{"id":7905,"date":"2018-06-19T09:59:14","date_gmt":"2018-06-19T09:59:14","guid":{"rendered":"http:\/\/www.rothgygax.ch\/?page_id=7905\/"},"modified":"2018-06-19T11:36:44","modified_gmt":"2018-06-19T11:36:44","slug":"demande-doffre-responsabilite-civile-professionnelle","status":"publish","type":"page","link":"https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/","title":{"rendered":"Demande d&rsquo;offre responsabilit\u00e9 civile professionnelle"},"content":{"rendered":"<section class=\"l-section wpb_row height_medium\" style=\"margin-bottom: -30px !important;\"><div class=\"l-section-h i-cf\"><div class=\"g-cols type_default valign_top\"><div class=\"vc_col-sm-9 wpb_column vc_column_container\"><div class=\"vc_column-inner  vc_custom_1503315981596\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox iconpos_left style_default color_primary no_text icontype_img font-weight: 700\"><div class=\"w-iconbox-icon\" style=\"font-size:60px;\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.rothgygax.ch\/wp-content\/uploads\/2017\/04\/Berufshaftpflicht.png\" width=\"583\" height=\"583\" alt=\"Demande d'offre\"><\/div><div class=\"w-iconbox-meta\"><h1 class=\"w-iconbox-title\" style=\"font-size:50px\">Demande d'offre<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-3 wpb_column vc_column_container has-fill\"><div class=\"vc_column-inner  vc_custom_1503317955718 color_custom\" style=\"color:#ffffff;\"><div class=\"wpb_wrapper\">\r\n\t<div class=\"wpb_text_column  vc_custom_1529402381662 w-actionbox-text\">\r\n\t\t<div class=\"wpb_wrapper\">\r\n\t\t\t<h4 style=\"text-align: left;\">Nous contacter au:<\/h4>\n\r\n\t\t<\/div>\r\n\t<\/div>\r\n\r\n\t<div class=\"wpb_text_column  link2\">\r\n\t\t<div class=\"wpb_wrapper\">\r\n\t\t\t<h3 style=\"text-align: left;\"><span style=\"color: #f1f1f1;\">031 959 35 50<\/span><\/h3>\n\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols type_default valign_top\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\r\n\t<div class=\"wpb_text_column \">\r\n\t\t<div class=\"wpb_wrapper\">\r\n\t\t\t<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.6\" data-cf-form-id=\"CF5b28cf06ae0dd\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/www.rothgygax.ch\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5b28cf06ae0dd caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5b28cf06ae0dd_1\" data-form-id=\"CF5b28cf06ae0dd\" aria-label=\"Offerte Berufshaftpflichtversicherung FR\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5b28cf06ae0dd-tmpl\" data-cfajax=\"CF5b28cf06ae0dd\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/www.rothgygax.ch\/fr\/\/cf-api\/CF5b28cf06ae0dd\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5b28cf06ae0dd\" name=\"_cf_verify\" value=\"7a65fa097c\"  data-nonce-time=\"1778882908\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/7905\" \/><div id=\"cf2-CF5b28cf06ae0dd_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5b28cf06ae0dd\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5b28cf06ae0dd\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"7905\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Phone<\/label><input type=\"text\" name=\"phone\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5b28cf06ae0dd_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_3491929\" class=\"form-group\" id=\"fld_3491929_1-wrap\">\r\n\t<label id=\"fld_3491929Label\" for=\"fld_3491929_1\" class=\"control-label\">Pr\u00e9nom <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3491929\" class=\" form-control\" id=\"fld_3491929_1\" name=\"fld_3491929\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3491929Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_9558532\" class=\"form-group\" id=\"fld_9558532_1-wrap\">\r\n\t<label id=\"fld_9558532Label\" for=\"fld_9558532_1\" class=\"control-label\">Nom <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9558532\" class=\" form-control\" id=\"fld_9558532_1\" name=\"fld_9558532\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9558532Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-2\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_7225103\" class=\"form-group\" id=\"fld_7225103_1-wrap\">\r\n\t<label id=\"fld_7225103Label\" for=\"fld_7225103_1\" class=\"control-label\">Adresse<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7225103\" class=\" form-control\" id=\"fld_7225103_1\" name=\"fld_7225103\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7225103Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_3221529\" class=\"form-group\" id=\"fld_3221529_1-wrap\">\r\n\t<label id=\"fld_3221529Label\" for=\"fld_3221529_1\" class=\"control-label\">NPA \/ Lieu <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3221529\" class=\" form-control\" id=\"fld_3221529_1\" name=\"fld_3221529\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3221529Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-3\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_9445267\" class=\"form-group\" id=\"fld_9445267_1-wrap\">\r\n\t<label id=\"fld_9445267Label\" for=\"fld_9445267_1\" class=\"control-label\">Num\u00e9ro de t\u00e9l\u00e9phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9445267\" class=\" form-control\" id=\"fld_9445267_1\" name=\"fld_9445267\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9445267Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_561303\" class=\"form-group\" id=\"fld_561303_1-wrap\">\r\n\t<label id=\"fld_561303Label\" for=\"fld_561303_1\" class=\"control-label\">Atteignable le plus facilement<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_561303\" class=\" form-control\" id=\"fld_561303_1\" name=\"fld_561303\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_561303Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-4\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7257242\" class=\"form-group\" id=\"fld_7257242_1-wrap\">\r\n\t<label id=\"fld_7257242Label\" for=\"fld_7257242_1\" class=\"control-label\">Adresse mail <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_7257242\" class=\" form-control\" id=\"fld_7257242_1\" name=\"fld_7257242\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_7257242Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-5\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_3452218\" class=\"form-group\" id=\"fld_3452218_1-wrap\">\r\n\t<label id=\"fld_3452218Label\" for=\"fld_3452218_1\" class=\"control-label\">Domaine de sp\u00e9cialit\u00e9 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_3452218\" value=\"\" data-field=\"fld_3452218\" class=\"form-control\" id=\"fld_3452218_1\"  required=\"required\"  aria-labelledby=\"fld_3452218Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Anesth\u00e9siologie\"  data-calc-value=\"Anesth\u00e9siologie\" >\n\t\t\t\t\t\tAnesth\u00e9siologie\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cabinet dentaire\"  data-calc-value=\"Cabinet dentaire\" >\n\t\t\t\t\t\tCabinet dentaire\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cardiologie (avec chirurgie)\"  data-calc-value=\"Cardiologie (avec chirurgie)\" >\n\t\t\t\t\t\tCardiologie (avec chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cardiologie (sans chirurgie)\"  data-calc-value=\"Cardiologie (sans chirurgie)\" >\n\t\t\t\t\t\tCardiologie (sans chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chiropratique\"  data-calc-value=\"Chiropratique\" >\n\t\t\t\t\t\tChiropratique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chirurgie \/ Chirurgie cardiaque et vasculaire thoracique \/ Chirurgie p\u00e9diatrique\"  data-calc-value=\"Chirurgie \/ Chirurgie cardiaque et vasculaire thoracique \/ Chirurgie p\u00e9diatrique\" >\n\t\t\t\t\t\tChirurgie \/ Chirurgie cardiaque et vasculaire thoracique \/ Chirurgie p\u00e9diatrique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chirurgie orale et maxillo-faciale \/ Oto-Rhino-Laryngologie (avec chirurgie)\"  