{"id":93,"date":"2015-02-20T19:16:26","date_gmt":"2015-02-20T19:16:26","guid":{"rendered":"https:\/\/votrepsylaval.com\/?page_id=93"},"modified":"2020-01-31T22:46:14","modified_gmt":"2020-01-31T22:46:14","slug":"contact","status":"publish","type":"page","link":"https:\/\/votrepsylaval.com\/fr\/contact\/","title":{"rendered":"Contact"},"content":{"rendered":"<div id=\"contactform\">\n<div class=\"contactInfo\">\n<p style=\"text-align: center;\"><strong><img style=\"width: 350px; height: 233px;\" src=\"https:\/\/votrepsylaval.com\/wp-content\/uploads\/2015\/02\/contact-us.jpg\" alt=\"\" \/><\/strong><\/p>\n<div style=\"text-align: center;\"><strong>472 Damien-Cyr<\/strong><\/div>\n<div style=\"text-align: center;\"><strong>Ste Rose, Laval, QC<\/strong><\/div>\n<div style=\"text-align: center;\"><strong>H7L 5V9<\/strong><\/div>\n<div><\/div>\n<div style=\"text-align: center;\">(450) 937-2077<\/div>\n<\/div>\n<p><!--\n\n\n\n<form>\n\n\n<table>\n\n\n<tbody>\n\n\n<tr>\n\n\n<td>\n\t\t\t\t\t\tYour name<span class=\"required\">*<\/span><\/td>\n\n\n\n\n<td>\n\t\t\t\t\t\t<input name=\"name\" type=\"text\" \/><\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td>\n\t\t\t\t\t\tPhone<\/td>\n\n\n\n\n<td>\n\t\t\t\t\t\t<input name=\"phone\" type=\"text\" \/><\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td>\n\t\t\t\t\t\tEmail<span class=\"required\">*<\/span><\/td>\n\n\n\n\n<td>\n\t\t\t\t\t\t<input name=\"email\" type=\"text\" \/><\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td>\n\t\t\t\t\t\tCan we leave a message on your phone?<span class=\"required\">*<\/span><\/td>\n\n\n\n\n<td>\n\t\t\t\t\t\t<label style=\"display: block;\"><input name=\"emailConfidential\" type=\"radio\" value=\"Yes\" \/>Yes<\/label> <label style=\"margin-top: 5px; display: block;\"> <input name=\"emailConfidential\" type=\"radio\" value=\"No\" \/>No<\/label><\/td>\n\n\n<\/tr>\n\n\n--><br \/>\n<!--\n\n\n<tr>\n\n\n<td>\n\t\t\t\t\t\tPlease check the psychologist(s) you are interested in consulting with<\/td>\n\n\n\n\n<td>\n\t\t\t\t\t\t<label style=\"display:none;\"><input name=\"psychologist\" type=\"checkbox\" value=\"No preference\">No preference<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"psychologist\" type=\"checkbox\" value=\"Dr. Mary Tsonis\">Dr. Mary Tsonis<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"psychologist\" type=\"checkbox\" value=\"Dr. Peter Gates\">Dr. Peter Gates<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"psychologist\" type=\"checkbox\" value=\"Dr. Johnny Walker\">Dr. Johnny Walker<\/label><\/td>\n\n\n<\/tr>\n\n\n--><br \/>\n<!--\n\n\n<tr>\n\n\n<td>\n\t\t\t\t\t\tAre you interested in:<\/td>\n\n\n\n\n<td>\n\t\t\t\t\t\t<label style=\"display: block;\"><input name=\"interestedIn\" type=\"checkbox\" value=\"Free Telephone Consult\" \/>Free Telephone Consult<\/label><label style=\"margin-top: 5px; display: block;\"><input name=\"interestedIn\" type=\"checkbox\" value=\"A Child Evaluation\" \/>A Child Evaluation<\/label><label style=\"margin-top: 5px; display: block;\"><input name=\"interestedIn\" type=\"checkbox\" value=\"Child Therapy\" \/>Child Therapy<\/label><label style=\"margin-top: 5px; display: block;\"><input name=\"interestedIn\" type=\"checkbox\" value=\"Individual Adult Therapy\" \/>Individual Adult Therapy<\/label><label style=\"margin-top: 5px; display: block;\"><input name=\"interestedIn\" type=\"checkbox\" value=\"Couple Therapy\" \/>Couple Therapy<\/label><label style=\"margin-top: 5px; display: block;\"><input name=\"interestedIn\" type=\"checkbox\" value=\"Parent Coaching or Help\" \/>Parent Coaching or Help<\/label><label style=\"margin-top: 5px; display: block;\"><input name=\"interestedIn\" type=\"checkbox\" value=\"Family Therapy\" \/>Family Therapy<\/label><label style=\"margin-top: 5px; display: block;\"><input name=\"interestedIn\" type=\"checkbox\" value=\"Other\" \/>Other<\/label><\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td>\n\t\t\t\t\t\tLeave us a brief message about your situation<\/td>\n\n\n\n\n<td>\n\t\t\t\t\t\t<textarea name=\"message\"><\/textarea><\/td>\n\n\n<\/tr>\n\n\n--><br \/>\n<!--\n\n\n<tr>\n\n\n<td>\n\t\t\t\t\t\tWhat are your schedule preferences and availabilities for therapy:<span class=\"required\">*<\/span><\/td>\n\n\n\n\n<td>\n\t\t\t\t\t\t<label style=\"display:block;\"><input name=\"availabilityPreference\" type=\"checkbox\" value=\"Anyday\">Anyday<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Monday\">Monday<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Tuesday\">Tuesday<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Wednesday\">Wednesday<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Thursday\">Thursday<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Friday\">Friday<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Saturday\">Saturday<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Sunday\">Sunday<\/label> <label style=\"display:block; margin-top: 20px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Anytime\">Anytime<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Mornings\">Mornings<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Afternoons\">Afternoons<\/label> <label style=\"display:block; margin-top: 5px;\"> <input name=\"availabilityPreference\" type=\"checkbox\" value=\"Evenings\">Evenings<\/label><\/td>\n\n\n<\/tr>\n\n\n--><br \/>\n<!