{"id":715,"date":"2025-01-20T16:17:17","date_gmt":"2025-01-20T15:17:17","guid":{"rendered":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/?page_id=715"},"modified":"2025-03-17T15:56:06","modified_gmt":"2025-03-17T14:56:06","slug":"inscription","status":"publish","type":"page","link":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/","title":{"rendered":"Abo"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"715\" class=\"elementor elementor-715\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-225ccc5 e-con-full e-flex e-con e-parent\" data-id=\"225ccc5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9b3e22b e-con-full e-flex e-con e-child\" data-id=\"9b3e22b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9921efb e-flex e-con-boxed e-con e-child\" data-id=\"9921efb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-188c143 elementor-widget elementor-widget-wp-widget-gform_widget\" data-id=\"188c143\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-gform_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5>Contactez-nous<\/h5><link rel='stylesheet' id='dashicons-css' href='https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/css\/dashicons.min.css?ver=6.9.4' media='all' \/>\n<script src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/js\/dist\/dom-ready.min.js?ver=f77871ff7694fffea381\" id=\"wp-dom-ready-js\"><\/script>\n<script src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/js\/dist\/hooks.min.js?ver=dd5603f07f9220ed27f1\" id=\"wp-hooks-js\"><\/script>\n<script src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/js\/dist\/i18n.min.js?ver=c26c3dc7bed366793375\" id=\"wp-i18n-js\"><\/script>\n<script id=\"wp-i18n-js-after\">\nwp.i18n.setLocaleData( { 'text direction\\u0004ltr': [ 'ltr' ] } );\n\/\/# sourceURL=wp-i18n-js-after\n<\/script>\n<script id=\"wp-a11y-js-translations\">\n( function( domain, translations ) {\n\tvar localeData = translations.locale_data[ domain ] || translations.locale_data.messages;\n\tlocaleData[\"\"].domain = domain;\n\twp.i18n.setLocaleData( localeData, domain );\n} )( \"default\", {\"translation-revision-date\":\"2026-04-03 13:04:41+0000\",\"generator\":\"GlotPress\\\/4.0.3\",\"domain\":\"messages\",\"locale_data\":{\"messages\":{\"\":{\"domain\":\"messages\",\"plural-forms\":\"nplurals=2; plural=n != 1;\",\"lang\":\"de\"},\"Notifications\":[\"Benachrichtigungen\"]}},\"comment\":{\"reference\":\"wp-includes\\\/js\\\/dist\\\/a11y.js\"}} );\n\/\/# sourceURL=wp-a11y-js-translations\n<\/script>\n<script src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/js\/dist\/a11y.min.js?ver=cb460b4676c94bd228ed\" id=\"wp-a11y-js\"><\/script>\n<script src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/js\/jquery\/jquery.min.js?ver=3.7.1\" id=\"jquery-core-js\"><\/script>\n<script defer='defer' src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/plugins\/gravityforms\/js\/jquery.json.min.js?ver=2.9.31\" id=\"gform_json-js\"><\/script>\n<script id=\"gform_gravityforms-js-extra\">\nvar gf_global = {\"gf_currency_config\":{\"name\":\"Euro\",\"symbol_left\":\"\",\"symbol_right\":\"&#8364;\",\"symbol_padding\":\" \",\"thousand_separator\":\".\",\"decimal_separator\":\",\",\"decimals\":2,\"code\":\"EUR\"},\"base_url\":\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/plugins\/gravityforms\",\"number_formats\":[],\"spinnerUrl\":\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/plugins\/gravityforms\/images\/spinner.svg\",\"version_hash\":\"998692d6701a7335718d368773269077\",\"strings\":{\"newRowAdded\":\"Neue Zeile hinzugef\\u00fcgt.\",\"rowRemoved\":\"Zeile entfernt\",\"formSaved\":\"Das Formular wurde gespeichert. Der Inhalt beinhaltet den Link zum Zur\\u00fcckkehren und Vervollst\\u00e4ndigen des Formulars.