{"id":484,"date":"2026-07-06T08:28:34","date_gmt":"2026-07-06T08:28:34","guid":{"rendered":"https:\/\/ortho-ordent.be\/?page_id=484"},"modified":"2026-08-06T14:49:08","modified_gmt":"2026-08-06T14:49:08","slug":"nouveau-patient","status":"publish","type":"page","link":"https:\/\/ortho-ordent.be\/nl\/nouveau-patient","title":{"rendered":"Nieuwe pati\u00ebnten"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"484\" class=\"elementor elementor-484\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2b8bf6c2 e-flex e-con-boxed e-con e-parent\" data-id=\"2b8bf6c2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-22f7ace9 e-con-full e-flex e-con e-child\" data-id=\"22f7ace9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-27564c41 elementor-widget__width-initial elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"27564c41\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b6c7006 elementor-widget elementor-widget-heading\" data-id=\"2b6c7006\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Nouveaux Patients<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1ef6bfa e-con-full e-flex e-con e-child\" data-id=\"1ef6bfa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5aaee133 elementor-widget elementor-widget-heading\" data-id=\"5aaee133\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Retrouvez les informations utiles pour votre inscription en tant que nouveau patient<\/h2>\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-17fdf3c e-flex e-con-boxed elementor-invisible e-con e-parent\" data-id=\"17fdf3c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-c502382 e-con-full step-card e-flex e-con e-child\" data-id=\"c502382\" 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-b9229ac e-con-full e-flex e-con e-child\" data-id=\"b9229ac\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75b4967 elementor-widget__width-initial step-line elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"75b4967\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9435a1b elementor-widget elementor-widget-heading\" data-id=\"9435a1b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">1\u00e8re \u00e9tape<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d681f4 elementor-widget elementor-widget-heading\" data-id=\"2d681f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formulaire<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1670593 elementor-widget elementor-widget-text-editor\" data-id=\"1670593\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La premi\u00e8re d\u00e9marche en tant que nouveau patient consiste \u00e0 remplir le formulaire d&rsquo;inscription ci-dessous.\u00a0<\/p><p>Vous ne pouvez remplir qu&rsquo;un seul et unique formulaire d&rsquo;inscription, veillez donc \u00e0 fournir des informations valides, comp\u00e8tes et le plus \u00e0 jour possible.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2c935ce e-con-full step-card e-flex e-con e-child\" data-id=\"2c935ce\" 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-5d81ace e-con-full e-flex e-con e-child\" data-id=\"5d81ace\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cff88f3 elementor-widget__width-initial step-line elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"cff88f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee695a4 elementor-widget elementor-widget-heading\" data-id=\"ee695a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">2\u00e8me \u00e9tape<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-164dad0 elementor-widget elementor-widget-heading\" data-id=\"164dad0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Traitement de vos donn\u00e9es<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ea90b6 elementor-widget elementor-widget-text-editor\" data-id=\"7ea90b6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Une fois le formulaire compl\u00e9t\u00e9, ce dernier nous parvient. Vos donn\u00e9es sont alors trait\u00e9es afin de nous permettre de cr\u00e9er votre dossier patient au sein de notre syst\u00e8me.<\/p><p>Durant cette p\u00e9riode, il n&rsquo;est pas n\u00e9cessaire de nous appeler ou de nous \u00e9crire. Votre demande est bien enregistr\u00e9e et trait\u00e9e dans les meilleurs d\u00e9lais.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-137daf1 e-con-full e-flex e-con e-child\" data-id=\"137daf1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-46e1f34 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"46e1f34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#formulaire-inscription\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Remplir le formulaire<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\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-d152fcc e-con-full step-card e-flex e-con e-child\" data-id=\"d152fcc\" 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-61e804c e-con-full e-flex e-con e-child\" data-id=\"61e804c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-415f81a elementor-widget__width-initial step-line elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"415f81a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b43b85 elementor-widget elementor-widget-heading\" data-id=\"3b43b85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">3\u00e8me \u00e9tape<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f93a83a elementor-widget elementor-widget-heading\" data-id=\"f93a83a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Prise de contact<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d984567 elementor-widget elementor-widget-text-editor\" data-id=\"d984567\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Une fois vos donn\u00e9es encod\u00e9es dans notre syst\u00e8me et votre dossier patient cr\u00e9\u00e9, nous sommes en mesure de revenir vers vous \u00e0 propos de votre demande.