--<\/tbody>\n\n\n<\/table>\n\n\n\n\n<p style=\"text-align: center;\">\n\t\t\t<input type=\"submit\" value=\"Send\" \/>\n\n<\/form>\n\n--><br \/>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f287-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/93\/#wpcf7-f287-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"287\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f287-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<table>\n<tbody>\n<tr>\n<td>\n\t\t\t\t\t\tVotre nom<span class=\"required\">*<\/span><\/td>\n<td>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"name\"><input type=\"text\" name=\"name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>\n\t\t\t\t\t\tT&eacute;l&eacute;phone<\/td>\n<td>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input type=\"tel\" name=\"phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>\n\t\t\t\t\t\tCourriel<span class=\"required\">*<\/span><\/td>\n<td>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input type=\"email\" name=\"email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>\n<p>\n\t\t\t\t\t\t\tPouvons-nous laisser un message<br \/>\n\t\t\t\t\t\t\tsur votre bo&icirc;te vocale?<span class=\"required\">*<\/span><\/p>\n<\/td>\n<td>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"emailConfidential\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"emailConfidential\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"emailConfidential\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td>\n\t\t\t\t\t\tVous &ecirc;tes int&eacute;ress&eacute; par:<\/td>\n<td>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"interestedIn\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"interestedIn\" value=\"Consultation t\u00e9l\u00e9phone gratuite\" \/><span class=\"wpcf7-list-item-label\">Consultation t\u00e9l\u00e9phone gratuite<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"interestedIn\" value=\"\u00c9valuation de l&#039;enfant\" \/><span class=\"wpcf7-list-item-label\">\u00c9valuation de l&#039;enfant<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"interestedIn\" value=\"Th\u00e9rapie pour enfants\" \/><span class=\"wpcf7-list-item-label\">Th\u00e9rapie pour enfants<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"interestedIn\" value=\"Th\u00e9rapie individuelle pour adulte\" \/><span class=\"wpcf7-list-item-label\">Th\u00e9rapie individuelle pour adulte<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"interestedIn\" value=\"Th\u00e9rapie de couple\" \/><span class=\"wpcf7-list-item-label\">Th\u00e9rapie de couple<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"interestedIn\" value=\"Coaching pour parent ou aide\/soutien\" \/><span class=\"wpcf7-list-item-label\">Coaching pour parent ou aide\/soutien<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"interestedIn\" value=\"Th\u00e9rapie familliale\" \/><span class=\"wpcf7-list-item-label\">Th\u00e9rapie familliale<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"interestedIn\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/label><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td>\n<p>\n\t\t\t\t\t\t\tLaussez-nous un bref message&nbsp;concernant votre situation<br \/>\n\t\t\t\t\t\t\tet nous vous contacterons&nbsp;le plus rapidement possible<\/p>\n<\/td>\n<td>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"message\"><textarea name=\"message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: center;\">\n\t\t\t<input type=\"submit\" value=\"Envoyer\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/p>\n<div style=\"clear: both;\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>472 Damien-Cyr Ste Rose, Laval, QC H7L 5V9 (450) 937-2077<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/services.php","meta":[],"_links":{"self":[{"href":"https:\/\/votrepsylaval.com\/fr\/wp-json\/wp\/v2\/pages\/93\/"}],"collection":[{"href":"https:\/\/votrepsylaval.com\/fr\/wp-json\/wp\/v2\/pages\/"}],"about":[{"href":"https:\/\/votrepsylaval.com\/fr\/wp-json\/wp\/v2\/types\/page\/"}],"author":[{"embeddable":true,"href":"https:\/\/votrepsylaval.com\/fr\/wp-json\/wp\/v2\/users\/1\/"}],"replies":[{"embeddable":true,"href":"https:\/\/votrepsylaval.com\/fr\/wp-json\/wp\/v2\/comments\/?post=93"}],"version-history":[{"count":5,"href":"https:\/\/votrepsylaval.com\/fr\/wp-json\/wp\/v2\/pages\/93\/revisions\/"}],"predecessor-version":[{"id":324,"href":"https:\/\/votrepsylaval.com\/fr\/wp-json\/wp\/v2\/pages\/93\/revisions\/324\/"}],"wp:attachment":[{"href":"https:\/\/votrepsylaval.com\/fr\/wp-json\/wp\/v2\/media\/?parent=93"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}