{"id":1230,"date":"2021-01-29T20:37:46","date_gmt":"2021-01-30T00:37:46","guid":{"rendered":"https:\/\/truffe.webloft.dev\/formulaire-consultation-integrative\/"},"modified":"2021-03-22T14:32:54","modified_gmt":"2021-03-22T18:32:54","slug":"form-integrative-consultation","status":"publish","type":"page","link":"https:\/\/veterinairetruffecie.com\/en\/form-integrative-consultation\/","title":{"rendered":"Form Integrative Consultation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1230\" class=\"elementor elementor-1230 elementor-904\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-385c4b4 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"385c4b4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0de5036\" data-id=\"0de5036\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7d3bbab elementor-widget elementor-widget-heading\" data-id=\"7d3bbab\" 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\">Consultation Form<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60e7530 elementor-widget elementor-widget-spacer\" data-id=\"60e7530\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f6fae4 elementor-widget elementor-widget-heading\" data-id=\"7f6fae4\" 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<h2 class=\"elementor-heading-title elementor-size-default\">Integrative Consultation<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e78e6f2 elementor-widget elementor-widget-spacer\" data-id=\"e78e6f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1f14040 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1f14040\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-76140335\" data-id=\"76140335\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-235ca297 elementor-widget elementor-widget-spacer\" data-id=\"235ca297\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-789380e3 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"789380e3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&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 consultation int\u00e9grative\" aria-label=\"Formulaire consultation int\u00e9grative\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1230\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"789380e3\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Form integrative consultation | Truffe et compagnie\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"1230\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_00af470 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Client information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" 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-html elementor-field-group elementor-column elementor-field-group-field_4c7213e elementor-col-100\">\n\t\t\t\t\t<b>Client information<\/b>\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_d1c83f3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d1c83f3\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tFirst name\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_d1c83f3]\" id=\"form-field-field_d1c83f3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First name\">\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-name elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tLast name\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[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Last name\">\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_2b71d5c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2b71d5c\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPhone\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_2b71d5c]\" id=\"form-field-field_2b71d5c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\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-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tE-mail\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[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-mail\" 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_47751b6 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_47751b6\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAddress\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_47751b6]\" id=\"form-field-field_47751b6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address\" 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_020e9c0 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_020e9c0\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tCity\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_020e9c0]\" id=\"form-field-field_020e9c0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City\" 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_84ab4af elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_84ab4af\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tProvince\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_84ab4af]\" id=\"form-field-field_84ab4af\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Province\" 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-step elementor-field-group elementor-column elementor-field-group-field_3c14e16 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Patient information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" 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-html elementor-field-group elementor-column elementor-field-group-field_25c44da elementor-col-100\">\n\t\t\t\t\t<b>Patient information<\/b>\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_afd2219 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_afd2219\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAnimal name\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_afd2219]\" id=\"form-field-field_afd2219\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Animal name\">\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_8b4b47f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8b4b47f\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSpecie\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_8b4b47f]\" id=\"form-field-field_8b4b47f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Specie\">\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_41718ac elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_41718ac\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tBreed\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_41718ac]\" id=\"form-field-field_41718ac\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Breed\">\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-number elementor-field-group elementor-column elementor-field-group-field_b3a13c8 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b3a13c8\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_b3a13c8]\" id=\"form-field-field_b3a13c8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Age\" min=\"0\" max=\"30\" >\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_fec0884 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fec0884\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\t Sterilized\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<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_fec0884]\" id=\"form-field-field_fec0884\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Neutered\">Neutered<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Intact\">Intact<\/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_0fb0082 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\" Medical file\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" 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-html elementor-field-group elementor-column elementor-field-group-field_9d4a8d6 elementor-col-100\">\n\t\t\t\t\t<b>Clinic names where you have previously consulted for a medical problem and previous medical records<\/b>\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_722fd4f elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_722fd4f\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\t Clinics Consulted\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_722fd4f]\" id=\"form-field-field_722fd4f\" rows=\"6\" placeholder=\"Please have us sent your pet medical files including radiographs and tests at least 24 hours in advance.  \"><\/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_0d3b1be elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0d3b1be\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPhoto folder\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_0d3b1be][]\" id=\"form-field-field_0d3b1be\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" multiple=\"multiple\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_75cdc03 elementor-col-100\">\n\t\t\t\t\t<b>Medications<\/b>\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_3e54b94 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3e54b94\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tText Medication\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_3e54b94]\" id=\"form-field-field_3e54b94\" rows=\"6\" placeholder=\"Fill up medication informations here.  Alternatively, you can send us pictures of the bottles or take the medication with you at your appointment.  \"><\/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_6a522ad elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6a522ad\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tMedication Photo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_6a522ad][]\" id=\"form-field-field_6a522ad\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" multiple=\"multiple\">\n\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_3e6e18a elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Additional information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" 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-html elementor-field-group elementor-column elementor-field-group-field_15b7e17 elementor-col-100\">\n\t\t\t\t\t<b>Supplements\/Medicinal Plants<\/b>\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_71cce39 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_71cce39\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSupplements given\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_71cce39]\" id=\"form-field-field_71cce39\" rows=\"6\" placeholder=\"Fill up supplements and medicinal plants information\u2019s here.  Alternatively, you can send us pictures of the bottles, take the medication with you at your appointment or send us a web link.\"><\/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_4ac6572 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4ac6572\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPhoto supplement\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_4ac6572][]\" id=\"form-field-field_4ac6572\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" multiple=\"multiple\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_63493c9 elementor-col-100\">\n\t\t\t\t\t<b>Food<\/b>\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_a4df5f8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a4df5f8\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tFood text\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_a4df5f8]\" id=\"form-field-field_a4df5f8\" rows=\"6\" placeholder=\"Diet name if your animal is fed a commercial diet, you can take a picture of your current bag or send us a web link.  List of treats.  Ingredients list if you feed your animal a home-made diet.\"><\/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_6b96519 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6b96519\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPhoto alimentation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_6b96519][]\" id=\"form-field-field_6b96519\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" multiple=\"multiple\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_cb5a7ef elementor-col-100\">\n\t\t\t\t\t<b>Exercises<\/b>\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_666cc99 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_666cc99\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\ttext exercises\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_666cc99]\" id=\"form-field-field_666cc99\" rows=\"6\" placeholder=\"Exercise types and level, physiotherapy, other\"><\/textarea>\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_6fa505e elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Appointment\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" 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-html elementor-field-group elementor-column elementor-field-group-field_ce1f478 elementor-col-100\">\n\t\t\t\t\t<b>Reason for the appointment<\/b>\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-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tReason for the appointment Text\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[message]\" id=\"form-field-message\" rows=\"6\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d21f2b8 elementor-col-100\">\n\t\t\t\t\t<b>Interest for <\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_0d6205a elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0d6205a\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\t choice Interests for\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=\"checkbox\" value=\"Acupuncture\" id=\"form-field-field_0d6205a-0\" name=\"form_fields[field_0d6205a][]\"> <label for=\"form-field-field_0d6205a-0\">Acupuncture<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Medicinal plants\" id=\"form-field-field_0d6205a-1\" name=\"form_fields[field_0d6205a][]\"> <label for=\"form-field-field_0d6205a-1\">Medicinal plants<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Osteopathy\" id=\"form-field-field_0d6205a-2\" name=\"form_fields[field_0d6205a][]\"> <label for=\"form-field-field_0d6205a-2\">Osteopathy<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Natural nutrition plan\" id=\"form-field-field_0d6205a-3\" name=\"form_fields[field_0d6205a][]\"> <label for=\"form-field-field_0d6205a-3\">Natural nutrition plan<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Physiotherapy\" id=\"form-field-field_0d6205a-4\" name=\"form_fields[field_0d6205a][]\"> <label for=\"form-field-field_0d6205a-4\">Physiotherapy<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Therapeutic laser\" id=\"form-field-field_0d6205a-5\" name=\"form_fields[field_0d6205a][]\"> <label for=\"form-field-field_0d6205a-5\">Therapeutic laser<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Tui-Na