{"id":700,"date":"2020-09-17T15:12:36","date_gmt":"2020-09-17T19:12:36","guid":{"rendered":"https:\/\/fmec.machinedev.ca\/cpd-cp-application\/"},"modified":"2026-10-14T11:11:08","modified_gmt":"2026-10-14T15:11:08","slug":"cpc-hc-application","status":"publish","type":"page","link":"https:\/\/www.cpdcoalition.ca\/fr\/cpc-hc-application\/","title":{"rendered":"PCD (SS) Application"},"content":{"rendered":"\n<div class=\"wp-block-cover alignfull is-light section--impact has-primary-blue-color has-text-color has-link-color wp-elements-1\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1103\" class=\"wp-block-cover__image-background wp-image-356 size-full\" alt=\"Medicine doctor touching electronic medical record on tablet. DNA. Digital healthcare and network connection on hologram modern virtual screen interface, medical technology and futuristic concept.\" src=\"https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2020\/05\/iStock-1165067633-scaled.jpg\" data-object-fit=\"cover\" srcset=\"https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2020\/05\/iStock-1165067633-scaled.jpg 2560w, https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2020\/05\/iStock-1165067633-300x129.jpg 300w, https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2020\/05\/iStock-1165067633-1024x441.jpg 1024w, https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2020\/05\/iStock-1165067633-768x331.jpg 768w, https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2020\/05\/iStock-1165067633-1536x662.jpg 1536w, https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2020\/05\/iStock-1165067633-2048x883.jpg 2048w, https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2020\/05\/iStock-1165067633-1920x828.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-white-background-color has-background-dim-40 has-background-dim\"><\/span><div class=\"wp-block-cover__inner-container is-layout-constrained wp-container-core-cover-is-layout-8b78046c wp-block-cover-is-layout-constrained\">\n<h1 class=\"wp-block-heading has-impact-font-size\">Application PCD (SS)<\/h1>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-text-align-center\">T\u00e9l\u00e9charger le PDF<\/h2>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\">Le titre de Professionnel certifi\u00e9 en DPC (soins de sant\u00e9)&nbsp;&nbsp;PCD (SS) est une d\u00e9signation officielle pour les professionnels dans le domaine du DPC dans la cr\u00e9ation et l&rsquo;offre de programmes de DPC. Le titre est accord\u00e9 par la Coalition pour l\u2019apprentissage des m\u00e9decins et l\u2019am\u00e9lioration continue de la pratique (la Coalition).<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons alignwide is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-916c4c57 wp-block-buttons-is-layout-flex\" style=\"padding-top:0;padding-bottom:0\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2024\/12\/Certificate-Leadership-Route-Application-FR.pdf\" target=\"_blank\">T\u00e9l\u00e9charger le formulaire de demande \u2013 Parcours Leadership<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.cpdcoalition.ca\/wp-content\/uploads\/2024\/12\/Certificate-CPD-Route-Application-FR.pdf\" target=\"_blank\">T\u00e9l\u00e9charger le formulaire de demande \u2013 Parcours Certificat<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' ><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/700' data-formid='5' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LcTjk8iAAAAAEWur7UNFr3eM8VQ-7vzQ2yf451Q' data-tabindex='0'><input id=\"input_3e4bd660fbbdde3592fb2f320f8ce751\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_3e4bd660fbbdde3592fb2f320f8ce751\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><li id=\"field_5_9\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"4570799e\" data-field-span=\"12\"><h2>T\u00e9l\u00e9charger les documents \u00e0 l&rsquo;appui<\/h2><\/li><li id=\"field_5_2\" class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b3764f50\" data-field-span=\"12\"><label id='gfield_label_5_2' class='gfield_label gform-field-label' for='gform_browse_button_5_2'><span class='gform-field-label__text'>Des dossiers<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_2' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_2&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_2&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_2&quot;,&quot;filelist&quot;:&quot;gform_preview_5_2&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.cpdcoalition.ca\\\/?gf_page=24b999d3536821d&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.cpdcoalition.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.cpdcoalition.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:2,&quot;_gform_file_upload_nonce_5_2&quot;:&quot;2b1a48b63d&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;5&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_5_2&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_2' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_2' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_2\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_2'>Taille max. des fichiers\u00a0: 15 MB, Max. des fichiers\u00a0: 5.