{"id":2939,"date":"2026-09-13T20:56:22","date_gmt":"2026-09-13T20:56:22","guid":{"rendered":"https:\/\/ebmedco.ca\/?page_id=2939"},"modified":"2026-09-21T12:53:14","modified_gmt":"2026-09-21T12:53:14","slug":"entente-evaluation-30-jours","status":"publish","type":"page","link":"https:\/\/ebmedco.ca\/fr\/entente-evaluation-30-jours\/","title":{"rendered":"Entente d&rsquo;\u00e9valuation de 30 jours"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Demandez une \u00e9valuation gratuite de 30 jours des instruments chirurgicaux d&rsquo;Eb Med Co. Remplissez les quatre \u00e9tapes ci-dessous et signez pour accepter les conditions de l&rsquo;\u00e9valuation. Notre \u00e9quipe confirmera avec vous les instruments exacts et vous enverra l&rsquo;estimation sans frais \u00e0 signer avant toute exp\u00e9dition.<\/p>\n\n\n<div class=\"frm_forms \" id=\"frm_form_4_container\" data-token=\"42189e339ca4de4444869c6565b3449b\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit  frm_pro_form \" id=\"form_ebmedco_eval_agreement\" data-token=\"42189e339ca4de4444869c6565b3449b\">\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Entente d'\u00e9valuation de 30 jours d'Eb Med Co<\/legend>\r\n\r\n\r\n<style>\r\n.ace-progress-wrap{margin:0 0 28px 0;padding:8px 0 0 0;--ace-blue:#1F6FB5}\r\n.ace-progress-bar{display:flex;justify-content:space-between;align-items:flex-start;position:relative;margin:0;padding:0;list-style:none}\r\n.ace-progress-bar::before{content:'';position:absolute;top:17px;left:12%;right:12%;height:2px;background:#d1d5db;z-index:0}\r\n.ace-progress-step{position:relative;z-index:1;flex:1;text-align:center;padding:0 4px;list-style:none;margin:0}\r\n.ace-step-circle{width:36px;height:36px;border-radius:50%;background:#fff;color:#6b7280;display:inline-flex;align-items:center;justify-content:center;font-weight:600;font-size:14px;border:2px solid #d1d5db;margin:0 auto 8px auto;transition:all .2s ease;line-height:1}\r\n.ace-step-label{font-size:12px;color:#6b7280;font-weight:500;line-height:1.3;padding:0 2px}\r\n.ace-progress-step.is-active .ace-step-circle{background:var(--ace-blue);color:#fff;border-color:var(--ace-blue);box-shadow:0 0 0 4px rgba(31,111,181,.15)}\r\n.ace-progress-step.is-active .ace-step-label{color:var(--ace-blue);font-weight:600}\r\n.ace-progress-step.is-complete .ace-step-circle{background:var(--ace-blue);color:#fff;border-color:var(--ace-blue)}\r\n.ace-progress-step.is-complete .ace-step-circle .ace-step-num{display:none}\r\n.ace-progress-step.is-complete .ace-step-circle::after{content:'2713';font-size:16px;font-weight:700}\r\n@media (max-width:600px){.ace-step-label{font-size:10.5px}.ace-step-circle{width:28px;height:28px;font-size:12px}.ace-progress-bar::before{top:13px}}\r\n<\/style>\r\n<div class=\"ace-progress-wrap\" data-ace-progress=\"1\">\r\n<ul class=\"ace-progress-bar\">\r\n<li class=\"ace-progress-step is-active\" data-step=\"1\"><div class=\"ace-step-circle\"><span class=\"ace-step-num\">1<\/span><\/div><div class=\"ace-step-label\">Requestor<br>Information<\/div><\/li>\r\n<li class=\"ace-progress-step\" data-step=\"2\"><div class=\"ace-step-circle\"><span class=\"ace-step-num\">2<\/span><\/div><div class=\"ace-step-label\">Evaluation<br>Details<\/div><\/li>\r\n<li class=\"ace-progress-step\" data-step=\"3\"><div class=\"ace-step-circle\"><span class=\"ace-step-num\">3<\/span><\/div><div class=\"ace-step-label\">Shipping &amp;<br>Logistics<\/div><\/li>\r\n<li class=\"ace-progress-step\" data-step=\"4\"><div class=\"ace-step-circle\"><span class=\"ace-step-num\">4<\/span><\/div><div class=\"ace-step-label\">Agreement &amp;<br>Signature<\/div><\/li>\r\n<\/ul>\r\n<\/div>\r\n<script>\n(function(){\n  if (!document.querySelector('.ace-progress-wrap')) return;\n  var STEP_MARKERS = {1:'field_requestor_type-0', 2:'field_products_requested', 3:'field_carrier-0', 4:'field_ack_value_liability-0'};\n  function currentStep(){ var step = 1; for (var n in STEP_MARKERS) { var el = document.getElementById(STEP_MARKERS[n]); if (el && el.type !== 'hidden') step = parseInt(n, 10); } return step; }\n  function paint(){ var current = currentStep(); document.querySelectorAll('.ace-progress-step').forEach(function(step, idx){ var num = idx + 1; step.classList.remove('is-active','is-complete'); if (num < current) step.classList.add('is-complete'); else if (num === current) step.classList.add('is-active'); }); }\n  paint();\n  if (window.jQuery) { jQuery(document).on('frmPageChanged frmAfterFormSubmitted frmFormErrors', function(){ setTimeout(paint, 50); }); }\n  var timer = null; new MutationObserver(function(){ clearTimeout(timer); timer = setTimeout(paint, 80); }).observe(document.body, {childList:true, subtree:true});\n})();\n<\/script><div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"ebmedco_eval_agreement\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"88a6cc106d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/2939\" \/><div id=\"frm_field_105_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Renseignements sur le demandeur<\/h3>\r\n<div id=\"frm_desc_field_section_1001\" class=\"frm_description frm_section_spacing\">Indiquez-nous qui demande cette \u00e9valuation et o\u00f9 les instruments seront utilis\u00e9s.