{"id":7901,"date":"2021-07-18T14:46:51","date_gmt":"2021-07-18T14:46:51","guid":{"rendered":"https:\/\/hyperbaricmontreal.com\/enregistrement-du-client-formulaire-medical\/"},"modified":"2023-04-18T14:28:28","modified_gmt":"2023-04-18T14:28:28","slug":"enregistrement-du-client-formulaire-medical","status":"publish","type":"page","link":"https:\/\/hyperbaricmontreal.com\/fr\/enregistrement-du-client-formulaire-medical\/","title":{"rendered":"ENREGISTREMENT DU CLIENT \/ FORMULAIRE M\u00c9DICAL"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-top:1px;--awb-border-sizes-bottom:1px;--awb-border-sizes-left:1px;--awb-border-sizes-right:1px;--awb-border-color:rgba(112,112,112,0.5);--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:5%;--awb-padding-left:5%;--awb-margin-top:0px;--awb-background-color:rgba(229,229,229,0.45);--awb-box-shadow:5px 5px 21px 0px ;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-top:1%;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-font-size:45px;\"><h3 class=\"title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:45;line-height:2.2;\"><h2 style=\"text-align: center;\"><strong>FORMULAIRE M\u00c9DICAL<\/strong><\/h2><\/h3><\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-2922 has-icon-alignment\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;--awb-form-placeholder-color:rgba(0,0,0,0.5);--awb-form-text-color:#000000;--awb-form-border-width-top:0px;--awb-form-border-width-bottom:2px;--awb-form-border-width-right:0px;--awb-form-border-width-left:0px;--awb-form-focus-border-color:#2474bb;--awb-form-focus-border-hover-color:rgba(36,116,187,0.5);--awb-icon-alignment-top:0px;--awb-icon-alignment-bottom:2px;--awb-icon-alignment-font-size:1em;\" data-form-id=\"2922\" data-config=\"{&quot;form_id&quot;:2922,&quot;form_post_id&quot;:2922,&quot;post_id&quot;:7901,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;field_labels&quot;:{&quot;first_name&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;,&quot;address_1&quot;:&quot;&quot;,&quot;address_2&quot;:&quot;&quot;,&quot;city&quot;:&quot;&quot;,&quot;zip_code&quot;:&quot;&quot;,&quot;Cell_phone&quot;:&quot;&quot;,&quot;Home_phone&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;Date-of-Birth&quot;:&quot;Date of Birth&quot;,&quot;Time&quot;:&quot;Hyperbaric&#039;s Time&quot;,&quot;Medical History&quot;:&quot;&quot;,&quot;History1&quot;:&quot; &quot;,&quot;History2&quot;:&quot; &quot;,&quot;Allergies&quot;:&quot;&quot;,&quot;Allergies1&quot;:&quot; &quot;,&quot;Allergies2&quot;:&quot; &quot;},&quot;field_logics&quot;:{&quot;first_name&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;,&quot;address_1&quot;:&quot;&quot;,&quot;address_2&quot;:&quot;&quot;,&quot;city&quot;:&quot;&quot;,&quot;zip_code&quot;:&quot;&quot;,&quot;Cell_phone&quot;:&quot;&quot;,&quot;Home_phone&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;Date-of-Birth&quot;:&quot;&quot;,&quot;Time&quot;:&quot;&quot;,&quot;Medical History&quot;:&quot;&quot;,&quot;History1&quot;:&quot;&quot;,&quot;History2&quot;:&quot;&quot;,&quot;Allergies&quot;:&quot;&quot;,&quot;Allergies1&quot;:&quot;&quot;,&quot;Allergies2&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;first_name&quot;:&quot;text&quot;,&quot;last_name&quot;:&quot;text&quot;,&quot;address_1&quot;:&quot;text&quot;,&quot;address_2&quot;:&quot;text&quot;,&quot;city&quot;:&quot;text&quot;,&quot;zip_code&quot;:&quot;text&quot;,&quot;Cell_phone&quot;:&quot;phone_number&quot;,&quot;Home_phone&quot;:&quot;phone_number&quot;,&quot;email&quot;:&quot;email&quot;,&quot;Date-of-Birth&quot;:&quot;date&quot;,&quot;Time&quot;:&quot;range&quot;,&quot;Medical History&quot;:&quot;text&quot;,&quot;History1&quot;:&quot;checkbox&quot;,&quot;History2&quot;:&quot;checkbox&quot;,&quot;Allergies&quot;:&quot;text&quot;,&quot;Allergies1&quot;:&quot;checkbox&quot;,&quot;Allergies2&quot;:&quot;checkbox&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;submit_1&quot;:&quot;submit&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;}\"><form action=\"https:\/\/hyperbaricmontreal.com\/fr\/enregistrement-du-client-formulaire-medical\/\" method=\"post\" class=\"fusion-form fusion-form-2922\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-end\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"text\" name=\"first_name\" id=\"first_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"First name*\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"text\" name=\"last_name\" id=\"last_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Last name*\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-left:4px;--awb-border-color:#2474bb;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:20px;--awb-padding-right:35px;--awb-padding-bottom:20px;--awb-padding-left:35px;--awb-margin-top:25px;--awb-margin-bottom:25px;--awb-background-color:#f4f4f4;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-end\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"text\" name=\"address_1\" id=\"address_1\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Address