data-calc-value=\"Chirurgie orale et maxillo-faciale \/ Oto-Rhino-Laryngologie (avec chirurgie)\" >\n\t\t\t\t\t\tChirurgie orale et maxillo-faciale \/ Oto-Rhino-Laryngologie (avec chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chirurgie orthop\u00e9dique et traumatologie de l&#039;appareil locomoteur \/ Chirurgie de la main\"  data-calc-value=\"Chirurgie orthop\u00e9dique et traumatologie de l&#039;appareil locomoteur \/ Chirurgie de la main\" >\n\t\t\t\t\t\tChirurgie orthop\u00e9dique et traumatologie de l&#039;appareil locomoteur \/ Chirurgie de la main\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dermatologie et v\u00e9n\u00e9r\u00e9ologie\"  data-calc-value=\"Dermatologie et v\u00e9n\u00e9r\u00e9ologie\" >\n\t\t\t\t\t\tDermatologie et v\u00e9n\u00e9r\u00e9ologie\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dermatologie et v\u00e9n\u00e9r\u00e9ologie (sans phl\u00e9bologie)\"  data-calc-value=\"Dermatologie et v\u00e9n\u00e9r\u00e9ologie (sans phl\u00e9bologie)\" >\n\t\t\t\t\t\tDermatologie et v\u00e9n\u00e9r\u00e9ologie (sans phl\u00e9bologie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gastroent\u00e9rologie (avec h\u00e9patologie)\"  data-calc-value=\"Gastroent\u00e9rologie (avec h\u00e9patologie)\" >\n\t\t\t\t\t\tGastroent\u00e9rologie (avec h\u00e9patologie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gyn\u00e9cologie (avec suivi de grossesse mais sans chirurgie et accouchement)\"  data-calc-value=\"Gyn\u00e9cologie (avec suivi de grossesse mais sans chirurgie et accouchement)\" >\n\t\t\t\t\t\tGyn\u00e9cologie (avec suivi de grossesse mais sans chirurgie et accouchement)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gyn\u00e9cologie (sans assistance durant la grossesse et obst\u00e9trique ainsi que sans chirurgie)\"  data-calc-value=\"Gyn\u00e9cologie (sans assistance durant la grossesse et obst\u00e9trique ainsi que sans chirurgie)\" >\n\t\t\t\t\t\tGyn\u00e9cologie (sans assistance durant la grossesse et obst\u00e9trique ainsi que sans chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gyn\u00e9cologie et obst\u00e9trique (avec assistance durant la grossesse)\"  data-calc-value=\"Gyn\u00e9cologie et obst\u00e9trique (avec assistance durant la grossesse)\" >\n\t\t\t\t\t\tGyn\u00e9cologie et obst\u00e9trique (avec assistance durant la grossesse)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9decin praticien\"  data-calc-value=\"M\u00e9decin praticien\" >\n\t\t\t\t\t\tM\u00e9decin praticien\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9decine g\u00e9n\u00e9raliste et interne (sans gastroent\u00e9rologie et sans cardiologie)\"  data-calc-value=\"M\u00e9decine g\u00e9n\u00e9raliste et interne (sans gastroent\u00e9rologie et sans cardiologie)\" >\n\t\t\t\t\t\tM\u00e9decine g\u00e9n\u00e9raliste et interne (sans gastroent\u00e9rologie et sans cardiologie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9decine intensive\"  data-calc-value=\"M\u00e9decine intensive\" >\n\t\t\t\t\t\tM\u00e9decine intensive\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9decine pharmaceutique\"  data-calc-value=\"M\u00e9decine pharmaceutique\" >\n\t\t\t\t\t\tM\u00e9decine pharmaceutique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9decine physique et r\u00e9adaptation\"  data-calc-value=\"M\u00e9decine physique et r\u00e9adaptation\" >\n\t\t\t\t\t\tM\u00e9decine physique et r\u00e9adaptation\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9decine tropicale et m\u00e9decine de voyages\"  data-calc-value=\"M\u00e9decine tropicale et m\u00e9decine de voyages\" >\n\t\t\t\t\t\tM\u00e9decine tropicale et m\u00e9decine de voyages\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Neurochirurgie\"  data-calc-value=\"Neurochirurgie\" >\n\t\t\t\t\t\tNeurochirurgie\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Neurologie (sans chirurgie)\"  data-calc-value=\"Neurologie (sans chirurgie)\" >\n\t\t\t\t\t\tNeurologie (sans chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ophtalmologie\"  