<\/div>\r\n\r\n<div id=\"frm_field_106_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full vertical_radio\">\r\n\t<div  id=\"field_requestor_type_label\" class=\"frm_primary_label\">Type de demandeur\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_requestor_type_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_106-105-0\">\t\t\t<label  for=\"field_requestor_type-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[106]\" id=\"field_requestor_type-0\" value=\"Hospital\"\n\t\t data-sectionid=\"105\"  data-reqmsg=\"Type de demandeur ne peut pas \u00eatre vide.\" data-invmsg=\"Type de demandeur n&#039;est pas valide\" aria-describedby=\"frm_desc_field_requestor_type\"   \/> H\u00f4pital<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_106-105-1\">\t\t\t<label  for=\"field_requestor_type-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[106]\" id=\"field_requestor_type-1\" value=\"Surgery Center\"\n\t\t data-sectionid=\"105\"  data-reqmsg=\"Type de demandeur ne peut pas \u00eatre vide.\" data-invmsg=\"Type de demandeur n&#039;est pas valide\" aria-describedby=\"frm_desc_field_requestor_type\"   \/> Centre de chirurgie<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_106-105-2\">\t\t\t<label  for=\"field_requestor_type-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[106]\" id=\"field_requestor_type-2\" value=\"Sales Representative \/ Distributor\"\n\t\t data-sectionid=\"105\"  data-reqmsg=\"Type de demandeur ne peut pas \u00eatre vide.\" data-invmsg=\"Type de demandeur n&#039;est pas valide\" aria-describedby=\"frm_desc_field_requestor_type\"   \/> Repr\u00e9sentant commercial \/ distributeur<\/label><\/div>\n<\/div>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_requestor_type\">S\u00e9lectionnez l'option qui d\u00e9crit le mieux l'entit\u00e9 qui demande cette \u00e9valuation.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_107_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_facility_name_hospital\" id=\"field_facility_name_hospital_label\" class=\"frm_primary_label\">Nom de l'h\u00f4pital ou de l'\u00e9tablissement\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_facility_name_hospital\" name=\"item_meta[107]\" value=\"\"  data-sectionid=\"105\"  maxlength=\"120\" data-reqmsg=\"Nom de l&#039;h\u00f4pital ou de l&#039;\u00e9tablissement ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Nom de l&#039;h\u00f4pital ou de l&#039;\u00e9tablissement n&#039;est pas valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_108_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_distributor_name\" id=\"field_distributor_name_label\" class=\"frm_primary_label\">Nom du distributeur ou de l'entreprise\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_distributor_name\" name=\"item_meta[108]\" value=\"\"  data-sectionid=\"105\"  maxlength=\"120\" data-reqmsg=\"Nom du distributeur ou de l&#039;entreprise ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Nom du distributeur ou de l&#039;entreprise n&#039;est pas valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_end_user_facility\" id=\"field_end_user_facility_label\" class=\"frm_primary_label\">\u00c9tablissement utilisateur (o\u00f9 les instruments seront utilis\u00e9s)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_end_user_facility\" name=\"item_meta[109]\" value=\"\"  data-sectionid=\"105\"  maxlength=\"120\" data-reqmsg=\"\u00c9tablissement utilisateur (o\u00f9 les instruments seront utilis\u00e9s) ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"\u00c9tablissement utilisateur (o\u00f9 les instruments seront utilis\u00e9s) n&#039;est pas valide\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_end_user_facility\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_end_user_facility\">L'h\u00f4pital ou le centre de chirurgie au nom duquel cette \u00e9valuation est demand\u00e9e.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_110_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_sales_rep_name\" id=\"field_sales_rep_name_label\" class=\"frm_primary_label\">Nom complet du repr\u00e9sentant commercial\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_sales_rep_name\" name=\"item_meta[110]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Nom complet du repr\u00e9sentant commercial ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Nom complet du repr\u00e9sentant commercial n&#039;est pas valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_111_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_sales_rep_email\" id=\"field_sales_rep_email_label\" class=\"frm_primary_label\">Courriel du repr\u00e9sentant commercial\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_sales_rep_email\" name=\"item_meta[111]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Courriel du repr\u00e9sentant commercial ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Veuillez entrer une adresse courriel valide.