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_2'><\/ul> <div id='gform_preview_5_2' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"90bf44ca\" data-field-span=\"12\"><label id='gfield_label_5_10' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nom du requ\u00e9rant<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_10'>\n                            \n                            <span id='input_5_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.3' id='input_5_10_3' value=''   aria-required='true'     aria-labelledby=\"input_5_10_3_label gfield_label_5_10\"\/>\n                                                    <label for='input_5_10_3' id='input_5_10_3_label' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9mon<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.6' id='input_5_10_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_10_6' id='input_5_10_6_label' class='gform-field-label gform-field-label--type-sub '>Nom de famille<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-email small-wrapper gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"4c6174e6\" data-field-span=\"12\"><label id='gfield_label_5_11' class='gfield_label gform-field-label' for='input_5_11'><span class='gform-field-label__text'>Courriel du requ\u00e9rant<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_11' id='input_5_11' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_8\" class=\"gfield gfield--type-select small-wrapper full-dropdown field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"1e78218c\" data-field-span=\"12\"><label id='gfield_label_5_8' class='gfield_label gform-field-label' for='input_5_8'><span class='gform-field-label__text'>Province<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_5_8' class='medium gfield_select'     aria-invalid=\"false\" ><option value='0.05' >l\u2019Alberta<\/option><option value='0.12' >la Colombie-Britannique<\/option><option value='0.12' >le Manitoba<\/option><option value='0.15' >le Nouveau-Brunswick<\/option><option value='0.15' >la Terre-Neuve-et-Labrador<\/option><option value='0.05' >les Territoires du Nord-Ouest<\/option><option value='0.15' >la Nouvelle-\u00c9cosse<\/option><option value='0.05' >le Nunavut<\/option><option value='0.13' >l\u2019Ontario<\/option><option value='0.15' >l\u2019\u00eele du Prince-\u00c9douard<\/option><option value='0.14975' >le Qu\u00e9bec<\/option><option value='0.11' >la Saskatchewan<\/option><option value='0.05' >le Yukon<\/option><\/select><\/div><\/li><li id=\"field_5_7\" class=\"gfield gfield--type-product gfield--input-type-singleproduct small-wrapper gfield_price gfield_price_5_7 gfield_product_5_7 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"2cb24024\" data-field-span=\"12\"><label id='gfield_label_5_7' class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_7_1'><span class='gform-field-label__text'>Application PCD (SS)<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_7.1' value='Application PCD (SS)' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_5_7' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_7.2' id='ginput_base_price_5_7' value='$475.00' aria-label='Application PCD (SS) Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_7.3' value='1' class='ginput_quantity_5_7 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-product gfield--input-type-calculation small-wrapper hst_calc gfield_price gfield_price_5_6 gfield_product_5_6 gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9713cede\" data-field-span=\"12\"><label id='gfield_label_5_6' class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_6_1'><span class='gform-field-label__text'>Imp\u00f4t<\/span><\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_6.1' value='Imp\u00f4t' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_6'>$1.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_6.2' id='ginput_base_price_5_6' class='gform_hidden ginput_calculated_price' value='$1.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_6.3' value='1' class='ginput_quantity_5_6 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-creditcard small-wrapper gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b08f3bb9\" data-field-span=\"12\"><label id='gfield_label_5_4' class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_4_1'><span class='gform-field-label__text'>Carte de cr\u00e9dit<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_5_4'><span class='ginput_full gform-grid-col' id='input_5_4_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_5_4_supported_creditcards'>Cartes bancaires prises en charge\u00a0: MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_4.1' id='input_5_4_1' value=''   onchange='gformMatchCard(\"input_5_4_1\");' onkeyup='gformMatchCard(\"input_5_4_1\");' autocomplete='off' pattern='[0-9]*' title='Seuls les chiffres sont autoris\u00e9s'  aria-required='true'   aria-labelledby=\"input_5_4_1_label gfield_label_5_4\"\/>\n                                    <label for='input_5_4_1' id='input_5_4_1_label' class='gform-field-label gform-field-label--type-sub '>Num\u00e9ro de carte<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_5_4_2_container'>\n                                            <span class='ginput_cardinfo_left' id='input_5_4_2_cardinfo_left'>\n                                                <span class='ginput_card_expiration_container ginput_card_field'>\n                                                    \n                                                       <select name='input_4.2[]' id='input_5_4_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='true'  >\n                                                           <option value=''>Mois<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                       \n                                                   \n                                                   \n                                                       <select name='input_4.2[]' id='input_5_4_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='true'  >\n                                                           <option value=''>Ann\u00e9e<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                       \n                                                       \n                                                <\/span>\n                                                 <label for='input_5_4_2_month' class='gform-field-label gform-field-label--type-sub '>Date d\u2019expiration<\/label>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_5_4_2_cardinfo_right'>\n                                                <input type='text' name='input_4.3' id='input_5_4_3'   class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Seuls les chiffres sont autoris\u00e9s'  aria-required='true'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_5_4_3' class='gform-field-label gform-field-label--type-sub '>Code de s\u00e9curit\u00e9 (CVC)<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_5_4_5_container'>\n                                            <input type='text' name='input_4.5' id='input_5_4_5' value=''    aria-required='false'  \/>\n                                            <label for='input_5_4_5' id='input_5_4_5_label' class='gform-field-label gform-field-label--type-sub '>Nom du titulaire de la carte<\/label>\n                                        <\/span> <\/div><\/li><li id=\"field_5_12\" class=\"gfield gfield--type-address small-wrapper gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"827eb633\" data-field-span=\"12\"><label id='gfield_label_5_12' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Adresse de facturation<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_12' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_12_1_container' >\n                                        <input type='text' name='input_12.1' id='input_5_12_1' value=''    aria-required='true'    aria-labelledby=\"input_5_12_1_label gfield_label_5_12\"\/>\n                                        <label for='input_5_12_1' id='input_5_12_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_12_2_container' >\n                                        <input type='text' name='input_12.2' id='input_5_12_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_12_2' id='input_5_12_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_12_3_container' >\n                                    <input type='text' name='input_12.3' id='input_5_12_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_12_3' id='input_5_12_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_12_4_container' >\n                                        <select name='input_12.4' id='input_5_12_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='Colombie-Britannique' >Colombie-Britannique<\/option><option value='Manitoba' >Manitoba<\/option><option value='Nouveau-Brunswick' >Nouveau-Brunswick<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='\u00cele du Prince-\u00c9douard' >\u00cele du Prince-\u00c9douard<\/option><option value='Qu\u00e9bec' >Qu\u00e9bec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_5_12_4' id='input_5_12_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_12_5_container' >\n                                    <input type='text' name='input_12.5' id='input_5_12_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_12_5' id='input_5_12_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_12.6' id='input_5_12_6' value='CA' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_5_5\" class=\"gfield gfield--type-total small-wrapper gfield_price gfield_price_5_ gfield_total gfield_total_5_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" aria-atomic=\"true\" aria-live=\"polite\" data-group-id=\"657f5670\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_5_5' class='gfield_label gform-field-label' for='input_5_5'><span class='gform-field-label__text'>Total<\/span><\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_5'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_5' id='input_5_5' class='gform_hidden' \/>\n\t\t\t\t\t\t<\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n    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Le titre est accord\u00e9 par la Coalition pour l\u2019apprentissage des m\u00e9decins et l\u2019am\u00e9lioration continue de la pratique (la Coalition).<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-700","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.cpdcoalition.ca\/fr\/wp-json\/wp\/v2\/pages\/700","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cpdcoalition.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cpdcoalition.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cpdcoalition.ca\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cpdcoalition.ca\/fr\/wp-json\/wp\/v2\/comments?post=700"}],"version-history":[{"count":10,"href":"https:\/\/www.cpdcoalition.ca\/fr\/wp-json\/wp\/v2\/pages\/700\/revisions"}],"predecessor-version":[{"id":1978,"href":"https:\/\/www.cpdcoalition.ca\/fr\/wp-json\/wp\/v2\/pages\/700\/revisions\/1978"}],"wp:attachment":[{"href":"https:\/\/www.cpdcoalition.ca\/fr\/wp-json\/wp\/v2\/media?parent=700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}