{"id":2065,"date":"2015-06-09T13:25:17","date_gmt":"2015-06-09T13:25:17","guid":{"rendered":"http:\/\/pipi-stop.version-demo.ch\/?page_id=2065"},"modified":"2026-04-07T08:39:52","modified_gmt":"2026-04-07T06:39:52","slug":"commander","status":"publish","type":"page","link":"https:\/\/www.pipi-stop.ch\/fr\/commander\/","title":{"rendered":"Commander"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb admin_label=\u00a0\u00bbsection\u00a0\u00bb module_class=\u00a0\u00bbsection_formulaire main-h1-title\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bb#ffffff\u00a0\u00bb custom_padding=\u00a0\u00bb0px|0px|51.1875px|0px\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb50px|0|50px|0&Prime; custom_padding_phone=\u00a0\u00bb\u00a0\u00bb transparent_background=\u00a0\u00bboff\u00a0\u00bb padding_mobile=\u00a0\u00bboff\u00a0\u00bb make_fullwidth=\u00a0\u00bboff\u00a0\u00bb use_custom_width=\u00a0\u00bboff\u00a0\u00bb width_unit=\u00a0\u00bboff\u00a0\u00bb custom_width_px=\u00a0\u00bb1080px\u00a0\u00bb custom_width_percent=\u00a0\u00bb80%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row padding_mobile=\u00a0\u00bboff\u00a0\u00bb column_padding_mobile=\u00a0\u00bbon\u00a0\u00bb admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb0px|0px|10px|0px\u00a0\u00bb make_fullwidth=\u00a0\u00bboff\u00a0\u00bb use_custom_width=\u00a0\u00bboff\u00a0\u00bb width_unit=\u00a0\u00bboff\u00a0\u00bb custom_width_px=\u00a0\u00bb1080px\u00a0\u00bb custom_width_percent=\u00a0\u00bb80%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbCommander le Pipi-Stop en location\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1>Commander le Pipi-Stop en location<\/h1>\n<p>[\/et_pb_text][et_pb_text disabled_on=\u00a0\u00bboff|off|on\u00a0\u00bb admin_label=\u00a0\u00bbLinks NEW (mobile\/tablet only)\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]\n<table id=\"tablepress-29\" class=\"tablepress tablepress-id-29\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Calcul du prix de location<\/th><th class=\"column-2\"><b>Prix<\/b><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Prix de location<\/td><td class=\"column-2\">3.40 CHF\/jour<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Prise en charge LAMal<\/td><td class=\"column-2\">0.94 CHF\/jour *<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><b>Prix \u00e0 votre charge<\/b><\/td><td class=\"column-2\"><b>2.46 CHF\/jour<\/b><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-29 from cache --><\/p>\n<p>*<em><a href=\"https:\/\/www.pipi-stop.ch\/fr\/melebi-sa\/historique-lamal\/\">Requ\u00eate en cours aupr\u00e8s de l&rsquo;OFSP<\/a><\/em><\/p>\n<p>Frais d&rsquo;exp\u00e9dition: 14 CHF (unique)<\/p>\n<p>Pour des informations plus d\u00e9taill\u00e9es, vous pouvez consulter la page <a href=\"https:\/\/www.pipi-stop.ch\/fr\/commander\/conditions-de-location\/\">conditions de location<\/a> et la page <a href=\"https:\/\/www.pipi-stop.ch\/fr\/commander\/remboursement-caisses-maladie\/\">remboursement caisse maladie<\/a><\/p>\n<p><strong><a class=\"popmake-6789\" href=\"#\">Conditions de location du VIBRA<\/a><\/strong><\/p>\n<p><strong><a href=\"#etapes\">\u2192 Voir les \u00e9tapes de commande<\/a><\/strong><br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; padding_mobile=\u00a0\u00bboff\u00a0\u00bb column_padding_mobile=\u00a0\u00bbon\u00a0\u00bb admin_label=\u00a0\u00bbrow\u00a0\u00bb module_id=\u00a0\u00bbbloc-commande\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb width_unit=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbContrat de location\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1><span style=\"font-size: xx-large;\">Contrat de location<\/span><\/h1>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbVFB form\u00a0\u00bb module_class=\u00a0\u00bbformulaire\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-3\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">Si vous \u00eates humain, laissez ce champ vide.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-3\" value=\"1775742045\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"3\" id=\"\"><div class=\"vfb-form-group vfb-col-12\"><div><h2 class=\"\">Commande du Pipi-Stop.