data-calc-value=\"Ophtalmologie\" >\n\t\t\t\t\t\tOphtalmologie\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ophtalmologie (sans chirurgie)\"  data-calc-value=\"Ophtalmologie (sans chirurgie)\" >\n\t\t\t\t\t\tOphtalmologie (sans chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Orthop\u00e9die (sans chirurgie)\"  data-calc-value=\"Orthop\u00e9die (sans chirurgie)\" >\n\t\t\t\t\t\tOrthop\u00e9die (sans chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Orthop\u00e9die dento-faciale\"  data-calc-value=\"Orthop\u00e9die dento-faciale\" >\n\t\t\t\t\t\tOrthop\u00e9die dento-faciale\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Oto-Rhino-Laryngologie (sans chirurgie)\"  data-calc-value=\"Oto-Rhino-Laryngologie (sans chirurgie)\" >\n\t\t\t\t\t\tOto-Rhino-Laryngologie (sans chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"P\u00e9diatrie (sans chirurgie)\"  data-calc-value=\"P\u00e9diatrie (sans chirurgie)\" >\n\t\t\t\t\t\tP\u00e9diatrie (sans chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pharmacologie et toxicologie cliniques, Histologie, Infectiologie, G\u00e9n\u00e9tique m\u00e9dicale, M\u00e9decine du travail, M\u00e9decine l\u00e9gale, Pathologie, Neuropathologie\"  data-calc-value=\"Pharmacologie et toxicologie cliniques, Histologie, Infectiologie, G\u00e9n\u00e9tique m\u00e9dicale, M\u00e9decine du travail, M\u00e9decine l\u00e9gale, Pathologie, Neuropathologie\" >\n\t\t\t\t\t\tPharmacologie et toxicologie cliniques, Histologie, Infectiologie, G\u00e9n\u00e9tique m\u00e9dicale, M\u00e9decine du travail, M\u00e9decine l\u00e9gale, Pathologie, Neuropathologie\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pr\u00e9vention et sant\u00e9 publique\"  data-calc-value=\"Pr\u00e9vention et sant\u00e9 publique\" >\n\t\t\t\t\t\tPr\u00e9vention et sant\u00e9 publique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Psychiatrie et psychoth\u00e9rapie \/ Psychiatrie et psychoth\u00e9rapie d&#039;enfants et d&#039;adolescents\"  data-calc-value=\"Psychiatrie et psychoth\u00e9rapie \/ Psychiatrie et psychoth\u00e9rapie d&#039;enfants et d&#039;adolescents\" >\n\t\t\t\t\t\tPsychiatrie et psychoth\u00e9rapie \/ Psychiatrie et psychoth\u00e9rapie d&#039;enfants et d&#039;adolescents\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Psychoth\u00e9rapie, psychanalyse (param\u00e9dicale)\"  data-calc-value=\"Psychoth\u00e9rapie, psychanalyse (param\u00e9dicale)\" >\n\t\t\t\t\t\tPsychoth\u00e9rapie, psychanalyse (param\u00e9dicale)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Radiologie \/ Radio-oncologie \/ Radioth\u00e9rapie\"  data-calc-value=\"Radiologie \/ Radio-oncologie \/ Radioth\u00e9rapie\" >\n\t\t\t\t\t\tRadiologie \/ Radio-oncologie \/ Radioth\u00e9rapie\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sage-femme\"  data-calc-value=\"Sage-femme\" >\n\t\t\t\t\t\tSage-femme\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Urologie (avec chirurgie)\"  data-calc-value=\"Urologie (avec chirurgie)\" >\n\t\t\t\t\t\tUrologie (avec chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Urologie (sans chirurgie)\"  data-calc-value=\"Urologie (sans chirurgie)\" >\n\t\t\t\t\t\tUrologie (sans chirurgie)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Autre domaine de sp\u00e9cialit\u00e9\"  data-calc-value=\"Autre domaine de sp\u00e9cialit\u00e9\" >\n\t\t\t\t\t\tAutre domaine de sp\u00e9cialit\u00e9\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-6\"  class=\"row \"><div  class=\"col-sm-12  single\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_5719534_1\" data-field-id=\"fld_5719534_1\"><\/span><\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_183611\" class=\"form-group\" id=\"fld_183611_1-wrap\">\r\n\t<label id=\"fld_183611Label\" for=\"fld_183611_1\" class=\"control-label\">Taux d'activit\u00e9 (%) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_183611\" class=\" form-control\" id=\"fld_183611_1\" name=\"fld_183611\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_183611Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-8\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_3886711\" class=\"form-group\" id=\"fld_3886711_1-wrap\">\r\n<label id=\"fld_3886711Label\" for=\"fld_3886711_1\" class=\"control-label\">Communaut\u00e9 de cabinet<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Oui\" for=\"fld_3886711_1_opt1223418\"><input type=\"radio\" id=\"fld_3886711_1_opt1223418\" data-field=\"fld_3886711\" class=\"fld_3886711_1\" name=\"fld_3886711\" value=\"Oui\"    data-radio-field=\"fld_3886711_1\" data-type=\"radio\" data-calc-value=\"Oui\" \/>\n\t\t\tOui\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"Non\" for=\"fld_3886711_1_opt1931700\"><input type=\"radio\" id=\"fld_3886711_1_opt1931700\" data-field=\"fld_3886711\" class=\"fld_3886711_1\" name=\"fld_3886711\" value=\"Non\"    data-radio-field=\"fld_3886711_1\" data-type=\"radio\" data-calc-value=\"Non\" \/>\n\t\t\tNon\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_158430\" class=\"form-group\" id=\"fld_158430_1-wrap\">\r\n\t<label id=\"fld_158430Label\" for=\"fld_158430_1\" class=\"control-label\">Forme juridique du cabinet<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_158430\" class=\" form-control\" id=\"fld_158430_1\" name=\"fld_158430\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_158430Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-9\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7749147\" class=\"form-group\" id=\"fld_7749147_1-wrap\">\r\n<label id=\"fld_7749147Label\" for=\"fld_7749147_1\" class=\"control-label\">Travaillez autres m\u00e9decins dans votre cabinet?<\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Oui\" for=\"fld_7749147_1_opt1928063\"><input type=\"radio\" id=\"fld_7749147_1_opt1928063\" data-field=\"fld_7749147\" class=\"fld_7749147_1\" name=\"fld_7749147\" value=\"Oui\"    data-radio-field=\"fld_7749147_1\" data-type=\"radio\" data-calc-value=\"Oui\" \/>\n\t\t\tOui\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"Non\" for=\"fld_7749147_1_opt2025575\"><input type=\"radio\" id=\"fld_7749147_1_opt2025575\" data-field=\"fld_7749147\" class=\"fld_7749147_1\" name=\"fld_7749147\" value=\"Non\"    data-radio-field=\"fld_7749147_1\" data-type=\"radio\" data-calc-value=\"Non\" \/>\n\t\t\tNon\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-10\"  class=\"row \"><div  class=\"col-sm-12  single\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_1944509_1\" data-field-id=\"fld_1944509_1\"><\/span><\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-11\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_1146327\" class=\"form-group\" id=\"fld_1146327_1-wrap\">\r\n\t<label id=\"fld_1146327Label\" for=\"fld_1146327_1\" class=\"control-label\">Traitements sp\u00e9ciaux \/ traitements non index\u00e9s<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_1146327\" value=\"\" data-field=\"fld_1146327\" class=\"form-control\" id=\"fld_1146327_1\" rows=\"4\"    aria-labelledby=\"fld_1146327Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-12\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_8865201\" class=\"form-group\" id=\"fld_8865201_1-wrap\">\r\n\t<label id=\"fld_8865201Label\" for=\"fld_8865201_1\" class=\"control-label\">Remarques<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_8865201\" value=\"\" data-field=\"fld_8865201\" class=\"form-control\" id=\"fld_8865201_1\" rows=\"4\"    aria-labelledby=\"fld_8865201Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-13\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_5118077\" class=\"form-group\" id=\"fld_5118077_1-wrap\">\r\n\t<label id=\"fld_5118077Label\" for=\"fld_5118077_1\" class=\"control-label\">Voulez-vous nous envoyer une copie de votre police actuelle?