\"}};\n\/\/# sourceURL=gform_gravityforms-js-extra\n<\/script>\n<script defer='defer' src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/plugins\/gravityforms\/js\/gravityforms.min.js?ver=2.9.31\" id=\"gform_gravityforms-js\"><\/script>\n<script src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/js\/zxcvbn.min.js?ver=6.9.4\" id=\"gforms_zxcvbn-js\"><\/script>\n<script id=\"zxcvbn-async-js-extra\">\nvar _zxcvbnSettings = {\"src\":\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/js\/zxcvbn.min.js\"};\n\/\/# sourceURL=zxcvbn-async-js-extra\n<\/script>\n<script src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-includes\/js\/zxcvbn-async.min.js?ver=1.0\" id=\"zxcvbn-async-js\"><\/script>\n<script id=\"password-strength-meter-js-extra\">\nvar pwsL10n = {\"unknown\":\"Passwort-St\\u00e4rke unbekannt\",\"short\":\"Ganz schwach\",\"bad\":\"Schwach\",\"good\":\"Mittel\",\"strong\":\"Stark\",\"mismatch\":\"Keine \\u00dcbereinstimmung\"};\n\/\/# sourceURL=password-strength-meter-js-extra\n<\/script>\n<script id=\"password-strength-meter-js-translations\">\n( function( domain, translations ) {\n\tvar localeData = translations.locale_data[ domain ] || translations.locale_data.messages;\n\tlocaleData[\"\"].domain = domain;\n\twp.i18n.setLocaleData( localeData, domain );\n} )( \"default\", {\"translation-revision-date\":\"2026-03-31 10:55:11+0000\",\"generator\":\"GlotPress\\\/4.0.3\",\"domain\":\"messages\",\"locale_data\":{\"messages\":{\"\":{\"domain\":\"messages\",\"plural-forms\":\"nplurals=2; plural=n != 1;\",\"lang\":\"de\"},\"%1$s is deprecated since version %2$s! Use %3$s instead. Please consider writing more inclusive code.\":[\"%1$s ist seit Version\\u00a0%2$s veraltet! Benutze stattdessen %3$s. Bitte erw\\u00e4ge, inklusiveren Code zu schreiben.\"]}},\"comment\":{\"reference\":\"wp-admin\\\/js\\\/password-strength-meter.js\"}} );\n\/\/# sourceURL=password-strength-meter-js-translations\n<\/script>\n<script src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-admin\/js\/password-strength-meter.min.js?ver=6.9.4\" id=\"password-strength-meter-js\"><\/script>\n<script defer='defer' src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/plugins\/gravityforms\/js\/jquery.maskedinput.min.js?ver=2.9.31\" id=\"gform_masked_input-js\"><\/script>\n<script defer='defer' src=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/plugins\/gravityforms\/js\/placeholders.jquery.min.js?ver=2.9.31\" id=\"gform_placeholder-js\"><\/script>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_1' ><style>#gform_wrapper_1[data-form-index=\"0\"].gform-theme,[data-parent-form=\"1_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/de\/wp-json\/wp\/v2\/pages\/715#gf_1' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_16\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'>LinkedIn<\/label><div class='gfield_description' id='gfield_description_1_16'>Dieses Feld dient zur Validierung und sollte nicht ver\u00e4ndert werden.<\/div><div class='ginput_container'><input name='input_16' id='input_1_16' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full rpps_field-rpps gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'>RPPS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_1_9' type='text' value='' class='large'    placeholder='RPPS*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half rpps_field-nom gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_6'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_1_6' type='text' value='' class='large'    placeholder='Nom*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half rpps_field-prenom gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'>Pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_1_7' type='text' value='' class='large'    placeholder='Pr\u00e9nom*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full rpps_field-profession gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'>Profession<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='large'    placeholder='Profession*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_11'>Ville<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_1_11' type='text' value='' class='large'    placeholder='Ville*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'>Pays<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_1_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays*<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select><\/div><\/div><div