<\/h2><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField52\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-well vfb-col-12\" id=\"vfbField59\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Coordonn\u00e9es du patient<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField59\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField60\"><div class=\"vfb-form-group\"><label for=\"vfb-field-60\" class=\"vfb-control-label\">Pr\u00e9nom <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-60\" class=\"vfb-form-control\" placeholder=\"Pr&eacute;nom\" required=\"required\" type=\"text\" name=\"vfb-field-60\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField61\"><div class=\"vfb-form-group\"><label for=\"vfb-field-61\" class=\"vfb-control-label\">Nom <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-61\" class=\"vfb-form-control\" placeholder=\"Nom\" required=\"required\" type=\"text\" name=\"vfb-field-61\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField71\"><div class=\"vfb-form-group\"><label for=\"vfb-field-71\" class=\"vfb-control-label\">Date de naissance <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-71\" class=\"vfb-form-control\" placeholder=\"jj.mm.aaaa\" data-mask=\"00.00.0000\" required=\"required\" type=\"text\" name=\"vfb-field-71\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-radio\" id=\"vfbField64\"><label for=\"vfb-field-64\" class=\"vfb-control-label\">Sexe <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-64-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-64\" value=\"M\">M<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-64-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-64\" value=\"F\">F<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField65\"><div class=\"vfb-form-group\"><label for=\"vfb-field-65\" class=\"vfb-control-label\">Nom de la caisse maladie du patient<\/label><div><input id=\"vfb-field-65\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-65\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField68\"><div class=\"vfb-form-group\"><label for=\"vfb-field-68\" class=\"vfb-control-label\">No AVS <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-68\" class=\"vfb-form-control\" placeholder=\"756.xxxx.xxxx.xx\" data-mask=\"756.0000.0000.00\" required=\"required\" data-vfb-minlength=\"16\" data-vfb-maxlength=\"16\" type=\"text\" name=\"vfb-field-68\" value=\"\"><span class=\"vfb-help-block\">Ce num\u00e9ro figure sur la carte de la caisse maladie du patient<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField70\"><div class=\"vfb-form-group\"><label for=\"vfb-field-70\" class=\"vfb-control-label\">M\u00e9decin traitant (nom et adresse compl\u00e8te)<\/label><div><textarea id=\"vfb-field-70\" class=\"vfb-form-control\" placeholder=\"\" rows=\"6\" name=\"vfb-field-70\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField334\"><div class=\"vfb-form-group\"><label for=\"vfb-field-334\" class=\"vfb-control-label\">Commentaires concernant votre commande<\/label><div><textarea id=\"vfb-field-334\" class=\"vfb-form-control\" placeholder=\"\" data-vfb-maxwords=\"2000\" rows=\"8\" name=\"vfb-field-334\" cols=\"50\"><\/textarea><span class=\"vfb-help-block\">Si n\u00e9cessaire, merci d'\u00e9crire ici vos commentaires ou compl\u00e9ments d'information li\u00e9s \u00e0 votre commande. <\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField72\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Coordonn\u00e9es du repr\u00e9sentant l\u00e9gal<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField72\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField73\"><div class=\"vfb-form-group\"><label for=\"vfb-field-73\" class=\"vfb-control-label\">Pr\u00e9nom <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-73\" class=\"vfb-form-control\" placeholder=\"Pr&eacute;nom\" required=\"required\" type=\"text\" name=\"vfb-field-73\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField74\"><div class=\"vfb-form-group\"><label for=\"vfb-field-74\" class=\"vfb-control-label\">Nom <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-74\" class=\"vfb-form-control\" placeholder=\"Nom\" required=\"required\" type=\"text\" name=\"vfb-field-74\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField75\"><div class=\"vfb-form-group\"><label for=\"vfb-field-75\" class=\"vfb-control-label\">Rue et No <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-75\" class=\"vfb-form-control\" placeholder=\"Rue exemple 1\" required=\"required\" type=\"text\" name=\"vfb-field-75\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-5 