{"id":4295,"date":"2015-08-04T10:28:10","date_gmt":"2015-08-04T10:28:10","guid":{"rendered":"http:\/\/pipi-stop.version-demo.ch\/?page_id=4295"},"modified":"2021-02-23T11:24:03","modified_gmt":"2021-02-23T11:24:03","slug":"order-vibra-during-therapy","status":"publish","type":"page","link":"https:\/\/www.pipi-stop.ch\/en\/order\/order-vibra-during-therapy\/","title":{"rendered":"Order of the VIBRA during the Therapy"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; module_class=&#8221;section_formulaire&#8221; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#ffffff&#8221; transparent_background=&#8221;off&#8221;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Order of the VIBRA during the Therapy<\/h1>\n<p>You can also order the VIBRA during the therapy. In this case, please fill in the online form below or complete the PDF and return it to us.<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; column_structure=&#8221;1_2,1_2&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Form to Order the VIBRA during the Therapy<\/h1>\n<p>[\/et_pb_text][et_pb_text module_class=&#8221;formulaire&#8221; _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;]<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-16\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">If you are human, leave this field blank.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-16\" value=\"1775726928\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"16\" id=\"\"><div class=\"vfb-form-group vfb-col-12\"><div><h2 class=\"\">Order of the VIBRA afterwards<\/h2><span class=\"vfb-help-block\">To order the VIBRA during the therapy, <strong>you already must have the device Pipi-Stop at home<\/strong>.\r\n\r\nIf it is not the case, please order the Pipi-Stop and the VIBRA at the same time by using <strong><a href=\"https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2019\/03\/contrat-de-location_EN_mars-2019.pdf\" target=\"_blank\" rel=\"noopener\">this other form<\/a><\/strong>.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField315\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-well vfb-col-12\" id=\"vfbField316\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Patient details<\/h3><span class=\"vfb-help-block\">Thank you for giving only the details concerning the treated person.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField316\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField317\"><div class=\"vfb-form-group\"><label for=\"vfb-field-317\" class=\"vfb-control-label\">Firstname <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-317\" class=\"vfb-form-control\" placeholder=\"Firstname\" required=\"required\" type=\"text\" name=\"vfb-field-317\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField318\"><div class=\"vfb-form-group\"><label for=\"vfb-field-318\" class=\"vfb-control-label\">Lastname <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-318\" class=\"vfb-form-control\" placeholder=\"Lastname\" required=\"required\" type=\"text\" name=\"vfb-field-318\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField319\"><div class=\"vfb-form-group\"><label for=\"vfb-field-319\" class=\"vfb-control-label\">AVS Number <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-319\" class=\"vfb-form-control\" placeholder=\"756.xxxx.xxxx.xx\" data-mask=\"756.0000.0000.00\" required=\"required\" type=\"text\" name=\"vfb-field-319\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField320\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Sending of the order<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField320\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField321\"><label for=\"vfb-field-321\" class=\"vfb-control-label\">General conditions <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-321-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-321\" required=\"required\" type=\"checkbox\" name=\"vfb-field-321[0]\" value=\"1\">I have read the rental terms and I accept them<\/label><\/div><span class=\"vfb-help-block\">The VIBRA is optional and is not refunded by the basic health insurance.\r\nYou may send us back the VIBRA wristband at any time, also before the end of the treatment.<br><br><\/span><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField323\"><button id=\"vfb-field-323\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Send<\/button><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><\/form><br \/>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;Order the VIBRA by form PDF&#8221; button_url=&#8221;https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2017\/08\/Contrat-VIBRA_07-2017_EN_N.pdf&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;Open the PDF&#8221; module_class=&#8221;appel-action_petite-police&#8221; _builder_version=&#8221;3.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; use_border_color=&#8221;off&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]1. Open the PDF<br \/>\n2. Print the PDF<br \/>\n3. Date and sign the PDF<br \/>\n4. Send the PDF: <strong>a)<\/strong> by post <strong>b)<\/strong> scanned version by e-mail <strong>c)<\/strong> by fax<br \/>\n[\/et_pb_cta][et_pb_text _builder_version=&#8221;4.4.2&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h2>Do you need help for your order<\/h2>\n<p>We are at your disposal on the phone to guide you, to fill in the form or for other questions.<\/p>\n<p><strong>Monday \u2013 Thursday:\u00a0 08:00 \u2013 12:00 and 13:30 \u2013 17:00<br \/>Friday: 08:00 \u2013 12:00<\/strong><\/p>\n<p><strong>Tel. \u00a0+41 (0)32 \u2013 751 27 95<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Order of the VIBRA during the Therapy You can also order the VIBRA during the therapy. In this case, please fill in the online form below or complete the PDF and return it to us. Form to Order the VIBRA during the Therapy <form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-16\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">If you are human, leave this field blank.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-16\" value=\"1775726928\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"16\" id=\"\"><div class=\"vfb-form-group vfb-col-12\"><div><h2 class=\"\">Order of the VIBRA afterwards<\/h2><span class=\"vfb-help-block\">To order the VIBRA during the therapy, <strong>you already must have the device Pipi-Stop at home<\/strong>.\r\n\r\nIf it is not the case, please order the Pipi-Stop and the VIBRA at the same time by using <strong><a href=\"https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2019\/03\/contrat-de-location_EN_mars-2019.pdf\" target=\"_blank\" rel=\"noopener\">this other form<\/a><\/strong>.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField315\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-well vfb-col-12\" id=\"vfbField316\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Patient details<\/h3><span class=\"vfb-help-block\">Thank you for giving only the details concerning the treated person.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField316\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField317\"><div class=\"vfb-form-group\"><label for=\"vfb-field-317\" class=\"vfb-control-label\">Firstname <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-317\" class=\"vfb-form-control\" placeholder=\"Firstname\" required=\"required\" type=\"text\" name=\"vfb-field-317\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField318\"><div class=\"vfb-form-group\"><label for=\"vfb-field-318\" class=\"vfb-control-label\">Lastname <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-318\" class=\"vfb-form-control\" placeholder=\"Lastname\" required=\"required\" type=\"text\" name=\"vfb-field-318\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField319\"><div class=\"vfb-form-group\"><label for=\"vfb-field-319\" class=\"vfb-control-label\">AVS Number <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-319\" class=\"vfb-form-control\" placeholder=\"756.xxxx.xxxx.xx\" data-mask=\"756.0000.0000.00\" required=\"required\" type=\"text\" name=\"vfb-field-319\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField320\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Sending of the order<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField320\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField321\"><label for=\"vfb-field-321\" class=\"vfb-control-label\">General conditions <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-321-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-321\" required=\"required\" type=\"checkbox\" name=\"vfb-field-321[0]\" value=\"1\">I have read the rental terms and I accept them<\/label><\/div><span class=\"vfb-help-block\">The VIBRA is optional and is not refunded by the basic health insurance.\r\nYou may send us back the VIBRA wristband at any time, also before the end of the treatment.<br><br><\/span><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField323\"><button id=\"vfb-field-323\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Send<\/button><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><\/form> 1. Open the PDF 2. Print the PDF 3. Date [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2917,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-4295","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Order of the VIBRA during the Therapy | Pipi Stop<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pipi-stop.ch\/en\/order\/order-vibra-during-therapy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Order of the VIBRA during the Therapy\" \/>\n<meta property=\"og:description\" content=\"Order of the VIBRA during the Therapy You can also order the VIBRA during the therapy. 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