\" aria-invalid=\"false\" aria-describedby=\"frm_desc_field_sales_rep_email\"  \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_sales_rep_email\">Requis pour toutes les notifications au repr\u00e9sentant.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_112_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_sales_rep_phone\" id=\"field_sales_rep_phone_label\" class=\"frm_primary_label\">T\u00e9l\u00e9phone du repr\u00e9sentant commercial\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_sales_rep_phone\" name=\"item_meta[112]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"T\u00e9l\u00e9phone du repr\u00e9sentant commercial ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Veuillez entrer un num\u00e9ro de t\u00e9l\u00e9phone valide, p. ex. (416) 555-0123.\" 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}$\" aria-describedby=\"frm_desc_field_sales_rep_phone\"  \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_sales_rep_phone\">Format : (XXX) XXX-XXXX<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_113_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_address_street\" id=\"field_address_street_label\" class=\"frm_primary_label\">Adresse de l'\u00e9tablissement \u2014 rue\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_address_street\" name=\"item_meta[113]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Adresse de l&#039;\u00e9tablissement \u2014 rue ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Adresse de l&#039;\u00e9tablissement \u2014 rue n&#039;est pas valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_top_container frm_full\">\r\n\t<label for=\"field_address_line2\" id=\"field_address_line2_label\" class=\"frm_primary_label\">Adresse de l'\u00e9tablissement \u2014 ligne 2\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_address_line2\" name=\"item_meta[114]\" value=\"\"  data-sectionid=\"105\"  data-invmsg=\"Adresse de l&#039;\u00e9tablissement \u2014 ligne 2 n&#039;est pas valide\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_address_line2\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_address_line2\">Bureau, \u00e9tage, service, etc.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_115_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n\t<label for=\"field_address_city\" id=\"field_address_city_label\" class=\"frm_primary_label\">Adresse de l'\u00e9tablissement \u2014 ville\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_address_city\" name=\"item_meta[115]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Adresse de l&#039;\u00e9tablissement \u2014 ville ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Adresse de l&#039;\u00e9tablissement \u2014 ville n&#039;est pas valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_116_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n\t<label for=\"field_address_state\" id=\"field_address_state_label\" class=\"frm_primary_label\">Adresse de l'\u00e9tablissement \u2014 province\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[116]\" id=\"field_address_state\"  data-sectionid=\"105\"  data-placeholder=\"-- S\u00e9lectionner --\"  placeholder=\"-- S\u00e9lectionner --\" data-reqmsg=\"Adresse de l&#039;\u00e9tablissement \u2014 province ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Adresse de l&#039;\u00e9tablissement \u2014 province n&#039;est pas valide\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">-- S\u00e9lectionner --<\/option><option  value=\"Alberta\">Alberta<\/option><option  value=\"British Columbia\">Colombie-Britannique<\/option><option  value=\"Manitoba\">Manitoba<\/option><option  value=\"New Brunswick\">Nouveau-Brunswick<\/option><option  value=\"Newfoundland and Labrador\">Terre-Neuve-et-Labrador<\/option><option  value=\"Nova Scotia\">Nouvelle-\u00c9cosse<\/option><option  value=\"Ontario\">Ontario<\/option><option  value=\"Prince Edward Island\">\u00cele-du-Prince-\u00c9douard<\/option><option  value=\"Quebec\">Qu\u00e9bec<\/option><option  value=\"Saskatchewan\">Saskatchewan<\/option><option  value=\"Northwest Territories\">Territoires du Nord-Ouest<\/option><option  value=\"Nunavut\">Nunavut<\/option><option  value=\"Yukon\">Yukon<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_117_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_sixth\">\r\n\t<label for=\"field_address_zip\" id=\"field_address_zip_label\" class=\"frm_primary_label\">Adresse de l'\u00e9tablissement \u2014 code postal\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_address_zip\" name=\"item_meta[117]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Adresse de l&#039;\u00e9tablissement \u2014 code postal ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Entrez un code postal canadien valide (p. ex. K1A 0B1).\" aria-invalid=\"false\" pattern=\"[A-Za-z]\\d[A-Za-z][ -]?