{"id":67,"date":"2026-06-29T10:28:23","date_gmt":"2026-06-29T08:28:23","guid":{"rendered":"http:\/\/pharmacie-du-centre-croix.com\/?page_id=67"},"modified":"2026-06-29T10:32:25","modified_gmt":"2026-06-29T08:32:25","slug":"preparation-ordonnance","status":"publish","type":"page","link":"https:\/\/pharmacie-du-centre-croix.com\/preparation-ordonnance.php","title":{"rendered":"Pr\u00e9paration d&rsquo;ordonnance, pharmacie et parapharmacie Croix, Wasquehal"},"content":{"rendered":"<div id=\"ariane-loupe\">\n<div id=\"file\">\n              Vous \u00eates ici : <a href=\"\/\">Accueil<\/a> \u00bb <strong>Pr\u00e9paration d&rsquo;ordonnance<\/strong>\n            <\/div>\n<\/p><\/div>\n<h1>Pr\u00e9paration d&rsquo;ordonnance &#8211; pharmacie Croix<\/h1>\n<p>Vous \u00eates press\u00e9s, un rendez-vous urgent, pas le temps d&rsquo;attendre\u00a0! <strong>Pr\u00e9paration rapide<\/strong>.<br \/>\n          Nous avons la solution pour vous faire gagner du temps<\/p>\n<h2>Envoyez-nous votre ordonnance&#8230;<\/h2>\n<p>&#8230; par l&rsquo;interm\u00e9diaire de ce formulaire en ligne.<\/p>\n<p><strong>1.<\/strong> Scannez votre ordonnance<br \/>\n          <strong>2.<\/strong> Joignez votre ordonnance \u00e0 votre message et renseignez bien vos coordonn\u00e9es<br \/>\n          <strong>3.<\/strong> Nous vous informerons d\u00e8s que votre ordonnance sera pr\u00eate<\/p>\n<div id=\"contenu_gauche_formulaire\">\n<h2>Ordonnance en ligne<\/h2>\n<form id=\"formulaire_2\" onsubmit=\"return App.validate(this);\" enctype=\"multipart\/form-data\" class=\"generateur\" action=\"\/preparation-ordonnance.php\" method=\"post\" name=\"formulaire_2\">\n<fieldset>\n<legend>Vos coordonn\u00e9es<\/legend>\n<div id=\"field_21\">\n<p><label for=\"field_0\" class=\"required\">Nom : <span class=\"required\">*<\/span><\/label> <input type=\"text\" name=\"field_0\" id=\"field_0\" value=\"Nom : *\" class=\"\" size=\"30\" maxlength=\"100\"><span class=\"validation\"><\/span><\/p>\n<p><label for=\"field_1\" class=\"required\">Pr\u00e9nom : <span class=\"required\">*<\/span><\/label> <input type=\"text\" name=\"field_1\" id=\"field_1\" value=\"Pr\u00e9nom : *\" class=\"\" size=\"30\" maxlength=\"100\"><span class=\"validation\"><\/span><\/p>\n<p><label for=\"field_4\" class=\"optional\">Adresse :<\/label> <input type=\"text\" name=\"field_4\" id=\"field_4\" value=\"Adresse :\" class=\"\" size=\"30\" maxlength=\"150\"><span class=\"validation\"><\/span><\/p>\n<p><label for=\"field_5\" class=\"optional\">Code postal :<\/label> <input type=\"text\" name=\"field_5\" id=\"field_5\" value=\"Code postal :\" class=\"\" size=\"10\" maxlength=\"5\"><span class=\"validation\"><\/span><\/p>\n<p><label for=\"field_6\" class=\"optional\">Ville :<\/label> <input type=\"text\" name=\"field_6\" id=\"field_6\" value=\"Ville :\" class=\"\" size=\"30\" maxlength=\"100\"><span class=\"validation\"><\/span><\/p>\n<p><label for=\"field_9\" class=\"required\">T\u00e9l\u00e9phone portable : <span class=\"required\">*<\/span><\/label> <input type=\"text\" name=\"field_9\" id=\"field_9\" value=\"T\u00e9l\u00e9phone portable : *\" class=\"\" size=\"30\" maxlength=\"150\"><span class=\"validation\"><\/span><\/p>\n<p><label for=\"field_2\" class=\"required\">Adresse e-mail : <span class=\"required\">*<\/span><\/label> <input type=\"text\" name=\"field_2\" id=\"field_2\" value=\"Adresse e-mail : *\" class=\"\" size=\"30\" maxlength=\"100\"><span class=\"validation\"><\/span><\/p>\n<\/p><\/div>\n<\/fieldset>\n<fieldset>\n<legend>Votre ordonnance<\/legend>\n<div id=\"field_23\">\n<p><label for=\"field_8\" class=\"required\">Num\u00e9ro de S\u00e9curit\u00e9 Sociale : <span class=\"required\">*<\/span><\/label> <input type=\"text\" name=\"field_8\" id=\"field_8\" value=\"Num\u00e9ro de S\u00e9curit\u00e9 Sociale : *\" class=\"\" size=\"30\" maxlength=\"150\"><span class=\"validation\"><\/span><\/p>\n<\/p><\/div>\n<p><label for=\"field_10\" class=\"optional\">Votre ordonnance :<\/label> <input type=\"file\" name=\"field_10\" id=\"field_10\" class=\"\"><span class=\"validation\"><\/span><\/p>\n<p><label for=\"field_11\" class=\"optional\">Votre carte de mutuelle :<\/label> <input type=\"file\" name=\"field_11\" id=\"field_11\" class=\"\"><span class=\"validation\"><\/span><\/p>\n<p><label for=\"field_12\" class=\"optional\">Attestation papier de SS (pour les nouveaux clients uniquement) :<\/label> <input type=\"file\" name=\"field_12\" id=\"field_12\" class=\"\"><span class=\"validation\"><\/span><\/p>\n<\/fieldset>\n<fieldset>\n<legend>R\u00e9cup\u00e9rer votre ordonnance<\/legend>\n<p>Quand souhaitez-vous r\u00e9cup\u00e9rer votre ordonnance ?