{"id":7196,"date":"2025-06-21T14:06:16","date_gmt":"2025-06-21T14:06:16","guid":{"rendered":"https:\/\/www.radiance.al\/antecedents-medicaux\/"},"modified":"2025-10-06T10:27:56","modified_gmt":"2025-10-06T10:27:56","slug":"antecedents-medicaux","status":"publish","type":"page","link":"https:\/\/www.radiance.al\/fr\/antecedents-medicaux\/","title":{"rendered":"Ant\u00e9c\u00e9dents m\u00e9dicaux"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7196\" class=\"elementor elementor-7196 elementor-5373\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ccfc5ef e-flex e-con-boxed e-con e-parent\" data-id=\"ccfc5ef\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b0da361 elementor-widget elementor-widget-shortcode\" data-id=\"b0da361\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f9810-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"9810\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/7196#wpcf7-f9810-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"9810\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f9810-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<style>\ninput[type= \"checkbox\"][name= \"acceto-consenso\"] {\n width: 13px !important;\n height: 13px !important;\n box-sizing: border-box;\n appearance: checkbox;\n -webkit-appearance: checkbox;\n -moz-appearance: checkbox;\n}\n<\/style>\n<div class=\"patient_his\">\n\t<h1>Fiche M\u00e9dicale \u2013 Chirurgie Dentaire\n\t<\/h1>\n\t<div class=\"input_global\">\n\t\t<p><br \/>\nVeuillez remplir le formulaire dans toutes ses parties de mani\u00e8re compl\u00e8te et v\u00e9ridique.<br \/>\nLes donn\u00e9es recueillies sont essentielles pour une \u00e9valuation m\u00e9dicale correcte et pour votre s\u00e9curit\u00e9 lors des proc\u00e9dures dentaires.\n\t\t<\/p>\n\t<\/div>\n\t<h3>DONN\u00c9ES PERSONNELLES\n\t<\/h3>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"nome-cognome\">Nom et pr\u00e9nom<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nome-cognome\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"nome-cognome\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nome-cognome\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"data-nascita\">Date de naissance<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"data-nascita\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"data-nascita\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"1990-01-01\" value=\"\" type=\"date\" name=\"data-nascita\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"telefono\">Num\u00e9ro de t\u00e9l\u00e9phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefono\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"telefono\" autocomplete=\"tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefono\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"email\">Adresse e-mail<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"email\" autocomplete=\"tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"indirizzo\">Adresse<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"indirizzo\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"indirizzo\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"indirizzo\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Sexe\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Sesso\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Sesso\" value=\"Femme\" \/><span class=\"wpcf7-list-item-label\">Femme<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Sesso\" value=\"Homme\" \/><span class=\"wpcf7-list-item-label\">Homme<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<hr style=\"border: none;height: 1px; background-color: #123455;margin:20px 0;\" \/>\n\t<h3>Anamn\u00e8se M\u00e9dicale\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>Maladies cardiaques (hypertension, arythmies, infarctus) ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"malattie-cardiache\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"malattie-cardiache\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"malattie-cardiache\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Maladies respiratoires (asthme, bronchite) ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"malattie-respiratorie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"malattie-respiratorie\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"malattie-respiratorie\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Diab\u00e8te ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"diabete\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"diabete\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"diabete\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>\u00c9pilepsie ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"epilessia\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"epilessia\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"epilessia\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Maladies du foie (h\u00e9patite) ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fegato\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"fegato\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"fegato\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Maladies r\u00e9nales ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"reni\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"reni\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"reni\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Probl\u00e8mes de thyro\u00efde ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tiroide\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"tiroide\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"tiroide\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Maladies auto-immunes (lupus, polyarthrite rhumato\u00efde) ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"autoimmuni\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"autoimmuni\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"autoimmuni\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>VIH\/SIDA ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hiv\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"hiv\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"hiv\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Tuberculose ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tubercolosi\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"tubercolosi\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"tubercolosi\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Cancers ou traitements oncologiques ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tumori\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"tumori\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"tumori\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Th\u00e9rapies biologiques, chimioth\u00e9rapie ou radioth\u00e9rapie ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"terapie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"terapie\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"terapie\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Ost\u00e9oporose ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"osteoporosi\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"osteoporosi\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"osteoporosi\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>Allergies\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>\u00cates-vous allergique aux m\u00e9dicaments ou mat\u00e9riaux (ex. antibiotiques, anesth\u00e9siques, latex) ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allergie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"allergie\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"allergie\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"allergie-specifica\">Si oui, pr\u00e9cisez (P\u00e9nicilline, latex, etc.)