{"id":16797,"date":"2023-05-15T12:57:56","date_gmt":"2023-05-15T10:57:56","guid":{"rendered":"http:\/\/www.hematostat.net\/?page_id=16797"},"modified":"2024-01-15T17:43:51","modified_gmt":"2024-01-15T16:43:51","slug":"connexion-inscriptions","status":"publish","type":"page","link":"https:\/\/www.hematostat.net\/en\/connexion-inscriptions\/","title":{"rendered":"Connexion \/ Inscriptions"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1302px;margin-left: calc(-5% \/ 2 );margin-right: calc(-5% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:4.75%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:4.75%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:4.75%;--awb-spacing-left-medium:4.75%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:2.375%;--awb-spacing-left-small:2.375%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-login-box fusion-login-box-1 fusion-login-box-login fusion-login-align-center fusion-login-field-layout-stacked\" style=\"--awb-form-background-color:var(--awb-color1);\"><h3 class=\"fusion-login-heading\">Connexion<\/h3><form class=\"fusion-login-form\" name=\"loginform\" id=\"loginform\" method=\"post\" action=\"https:\/\/www.hematostat.net\/en\/loginhematostat\/\"><div class=\"fusion-login-fields\"><div class=\"fusion-login-input-wrapper\"><label class=\"fusion-login-label\" for=\"user_login-1\">Username or Email<\/label><input type=\"text\" name=\"log\" placeholder=\"Username or Email\" value=\"\" size=\"20\" class=\"fusion-login-username input-text\" id=\"user_login-1\" \/><\/div><div class=\"fusion-login-input-wrapper\"><label class=\"fusion-login-label\" for=\"user_pass-1\">Password<\/label><input type=\"password\" name=\"pwd\" placeholder=\"Password\" value=\"\" size=\"20\" class=\"fusion-login-password input-text\" id=\"user_pass-1\" \/><\/div><\/div><div class=\"fusion-login-additional-content\"><div class=\"fusion-login-submit-wrapper\"><button class=\"fusion-login-button fusion-button button-default fusion-button-default-size fusion-login-button-no-fullwidth\" type=\"submit\" name=\"wp-submit\">Log in<\/button><input type=\"hidden\" name=\"user-cookie\" value=\"1\" \/><input type=\"hidden\" name=\"redirect_to\" value=\"https:\/\/www.hematostat.net\/en\/wp-json\/wp\/v2\/pages\/16797\" \/><input type=\"hidden\" name=\"fusion_login_box\" value=\"true\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/16797\" \/><span class=\"fusion-login-nonce\" style=\"display:none;\"><\/span><\/div><div class=\"fusion-login-links\"><\/div><\/div><\/form><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:4.75%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:4.75%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:4.75%;--awb-spacing-left-medium:4.75%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:2.375%;--awb-spacing-left-small:2.375%;\" data-motion-effects=\"[{&quot;type&quot;:&quot;&quot;,&quot;scroll_type&quot;:&quot;transition&quot;,&quot;scroll_direction&quot;:&quot;up&quot;,&quot;transition_speed&quot;:&quot;1&quot;,&quot;fade_type&quot;:&quot;in&quot;,&quot;scale_type&quot;:&quot;up&quot;,&quot;initial_scale&quot;:&quot;1&quot;,&quot;max_scale&quot;:&quot;1.5&quot;,&quot;min_scale&quot;:&quot;0.5&quot;,&quot;initial_rotate&quot;:&quot;0&quot;,&quot;end_rotate&quot;:&quot;30&quot;,&quot;initial_blur&quot;:&quot;0&quot;,&quot;end_blur&quot;:&quot;3&quot;,&quot;start_element&quot;:&quot;top&quot;,&quot;start_viewport&quot;:&quot;bottom&quot;,&quot;end_element&quot;:&quot;bottom&quot;,&quot;end_viewport&quot;:&quot;top&quot;,&quot;mouse_effect&quot;:&quot;track&quot;,&quot;mouse_effect_direction&quot;:&quot;opposite&quot;,&quot;mouse_effect_speed&quot;:&quot;2&quot;,&quot;infinite_animation&quot;:&quot;float&quot;,&quot;infinite_animation_speed&quot;:&quot;2&quot;}]\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;text-transform:none;\"><h4 style=\"text-align: center;\">Inscription<\/h4><\/h1><\/div>\t<div class='user-registration ur-frontend-form' id='user-registration-form-17784'>\n\t\t\t\t\t<form method='post' class='register' data-form-id=\"17784\"\n\t\t\t\tdata-enable-strength-password=\"\" data-minimum-password-strength=\"3\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-captcha-enabled=\"\" action=\"\">\n\n\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"3\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"select_1705335621\" class=\"ur-field-item field-select\" data-ref-id=\"select_1705335621\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"select_1705335621_field\" data-priority=\"\" ><label for=\"select_1705335621\" class=\"ur-label\">Civilit\u00e9 <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select data-rules=\"\" data-id=\"select_1705335621\" name=\"select_1705335621\" id=\"select_1705335621\" class=\"select ur-frontend-field\" required=\"required\" data-label=\"Civilit\u00e9\" data-allow_clear=\"true\" data-placeholder=\"\">\n\t\t\t\t\t\t\t<option value=\"Madame\" >Madame<\/option><option