massages\" id=\"form-field-field_0d6205a-6\" name=\"form_fields[field_0d6205a][]\"> <label for=\"form-field-field_0d6205a-6\">Tui-Na massages<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Conventional medicine\" id=\"form-field-field_0d6205a-7\" name=\"form_fields[field_0d6205a][]\"> <label for=\"form-field-field_0d6205a-7\">Conventional medicine<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_cdd586a elementor-col-100\">\n\t\t\t\t\t<b>Preferable time slots for you  <\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_61327f0 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_61327f0\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\t Choice of time slot\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Monday morning\" id=\"form-field-field_61327f0-0\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-0\">Monday morning<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Monday afternoon\" id=\"form-field-field_61327f0-1\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-1\">Monday afternoon<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Monday evening\" id=\"form-field-field_61327f0-2\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-2\">Monday evening<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Tuesday morning\" id=\"form-field-field_61327f0-3\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-3\">Tuesday morning<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Tuesday afternoon\" id=\"form-field-field_61327f0-4\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-4\">Tuesday afternoon<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Tuesday evening\" id=\"form-field-field_61327f0-5\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-5\">Tuesday evening<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Wednesday morning\" id=\"form-field-field_61327f0-6\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-6\">Wednesday morning<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Wednesday afternoon\" id=\"form-field-field_61327f0-7\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-7\">Wednesday afternoon<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Wednesday evening\" id=\"form-field-field_61327f0-8\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-8\">Wednesday evening<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Thursday morning\" id=\"form-field-field_61327f0-9\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-9\">Thursday morning<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Thursday afternoon\" id=\"form-field-field_61327f0-10\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-10\">Thursday afternoon<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Thursday evening\" id=\"form-field-field_61327f0-11\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-11\">Thursday evening<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Friday morning\" id=\"form-field-field_61327f0-12\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-12\">Friday morning<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Friday afternoon\" id=\"form-field-field_61327f0-13\" name=\"form_fields[field_61327f0][]\"> <label for=\"form-field-field_61327f0-13\">Friday afternoon<\/label><\/span><\/div>\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\">Send<\/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<div class=\"elementor-element elementor-element-c6f14ab elementor-widget elementor-widget-text-editor\" data-id=\"c6f14ab\" 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>We will call you to schedule an appointment within 24 business hours.<\/p><p>Looking forward to meet you!<\/p><p>The Truffe Clinic team<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6389e250\" data-id=\"6389e250\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7905de2f elementor-widget__width-initial elementor-absolute elementor-hidden-phone elementor-widget elementor-widget-spacer\" data-id=\"7905de2f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateX_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:6.9000000000000003552713678800500929355621337890625,&quot;sizes&quot;:[]},&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:20,&quot;end&quot;:50}},&quot;motion_fx_blur_effect&quot;:&quot;yes&quot;,&quot;motion_fx_blur_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;motion_fx_blur_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:20,&quot;end&quot;:42}},&quot;_position&quot;:&quot;absolute&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_translateX_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;motion_fx_translateX_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_blur_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e739555 elementor-widget__width-initial elementor-absolute elementor-hidden-phone elementor-widget-tablet__width-initial elementor-widget elementor-widget-spacer\" data-id=\"1e739555\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1.899999999999999911182158029987476766109466552734375,&quot;sizes&quot;:[]},&quot;motion_fx_translateX_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateX_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateX_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:51}},&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:6.9000000000000003552713678800500929355621337890625,&quot;sizes&quot;:[]},&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:20,&quot;end&quot;:50}},&quot;motion_fx_blur_effect&quot;:&quot;yes&quot;,&quot;motion_fx_blur_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;motion_fx_blur_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:20,&quot;end&quot;:42}},&quot;_position&quot;:&quot;absolute&quot;,&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_translateX_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_blur_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Consultation Form Integrative Consultation We will call you to schedule an appointment within 24 business hours. Looking forward to meet you! The Truffe Clinic team<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":-9999,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1230","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>Form integrative consultation | Truffe et compagnie<\/title>\n<meta name=\"description\" content=\"Make a request via our integrative consultation form and we will call you to schedule an appointment within 24 business hours.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/veterinairetruffecie.com\/en\/form-integrative-consultation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Form integrative consultation | Truffe et compagnie\" \/>\n<meta property=\"og:description\" content=\"Make a request via our integrative consultation form and we will call you to schedule an appointment within 24 business hours.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/veterinairetruffecie.com\/en\/form-integrative-consultation\/\" \/>\n<meta property=\"og:site_name\" content=\"Truffe et compagnie\" \/>\n<meta property=\"article:modified_time\" content=\"2021-03-22T18:32:54+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" 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