vfb-fieldType-text\" id=\"vfbField76\"><div class=\"vfb-form-group\"><label for=\"vfb-field-76\" class=\"vfb-control-label\">Code postal <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-76\" class=\"vfb-form-control\" placeholder=\"0000\" data-mask=\"0000\" required=\"required\" data-vfb-type=\"digits\" data-vfb-minlength=\"4\" data-vfb-maxlength=\"4\" type=\"text\" name=\"vfb-field-76\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-7 vfb-fieldType-text\" id=\"vfbField77\"><div class=\"vfb-form-group\"><label for=\"vfb-field-77\" class=\"vfb-control-label\">Localit\u00e9 <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-77\" class=\"vfb-form-control\" placeholder=\"Localit&eacute;\" required=\"required\" type=\"text\" name=\"vfb-field-77\" value=\"\"><span class=\"vfb-help-block\">Nous livrons uniquement en Suisse.<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField395\"><div class=\"vfb-form-group\"><label for=\"vfb-field-395\" class=\"vfb-control-label\">E-mail de contact <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-395\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-395\" value=\"\"><span class=\"vfb-help-block\">Cet e-mail est n\u00e9cessaire pour que nous puissions vous confirmer votre commande. Vous ne recevrez pas de publicit\u00e9.<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField80\"><div class=\"vfb-form-group\"><label for=\"vfb-field-80\" class=\"vfb-control-label\">Confirmation de votre adresse e-mail <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-80\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" data-vfb-equalto=\"#vfb-field-395\" type=\"email\" name=\"vfb-field-80\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField95\"><div class=\"vfb-form-group\"><label for=\"vfb-field-95\" class=\"vfb-control-label\">T\u00e9l\u00e9phone <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-95\" class=\"vfb-form-control\" placeholder=\"000 000 00 00\" data-mask=\"000 000 00 0#\" required=\"required\" data-vfb-minlength=\"13\" data-vfb-maxlength=\"20\" type=\"text\" name=\"vfb-field-95\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField85\"><div class=\"vfb-form-group\"><label for=\"vfb-field-85\" class=\"vfb-control-label\">T\u00e9l\u00e9phone 2 (optionnel)<\/label><div><input id=\"vfb-field-85\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-85\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField86\"><div class=\"vfb-form-group\"><label for=\"vfb-field-86\" class=\"vfb-control-label\">Je suis joignable aux heures suivantes<\/label><div><input id=\"vfb-field-86\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-86\" value=\"\"><span class=\"vfb-help-block\">Nous prenons contact avec toutes les familles dans les premi\u00e8res semaines de traitement.<br>\r\nNous pouvons vous appeler durant les horaires suivants:<br>\r\nLu - Je: 8h \u00e0 12h et 13h30 \u00e0 17h<br>\r\nVe: 8h \u00e0 12h<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField87\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Option VIBRA<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField87\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField88\"><label for=\"vfb-field-88\" class=\"vfb-control-label\">Je veux recevoir le VIBRA (bracelet vibreur) avec le Pipi-Stop <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-88-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-88\" value=\"Oui\">Oui<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-88-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-88\" value=\"Non\">Non<\/label><\/div><\/div><span class=\"vfb-help-block\">Le VIBRA est en option et s'utilise uniquement avec l'appareil Pipi-Stop. <strong>Il n'est pas pris en charge<\/strong> par l'assurance maladie de base. Le bracelet VIBRA peut \u00eatre renvoy\u00e9 \u00e0 n\u2019importe quel moment sans attendre la fin du traitement.<\/span><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField90\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Envoi du Pipi-Stop<\/h3><span class=\"vfb-help-block\">&nbsp;\r\n\r\nLa poste livre les paquets du lundi au vendredi.