<\/label>\r\n\t<div class=\"file-prevent-overflow\">\r\n\t\t<div id=\"fld_5118077_1_file_list\" class=\"cf-multi-uploader-list\"><\/div>\n\t\t\t\t<input type=\"file\" name=\"fld_5118077\" value=\"\" data-field=\"fld_5118077\" class=\"\" id=\"fld_5118077_1\" data-controlid=\"trupl6a07995c09e02\"      aria-labelledby=\"fld_5118077Label\">\n\t\t<input type=\"hidden\" name=\"fld_5118077\" value=\"trupl6a07995c09e02\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b28cf06ae0dd_1-row-14\"  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_913675\" class=\"form-group\" id=\"fld_913675_1-wrap\">\r\n<label id=\"fld_913675Label\" for=\"fld_913675_1\" class=\"control-label screen-reader-text sr-only\">captcha<\/label>\r\n\n\n<div class=\"\">\r\n\n<input placeholder=\"captcha\"  required type=\"hidden\" data-field=\"fld_913675\" class=\" form-control\" id=\"fld_913675_1\" name=\"fld_913675\" value=\"\" data-type=\"recaptcha\" aria-required=\"true\"   aria-labelledby=\"fld_913675Label\" >\n\t<div id=\"capfld_913675_1\" class=\"g-recaptcha\" data-sitekey=\"6Lct7sAUAAAAAAGx_Z2ZsjwStUzn9pzSSIcsbtmo\" ><\/div>\n\n\n<\/div>\r\n\n<\/div>\r\n<div data-field-wrapper=\"fld_7853499\" class=\"form-group\" id=\"fld_7853499_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_7853499\" id=\"fld_7853499_1\" value=\"Envoyer\" data-field=\"fld_7853499\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_7853499\" id=\"fld_7853499_1_btn\" value=\"\" data-field=\"fld_7853499\"  \/>\n<\/div><\/div><\/form>\r\n<\/div>\r\n<script type=\"text\/javascript\">\r\nif( typeof caldera_conditionals === \"undefined\" ){ var caldera_conditionals = {}; }caldera_conditionals.CF5b28cf06ae0dd_1 = {\"fld_5719534_1\":{\"type\":\"show\",\"group\":{\"rw1681117793882774\":{\"cl5796114625321874\":{\"parent\":\"rw1681117793882774\",\"field\":\"fld_3452218\",\"compare\":\"is\",\"value\":\"Autre domaine de sp\\u00e9cialit\\u00e9\",\"label\":\"Autre domaine de sp\\u00e9cialit\\u00e9\"}}}},\"fld_1944509_1\":{\"type\":\"show\",\"group\":{\"rw9550045329218360\":{\"cl3566266886948090\":{\"parent\":\"rw9550045329218360\",\"field\":\"fld_7749147\",\"compare\":\"is\",\"value\":\"Oui\",\"label\":\"Oui\"}}}}};\r\n<\/script>\r\n<script type=\"text\/html\" id=\"conditional-fld_5719534_1-tmpl\">\r\n<div data-field-wrapper=\"fld_5719534\" class=\"form-group\" id=\"fld_5719534_1-wrap\">\r\n\t<label id=\"fld_5719534Label\" for=\"fld_5719534_1\" class=\"control-label\">Autre domaine de sp\u00e9cialit\u00e9<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5719534\" class=\" form-control\" id=\"fld_5719534_1\" name=\"fld_5719534\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5719534Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_1944509_1-tmpl\">\r\n<div data-field-wrapper=\"fld_1944509\" class=\"form-group\" id=\"fld_1944509_1-wrap\">\r\n\t<label id=\"fld_1944509Label\" for=\"fld_1944509_1\" class=\"control-label\">Domaine de sp\u00e9cialit\u00e9 et taux d'activit\u00e9 de ses m\u00e9dedins<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1944509\" class=\" form-control\" id=\"fld_1944509_1\" name=\"fld_1944509\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1944509Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\n\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Demande d'offre Nous contacter au: 031 959 35 50 Order Number Pr\u00e9nom * Nom * Adresse NPA \/ Lieu * Num\u00e9ro de t\u00e9l\u00e9phone Atteignable le plus facilement Adresse mail *...","protected":false},"author":3,"featured_media":0,"parent":6502,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-7905","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Demande d&#039;offre responsabilit\u00e9 civile professionnelle - rothgygax<\/title>\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.