id=\"field_1_2\" class=\"gfield gfield--type-email gfield--input-type-email rpps_field-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_2'>E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_1_2' type='email' value='' class='medium'   placeholder='Email*' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><fieldset id=\"field_1_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >client<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_13'><div class='gchoice gchoice_1_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Je suis client Physidia'  id='choice_1_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_13_1' id='label_1_13_1' class='gform-field-label gform-field-label--type-inline'>Je suis client Physidia<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_4\" class=\"gfield gfield--type-password gfield--input-type-password gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mot de passe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_1_4_container'>\n\t\t\t\t\t\t<span id='input_1_4_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<label for='input_1_4' class='gform-field-label gform-field-label--type-sub '>Passwort eingeben<\/label>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_4' id='input_1_4' onkeyup='gformShowPasswordStrength(\"input_1_4\");' onchange='gformShowPasswordStrength(\"input_1_4\");' aria-describedby=\"input_1_4_strength_indicator\" value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword(\"input_1_4\");' aria-live='polite' aria-label='Passwort anzeigen' data-label-show='Passwort anzeigen' data-label-hide='Passwort verbergen'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_1_4_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<label for='input_1_4_2' class='gform-field-label gform-field-label--type-sub '>Passwort best\u00e4tigen<\/label>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_4_2' id='input_1_4_2' onkeyup='gformShowPasswordStrength(\"input_1_4\");' onchange='gformShowPasswordStrength(\"input_1_4\");' value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword(\"input_1_4_2\");' aria-live='polite' aria-label='Passwort anzeigen' data-label-show='Passwort anzeigen' data-label-hide='Passwort verbergen'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><div id='input_1_4_strength_indicator' class='gfield_password_strength'  aria-live='assertive' aria-atomic='true'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tSt\u00e4rke-Indikator\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input type='hidden' class='gform_hidden' id='input_1_4_strength' name='input_4_strength' \/><\/fieldset><fieldset id=\"field_1_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Newsletter<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_10'><div class='gchoice gchoice_1_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Je souhaite recevoir les actualit\u00e9s, \u00e9volutions technologiques et retours d\u2019exp\u00e9rience en h\u00e9modialyse \u00e0 domicile.'  id='choice_1_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_10_1' id='label_1_10_1' class='gform-field-label gform-field-label--type-inline'>Je souhaite recevoir les actualit\u00e9s, \u00e9volutions technologiques et retours d\u2019exp\u00e9rience en h\u00e9modialyse \u00e0 domicile.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_15\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >RGPD<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_15.1' id='input_1_15_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_15_1' >J\u2019accepte <a href=\"\/politique-de-confidentialite\" target=\"_blank\">la politique de confidentialit\u00e9<\/a> de Physidia et consens \u00e0 ce que mes donn\u00e9es personnelles soient trait\u00e9es conform\u00e9ment \u00e0 celle-ci.