value=\"Monsieur\" >Monsieur<\/option>\n\t\t\t\t\t\t<\/select><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"0\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"last_name\" class=\"ur-field-item field-last_name\" data-ref-id=\"last_name\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"last_name_field\" data-priority=\"\" ><label for=\"last_name\" class=\"ur-label\">Nom <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"last_name\" type=\"text\" class=\"input-text   input-text ur-frontend-field\" name=\"last_name\" id=\"last_name\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Nom\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_email\" class=\"ur-field-item field-user_email\" data-ref-id=\"user_email\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_email_field\" data-priority=\"\" ><label for=\"user_email\" class=\"ur-label\">E-mail <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_email\" type=\"email\" class=\"input-text   input-email ur-frontend-field\" name=\"user_email\" id=\"user_email\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"E-mail\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"first_name\" class=\"ur-field-item field-first_name\" data-ref-id=\"first_name\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"first_name_field\" data-priority=\"\" ><label for=\"first_name\" class=\"ur-label\">Pr\u00e9nom <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"first_name\" type=\"text\" class=\"input-text   input-text ur-frontend-field\" name=\"first_name\" id=\"first_name\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Pr\u00e9nom\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_pass\" class=\"ur-field-item field-user_pass\" data-ref-id=\"user_pass\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required hide_show_password\" id=\"user_pass_field\" data-priority=\"\"><label for=\"user_pass\" class=\"ur-label\">Mot de passe <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <span class=\"password-input-group input-form-field-icons\"><input data-rules=\"\" data-id=\"user_pass\" type=\"password\" class=\"input-text  input-password ur-frontend-field\" name=\"user_pass\" id=\"user_pass\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Mot de passe\" \/><\/span> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"4\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"select_1705335793589\" class=\"ur-field-item field-select\" data-ref-id=\"select_1705335793589\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"select_1705335793589_field\" data-priority=\"\" ><label for=\"select_1705335793589\" class=\"ur-label\">Titre \/ Fonction <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select data-rules=\"\" data-id=\"select_1705335793589\" name=\"select_1705335793589\" id=\"select_1705335793589\" class=\"select ur-frontend-field\" required=\"required\" data-label=\"Titre \/ Fonction\" data-default=\"Autre\" data-allow_clear=\"true\" data-placeholder=\"\">\n\t\t\t\t\t\t\t<option value=\"PU-PH\" >PU-PH<\/option><option value=\"PH\" >PH<\/option><option value=\"MCU-PH\" >MCU-PH<\/option><option value=\"MCU\" >MCU<\/option><option value=\"CCA\" >CCA<\/option><option value=\"Praticien\" >Praticien<\/option><option value=\"Interne\" >Interne<\/option><option value=\"Autre\"  selected='selected'>Autre<\/option>\n\t\t\t\t\t\t<\/select><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"check_box_1705396991\" class=\"ur-field-item field-checkbox\" data-ref-id=\"check_box_1705396991\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"check_box_1705396991_field\" data-priority=\"\" ><label class=\"ur-label\" required=\"required\" data-label=\"Domaine d&#039;expertise\">Domaine d'expertise <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><ul ><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Amylose AL\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Amylose AL\" value=\"Amylose AL\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Amylose AL\">Amylose AL<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Biologie\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Biologie\" value=\"Biologie\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Biologie\">Biologie<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Biostatistiques\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Biostatistiques\" value=\"Biostatistiques\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Biostatistiques\">Biostatistiques<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Greffes\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Greffes\" value=\"Greffes\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Greffes\">Greffes<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"H\u00e9matologie g\u00e9n\u00e9rale\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_H\u00e9matologie g\u00e9n\u00e9rale\" value=\"H\u00e9matologie g\u00e9n\u00e9rale\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_H\u00e9matologie