{"id":284995,"date":"2024-06-05T13:57:52","date_gmt":"2024-06-05T11:57:52","guid":{"rendered":"https:\/\/tca-bru.be\/?page_id=284995"},"modified":"2025-01-06T12:00:12","modified_gmt":"2025-01-06T11:00:12","slug":"pro-directory-listing","status":"publish","type":"page","link":"https:\/\/tca-bru.be\/en\/pro-directory-listing\/","title":{"rendered":"pro directory listing"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_margin=\u00a0\u00bb110px||0px||false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb131px||0px||false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb100px||0px||false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb20px||20px||true|false\u00a0\u00bb 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width_tablet=\u00a0\u00bb\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_margin=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb||0px||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|10px|0px|10px|false|true\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text module_id=\u00a0\u00bbannorexie mentale\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_font=\u00a0\u00bbQuicksand||||||||\u00a0\u00bb header_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_text_color=\u00a0\u00bb#306183&Prime; header_2_font=\u00a0\u00bbAlbert Sans|100|||||||\u00a0\u00bb header_2_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_color=\u00a0\u00bb#2BADF3&Prime; header_2_font_size=\u00a0\u00bb40px\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; header_text_align_tablet=\u00a0\u00bbcenter\u00a0\u00bb header_text_align_phone=\u00a0\u00bbcenter\u00a0\u00bb header_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb34px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb38px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_tablet=\u00a0\u00bbAlbert Sans|100|||||||\u00a0\u00bb header_2_font_phone=\u00a0\u00bbAlbert Sans|300|||||||\u00a0\u00bb header_2_font_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb32px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb28px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h1>Inscription dans l&rsquo;annuaire des sp\u00e9cialistes TCA<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb da_disable_devices=\u00a0\u00bboff|off|off\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb da_is_popup=\u00a0\u00bboff\u00a0\u00bb da_exit_intent=\u00a0\u00bboff\u00a0\u00bb da_has_close=\u00a0\u00bbon\u00a0\u00bb da_alt_close=\u00a0\u00bboff\u00a0\u00bb da_dark_close=\u00a0\u00bboff\u00a0\u00bb da_not_modal=\u00a0\u00bbon\u00a0\u00bb da_is_singular=\u00a0\u00bboff\u00a0\u00bb da_with_loader=\u00a0\u00bboff\u00a0\u00bb da_has_shadow=\u00a0\u00bbon\u00a0\u00bb][et_pb_row custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb0px||11px||false|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb0px|25px|0px|25px|false|true\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|0px||0px|false|true\u00a0\u00bb custom_css_free_form=\u00a0\u00bb.selector {||  display: flex;||  justify-content: center;||  align-items: center;||}\u00a0\u00bb border_color_all=\u00a0\u00bb#2BADF3&Prime; border_style_all=\u00a0\u00bbdashed\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#141E37&Prime; header_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb header_5_font=\u00a0\u00bbAlbert Sans||||||||\u00a0\u00bb header_5_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_5_text_color=\u00a0\u00bb#545454&Prime; header_5_font_size=\u00a0\u00bb26px\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_margin=\u00a0\u00bb20px|0px|0px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; header_5_font_size_tablet=\u00a0\u00bb28px\u00a0\u00bb header_5_font_size_phone=\u00a0\u00bb22px\u00a0\u00bb header_5_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb text_font=\u00a0\u00bbAlbert Sans||||||||\u00a0\u00bb text_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime; text_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb]<\/p>\n<h5 style=\"text-align: left;\"><strong>L&rsquo;inscription dans l&rsquo;annuaire est destin\u00e9e aux professionnel\u00b7les sp\u00e9cialis\u00e9\u00b7es exer\u00e7ant dans la r\u00e9gion de Bruxelles.<\/strong><\/h5>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bbAlbert Sans|500|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#6B6B6B\u00a0\u00bb text_font_size=\u00a0\u00bb20px\u00a0\u00bb custom_margin=\u00a0\u00bb0px||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px|0px|29px|0px|false|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; text_font_size_tablet=\u00a0\u00bb20px\u00a0\u00bb text_font_size_phone=\u00a0\u00bb17px\u00a0\u00bb text_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_width_right=\u00a0\u00bb0px\u00a0\u00bb border_color_right=\u00a0\u00bb#7CF32D\u00a0\u00bb border_style_right=\u00a0\u00bbdashed\u00a0\u00bb border_width_bottom=\u00a0\u00bb0px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#7CF32D\u00a0\u00bb border_style_bottom=\u00a0\u00bbdashed\u00a0\u00bb border_width_left=\u00a0\u00bb0px\u00a0\u00bb border_color_left=\u00a0\u00bb#7CF32D\u00a0\u00bb border_style_left=\u00a0\u00bbdashed\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime; text_line_height=\u00a0\u00bb1.3em\u00a0\u00bb]<\/p>\n<p style=\"text-align: left;\">Une fois votre enregistrement effectu\u00e9, vous b\u00e9n\u00e9ficierez d&rsquo;un acc\u00e8s direct \u00e0 vos donn\u00e9es et pourrez les mettre \u00e0 jour.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb|-7%||0%|false|false\u00a0\u00bb 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custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|0px||0px|false|true\u00a0\u00bb border_color_all=\u00a0\u00bb#F3A42D\u00a0\u00bb border_style_all=\u00a0\u00bbdashed\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.25.1&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_code _builder_version=\u00a0\u00bb4.27.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width_tablet=\u00a0\u00bb\u00a0\u00bb width_phone=\u00a0\u00bb\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb\u00a0\u00bb custom_margin_phone=\u00a0\u00bb|0px||0px|false|true\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb20px|2%|20px|2%|true|true\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb20px|2%|20px|2%|true|true\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|6%||6%|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset1&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<link rel='stylesheet' id='formidable-css' href='https:\/\/tca-bru.be\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=3121225' type='text\/css' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_style-formidable frm_full_submit\" id=\"frm_form_34_container\" data-token=\"42b12c41718ab2d914c407f6f37c1238\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_formulaire-dinscription-premiere-ligne\" data-token=\"42b12c41718ab2d914c407f6f37c1238\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Formulaire d'inscription sp\u00e9cialistes TCA Bruxelles<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"34\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_34\" id=\"frm_hide_fields_34\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"formulaire-dinscription-premiere-ligne\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_34\" name=\"frm_submit_entry_34\" value=\"a58262abeb\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/284995\" \/><div id=\"frm_field_615_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_s3aft_label\" class=\"frm_primary_label\">Poss\u00e9dez-vous une exp\u00e9rience et \/ou une formation sp\u00e9cifique dans le tra\u00eetement des TCA ?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_s3aft_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_615-0\">\t\t\t<label  for=\"field_s3aft-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[615]\" id=\"field_s3aft-0\" value=\"Oui\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Poss\u00e9dez-vous une exp\u00e9rience et \/ou une formation sp\u00e9cifique dans le tra\u00eetement des TCA ? is invalid\"   \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_615-1\">\t\t\t<label  for=\"field_s3aft-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[615]\" id=\"field_s3aft-1\" value=\"Non\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Poss\u00e9dez-vous une exp\u00e9rience et \/ou une formation sp\u00e9cifique dans le tra\u00eetement des TCA ? is invalid\"   \/> Non<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_616_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: left;\"><span style=\"color: #306183;\"><strong><span style=\"font-size: 16px; line-height: 22px;\">La demande d'inscription dans cet annuaire est r\u00e9serv\u00e9e uniquement aux intervenant\u00b7es sp\u00e9cialis\u00e9\u00b7es dans le traitement des TCA.<\/span><\/strong><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #306183;\"><strong><span style=\"font-size: 16px; line-height: 22px;\">Si vous ne poss\u00e9dez aucune exp\u00e9rience clinique probante ou n'avez pas suivi de formation sp\u00e9cifique dans le traitement des TCA, cet annuaire ne vous est pas destin\u00e9.<\/span><\/strong><\/span><\/p>\n<p style=\"text-align: left;\"><strong><span style=\"color: #141e37; font-size: 16px; line-height: 22px;\"><span style=\"color: #306183;\">Nous vous invitons \u00e0 prendre contact avec nous via notre rubrique <\/span><a style=\"color: #141e37;\" href=\"https:\/\/tca-bru.be\/intervenants-contact\/\"><span style=\"color: #306183;\">\"<\/span><span style=\"color: #50a3db;\"><span style=\"text-decoration: underline;\">contact<\/span><\/span><span style=\"color: #306183;\">\"<\/span><\/a><span style=\"color: #306183;\"> si vous souhaitez en discuter avec nous.