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"allergie-specifica\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"allergie-specifica\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"allergie-specifica\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>M\u00e9dicaments actuellement pris\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>Prenez-vous des m\u00e9dicaments r\u00e9guli\u00e8rement ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"farmaci\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"farmaci\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"farmaci\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Anticoagulants (ex. aspirine, warfarine) ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anticoagulanti\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"anticoagulanti\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"anticoagulanti\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Corticost\u00e9ro\u00efdes ou immunosuppresseurs ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"corticosteroidi\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"corticosteroidi\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"corticosteroidi\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>Interventions chirurgicales et anesth\u00e9sie\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>Avez-vous subi des interventions chirurgicales dans le pass\u00e9 ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"interventi\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"interventi\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"interventi\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Avez-vous eu des probl\u00e8mes avec l\u2019anesth\u00e9sie ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anestesia\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"anestesia\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"anestesia\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>H\u00e9morragies\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>Saignement facile ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"emorragie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"emorragie\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"emorragie\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Y a-t-il des ant\u00e9c\u00e9dents familiaux de troubles de la coagulation ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"coagulazione\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"coagulazione\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"coagulazione\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>Femmes \u2013 Grossesse \/ Allaitement\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>\u00cates-vous enceinte ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"incinta\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"incinta\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"incinta\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Allaitez-vous ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"allattamento\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"allattamento\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"allattamento\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>Vaccinations\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>\u00cates-vous vaccin\u00e9 contre l\u2019h\u00e9patite B ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"epatite-b\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"epatite-b\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"epatite-b\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>Habitudes et substances\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>Fumez-vous ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fuma\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"fuma\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"fuma\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"sigarette-giorno\">Si oui, combien de cigarettes par jour ? (2, 3, 5...)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sigarette-giorno\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"sigarette-giorno\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"sigarette-giorno\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"radio_button\">\n\t\t<p>Consommez-vous de l\u2019alcool ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alcol\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"alcol\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"alcol\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"alcol-frequenza\">Si oui, \u00e0 quelle fr\u00e9quence ? (Chaque jour, chaque semaine, etc.)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"alcol-frequenza\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"alcol-frequenza\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"alcol-frequenza\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"sostanze\">Utilisez-vous d\u2019autres substances ? (Non \/ Pr\u00e9ciser)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sostanze\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"sostanze\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"sostanze\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>Exp\u00e9riences dentaires\n\t<\/h3>\n\t<div class=\"radio_button\">\n\t\t<p>Avez-vous d\u00e9j\u00e0 eu des r\u00e9actions ind\u00e9sirables pendant des traitements dentaires ?\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"reazioni-dentali\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"reazioni-dentali\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"reazioni-dentali\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><label for=\"reazioni-descrizione\">Si oui, d\u00e9crivez (Exemple : gonflement, urticaire, etc.)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"reazioni-descrizione\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"reazioni-descrizione\" aria-invalid=\"false\" name=\"reazioni-descrizione\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3>D\u00e9claration et signature\n\t<\/h3>\n\t<div class=\"input_global\">\n\t\t<p>Je d\u00e9clare que les informations ci-dessus sont v\u00e9ridiques et compl\u00e8tes.\n\t\t<\/p>\n\t\t<p>J\u2019accepte le traitement des donn\u00e9es personnelles conform\u00e9ment \u00e0 la r\u00e9glementation en vigueur.\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"input_global\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceto-consenso\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceto-consenso\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J\u2019accepte la politique de confidentialit\u00e9 et les r\u00e8gles GDPR afin de consentir au traitement de mes donn\u00e9es de contact avec ce formulaire.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"sub_btn\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"ENVOYER\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-7196","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Partenaire d&#039;un h\u00f4pital dentaire en Albanie | Radiance<\/title>\n<meta name=\"description\" content=\"Devenez partenaire de Radiance, un h\u00f4pital dentaire en Albanie. 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