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Demande d&#039;offre responsabilit\u00e9 civile professionnelle\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/\" \/>\n<meta property=\"og:site_name\" content=\"rothgygax\" \/>\n<meta property=\"article:modified_time\" content=\"2018-06-19T11:36:44+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\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.rothgygax.ch\\\/fr\\\/produits\\\/rc-prof\\\/demande-doffre-responsabilite-civile-professionnelle\\\/\",\"url\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/produits\\\/rc-prof\\\/demande-doffre-responsabilite-civile-professionnelle\\\/\",\"name\":\"Demande d'offre responsabilit\u00e9 civile professionnelle - rothgygax\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/#website\"},\"datePublished\":\"2018-06-19T09:59:14+00:00\",\"dateModified\":\"2018-06-19T11:36:44+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/produits\\\/rc-prof\\\/demande-doffre-responsabilite-civile-professionnelle\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/produits\\\/rc-prof\\\/demande-doffre-responsabilite-civile-professionnelle\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/produits\\\/rc-prof\\\/demande-doffre-responsabilite-civile-professionnelle\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Produits\",\"item\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/produits\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Responsabilit\u00e9 civile professionnelle\",\"item\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/produits\\\/rc-prof\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Demande d&#8217;offre responsabilit\u00e9 civile professionnelle\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/\",\"name\":\"rothgygax\",\"description\":\"Just another WordPress site\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.rothgygax.ch\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Demande d'offre responsabilit\u00e9 civile professionnelle - rothgygax","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.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/","og_locale":"fr_FR","og_type":"article","og_title":"Demande d'offre responsabilit\u00e9 civile professionnelle","og_url":"https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/","og_site_name":"rothgygax","article_modified_time":"2018-06-19T11:36:44+00:00","twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/","url":"https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/","name":"Demande d'offre responsabilit\u00e9 civile professionnelle - rothgygax","isPartOf":{"@id":"https:\/\/www.rothgygax.ch\/fr\/#website"},"datePublished":"2018-06-19T09:59:14+00:00","dateModified":"2018-06-19T11:36:44+00:00","breadcrumb":{"@id":"https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/demande-doffre-responsabilite-civile-professionnelle\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Startseite","item":"https:\/\/www.rothgygax.ch\/fr\/"},{"@type":"ListItem","position":2,"name":"Produits","item":"https:\/\/www.rothgygax.ch\/fr\/produits\/"},{"@type":"ListItem","position":3,"name":"Responsabilit\u00e9 civile professionnelle","item":"https:\/\/www.rothgygax.ch\/fr\/produits\/rc-prof\/"},{"@type":"ListItem","position":4,"name":"Demande d&#8217;offre responsabilit\u00e9 civile professionnelle"}]},{"@type":"WebSite","@id":"https:\/\/www.rothgygax.ch\/fr\/#website","url":"https:\/\/www.rothgygax.ch\/fr\/","name":"rothgygax","description":"Just another WordPress site","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.rothgygax.ch\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"_links":{"self":[{"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/pages\/7905","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/comments?post=7905"}],"version-history":[{"count":4,"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/pages\/7905\/revisions"}],"predecessor-version":[{"id":7908,"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/pages\/7905\/revisions\/7908"}],"up":[{"embeddable":true,"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/pages\/6502"}],"wp:attachment":[{"href":"https:\/\/www.rothgygax.ch\/fr\/wp-json\/wp\/v2\/media?parent=7905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}