{"id":472,"date":"2022-06-15T09:39:52","date_gmt":"2022-06-15T07:39:52","guid":{"rendered":"https:\/\/rythmologie.fr\/?page_id=472"},"modified":"2022-06-15T10:03:24","modified_gmt":"2022-06-15T08:03:24","slug":"registration","status":"publish","type":"page","link":"https:\/\/rythmologie.fr\/index\/registration\/","title":{"rendered":"registration"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]\n<div class=\"um um-register um-411\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_411_user_login\" class=\"um-field um-field-text  um-field-user_login um-field-text um-field-type_text\" data-key=\"user_login\"><div class=\"um-field-label\"><label for=\"user_login-411\">Identifiant<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_login-411\" id=\"user_login-411\" value=\"\" placeholder=\"\" data-validate=\"unique_username\" data-key=\"user_login\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_411_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-411\">Mot de passe<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-411\" id=\"user_password-411\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_411_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-411\">Confirmer le Mot de passe<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"confirm_user_password-411\" id=\"confirm_user_password-411\" value=\"\" placeholder=\"Confirmer le Mot de passe\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-col-1\"><div  id=\"um_field_411_professions\" class=\"um-field um-field-select  um-field-professions um-field-select um-field-type_select\" data-key=\"professions\"><div class=\"um-field-area  \"><select data-default=\"Profession\"     name=\"professions\" id=\"professions\" data-validate=\"\" data-key=\"professions\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"Profession\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Professeur\" >Professeur<\/option><option value=\"Docteur\" >Docteur<\/option><option value=\"Autres\" >Autres<\/option><\/select><\/div><\/div><div  id=\"um_field_411_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-411\">Adresse e-mail<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-411\" id=\"user_email-411\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_411_civilite_14\" class=\"um-field um-field-radio  um-field-civilite_14 um-field-radio um-field-type_radio\" data-key=\"civilite_14\"  aria-invalid=\"false\" ><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"civilite_14[]\" value=\"Monsieur\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Monsieur<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"civilite_14[]\" value=\"Madame\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Madame<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-121\"><div  id=\"um_field_411_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-411\">Nom<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-411\" id=\"first_name-411\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_411_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-411\">Pr\u00e9nom<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"last_name-411\" id=\"last_name-411\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-col-1\"><div  id=\"um_field_411_naissance\" class=\"um-field um-field-date  um-field-naissance um-field-date um-field-type_date\" data-key=\"naissance\"><div class=\"um-field-label\"><label for=\"naissance-411\">Date de naissance<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid not-required um-datepicker \" type=\"text\" name=\"naissance-411\" id=\"naissance-411\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"naissance\" data-range=\"years\" data-years=\"50\" data-years_x=\"equal\" data-disabled_weekdays=\"\" data-date_min=\"2001,5,01\" data-date_max=\"2051,5,01\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_411_ville\" class=\"um-field um-field-text  um-field-ville um-field-text um-field-type_text\" data-key=\"ville\"><div class=\"um-field-label\"><label for=\"ville-411\">Ville<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"ville-411\" id=\"ville-411\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"ville\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_411_etablissement\" class=\"um-field um-field-text  um-field-etablissement um-field-text um-field-type_text\" data-key=\"etablissement\"><div class=\"um-field-label\"><label for=\"etablissement-411\">\u00c9tablissement<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"etablissement-411\" id=\"etablissement-411\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"etablissement\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_411_rpps\" class=\"um-field um-field-text  