{"id":15052,"date":"2022-12-22T19:50:24","date_gmt":"2022-12-22T18:50:24","guid":{"rendered":"https:\/\/www.immuninlab.ch\/?page_id=15052"},"modified":"2024-03-05T15:50:01","modified_gmt":"2024-03-05T14:50:01","slug":"formulaire","status":"publish","type":"page","link":"https:\/\/www.immuninlab.ch\/fr\/formulaire\/","title":{"rendered":"Formulaire"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]Vous pouvez remplir le formulaire directement ci-dessous. D\u00e8s que vous aurez rempli les informations requises, vous recevrez un e-mail avec le formulaire rempli au format PDF que vous pourrez imprimer et nous envoyer avec l&#8217;\u00e9chantillon de sang.[\/vc_column_text][vc_tta_tabs][vc_tta_section title=&#8221;FORMULAIRE&#8221; tab_id=&#8221;formulaire&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f15166-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"15166\">\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\/15052#wpcf7-f15166-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=\"15166\" \/><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-f15166-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:15166,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;Krankenkasse&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-Krankenkasse&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;Autre-Adresse&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;checkbox-Autre-Adresse&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/>\n<\/fieldset>\n<div class=\"klinisch\">\n\t<h2>Laboratoire d'immunologie diagnostique\n\t<\/h2>\n<\/div>\n<div class=\"form-row\">\n\t<div class=\"column-half\">\n\t\t<h3><strong>Demandeur<\/strong>\n\t\t<\/h3>\n\t\t<p>(remplir, \u00e9tiquette ou timbre)\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p><label>Nom (m\u00e9decin ou lab.):<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nom (m\u00e9decin ou lab.)\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>Adresse:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Adresse\" value=\"\" type=\"text\" name=\"Adresse\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>T\u00e9lephone:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"T\u00e9lephone\" value=\"\" type=\"tel\" name=\"Telefon\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>Adresse e-mail: <i>Adresse \u00e0 laquelle vous recevrez le formulaire<\/i><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"E-Mail-Adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Adresse e-mail\" value=\"\" type=\"email\" name=\"E-Mail-Adresse\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<h3><strong>Facture \u00e0<\/strong>\n\t\t<\/h3>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Krankenkasse\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Krankenkasse[]\" value=\"Assurance\" \/><span class=\"wpcf7-list-item-label\">Assurance<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"Krankenkasse\" data-orig_data_id=\"Krankenkasse\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"krankenkasse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nom Assurance\" value=\"\" type=\"text\" name=\"krankenkasse\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Auftraggeber\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Auftraggeber[]\" value=\"Demandeur\" \/><span class=\"wpcf7-list-item-label\">Demandeur<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Autre-Adresse\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Autre-Adresse[]\" value=\"Autre adresse\" \/><span class=\"wpcf7-list-item-label\">Autre adresse<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"Autre-Adresse\" data-orig_data_id=\"Autre-Adresse\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Autre\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Autre adresse\" value=\"\" type=\"text\" name=\"Autre\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Patient\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Patient[]\" value=\"Patient\" \/><span class=\"wpcf7-list-item-label\">Patient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<h3><strong>Copie du resultat \u00e0<\/strong>\n\t\t<\/h3>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Patient2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Patient2[]\" value=\"Patient\" \/><span class=\"wpcf7-list-item-label\">Patient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Adresse2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Adresse2[]\" value=\"Autre adresse\" \/><span class=\"wpcf7-list-item-label\">Autre adresse<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"andereadresse2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Autre