{"id":14750,"date":"2025-05-05T14:30:42","date_gmt":"2025-05-05T12:30:42","guid":{"rendered":"https:\/\/renophase.fr\/?page_id=14750"},"modified":"2025-05-05T15:35:54","modified_gmt":"2025-05-05T13:35:54","slug":"formulaire-de-contact","status":"publish","type":"page","link":"https:\/\/renophase.fr\/en\/formulaire-de-contact\/","title":{"rendered":"Contact form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14750\" class=\"elementor elementor-14750\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2734440 e-con-full e-flex e-con e-parent\" data-id=\"2734440\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-cddde4b e-con-full e-flex e-con e-child\" data-id=\"cddde4b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-606db00 elementor-widget elementor-widget-heading\" data-id=\"606db00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Formulaire de contact<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8758aed e-flex e-con-boxed e-con e-parent\" data-id=\"8758aed\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ce8e452 dd-ele-form elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"ce8e452\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Suivant&quot;,&quot;step_previous_label&quot;:&quot;Pr\\u00e9c\\u00e9dent&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Doctor Form\" aria-label=\"Doctor Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"14750\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"ce8e452\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Formulaire de contact\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"14750\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tDoctor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Dr.\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1c7ca3b elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1c7ca3b\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tClinic\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1c7ca3b]\" id=\"form-field-field_1c7ca3b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Clinic\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_135474c elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_135474c\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tselect\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_135474c]\" id=\"form-field-field_135474c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Centre d&#039;int\u00e9r\u00eat.. <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9lasma\">M\u00e9lasma<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rajeunissement\">Rajeunissement<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Les deux\">Les deux<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2259598 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2259598\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPays\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2259598]\" id=\"form-field-field_2259598\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Pays\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_8c5a1ee elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8c5a1ee\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tacceptation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_8c5a1ee]\" id=\"form-field-field_8c5a1ee\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" checked=\"checked\">\n\t\t\t\t<label for=\"form-field-field_8c5a1ee\">J'autorise Renophase \u00e0 me contacter par mail.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha elementor-field-group elementor-column elementor-field-group-field_2953f02 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_2953f02\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LdH2tIpAAAAAP0DTvlT6xYOES_i1WYmhOpWB69O\" data-type=\"v2_checkbox\" data-theme=\"light\" data-size=\"normal\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Envoyer<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4bda80c e-flex e-con-boxed e-con e-parent\" data-id=\"4bda80c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3968dcc elementor-widget elementor-widget-html\" data-id=\"3968dcc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\r\ndocument.addEventListener('DOMContentLoaded', () => {\r\n    \/\/ Find all forms with class name \"dd-ele-form\"\r\n    const forms = document.querySelectorAll('.dd-ele-form');\r\n\r\n    forms.forEach(form => {\r\n        const selects = form.querySelectorAll('select[required]');\r\n\r\n        selects.forEach(select => {\r\n            if (select.options.length > 0 && select.options[0].value.trim() === '') {\r\n                select.options[0].disabled = true;\r\n                \/\/ Optionally add CSS for better UX:\r\n                select.options[0].style.display = 'none';\r\n            }\r\n        });\r\n    });\r\n});\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Contact form<\/p>","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-14750","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/renophase.fr\/en\/wp-json\/wp\/v2\/pages\/14750","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/renophase.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/renophase.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/renophase.fr\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/renophase.fr\/en\/wp-json\/wp\/v2\/comments?post=14750"}],"version-history":[{"count":0,"href":"https:\/\/renophase.fr\/en\/wp-json\/wp\/v2\/pages\/14750\/revisions"}],"wp:attachment":[{"href":"https:\/\/renophase.fr\/en\/wp-json\/wp\/v2\/media?parent=14750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}