<\/span><\/span><\/strong><\/p>\n<p style=\"text-align: left;\"><strong><span style=\"color: #50a3db; font-size: 16px;\"><a style=\"color: #50a3db;\" href=\"https:\/\/tca-bru.be\/\">Retour vers la page d'accueil<\/a><\/span><\/strong><\/p>\n<\/div>\n<div id=\"frm_field_617_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_rucph_label\" class=\"frm_primary_label\">Quel type d'exp\u00e9rience professionnelle poss\u00e9dez-vous ?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_rucph_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_617-0\">\t\t\t<label  for=\"field_rucph-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[617]\" id=\"field_rucph-0\" value=\"Exp\u00e9rience clinique\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Quel type d&#039;exp\u00e9rience professionnelle poss\u00e9dez-vous ? is invalid\"   \/> Exp\u00e9rience clinique<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_617-1\">\t\t\t<label  for=\"field_rucph-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[617]\" id=\"field_rucph-1\" value=\"Formation sp\u00e9cifique\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Quel type d&#039;exp\u00e9rience professionnelle poss\u00e9dez-vous ? is invalid\"   \/> Formation sp\u00e9cifique<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_617-2\">\t\t\t<label  for=\"field_rucph-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[617]\" id=\"field_rucph-2\" value=\"Exp\u00e9rience clinique et formation sp\u00e9cifique\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Quel type d&#039;exp\u00e9rience professionnelle poss\u00e9dez-vous ? is invalid\"   \/> Exp\u00e9rience clinique et formation sp\u00e9cifique<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_621_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_d56nn\" id=\"field_d56nn_label\" class=\"frm_primary_label\">Veuillez pr\u00e9cisez le nombre d'ann\u00e9es d'exp\u00e9rience clinique et les lieux o\u00f9 vous vous \u00eates sp\u00e9cialis\u00e9\u00b7e dans les TCA\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[621]\" id=\"field_d56nn\" rows=\"3\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Veuillez pr\u00e9cisez le nombre d&#039;ann\u00e9es d&#039;exp\u00e9rience clinique et les lieux o\u00f9 vous vous \u00eates sp\u00e9cialis\u00e9\u00b7e dans les TCA est non valide\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_622_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_5epaw\" id=\"field_5epaw_label\" class=\"frm_primary_label\">Veuillez pr\u00e9cisez le type de formation accomplie\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[622]\" id=\"field_5epaw\" rows=\"3\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Veuillez pr\u00e9cisez le type de formation accomplie est non valide\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_623_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_sxvfi\" id=\"field_sxvfi_label\" class=\"frm_primary_label\">Veuillez pr\u00e9cisez le type de formation accomplie, le nombre d'ann\u00e9es d'exp\u00e9rience clinique et les lieux o\u00f9 vous vous \u00eates sp\u00e9cialis\u00e9.e dans les TCA\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[623]\" id=\"field_sxvfi\" rows=\"3\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Veuillez pr\u00e9cisez le type de formation accomplie, le nombre d&#039;ann\u00e9es d&#039;exp\u00e9rience clinique et les lieux o\u00f9 vous vous \u00eates sp\u00e9cialis\u00e9.e dans les TCA est non valide\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_612_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\">Veuillez compl\u00e9ter votre profil<\/h3>\r\n\r\n\r\n<div id=\"frm_field_568_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_sbxc1\" id=\"field_sbxc1_label\" class=\"frm_primary_label\">Titre\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[568]\" id=\"field_sbxc1\"  data-sectionid=\"612\"  data-frmval=\"Madame\" data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Titre is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Madame\" selected='selected'>Madame<\/option><option  value=\"Monsieur\">Monsieur<\/option><option  value=\"Autre\">Autre<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_811_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_22hq0\" id=\"field_22hq0_label\" class=\"frm_primary_label\">Nom\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_22hq0\" name=\"item_meta[811]\" value=\"\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Nom est non valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_812_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_sm41q\" id=\"field_sm41q_label\" class=\"frm_primary_label\">Pr\u00e9nom\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_sm41q\" name=\"item_meta[812]\" value=\"\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Pr\u00e9nom est non valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_596_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_31xld\" id=\"field_31xld_label\" class=\"frm_primary_label\">Photo \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-sectionid=\"612\"  data-invmsg=\"Photo  est non valide\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[596]\"  value=\"\" data-frmfile=\"596\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file596_dropzone\" role=\"group\"  aria-describedby=\"frm_desc_field_31xld\">\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file596\" id=\"field_31xld\"\n\t\t\t data-sectionid=\"612\"  data-invmsg=\"Photo  est non valide\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Photo . D\u00e9poser un fichier ici ou cliquer pour t\u00e9l\u00e9charger. Maximum file size: 5MB\">D\u00e9poser un fichier ici ou cliquer pour t\u00e9l\u00e9charger<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Photo . Choisir un fichier. Maximum file size: 5MB\">Choisir un fichier<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_31xld\">Vous avez la possibilit\u00e9 de mettre en ligne une photo d'identification. Elle sera ins\u00e9r\u00e9e sur votre profil public dans votre fiche personnalis\u00e9e.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_661_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_col frm_other_container\">\r\n    <label for=\"field_2498s\" id=\"field_2498s_label\" class=\"frm_primary_label\">Profession\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-0\">\t\t\t<label  for=\"field_2498s-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-0\" value=\"Di\u00e9t\u00e9ticien\u00b7ne\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   aria-required=\"true\"  \/> Di\u00e9t\u00e9ticien\u00b7ne<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-1\">\t\t\t<label  for=\"field_2498s-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-1\" value=\"Psychologue\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> Psychologue<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-2\">\t\t\t<label  for=\"field_2498s-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-2\" value=\"Psychiatre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> Psychiatre<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-4\">\t\t\t<label  for=\"field_2498s-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-4\" value=\"Neuropsychiatre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> Neuropsychiatre<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-3\">\t\t\t<label  for=\"field_2498s-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-3\" value=\"P\u00e9dopsychiatre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> P\u00e9dopsychiatre<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-7\">\t\t\t<label  for=\"field_2498s-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-7\" value=\"P\u00e9diatre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> P\u00e9diatre<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-8\">\t\t\t<label  for=\"field_2498s-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-8\" value=\"M\u00e9decin g\u00e9n\u00e9raliste\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> M\u00e9decin g\u00e9n\u00e9raliste<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-other_6\">\t\t\t<label  for=\"field_2498s-other_6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][other_6]\" id=\"field_2498s-other_6\" value=\"Autre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> Autre<\/label><label for=\"field_2498s-other_6-otext\" class=\"frm_screen_reader frm_hidden\">Autre<\/label><input type=\"text\" id=\"field_2498s-other_6-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][661][other_6]\" value=\"\" \/><\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_735_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_vmszf_label\" class=\"frm_primary_label\">Etes-vous conventionn\u00e9\u00b7e \u00e0 Bruxelles ?