<\/p><p>Nous reprenons alors contact avec vous, afin de fixer votre premier rendez-vous.<\/p>\t\t\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-52fa4ed e-flex e-con-boxed e-con e-parent\" data-id=\"52fa4ed\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bb547a5 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"bb547a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">*Nous n'acceptons qu'un seul formulaire d'inscription par patient. <br>\nVeuillez ne pas utiliser ce formulaire pour les demandes qui ne concernent pas votre inscription en tant que nouveau patient.<\/h2>\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-fdaea20 e-flex e-con-boxed e-con e-parent\" data-id=\"fdaea20\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-461b87a e-con-full e-flex e-con e-child\" data-id=\"461b87a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-532a1db e-con-full e-flex e-con e-child\" data-id=\"532a1db\" 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-41b9108 e-con-full e-flex e-con e-child\" data-id=\"41b9108\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-92df7b7 elementor-view-framed elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"92df7b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-bell\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M439.39 362.29c-19.32-20.76-55.47-51.99-55.47-154.29 0-77.7-54.48-139.9-127.94-155.16V32c0-17.67-14.32-32-31.98-32s-31.98 14.33-31.98 32v20.84C118.56 68.1 64.08 130.3 64.08 208c0 102.3-36.15 133.53-55.47 154.29-6 6.45-8.66 14.16-8.61 21.71.11 16.4 12.98 32 32.1 32h383.8c19.12 0 32-15.6 32.1-32 .05-7.55-2.61-15.27-8.61-21.71zM67.53 368c21.22-27.97 44.42-74.33 44.53-159.42 0-.2-.06-.38-.06-.58 0-61.86 50.14-112 112-112s112 50.14 112 112c0 .2-.06.38-.06.58.11 85.1 23.31 131.46 44.53 159.42H67.53zM224 512c35.32 0 63.97-28.65 63.97-64H160.03c0 35.35 28.65 64 63.97 64z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0d8693d e-con-full e-flex e-con e-child\" data-id=\"0d8693d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-c57e279 e-con-full e-flex e-con e-child\" data-id=\"c57e279\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c4ca548 elementor-widget elementor-widget-heading\" data-id=\"c4ca548\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Actualit\u00e9s du cabinet<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5b0cda elementor-widget__width-initial elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c5b0cda\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3e092bd e-con-full e-flex e-con e-child\" data-id=\"3e092bd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9fba46f elementor-widget elementor-widget-text-editor\" data-id=\"9fba46f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Octobre 2026 &#8211; L&rsquo;inscription des nouveaux patients est ouvertes<\/p><p>Novembre &#8211; D\u00e9cembre 2026 &#8211; Nous commen\u00e7ons \u00e0 contacter les nouveaux patients<\/p><p>Janvier 2027 &#8211; Ouverture du cabinet et premiers rendez-vous<\/p>\t\t\t\t\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\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-2d0b451 e-flex e-con-boxed elementor-invisible e-con e-parent\" data-id=\"2d0b451\" data-element_type=\"container\" data-e-type=\"container\" id=\"formulaire-inscription\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fbc0da4 elementor-widget elementor-widget-heading\" data-id=\"fbc0da4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fomulaire d'inscription<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4dcd9f fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"b4dcd9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_2 ffs_default_wrap'><form data-form_id=\"2\" id=\"fluentform_2\" class=\"frm-fluent-form fluent_form_2 ff-el-form-top ff_form_instance_2_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_2_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Formulaire Inscription<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='484' \/><input type=\"hidden\" id=\"_fluentform_2_fluentformnonce\" name=\"_fluentform_2_fluentformnonce\" value=\"2a9ce553ca\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/nl\/wp-json\/wp\/v2\/pages\/484\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_names_first_name_' id='label_ff_2_names_first_name_' >Pr\u00e9nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_2_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Saisissez votre pr\u00e9nom\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_names_last_name_' id='label_ff_2_names_last_name_' >Nom de famille<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_2_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Saisissez votre nom de famille\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_names_1_first_name_' id='label_ff_2_names_1_first_name_' >Pr\u00e9nom du tuteur (si patient mineur)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_2_names_1_first_name_\" class=\"ff-el-form-control\" placeholder=\"Pr\u00e9nom\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_names_1_last_name_' id='label_ff_2_names_1_last_name_' >Nom de famille du tuteur (si patient mineur)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_2_names_1_last_name_\" class=\"ff-el-form-control\" placeholder=\"Nom de famille\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_input_mask_1' id='label_ff_2_input_mask_1' aria-label=\"Date de naissance\">Date de naissance<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask_1\" data-mask=\"00\/00\/0000\" class=\"ff-el-form-control\" placeholder=\"jj\/mm\/aaaa\" data-name=\"input_mask_1\" id=\"ff_2_input_mask_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_registre_national' id='label_ff_2_registre_national' aria-label=\"Num\u00e9ro de registre national\">Num\u00e9ro de registre national<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"registre_national\" data-mask=\"00.00.00\/000.00\" class=\"ff-el-form-control\" placeholder=\"__.