{"id":11030,"date":"2019-10-25T11:01:21","date_gmt":"2019-10-25T09:01:21","guid":{"rendered":"https:\/\/tunisiamedicaltourism.com\/?page_id=11030"},"modified":"2023-02-06T14:59:31","modified_gmt":"2023-02-06T13:59:31","slug":"quotation","status":"publish","type":"page","link":"https:\/\/tunisiamedicaltourism.com\/en\/quotation\/","title":{"rendered":"Quotation request"},"content":{"rendered":"<p>[vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f11021-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/11030#wpcf7-f11021-o1\" method=\"post\" class=\"wpcf7-form init contact_2\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"11021\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f11021-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"uacf7-form-11021\">[vc_row]\n[vc_column]<label class=\"bold\" >My Contacts  <\/label>[\/vc_column]\n[vc_column]<label>Marital status *(Mrs \/Mr) <\/label> <span class=\"wpcf7-form-control-wrap\" data-name=\"genre\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"genre\"><option value=\"Sexe\">Sexe<\/option><option value=\"Mrs\">Mrs<\/option><option value=\"Mr\">Mr<\/option><\/select><\/span>[\/vc_column]\n\n[vc_column ]<label> Name* <\/label> <span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name\" value=\"\" type=\"text\" name=\"nom\" \/><\/span>[\/vc_column] \n\n[vc_column] <label> First name* <\/label> <span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First name\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span>[\/vc_column]\n\n[vc_column] <label> Age* <\/label> <span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Age\" value=\"\" type=\"text\" name=\"age\" \/><\/span>[\/vc_column]\n\n[vc_column]<label>Country*<\/label> <span class=\"wpcf7-form-control-wrap\" data-name=\"pays\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"pays\"><option value=\"Country\">Country<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bonaire\">Bonaire<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Bouvet Island (Bouvetoya)\">Bouvet Island (Bouvetoya)<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"British Indian Ocean Territory (Chagos Archipelago)\">British Indian Ocean Territory (Chagos Archipelago)<\/option><option value=\"British Virgin Islands\">British Virgin Islands<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Christmas Island\">Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo\">Congo<\/option><option value=\"Congo\">Congo<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote d&#039;Ivoire\">Cote d&#039;Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\">Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\">Faroe Islands<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"French Guiana\">French Guiana<\/option><option value=\"French Polynesia\">French Polynesia<\/option><option value=\"French Southern Territories\">French Southern Territories<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Greece\">Greece<\/option><option value=\"Greenland\">Greenland<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guernsey\">Guernsey<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Heard Island and McDonald Islands\">Heard Island and McDonald Islands<\/option><option value=\"Holy See (Vatican City State)\">Holy See (Vatican City State)<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Isle of Man\">Isle of Man<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jersey\">Jersey<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea\">Korea<\/option><option value=\"Korea\">Korea<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyz Republic\">Kyrgyz Republic<\/option><option value=\"Lao People&#039;s Democratic Republic\">Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libyan Arab Jamahiriya\">Libyan Arab Jamahiriya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macao\">Macao<\/option><option value=\"Macedonia\">Macedonia<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Montserrat\">Montserrat<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"Netherlands Antilles\">Netherlands Antilles<\/option><option value=\"New Caledonia\">New Caledonia<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Niue\">Niue<\/option><option value=\"Norfolk Island\">Norfolk Island<\/option><option value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Palestinian Territory\">Palestinian Territory<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Pitcairn Islands\">Pitcairn Islands<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Reunion\">Reunion<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russian Federation\">Russian Federation<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Barthelemy\">Saint Barthelemy<\/option><option value=\"Saint Helena\">Saint Helena<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Martin\">Saint Martin<\/option><option value=\"Saint Pierre and Miquelon\">Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Sint Maarten (Netherlands)\">Sint Maarten (Netherlands)<\/option><option value=\"Slovakia (Slovak Republic)\">Slovakia (Slovak Republic)<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Georgia &amp; S. Sandwich Islands\">South Georgia &amp; S. Sandwich Islands<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Svalbard &amp; Jan Mayen Islands\">Svalbard &amp; Jan Mayen Islands<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"U.S. Virgin Islands\">U.S. Virgin Islands<\/option><option value=\"U.S. Minor Outlying Islands\">U.S. Minor Outlying Islands<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Wallis and Futuna\">Wallis and Futuna<\/option><option value=\"Western Sahara\">Western Sahara<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/span>\n[\/vc_column]\n[vc_column]  <label>Phone* <\/label> <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-75\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-75\" \/><\/span>[\/vc_column]\n\n[vc_column]<label>What time do you prefer us to contact you?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-254\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"What time do you prefer us to contact you?