<\/label><input type='hidden' name='input_15.2' value='J\u2019accepte &lt;a href=&quot;\/politique-de-confidentialite&quot; target=&quot;_blank&quot;&gt;la politique de confidentialit\u00e9&lt;\/a&gt; de Physidia et consens \u00e0 ce que mes donn\u00e9es personnelles soient trait\u00e9es conform\u00e9ment \u00e0 celle-ci.' class='gform_hidden' \/><input type='hidden' name='input_15.3' value='3' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer'  \/> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;hash=f4fe6a20b4cd73848fd1f2ab32a40e34' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='IJNmkEKzwne4JOvZX4NIzIWvSZCu2qjpu31\/sMtbv0WaQOCHZ7g1uVsv+z0RWNspKVM67Mwu5DOR49tAwlHd7DZ\/ds\/qFaVVQWw6MZNNvuh2sGo=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='["{\"12\":[\"2ab22d9bfd20b4e52db087d0c2640a82\",\"9f70688b8b836d0cb633d405006d3221\",\"7b409bf0052df7b72035c7082544ba6a\",\"4f39516d80b3b63489bb22f44ea8d296\",\"220d138d1ebd8cb38f8d1835bb9c2acd\",\"9b411f083c69b45b56f151004279cf7f\",\"487913ab1b4895edb5750c3e105260f2\",\"2b44394025dc51d43c8995d516818c26\",\"0df09882315eee300295226bddcb8528\",\"1a26c646b3e2be38585bae0176031fb3\",\"31a79c0d197357e30646fc265c40ecd1\",\"58596ca2bb6972a82e796335edc889a6\",\"9854e77bf251395263a6f2ad067aac9f\",\"306b232b199e1e7e8cec146f6413d592\",\"4347cbb594a027232a6b527a8f9ff3e0\",\"fb57dbfefd7162cc78ccb341ce1715ec\",\"e2270847354b7128d182c47c94780ed6\",\"fd1d7beeabfc534ad536ae74abd57c0c\",\"10fbecfab372225a57c85380fbd4e280\",\"e11dc5e2353b17e4e82976afb6b807f4\",\"716301fbdd3482f060005fcf5c30db70\",\"ed803b8859be5cb13f54a836784d9868\",\"01d36dd35f9ee10cd85347c814dd23d0\",\"f4ac1885f5c9e9159cca7a5c11639af4\",\"c0b1029bf5549cc814fea9f86762671f\",\"38600282cdad4f6b1d1d3e5a794a9ece\",\"38793b182443fa9239ca2726252671ac\",\"aa84ac0af5f42cc9016e0ba6aa2d6443\",\"d7bc9bb2c00bfbdfd3ee57ff27b9edd7\",\"23332d39c9d2a39529a6bb948e7c4154\",\"71543864cd610ae3095d79d160274c43\",\"f3f344261ca8057d4ae971cf3692cfe0\",\"0a817d9cd1972ef6eeab46661a31444b\",\"a6b2cb7588facc98207572c6647c485f\",\"e19fce173d3dd65c7e43c74f846804e4\",\"a7e23b158d354e42fd261cbde9d11e0e\",\"2244ac69056f8c2c990126573ad26654\",\"f30e1fa519fb58b462961baac7bea53d\",\"e316f9326698f91ac318922a7106fdc4\",\"e91f3c581f27f6fbeb12e0089027e613\",\"a212df7aa680a0a6df13879f078347ee\",\"ba219fa57e1f84381bb0806620a97857\",\"6b857d3268b1c3a4165d2a0c4060bc2d\",\"54e0c7b6c73866bbec45b9e8fa8b6aae\",\"ee61f3d5a56f339c887499f9bb407b38\",\"7987b29bc72336c57b83e413957054f3\",\"e0ddf6144719512f0979b77cbc1fc02d\",\"c74e2d26dcf32dcd50423b42618af2fd\",\"6545d0a32c252a952b81f4e12768cbca\",\"197793fb86e10edf69ea96047cefe589\",\"d254113ab37a4118b6eb122725b34129\",\"f693e689ada0ed32e78211e885768d76\",\"2b0ab333d5e2be494b2658149bb6a92f\",\"7e0ab96d5b488cf1a0f910daa250438a\",\"5d4bdcab89bcefce9db748afbc8374a1\",\"d83fc63606059bfdb1284c0b680426a4\",\"91c01e522979f11d4a5621ba1ebd6ab2\",\"a045183fadae71cf9f2e79aebf102862\",\"62dca76ffcf9fac8f23d83717d82d467\",\"2274133d567c71824a460017817880df\",\"1ab1d176644c29a73222ed577647f9ee\",\"4fcd998ce082754633e922d0f0bcbeae\",\"4c7e0a52578288745c22c955c48f89ac\",\"8ca5425b6916487b4ee44edd98b86a04\",\"03cac470087e2836eaf726f06f95b32f\",\"b59df6e8dc502c005b1db14f26496e70\",\"386a6f025989b599b790312d3d7175fc\",\"365eac2510a2d01d4fc3780727f73d4f\",\"ed721d2d5a68538a83a0dd158413288c\",\"3eee413d3281ed406f33d8f02b7795ac\",\"3cef13fa451c4f1d530f5ede7858e4a6\",\"d2358c9bf8f8843ec45c3ccc926797fc\",\"c5103705f27d6f7629930aed49eebfd5\",\"b803ecc87f6d5be28aecebb429d7235e\",\"cd6911950969fd1b7c318ec478f74f31\",\"bf54959329f01825abdd9ab64e91785d\",\"75a1eef102622f4deab899f12282fe85\",\"75a1eef102622f4deab899f12282fe85\",\"a6003610699d70e513dce43ded50db56\",\"4517abbaf60d7090e863bb92cae1e6fe\",\"654ad3ccfb524897c9d57528106ad8fb\",\"c3d005027cae06f8208e7288dfddcb9c\",\"dcae0b5457852b522bcd068a451e13ac\",\"5c2eab7ddf97dafdd950f0a9ed5d887e\",\"f439a3f79a0309a1473b42be9be072ba\",\"0b4cfc45267b4fd06e8c0a88979f9050\",\"6f8a1d74b8e8c5137d24b53f132e3961\",\"f18f27839a6b162c6fdd3a0a69c14816\",\"ead839a4c56307c18bb9d89189a375e9\",\"e806753348f8424c55cf3df34bcf3914\",\"59fe56b3f56cc25775207264c3a9eb15\",\"6f4bc5993d5bf9edd78ab9bc69d7ca67\",\"8dad601e4e9adb4133083e2173a13886\",\"48e8a6b957a8a9b9d03551a5f04d8b10\",\"89202c24196168f3352f68945da74279\",\"1ba21962bcfc5cf09983a32af896fb76\