{"id":277,"date":"2024-10-03T09:21:30","date_gmt":"2024-10-03T13:21:30","guid":{"rendered":"https:\/\/centredentaire360.com\/?page_id=277"},"modified":"2026-03-11T16:35:43","modified_gmt":"2026-03-11T20:35:43","slug":"emergency","status":"publish","type":"page","link":"http:\/\/centredentaire360.com\/en\/emergency\/","title":{"rendered":"Emergency"},"content":{"rendered":"\t\t<header   class=\"page-header section-block \" style=\"\" data-scroll-section>\n\t\t\t<div class=\"container\">\n\t\t\t\t<div class=\"row \">\n\t\t\t\t\t<div class=\"col-xl-5 col-md-6 col-content \">\n\t\t\t\t\t\t<div class=\"half-content\">\n\t\t\t\t\t\t\t\t<div class=\"section-header\">\n\t\t\t\t<h1 class=\"title title-1\">Emergency dental treatment in Longueuil<\/h1>\t\t\t\t\t<div class=\"description\"><p>Dental emergencies always happen at the most inconvenient times! No matter what happens, you can contact us, and we will do our best to accommodate you quickly and alleviate your pain. Here&#8217;s an overview of the most common dental emergencies and how to deal with them.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"col-xl-6 col-md-6 offset-md-0 col-img offset-xl-1\">\n\t\t\t\t\t\t<div class=\"half-img\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" loading=\"lazy\" width=\"2560\" height=\"1707\" src=\"https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-scaled.jpg\" class=\"image\" alt=\"\" sizes=\"auto\" srcset=\"https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-scaled.jpg 2560w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-300x200.jpg 300w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-1024x683.jpg 1024w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-768x512.jpg 768w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-1536x1024.jpg 1536w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-2048x1365.jpg 2048w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-960x640.jpg 960w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-1920x1280.jpg 1920w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-783x522.jpg 783w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-500x333.jpg 500w, https:\/\/cdl-template.s3.ca-central-1.amazonaws.com\/wp-content\/uploads\/sites\/10\/2024\/11\/07092212\/Centre_Dentaire_Duquet-011-375x250.jpg 375w\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/header>\n\t\n\n\t\t<section  class=\"text-block section-block \" style=\"\" data-scroll-section>\n\t\t\t<div class=\"container\">\n\t\t\t\t<div class=\"row\">\n\t\t\t\t\t<div class=\"col-sm-10 offset-sm-1 col-md-8 offset-md-2\">\n\t\t\t\t\t\t\t<div class=\"section-header align-left\">\n\t\t\t\t<h2 class=\"title title-2\">Do you need to see a dentist in Longueuil?<\/h2>\t\t\t\t\t<div class=\"description\"><p>Contact us at <a href=\"tel:4504630360\">(450) 463-0360<\/a>. If you are calling outside of business hours, please leave your contact information. We will get back to you as soon as possible.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\n\n\t\t\t\t\t<section  class=\"open-collapse-block open-collapse section-block \" style=\"\" data-scroll-section>\n\t\t\t\t<div class=\"container-fluid\">\n\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-lg-8 offset-lg-2 col-md-10 offset-md-1\">\n\t\t\t\t\t\t\t\t<div class=\"section-header\">\n\t\t\t\t<h2 class=\"title title-2\">While you are waiting to consult us about your emergency&#8230;<\/h2>\t\t\t\t\t<div class=\"description\"><p>Here are some tips that may help. These tips are not a diagnosis and do not replace the advice of your dentist.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- Panel Content -->\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\n<div class=\"open-collapse\">\n\t<div class=\"group\" data-collapser>\n\t\t<div class=\"trigger\" data-collapser-controller>\n\t\t\t<h3 class=\"title\">What to do if a tooth is chipped or broken?<\/h3>\t\t\t<button type=\"button\" class=\"toggle-btn\">\n\t\t\t\t<span class=\"sr-only\">Show<\/span>\n\t\t\t<\/button>\n\t\t<\/div>\n\t\t<div class=\"panel\" data-collapser-target>\n\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<p>It is usually possible to save a broken tooth. If the fracture is minor, we can restore the tooth to its natural color without making it noticeable. If the damage is more serious, we will find a solution to restore your smile, because modern dentistry can sometimes work miracles!<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- Panel Content -->\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\n<div class=\"open-collapse\">\n\t<div class=\"group\" data-collapser>\n\t\t<div class=\"trigger\" data-collapser-controller>\n\t\t\t<h3 class=\"title\">What should you do if you accidentally lose a tooth?<\/h3>\t\t\t<button type=\"button\" class=\"toggle-btn\">\n\t\t\t\t<span class=\"sr-only\">Show<\/span>\n\t\t\t<\/button>\n\t\t<\/div>\n\t\t<div class=\"panel\" data-collapser-target>\n\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<p>If a permanent tooth falls out as a result of an accident, it is sometimes possible to put it back in, but you must act quickly. If the tooth is reimplanted within 10 minutes, there&#8217;s a good chance it will grow back. After 2 hours, the chances decrease significantly.