adresse\" value=\"\" type=\"text\" name=\"andereadresse2\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-KeineBefundkopie\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-KeineBefundkopie[]\" value=\"Pas de copie des r\u00e9sultats\" \/><span class=\"wpcf7-list-item-label\">Pas de copie des r\u00e9sultats<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p><label><strong>Pr\u00e9l\u00e8vement du<\/strong><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Entnahme-Datum\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Entnahme-Datum\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p><label><strong>Heure<\/strong><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"time-picker\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text walcf7-timepicker\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"time-picker\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"column-half\">\n\t\t<h3><strong>Patient<\/strong>\n\t\t<\/h3>\n\t\t<p>(remplir ou apposer l'\u00e9tiquette)\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p><label>Nom:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"pat-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nom\" value=\"\" type=\"text\" name=\"pat-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>Pr\u00e9nom:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"vorname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pr\u00e9nom\" value=\"\" type=\"text\" name=\"vorname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>Sexe:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Geschlecht\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Sexe\" value=\"\" type=\"text\" name=\"Geschlecht\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>Date de nais.:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Geburtsdatum\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Date de nais\" value=\"\" type=\"date\" name=\"Geburtsdatum\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>Rue\/N.:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Strasse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Rue\/N.\" value=\"\" type=\"text\" name=\"Strasse\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>N. post.\/Local.:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"PLZ-ort\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"N. post.\/Local.\" value=\"\" type=\"text\" name=\"PLZ-ort\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>Assurance:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"krankenkasse2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Assurance\" value=\"\" type=\"text\" name=\"krankenkasse2\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"column-half\">\n\t\t<h3><strong>Traitment par des m\u00e9dicaments biologiques:<\/strong>\n\t\t<\/h3>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-keine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-keine[]\" value=\"Aucun traitment\" \/><span class=\"wpcf7-list-item-label\">Aucun traitment<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-TNF\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-TNF[]\" value=\"TNF-Alpha inhibiteurs (z.B. Infliximab, Adalimumab, Etanercept, Golimumab, Certolizumab)\" \/><span class=\"wpcf7-list-item-label\">TNF-Alpha inhibiteurs (z.B. Infliximab, Adalimumab, Etanercept, Golimumab, Certolizumab)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-IL1Beta\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-IL1Beta[]\" value=\"IL-1 Beta inhibiteurs (z.B. Canakinumab)\" \/><span class=\"wpcf7-list-item-label\">IL-1 Beta inhibiteurs (z.B. Canakinumab)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-IL4R\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-IL4R[]\" value=\"IL-4 R inhibiteurs (z.B. Dupilumab)\" \/><span class=\"wpcf7-list-item-label\">IL-4 R inhibiteurs (z.B. Dupilumab)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-IL5R\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-IL5R[]\" value=\"IL-5 R inhibiteurs (z.B. Benralizumab)\" \/><span class=\"wpcf7-list-item-label\">IL-5 R inhibiteurs (z.B. Benralizumab)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-IL17\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-IL17[]\" value=\"IL-17 inhibiteurs (z.B. Secukinumab)\" \/><span class=\"wpcf7-list-item-label\">IL-17 inhibiteurs (z.B. Secukinumab)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-IL1R\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-IL1R[]\" value=\"IL-1 R inhibiteurs (z.B. Anakinra)\" \/><span class=\"wpcf7-list-item-label\">IL-1 R inhibiteurs (z.B. Anakinra)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-IL5I\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-IL5I[]\" value=\"IL-5 inhibiteurs (z.B. Mepolizumab)\" \/><span class=\"wpcf7-list-item-label\">IL-5 inhibiteurs (z.B. Mepolizumab)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-IL6R\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-IL6R[]\" value=\"IL-6 R inhibiteurs (z.B. Tocilizumab)\" \/><span class=\"wpcf7-list-item-label\">IL-6 R inhibiteurs (z.B. Tocilizumab)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Integrin\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Integrin[]\" value=\"Integrine inhibiteurs (z.B. Vedolizumab)\" \/><span class=\"wpcf7-list-item-label\">Integrine inhibiteurs (z.B. Vedolizumab)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"column-full\">\n\t\t<h3><strong>Motivation clinique:<\/strong>\n\t\t<\/h3>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"KlinischeFragenstellung\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"KlinischeFragenstellung\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<h3><strong>Mat\u00e9riel<\/strong>\n\t<\/h3>\n\t<div class=\"column-half\">\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Vollblut\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Vollblut[]\" value=\"Sang total en tubes de s\u00e9rum\" \/><span class=\"wpcf7-list-item-label\">Sang total en tubes de s\u00e9rum<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Vollblut2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Vollblut2[]\" value=\"Sang total en tubes de plasma\" \/><span class=\"wpcf7-list-item-label\">Sang total en tubes de plasma<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Serum\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Serum[]\" value=\"Serum\" \/><span class=\"wpcf7-list-item-label\">Serum<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-EDTA-Plasma\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-EDTA-Plasma[]\" value=\"Plasma\" \/><span class=\"wpcf7-list-item-label\">Plasma<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"column-half\">\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Liquor\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Liquor[]\" value=\"Liquide c\u00e9r\u00e9bro-spinal (LCS)\" \/><span class=\"wpcf7-list-item-label\">Liquide c\u00e9r\u00e9bro-spinal (LCS)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-BAL\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-BAL[]\" value=\"Lavage bronchoalv\u00e9olaire\" \/><span class=\"wpcf7-list-item-label\">Lavage bronchoalv\u00e9olaire<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anderes-Material\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anderes-Material[]\" value=\"Autre Mat\u00e9riel:\" \/><span class=\"wpcf7-list-item-label\">Autre Mat\u00e9riel:<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"Anderes-Material-text\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"Autre Mat\u00e9riel\" type=\"text\" name=\"Anderes-Material-text\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"column-full\">\n\t\t<h3><strong>Observations<\/strong>\n\t\t<\/h3>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Bemerkungen\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Bemerkungen\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column-half\">\n\t\t<h3><strong>Cytokines<\/strong>\n\t\t<\/h3>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Akutphase-Cytokine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Akutphase-Cytokine[]\" value=\"Prot\u00e9ines de phase aigu\u00eb\" \/><span class=\"wpcf7-list-item-label\">Prot\u00e9ines de phase aigu\u00eb<\/span><\/label><\/span><\/span><\/span><label><i>Interleukine-1 Beta (IL-1b) - Interleukine-6 (IL-6) - Facteur de n\u00e9crose tumorale alpha (TNF-a)<\/i><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Zellen-1-Zytokine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Zellen-1-Zytokine[]\" value=\"Cellules T auxiliaires de type 1 (Th1)\" \/><span class=\"wpcf7-list-item-label\">Cellules T auxiliaires de type 1 (Th1)<\/span><\/label><\/span><\/span><\/span><label><i>Interleukine-2 (IL-2) - Interferon Gamma (IFN-g) - Prot\u00e9ine-10 induite par l'IFN-y (IP-10\/CXCL10)<\/i><i><\/i><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Zellen-2-Zytokine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Zellen-2-Zytokine[]\" value=\"Cellules T auxiliaires de type 2 (Th2)\" \/><span class=\"wpcf7-list-item-label\">Cellules T auxiliaires de type 2 (Th2)<\/span><\/label><\/span><\/span><\/span><label><i>Interleukine-4 (IL-4) - Interleukine-5 (IL-5) - Interleukine-13 (IL-13)<\/i><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Zellen-17-Zytokine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Zellen-17-Zytokine[]\" value=\"Cellules T auxiliaires de type 17 (Th17)\" \/><span class=\"wpcf7-list-item-label\">Cellules T auxiliaires de type 17 (Th17)<\/span><\/label><\/span><\/span><\/span><label><i>Interleukine-17A (IL-17A)<\/i><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Interleukin-2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Interleukin-2[]\" value=\"R\u00e9cepteur soluble de l&#039;interleukine-2 Alpha (sIL-2R\/CD25)\" \/><span class=\"wpcf7-list-item-label\">R\u00e9cepteur soluble de l&#039;interleukine-2 Alpha (sIL-2R\/CD25)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Interleukin-8\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Interleukin-8[]\" value=\"Interleukine-8 (IL-8)\" \/><span class=\"wpcf7-list-item-label\">Interleukine-8 (IL-8)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Alpha\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Alpha[]\" value=\"Facteur de n\u00e9crose tumorale alpha (TNF-a)\" \/><span class=\"wpcf7-list-item-label\">Facteur de n\u00e9crose tumorale alpha (TNF-a)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Interleukin-10\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Interleukin-10[]\" value=\"Interleukine-10 (IL-10)\" \/><span class=\"wpcf7-list-item-label\">Interleukine-10 (IL-10)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<h3><strong>Facteurs d'inflammation<\/strong>\n\t\t<\/h3>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Neopterin\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Neopterin[]\" value=\"N\u00e9opt\u00e9rine\" \/><span class=\"wpcf7-list-item-label\">N\u00e9opt\u00e9rine<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Calprotectine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Calprotectine[]\" value=\"Calprotectine (dans le s\u00e9rum)\" \/><span class=\"wpcf7-list-item-label\">Calprotectine (dans le s\u00e9rum)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"column-half\">\n\t\t<h3><strong>M\u00e9dicaments biologiques<\/strong>\n\t\t<\/h3>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Infliximab\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Infliximab[]\" value=\"Infliximab taux r\u00e9siduel et anticorps anti-Infliximab\" \/><span class=\"wpcf7-list-item-label\">Infliximab taux r\u00e9siduel et anticorps anti-Infliximab<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Adalimumab\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Adalimumab[]\" value=\"Adalimumab taux r\u00e9siduel et anticorps anti-Adalimumab\" \/><span class=\"wpcf7-list-item-label\">Adalimumab taux r\u00e9siduel et anticorps anti-Adalimumab<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Vedolizumab\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Vedolizumab[]\" value=\"Vedolizumab taux r\u00e9siduel et anticorps anti-Vedolizumab\" \/><span class=\"wpcf7-list-item-label\">Vedolizumab taux r\u00e9siduel et anticorps anti-Vedolizumab<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<h3><strong>Autoanticorps<\/strong>\n\t\t<\/h3>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Kollagenosen-Screen\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Kollagenosen-Screen[]\" value=\"D\u00e9pistage des collag\u00e9noses \u2013 ANA (anticorps anti-nucl\u00e9aires) IFI, anti-ADNdb, antihistone, anti-nucl\u00e9osomes, anti-SSA, anti-SSB, anti-Sm, anti-U1snRNP, anti-prot\u00e9ins-P ribosomales, anti-PCNA, anti-Scl70, anti-centrom\u00e8re-B, anti-Jo-1, anti-PM\/Scl, anti-Ku, anti-M2 (mitochondries)\" \/><span class=\"wpcf7-list-item-label\">D\u00e9pistage des collag\u00e9noses \u2013 ANA (anticorps anti-nucl\u00e9aires) IFI, anti-ADNdb, antihistone, anti-nucl\u00e9osomes, anti-SSA, anti-SSB, anti-Sm, anti-U1snRNP, anti-prot\u00e9ins-P ribosomales, anti-PCNA, anti-Scl70, anti-centrom\u00e8re-B, anti-Jo-1, anti-PM\/Scl, anti-Ku, anti-M2 (mitochondries)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-ANCA-Screen\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-ANCA-Screen[]\" value=\"D\u00e9pistage vasculites \u2013 ANCA (auto-anticorps anti-cytoplasme des neutrophiles) IFI,\nanti-PR3, anti-MPO, anti-MBG\" \/><span class=\"wpcf7-list-item-label\">D\u00e9pistage vasculites \u2013 ANCA (auto-anticorps anti-cytoplasme des neutrophiles) IFI,\nanti-PR3, anti-MPO, anti-MBG<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Lebererkrankungen-Screen\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Lebererkrankungen-Screen[]\" value=\"D\u00e9pistage des maladies auto-immunes du foie \u2013 anti-M2 (mitochondries), antigp210,\nanti-sp100, anti-F-actine, anti-SLA, anti-LKM1, anti-LC1\" \/><span class=\"wpcf7-list-item-label\">D\u00e9pistage des maladies auto-immunes du foie \u2013 anti-M2 (mitochondries), antigp210,\nanti-sp100, anti-F-actine, anti-SLA, anti-LKM1, anti-LC1<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-muscle\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-muscle[]\" value=\"anti-muscle lisse (IFI) (Smooth Muscle