um-field-rpps um-field-text um-field-type_text\" data-key=\"rpps\"><div class=\"um-field-label\"><label for=\"rpps-411\">Num\u00e9ro RPPS<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"rpps-411\" id=\"rpps-411\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"rpps\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_411_specialite\" class=\"um-field um-field-select  um-field-specialite um-field-select um-field-type_select\" data-key=\"specialite\"><div class=\"um-field-area  \"><select data-default=\"Merci de s\u00e9lectionner votre sp\u00e9cialit\u00e9\"     name=\"specialite\" id=\"specialite\" data-validate=\"\" data-key=\"specialite\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"Sp\u00e9cialit\u00e9\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Anesth\u00e9sie r\u00e9animation\" >Anesth\u00e9sie r\u00e9animation<\/option><option value=\"Cardio P\u00e9diatrie\" >Cardio P\u00e9diatrie<\/option><option value=\"Cardiologie et maladies cardio-vasculaires\" >Cardiologie et maladies cardio-vasculaires<\/option><option value=\"Chirurgie cardio-vasculaire\" >Chirurgie cardio-vasculaire<\/option><option value=\"Endocrinologie\" >Endocrinologie<\/option><option value=\"Epid\u00e9miologie\" >Epid\u00e9miologie<\/option><option value=\"G\u00e9n\u00e9tique m\u00e9dicale\" >G\u00e9n\u00e9tique m\u00e9dicale<\/option><option value=\"G\u00e9riatrie\" >G\u00e9riatrie<\/option><option value=\"Industrie\" >Industrie<\/option><option value=\"M\u00e9decine d\u2019urgence\" >M\u00e9decine d\u2019urgence<\/option><option value=\"M\u00e9decine du travail\" >M\u00e9decine du travail<\/option><option value=\"M\u00e9decine g\u00e9n\u00e9rale\" >M\u00e9decine g\u00e9n\u00e9rale<\/option><option value=\"M\u00e9decine interne\" >M\u00e9decine interne<\/option><option value=\"M\u00e9decine nucl\u00e9aire\" >M\u00e9decine nucl\u00e9aire<\/option><option value=\"M\u00e9decine vasculaire\" >M\u00e9decine vasculaire<\/option><option value=\"N\u00e9phrologie\" >N\u00e9phrologie<\/option><option value=\"Neurologie\" >Neurologie<\/option><option value=\"Param\u00e9dical (infirmier et tech. M\u00e9dical)\" >Param\u00e9dical (infirmier et tech. M\u00e9dical)<\/option><option value=\"P\u00e9diatrie\" >P\u00e9diatrie<\/option><option value=\"Pharmacologie\" >Pharmacologie<\/option><option value=\"Physiologie\" >Physiologie<\/option><option value=\"Pneumologie\" >Pneumologie<\/option><option value=\"Radiologie\" >Radiologie<\/option><option value=\"Recherche\" >Recherche<\/option><option value=\"Autre\" >Autre<\/option><\/select><\/div><\/div><div  id=\"um_field_411_pratique\" class=\"um-field um-field-select  um-field-pratique um-field-select um-field-type_select\" data-key=\"pratique\"><div class=\"um-field-area  \"><select data-default=\"S\u00e9lectionnez une pratique\"     name=\"pratique\" id=\"pratique\" data-validate=\"\" data-key=\"pratique\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"Pratique\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Hospitalier\" >Hospitalier<\/option><option value=\"Lib\u00e9ral\" >Lib\u00e9ral<\/option><option value=\"Mixte\" >Mixte<\/option><option value=\"Salari\u00e9 non-hospitalier\" >Salari\u00e9 non-hospitalier<\/option><option value=\"Arm\u00e9e\" >Arm\u00e9e<\/option><option value=\"Autre\" >Autre<\/option><\/select><\/div><\/div><\/div><\/div>\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_411\" value=\"411\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_411\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_411\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"662d86e854\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index\/wp-json\/wp\/v2\/pages\/472\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-left um-half\">\n\t\t\t\t<input type=\"submit\" value=\"S\u2019inscrire\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"um-right um-half\">\n\t\t\t\t<a href=\"https:\/\/rythmologie.fr\/index\/login\/\" class=\"um-button um-alt\">\n\t\t\t\t\tConnexion\t\t\t\t<\/a>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-411.um {\n\t\t\tmax-width: 900px;\n\t\t}\n\t\t<\/style>\n[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-472","page","type-page","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/pages\/472","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/comments?post=472"}],"version-history":[{"count":3,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/pages\/472\/revisions"}],"predecessor-version":[{"id":475,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/pages\/472\/revisions\/475"}],"wp:attachment":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media?parent=472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}