<\/p>\n<div id=\"field_25\">\n<p><label for=\"field_19\" class=\"optional\">Date<\/label> <input type=\"text\" name=\"field_19\" id=\"field_19\" value=\"Date\" autocomplete=\"off\" class=\"calendrier\" size=\"10\" maxlength=\"\"><span class=\"validation\"><\/span><\/p>\n<div class=\"divGenerateur\">\n                    <label for=\"field_20\" class=\"optional\">\u00a0<\/label><\/p>\n<ul>\n<li><label class=\"noFloatingLabel\"><input type=\"checkbox\" name=\"field_20[]\" id=\"field_20-matin\" value=\"Matin\" class=\"\">Matin<\/label><\/li>\n<li><label class=\"noFloatingLabel\"><input type=\"checkbox\" name=\"field_20[]\" id=\"field_20-apres-midi\" value=\"Apr\u00e8s-midi\" class=\"\">Apr\u00e8s-midi<\/label><\/li>\n<\/ul>\n<div><\/div>\n<p><span class=\"validation\"><\/span>\n                  <\/div>\n<\/p><\/div>\n<\/fieldset>\n<p class=\"submit\"><input type=\"submit\" name=\"input_submit2\" id=\"field_7\" value=\"Envoyer ma demande\" class=\"\"><span class=\"validation\"><\/span><\/p>\n<p><input type=\"hidden\" name=\"input_blank\" value=\"\" id=\"input_blank\"> <input type=\"hidden\" name=\"field_20_hidden\" value=\"\" id=\"field_20_hidden\"><\/p>\n<div class=\"divGenerateurRequired\">\n                <span class=\"required\">*<\/span>\u00a0Champs requis\n              <\/div>\n<\/p><\/form>\n<p>            <script type=\"text\/javascript\">\n            \/\/<![CDATA[\n            var Forms = Forms || { };\n            Forms.language = 'fr';\n            Forms.pays = 'fr';\n            Forms.formulaire_2 = { };\n            Forms.formulaire_2.field_0 = [ { name: 'Zend_Validate_NotEmpty', parameters: {} } ];\n            Forms.formulaire_2.field_1 = [ { name: 'Zend_Validate_NotEmpty', parameters: {} } ];\n            Forms.formulaire_2.field_5 = [ { name: 'Zend_Validate_Digits', parameters: {} } ];\n            Forms.formulaire_2.field_6 = [ { name: 'My_Zend_Validate_Alpha', parameters: { allowWhiteSpace: true, allowDash: true}  } ];\n            Forms.formulaire_2.field_9 = [ { name: 'Zend_Validate_NotEmpty', parameters: {} }, { name: 'Zend_Validate_Digits', parameters: {} } ];\n            Forms.formulaire_2.field_2 = [ { name: 'Zend_Validate_NotEmpty', parameters: {} }, { name: 'My_Zend_Validate_EmailAddress', parameters: {} } ];\n            Forms.formulaire_2.field_8 = [ { name: 'Zend_Validate_NotEmpty', parameters: {} } ];\n            Forms.formulaire_2.field_10 = [ { name: 'Zend_Validate_File_ExcludeExtension', parameters: {} } ];\n            Forms.formulaire_2.field_11 = [ { name: 'Zend_Validate_File_ExcludeExtension', parameters: {} } ];\n            Forms.formulaire_2.field_12 = [ { name: 'Zend_Validate_File_ExcludeExtension', parameters: {} } ];\n            \/\/]]>\n            <\/script>\n          <\/div>\n<div id=\"contenu_droit_formulaire\">\n<h2>Coordonn\u00e9es<\/h2>\n<p><strong>Pharmacie du Centre Croix<\/strong><\/p>\n<p>8 rue du Professeur Perrin<br \/>\n            59170 CROIX<\/p>\n<p>T\u00e9l. <strong>03 20 72 46 06<\/strong><\/p>\n<p><a href=\"\/plan-acces.php\" class=\"lien\">Plan d&rsquo;acc\u00e8s<\/a><\/p>\n<h2>Une question ?<\/h2>\n<p>Pour toute autre question, contactez-nous !<\/p>\n<p><a href=\"\/contact.php\" class=\"lien\">Nous contacter<\/a>\n          <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Vous \u00eates ici : Accueil \u00bb Pr\u00e9paration d&rsquo;ordonnance Pr\u00e9paration d&rsquo;ordonnance &#8211; pharmacie Croix Vous \u00eates press\u00e9s, un rendez-vous urgent, pas [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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