\\d[A-Za-z]\\d$\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_118_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_spd_name\" id=\"field_spd_name_label\" class=\"frm_primary_label\">Nom du contact \u00e0 l'URDM (retraitement)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_spd_name\" name=\"item_meta[118]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Nom du contact \u00e0 l&#039;URDM (retraitement) ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Nom du contact \u00e0 l&#039;URDM (retraitement) n&#039;est pas valide\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_spd_name\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_spd_name\">Personne-ressource de l'unit\u00e9 de retraitement des dispositifs m\u00e9dicaux (URDM) qui recevra les instruments pour le retraitement.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_119_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_spd_email\" id=\"field_spd_email_label\" class=\"frm_primary_label\">Courriel du contact \u00e0 l'URDM\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_spd_email\" name=\"item_meta[119]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Courriel du contact \u00e0 l&#039;URDM ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Veuillez entrer une adresse courriel valide.\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_120_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_spd_phone\" id=\"field_spd_phone_label\" class=\"frm_primary_label\">T\u00e9l\u00e9phone du contact \u00e0 l'URDM\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_spd_phone\" name=\"item_meta[120]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"T\u00e9l\u00e9phone du contact \u00e0 l&#039;URDM ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Veuillez entrer un num\u00e9ro de t\u00e9l\u00e9phone valide, p. ex. (416) 555-0123.\" 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\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_121_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_nm_name\" id=\"field_nm_name_label\" class=\"frm_primary_label\">Nom du gestionnaire des soins infirmiers\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_nm_name\" name=\"item_meta[121]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Nom du gestionnaire des soins infirmiers ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Nom du gestionnaire des soins infirmiers n&#039;est pas valide\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_122_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_nm_email\" id=\"field_nm_email_label\" class=\"frm_primary_label\">Courriel du gestionnaire des soins infirmiers\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_nm_email\" name=\"item_meta[122]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"Courriel du gestionnaire des soins infirmiers ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Veuillez entrer une adresse courriel valide.\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_123_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n\t<label for=\"field_nm_phone\" id=\"field_nm_phone_label\" class=\"frm_primary_label\">T\u00e9l\u00e9phone du gestionnaire des soins infirmiers\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_nm_phone\" name=\"item_meta[123]\" value=\"\"  data-sectionid=\"105\"  data-reqmsg=\"T\u00e9l\u00e9phone du gestionnaire des soins infirmiers ne peut pas \u00eatre vide.\" aria-required=\"true\" data-invmsg=\"Veuillez entrer un num\u00e9ro de t\u00e9l\u00e9phone valide, p. ex. (416) 555-0123.\" 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\t\r\n\t\r\n<\/div>\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_4\" id=\"frm_page_order_4\" value=\"21\" \/>\t\t<input  type=\"hidden\" name=\"item_meta[126]\" id=\"field_section_1021\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[127]\" id=\"field_products_requested\" value=\"\"  data-sectionid=\"126\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[128]\" id=\"field_eval_reason\" value=\"\"  data-sectionid=\"126\"  data-placeholder=\"-- S\u00e9lectionner --\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[129]\" id=\"field_eval_reason_other\" value=\"\"  data-sectionid=\"126\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[130]\" id=\"field_first_use_date\" value=\"\"  data-sectionid=\"126\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[131]\" id=\"field_requested_delivery_date\" value=\"\"  data-sectionid=\"126\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[132]\" id=\"field_po_availability-0\" value=\"\"  data-sectionid=\"126\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[133]\" id=\"field_po_number\" value=\"\"  data-sectionid=\"126\"  pattern=\"[A-Za-z0-9\\-]+$\"   \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[134]\" id=\"field_po_generated\" value=\"ebm_10_14_2026\"  data-sectionid=\"126\"  data-frmval=\"ebm_10_14_2026\"   \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[136]\" id=\"field_yao9w2\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[137]\" id=\"field_break_1029\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[138]\" id=\"field_section_1030\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[139]\" id=\"field_carrier2-0\" value=\"\"  data-sectionid=\"138\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[140]\" id=\"field_fedex_account\" value=\"\"  