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<br><br><br><br><span style="text-transform: none; margin-top: 2px; color: rgb(156, 156, 156);"> Moteur de recherche <span style="color:#428bca;"><strong>n°1</strong></span> de médecins francophones en Israel</span>
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<li class="hidden"><a href="#page-top">Accueil</a></li>
<li class="page-scroll"><a href="espace-pro.php">Accès aux professionnels</a></li>
<li class="page-scroll"><a href="contactez-nous.php">Contactez nous</a></li>
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<div style="text-align: center; font-size: 22px;">Contactez-nous<br><br></div>
<select name="objet" id="objet" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg">
<option value="">SĂ©lectionnez un objet</option>
<option value="medecin">Nouvelle inscription sur le site</option>
<option value="modif">Modification d'une fiche existante</option>
<option value="visiteur">Je suis un visiteur</option>
</select>
<br><input type="text" name="nom" id="nom" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Votre nom">
<br><input type="text" name="prenom" id="prenom" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Votre prénom">
<br><div id="acces" style="display:none;margin:5px;">Indiquez-nous votre adresse email ici afin de vous envoyer vos codes d'accès :</div><input type="text" name="email" id="email" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Votre email">
<br><div id="visit" style="display:none;margin:5px;">Vous pouvez poser votre question ici :</div><textarea style="height: 140px; width: 362px; font-size: 18px;margin-left:0px;" placeholder="Commentaires" name="commentaires" id="commentaires" class="form-control input-lg" rows="3"></textarea>
<Br><div id="opt_med">
<span>------------------------</span>
<br><input type="text" name="recherche_spe_contact" id="recherche_spe_contact" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Votre spécialité">
<br><input type="text" name="recherche_ville_contact" id="recherche_ville_contact" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Votre ville">
<br><select name="kuppa" id="kuppa" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg">
<option value="">SĂ©lectionnez votre Kuppat Holim</option>
<option value="maccabi">Maccabi</option>
<option value="clalit">Clalit</option>
<option value="leumit">Leumit</option>
<option value="meuhedet">Meuhedet</option>
<option value="prive">Privé</option>
</select>
<br><input type="text" name="telcab" id="telcab" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Téléphone Cabinet">
<br><input type="text" name="telfax" id="telfax" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Téléphone Fax">
<br><input type="text" name="telmob" id="telmob" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Téléphone Mobile">
<br><input type="text" name="telrdv" id="telrdv" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg" placeholder="Téléphone Rendez-vous">
<br><select name="niv" id="niv" style="width: 100%;margin-left:0px;margin-bottom:3px;" class="form-control input-lg">
<option value="">Sélectionnez votre Niveau de Français</option>
<option value="1">Faible</option>
<option value="2">Bon</option>
<option value="3">Très bon</option>
<option value="4">Langue Maternelle</option>
</select>
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<br><br><a id="send_contact" class="btn btn-primary btn-lg">Envoyer!</a>
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<!-- JavaScript -->
<script src="js/jquery-1.10.2.js"></script>
<script src="//code.jquery.com/ui/1.11.1/jquery-ui.js"></script>
<link rel="stylesheet" href="//code.jquery.com/ui/1.11.1/themes/smoothness/jquery-ui.css">
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<script src="js/jquery.backstretch.min.js"></script>
<script src="js/scripts.js"></script>
<script type="text/javascript">
$(document).ready(function() {
/*$('#plus').click(function() {
$(this).html($(this).html() == '<i class="fa fa-plus"></i> Plus de critères' ? '<i class="fa fa-minus"></i> Moins de critères' : '<i class="fa fa-plus"></i> Plus de critères');
$("#criteres").slideToggle("slow");
});
$('.plusdinfos').click(function() {
//$(this).html($(this).html() == '<i class="fa fa-plus"></i> Plus de critères' ? '<i class="fa fa-minus"></i> Moins de critères' : '<i class="fa fa-plus"></i> Plus de critères');
var id = $(this).attr("rel");
$("#infos"+id).slideToggle("slow");
var idmedecin = $(this).attr("alt");
$.post("insert_clics.php", { idmedecin : idmedecin });
});
$('#recherche_nom').autocomplete({
source : "liste_medecins.php",
minLength : 3
});
$('#recherche_spe').autocomplete({
source : "liste_specialites.php",
minLength : 3
});
$('#recherche_ville').autocomplete({
source : "liste_villes.php",
minLength : 1
});
$('#maccabi').click(function() {
$(this).toggleClass('fa-square-o fa-check-square-o');
if( $('#check_maccabi').is(':checked') ){
$('#check_maccabi').prop('checked', false);
} else {
$('#check_maccabi').prop('checked', true);
}
});
$('#clalit').click(function() {
$(this).toggleClass('fa-square-o fa-check-square-o');
if( $('#check_clalit').is(':checked') ){
$('#check_clalit').prop('checked', false);
} else {
$('#check_clalit').prop('checked', true);
}
});
$('#leumit').click(function() {
$(this).toggleClass('fa-square-o fa-check-square-o');
if( $('#check_leumit').is(':checked') ){
$('#check_leumit').prop('checked', false);
} else {
$('#check_leumit').prop('checked', true);
}
});
$('#meuhedet').click(function() {
$(this).toggleClass('fa-square-o fa-check-square-o');
if( $('#check_meuhedet').is(':checked') ){
$('#check_meuhedet').prop('checked', false);
} else {
$('#check_meuhedet').prop('checked', true);
}
});
$('#prive').click(function() {
$(this).toggleClass('fa-square-o fa-check-square-o');
if( $('#check_prive').is(':checked') ){
$('#check_prive').prop('checked', false);
} else {
$('#check_prive').prop('checked', true);
}
});
$(document).on('click', "#matin", function() {
//$('#matin').click(function() {
$(this).toggleClass('fa-square-o fa-check-square-o');
if( $('#check_matin').is(':checked') ){
$('#check_matin').prop('checked', false);
} else {
$('#check_matin').prop('checked', true);
}
});
$(document).on('click', "#midi", function() {
//$('#midi').click(function() {
$(this).toggleClass('fa-square-o fa-check-square-o');
if( $('#check_midi').is(':checked') ){
$('#check_midi').prop('checked', false);
} else {
$('#check_midi').prop('checked', true);
}
});
$(document).on('click', "#soir", function() {
//$('#soir').click(function() {
$(this).toggleClass('fa-square-o fa-check-square-o');
if( $('#check_soir').is(':checked') ){
$('#check_soir').prop('checked', false);
} else {
$('#check_soir').prop('checked', true);
}
});
*/
$('#recherche_spe_contact').autocomplete({
source : "liste_specialites.php",
minLength : 3
});
$('#recherche_ville_contact').autocomplete({
source : "liste_villes.php",
minLength : 1
});
$('#objet').on('change', function() {
if( this.value == 'medecin')
{
$("#opt_med").fadeIn();
}else
{
$("#opt_med").fadeOut();
}
if( this.value == 'modif')
{
$("#acces").fadeIn();
}else
{
$("#acces").fadeOut();
}
if( this.value == 'visiteur')
{
$("#visit").fadeIn();
}else
{
$("#visit").fadeOut();
}
});
});
</script>
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</html>