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField90\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField51\"><label for=\"vfb-field-51\" class=\"vfb-control-label\">Date d'exp\u00e9dition souhait\u00e9e <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-51-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-51\" value=\"D&egrave;s que possible\">D\u00e8s que possible<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-51-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-51\" value=\"J&#039;aimerais d&eacute;finir une date plus tard\">J'aimerais d\u00e9finir une date plus tard<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField94\"><div class=\"vfb-form-group\"><label for=\"vfb-field-94\" class=\"vfb-control-label\">D\u00e9finir la date \u00e0 laquelle vous voulez que le Pipi-Stop soit exp\u00e9di\u00e9 <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-94\" class=\"vfb-form-control\" placeholder=\"jj.mm.aaaa\" data-mask=\"00.00.0000\" required=\"required\" data-vfb-minlength=\"10\" data-vfb-maxlength=\"10\" type=\"text\" name=\"vfb-field-94\" value=\"\"><span class=\"vfb-help-block\">Le Pipi-Stop arrivera chez vous entre 1 et 3 jours ouvrables apr\u00e8s la date d'exp\u00e9dition.<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField81\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Validation de votre commande<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField81\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField89\"><label for=\"vfb-field-89\" class=\"vfb-control-label\">Conditions g\u00e9n\u00e9rales <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-89-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-89\" required=\"required\" type=\"checkbox\" name=\"vfb-field-89[0]\" value=\"1\">J'ai lu les <a href=\"https:\/\/www.pipi-stop.ch\/fr\/commander\/conditions-de-location\/\" class=\"popmake-9672\" target=\"_blank\">conditions de location<\/a> et je les accepte<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-hidden\" id=\"vfbField285\"><input id=\"vfb-field-285\" class=\"vfb-form-control\" placeholder=\"\" type=\"hidden\" name=\"vfb-field-285\" value=\"non\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField83\"><button id=\"vfb-field-83\" class=\" form-text-please-wait_FR btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Envoyer<\/button><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"form-please-wait-field\">Apr\u00e8s avoir cliqu\u00e9 \u201cEnvoyer\u201d, merci d\u2019attendre quelques secondes avant d\u2019\u00eatre redirig\u00e9 \u00e0 l\u2019\u00e9tape suivante.<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField329\"><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><\/form><br \/>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text disabled_on=\u00a0\u00bbon|on|\u00a0\u00bb admin_label=\u00a0\u00bbLinks NEW (desktop only)\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.0&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n\n<table id=\"tablepress-29-no-2\" class=\"tablepress tablepress-id-29\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Calcul du prix de location<\/th><th class=\"column-2\"><b>Prix<\/b><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Prix de location<\/td><td class=\"column-2\">3.40 CHF\/jour<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Prise en charge LAMal<\/td><td class=\"column-2\">0.94 CHF\/jour *<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><b>Prix \u00e0 votre charge<\/b><\/td><td class=\"column-2\"><b>2.46 CHF\/jour<\/b><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-29-no-2 from cache -->\n<p>Frais d&rsquo;exp\u00e9dition: 14 CHF (unique)<\/p>\n<p>Pour des informations plus d\u00e9taill\u00e9es, vous pouvez consulter la page <a href=\"https:\/\/www.pipi-stop.ch\/fr\/commander\/conditions-de-location\/\" target=\"_blank\" rel=\"noopener\">conditions de location<\/a> et la page <a href=\"https:\/\/www.pipi-stop.ch\/fr\/commander\/remboursement-caisses-maladie\/\" target=\"_blank\" rel=\"noopener\">remboursement caisse maladie<\/a><\/p>\n<p><strong><a class=\"popmake-6789\" href=\"#\">Conditions de location du VIBRA<\/a><\/strong><\/p>\n<p>[\/et_pb_text][et_pb_divider color=\u00a0\u00bb#c4c4c4&Prime; divider_weight=\u00a0\u00bb1px\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; height=\u00a0\u00bb10px\u00a0\u00bb hide_on_mobile=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]&nbsp;<br \/>\n[\/et_pb_divider][et_pb_text admin_label=\u00a0\u00bb\u00c9tapes pour commander le Pipi-Stop en location\u00a0\u00bb module_class=\u00a0\u00bbtitre-etape\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<a