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_vmszf_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_735-612-0\">\t\t\t<label  for=\"field_vmszf-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[735][]\" id=\"field_vmszf-0\" value=\"Oui\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Etes-vous conventionn\u00e9\u00b7e \u00e0 Bruxelles ? est non valide\"   aria-required=\"true\"  \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_735-612-1\">\t\t\t<label  for=\"field_vmszf-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[735][]\" id=\"field_vmszf-1\" value=\"Non\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Etes-vous conventionn\u00e9\u00b7e \u00e0 Bruxelles ? est non valide\"   \/> Non<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_607_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_four_col\">\r\n    <div  id=\"field_avebx_label\" class=\"frm_primary_label\">Modalit\u00e9s d'intervention :\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_avebx_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_607-612-0\">\t\t\t<label  for=\"field_avebx-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[607][]\" id=\"field_avebx-0\" value=\"Entretien individuel\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Modalit\u00e9s d&#039;intervention : is invalid\"   aria-required=\"true\"  \/> Entretien individuel<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_607-612-2\">\t\t\t<label  for=\"field_avebx-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[607][]\" id=\"field_avebx-2\" value=\"Entretien de famille\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Modalit\u00e9s d&#039;intervention : is invalid\"   \/> Entretien de famille<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_607-612-3\">\t\t\t<label  for=\"field_avebx-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[607][]\" id=\"field_avebx-3\" value=\"Groupe th\u00e9rapeutique\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Modalit\u00e9s d&#039;intervention : is invalid\"   \/> Groupe th\u00e9rapeutique<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_avebx\">Choisissez au-moins 1 r\u00e9ponse<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_815_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_49vjs_label\" class=\"frm_primary_label\">Population cible\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_49vjs_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-0\">\t\t\t<label  for=\"field_49vjs-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-0\" value=\"0-3 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   aria-required=\"true\"  \/> 0-3 ans<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-1\">\t\t\t<label  for=\"field_49vjs-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-1\" value=\"4-6 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   \/> 4-6 ans<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-2\">\t\t\t<label  for=\"field_49vjs-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-2\" value=\"7-11 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   \/> 7-11 ans<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-3\">\t\t\t<label  for=\"field_49vjs-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-3\" value=\"12-14 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   \/> 12-14 ans<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-4\">\t\t\t<label  for=\"field_49vjs-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-4\" value=\"15-23 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   \/> 15-23 ans<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_814_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_col frm_other_container\">\r\n    <label for=\"field_dfoar\" id=\"field_dfoar_label\" class=\"frm_primary_label\">Langues dans lesquelles vous consultez\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-0\">\t\t\t<label  for=\"field_dfoar-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-0\" value=\"fran\u00e7ais\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   aria-required=\"true\"  \/> fran\u00e7ais<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-1\">\t\t\t<label  for=\"field_dfoar-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-1\" value=\"n\u00e9erlandais\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> n\u00e9erlandais<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-2\">\t\t\t<label  for=\"field_dfoar-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-2\" value=\"anglais\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> anglais<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-4\">\t\t\t<label  for=\"field_dfoar-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-4\" value=\"allemand\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> allemand<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-3\">\t\t\t<label  for=\"field_dfoar-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-3\" value=\"arabe\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> arabe<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-8\">\t\t\t<label  for=\"field_dfoar-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-8\" value=\"espagnol\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> espagnol<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-other_6\">\t\t\t<label  for=\"field_dfoar-other_6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][other_6]\" id=\"field_dfoar-other_6\" value=\"Autre\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> Autre<\/label><label for=\"field_dfoar-other_6-otext\" class=\"frm_screen_reader frm_hidden\">Autre<\/label><input type=\"text\" id=\"field_dfoar-other_6-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][814][other_6]\" value=\"\" \/><\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_628_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_other_container\">\r\n    <label for=\"field_97o3m\" id=\"field_97o3m_label\" class=\"frm_primary_label\">Lieu principal o\u00f9 vous exercez votre activit\u00e9 professionnelle\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[628][]\" id=\"field_97o3m\"  data-sectionid=\"612\"  multiple=\"multiple\"  data-frmval=\"[&quot;Cabinet priv\\u00e9&quot;]\" data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Lieu principal o\u00f9 vous exercez votre activit\u00e9 professionnelle is invalid\" class=\"auto_width\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Cabinet priv\u00e9\" selected='selected'>Cabinet priv\u00e9<\/option><option  value=\"Consultation hospitali\u00e8re\">Consultation hospitali\u00e8re<\/option><option  value=\"Autre\" class=\"frm_other_trigger\">Autre<\/option>\t<\/select>\n\t<label for=\"field_97o3m-otext\" class=\"frm_screen_reader frm_hidden\">Lieu principal o\u00f9 vous exercez votre activit\u00e9 professionnelle<\/label><input type=\"text\" id=\"field_97o3m-otext\" class=\"frm_other_input frm_pos_none frm_other_full\"  name=\"item_meta[other][628][other_2]\" value=\"\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_569_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_xp34x_label\" class=\"frm_primary_label\">Adresse professionnelle principale\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_xp34x_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAdresse professionnelle principale<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_569-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_xp34x_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tRue\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_line1\" value=\"\" name=\"item_meta[569][line1]\"  placeholder=\"Chauss\u00e9e de Waterloo\" data-placeholder=\"Chauss\u00e9e de Waterloo\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<div class=\"frm_description\">Rue<\/div><\/div>\n<div id=\"frm_field_569-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_xp34x_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tNum\u00e9ro\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_line2\" value=\"\" name=\"item_meta[569][line2]\"  placeholder=\"2\" data-placeholder=\"2\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<div class=\"frm_description\">Num\u00e9ro<\/div><\/div>\n<div id=\"frm_field_569-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_xp34x_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tVille\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_city\" value=\"\" name=\"item_meta[569][city]\"  placeholder=\"Ixelles\" data-placeholder=\"Ixelles\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ville<\/div><\/div>\n<div id=\"frm_field_569-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_xp34x_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tD\u00e9partement\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_state\" value=\"\" name=\"item_meta[569][state]\"  placeholder=\"\" data-placeholder=\"\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">D\u00e9partement<\/div><\/div>\n<div id=\"frm_field_569-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_xp34x_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tCode Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_zip\" value=\"\" name=\"item_meta[569][zip]\"  placeholder=\"1050\" data-placeholder=\"1050\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Code Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_684_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_i8wxa_label\" class=\"frm_primary_label\">Adresse professionnelle secondaire si existante\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_i8wxa_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAdresse professionnelle secondaire si existante<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_684-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_i8wxa_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tRue\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_line1\" value=\"\" name=\"item_meta[684][line1]\"  placeholder=\"Chauss\u00e9e de Waterloo\" data-placeholder=\"Chauss\u00e9e de Waterloo\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<div class=\"frm_description\">Rue<\/div><\/div>\n<div id=\"frm_field_684-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_i8wxa_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tNum\u00e9ro\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_line2\" value=\"\" name=\"item_meta[684][line2]\"  placeholder=\"2\" data-placeholder=\"2\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<div class=\"frm_description\">Num\u00e9ro<\/div><\/div>\n<div id=\"frm_field_684-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_i8wxa_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tVille\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_city\" value=\"\" name=\"item_meta[684][city]\"  placeholder=\"Ixelles\" data-placeholder=\"Ixelles\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ville<\/div><\/div>\n<div