{"id":1341,"date":"2024-01-18T16:50:12","date_gmt":"2024-01-18T15:50:12","guid":{"rendered":"https:\/\/www.centrevetgeneve.ch\/?page_id=1341"},"modified":"2025-03-17T09:32:08","modified_gmt":"2025-03-17T08:32:08","slug":"formulaire-de-liaison","status":"publish","type":"page","link":"https:\/\/www.centrevetgeneve.ch\/en\/formulaire-de-liaison\/","title":{"rendered":"Liaison form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1341\" class=\"elementor elementor-1341\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e98fd99 e-flex e-con-boxed e-con e-parent\" data-id=\"e98fd99\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;opacity-tilt&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 2600 131.1\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0 0L2600 0 2600 69.1 0 0z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.5\" d=\"M0 0L2600 0 2600 69.1 0 69.1z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.25\" d=\"M2600 0L0 0 0 130.1 2600 69.1z\"\/>\n<\/svg>\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d16a58d e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"d16a58d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9ed1914 elementor-widget elementor-widget-heading\" data-id=\"9ed1914\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">R\u00e9f\u00e9rer un cas<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21b934d elementor-widget elementor-widget-heading\" data-id=\"21b934d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Formulaire de liaison <\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-104a815 elementor-widget elementor-widget-text-editor\" data-id=\"104a815\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Afin de proc\u00e9der \u00e0 la meilleure prise en charge possible de votre animal, ce formulaire est \u00e0 remplir <\/span><b>uniquement<\/b><span style=\"font-weight: 400;\"> par votre v\u00e9t\u00e9rinaire r\u00e9f\u00e9rant.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-55e4d4a e-con-full e-flex e-con e-child\" data-id=\"55e4d4a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-408ad2c elementor-widget__width-auto elementor-align-center elementor-widget elementor-widget-button\" data-id=\"408ad2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-float\" href=\"tel:0227161909%20\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">URGENCES 24\/7 : 022 716 19 09 <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8581bf elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"e8581bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-float\" href=\"https:\/\/www.centrevetgeneve.ch\/en\/contact\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Contactez-nous<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\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<div class=\"elementor-element elementor-element-cb2864f e-flex e-con-boxed e-con e-parent\" data-id=\"cb2864f\" 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-02d4459 elementor-button-align-start elementor-widget__width-initial elementor-widget elementor-widget-form\" data-id=\"02d4459\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Suivant&quot;,&quot;step_previous_label&quot;:&quot;Pr\\u00e9c\\u00e9dent&quot;,&quot;step_type&quot;:&quot;none&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Formulaire de liaison\" aria-label=\"Formulaire de liaison\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1341\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"02d4459\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Formulaire de liaison v\u00e9t\u00e9rinaire - Centre VetGen\u00e8ve\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"1341\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-etape elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Premi\u00e8re \u00e9tape\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_159040c elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_159040c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMerci de s\u00e9lectionner le service concern\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_159040c]\" id=\"form-field-field_159040c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9decine\">M\u00e9decine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chirurgie\">Chirurgie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Imagerie m\u00e9dicale\">Imagerie m\u00e9dicale<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cardiologie\">Cardiologie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Canc\u00e9rologie\">Canc\u00e9rologie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Neurologie\">Neurologie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ost\u00e9opathie &amp; physioth\u00e9rapie\">Ost\u00e9opathie &amp; physioth\u00e9rapie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ophtalmologie\">Ophtalmologie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Dermatologie\">Dermatologie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Dentisterie \">Dentisterie <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Endocrinologie\">Endocrinologie<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_21901c0 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Remplissez ce formulaire\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_31f0bbd elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_31f0bbd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom du v\u00e9t\u00e9rinaire traitant\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_31f0bbd]\" id=\"form-field-field_31f0bbd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nom du v\u00e9t\u00e9rinaire traitant\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_52a5ed9 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_52a5ed9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail du v\u00e9t\u00e9rinaire traitant\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_52a5ed9]\" id=\"form-field-field_52a5ed9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email du v\u00e9t\u00e9rinaire traitant\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a879f3f elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a879f3f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom du propri\u00e9taire de l\u2019animal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a879f3f]\" id=\"form-field-field_a879f3f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nom du propri\u00e9taire de l\u2019animal\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_bdf6505 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bdf6505\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tT\u00e9l\u00e9phone du propri\u00e9taire de l\u2019animal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_bdf6505]\" id=\"form-field-field_bdf6505\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"T\u00e9l\u00e9phone du propri\u00e9taire de l\u2019animal\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Seuls les caract\u00e8res de num\u00e9ros de t\u00e9l\u00e9phone (#, -, *, etc.) sont accept\u00e9s.