name=\"etapes\"><\/a><\/p>\n<h4><strong>\u00c9tapes pour commander le Pipi-Stop en location<\/strong><\/h4>\n<p>[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x6c;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bb1. Remplir le contrat de location en ligne\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb max_width_tablet=\u00a0\u00bb50px\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"text-align: left;\">1. Remplir le contrat de location en ligne<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe010;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bb2. Cliquez sur le lien de confirmation dans l&#8217;email que vous allez recevoir automatiquement\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb max_width_tablet=\u00a0\u00bb50px\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"text-align: left;\">2.\u00a0Cliquez sur le lien de confirmation dans l&#8217;email que vous allez recevoir automatiquement<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe0e1;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bb3. Vous recevez l\u2019appareil chez vous dans les 2-4 jours ouvrables\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.0&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb max_width_tablet=\u00a0\u00bb50px\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"text-align: left;\">3. Vous recevez l\u2019appareil chez vous dans les 1-3 jours ouvrables<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x4e;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bb4. Vous installez facilement l\u2019appareil chez vous et d\u00e9butez le traitement\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb max_width_tablet=\u00a0\u00bb50px\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"text-align: left;\">4. Vous installez facilement l\u2019appareil\u00a0chez vous et d\u00e9butez le traitement<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe00b;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bb5. Vous pouvez nous appeler \u00e0 tout moment avant et durant le traitement\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb max_width_tablet=\u00a0\u00bb50px\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"text-align: left;\">5. Vous pouvez <a class=\"popmake-6832\" href=\"https:\/\/www.pipi-stop.ch\/fr\/commander\/\">nous appeler<\/a> \u00e0 tout moment avant et durant le traitement<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe0ed;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bb6. Lorsque vous avez renvoy\u00e9 le Pipi-Stop, vous recevrez une facture\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb max_width_tablet=\u00a0\u00bb50px\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"text-align: left;\">6. Lorsque vous avez renvoy\u00e9 le Pipi-Stop, vous recevrez une facture<\/p>\n<p>[\/et_pb_blurb][et_pb_divider color=\u00a0\u00bb#c4c4c4&Prime; divider_weight=\u00a0\u00bb1px\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; height=\u00a0\u00bb10px\u00a0\u00bb hide_on_mobile=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]&nbsp;<br \/>\n[\/et_pb_divider][et_pb_text admin_label=\u00a0\u00bbAlternative \u00e0 la commande en ligne\u00a0\u00bb module_class=\u00a0\u00bbtitre-etape\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h4><strong>Alternative \u00e0 la commande en ligne<\/strong><\/h4>\n<p>[\/et_pb_text][et_pb_cta title=\u00a0\u00bbCommande par formulaire PDF\u00a0\u00bb button_url=\u00a0\u00bbhttps:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2019\/03\/contrat-de-location_FR_mars-2019.pdf\u00a0\u00bb url_new_window=\u00a0\u00bbon\u00a0\u00bb button_text=\u00a0\u00bbOuvrir le PDF\u00a0\u00bb admin_label=\u00a0\u00bbAppel d&rsquo;action &#8211; \u00e9tapes PDF\u00a0\u00bb module_class=\u00a0\u00bbappel-action_petite-police\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb button_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb]1. Ouvrez le PDF<br \/>\n2. Imprimez le PDF<br \/>\n3. Datez et signez le PDF<br \/>\n4. Envoyez le PDF: <strong>a)<\/strong> par la poste <strong>b)<\/strong> version scann\u00e9e par e-mail <strong>c)<\/strong> par fax<br \/>\n[\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Commander le Pipi-Stop en location \n<table id=\"tablepress-29-no-3\" class=\"tablepress tablepress-id-29\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Calcul du prix de location<\/th><th