id=\"frm_field_684-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_i8wxa_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tD\u00e9partement\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_state\" value=\"\" name=\"item_meta[684][state]\"  placeholder=\"\" data-placeholder=\"\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">D\u00e9partement<\/div><\/div>\n<div id=\"frm_field_684-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_i8wxa_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tCode Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_zip\" value=\"\" name=\"item_meta[684][zip]\"  placeholder=\"1050\" data-placeholder=\"1050\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Code Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_497_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_w1xem\" id=\"field_w1xem_label\" class=\"frm_primary_label\">Email professionnel\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_w1xem\" name=\"item_meta[497]\" value=\"\"  data-sectionid=\"612\"  autocomplete=\"email\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Email professionnel est non valide\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_conf_497_container\" class=\"frm_form_field frm_hidden_container frm_conf_field form-field  frm_required_field frm_top_container frm12 \">\r\n    <label for=\"field_conf_w1xem\" id=\"field_conf_w1xem_label\" class=\"frm_conf_label frm_primary_label\">Confirm Email professionnel\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_conf_w1xem\" name=\"item_meta[conf_497]\" value=\"\"  data-sectionid=\"612\"  autocomplete=\"email\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-confmsg=\"Les valeurs saisies ne correspondent pas\" data-invmsg=\"Confirm Email professionnel est non valide\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_conf_w1xem\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_conf_w1xem\">Veuillez confirmer votre email<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_522_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_yt72q\" id=\"field_yt72q_label\" class=\"frm_primary_label\">T\u00e9l\u00e9phone professionnel pour la prise de rendez-vous\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_yt72q\" name=\"item_meta[522]\" value=\"\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"T\u00e9l\u00e9phone professionnel pour la prise de rendez-vous est non valide\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_763_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_o5ujp_label\" class=\"frm_primary_label\">Type de rendez-vous possible\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_o5ujp_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_763-612-0\">\t\t\t<label  for=\"field_o5ujp-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[763][]\" id=\"field_o5ujp-0\" value=\"Pr\u00e9sentiel\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Type de rendez-vous possible is invalid\"   aria-required=\"true\"  \/> Pr\u00e9sentiel<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_763-612-1\">\t\t\t<label  for=\"field_o5ujp-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[763][]\" id=\"field_o5ujp-1\" value=\"Visio\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Type de rendez-vous possible is invalid\"   \/> Visio<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_576_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container horizontal_radio\">\r\n    <div  id=\"field_erduo_label\" class=\"frm_primary_label\">Moyen de contact pr\u00e9f\u00e9r\u00e9\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_erduo_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_576-612-0\">\t\t\t<label  for=\"field_erduo-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[576]\" id=\"field_erduo-0\" value=\"T\u00e9l\u00e9phone\"\n\t\t data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Moyen de contact pr\u00e9f\u00e9r\u00e9 is invalid\"   \/> T\u00e9l\u00e9phone<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_576-612-1\">\t\t\t<label  for=\"field_erduo-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[576]\" id=\"field_erduo-1\" value=\"Email\"\n\t\t data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Moyen de contact pr\u00e9f\u00e9r\u00e9 is invalid\"   \/> Email<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_576-612-2\">\t\t\t<label  for=\"field_erduo-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[576]\" id=\"field_erduo-2\" value=\"Peu importe\"\n\t\t data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Moyen de contact pr\u00e9f\u00e9r\u00e9 is invalid\"   \/> Peu importe<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_543_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_four_col\">\r\n    <div  id=\"field_9dmcv_label\" class=\"frm_primary_label\">Disponibilit\u00e9s\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_9dmcv_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-0\">\t\t\t<label  for=\"field_9dmcv-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-0\" value=\"Lundi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   aria-required=\"true\"  \/> Lundi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-1\">\t\t\t<label  for=\"field_9dmcv-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-1\" value=\"Lundi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Lundi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-2\">\t\t\t<label  for=\"field_9dmcv-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-2\" value=\"Mardi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Mardi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-3\">\t\t\t<label  for=\"field_9dmcv-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-3\" value=\"Mardi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Mardi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-4\">\t\t\t<label  for=\"field_9dmcv-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-4\" value=\"Mercredi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Mercredi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-5\">\t\t\t<label  for=\"field_9dmcv-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-5\" value=\"Mercredi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Mercredi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-6\">\t\t\t<label  for=\"field_9dmcv-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-6\" value=\"Jeudi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Jeudi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-7\">\t\t\t<label  for=\"field_9dmcv-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-7\" value=\"Jeudi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Jeudi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-8\">\t\t\t<label  for=\"field_9dmcv-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-8\" value=\"Vendredi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Vendredi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-9\">\t\t\t<label  for=\"field_9dmcv-9\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-9\" value=\"Vendredi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Vendredi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-10\">\t\t\t<label  for=\"field_9dmcv-10\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-10\" value=\"Samedi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Samedi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-11\">\t\t\t<label  for=\"field_9dmcv-11\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-11\" value=\"Samedi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Samedi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-12\">\t\t\t<label  for=\"field_9dmcv-12\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-12\" value=\"Dimanche matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Dimanche matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-13\">\t\t\t<label  for=\"field_9dmcv-13\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-13\" value=\"Dimanche apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Dimanche apr\u00e8s-midi<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_548_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_slmhb\" id=\"field_slmhb_label\" class=\"frm_primary_label\">Site Web\/URL\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_slmhb\" name=\"item_meta[548]\" value=\"\"  data-sectionid=\"612\"  placeholder=\"https:\/\/www.monsite.be\" data-invmsg=\"Site Web\/URL est non valide\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_625_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_7hsbe\" id=\"field_7hsbe_label\" class=\"frm_primary_label\">Ajoutez ici les informations que vous consid\u00e9rez importantes et pertinentes pour les patient\u00b7es (comme d'autres adresses o\u00f9 vous exercez etc.)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div id=\"wp-field_7hsbe-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><link rel='stylesheet' id='dashicons-css' href='https:\/\/tca-bru.be\/wp-includes\/css\/dashicons.min.css?ver=6.9.4' type='text\/css' media='all' \/>\n<link rel='stylesheet' id='editor-buttons-css' href='https:\/\/tca-bru.be\/wp-includes\/css\/editor.min.css?ver=6.9.4' type='text\/css' media='all' \/>\n<div id=\"wp-field_7hsbe-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"field_7hsbe-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"field_7hsbe\">Visual<\/button>\n<button type=\"button\" id=\"field_7hsbe-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"field_7hsbe\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-field_7hsbe-editor-container\" class=\"wp-editor-container\"><div id=\"qt_field_7hsbe_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" rows=\"5\" autocomplete=\"off\" cols=\"40\" name=\"item_meta[625]\" id=\"field_7hsbe\"><\/textarea><\/div>\n<\/div>\n\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_553_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_jm15\" id=\"field_jm15_label\" class=\"frm_primary_label\">En soumettant ce formulaire, je donne mon accord pour que mes informations saisies soient publi\u00e9es sur le site \"tca-bru.be\" dans l'annuaire des sp\u00e9cialistes TCA.