<\/p>\n<p>If the tooth is clean, replace it carefully in its socket. If you are worried about swallowing it, place it in a container filled with cold milk.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- Panel Content -->\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\n<div class=\"open-collapse\">\n\t<div class=\"group\" data-collapser>\n\t\t<div class=\"trigger\" data-collapser-controller>\n\t\t\t<h3 class=\"title\">If a serious bite occurs to the tongue or lips, what should I do?<\/h3>\t\t\t<button type=\"button\" class=\"toggle-btn\">\n\t\t\t\t<span class=\"sr-only\">Show<\/span>\n\t\t\t<\/button>\n\t\t<\/div>\n\t\t<div class=\"panel\" data-collapser-target>\n\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<p>Apply a clean cloth to the bitten area to stop bleeding. If the area is swollen, apply a cold compress. If bleeding continues, go to a hospital emergency room.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- Panel Content -->\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\n<div class=\"open-collapse\">\n\t<div class=\"group\" data-collapser>\n\t\t<div class=\"trigger\" data-collapser-controller>\n\t\t\t<h3 class=\"title\">What if something gets stuck in my teeth?<\/h3>\t\t\t<button type=\"button\" class=\"toggle-btn\">\n\t\t\t\t<span class=\"sr-only\">Show<\/span>\n\t\t\t<\/button>\n\t\t<\/div>\n\t\t<div class=\"panel\" data-collapser-target>\n\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<p>Try gently removing the object with dental floss. If this does not work, contact us and we will help you solve the problem.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/section>\n\t\t\t\n\n\t\t<section  class=\"half-form section-block \" style=\"\" data-scroll-section>\n\t\t\t<div class=\"container\">\n\t\t\t\t<div class=\"row content-row\">\n\t\t\t\t\t<div class=\"offset-sm-1 col-sm-10 offset-lg-0 col-lg-4 col-xl-5 left-col\">\n\t\t\t\t\t\t\t<div class=\"section-header\">\n\t\t\t\t<h2 class=\"title title-2\">Request a dental appointment now!<\/h2>\t\t\t\t\t<div class=\"description\"><p>Complete the request form and we will get in touch with you as soon as possible.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"offset-sm-1 col-sm-10 col-lg-7 col-xl-6 right-col form-section-block\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' ><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Make an appointment<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form data-tracking-event-name=\"form_validated\"data-tracking-form=\"prise_rdv\" method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/en\/wp-json\/wp\/v2\/pages\/277#gf_3' data-formid='3' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LfL0ekfAAAAAG1NHk6eV6-1Q2nq6UKRPS6nZyQD' data-tabindex='0'><input id=\"input_254475cdb88ecb567660fd9e2f4750d0\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_254475cdb88ecb567660fd9e2f4750d0\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_text animated-form-group\"  data-field-class=\"field_type_text animated-form-group\" data-js-reload=\"field_3_1\" ><label class='gfield_label gform-field-label' for='input_3_1'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_text animated-form-group\"  data-field-class=\"field_type_text animated-form-group\" data-js-reload=\"field_3_3\" ><label class='gfield_label gform-field-label' for='input_3_3'>Last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_text animated-form-group\"  data-field-class=\"field_type_text animated-form-group\" data-js-reload=\"field_3_4\" ><label class='gfield_label gform-field-label' for='input_3_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_text animated-form-group\"  data-field-class=\"field_type_text animated-form-group\" data-js-reload=\"field_3_5\" ><label class='gfield_label gform-field-label' for='input_3_5'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_3_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_3_6\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_checkbox\"  data-field-class=\"field_type_checkbox\" data-js-reload=\"field_3_6\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your availabilities<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_6'><div class='gchoice gchoice_3_6_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.1' type='checkbox'  value='Lundi'  id='choice_3_6_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_6_1' id='label_3_6_1' class='gform-field-label gform-field-label--type-inline'>Monday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_6_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.2' type='checkbox'  value='Mardi'  id='choice_3_6_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_6_2' id='label_3_6_2' class='gform-field-label gform-field-label--type-inline'>Tuesday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_6_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.3' type='checkbox'  value='Mercredi'  id='choice_3_6_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_6_3' id='label_3_6_3' class='gform-field-label gform-field-label--type-inline'>Wednesday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_6_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.4' type='checkbox'  value='Jeudi'  id='choice_3_6_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_6_4' id='label_3_6_4' class='gform-field-label