g\u00e9n\u00e9rale\">H\u00e9matologie g\u00e9n\u00e9rale<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"H\u00e9matologie p\u00e9diatrique\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_H\u00e9matologie p\u00e9diatrique\" value=\"H\u00e9matologie p\u00e9diatrique\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_H\u00e9matologie p\u00e9diatrique\">H\u00e9matologie p\u00e9diatrique<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"H\u00e9mostase\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_H\u00e9mostase\" value=\"H\u00e9mostase\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_H\u00e9mostase\">H\u00e9mostase<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Leuc\u00e9mies aigu\u00ebs\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Leuc\u00e9mies aigu\u00ebs\" value=\"Leuc\u00e9mies aigu\u00ebs\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Leuc\u00e9mies aigu\u00ebs\">Leuc\u00e9mies aigu\u00ebs<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Leuc\u00e9mie Lympho\u00efde Chronique\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Leuc\u00e9mie Lympho\u00efde Chronique\" value=\"Leuc\u00e9mie Lympho\u00efde Chronique\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Leuc\u00e9mie Lympho\u00efde Chronique\">Leuc\u00e9mie Lympho\u00efde Chronique<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Leuc\u00e9mie My\u00e9lo\u00efde Chronique\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Leuc\u00e9mie My\u00e9lo\u00efde Chronique\" value=\"Leuc\u00e9mie My\u00e9lo\u00efde Chronique\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Leuc\u00e9mie My\u00e9lo\u00efde Chronique\">Leuc\u00e9mie My\u00e9lo\u00efde Chronique<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Lymphomes\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Lymphomes\" value=\"Lymphomes\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Lymphomes\">Lymphomes<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"My\u00e9lome Multiple\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_My\u00e9lome Multiple\" value=\"My\u00e9lome Multiple\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_My\u00e9lome Multiple\">My\u00e9lome Multiple<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Soins de support\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Soins de support\" value=\"Soins de support\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Soins de support\">Soins de support<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Syndromes My\u00e9lodysplasiques\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Syndromes My\u00e9lodysplasiques\" value=\"Syndromes My\u00e9lodysplasiques\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Syndromes My\u00e9lodysplasiques\">Syndromes My\u00e9lodysplasiques<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705396991[]\" required=\"required\" data-label=\"Domaine d&#039;expertise\" data-value=\"Syndromes My\u00e9loprolif\u00e9ratifs\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705396991[]\" id=\"check_box_1705396991_Syndromes My\u00e9loprolif\u00e9ratifs\" value=\"Syndromes My\u00e9loprolif\u00e9ratifs\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705396991_Syndromes My\u00e9loprolif\u00e9ratifs\">Syndromes My\u00e9loprolif\u00e9ratifs<\/label> <\/li><\/ul><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"check_box_1705336278\" class=\"ur-field-item field-checkbox\" data-ref-id=\"check_box_1705336278\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"check_box_1705336278_field\" data-priority=\"\" ><label class=\"ur-label\" required=\"required\" data-label=\"Contenu r\u00e9serv\u00e9 \">Contenu r\u00e9serv\u00e9  <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><ul ><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1705336278[]\" required=\"required\" data-label=\"Contenu r\u00e9serv\u00e9 \" data-value=\"En cochant cette case, je certifie \u00eatre un professionnel de sant\u00e9 ou un industriel du m\u00e9dicament\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field\" name=\"check_box_1705336278[]\" id=\"check_box_1705336278_En cochant cette case, je certifie \u00eatre un professionnel de sant\u00e9 ou un industriel du m\u00e9dicament\" value=\"En cochant cette case, je certifie \u00eatre un professionnel de sant\u00e9 ou un industriel du m\u00e9dicament\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1705336278_En cochant cette case, je certifie \u00eatre un professionnel de sant\u00e9 ou un industriel du m\u00e9dicament\">En cochant cette case, je certifie \u00eatre un professionnel de sant\u00e9 ou un industriel du m\u00e9dicament<\/label> <\/li><\/ul><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-button-container\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<button type=\"submit\" class=\"btn button ur-submit-button\" 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