Actin - SMA)\" \/><span class=\"wpcf7-list-item-label\">anti-muscle lisse (IFI) (Smooth Muscle Actin - SMA)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-mitochondries\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-mitochondries[]\" value=\"Anti-mitochondries (IFI) (AMA)\" \/><span class=\"wpcf7-list-item-label\">Anti-mitochondries (IFI) (AMA)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-M2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-M2[]\" value=\"Anti-M2 (anticorps anti-mitochondries de type M2)\" \/><span class=\"wpcf7-list-item-label\">Anti-M2 (anticorps anti-mitochondries de type M2)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-gp210\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-gp210[]\" value=\"Anti-gp210\" \/><span class=\"wpcf7-list-item-label\">Anti-gp210<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-Sp100\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-Sp100[]\" value=\"Anti-Sp100\" \/><span class=\"wpcf7-list-item-label\">Anti-Sp100<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-F-actine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-F-actine[]\" value=\"Anti-F-actine\" \/><span class=\"wpcf7-list-item-label\">Anti-F-actine<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-SLA\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-SLA[]\" value=\"Anti-SLA\" \/><span class=\"wpcf7-list-item-label\">Anti-SLA<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-LKM1\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-LKM1[]\" value=\"Anti-LKM1\" \/><span class=\"wpcf7-list-item-label\">Anti-LKM1<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-Anti-LC1\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-Anti-LC1[]\" value=\"Anti-LC1\" \/><span class=\"wpcf7-list-item-label\">Anti-LC1<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"column-full\">\n\t\t<p><i>IFI: immunofluorescence indirecte<\/i>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-140\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-140\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Je suis d'accord pour que les donn\u00e9es que j'ai fournies soient collect\u00e9es et stock\u00e9es<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div class=\"column-half\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Recevoir le formulaire par e-mail\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p><input type=\"reset\" value=\"Effacer tous les champs\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_tta_section][vc_tta_section title=&#8221;PDF \u00e0 remplir&#8221; tab_id=&#8221;pdf-remplir&#8221;][vc_column_text]<div class='w3eden'>\n\n<div class=\"link-template-default card mb-2\">\n    <div class=\"card-body\">\n        <div class=\"media\">\n            <div class=\"mr-3 img-48\"><img decoding=\"async\" class=\"wpdm_icon\" alt=\"Ic\u00f4ne\" src=\"https:\/\/www.immuninlab.ch\/barsivim\/download-manager\/assets\/file-type-icons\/pdf.svg\" \/><\/div>\n            <div class=\"media-body\">\n                <h3 class=\"package-title\"><a href='https:\/\/www.immuninlab.ch\/fr\/download\/formulaire\/'>Formulaire<\/a><\/h3>\n                <div class=\"text-muted text-small\"><i class=\"fas fa-copy\"><\/i> 1 fichier\u00b7s <i class=\"fas fa-hdd ml-3\"><\/i> 418 kB<\/div>\n            <\/div>\n            <div class=\"ml-3\">\n                <a class='wpdm-download-link download-on-click btn btn-primary ' rel='nofollow' href='#' data-downloadurl=\"https:\/\/www.immuninlab.ch\/fr\/download\/formulaire\/?wpdmdl=15335&refresh=69fb3792ed2571778071442\">T\u00e9l\u00e9charger<\/a>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<\/div>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tabs][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text]Vous pouvez remplir le formulaire directement ci-dessous. D\u00e8s que vous aurez rempli les informations requises, vous recevrez un e-mail avec le formulaire rempli au format PDF que vous pourrez imprimer [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"class_list":["post-15052","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.immuninlab.ch\/fr\/wp-json\/wp\/v2\/pages\/15052","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.immuninlab.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.immuninlab.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.immuninlab.ch\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.immuninlab.ch\/fr\/wp-json\/wp\/v2\/comments?post=15052"}],"version-history":[{"count":0,"href":"https:\/\/www.immuninlab.ch\/fr\/wp-json\/wp\/v2\/pages\/15052\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.immuninlab.ch\/fr\/wp-json\/wp\/v2\/media?parent=15052"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}