{"id":955,"date":"2021-09-24T09:40:13","date_gmt":"2021-09-24T07:40:13","guid":{"rendered":"https:\/\/plateforme.hopital-foch.com\/?page_id=955"},"modified":"2021-09-24T09:40:50","modified_gmt":"2021-09-24T07:40:50","slug":"prise-de-contact-maternite","status":"publish","type":"page","link":"https:\/\/plateforme.hopital-foch.com\/fr\/prise-de-contact-maternite\/","title":{"rendered":"Prise de contact Maternit\u00e9"},"content":{"rendered":"<script type=\"text\/javascript\">var 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value=\"Tunisie\">Tunisie<\/option><option value=\"Turkm\u00e9nistan\">Turkm\u00e9nistan<\/option><option value=\"Turquie\">Turquie<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Wallis et Futuna\">Wallis et Futuna<\/option><option value=\"Y\u00e9men\">Y\u00e9men<\/option><option value=\"Zambie\">Zambie<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><option value=\"\u00c9gypte\">\u00c9gypte<\/option><option value=\"\u00c9mirats arabes unis\">\u00c9mirats arabes unis<\/option><option value=\"\u00c9quateur\">\u00c9quateur<\/option><option value=\"\u00c9rythr\u00e9e\">\u00c9rythr\u00e9e<\/option><option value=\"\u00c9tat palestinien\">\u00c9tat palestinien<\/option><option value=\"\u00c9tats-Unis\">\u00c9tats-Unis<\/option><option value=\"\u00c9thiopie\">\u00c9thiopie<\/option><option value=\"\u00cele Bouvet\">\u00cele Bouvet<\/option><option value=\"\u00cele Christmas\">\u00cele Christmas<\/option><option value=\"\u00cele Maurice\">\u00cele Maurice<\/option><option value=\"\u00cele Norfolk\">\u00cele Norfolk<\/option><option value=\"\u00cele de Man\">\u00cele de Man<\/option><option value=\"\u00celes Cayman\">\u00celes Cayman<\/option><option value=\"\u00celes Cocos\">\u00celes Cocos<\/option><option value=\"\u00celes Cook\">\u00celes Cook<\/option><option value=\"\u00celes Falkland\">\u00celes Falkland<\/option><option value=\"\u00celes F\u00e9ro\u00e9\">\u00celes F\u00e9ro\u00e9<\/option><option value=\"\u00celes Heard et McDonald\">\u00celes Heard et McDonald<\/option><option value=\"\u00celes Mariannes du Nord\">\u00celes Mariannes du Nord<\/option><option value=\"\u00celes Marshall\">\u00celes Marshall<\/option><option value=\"\u00celes Pitcairn\">\u00celes Pitcairn<\/option><option value=\"\u00celes Salomon\">\u00celes Salomon<\/option><option value=\"\u00celes Turques et Ca\u00efques\">\u00celes Turques et Ca\u00efques<\/option><option value=\"\u00celes Vierges am\u00e9ricaines\">\u00celes Vierges am\u00e9ricaines<\/option><option value=\"\u00celes Vierges britanniques\">\u00celes Vierges britanniques<\/option><option value=\"\u00celes de Svalbard et Jan Mayen\">\u00celes de Svalbard et Jan Mayen<\/option><option value=\"\u00celes mineures am\u00e9ricaines\">\u00celes mineures am\u00e9ricaines<\/option><option value=\"\u00celes \u00c5land\">\u00celes \u00c5land<\/option><\/select>\n                                        <label for=\"input_8_5_6\" id=\"input_8_5_6_label\" class=\"gform-field-label gform-field-label--type-sub \">Pays<\/label>\n                                    <\/span>\n                    <div class=\"gf_clear gf_clear_complex\"><\/div>\n                <\/div><\/li><li id=\"field_8_6\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_8_6\"><label class=\"gfield_label gform-field-label\" for=\"input_8_6\">T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_phone\"><input name=\"input_6\" id=\"input_8_6\" type=\"tel\" value class=\"small\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_8_7\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_8_7\"><label class=\"gfield_label gform-field-label\" for=\"input_8_7\">E\u2011mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_email\">\n                            <input name=\"input_7\" id=\"input_8_7\" type=\"email\" value class=\"small\" aria-required=\"true\" aria-invalid=\"false\">\n                        <\/div><\/li><li id=\"field_8_8\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_8_8\"><label class=\"gfield_label gform-field-label\" for=\"input_8_8\">Date du premier jour des derni\u00e8res r\u00e8gles<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_date\">\n                            <input name=\"input_8\" id=\"input_8_8\" type=\"text\" value class=\"datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon\" placeholder=\"jj\/mm\/aaaa\" aria-describedby=\"input_8_8_date_format\" aria-invalid=\"false\" aria-required=\"true\">\n                            <span id=\"input_8_8_date_format\" class=\"screen-reader-text\">JJ slash MM slash&nbsp;AAAA<\/span>\n                        <\/div>\n                        <input type=\"hidden\" id=\"gforms_calendar_icon_input_8_8\" class=\"gform_hidden\" value=\"https:\/\/plateforme.hopital-foch.