\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \n<div >\n    <label class=\"frm_switch_block\">\n\t\t\t\t\t<span class=\"frm_off_label frm_switch_opt\">Non<\/span>\n\t\t\n\t\t<input type=\"checkbox\" name=\"item_meta[553][]\" id=\"field_jm15\" value=\"Oui\"\n\t\t\t\t\t\t\t\t\t\tdata-off=\"Non\"\n\t\t\t\t\t\t data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"En soumettant ce formulaire, je donne mon accord pour que mes informations saisies soient publi\u00e9es sur le site &quot;tca-bru.be&quot; dans l&#039;annuaire des sp\u00e9cialistes TCA. is invalid\" aria-invalid=\"false\"  \t\t\/>\n\n\t\t<span class=\"frm_switch\" tabindex=\"0\" role=\"switch\" aria-labelledby=\"field_jm15_label\" aria-checked=\"false\">\n\t\t\t<span class=\"frm_slider\"><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t<span class=\"frm_on_label frm_switch_opt\">Oui<\/span>\n\t<\/label>\n<\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_580_container\" class=\"frm_form_field  frm_html_container form-field\"><span style=\"color: #306183;\"><strong><span style=\"font-size: 16px; line-height: 22px;\">Nous vous remercions d'avoir pris le temps pour remplir ce formulaire.<\/span><\/strong><\/span><br \/>\n<span style=\"color: #306183;\"><strong><span style=\"font-size: 16px; line-height: 22px;\">Il ne vous reste plus qu'\u00e0 envoyez vos informations via le bouton \"<span style=\"text-decoration: underline;\">envoyer<\/span>\" ci-dessous.<\/span><\/strong><\/span><\/div>\n<\/div>\n<input type=\"hidden\" name=\"item_meta[554]\" id=\"field_i8xyl\" value=\"\" data-frmval=\"\"\/>\n<input type=\"hidden\" name=\"item_meta[799]\" id=\"field_flhrq\" value=\"En attente\"  data-frmval=\"En attente\"   \/>\n<div id=\"frm_field_683_container\" class=\"frm_form_field form-field  frm12\">\r\n\t<div class=\"frm_submit frm_flex\">\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Envoyer<\/button>\r\n\r\n\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_834_container\">\n\t\t\t<label for=\"field_ij5zd\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_ij5zd\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[834]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"2p+7b+ulEOfFTdrb8k0OnqoRYZPI7fZUHJ\/wC2aA6FXMfER8SI8uT+ef1WRASLXG\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Inscription dans l&rsquo;annuaire des sp\u00e9cialistes TCAL&rsquo;inscription dans l&rsquo;annuaire est destin\u00e9e aux professionnel\u00b7les sp\u00e9cialis\u00e9\u00b7es exer\u00e7ant dans la r\u00e9gion de Bruxelles.Une fois votre enregistrement effectu\u00e9, vous b\u00e9n\u00e9ficierez d&rsquo;un acc\u00e8s direct \u00e0 vos donn\u00e9es et pourrez les mettre \u00e0 jour.<div class=\"frm_forms  with_frm_style frm_style_style-formidable frm_full_submit\" id=\"frm_form_34_container\" data-token=\"42b12c41718ab2d914c407f6f37c1238\" data-token=\"42b12c41718ab2d914c407f6f37c1238\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_formulaire-dinscription-premiere-ligne\" data-token=\"42b12c41718ab2d914c407f6f37c1238\" data-token=\"42b12c41718ab2d914c407f6f37c1238\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Formulaire d'inscription sp\u00e9cialistes TCA Bruxelles<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"34\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_34\" id=\"frm_hide_fields_34\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"formulaire-dinscription-premiere-ligne\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_34\" name=\"frm_submit_entry_34\" value=\"a58262abeb\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/284995\" \/><div id=\"frm_field_615_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_s3aft_label\" class=\"frm_primary_label\">Poss\u00e9dez-vous une exp\u00e9rience et \/ou une formation sp\u00e9cifique dans le tra\u00eetement des TCA ?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_s3aft_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_615-0\">\t\t\t<label  for=\"field_s3aft-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[615]\" id=\"field_s3aft-0\" value=\"Oui\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Poss\u00e9dez-vous une exp\u00e9rience et \/ou une formation sp\u00e9cifique dans le tra\u00eetement des TCA ? is invalid\"   \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_615-1\">\t\t\t<label  for=\"field_s3aft-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[615]\" id=\"field_s3aft-1\" value=\"Non\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Poss\u00e9dez-vous une exp\u00e9rience et \/ou une formation sp\u00e9cifique dans le tra\u00eetement des TCA ? is invalid\"   \/> Non<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_616_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"text-align: left;\"><span style=\"color: #306183;\"><strong><span style=\"font-size: 16px; line-height: 22px;\">La demande d'inscription dans cet annuaire est r\u00e9serv\u00e9e uniquement aux intervenant\u00b7es sp\u00e9cialis\u00e9\u00b7es dans le traitement des TCA.<\/span><\/strong><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #306183;\"><strong><span style=\"font-size: 16px; line-height: 22px;\">Si vous ne poss\u00e9dez aucune exp\u00e9rience clinique probante ou n'avez pas suivi de formation sp\u00e9cifique dans le traitement des TCA, cet annuaire ne vous est pas destin\u00e9.<\/span><\/strong><\/span><\/p>\n<p style=\"text-align: left;\"><strong><span style=\"color: #141e37; font-size: 16px; line-height: 22px;\"><span style=\"color: #306183;\">Nous vous invitons \u00e0 prendre contact avec nous via notre rubrique <\/span><a style=\"color: #141e37;\" href=\"https:\/\/tca-bru.be\/intervenants-contact\/\"><span style=\"color: #306183;\">\"<\/span><span style=\"color: #50a3db;\"><span style=\"text-decoration: underline;\">contact<\/span><\/span><span style=\"color: #306183;\">\"<\/span><\/a><span style=\"color: #306183;\"> si vous souhaitez en discuter avec nous.<\/span><\/span><\/strong><\/p>\n<p style=\"text-align: left;\"><strong><span style=\"color: #50a3db; font-size: 16px;\"><a style=\"color: #50a3db;\" href=\"https:\/\/tca-bru.be\/\">Retour vers la page d'accueil<\/a><\/span><\/strong><\/p>\n<\/div>\n<div id=\"frm_field_617_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_rucph_label\" class=\"frm_primary_label\">Quel type d'exp\u00e9rience professionnelle poss\u00e9dez-vous ?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_rucph_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_617-0\">\t\t\t<label  for=\"field_rucph-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[617]\" id=\"field_rucph-0\" value=\"Exp\u00e9rience clinique\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Quel type d&#039;exp\u00e9rience professionnelle poss\u00e9dez-vous ? is invalid\"   \/> Exp\u00e9rience clinique<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_617-1\">\t\t\t<label  for=\"field_rucph-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[617]\" id=\"field_rucph-1\" value=\"Formation sp\u00e9cifique\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Quel type d&#039;exp\u00e9rience professionnelle poss\u00e9dez-vous ? is invalid\"   \/> Formation sp\u00e9cifique<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_617-2\">\t\t\t<label  for=\"field_rucph-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[617]\" id=\"field_rucph-2\" value=\"Exp\u00e9rience clinique et formation sp\u00e9cifique\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Quel type d&#039;exp\u00e9rience professionnelle poss\u00e9dez-vous ? is invalid\"   \/> Exp\u00e9rience clinique et formation sp\u00e9cifique<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_621_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_d56nn\" id=\"field_d56nn_label\" class=\"frm_primary_label\">Veuillez pr\u00e9cisez le nombre d'ann\u00e9es d'exp\u00e9rience clinique et les lieux o\u00f9 vous vous \u00eates sp\u00e9cialis\u00e9\u00b7e dans les TCA\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[621]\" id=\"field_d56nn\" rows=\"3\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Veuillez pr\u00e9cisez le nombre d&#039;ann\u00e9es d&#039;exp\u00e9rience clinique et les lieux o\u00f9 vous vous \u00eates sp\u00e9cialis\u00e9\u00b7e dans les TCA est non valide\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_622_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_5epaw\" id=\"field_5epaw_label\" class=\"frm_primary_label\">Veuillez pr\u00e9cisez le type de formation accomplie\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[622]\" id=\"field_5epaw\" rows=\"3\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Veuillez pr\u00e9cisez le type de formation accomplie est non valide\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_623_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_sxvfi\" id=\"field_sxvfi_label\" class=\"frm_primary_label\">Veuillez pr\u00e9cisez le type de formation accomplie, le nombre d'ann\u00e9es d'exp\u00e9rience clinique et les lieux o\u00f9 vous vous \u00eates sp\u00e9cialis\u00e9.e dans les TCA\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea data-auto-grow=\"1\"  name=\"item_meta[623]\" id=\"field_sxvfi\" rows=\"3\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Veuillez pr\u00e9cisez le type de formation accomplie, le nombre d&#039;ann\u00e9es d&#039;exp\u00e9rience clinique et les lieux o\u00f9 vous vous \u00eates sp\u00e9cialis\u00e9.e dans les TCA est non valide\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_612_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\">Veuillez compl\u00e9ter votre profil<\/h3>\r\n\r\n\r\n<div