Mise à jour de vos informations

 

Bonjour,

Afin de mieux informer et assister les usagers et leurs proches du CRDITED du CISSS de la Montérégie-Ouest, le comité des usagers à décider de mettre sur pied une page WEB. Pour aider à sa diffusion le comité désire utiliser, dans un premier temps, les adresses courriels accumulées au-fil des ans.

Le but du présent formulaire est donc de mettre à jour les adresses encore valides pour pouvoir vous tenir informé de façon plus efficace.

Merci de votre collaboration

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<script src="https://cdnjs.cloudflare.com/ajax/libs/blueimp-md5/2.10.0/js/md5.min.js"></script><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><script type="text/javascript"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->function getParameterByName( name ) //courtesy Artem<!-- [et_pb_line_break_holder] -->{<!-- [et_pb_line_break_holder] --> name = name.replace(/[\[]/,"\\\[").replace(/[\]]/,"\\\]");<!-- [et_pb_line_break_holder] --> var regexS = "[\\?&]"+name+"=([^&#]*)";<!-- [et_pb_line_break_holder] --> var regex = new RegExp( regexS );<!-- [et_pb_line_break_holder] --> var results = regex.exec( window.location.href );<!-- [et_pb_line_break_holder] --> if( results == null )<!-- [et_pb_line_break_holder] --> return "";<!-- [et_pb_line_break_holder] --> else<!-- [et_pb_line_break_holder] --> return decodeURIComponent(results[1].replace(/\+/g, " "));<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->document.addEventListener('DOMContentLoaded', function(){<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->var email = getParameterByName("email")<!-- [et_pb_line_break_holder] -->var hash = md5(email);<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->document.getElementById('et_pb_contact_email_1').value = email;<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->});<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->document.getElementById('submitBtn').addEventListener('click', function(e){<!-- [et_pb_line_break_holder] -->e.preventDefault();<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->var email = getParameterByName("email")<!-- [et_pb_line_break_holder] -->var hash = md5(email);<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->var options = {<!-- [et_pb_line_break_holder] --> "merge_fields": {<!-- [et_pb_line_break_holder] --> "FNAME": document.getElementById('et_pb_contact_fname_1').value,<!-- [et_pb_line_break_holder] --> "LNAME": document.getElementById('et_pb_contact_lname_1').value<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->jQuery.ajax({<!-- [et_pb_line_break_holder] --> url: "https://us17.api.mailchimp.com/3.0/lists/f540b435b0/members/" + hash,<!-- [et_pb_line_break_holder] --> type: 'PATCH',<!-- [et_pb_line_break_holder] --> headers: {<!-- [et_pb_line_break_holder] --> "Authorization": "apikey 89e21c073e40575dec014eea83919dc1-us17" <!-- [et_pb_line_break_holder] --> },<!-- [et_pb_line_break_holder] --> data: options,<!-- [et_pb_line_break_holder] --> //contentType: "application/json; charset=utf-8",<!-- [et_pb_line_break_holder] --> dataType: "json",<!-- [et_pb_line_break_holder] --> success: function (data) {<!-- [et_pb_line_break_holder] --> // Explication<!-- [et_pb_line_break_holder] --> alert(data);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></script><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->