gform-field-label--type-inline'>Thursday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_6_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.5' type='checkbox'  value='Vendredi'  id='choice_3_6_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_6_5' id='label_3_6_5' class='gform-field-label gform-field-label--type-inline'>Friday<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_checkbox\"  data-field-class=\"field_type_checkbox\" data-js-reload=\"field_3_7\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Preferences<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_7'><div class='gchoice gchoice_3_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Matin'  id='choice_3_7_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_1' id='label_3_7_1' class='gform-field-label gform-field-label--type-inline'>Morning<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='Apr\u00e8s-midi'  id='choice_3_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_2' id='label_3_7_2' class='gform-field-label gform-field-label--type-inline'>Afternoon<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_7_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.3' type='checkbox'  value='D\u00e9but de soir\u00e9e'  id='choice_3_7_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_3' id='label_3_7_3' class='gform-field-label gform-field-label--type-inline'>Early evening<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_select animated-form-group\"  data-field-class=\"field_type_select animated-form-group\" data-js-reload=\"field_3_8\" ><label class='gfield_label gform-field-label' for='input_3_8'>Asked treatment<\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_3_8' class='large gfield_select'     aria-invalid=\"false\" ><option value='Dentisterie G\u00e9n\u00e9rale et familiale' >General and family dentistry<\/option><option value='Orthodontie' >Orthodontics<\/option><option value='Denturologie' >Denturology<\/option><option value='Implantologie' >Implantology<\/option><option value='Dentisterie esth\u00e9tique et fonctionnelle' >Cosmetic and functional dentistry<\/option><option value='Urgence' >Emergency<\/option><\/select><\/div><\/div><div id=\"field_3_9\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_textarea animated-form-group\"  data-field-class=\"field_type_textarea animated-form-group\" data-js-reload=\"field_3_9\" ><label class='gfield_label gform-field-label' for='input_3_9'>Details<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_3_9' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_3_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_checkbox\"  data-field-class=\"field_type_checkbox\" data-js-reload=\"field_3_10\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Best moment to contact you<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_10'><div class='gchoice gchoice_3_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Matin'  id='choice_3_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_10_1' id='label_3_10_1' class='gform-field-label gform-field-label--type-inline'>Morning<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Apr\u00e8s-midi'  id='choice_3_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_10_2' id='label_3_10_2' class='gform-field-label gform-field-label--type-inline'>Afternoon<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='D\u00e9but de soir\u00e9e'  id='choice_3_10_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_10_3' id='label_3_10_3' class='gform-field-label gform-field-label--type-inline'>Early evening<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible field_type_checkbox\"  data-field-class=\"field_type_checkbox\" data-js-reload=\"field_3_11\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Status<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_11'><div class='gchoice gchoice_3_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='Patient existant'  id='choice_3_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_11_1' id='label_3_11_1' class='gform-field-label gform-field-label--type-inline'>Existing patient<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='Nouveau patient'  id='choice_3_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_11_2' id='label_3_11_2' class='gform-field-label gform-field-label--type-inline'>New patient<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible field_type_checkbox\"  data-field-class=\"field_type_checkbox\" data-js-reload=\"field_3_13\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I accept the conditions mentioned in the policy privacy.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_13'><div class='gchoice gchoice_3_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='J&#039;accepte les consignes indiqu\u00e9es dans les &lt;a href=&quot;https:\/\/centredentaire360.com\/politiques-de-confidentialite\/&quot;&gt;politiques de confidentialit\u00e9&lt;\/a&gt;.'  id='choice_3_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_13_1' id='label_3_13_1' class='gform-field-label gform-field-label--type-inline'>J&#8217;accepte les consignes indiqu\u00e9es dans les <a href=\"https:\/\/centredentaire360.com\/politiques-de-confidentialite\/\">politiques de confidentialit\u00e9<\/a>.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_12\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below 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