_validation_message_37_9\"><\/div><\/div><\/div><div id=\"field_37_10\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_37_10\"><label class=\"gfield_label gform-field-label\" for=\"input_37_10\">Souhaitez-vous ajouter une information qui nous serait utile&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class=\"ginput_container ginput_container_textarea\"><textarea name=\"input_10\" id=\"input_37_10\" class=\"textarea small\" aria-required=\"true\" aria-invalid=\"false\" rows=\"10\" cols=\"50\"><\/textarea><\/div><\/div><fieldset id=\"field_37_11\" 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_37_11\"><legend class=\"gfield_label gform-field-label gfield_label_before_complex\">RGPD<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div 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