{"id":3596,"date":"2023-08-02T14:18:46","date_gmt":"2023-08-02T14:18:46","guid":{"rendered":"https:\/\/sitpharma.com\/france\/?page_id=3596"},"modified":"2024-02-15T10:51:28","modified_gmt":"2024-02-15T10:51:28","slug":"demander-des-informations","status":"publish","type":"page","link":"https:\/\/sitpharma.com\/france\/demander-des-informations\/","title":{"rendered":"Demander des informations"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3596\" class=\"elementor elementor-3596\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-dce-background-color=\"#FFFFFF\" class=\"elementor-section elementor-top-section elementor-element elementor-element-61117d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"61117d5\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\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-8781bb4\" data-id=\"8781bb4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8fae52d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8fae52d\" data-element_type=\"section\">\n\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-inner-column elementor-element elementor-element-00ae061\" data-id=\"00ae061\" data-element_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-2f2ccf4 elementor-widget elementor-widget-heading\" data-id=\"2f2ccf4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DEMANDER DES INFORMATIONS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a54c30 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"1a54c30\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">POUR SIGNALER UN EFFET IND\u00c9SIDERABLE OU FAIRE UNE DEMANDE D'INFORMATION M\u00c9DICALE, VEUILLEZ\nREMPLIR LE FORMULAIRE EN CLIQUANT SUR <a href=\"https:\/\/sitpharma.com\/france\/pharmacovigilance-2\/\" style=\"text-decoration:underline\">CE LIEN<\/a>\n<br><br>\nPOUR TOUT AUTRE INFORMATION, VEUILLEZ REMPLIR LE FORMULAIRE Ci-DESSOUS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31f8963 elementor-widget elementor-widget-text-editor\" data-id=\"31f8963\" data-element_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<p>Nous vous contacterons sous le meilleur d\u00e9lai:<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d6096c elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"7d6096c\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Successivo&quot;,&quot;step_previous_label&quot;:&quot;Precedente&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;dce_confirm_dialog_enabled&quot;:&quot;no&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;,&quot;label_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;field_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Nuovo modulo\" novalidate=\"\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"3596\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"7d6096c\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Sitpharma &#8211; France\" \/>\n\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-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPr\u00e9nom*\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\" required=\"required\" aria-required=\"true\">\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_467732c elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_467732c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom de famille*\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_467732c]\" id=\"form-field-field_467732c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\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-select elementor-field-group elementor-column elementor-field-group-field_77b3ad5 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_77b3ad5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPays*\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_77b3ad5]\" id=\"form-field-field_77b3ad5\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"France\">France<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Afghanistan\">Afghanistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Albanie\">Albanie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Alg\u00e9rie\">Alg\u00e9rie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Andorre\">Andorre<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Angola\">Angola<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Antigua-et-Barbuda\">Antigua-et-Barbuda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Arabie Saoudite\">Arabie Saoudite<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Argentine\">Argentine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Arm\u00e9nie\">Arm\u00e9nie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Australie\">Australie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"L&#039;Autriche\">L&#039;Autriche<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Azerba\u00efdjan\">Azerba\u00efdjan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bahamas\">Bahamas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bahre\u00efn\">Bahre\u00efn<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bangladesh\">Bangladesh<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Barbade\">Barbade<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bi\u00e9lorussie\">Bi\u00e9lorussie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Belgique\">Belgique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"B\u00e9lize\">B\u00e9lize<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"B\u00e9nin\">B\u00e9nin<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bhoutan\">Bhoutan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bolivie\">Bolivie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bosnie Herz\u00e9govine\">Bosnie Herz\u00e9govine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Botswana\">Botswana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Br\u00e9sil\">Br\u00e9sil<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Brunei Darussalam\">Brunei Darussalam<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bulgarie\">Bulgarie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Burkina Faso\">Burkina Faso<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Burundi\">Burundi<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cambodge\">Cambodge<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cameroun\">Cameroun<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Canada\">Canada<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cap-Vert\">Cap-Vert<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tchad\">Tchad<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chili\">Chili<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chine\">Chine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chypre\">Chypre<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Colombie\">Colombie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Comores\">Comores<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Congo\">Congo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"les \u00celes Cook\">les \u00celes Cook<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cor\u00e9e du Nord\">Cor\u00e9e du Nord<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cor\u00e9e du Sud\">Cor\u00e9e du Sud<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Costa Rica\">Costa Rica<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Croatie\">Croatie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cuba\">Cuba<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Danemark\">Danemark<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Dominique\">Dominique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\u00c9quateur\">\u00c9quateur<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Egypte\">Egypte<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Le