",\"1706cecf80b786ab652c9209badea3b4\",\"4b63117b481586fe34b5a0599c7efbd6\",\"52e06f678eaa61adc367c9155bad89c1\",\"05858afa3a9d2b98da43c421d67f4c13\",\"f2c0c0085bc6f0380d0c756f7a392891\",\"d7e721fb12e2c4a0e54559413a5a680f\",\"76ea7170b515c045888b7a785fadaf15\",\"f6279305c412a01343c9fd202e48522f\",\"48dd2f9c6620cbd40ccd59a5e88b46e3\",\"945e6f9b8162e10821fd19f1dd44bbb2\",\"176edf80b48a4168d42f26e2bb655fbe\",\"d017d05267f1ef8549bd36ddd515c3fe\",\"d4e7777eec2f9120f14c2607e47e27df\",\"264b3ae92f4affd3f8eb39cbd723e1c9\",\"9071500f94891cf8f623b082c11fe0c3\",\"681eee102373798c3ce0bbcabe08e410\",\"6135d8709d5c319393d11cdbd1f31a1b\",\"13699fb4da2ed6a0b7d3258d2cc33a54\",\"1b58ec448cf66a40928295bd354a7906\",\"6b4adceb1762649e5ac27fb8fe30bfaa\",\"f07e36afa2e5e5aefc1b78fdb0fce708\",\"c59001a2764f977cbbfe15cfc49cfcf7\",\"9bbcc4e1a01281d6cc3d2f909f7ac2f0\",\"c08070d254b447cf1ccb7d5665e3e727\",\"e81487f8cb40022d2149a3c82ef5a300\",\"865a150fcc0663c6adffcc89f9dd7db3\",\"abf0d5413bd35fa22e6693e62833948c\",\"55bb96312f7c81ae03dd26a36bcd25e1\",\"1c97f63e635e7c08fe911e9aee2c74c7\",\"44e8f070c5210cd072655ada8ff45207\",\"a4bf03bcf21ffd91a0d0707578ffa63e\",\"0392a97a855fae8e4f716c61a728a04c\",\"b34a7f8504f089333833d51c20c1fd77\",\"1673c2566c0324356fa1c11a84f2b1fa\",\"531a459aadec04a9c5bb99c1f2b259dd\",\"7db39c6af83b0c5516377b7ef4b57d4c\",\"1c8e80a05d3d13172f0689c488bd5902\",\"9f88deb257025decccbaab941d1b7ccf\",\"a8f19f65ff32a37c48fc41e97388b93c\",\"c31703fbaccfccfda2aca57693a5fe07\",\"a0d4ff2ee8bdf96a4f1ba08f16ef9e27\",\"d8c3cb531ddfcdfa8ff62d715a13c3ae\",\"c27a62ffc506ec65c9376d6a29fc62d3\",\"e4e0497533feb9279ad56e850ca9df81\",\"a70a7e7bfc4f73661bc8f0234ca64749\",\"3afb3378d8a47f201222d93142296dab\",\"f8356fe3eaffb6efd46601376fd43a1e\",\"9fea3fe2fefb662906ba460231ed117e\",\"9442e906d7866d80247c176061717d1b\",\"70dfb876adcdf6b4181dcbd6a987eb05\",\"2f1bdbf39523ca7b1f859439f27ead5a\",\"8c81c0408fa30b8a1547a9bfe09f9a70\",\"ba36e308df58d47cd1e19bc67eec584a\",\"4e694cdaeeffb5ac16eb79a075f05c4a\",\"c092864441b10e794cf9fc1ebfd1b01f\",\"4630386e79489228c948231eca9ac8ac\",\"8b59983ccedd32a51326982665f8d91b\",\"3f2bd5650070700173d761c7f4d436d8\",\"7e3bf4e484a295391f9f794174cf45d4\",\"6554e4aa80af5dea17723637b8de765e\",\"911902a965ec3bacd0be5bb5d323bab1\",\"eef3849220321f0c9e262c3156022744\",\"6896ee2f6daaef6b120d11a9f9afe4ac\",\"09de63d9948596fb7866c73b72216ea8\",\"afcadfaa1a05883225f1c9d5df630772\",\"5352c6d2998c098b9c35d693a419e6f9\",\"926ad6ad4de00a8267b9f1cbd545d261\",\"4cb9bcf1976ba5fa05bef68cec8bcc61\",\"8456709173d5cb3bb58cd532de1bdea9\",\"0eb26ab84f7a817d92fd51ea33b73563\",\"991f2e0e63ab6724ee3208286d31c062\",\"d7fd0c15a7a39525f126059948033f6b\",\"cc05d5a1d25eaa7ae373402224dd6201\",\"10fa94b8ac990874f61af3f462dd24d9\",\"22cc76f7553b31f0fcc0a846fd392079\",\"0e6a505456e4b2c30a525e9b4bd3cff4\",\"d6550a4ab5fed85f17b7873e8fadb52c\",\"a148dc189347d699d5f4e2be548684e1\",\"7b0299349cce8b49997da511b6599ba5\",\"3f5dc418b6b092c7f54b0408456dd392\",\"9c38480682b527c5956ef78000f68ade\",\"8938a3d59e36e16b8c1a7e4ae7836984\",\"351c5b3ed8bc44b13f0feabeb2ed312d\",\"8943435d82665c1e0b4370731594a6b4\",\"b3335cdbe7c88dc1e3c24dae609cd06b\",\"78c1216a5a176e8059bbfc2ad26f27c6\",\"a9768aa6a98a8b318577ca1fac288a1a\",\"3d3a45ff89d489ef6c6234a1f59d9d05\",\"cf5b510414830c2bceeb93c8f3d385dd\",\"05fa3e55d9dcd3e5cd78cb83c67c3fe5\",\"1476665bac2e9e3cce4b9dc71ed9816e\",\"5f1440a85cc3735f57521be73531a977\",\"819085d702327c53b0151b96679d7b6b\",\"d098f5467f9e74524c0e364a5965c1dd\",\"aa2b547a926887f3560413dddc04d702\",\"77c6c4db1438e22a2ef2c078a9c3a4d7\",\"d1a3b8b6e6d9916dd4bd3119af703b12\",\"a39a456931b0252f713b2045c03a2c0d\",\"e68bea1ece2b5abd9455fdc2bc8207dd\",\"f37df2623ff96f61d7aa8942a84e568c\",\"39368b18f2344d4a321095be0c11c8b4\",\"b72524a0432b8990947b64bd070fe802\",\"cfc627fb448b5af6fc93702c8008dd44\",\"2634fa15d7ce74487dd17283ea925c7e\",\"307efc25520a48ece90fb4f8361c1869\",\"4909af756504cf83df1367879e90cdd5\",\"6814d21060b184b6132ac7cb76ed7ee6\",\"21bee3cf39c5f38f273b9255789169f8\",\"e79df89e917c320565f11f2b3ab130b7\",\"2d59f3866a579a483ac87c5539f9dc1b\",\"98802f79dbce9d1bd89546f7640b8062\",\"925dcd087ef8020c9625f26c4b779060\",\"36480eded826916e56978ac3d3c9d556\",\"1f0331fe90530c38c60ad70c35f93852\",\"d24f4afd313d2c8d89a1f42a355a2505\",\"a07fe969ab384e453961cec9f1604a73\",\"b6988a674f98ecdbe37fa97895dadc5b\",\"7bc7e6c43349147cb6ef74425c74f5f7\",\"fdba793c245fa541302ca8da9c62a143\",\"8846d2d0e606f273f5864dacb8d7d4bb\",\"a1a74703983fe5687ecbcd7c879d7a81\",\"c05cd0dd9d637e07cdd789e059c55651\",\"24dd04a340d6c569417312b3a3111850\",\"76811408c3a02b334b770f02336c06e1\",\"72bfb11e07f084406b2a3518c05ce139\",\"3e7329318652e7c26e6dd84b48128485\",\"2cee6261faa458d706990b82886626f2\",\"b3e168be4e8656cf1081a992304bfaf1\",\"bc61fc144d4502e55c4fea058ee04d3e\",\"10e63029336b237100881bb6678488f7\",\"a54941367dd27ffb9addb0654488cbc2\",\"f6c375424cffef61029fdab0b519db9a\",\"7065802bae5b427663214c9b5e2c4373\",\"c93eaeee2df965d3f2a6fef2458dfd4d\",\"dd7aa12f2b879e2defc3c631aef378e5\",\"60d01b851ec84d28a3138ce229f082e6\",\"09506e1ed90196b18c51ac5fe2c7b77e\",\"e3507af654a7dcf9fc8b7ebfa673235b\",\"089256b0e2b725970d37d6ffacaba26f\",\"1b95e258e924b5bff74384c13b4a7568\",\"5e31cadd663291e7598140ac080b2d20\",\"03a7a3f572c862fc392bdf6ab38cfdd6\",\"21d1e649595da6ccbcabaa067eec2946\",\"405f2a61f8108fc4db26ccbefda16d12\",\"c5e32a887d0f50539653bf946294d51c\",\"59f2a87129cea349e6f55044420bcf4c\",\"46f64815e6cdf467399b8baecee10657\",\"d38f6383783650c4284466065acb6024\",\"e2ce6fae2b49518edcd112f6cb7d56b1\",\"42778b1b29c728028f20261fd1db7f86\",\"5686ea8318efd9949c10f6c3188efbf5\",\"8cf671ddde0ec1ee1e565e837a4b0369\",\"22820b050a0776991d54e2ee488784f9\"],\"13.1\":\"ad6407303bba3714101ada7749daf3ed\",\"10.1\":\"1620ffa657372b43b0e05279eb6ac1d6\",\"15.1\":\"dcee20e622adc7fa196cd937dc8c29c0\",\"15.2\":\"e59b7cdf5f17fc918f88af1c03d019f0\",\"15.3\":\"0255dd11be32efe8c9a866e75bcaa6b3\"}","d0ced333ad0d2786a550e0e029438ae0"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_1' id='gform_ajax_frame_1' title='Dieser iframe enth\u00e4lt die erforderliche Logik um Gravity Forms Formulare mit AJAX zu handhaben.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 1, 'https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_1').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_1');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_1').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_1').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_1').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_1').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_1').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_1').val();gformInitSpinner( 1, 'https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [1, current_page]);window['gf_submitting_1'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_1').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_1').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [1]);window['gf_submitting_1'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_1').text());}else{jQuery('#gform_1').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"1\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_1\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_1\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_1\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 1, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\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<div class=\"elementor-element elementor-element-4c59045 e-flex e-con-boxed e-con e-parent\" data-id=\"4c59045\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\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":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-715","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Inscription Actualit\u00e9s - Physidia - H\u00e9modialyse \u00e0 Domicile<\/title>\n<meta name=\"description\" content=\"Inscription Physidia\u202f: cr\u00e9ez votre compte s\u00e9curis\u00e9 pour acc\u00e9der \u00e0 l\u2019espace patient et professionnel, g\u00e9rer vos s\u00e9ances d\u2019h\u00e9modialyse \u00e0 domicile ou acc\u00e9der aux ressources cliniques et techniques.