line 1*\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"text\" name=\"address_2\" id=\"address_2\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Address line 2\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"text\" name=\"city\" id=\"city\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"City*\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"text\" name=\"zip_code\" id=\"zip_code\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Zip code*\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"tel\" name=\"Cell_phone\" id=\"Cell_phone\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Cell phone*\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"tel\" name=\"Home_phone\" id=\"Home_phone\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Home phone\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"email\" name=\"email\" id=\"email\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Email\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><label for=\"Date-of-Birth\">Date of Birth<\/label><input autocomplete=\"no\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"Date-of-Birth\" name=\"Date-of-Birth\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\"autocomplete=\"no\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-range-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><label for=\"Time\">Hyperbaric&#039;s Time<\/label><div class=\"fusion-form-range-field-container fusion-form-range-field-container-69e03570306d9\"><input type=\"text\" tabindex=\"\" min=\"30\" max=\"90\" class=\"fusion-form-range-value\" value=\"30\"\/><input type=\"range\" id=\"Time\" name=\"Time\" min=\"30\" max=\"90\" step=\"30\" value=\"30\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\"><h3 class=\"title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:22;--minFontSize:22;line-height:2.2;\"><h3 style=\"text-align: center;\"><span style=\"color: #2474bb;\"><b>Ant\u00e9c\u00e9dents m\u00e9dicaux \/ Medical History<\/b><\/span><\/h3><\/h3><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"text\" name=\"Medical History\" id=\"Medical History\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_2_5 2_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:40%;--awb-margin-top-large:20px;--awb-spacing-right-large:4.8%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:4.8%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\"> <\/span><\/div><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-0\" type=\"checkbox\" value=\"an\u00e9mie \/ anemia\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-0\">an\u00e9mie \/ anemia<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-1\" type=\"checkbox\" value=\"diab\u00e8te \/ diabetes\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-1\">diab\u00e8te \/ diabetes<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-2\" type=\"checkbox\" value=\"hypertension art\u00e9rielle \/ high blood pressure\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-2\">hypertension art\u00e9rielle \/ high blood pressure<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-3\" type=\"checkbox\" value=\"maladie coronarienne \/ coronary problems\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-3\">maladie coronarienne \/ coronary problems<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-4\" type=\"checkbox\" value=\"chirurgie cardiaque (pace maker \u2013 pontage \/\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-4\">chirurgie cardiaque (pace maker \u2013 pontage \/<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-5\" type=\"checkbox\" value=\"cardiac surgery  (pace maker \u2013 bypass)\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-5\">cardiac surgery  (pace maker \u2013 bypass)<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-6\" type=\"checkbox\" value=\"ant\u00e9c\u00e9dent de crise cardiaque \/\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-6\">ant\u00e9c\u00e9dent de crise cardiaque \/<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-7\" type=\"checkbox\" value=\"previous heart attack\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-7\">previous heart attack<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-8\" type=\"checkbox\" value=\"angine \/ angina\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-8\">angine \/ angina<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-9\" type=\"checkbox\" value=\"pneumothorax (poumon affaiss\u00e9) \/\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-9\">pneumothorax (poumon affaiss\u00e9) \/<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-10\" type=\"checkbox\" value=\"pneumothorax (collapsed lung)\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-10\">pneumothorax (collapsed lung)<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-11\" type=\"checkbox\" value=\"emphys\u00e8me \/ emphysema\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-11\">emphys\u00e8me \/ emphysema<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-12\" type=\"checkbox\" value=\"asthme \/ asthma\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-12\">asthme \/ asthma<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-13\" type=\"checkbox\" value=\"autre probl\u00e8me pulmonaire connu\/\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-13\">autre probl\u00e8me pulmonaire connu\/<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-14\" type=\"checkbox\" value=\"other known lung problems\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-14\">other known lung problems<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history1-1-15\" type=\"checkbox\" value=\"trouble r\u00e9current d\u2019otites \/ recurring ear infections\" name=\"History1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history1-1-15\">trouble r\u00e9current d\u2019otites \/ recurring ear infections<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_3_5 3_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:60%;--awb-margin-top-large:20px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:3.2%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\"> <\/span><\/div><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-0\" type=\"checkbox\" value=\"chirurgie des oreilles, perte de l\u2019audition ou trouble d\u2019\u00e9quilibre \/\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-0\">chirurgie des oreilles, perte de l\u2019audition ou trouble d\u2019\u00e9quilibre \/<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-1\" type=\"checkbox\" value=\"ear surgery, loss of hearing or balance problems\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-1\">ear surgery, loss of hearing or balance problems<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-2\" type=\"checkbox\" value=\"drains transtympanique \/ ear tubes\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-2\">drains transtympanique \/ ear tubes<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-3\" type=\"checkbox\" value=\"attaques fr\u00e9quentes d\u2019allergies ou fi\u00e8vre des foins\/\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-3\">attaques fr\u00e9quentes d\u2019allergies ou fi\u00e8vre des foins\/<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-4\" type=\"checkbox\" value=\"Frequent allergy attacks or hay fever\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-4\">Frequent allergy attacks or hay fever<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-5\" type=\"checkbox\" value=\"rhume, grippe, sinusite ou bronchite fr\u00e9quente \/\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-5\">rhume, grippe, sinusite ou bronchite fr\u00e9quente \/<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-6\" type=\"checkbox\" value=\"cold, virus, sinusites  ou bronchites\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-6\">cold, virus, sinusites  ou bronchites<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-7\" type=\"checkbox\" value=\"sinusite chronique \/ chronic sinusitis\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-7\">sinusite chronique \/ chronic sinusitis<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-8\" type=\"checkbox\" value=\"chirurgie des sinus \/ sinus surgery\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-8\">chirurgie des sinus \/ sinus surgery<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-9\" type=\"checkbox\" value=\"fi\u00e8vre non-control\u00e9e \/ uncontrolled fever\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-9\">fi\u00e8vre non-control\u00e9e \/ uncontrolled fever<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-10\" type=\"checkbox\" value=\"infection virale, maladie contagieuse \/ viral infection, contagious disease\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-10\">infection virale, maladie contagieuse \/ viral infection, contagious disease<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-11\" type=\"checkbox\" value=\"chimioth\u00e9rapie \/ radioth\u00e9rapie \/ chemotherapy radiation therapy\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-11\">chimioth\u00e9rapie \/ radioth\u00e9rapie \/ chemotherapy radiation therapy<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-12\" type=\"checkbox\" value=\"\u00e9pilepsie, convulsions \/ epilepsy, convulsions, seizure disorders\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-12\">\u00e9pilepsie, convulsions \/ epilepsy, convulsions, seizure disorders<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-13\" type=\"checkbox\" value=\"grossesse \/ pregnancy\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-13\">grossesse \/ pregnancy<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-14\" type=\"checkbox\" value=\"probl\u00e8me mentale ou psychologique (panique, claustrophobie, agoraphobie) \/\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-14\">probl\u00e8me mentale ou psychologique (panique, claustrophobie, agoraphobie) \/<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-15\" type=\"checkbox\" value=\"mental