class=\"column-2\"><b>Prix<\/b><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Prix de location<\/td><td class=\"column-2\">3.40 CHF\/jour<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Prise en charge LAMal<\/td><td class=\"column-2\">0.94 CHF\/jour *<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><b>Prix \u00e0 votre charge<\/b><\/td><td class=\"column-2\"><b>2.46 CHF\/jour<\/b><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-29-no-3 from cache --> *Requ\u00eate en cours aupr\u00e8s de l&rsquo;OFSP Frais d&rsquo;exp\u00e9dition: 14 CHF (unique) Pour des informations plus d\u00e9taill\u00e9es, vous pouvez consulter la page conditions de location et la page remboursement caisse maladie Conditions de location du VIBRA \u2192 Voir les \u00e9tapes de commande Contrat de location <form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-3\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">Si vous \u00eates humain, laissez ce champ vide.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-3\" value=\"1775742045\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"3\" id=\"\"><div class=\"vfb-form-group vfb-col-12\"><div><h2 class=\"\">Commande du Pipi-Stop.<\/h2><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField52\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-well vfb-col-12\" id=\"vfbField59\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Coordonn\u00e9es du patient<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField59\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField60\"><div class=\"vfb-form-group\"><label for=\"vfb-field-60\" class=\"vfb-control-label\">Pr\u00e9nom <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-60\" class=\"vfb-form-control\" placeholder=\"Pr&eacute;nom\" required=\"required\" type=\"text\" name=\"vfb-field-60\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField61\"><div class=\"vfb-form-group\"><label for=\"vfb-field-61\" class=\"vfb-control-label\">Nom <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-61\" class=\"vfb-form-control\" placeholder=\"Nom\" required=\"required\" type=\"text\" name=\"vfb-field-61\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField71\"><div class=\"vfb-form-group\"><label for=\"vfb-field-71\" class=\"vfb-control-label\">Date de naissance <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-71\" class=\"vfb-form-control\" placeholder=\"jj.mm.aaaa\" data-mask=\"00.00.0000\" required=\"required\" type=\"text\" name=\"vfb-field-71\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-radio\" id=\"vfbField64\"><label for=\"vfb-field-64\" class=\"vfb-control-label\">Sexe <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-64-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-64\" value=\"M\">M<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-64-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-64\" value=\"F\">F<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField65\"><div class=\"vfb-form-group\"><label for=\"vfb-field-65\" class=\"vfb-control-label\">Nom de la caisse maladie du patient<\/label><div><input id=\"vfb-field-65\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-65\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField68\"><div class=\"vfb-form-group\"><label for=\"vfb-field-68\" class=\"vfb-control-label\">No AVS <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-68\" class=\"vfb-form-control\" placeholder=\"756.xxxx.xxxx.xx\" data-mask=\"756.0000.0000.00\" required=\"required\" data-vfb-minlength=\"16\" data-vfb-maxlength=\"16\" type=\"text\" name=\"vfb-field-68\" value=\"\"><span class=\"vfb-help-block\">Ce num\u00e9ro figure sur la carte de la caisse maladie du patient<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField70\"><div class=\"vfb-form-group\"><label for=\"vfb-field-70\" class=\"vfb-control-label\">M\u00e9decin traitant (nom et adresse compl\u00e8te)<\/label><div><textarea id=\"vfb-field-70\" class=\"vfb-form-control\" placeholder=\"\" rows=\"6\" name=\"vfb-field-70\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField334\"><div class=\"vfb-form-group\"><label for=\"vfb-field-334\" class=\"vfb-control-label\">Commentaires concernant votre commande<\/label><div><textarea id=\"vfb-field-334\" class=\"vfb-form-control\" placeholder=\"\" data-vfb-maxwords=\"2000\" rows=\"8\" name=\"vfb-field-334\" cols=\"50\"><\/textarea><span class=\"vfb-help-block\">Si