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Inscription\" \/>\n<meta property=\"og:description\" content=\"Inscription Physidia\u202f: cr\u00e9ez votre compte s\u00e9curis\u00e9 pour acc\u00e9der \u00e0 l\u2019espace patient et professionnel, g\u00e9rer vos s\u00e9ances d\u2019h\u00e9modialyse \u00e0 domicile ou acc\u00e9der aux ressources cliniques et techniques.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/\" \/>\n<meta property=\"og:site_name\" content=\"SANDBOX-TEST-DB\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Physidia\" \/>\n<meta property=\"article:modified_time\" content=\"2025-03-17T14:56:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/uploads\/2024\/12\/logo-physidia.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"281\" \/>\n\t<meta property=\"og:image:height\" content=\"283\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data1\" content=\"3\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/de\\\/inscription\\\/\",\"url\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/de\\\/inscription\\\/\",\"name\":\"Inscription Actualit\u00e9s - Physidia - H\u00e9modialyse \u00e0 Domicile\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/#website\"},\"datePublished\":\"2025-01-20T15:17:17+00:00\",\"dateModified\":\"2025-03-17T14:56:06+00:00\",\"description\":\"Inscription Physidia\u202f: cr\u00e9ez votre compte s\u00e9curis\u00e9 pour acc\u00e9der \u00e0 l\u2019espace patient et professionnel, g\u00e9rer vos s\u00e9ances d\u2019h\u00e9modialyse \u00e0 domicile ou acc\u00e9der aux ressources cliniques et techniques.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/de\\\/inscription\\\/#breadcrumb\"},\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/de\\\/inscription\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/de\\\/inscription\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Inscription\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/#website\",\"url\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/\",\"name\":\"Physidia | H\u00e9modialyse \u00e0 Domicile\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/#organization\"},\"alternateName\":\"Physidia | HDDQ\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"de\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/#organization\",\"name\":\"Physidia\",\"url\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/logo-physidia.webp\",\"contentUrl\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/logo-physidia.webp\",\"width\":281,\"height\":283,\"caption\":\"Physidia\"},\"image\":{\"@id\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/Physidia\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/physidia\\\/\"],\"description\":\"Entreprise fran\u00e7aise pionni\u00e8re de la dialyse fr\u00e9quente et flexible \u00e0 domicile, Physidia con\u00e7oit et fabrique en France des solutions innovantes pour offrir aux patients dialys\u00e9s plus de libert\u00e9, de s\u00e9r\u00e9nit\u00e9 et une meilleure qualit\u00e9 de vie.\",\"email\":\"contact@physidia.fr\",\"legalName\":\"Physidia S.A.S.\",\"foundingDate\":\"2010-11-01\",\"taxID\":\"528 454 028 00028\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"51\",\"maxValue\":\"200\"},\"publishingPrinciples\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/mentions-legales\\\/\",\"actionableFeedbackPolicy\":\"https:\\\/\\\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\\\/politique-de-confidentialite\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Inscription Actualit\u00e9s - Physidia - H\u00e9modialyse \u00e0 Domicile","description":"Inscription Physidia\u202f: cr\u00e9ez votre compte s\u00e9curis\u00e9 pour acc\u00e9der \u00e0 l\u2019espace patient et professionnel, g\u00e9rer vos s\u00e9ances d\u2019h\u00e9modialyse \u00e0 domicile ou acc\u00e9der aux ressources cliniques et techniques.