__.__\/___.__\" data-name=\"registre_national\" id=\"ff_2_registre_national\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_email_1' id='label_ff_2_email_1' aria-label=\"E-mail\">E-mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_2_email_1\" class=\"ff-el-form-control\" placeholder=\"Adresse e-mail\" data-name=\"email_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_Telephone' id='label_ff_2_Telephone' aria-label=\"T\u00e9l\u00e9phone\">T\u00e9l\u00e9phone<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"Telephone\" id=\"ff_2_Telephone\" class=\"ff-el-form-control\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone\" data-name=\"Telephone\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_address_line_1_' id='label_ff_2_address_1_address_line_1_' aria-label=\"Adresse ligne 1\">Adresse ligne 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_2_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Adresse ligne 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_address_1_address_line_2_' id='label_ff_2_address_1_address_line_2_' aria-label=\"Adresse ligne 2\">Adresse ligne 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_2_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Adresse ligne 2\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_city_' id='label_ff_2_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_2_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Ville\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_zip_' id='label_ff_2_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_2_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Code postal\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_country_' id='label_ff_2_address_1_country_' aria-label=\"Pays\">Pays<\/label><\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_2_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"S\u00e9lectionner le pays\" data-key_name=\"country\" aria-invalid='false' aria-required=true><option value=''>S\u00e9lectionner le pays<\/option><option value='BE' >Belgi\u00eb<\/option><option value='DE' >Duitsland<\/option><option value='NL' >Nederland<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_description' id='label_ff_2_description' aria-label=\"Motif de consultation\">Motif de consultation<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"true\" aria-labelledby=\"label_ff_2_description\" name=\"description\" id=\"ff_2_description\" class=\"ff-el-form-control\" placeholder=\"Veuillez indiquer la raison pour laquelle vous souhaitez vous inscrire en tant que nouveau patient.\" rows=\"5\" cols=\"1\" data-name=\"description\" ><\/textarea><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div data-type=\"name-element\" data-name=\"names_2\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_names_2_first_name_' id='label_ff_2_names_2_first_name_' >Dentiste \/ Cabinet r\u00e9f\u00e9rent<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[first_name]\" id=\"ff_2_names_2_first_name_\" class=\"ff-el-form-control\" placeholder=\"Dentiste \/ Cabinet r\u00e9f\u00e9rent\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_dropdown_1' id='label_ff_2_dropdown_1' aria-label=\"Langue pr\u00e9f\u00e9r\u00e9e\">Langue pr\u00e9f\u00e9r\u00e9e<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_2_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_2_dropdown_1\"><option value=\"\">- Selectionner -<\/option><option value=\"Fran\u00e7ais\"  >Fran\u00e7ais<\/option><option value=\"N\u00e9\u00e9rlandais\"  >N\u00e9\u00e9rlandais<\/option><option value=\"Anglais\"  >Anglais<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_mutualite' id='label_ff_2_mutualite' aria-label=\"Mutualit\u00e9 \/ Assurance\">Mutualit\u00e9 \/ Assurance<\/label><\/div><div class='ff-el-input--content'><select name=\"mutualite\" id=\"ff_2_mutualite\" class=\"ff-el-form-control\" data-name=\"mutualite\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_2_mutualite\"><option value=\"\">- Selectionner -<\/option><option value=\"Mutualit\u00e9 Chr\u00e9tienne\"  >Mutualit\u00e9 Chr\u00e9tienne<\/option><option value=\"Mutualit\u00e9 Neutre\"  >Mutualit\u00e9 Neutre<\/option><option value=\"DKV\"  >DKV<\/option><option value=\"Solidaris\"  >Solidaris<\/option><option value=\"Partenamut\"  >Partenamut<\/option><option value=\"Mutualia\"  >Mutualia<\/option><option value=\"Mutualit\u00e9s Lib\u00e8res\"  >Mutualit\u00e9s Lib\u00e8res<\/option><option value=\"Autre\"  >Autre<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_input_text' id='label_ff_2_input_text' aria-label=\"Autre Mutualit\u00e9 \/ Assurance\">Autre Mutualit\u00e9 \/ Assurance<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Mutualit\u00e9 \/ Assurance\" data-name=\"input_text\" id=\"ff_2_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Voorwaarden: En souscrivant \u00e0 ce formulaire, vous confirmez avoir lu et accept\u00e9 notre politique de confidentialit\u00e9, ainsi que notre consentement \u00e9clair\u00e9. bevat 2 links. 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inscription en tant que nouveau patient 1\u00e8re \u00e9tape Formulaire La premi\u00e8re d\u00e9marche en tant que nouveau patient consiste \u00e0 remplir le formulaire d&rsquo;inscription ci-dessous.\u00a0 Vous ne pouvez remplir qu&rsquo;un seul et unique formulaire d&rsquo;inscription, veillez donc \u00e0 fournir des informations valides, comp\u00e8tes et le plus \u00e0 jour 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