{"id":812,"date":"2021-04-21T15:26:35","date_gmt":"2021-04-21T15:26:35","guid":{"rendered":"https:\/\/dentistesainteustache.com\/contact\/rendez-vous-en-ligne\/"},"modified":"2021-05-11T16:46:53","modified_gmt":"2021-05-11T16:46:53","slug":"online-appointment","status":"publish","type":"page","link":"https:\/\/dentistesainteustache.com\/en\/contact\/online-appointment\/","title":{"rendered":"Online appointment"},"content":{"rendered":"\n<h2>\n\t\tForm\n\t<\/h2>\n<h2>\n\t\tonline appointment booking\n\t<\/h2>\n<h2>\n\t\tTo make an appointment online, you simply need to properly fill out the form below.\n\t<\/h2>\n\t<p>You will receive in less than 48 hours, either by phone, text messaging or email a confirmation of your appointment or a proposal for a new time slot. This period may vary depending on leave or training at the dental clinic.<\/p>\n<p>Thank you for your understanding.<\/p>\n\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-887\"><form id=\"wpforms-form-887\" class=\"wpforms-validate wpforms-form\" data-formid=\"887\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/812\" data-token=\"36090561920fc91efa0510797d614e69\" data-token-time=\"1776166597\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-887-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Name of contact person <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-887-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-887-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-887-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-887-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-887-field_9-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"9\"><label class=\"wpforms-field-label\">Appointment for: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-887-field_9\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_9_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][9][]\" value=\"Myself\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_9_1\">Myself<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_9_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][9][]\" value=\"My kid\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_9_3\">My kid<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_9_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][9][]\" value=\"Life Partner\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_9_2\">Life Partner<\/label><\/li><\/ul><\/div><div id=\"wpforms-887-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><label class=\"wpforms-field-label\">Name of the patient<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-887-field_10\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][10][first]\" ><label for=\"wpforms-887-field_10\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-887-field_10-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][10][last]\" ><label for=\"wpforms-887-field_10-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div class=\"wpforms-field-description\">Provide the patient's full name, if you are making an appointment for another family member.<\/div><\/div><div id=\"wpforms-887-field_8-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"8\"><label class=\"wpforms-field-label\">New patient? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-887-field_8\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_8_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_8_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_8_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_8_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">For a new patient, the Medical Questionnaire must also be completed.<\/div><\/div><div id=\"wpforms-887-field_6-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-887-field_6\">Phone number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-887-field_6\" class=\"wpforms-field-small wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][6]\" aria-label=\"Phone number\" required><\/div><div id=\"wpforms-887-field_11-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-887-field_11\">Cellphone number<\/label><input type=\"tel\" id=\"wpforms-887-field_11\" class=\"wpforms-field-small\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][11]\" aria-label=\"Cellphone number\" ><\/div><div id=\"wpforms-887-field_5-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-887-field_5\">E-mail Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-887-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-887-field_2-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Availability <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-887-field_2\" class=\"wpforms-field-required\" data-choice-limit=\"5\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_2_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"Monday\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_2_1\">Monday<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_2_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"Tuesday\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_2_2\">Tuesday<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_2_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"Wednesday\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_2_3\">Wednesday<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_2_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"Thursday\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_2_4\">Thursday<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_2_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"Friday\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_2_5\">Friday<\/label><\/li><\/ul><\/div><div id=\"wpforms-887-field_3-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"3\"><label class=\"wpforms-field-label\">Preferences <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-887-field_3\" class=\"wpforms-field-required\" data-choice-limit=\"3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_3_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][3][]\" value=\"Morning\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_3_1\">Morning<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_3_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][3][]\" value=\"Afternoon\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_3_2\">Afternoon<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_3_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][3][]\" value=\"Evening\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_3_3\">Evening<\/label><\/li><\/ul><\/div><div id=\"wpforms-887-field_4-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Confirmation of appointment by: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-887-field_4\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_4_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Phone\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_4_1\">Phone<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_4_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Text message\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_4_3\">Text message<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-887-field_4_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"E-mail\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-887-field_4_2\">E-mail<\/label><\/li><\/ul><\/div><div id=\"wpforms-887-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-887-field_7\">Additional Information<\/label><textarea id=\"wpforms-887-field_7\" class=\"wpforms-field-large\" name=\"wpforms[fields][7]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LfqtdYlAAAAAPij6gLSCqCGr8zF16A-5NWZr9n4\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"887\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/pages\/812\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-887\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Send\" aria-live=\"assertive\" value=\"wpforms-submit\">Send<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/dentistesainteustache.com\/wp-content\/uploads\/2021\/04\/favicon-2021-clinique-dentaire-dre-susan-biner.png\" alt=\"favicon-2021-clinique-dentaire-dre-susan-biner\" title=\"favicon-2021-clinique-dentaire-dre-susan-biner\" itemprop=\"image\"\/>\n\t\t\t<h5>Questions and\/or comments ?<\/h5><h3>Don&#8217;t hesitate to contact us<\/h3>\t\t\t\n\t\t\t\t<p>We will always be happy to answer all your questions and provide you with more information about our products and services. We also appreciate reading your comments and opinions so write to us.<\/p>\n\t\t\t<a href=\"https:\/\/dentistesainteustache.com\/en\/contact\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\n\t\t\t\t\t\t\tCONTACT US\n\t\t<\/a>\n\n","protected":false},"excerpt":{"rendered":"<p>Form online appointment booking To make an appointment online, you simply need to properly fill out the form below. You will receive in less than 48 hours, either by phone, text messaging or email a confirmation of your appointment or a proposal for a new time slot. This period may vary depending on leave or [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":783,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-812","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/pages\/812","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/comments?post=812"}],"version-history":[{"count":5,"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/pages\/812\/revisions"}],"predecessor-version":[{"id":888,"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/pages\/812\/revisions\/888"}],"up":[{"embeddable":true,"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/pages\/783"}],"wp:attachment":[{"href":"https:\/\/dentistesainteustache.com\/en\/wp-json\/wp\/v2\/media?parent=812"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}