id=\"frm_field_568_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_sbxc1\" id=\"field_sbxc1_label\" class=\"frm_primary_label\">Titre\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[568]\" id=\"field_sbxc1\"  data-sectionid=\"612\"  data-frmval=\"Madame\" data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Titre is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Madame\" selected='selected'>Madame<\/option><option  value=\"Monsieur\">Monsieur<\/option><option  value=\"Autre\">Autre<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_811_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_22hq0\" id=\"field_22hq0_label\" class=\"frm_primary_label\">Nom\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_22hq0\" name=\"item_meta[811]\" value=\"\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Nom est non valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_812_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_sm41q\" id=\"field_sm41q_label\" class=\"frm_primary_label\">Pr\u00e9nom\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_sm41q\" name=\"item_meta[812]\" value=\"\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Pr\u00e9nom est non valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_596_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_31xld\" id=\"field_31xld_label\" class=\"frm_primary_label\">Photo \r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-sectionid=\"612\"  data-invmsg=\"Photo  est non valide\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[596]\"  value=\"\" data-frmfile=\"596\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file596_dropzone\" role=\"group\"  aria-describedby=\"frm_desc_field_31xld\">\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file596\" id=\"field_31xld\"\n\t\t\t data-sectionid=\"612\"  data-invmsg=\"Photo  est non valide\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Photo . D\u00e9poser un fichier ici ou cliquer pour t\u00e9l\u00e9charger. Maximum file size: 5MB\">D\u00e9poser un fichier ici ou cliquer pour t\u00e9l\u00e9charger<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Photo . Choisir un fichier. Maximum file size: 5MB\">Choisir un fichier<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_31xld\">Vous avez la possibilit\u00e9 de mettre en ligne une photo d'identification. Elle sera ins\u00e9r\u00e9e sur votre profil public dans votre fiche personnalis\u00e9e.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_661_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_col frm_other_container\">\r\n    <label for=\"field_2498s\" id=\"field_2498s_label\" class=\"frm_primary_label\">Profession\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-0\">\t\t\t<label  for=\"field_2498s-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-0\" value=\"Di\u00e9t\u00e9ticien\u00b7ne\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   aria-required=\"true\"  \/> Di\u00e9t\u00e9ticien\u00b7ne<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-1\">\t\t\t<label  for=\"field_2498s-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-1\" value=\"Psychologue\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> Psychologue<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-2\">\t\t\t<label  for=\"field_2498s-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-2\" value=\"Psychiatre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> Psychiatre<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-4\">\t\t\t<label  for=\"field_2498s-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-4\" value=\"Neuropsychiatre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> Neuropsychiatre<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-3\">\t\t\t<label  for=\"field_2498s-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-3\" value=\"P\u00e9dopsychiatre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> P\u00e9dopsychiatre<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-7\">\t\t\t<label  for=\"field_2498s-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-7\" value=\"P\u00e9diatre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> P\u00e9diatre<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-8\">\t\t\t<label  for=\"field_2498s-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_2498s-8\" value=\"M\u00e9decin g\u00e9n\u00e9raliste\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> M\u00e9decin g\u00e9n\u00e9raliste<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_661-612-other_6\">\t\t\t<label  for=\"field_2498s-other_6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][other_6]\" id=\"field_2498s-other_6\" value=\"Autre\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Profession is invalid\"   \/> Autre<\/label><label for=\"field_2498s-other_6-otext\" class=\"frm_screen_reader frm_hidden\">Autre<\/label><input type=\"text\" id=\"field_2498s-other_6-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][661][other_6]\" value=\"\" \/><\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_735_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_vmszf_label\" class=\"frm_primary_label\">Etes-vous conventionn\u00e9\u00b7e \u00e0 Bruxelles ?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_vmszf_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_735-612-0\">\t\t\t<label  for=\"field_vmszf-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[735][]\" id=\"field_vmszf-0\" value=\"Oui\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Etes-vous conventionn\u00e9\u00b7e \u00e0 Bruxelles ? est non valide\"   aria-required=\"true\"  \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_735-612-1\">\t\t\t<label  for=\"field_vmszf-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[735][]\" id=\"field_vmszf-1\" value=\"Non\"  data-sectionid=\"612\"  data-frmlimit=\"1\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Etes-vous conventionn\u00e9\u00b7e \u00e0 Bruxelles ? est non valide\"   \/> Non<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_607_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_four_col\">\r\n    <div  id=\"field_avebx_label\" class=\"frm_primary_label\">Modalit\u00e9s d'intervention :\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_avebx_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_607-612-0\">\t\t\t<label  for=\"field_avebx-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[607][]\" id=\"field_avebx-0\" value=\"Entretien individuel\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Modalit\u00e9s d&#039;intervention : is invalid\"   aria-required=\"true\"  \/> Entretien individuel<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_607-612-2\">\t\t\t<label  for=\"field_avebx-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[607][]\" id=\"field_avebx-2\" value=\"Entretien de famille\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Modalit\u00e9s d&#039;intervention : is invalid\"   \/> Entretien de famille<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_607-612-3\">\t\t\t<label  for=\"field_avebx-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[607][]\" id=\"field_avebx-3\" value=\"Groupe th\u00e9rapeutique\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Modalit\u00e9s d&#039;intervention : is invalid\"   \/> Groupe th\u00e9rapeutique<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_avebx\">Choisissez au-moins 1 r\u00e9ponse<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_815_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_49vjs_label\" class=\"frm_primary_label\">Population cible\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_49vjs_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-0\">\t\t\t<label  for=\"field_49vjs-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-0\" value=\"0-3 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   aria-required=\"true\"  \/> 0-3 ans<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-1\">\t\t\t<label  for=\"field_49vjs-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-1\" value=\"4-6 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   \/> 4-6 ans<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-2\">\t\t\t<label  for=\"field_49vjs-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-2\" value=\"7-11 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   \/> 7-11 ans<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-3\">\t\t\t<label  for=\"field_49vjs-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-3\" value=\"12-14 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   \/> 12-14 ans<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_815-612-4\">\t\t\t<label  for=\"field_49vjs-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[815][]\" id=\"field_49vjs-4\" value=\"15-23 ans\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Population cible is invalid\"   \/> 15-23 ans<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_814_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_col frm_other_container\">\r\n    <label for=\"field_dfoar\" id=\"field_dfoar_label\" class=\"frm_primary_label\">Langues dans lesquelles vous consultez\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-0\">\t\t\t<label  for=\"field_dfoar-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-0\" value=\"fran\u00e7ais\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   aria-required=\"true\"  \/> fran\u00e7ais<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-1\">\t\t\t<label  for=\"field_dfoar-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-1\" value=\"n\u00e9erlandais\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> n\u00e9erlandais<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-2\">\t\t\t<label  