n\u00e9cessaire, merci d'\u00e9crire ici vos commentaires ou compl\u00e9ments d'information li\u00e9s \u00e0 votre commande. <\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField72\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Coordonn\u00e9es du repr\u00e9sentant l\u00e9gal<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField72\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField73\"><div class=\"vfb-form-group\"><label for=\"vfb-field-73\" class=\"vfb-control-label\">Pr\u00e9nom <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-73\" class=\"vfb-form-control\" placeholder=\"Pr&eacute;nom\" required=\"required\" type=\"text\" name=\"vfb-field-73\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-text\" id=\"vfbField74\"><div class=\"vfb-form-group\"><label for=\"vfb-field-74\" class=\"vfb-control-label\">Nom <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-74\" class=\"vfb-form-control\" placeholder=\"Nom\" required=\"required\" type=\"text\" name=\"vfb-field-74\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField75\"><div class=\"vfb-form-group\"><label for=\"vfb-field-75\" class=\"vfb-control-label\">Rue et No <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-75\" class=\"vfb-form-control\" placeholder=\"Rue exemple 1\" required=\"required\" type=\"text\" name=\"vfb-field-75\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-5 vfb-fieldType-text\" id=\"vfbField76\"><div class=\"vfb-form-group\"><label for=\"vfb-field-76\" class=\"vfb-control-label\">Code postal <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-76\" class=\"vfb-form-control\" placeholder=\"0000\" data-mask=\"0000\" required=\"required\" data-vfb-type=\"digits\" data-vfb-minlength=\"4\" data-vfb-maxlength=\"4\" type=\"text\" name=\"vfb-field-76\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-7 vfb-fieldType-text\" id=\"vfbField77\"><div class=\"vfb-form-group\"><label for=\"vfb-field-77\" class=\"vfb-control-label\">Localit\u00e9 <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-77\" class=\"vfb-form-control\" placeholder=\"Localit&eacute;\" required=\"required\" type=\"text\" name=\"vfb-field-77\" value=\"\"><span class=\"vfb-help-block\">Nous livrons uniquement en Suisse.<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField395\"><div class=\"vfb-form-group\"><label for=\"vfb-field-395\" class=\"vfb-control-label\">E-mail de contact <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-395\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-395\" value=\"\"><span class=\"vfb-help-block\">Cet e-mail est n\u00e9cessaire pour que nous puissions vous confirmer votre commande. Vous ne recevrez pas de publicit\u00e9.<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField80\"><div class=\"vfb-form-group\"><label for=\"vfb-field-80\" class=\"vfb-control-label\">Confirmation de votre adresse e-mail <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-80\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" data-vfb-equalto=\"#vfb-field-395\" type=\"email\" name=\"vfb-field-80\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField95\"><div class=\"vfb-form-group\"><label for=\"vfb-field-95\" class=\"vfb-control-label\">T\u00e9l\u00e9phone <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-95\" class=\"vfb-form-control\" placeholder=\"000 000 00 00\" data-mask=\"000 000 00 0#\" required=\"required\" data-vfb-minlength=\"13\" data-vfb-maxlength=\"20\" type=\"text\" name=\"vfb-field-95\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField85\"><div class=\"vfb-form-group\"><label for=\"vfb-field-85\" class=\"vfb-control-label\">T\u00e9l\u00e9phone 2 (optionnel)<\/label><div><input id=\"vfb-field-85\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-85\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField86\"><div class=\"vfb-form-group\"><label for=\"vfb-field-86\" class=\"vfb-control-label\">Je suis joignable aux heures suivantes<\/label><div><input id=\"vfb-field-86\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-86\" value=\"\"><span class=\"vfb-help-block\">Nous prenons contact avec toutes les familles dans les premi\u00e8res semaines de traitement.