{"id":142,"date":"2022-08-30T17:41:02","date_gmt":"2022-08-30T15:41:02","guid":{"rendered":"http:\/\/ambulances-strasbourg.com\/?page_id=142"},"modified":"2022-08-30T17:41:02","modified_gmt":"2022-08-30T15:41:02","slug":"contact","status":"publish","type":"page","link":"https:\/\/ambulances-strasbourg.com\/index.php\/contact\/","title":{"rendered":"Contact"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-134\"><form id=\"wpforms-form-134\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"134\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/142\" data-token=\"65a46eef62bf7f54356164e47594b1fb\" data-token-time=\"1776388306\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Rendez-vous <\/div><\/div><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-134-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_1\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-134-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-134-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_9\">E-mail <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-134-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-134-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_6\">T\u00e9l\u00e9phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-134-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-134-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_3\">Choix du moyen de transport <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-134-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Ambulance\"  class=\"choice-1 depth-1\"  >Ambulance<\/option><option value=\"Vsl\"  class=\"choice-2 depth-1\"  >Vsl<\/option><\/select><\/div><div id=\"wpforms-134-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_11\">Date du transport <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-134-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><div class=\"wpforms-field-description\">Par exemple : 19\/12\/2022<\/div><\/div><div id=\"wpforms-134-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_12\">Heure du transport <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-134-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required><div class=\"wpforms-field-description\">Par exemple : 15h30<\/div><\/div><div id=\"wpforms-134-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_4\">Adresse de prise en charge <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-134-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><div class=\"wpforms-field-description\">Notez ici le lieu ou vous souhaitez \u00eatre pris en charge, si c&rsquo;est votre adresse notez la si c&rsquo;est un \u00e9tablissement de sant\u00e9 notez seulement le nom de l&rsquo;\u00e9tablissement (ex: H\u00f4pital de Hautepierre)<\/div><\/div><div id=\"wpforms-134-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_5\">Adresse de d\u00e9pose <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-134-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><div class=\"wpforms-field-description\">Notez ici le lieu ou vous souhaitez \u00eatre d\u00e9pos\u00e9, si c&rsquo;est votre adresse notez la si c&rsquo;est un \u00e9tablissement de sant\u00e9 notez seulement le nom de l&rsquo;\u00e9tablissement (ex: Nouvel H\u00f4pital Civil)\r\n<\/div><\/div><div id=\"wpforms-134-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Prescription m\u00e9dicale de transport ( Bon de transport ) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-134-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-134-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Je l&#039;ai d\u00e9j\u00e0 en ma possession \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-134-field_8_1\">Je l&rsquo;ai d\u00e9j\u00e0 en ma possession<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-134-field_8_2\" name=\"wpforms[fields][8][]\" value=\"Je dois le r\u00e9cup\u00e9rer \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-134-field_8_2\">Je dois le r\u00e9cup\u00e9rer<\/label><\/li><\/ul><\/div><div id=\"wpforms-134-field_13-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-134-field_13\">Message<\/label><textarea id=\"wpforms-134-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/textarea><div class=\"wpforms-field-description\">\r\n\r\nLorsque vous aurez valid\u00e9 l&rsquo;envois du formulaire un membre de nos \u00e9quipes vous contacteras par t\u00e9l\u00e9phone dans les plus brefs d\u00e9lais.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"134\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/pages\/142\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-134\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><img decoding=\"async\" src=\"https:\/\/ambulances-strasbourg.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"footnotes":""},"class_list":["post-142","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/pages\/142","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/comments?post=142"}],"version-history":[{"count":2,"href":"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/pages\/142\/revisions"}],"predecessor-version":[{"id":144,"href":"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/pages\/142\/revisions\/144"}],"wp:attachment":[{"href":"https:\/\/ambulances-strasbourg.com\/index.php\/wp-json\/wp\/v2\/media?parent=142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}