for=\"field_dfoar-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-2\" value=\"anglais\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> anglais<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-4\">\t\t\t<label  for=\"field_dfoar-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-4\" value=\"allemand\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> allemand<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-3\">\t\t\t<label  for=\"field_dfoar-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-3\" value=\"arabe\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> arabe<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-8\">\t\t\t<label  for=\"field_dfoar-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][]\" id=\"field_dfoar-8\" value=\"espagnol\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> espagnol<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_814-612-other_6\">\t\t\t<label  for=\"field_dfoar-other_6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[814][other_6]\" id=\"field_dfoar-other_6\" value=\"Autre\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Langues dans lesquelles vous consultez is invalid\"   \/> Autre<\/label><label for=\"field_dfoar-other_6-otext\" class=\"frm_screen_reader frm_hidden\">Autre<\/label><input type=\"text\" id=\"field_dfoar-other_6-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][814][other_6]\" value=\"\" \/><\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_628_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_other_container\">\r\n    <label for=\"field_97o3m\" id=\"field_97o3m_label\" class=\"frm_primary_label\">Lieu principal o\u00f9 vous exercez votre activit\u00e9 professionnelle\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[628][]\" id=\"field_97o3m\"  data-sectionid=\"612\"  multiple=\"multiple\"  data-frmval=\"[&quot;Cabinet priv\\u00e9&quot;]\" data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Lieu principal o\u00f9 vous exercez votre activit\u00e9 professionnelle is invalid\" class=\"auto_width\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Cabinet priv\u00e9\" selected='selected'>Cabinet priv\u00e9<\/option><option  value=\"Consultation hospitali\u00e8re\">Consultation hospitali\u00e8re<\/option><option  value=\"Autre\" class=\"frm_other_trigger\">Autre<\/option>\t<\/select>\n\t<label for=\"field_97o3m-otext\" class=\"frm_screen_reader frm_hidden\">Lieu principal o\u00f9 vous exercez votre activit\u00e9 professionnelle<\/label><input type=\"text\" id=\"field_97o3m-otext\" class=\"frm_other_input frm_pos_none frm_other_full\"  name=\"item_meta[other][628][other_2]\" value=\"\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_569_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_xp34x_label\" class=\"frm_primary_label\">Adresse professionnelle principale\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_xp34x_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAdresse professionnelle principale<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_569-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_xp34x_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tRue\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_line1\" value=\"\" name=\"item_meta[569][line1]\"  placeholder=\"Chauss\u00e9e de Waterloo\" data-placeholder=\"Chauss\u00e9e de Waterloo\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<div class=\"frm_description\">Rue<\/div><\/div>\n<div id=\"frm_field_569-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_xp34x_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tNum\u00e9ro\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_line2\" value=\"\" name=\"item_meta[569][line2]\"  placeholder=\"2\" data-placeholder=\"2\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<div class=\"frm_description\">Num\u00e9ro<\/div><\/div>\n<div id=\"frm_field_569-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_xp34x_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tVille\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_city\" value=\"\" name=\"item_meta[569][city]\"  placeholder=\"Ixelles\" data-placeholder=\"Ixelles\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ville<\/div><\/div>\n<div id=\"frm_field_569-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_xp34x_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tD\u00e9partement\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_state\" value=\"\" name=\"item_meta[569][state]\"  placeholder=\"\" data-placeholder=\"\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">D\u00e9partement<\/div><\/div>\n<div id=\"frm_field_569-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_xp34x_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tCode Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_xp34x_zip\" value=\"\" name=\"item_meta[569][zip]\"  placeholder=\"1050\" data-placeholder=\"1050\" data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse professionnelle principale is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Code Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_684_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_i8wxa_label\" class=\"frm_primary_label\">Adresse professionnelle secondaire si existante\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_i8wxa_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAdresse professionnelle secondaire si existante<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_684-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_i8wxa_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tRue\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_line1\" value=\"\" name=\"item_meta[684][line1]\"  placeholder=\"Chauss\u00e9e de Waterloo\" data-placeholder=\"Chauss\u00e9e de Waterloo\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<div class=\"frm_description\">Rue<\/div><\/div>\n<div id=\"frm_field_684-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_i8wxa_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tNum\u00e9ro\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_line2\" value=\"\" name=\"item_meta[684][line2]\"  placeholder=\"2\" data-placeholder=\"2\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<div class=\"frm_description\">Num\u00e9ro<\/div><\/div>\n<div id=\"frm_field_684-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_i8wxa_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tVille\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_city\" value=\"\" name=\"item_meta[684][city]\"  placeholder=\"Ixelles\" data-placeholder=\"Ixelles\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Ville<\/div><\/div>\n<div id=\"frm_field_684-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_i8wxa_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tD\u00e9partement\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_state\" value=\"\" name=\"item_meta[684][state]\"  placeholder=\"\" data-placeholder=\"\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">D\u00e9partement<\/div><\/div>\n<div id=\"frm_field_684-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_i8wxa_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tCode Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_i8wxa_zip\" value=\"\" name=\"item_meta[684][zip]\"  placeholder=\"1050\" data-placeholder=\"1050\" data-sectionid=\"612\"  data-invmsg=\"Adresse professionnelle secondaire si existante is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Code Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_497_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_w1xem\" id=\"field_w1xem_label\" class=\"frm_primary_label\">Email professionnel\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_w1xem\" name=\"item_meta[497]\" value=\"\"  data-sectionid=\"612\"  autocomplete=\"email\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Email professionnel est non valide\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_conf_497_container\" class=\"frm_form_field frm_hidden_container frm_conf_field form-field  frm_required_field frm_top_container frm12 \">\r\n    <label for=\"field_conf_w1xem\" id=\"field_conf_w1xem_label\" class=\"frm_conf_label frm_primary_label\">Confirm Email professionnel\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_conf_w1xem\" name=\"item_meta[conf_497]\" value=\"\"  data-sectionid=\"612\"  autocomplete=\"email\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-confmsg=\"Les valeurs saisies ne correspondent pas\" data-invmsg=\"Confirm Email professionnel est non valide\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_conf_w1xem\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_conf_w1xem\">Veuillez confirmer votre email<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_522_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_yt72q\" id=\"field_yt72q_label\" class=\"frm_primary_label\">T\u00e9l\u00e9phone professionnel pour la prise de rendez-vous\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_yt72q\" name=\"item_meta[522]\" value=\"\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"T\u00e9l\u00e9phone professionnel pour la prise de rendez-vous est non valide\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_763_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_o5ujp_label\" class=\"frm_primary_label\">Type de rendez-vous possible\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_o5ujp_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_763-612-0\">\t\t\t<label  for=\"field_o5ujp-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[763][]\" id=\"field_o5ujp-0\" value=\"Pr\u00e9sentiel\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Type de rendez-vous possible is invalid\"   aria-required=\"true\"  \/> Pr\u00e9sentiel<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_763-612-1\">\t\t\t<label  for=\"field_o5ujp-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[763][]\" id=\"field_o5ujp-1\" value=\"Visio\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Type