<br>\r\nNous pouvons vous appeler durant les horaires suivants:<br>\r\nLu - Je: 8h \u00e0 12h et 13h30 \u00e0 17h<br>\r\nVe: 8h \u00e0 12h<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField87\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Option VIBRA<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField87\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField88\"><label for=\"vfb-field-88\" class=\"vfb-control-label\">Je veux recevoir le VIBRA (bracelet vibreur) avec le Pipi-Stop <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-88-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-88\" value=\"Oui\">Oui<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-88-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-88\" value=\"Non\">Non<\/label><\/div><\/div><span class=\"vfb-help-block\">Le VIBRA est en option et s'utilise uniquement avec l'appareil Pipi-Stop. <strong>Il n'est pas pris en charge<\/strong> par l'assurance maladie de base. Le bracelet VIBRA peut \u00eatre renvoy\u00e9 \u00e0 n\u2019importe quel moment sans attendre la fin du traitement.<\/span><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField90\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Envoi du Pipi-Stop<\/h3><span class=\"vfb-help-block\">&nbsp;\r\n\r\nLa poste livre les paquets du lundi au vendredi.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField90\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField51\"><label for=\"vfb-field-51\" class=\"vfb-control-label\">Date d'exp\u00e9dition souhait\u00e9e <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-51-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-51\" value=\"D&egrave;s que possible\">D\u00e8s que possible<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-51-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-51\" value=\"J&#039;aimerais d&eacute;finir une date plus tard\">J'aimerais d\u00e9finir une date plus tard<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField94\"><div class=\"vfb-form-group\"><label for=\"vfb-field-94\" class=\"vfb-control-label\">D\u00e9finir la date \u00e0 laquelle vous voulez que le Pipi-Stop soit exp\u00e9di\u00e9 <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-94\" class=\"vfb-form-control\" placeholder=\"jj.mm.aaaa\" data-mask=\"00.00.0000\" required=\"required\" data-vfb-minlength=\"10\" data-vfb-maxlength=\"10\" type=\"text\" name=\"vfb-field-94\" value=\"\"><span class=\"vfb-help-block\">Le Pipi-Stop arrivera chez vous entre 1 et 3 jours ouvrables apr\u00e8s la date d'exp\u00e9dition.<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><div class=\"vfb-well vfb-col-12\" id=\"vfbField81\"><div class=\"vfb-form-group vfb-col-12\"><div><h3 class=\"\">Validation de votre commande<\/h3><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField81\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField89\"><label for=\"vfb-field-89\" class=\"vfb-control-label\">Conditions g\u00e9n\u00e9rales <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-89-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-89\" required=\"required\" type=\"checkbox\" name=\"vfb-field-89[0]\" value=\"1\">J'ai lu les <a href=\"https:\/\/www.pipi-stop.ch\/fr\/commander\/conditions-de-location\/\" class=\"popmake-9672\" target=\"_blank\">conditions de location<\/a> et je les accepte<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-hidden\" id=\"vfbField285\"><input id=\"vfb-field-285\" class=\"vfb-form-control\" placeholder=\"\" type=\"hidden\" name=\"vfb-field-285\" value=\"non\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField83\"><button id=\"vfb-field-83\" class=\" form-text-please-wait_FR btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Envoyer<\/button><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"form-please-wait-field\">Apr\u00e8s avoir cliqu\u00e9 \u201cEnvoyer\u201d, merci d\u2019attendre quelques secondes avant d\u2019\u00eatre redirig\u00e9 \u00e0 l\u2019\u00e9tape suivante.<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField329\"><\/div><div class=\"vfb-clearfix\"><\/div><\/div> <!-- .vfb-well --><\/form> [table \u201c\u201d not found \/]<br \/>\n<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":84,"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-2065","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>Commander | 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\/fr\/commander\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Commander\" \/>\n<meta property=\"og:description\" content=\"Commander le Pipi-Stop en 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