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg\"><\/li><li id=\"field_8_9\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_8_9\"><label class=\"gfield_label gform-field-label\" for=\"input_8_9\">Date de d\u00e9but de grossesse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_date\">\n                            <input name=\"input_9\" id=\"input_8_9\" type=\"text\" value class=\"datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon\" placeholder=\"jj\/mm\/aaaa\" aria-describedby=\"input_8_9_date_format\" aria-invalid=\"false\" aria-required=\"true\">\n                            <span id=\"input_8_9_date_format\" class=\"screen-reader-text\">JJ slash MM slash&nbsp;AAAA<\/span>\n                        <\/div>\n                        <input type=\"hidden\" id=\"gforms_calendar_icon_input_8_9\" class=\"gform_hidden\" value=\"https:\/\/plateforme.hopital-foch.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg\"><\/li><li id=\"field_8_10\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_8_10\"><label class=\"gfield_label gform-field-label\" for=\"input_8_10\">Accouchement pr\u00e9vu<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_date\">\n                            <input name=\"input_10\" id=\"input_8_10\" type=\"text\" value class=\"datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon\" placeholder=\"jj\/mm\/aaaa\" aria-describedby=\"input_8_10_date_format\" aria-invalid=\"false\" aria-required=\"true\">\n                            <span id=\"input_8_10_date_format\" class=\"screen-reader-text\">JJ slash MM slash&nbsp;AAAA<\/span>\n                        <\/div>\n                        <input type=\"hidden\" id=\"gforms_calendar_icon_input_8_10\" class=\"gform_hidden\" value=\"https:\/\/plateforme.hopital-foch.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg\"><\/li><li id=\"field_8_11\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_8_11\"><label class=\"gfield_label gform-field-label\" for=\"input_8_11\">Avez-vous d\u2019autres pr\u00e9cisions \u00e0 nous indiquer&nbsp;?<\/label><div class=\"ginput_container ginput_container_textarea\"><textarea name=\"input_11\" id=\"input_8_11\" class=\"textarea small\" aria-invalid=\"false\" rows=\"10\" cols=\"50\"><\/textarea><\/div><\/li><li id=\"field_8_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_8_12\"><label class=\"gfield_label gform-field-label\">Avez-vous d\u00e9j\u00e0 accouch\u00e9 dans notre h\u00f4pital&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_radio\"><ul class=\"gfield_radio\" id=\"input_8_12\">\n\t\t\t<li class=\"gchoice gchoice_8_12_0\">\n\t\t\t\t<input name=\"input_12\" type=\"radio\" value=\"Oui\" id=\"choice_8_12_0\">\n\t\t\t\t<label for=\"choice_8_12_0\" id=\"label_8_12_0\" class=\"gform-field-label gform-field-label--type-inline\">Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_8_12_1\">\n\t\t\t\t<input name=\"input_12\" type=\"radio\" value=\"Non\" id=\"choice_8_12_1\">\n\t\t\t\t<label for=\"choice_8_12_1\" id=\"label_8_12_1\" class=\"gform-field-label gform-field-label--type-inline\">Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_8_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\" data-js-reload=\"field_8_13\"><label class=\"gfield_label gform-field-label gfield_label_before_complex\">Privacy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_checkbox\"><ul class=\"gfield_checkbox\" id=\"input_8_13\"><li class=\"gchoice gchoice_8_13_1\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_13.1\" type=\"checkbox\" value=\"true\" id=\"choice_8_13_1\">\n\t\t\t\t\t\t\t\t<label for=\"choice_8_13_1\" id=\"label_8_13_1\" class=\"gform-field-label gform-field-label--type-inline\">En cochant cette case et en soumettant ce formulaire, j\u2019accepte que mes donn\u00e9es personnelles soient envoy\u00e9es \u00e0 l\u2019H\u00f4pital Foch qui les utilisera pour communiquer avec vous dans le strict respect des dispositions pr\u00e9vues par la loi.\nPour connaitre et exercer vos droits (notamment de retrait de votre consentement \u00e0 l\u2019utilisation de donn\u00e9es collect\u00e9es par ce formulaire), veuillez consulter notre page sur la <a target=\"_blank\" href=\"https:\/\/www.hopital-foch.com\/protection-des-donnees\/\" rel=\"noopener noreferrer\">Politique de confidentialit\u00e9<\/a> <abbr class=\"wpgdprc-required\" title=\"Vous ne pouvez soumettre ce formulaire sans accepter les conditions d'utilisation.\">*<\/abbr><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_8_14\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\" data-js-reload=\"field_8_14\"><label class=\"gfield_label gform-field-label\" for=\"input_8_14\">Phone<\/label><div class=\"ginput_container\"><input name=\"input_14\" id=\"input_8_14\" type=\"text\" value autocomplete=\"new-password\"><\/div><div class=\"gfield_description\" id=\"gfield_description_8_14\">Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/li><\/ul><\/div>\n        <div class=\"gform_footer top_label\"> <input type=\"submit\" id=\"gform_submit_button_8\" class=\"gform_button button\" value=\"Envoyer\" 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