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/","og_locale":"de_DE","og_type":"article","og_title":"Inscription","og_description":"Inscription Physidia\u202f: cr\u00e9ez votre compte s\u00e9curis\u00e9 pour acc\u00e9der \u00e0 l\u2019espace patient et professionnel, g\u00e9rer vos s\u00e9ances d\u2019h\u00e9modialyse \u00e0 domicile ou acc\u00e9der aux ressources cliniques et techniques.","og_url":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/","og_site_name":"SANDBOX-TEST-DB","article_publisher":"https:\/\/www.facebook.com\/Physidia","article_modified_time":"2025-03-17T14:56:06+00:00","og_image":[{"width":281,"height":283,"url":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/uploads\/2024\/12\/logo-physidia.webp","type":"image\/webp"}],"twitter_card":"summary_large_image","twitter_misc":{"Gesch\u00e4tzte Lesezeit":"3\u00a0Minuten"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/","url":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/","name":"Inscription Actualit\u00e9s - Physidia - H\u00e9modialyse \u00e0 Domicile","isPartOf":{"@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/#website"},"datePublished":"2025-01-20T15:17:17+00:00","dateModified":"2025-03-17T14:56:06+00:00","description":"Inscription Physidia\u202f: cr\u00e9ez votre compte s\u00e9curis\u00e9 pour acc\u00e9der \u00e0 l\u2019espace patient et professionnel, g\u00e9rer vos s\u00e9ances d\u2019h\u00e9modialyse \u00e0 domicile ou acc\u00e9der aux ressources cliniques et techniques.","breadcrumb":{"@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/#breadcrumb"},"inLanguage":"de","potentialAction":[{"@type":"ReadAction","target":["https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/inscription\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/"},{"@type":"ListItem","position":2,"name":"Inscription"}]},{"@type":"WebSite","@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/#website","url":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/","name":"Physidia | H\u00e9modialyse \u00e0 Domicile","description":"","publisher":{"@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/#organization"},"alternateName":"Physidia | HDDQ","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"de"},{"@type":"Organization","@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/#organization","name":"Physidia","url":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/","logo":{"@type":"ImageObject","inLanguage":"de","@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/#\/schema\/logo\/image\/","url":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/uploads\/2024\/12\/logo-physidia.webp","contentUrl":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/wp-content\/uploads\/2024\/12\/logo-physidia.webp","width":281,"height":283,"caption":"Physidia"},"image":{"@id":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Physidia","https:\/\/www.linkedin.com\/company\/physidia\/"],"description":"Entreprise fran\u00e7aise pionni\u00e8re de la dialyse fr\u00e9quente et flexible \u00e0 domicile, Physidia con\u00e7oit et fabrique en France des solutions innovantes pour offrir aux patients dialys\u00e9s plus de libert\u00e9, de s\u00e9r\u00e9nit\u00e9 et une meilleure qualit\u00e9 de vie.","email":"contact@physidia.fr","legalName":"Physidia S.A.S.","foundingDate":"2010-11-01","taxID":"528 454 028 00028","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"51","maxValue":"200"},"publishingPrinciples":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/mentions-legales\/","actionableFeedbackPolicy":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/politique-de-confidentialite\/"}]}},"_links":{"self":[{"href":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/wp-json\/wp\/v2\/pages\/715","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/wp-json\/wp\/v2\/comments?post=715"}],"version-history":[{"count":22,"href":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/wp-json\/wp\/v2\/pages\/715\/revisions"}],"predecessor-version":[{"id":5200,"href":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/wp-json\/wp\/v2\/pages\/715\/revisions\/5200"}],"wp:attachment":[{"href":"https:\/\/physidia-sandbox-gnfngfcwfuenfwbd.francecentral-01.azurewebsites.net\/de\/wp-json\/wp\/v2\/media?parent=715"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}