or psychological illness (panic, claustrophobic, agoraphobic)\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-15\">mental or psychological illness (panic, claustrophobic, agoraphobic)<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-history2-2-16\" type=\"checkbox\" value=\"ant\u00e9c\u00e9dent d\u2019accident de d\u00e9compression \/ previous decompression sickness\" name=\"History2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-history2-2-16\">ant\u00e9c\u00e9dent d\u2019accident de d\u00e9compression \/ previous decompression sickness<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#2474bb;\"><h3 class=\"title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:22;--minFontSize:22;line-height:2.2;\"><h3 style=\"text-align: center;\"><span style=\"color: #2474bb;\"><b>Allergies<\/b><\/span><\/h3><\/h3><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><input type=\"text\" name=\"Allergies\" id=\"Allergies\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:20px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\"> <\/span><\/div><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies1-3-0\" type=\"checkbox\" value=\"Ac\u00e9tazolamide\" name=\"Allergies1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies1-3-0\">Ac\u00e9tazolamide<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies1-3-1\" type=\"checkbox\" value=\"Alpha tocoph\u00e9rol (vitamine E)\" name=\"Allergies1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies1-3-1\">Alpha tocoph\u00e9rol (vitamine E)<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies1-3-2\" type=\"checkbox\" value=\"Analg\u00e9siques\" name=\"Allergies1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies1-3-2\">Analg\u00e9siques<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies1-3-3\" type=\"checkbox\" value=\"Anticonvulsivant\" name=\"Allergies1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies1-3-3\">Anticonvulsivant<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies1-3-4\" type=\"checkbox\" value=\"Bleomycine\" name=\"Allergies1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies1-3-4\">Bleomycine<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies1-3-5\" type=\"checkbox\" value=\"Cis-Platinum\" name=\"Allergies1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies1-3-5\">Cis-Platinum<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies1-3-6\" type=\"checkbox\" value=\"Digitalis \/ Digoxin\" name=\"Allergies1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies1-3-6\">Digitalis \/ Digoxin<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies1-3-7\" type=\"checkbox\" value=\"Disulfiram (antabuse)\" name=\"Allergies1[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies1-3-7\">Disulfiram (antabuse)<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:20px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"2922\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\"> <\/span><\/div><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies2-4-0\" type=\"checkbox\" value=\"Doxorubicin\" name=\"Allergies2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies2-4-0\">Doxorubicin<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies2-4-1\" type=\"checkbox\" value=\"Insuline\" name=\"Allergies2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies2-4-1\">Insuline<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies2-4-2\" type=\"checkbox\" value=\"Mafenide ac\u00e9tate\" name=\"Allergies2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies2-4-2\">Mafenide ac\u00e9tate<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies2-4-3\" type=\"checkbox\" value=\"Narcotique\" name=\"Allergies2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies2-4-3\">Narcotique<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies2-4-4\" type=\"checkbox\" value=\"Non narcotique\" name=\"Allergies2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies2-4-4\">Non narcotique<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies2-4-5\" type=\"checkbox\" value=\"St\u00e9ro\u00efdes\" name=\"Allergies2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies2-4-5\">St\u00e9ro\u00efdes<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies2-4-6\" type=\"checkbox\" value=\"Sulfamylon\" name=\"Allergies2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies2-4-6\">Sulfamylon<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-allergies2-4-7\" type=\"checkbox\" value=\"Topamax\" name=\"Allergies2[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-allergies2-4-7\">Topamax<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success fusion-alert-capitalize alert-dismissable\" style=\"--awb-margin-top:20px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your message. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error fusion-alert-capitalize alert-dismissable\" style=\"--awb-margin-top:20px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. 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