{"id":171,"date":"2020-01-19T16:54:02","date_gmt":"2020-01-19T15:54:02","guid":{"rendered":"https:\/\/www.pharmacieduhautpays.fr\/?page_id=171"},"modified":"2020-01-19T19:25:52","modified_gmt":"2020-01-19T18:25:52","slug":"envoi-dordonnance","status":"publish","type":"page","link":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/envoi-dordonnance\/","title":{"rendered":"Envoi d&#8217;ordonnance"},"content":{"rendered":"\n<p> Le formulaire d&#8217;envoi d&#8217;ordonnance permet \u00e0 la pharmacie de pr\u00e9parer celle-ci. <\/p>\n\n\n\n<p>Vous devez vous pr\u00e9senter avec votre <strong>original<\/strong>. <\/p>\n\n\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f169-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=\"\/index.php\/wp-json\/wp\/v2\/pages\/171#wpcf7-f169-o1\" method=\"post\" class=\"wpcf7-form init cf7-style\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"169\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f169-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><label> Votre nom (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre pr\u00e9nom (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-prenom\"><input type=\"text\" name=\"your-prenom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre num\u00e9ro de t\u00e9l\u00e9phone (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-Phonenumber\"><input type=\"text\" name=\"your-Phonenumber\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre adresse de messagerie (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre num\u00e9ro de s\u00e9curit\u00e9 sociale (facultatif)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-Numsecusocial\"><input type=\"text\" name=\"your-Numsecusocial\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre message<br \/>\n    <span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Joindre votre ordonnance (obligatoire)<\/label><br \/>\n<label> Ordonnance 1 : <span class=\"wpcf7-form-control-wrap file-pj1\"><input type=\"file\" name=\"file-pj1\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.bmp,.jpeg,.png,.pdf,.jpe,.tiff,.tif\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label> Ordonnance 2 : <span class=\"wpcf7-form-control-wrap file-pj2\"><input type=\"file\" name=\"file-pj2\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.bmp,.jpeg,.png,.pdf,.jpe,.tiff,.tif\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label> Ordonnance 3 : <span class=\"wpcf7-form-control-wrap file-pj3\"><input type=\"file\" name=\"file-pj3\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.bmp,.jpeg,.png,.pdf,.jpe,.tiff,.tif\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><div id=\"cf7sr-6a1435dcb10a7\" class=\"cf7sr-g-recaptcha\" data-sitekey=\"6LfcxtAUAAAAABsSD0JH21uDQ0ocgn1n9WAQum0R\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span><\/p>\n<p><input type=\"submit\" value=\"Envoyer\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Le formulaire d&#8217;envoi d&#8217;ordonnance permet \u00e0 la pharmacie de pr\u00e9parer celle-ci. Vous devez vous pr\u00e9senter avec votre original.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/wp-json\/wp\/v2\/pages\/171"}],"collection":[{"href":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/wp-json\/wp\/v2\/comments?post=171"}],"version-history":[{"count":7,"href":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/wp-json\/wp\/v2\/pages\/171\/revisions"}],"predecessor-version":[{"id":182,"href":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/wp-json\/wp\/v2\/pages\/171\/revisions\/182"}],"wp:attachment":[{"href":"https:\/\/www.pharmacieduhautpays.fr\/index.php\/wp-json\/wp\/v2\/media?parent=171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}