Salvador\">Le Salvador<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Emirats Arabes Unis\">Emirats Arabes Unis<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\u00c9rythr\u00e9e\">\u00c9rythr\u00e9e<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Estonie\">Estonie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Eswatini\">Eswatini<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ethiopie\">Ethiopie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fidji\">Fidji<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Philippines\">Philippines<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Finlande\">Finlande<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gabon\">Gabon<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gambie\">Gambie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"G\u00e9orgie\">G\u00e9orgie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Allemagne\">Allemagne<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ghana\">Ghana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Jama\u00efque\">Jama\u00efque<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Japon\">Japon<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Djibouti\">Djibouti<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Jordan\">Jordan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grande Bretagne\">Grande Bretagne<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gr\u00e8ce\">Gr\u00e8ce<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grenade\">Grenade<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guatemala\">Guatemala<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guin\u00e9e\">Guin\u00e9e<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guin\u00e9e Bissau\">Guin\u00e9e Bissau<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guin\u00e9e \u00c9quatoriale\">Guin\u00e9e \u00c9quatoriale<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guyane\">Guyane<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ha\u00efti\">Ha\u00efti<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Honduras\">Honduras<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Inde\">Inde<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Indon\u00e9sie\">Indon\u00e9sie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"L&#039;Iran\">L&#039;Iran<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Irak\">Irak<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Irlande\">Irlande<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Islande\">Islande<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Isra\u00ebl\">Isra\u00ebl<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Italie\">Italie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Serbie\">Serbie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kazakhstan\">Kazakhstan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kenya\">Kenya<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kirghizistan\">Kirghizistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kiribati\">Kiribati<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Koweit\">Koweit<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Laos\">Laos<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Lesotho\">Lesotho<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Lettonie\">Lettonie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Liban\">Liban<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Lib\u00e9ria\">Lib\u00e9ria<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Libye\">Libye<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Liechtenstein\">Liechtenstein<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Lituanie\">Lituanie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Luxembourg\">Luxembourg<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mac\u00e9doine du Nord\">Mac\u00e9doine du Nord<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Madagascar\">Madagascar<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Malawi\">Malawi<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Malaisie\">Malaisie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Maldives\">Maldives<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Les maux\">Les maux<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Malte\">Malte<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Maroc\">Maroc<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mauritanie\">Mauritanie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Maurice\">Maurice<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mexique\">Mexique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Micron\u00e9sie\">Micron\u00e9sie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Moldavie\">Moldavie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Moine\">Moine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mongolie\">Mongolie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mont\u00e9n\u00e9gro\">Mont\u00e9n\u00e9gro<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mozambique\">Mozambique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Namibie\">Namibie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nauru\">Nauru<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"N\u00e9pal\">N\u00e9pal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nicaragua\">Nicaragua<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Niger\">Niger<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nigeria\">Nigeria<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Norv\u00e8ge\">Norv\u00e8ge<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nouvelle Z\u00e9lande\">Nouvelle Z\u00e9lande<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Oman\">Oman<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pays-Bas\">Pays-Bas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pakistan\">Pakistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Palaos\">Palaos<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Palestine\">Palestine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Panama\">Panama<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Papouasie Nouvelle Guin\u00e9e\">Papouasie Nouvelle Guin\u00e9e<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Paraguay\">Paraguay<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"P\u00e9rou\">P\u00e9rou<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pologne\">Pologne<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"le Portugal\">le Portugal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Qatar\">Qatar<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Royaume-Uni\">Royaume-Uni<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9publique tch\u00e8que\">R\u00e9publique tch\u00e8que<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9publique centrafricaine\">R\u00e9publique centrafricaine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9publique du Congo\">R\u00e9publique du Congo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9publique D\u00e9mocratique du Congo\">R\u00e9publique D\u00e9mocratique du Congo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9publique dominicaine\">R\u00e9publique dominicaine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Roumanie\">Roumanie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rwanda\">Rwanda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Russie\">Russie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint-Christophe-et-Ni\u00e9v\u00e8s\">Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sainte-Lucie\">Sainte-Lucie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint-Vincent-et-les-Grenadines\">Saint-Vincent-et-les-Grenadines<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Samoa\">Samoa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint Marin\">Saint Marin<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00e3o Tom\u00e9 et Pr\u00edncipe\">S\u00e3o Tom\u00e9 et Pr\u00edncipe<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00e9n\u00e9gal\">S\u00e9n\u00e9gal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Serbie\">Serbie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"les Seychelles\">les Seychelles<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sierra Leone\">Sierra Leone<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Singapour\">Singapour<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Syrie\">Syrie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Slovaquie\">Slovaquie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Slov\u00e9nie\">Slov\u00e9nie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Somalie\">Somalie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Espagne\">Espagne<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sri Lanka\">Sri Lanka<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\u00c9tats-Unis\">\u00c9tats-Unis<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Afrique du Sud\">Afrique du Sud<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Soudan\">Soudan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sud-Soudan\">Sud-Soudan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Surinam\">Surinam<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Su\u00e8de\">Su\u00e8de<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Suisse\">Suisse<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"eSwatini\">eSwatini<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tadjikistan\">Tadjikistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tanzanie\">Tanzanie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tha\u00eflande\">Tha\u00eflande<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Timor oriental\">Timor oriental<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Aller\">Aller<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tonga\">Tonga<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Trinit\u00e9-et-Tobago\">Trinit\u00e9-et-Tobago<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tunisie\">Tunisie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Turquie\">Turquie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Turkm\u00e9nistan\">Turkm\u00e9nistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tuvalu\">Tuvalu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ukraine\">Ukraine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ouganda\">Ouganda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hongrie\">Hongrie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uruguay\">Uruguay<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ouzb\u00e9kistan\">Ouzb\u00e9kistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Vanuatu\">Vanuatu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cit\u00e9 du Vatican\">Cit\u00e9 du Vatican<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Venezuela\">Venezuela<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Vi\u00eat Nam\">Vi\u00eat Nam<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Y\u00e9men\">Y\u00e9men<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Zambie\">Zambie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Zimbabwe\">Zimbabwe<\/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-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 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\">\n\t\t\t\t\t\t\t\tEmail*\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\" required=\"required\" aria-required=\"true\">\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_5304163 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5304163\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProfession*\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=\"radio\" value=\"Patient\/consommateur\" id=\"form-field-field_5304163-0\" name=\"form_fields[field_5304163]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_5304163-0\">Patient\/consommateur<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Professionnel de la sant\u00e9\" id=\"form-field-field_5304163-1\" name=\"form_fields[field_5304163]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_5304163-1\">Professionnel de la sant\u00e9<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Autre\" id=\"form-field-field_5304163-2\" name=\"form_fields[field_5304163]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_5304163-2\">Autre<\/label><\/span><\/div>\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_5ca412e elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5ca412e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMotif*\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=\"radio\" value=\"Partenariat\" id=\"form-field-field_5ca412e-0\" name=\"form_fields[field_5ca412e]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_5ca412e-0\">Partenariat<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Informations sur le produit\" id=\"form-field-field_5ca412e-1\" name=\"form_fields[field_5ca412e]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_5ca412e-1\">Informations sur le produit<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Autre\" id=\"form-field-field_5ca412e-2\" name=\"form_fields[field_5ca412e]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_5ca412e-2\">Autre<\/label><\/span><\/div>\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 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMessage*\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=\"4\" required=\"required\" aria-required=\"true\"><\/textarea>\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_52197bb elementor-col-100 elementor-field-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_52197bb]\" id=\"form-field-field_52197bb\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\">\n\t\t\t\t<label for=\"form-field-field_52197bb\">Je confirme avoir lu et pris connaissance de la <a href=\"https:\/\/sitpharma.com\/france\/politique-de-confidentialite-et-cookies\/\">note d'information<\/a>.\n\nEn particulier, je suis conscient que ce formulaire n'est pas destin\u00e9 \u00e0 l'envoi de donn\u00e9es relatives \u00e0 l'\u00e9tat de sant\u00e9 et que, par cons\u00e9quent, en cas d'envoi, elles seront supprim\u00e9es.<\/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<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67ae23b elementor-widget elementor-widget-text-editor\" data-id=\"67ae23b\" data-element_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<p>*champs obligatoires<\/p>\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\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>DEMANDER DES INFORMATIONS POUR SIGNALER UN EFFET IND\u00c9SIDERABLE OU FAIRE UNE DEMANDE D&#8217;INFORMATION M\u00c9DICALE, VEUILLEZ REMPLIR LE FORMULAIRE EN CLIQUANT SUR CE LIEN POUR TOUT AUTRE INFORMATION, VEUILLEZ REMPLIR LE FORMULAIRE Ci-DESSOUS Nous vous contacterons sous le meilleur d\u00e9lai: *champs obligatoires<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3596","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.5 (Yoast SEO v23.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Demander des informations - Sitpharma - France<\/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:\/\/sitpharma.com\/france\/demander-des-informations\/\" \/>\n<meta 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