de rendez-vous possible is invalid\"   \/> Visio<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_576_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container horizontal_radio\">\r\n    <div  id=\"field_erduo_label\" class=\"frm_primary_label\">Moyen de contact pr\u00e9f\u00e9r\u00e9\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_erduo_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_576-612-0\">\t\t\t<label  for=\"field_erduo-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[576]\" id=\"field_erduo-0\" value=\"T\u00e9l\u00e9phone\"\n\t\t data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Moyen de contact pr\u00e9f\u00e9r\u00e9 is invalid\"   \/> T\u00e9l\u00e9phone<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_576-612-1\">\t\t\t<label  for=\"field_erduo-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[576]\" id=\"field_erduo-1\" value=\"Email\"\n\t\t data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Moyen de contact pr\u00e9f\u00e9r\u00e9 is invalid\"   \/> Email<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_576-612-2\">\t\t\t<label  for=\"field_erduo-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[576]\" id=\"field_erduo-2\" value=\"Peu importe\"\n\t\t data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Moyen de contact pr\u00e9f\u00e9r\u00e9 is invalid\"   \/> Peu importe<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_543_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_four_col\">\r\n    <div  id=\"field_9dmcv_label\" class=\"frm_primary_label\">Disponibilit\u00e9s\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_9dmcv_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-0\">\t\t\t<label  for=\"field_9dmcv-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-0\" value=\"Lundi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   aria-required=\"true\"  \/> Lundi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-1\">\t\t\t<label  for=\"field_9dmcv-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-1\" value=\"Lundi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Lundi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-2\">\t\t\t<label  for=\"field_9dmcv-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-2\" value=\"Mardi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Mardi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-3\">\t\t\t<label  for=\"field_9dmcv-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-3\" value=\"Mardi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Mardi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-4\">\t\t\t<label  for=\"field_9dmcv-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-4\" value=\"Mercredi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Mercredi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-5\">\t\t\t<label  for=\"field_9dmcv-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-5\" value=\"Mercredi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Mercredi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-6\">\t\t\t<label  for=\"field_9dmcv-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-6\" value=\"Jeudi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Jeudi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-7\">\t\t\t<label  for=\"field_9dmcv-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-7\" value=\"Jeudi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Jeudi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-8\">\t\t\t<label  for=\"field_9dmcv-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-8\" value=\"Vendredi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Vendredi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-9\">\t\t\t<label  for=\"field_9dmcv-9\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-9\" value=\"Vendredi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Vendredi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-10\">\t\t\t<label  for=\"field_9dmcv-10\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-10\" value=\"Samedi matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Samedi matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-11\">\t\t\t<label  for=\"field_9dmcv-11\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-11\" value=\"Samedi apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Samedi apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-12\">\t\t\t<label  for=\"field_9dmcv-12\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-12\" value=\"Dimanche matin\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Dimanche matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_543-612-13\">\t\t\t<label  for=\"field_9dmcv-13\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[543][]\" id=\"field_9dmcv-13\" value=\"Dimanche apr\u00e8s-midi\"  data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Disponibilit\u00e9s is invalid\"   \/> Dimanche apr\u00e8s-midi<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_548_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_slmhb\" id=\"field_slmhb_label\" class=\"frm_primary_label\">Site Web\/URL\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_slmhb\" name=\"item_meta[548]\" value=\"\"  data-sectionid=\"612\"  placeholder=\"https:\/\/www.monsite.be\" data-invmsg=\"Site Web\/URL est non valide\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_625_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_7hsbe\" id=\"field_7hsbe_label\" class=\"frm_primary_label\">Ajoutez ici les informations que vous consid\u00e9rez importantes et pertinentes pour les patient\u00b7es (comme d'autres adresses o\u00f9 vous exercez etc.)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div id=\"wp-field_7hsbe-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><div id=\"wp-field_7hsbe-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"field_7hsbe-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"field_7hsbe\">Visual<\/button>\n<button type=\"button\" id=\"field_7hsbe-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"field_7hsbe\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-field_7hsbe-editor-container\" class=\"wp-editor-container\"><div id=\"qt_field_7hsbe_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" rows=\"5\" autocomplete=\"off\" cols=\"40\" name=\"item_meta[625]\" id=\"field_7hsbe\"><\/textarea><\/div>\n<\/div>\n\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_553_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_jm15\" id=\"field_jm15_label\" class=\"frm_primary_label\">En soumettant ce formulaire, je donne mon accord pour que mes informations saisies soient publi\u00e9es sur le site \"tca-bru.be\" dans l'annuaire des sp\u00e9cialistes TCA.\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \n<div >\n    <label class=\"frm_switch_block\">\n\t\t\t\t\t<span class=\"frm_off_label frm_switch_opt\">Non<\/span>\n\t\t\n\t\t<input type=\"checkbox\" name=\"item_meta[553][]\" id=\"field_jm15\" value=\"Oui\"\n\t\t\t\t\t\t\t\t\t\tdata-off=\"Non\"\n\t\t\t\t\t\t data-sectionid=\"612\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"En soumettant ce formulaire, je donne mon accord pour que mes informations saisies soient publi\u00e9es sur le site &quot;tca-bru.be&quot; dans l&#039;annuaire des sp\u00e9cialistes TCA. is invalid\" aria-invalid=\"false\"  \t\t\/>\n\n\t\t<span class=\"frm_switch\" tabindex=\"0\" role=\"switch\" aria-labelledby=\"field_jm15_label\" aria-checked=\"false\">\n\t\t\t<span class=\"frm_slider\"><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t<span class=\"frm_on_label frm_switch_opt\">Oui<\/span>\n\t<\/label>\n<\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_580_container\" class=\"frm_form_field  frm_html_container form-field\"><span style=\"color: #306183;\"><strong><span style=\"font-size: 16px; line-height: 22px;\">Nous vous remercions d'avoir pris le temps pour remplir ce formulaire.<\/span><\/strong><\/span><br \/>\n<span style=\"color: #306183;\"><strong><span style=\"font-size: 16px; line-height: 22px;\">Il ne vous reste plus qu'\u00e0 envoyez vos informations via le bouton \"<span style=\"text-decoration: underline;\">envoyer<\/span>\" ci-dessous.<\/span><\/strong><\/span><\/div>\n<\/div>\n<input type=\"hidden\" name=\"item_meta[554]\" id=\"field_i8xyl\" value=\"\" data-frmval=\"\"\/>\n<input type=\"hidden\" name=\"item_meta[799]\" id=\"field_flhrq\" value=\"En attente\"  data-frmval=\"En attente\"   \/>\n<div id=\"frm_field_683_container\" class=\"frm_form_field form-field  frm12\">\r\n\t<div class=\"frm_submit frm_flex\">\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Envoyer<\/button>\r\n\r\n\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_835_container\">\n\t\t\t<label for=\"field_o5hn8\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_o5hn8\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[835]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"2p+7b+ulEOfFTdrb8k0OnqoRYZPI7fZUHJ\/wC2aA6FXR3b2oQV5hk7vOa5etVW33\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"difl_page_category":[],"class_list":["post-284995","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/pages\/284995","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/comments?post=284995"}],"version-history":[{"count":41,"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/pages\/284995\/revisions"}],"predecessor-version":[{"id":290197,"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/pages\/284995\/revisions\/290197"}],"wp:attachment":[{"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/media?parent=284995"}],"wp:term":[{"taxonomy":"difl_page_category","embeddable":true,"href":"https:\/\/tca-bru.be\/en\/wp-json\/wp\/v2\/difl_page_category?post=284995"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}