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fae9a3f elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fae9a3f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAdresse du propri\u00e9taire de l\u2019animal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_fae9a3f]\" id=\"form-field-field_fae9a3f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Adresse du propri\u00e9taire de l\u2019animal\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_49776ff elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_49776ff\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEsp\u00e8ce de l\u2019animal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Chat\" id=\"form-field-field_49776ff-0\" name=\"form_fields[field_49776ff]\" required=\"required\"> <label for=\"form-field-field_49776ff-0\">Chat<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Chien\" id=\"form-field-field_49776ff-1\" name=\"form_fields[field_49776ff]\" required=\"required\"> <label for=\"form-field-field_49776ff-1\">Chien<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Autre\" id=\"form-field-field_49776ff-2\" name=\"form_fields[field_49776ff]\" required=\"required\"> <label for=\"form-field-field_49776ff-2\">Autre<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3604380 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3604380\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom de l\u2019animal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3604380]\" id=\"form-field-field_3604380\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nom de l\u2019animal\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4905b18 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4905b18\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate de naissance de l\u2019animal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4905b18]\" id=\"form-field-field_4905b18\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Date de naissance de l\u2019animal\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_0c69648 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0c69648\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPrise en charge urgente\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Oui\" id=\"form-field-field_0c69648-0\" name=\"form_fields[field_0c69648]\" required=\"required\"> <label for=\"form-field-field_0c69648-0\">Oui<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Non\" id=\"form-field-field_0c69648-1\" name=\"form_fields[field_0c69648]\" required=\"required\"> <label for=\"form-field-field_0c69648-1\">Non<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_2692227 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2692227\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tType de prise en charge demand\u00e9e\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_2692227]\" id=\"form-field-field_2692227\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Consultation\">Consultation<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Consultation et examens compl\u00e9mentaires\">Consultation et examens compl\u00e9mentaires<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Consultation, examens compl\u00e9mentaires et traitement m\u00e9dical ou chirurgical\">Consultation, examens compl\u00e9mentaires et traitement m\u00e9dical ou chirurgical<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Soins intensifs\">Soins intensifs<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Autre\">Autre<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_626bf55 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_626bf55\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiagnostic effectu\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_626bf55]\" id=\"form-field-field_626bf55\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_bbd5d44 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bbd5d44\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExamens compl\u00e9mentaires d\u00e9j\u00e0 r\u00e9alis\u00e9s\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_bbd5d44]\" id=\"form-field-field_bbd5d44\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_ca88501 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ca88501\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTraitement administr\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_ca88501]\" id=\"form-field-field_ca88501\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_a83efe1 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a83efe1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRemarques et demandes de prise en charge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_a83efe1]\" id=\"form-field-field_a83efe1\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_0032bde elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0032bde\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJoindre des fichiers \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_0032bde][]\" id=\"form-field-field_0032bde\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" multiple=\"multiple\" data-maxsize=\"128\" data-maxsize-message=\"Ce fichier d\u00e9passe la taille maximale autoris\u00e9e.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_034a298 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_034a298\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LfFLGkpAAAAAGpKhs9HLrG0kXCZmXzVMdxK6YbV\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_f06c6bf elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_f06c6bf]\" id=\"form-field-field_f06c6bf\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_f06c6bf\">J'ai lu et j'accepte la politique de confidentialit\u00e9 de Vet Gen\u00e8ve <a href=\"\/nlpd\" target=\"_blank\" style=\"color:#2F586E;\">En savoir plus<\/a> *<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_8f36521 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_8f36521]\" id=\"form-field-field_8f36521\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\">\n\t\t\t\t<label for=\"form-field-field_8f36521\">J'autorise la soci\u00e9t\u00e9 Vet Gen\u00e8ve \u00e0 me faire parvenir les nouveaut\u00e9s et offres du moment<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Envoyer<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Refer a case Liaison form In order to ensure the best possible care for your pet, this form should only