{"id":27594,"date":"2026-03-26T09:53:45","date_gmt":"2026-03-26T08:53:45","guid":{"rendered":"https:\/\/www.cheminees-seguin.com\/book-prescriber\/"},"modified":"2026-04-07T10:52:58","modified_gmt":"2026-04-07T08:52:58","slug":"book-prescriber","status":"publish","type":"page","link":"https:\/\/www.cheminees-seguin.com\/en\/press-and-media\/book-prescriber\/","title":{"rendered":"Book Prescriber"},"content":{"rendered":"<section class=\"quick-links-section quick-links-section--align-center quick-links-section--spacing-medium\" data-component=\"quick-links\" id=\"section-quick-links-block_c34b2a18db749cd0b8ed61f8d742d85a\">\n\t<div class=\"container\">\n\n\t\t\t\t\t<h2 class=\"quick-links-section__title\">\n\t\t\t\tPress and media\t\t\t<\/h2>\n\t\t\n\t\t<nav class=\"quick-links\" aria-label=\"Quick links\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.cheminees-seguin.com\/en\/press-and-media\/\"\n\t\t\t\t\tclass=\"quick-links__item quick-links__item--outline\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__icon\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.cheminees-seguin.com\/wp-content\/uploads\/2026\/03\/contact.svg\"\n\t\t\t\t\t\t\t\talt=\"\"\n\t\t\t\t\t\t\t\taria-hidden=\"true\"\n\t\t\t\t\t\t\t\tloading=\"lazy\">\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__label\">\n\t\t\t\t\t\tPublications &amp; resources\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.cheminees-seguin.com\/en\/press-and-media\/information-and-commitment\/\"\n\t\t\t\t\tclass=\"quick-links__item quick-links__item--outline\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__icon\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.cheminees-seguin.com\/wp-content\/uploads\/2026\/01\/assistance-technique-seguin.svg\"\n\t\t\t\t\t\t\t\talt=\"\"\n\t\t\t\t\t\t\t\taria-hidden=\"true\"\n\t\t\t\t\t\t\t\tloading=\"lazy\">\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__label\">\n\t\t\t\t\t\tInformation &amp; commitments\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.cheminees-seguin.com\/en\/press-and-media\/media-library\/\"\n\t\t\t\t\tclass=\"quick-links__item quick-links__item--outline\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__icon\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.cheminees-seguin.com\/wp-content\/uploads\/2026\/03\/mediatheque.svg\"\n\t\t\t\t\t\t\t\talt=\"\"\n\t\t\t\t\t\t\t\taria-hidden=\"true\"\n\t\t\t\t\t\t\t\tloading=\"lazy\">\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__label\">\n\t\t\t\t\t\tMedia library\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.cheminees-seguin.com\/en\/press-and-media\/press-contact\/\"\n\t\t\t\t\tclass=\"quick-links__item quick-links__item--outline\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__icon\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.cheminees-seguin.com\/wp-content\/uploads\/2026\/01\/contact-gris-seguin.svg\"\n\t\t\t\t\t\t\t\talt=\"\"\n\t\t\t\t\t\t\t\taria-hidden=\"true\"\n\t\t\t\t\t\t\t\tloading=\"lazy\">\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__label\">\n\t\t\t\t\t\tPress contact\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.cheminees-seguin.com\/en\/presse-et-medias\/sources\/\"\n\t\t\t\t\tclass=\"quick-links__item quick-links__item--filled\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__icon\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.cheminees-seguin.com\/wp-content\/uploads\/2026\/01\/catalogue-seguin.svg\"\n\t\t\t\t\t\t\t\talt=\"\"\n\t\t\t\t\t\t\t\taria-hidden=\"true\"\n\t\t\t\t\t\t\t\tloading=\"lazy\">\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"quick-links__label\">\n\t\t\t\t\t\tBook Prescriber\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/nav>\n\n\t\t\n\t<\/div>\n<\/section>\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Download the prescription booklet<\/h2>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_17'  action='\/en\/wp-json\/wp\/v2\/pages\/27594' data-formid='17' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_17' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_17_11\" class=\"gfield gfield--type-section gsection gf-prescripteur-title field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Download the prescription booklet<\/h3><\/div><div id=\"field_17_12\" class=\"gfield gfield--type-html gfield--width-full gf-prescripteur-required-notice gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>&quot;<span style=\"color: #e31837;\">*<\/span>&quot; indicates required fields<\/p><\/div><div id=\"field_17_13\" class=\"gfield gfield--type-section gsection gf-prescripteur-separator field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_17_14\" class=\"gfield gfield--type-html gfield--width-full gf-prescripteur-subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Your contact information<\/p><\/div><div id=\"field_17_1\" class=\"gfield gfield--type-hidden gf-prescripteur-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_1' id='input_17_1' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='prescriber' \/><\/div><\/div><div id=\"field_17_2\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_2'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_17_2' type='text' value='' class=''    placeholder='Your name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_3\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_3'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_17_3' type='text' value='' class=''    placeholder='Your first name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_4\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_17_4' type='email' value='' class=''   placeholder='Your email address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_17_5\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_5'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_17_5' type='tel' value='' class=''  placeholder='Your phone number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_6\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_6'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_17_6' type='text' value='' class=''    placeholder='Your address'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_7\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_7'>Zip Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_17_7' type='text' value='' class=''    placeholder='Your ZIP code' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_8\" class=\"gfield gfield--type-radio gfield--type-choice gf-prescripteur-hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I agree to be contacted by phone<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_8'>\n\t\t\t<div class='gchoice gchoice_17_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Yes'  id='choice_17_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_8_0' id='label_17_8_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='No'  id='choice_17_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_8_1' id='label_17_8_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_9\" class=\"gfield gfield--type-radio gfield--type-choice gf-prescripteur-hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I agree to be contacted by email<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_9'>\n\t\t\t<div class='gchoice gchoice_17_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes'  id='choice_17_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_9_0' id='label_17_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No'  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This information may be shared with resellers and third parties responsible for carrying out these tasks. In accordance with applicable regulations, you have the right to access, correct, object to, restrict the processing of, and delete your personal data. 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