data-sectionid=\"138\"  pattern=\"\\d{9}$\"   \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[141]\" id=\"field_ups_account\" value=\"\"  data-sectionid=\"138\"  pattern=\"[A-Za-z0-9]{6}$\"   \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[142]\" id=\"field_ack_ace_arranged_shipping-0\" value=\"\"  data-sectionid=\"138\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[143]\" id=\"field_delivery_contact_name\" value=\"\"  data-sectionid=\"138\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[144]\" id=\"field_delivery_contact_phone\" value=\"\"  data-sectionid=\"138\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[145]\" id=\"field_delivery_instructions\" value=\"\"  data-sectionid=\"138\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[146]\" id=\"field_yao9w3\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[147]\" id=\"field_break_1038\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[148]\" id=\"field_section_1039\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[150]\" id=\"field_ack_value_liability-0\" value=\"\"  data-sectionid=\"148\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[151]\" id=\"field_ack_return_packaging-0\" value=\"\"  data-sectionid=\"148\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[152]\" id=\"field_ack_rma_process-0\" value=\"\"  data-sectionid=\"148\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[153]\" id=\"field_ack_35day_terms-0\" value=\"\"  data-sectionid=\"148\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[154]\" id=\"field_ack_ifu_use-0\" value=\"\"  data-sectionid=\"148\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[155]\" id=\"field_yao9w4\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[156]\" id=\"field_section_1046\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[157]\" id=\"field_auth_rep_name\" value=\"\"  data-sectionid=\"156\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[158]\" id=\"field_auth_rep_title\" value=\"\"  data-sectionid=\"156\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[159]\" id=\"field_auth_rep_email\" value=\"\"  data-sectionid=\"156\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[160]\" id=\"field_auth_rep_phone\" value=\"\"  data-sectionid=\"156\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[161]\" id=\"field_esign_consent-0\" value=\"\"  data-sectionid=\"156\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[162]\" id=\"field_auth_rep_signature\" value=\"\"  data-sectionid=\"156\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[163]\" id=\"field_submitted_at\" value=\"10\/14\/2026\"  data-sectionid=\"156\"  data-frmval=\"10\/14\/2026\"   \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[164]\" id=\"field_hyqi6\" value=\"\"  data-sectionid=\"156\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[165]\" id=\"field_yao9w5\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[166]\" id=\"field_submit_1053\" value=\"\"     \/>\n\t\t\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_201_container\">\n\t\t\t<label for=\"field_k9nyu\" >\n\t\t\t\tSi vous \u00eates un humain, ne remplissez pas ce champ.\t\t\t<\/label>\n\t\t\t<input  id=\"field_k9nyu\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[201]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"fDaMzK01THEKQk5Ffs3d3k8prZwMcObljHW8LNwIEWlO+9446l1MygCykzMlBo1l\" \/><div class=\"frm_submit frm_flex\">\r\n<button class=\"frm_button_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Continuer<\/button>\r\n\r\n\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n<script>\nvar frmSigs=[{\"bgColour\":\"rgba(0,0,0,0)\",\"id\":\"162\",\"width\":\"400\",\"height\":\"150\",\"line_top\":105.5,\"line_margin\":20,\"line_color\":\"#D0D5DD\",\"line_width\":1,\"default_tab\":\"drawIt\",\"bg_color\":\"#ffffff\",\"text_color\":\"#1D2939\",\"border_color\":\"#D0D5DD\"}];\nif(typeof __FRMSIG === 'undefined'){__FRMSIG=frmSigs;}else{__FRMSIG=jQuery.extend(__FRMSIG,frmSigs);}\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Demandez une \u00e9valuation gratuite de 30 jours des instruments chirurgicaux d&rsquo;Eb Med Co. Remplissez les quatre \u00e9tapes ci-dessous et signez pour accepter les conditions de l&rsquo;\u00e9valuation.\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2939","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ebmedco.ca\/fr\/wp-json\/wp\/v2\/pages\/2939","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ebmedco.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ebmedco.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ebmedco.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ebmedco.ca\/fr\/wp-json\/wp\/v2\/comments?post=2939"}],"version-history":[{"count":1,"href":"https:\/\/ebmedco.ca\/fr\/wp-json\/wp\/v2\/pages\/2939\/revisions"}],"predecessor-version":[{"id":2940,"href":"https:\/\/ebmedco.ca\/fr\/wp-json\/wp\/v2\/pages\/2939\/revisions\/2940"}],"wp:attachment":[{"href":"https:\/\/ebmedco.ca\/fr\/wp-json\/wp\/v2\/media?parent=2939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}