be completed by your referring vet. 24\/7 EMERGENCIES: 022 716 19 09 Contact us<\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1341","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaire de liaison v\u00e9t\u00e9rinaire - Centre VetGen\u00e8ve<\/title>\n<meta name=\"description\" content=\"Pour toutes demandes de prise en charge de votre animal par notre clinique, faites remplir ce formulaire par le v\u00e9t\u00e9rinaire traitant de votre animal\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.centrevetgeneve.ch\/en\/formulaire-de-liaison\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire de liaison v\u00e9t\u00e9rinaire - Centre VetGen\u00e8ve\" \/>\n<meta property=\"og:description\" content=\"Pour toutes demandes de prise en charge de votre animal par notre clinique, faites remplir ce formulaire par le v\u00e9t\u00e9rinaire traitant de votre animal\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.centrevetgeneve.ch\/en\/formulaire-de-liaison\/\" \/>\n<meta property=\"og:site_name\" content=\"Centre VetGen\u00e8ve\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/VetGeneve\" \/>\n<meta property=\"article:modified_time\" content=\"2025-03-17T08:32:08+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/formulaire-de-liaison\\\/\",\"url\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/formulaire-de-liaison\\\/\",\"name\":\"Formulaire de liaison v\u00e9t\u00e9rinaire - Centre VetGen\u00e8ve\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/#website\"},\"datePublished\":\"2024-01-18T15:50:12+00:00\",\"dateModified\":\"2025-03-17T08:32:08+00:00\",\"description\":\"Pour toutes demandes de prise en charge de votre animal par notre clinique, faites remplir ce formulaire par le v\u00e9t\u00e9rinaire traitant de votre animal\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/formulaire-de-liaison\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.centrevetgeneve.ch\\\/formulaire-de-liaison\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/formulaire-de-liaison\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formulaire de liaison\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/#website\",\"url\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/\",\"name\":\"Centre VetGen\u00e8ve\",\"description\":\"Clinique v\u00e9t\u00e9rinaire \u00e0 Gen\u00e8ve \u2013 Urgences 24h\\\/24, m\u00e9decine et chirurgie sp\u00e9cialis\u00e9e\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/#organization\",\"name\":\"Centre VetGen\u00e8ve\",\"url\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/wp-content\\\/uploads\\\/2023\\\/12\\\/vetgeneve_logo_horizontal_rvb.svg\",\"contentUrl\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/wp-content\\\/uploads\\\/2023\\\/12\\\/vetgeneve_logo_horizontal_rvb.svg\",\"caption\":\"Centre VetGen\u00e8ve\"},\"image\":{\"@id\":\"https:\\\/\\\/www.centrevetgeneve.ch\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/VetGeneve\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Veterinary referral form - VetGeneva Center","description":"For any request for your pet to be treated at our clinic, please have this form completed by your pet\u2019s regular veterinarian.","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:\/\/www.centrevetgeneve.ch\/en\/formulaire-de-liaison\/","og_locale":"en_GB","og_type":"article","og_title":"Formulaire de liaison v\u00e9t\u00e9rinaire - Centre VetGen\u00e8ve","og_description":"Pour toutes demandes de prise en charge de votre animal par notre clinique, faites remplir ce formulaire par le v\u00e9t\u00e9rinaire traitant de votre animal","og_url":"https:\/\/www.centrevetgeneve.ch\/en\/formulaire-de-liaison\/","og_site_name":"Centre VetGen\u00e8ve","article_publisher":"https:\/\/www.facebook.com\/VetGeneve","article_modified_time":"2025-03-17T08:32:08+00:00","twitter_card":"summary_large_image","twitter_misc":{"Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.centrevetgeneve.ch\/formulaire-de-liaison\/","url":"https:\/\/www.centrevetgeneve.ch\/formulaire-de-liaison\/","name":"Veterinary referral form - VetGeneva Center","isPartOf":{"@id":"https:\/\/www.centrevetgeneve.ch\/#website"},"datePublished":"2024-01-18T15:50:12+00:00","dateModified":"2025-03-17T08:32:08+00:00","description":"For any request for your pet to be treated at our clinic, please have this form completed by your pet\u2019s regular veterinarian.","breadcrumb":{"@id":"https:\/\/www.centrevetgeneve.ch\/formulaire-de-liaison\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.centrevetgeneve.ch\/formulaire-de-liaison\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.centrevetgeneve.ch\/formulaire-de-liaison\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/www.centrevetgeneve.ch\/"},{"@type":"ListItem","position":2,"name":"Formulaire de liaison"}]},{"@type":"WebSite","@id":"https:\/\/www.centrevetgeneve.ch\/#website","url":"https:\/\/www.centrevetgeneve.ch\/","name":"VetGen\u00e8ve Centre","description":"Clinique v\u00e9t\u00e9rinaire \u00e0 Gen\u00e8ve \u2013 Urgences 24h\/24, m\u00e9decine et chirurgie sp\u00e9cialis\u00e9e","publisher":{"@id":"https:\/\/www.centrevetgeneve.ch\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.centrevetgeneve.ch\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/www.centrevetgeneve.ch\/#organization","name":"VetGen\u00e8ve Centre","url":"https:\/\/www.centrevetgeneve.ch\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/www.centrevetgeneve.ch\/#\/schema\/logo\/image\/","url":"https:\/\/www.centrevetgeneve.ch\/wp-content\/uploads\/2023\/12\/vetgeneve_logo_horizontal_rvb.svg","contentUrl":"https:\/\/www.centrevetgeneve.ch\/wp-content\/uploads\/2023\/12\/vetgeneve_logo_horizontal_rvb.svg","caption":"Centre VetGen\u00e8ve"},"image":{"@id":"https:\/\/www.centrevetgeneve.ch\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/VetGeneve"]}]}},"_links":{"self":[{"href":"https:\/\/www.centrevetgeneve.ch\/en\/wp-json\/wp\/v2\/pages\/1341","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.centrevetgeneve.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.centrevetgeneve.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.centrevetgeneve.ch\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.centrevetgeneve.ch\/en\/wp-json\/wp\/v2\/comments?post=1341"}],"version-history":[{"count":55,"href":"https:\/\/www.centrevetgeneve.ch\/en\/wp-json\/wp\/v2\/pages\/1341\/revisions"}],"predecessor-version":[{"id":3374,"href":"https:\/\/www.centrevetgeneve.ch\/en\/wp-json\/wp\/v2\/pages\/1341\/revisions\/3374"}],"wp:attachment":[{"href":"https:\/\/www.centrevetgeneve.ch\/en\/wp-json\/wp\/v2\/media?parent=1341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}