\" value=\"\" type=\"text\" name=\"text-254\" \/><\/span>[\/vc_column]\n [vc_column]<label class=\"bold\"> My application<\/label>[\/vc_column]\n[vc_column]<label>Desired Operations*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"operation\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"operation\"><option value=\"Desired Operations*\">Desired Operations*<\/option><option value=\"Breast augmentation by implants\">Breast augmentation by implants<\/option><option value=\"Breast augmentation by lipofilling with liposuction\">Breast augmentation by lipofilling with liposuction<\/option><option value=\"Breast augmentation by lipofilling with breast lift\">Breast augmentation by lipofilling with breast lift<\/option><option value=\"Breast augmentation by implants with breast lift\">Breast augmentation by implants with breast lift<\/option><option value=\"Breast lift without implants\">Breast lift without implants<\/option><option value=\"Breast reduction\">Breast reduction<\/option><option value=\"Change of implants\">Change of implants<\/option><option value=\"Gynecomasty\">Gynecomasty<\/option><option value=\"Liposuction on a small area\">Liposuction on a small area<\/option><option value=\"Liposuction on 2 areas\">Liposuction on 2 areas<\/option><option value=\"Liposuction on 4 areas\">Liposuction on 4 areas<\/option><option value=\"Liposuction on 6 areas\">Liposuction on 6 areas<\/option><option value=\"Liposuction\">Liposuction<\/option><option value=\"Liposuction with Abdominoplasty\">Liposuction with Abdominoplasty<\/option><option value=\"Abdominoplasty\">Abdominoplasty<\/option><option value=\"Abdominal Mini Lift\">Abdominal Mini Lift<\/option><option value=\"Body Lift\">Body Lift<\/option><option value=\"Buttocks augmentation by implants\">Buttocks augmentation by implants<\/option><option value=\"Buttocks lipofilling with liposuction\">Buttocks lipofilling with liposuction<\/option><option value=\"Thigh lift\">Thigh lift<\/option><option value=\"Arm lift\">Arm lift<\/option><option value=\"Thigh lift+ Arm lift\">Thigh lift+ Arm lift<\/option><option value=\"Nymphoplasty\">Nymphoplasty<\/option><option value=\"Male Inhancement\">Male Inhancement<\/option><option value=\"Vaginoplasty\">Vaginoplasty<\/option><option value=\"Hymenoplasty\">Hymenoplasty<\/option><option value=\"Cervico-facial lift\">Cervico-facial lift<\/option><option value=\"Complete facelift (Cervico-facial lift+blepharoplastiy 4 eyelid)\">Complete facelift (Cervico-facial lift+blepharoplastiy 4 eyelid)<\/option><option value=\"Face Lipofilling\">Face Lipofilling<\/option><option value=\"Rhinoplasty\">Rhinoplasty<\/option><option value=\"Blepharoplasty 2 eyelid\">Blepharoplasty 2 eyelid<\/option><option value=\"Blepharoplasty 4 eyelid\">Blepharoplasty 4 eyelid<\/option><option value=\"Genioplasty\">Genioplasty<\/option><option value=\"Otoplasty\">Otoplasty<\/option><\/select><\/span>\n\n[\/vc_column]\n\n\n[vc_column] <label>Other types of operations<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-255\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Other types of operations\" value=\"\" type=\"text\" name=\"text-255\" \/><\/span>[\/vc_column]\n[vc_column] <label>Additional information<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-952\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Additional information\" name=\"textarea-952\"><\/textarea><\/span>[\/vc_column]\n\n[vc_column] <label class=\"bold\">My photos*<\/label>\n<label>To give you a specified reply, our surgeon needs to consult photos of zones you want to treat.<\/label>[\/vc_column]\n\n\n[vc_column]<label>Picture1<\/label> <div id=\"mfcf7_zl_multifilecontainer\"><span class=\"mfcf7-zl-multiline-sample\" style=\"display:none\"><p class=\"wpcf7-form-control-wrap multilinefile-615\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-multilinefile\" multiple=\"multiple\" value=\"Upload\" aria-invalid=\"false\" type=\"file\" name=\"multilinefile-615[]\" \/> <span class=\"mfcf7-zl-multifile-name\"><\/span><a href=\"javascript:void(0);\" class=\"mfcf7_zl_delete_file\"><span class=\"delete-file\" aria-hidden=\"true\">&#x274C;<\/span><\/a><\/p><\/span><\/div><span class=\"wpcf7-form-control-wrap zl-form-control-wrap multilinefile-615\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-multilinefile\" multiple=\"multiple\" value=\"Upload\" aria-invalid=\"false\" type=\"file\" name=\"multilinefile-615[]\" \/> <span class=\"mfcf7-zl-multifile-name\"><\/span><a href=\"javascript:void(0);\" class=\"mfcf7_zl_delete_file\"><span class=\"delete-file\" aria-hidden=\"true\">&#x274C;<\/span><\/a><\/span><p><label><span class=\"wpcf7-form-control-wrap\" data-name=\"multilinefile-615-zl-mfcf7-upld-btn\"><input type=\"button\" name=\"multilinefile-615-zl-mfcf7-upld-btn\" class=\"button button-primary qbutton\" id=\"mfcf7_zl_add_file\" value=\"Upload\"><\/span><\/label><\/p>[\/vc_column]\n\n\n[vc_column]<label>Your photos and all other personal informations remain confidential and will be communicated only to your surgeon.<\/label>[\/vc_column]\n\n[vc_column]<label class=\"bold\">My informations <\/label>[\/vc_column]\n[vc_column]<label>Medical history<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-259\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Medical history\" value=\"\" type=\"text\" name=\"text-259\" \/><\/span>[\/vc_column]\n[vc_column]<label>Surgical history<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-257\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Surgical history\" value=\"\" type=\"text\" name=\"text-257\" \/><\/span>[\/vc_column]\n[vc_column]<label>Current treatment <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-258\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Current treatment\" value=\"\" type=\"text\" name=\"text-258\" \/><\/span>[\/vc_column]\n\n[vc_column]<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>[\/vc_column]\n[\/vc_row]<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Quotation request - Tunisia Medical Tourism<\/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:\/\/tunisiamedicaltourism.com\/demande-de-devis-tunisia-medical-tourism\/\" \/>\n<meta property=\"og:locale\" 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