{"id":6359,"date":"2026-06-15T15:32:41","date_gmt":"2026-06-15T13:32:41","guid":{"rendered":"https:\/\/cousin-surgery.com\/create-an-account\/"},"modified":"2026-08-03T13:39:18","modified_gmt":"2026-08-03T11:39:18","slug":"create-an-account","status":"publish","type":"page","link":"https:\/\/cousin-surgery.com\/en\/create-an-account\/","title":{"rendered":"Create an account"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6359\" class=\"elementor elementor-6359 elementor-186\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9615c16 e-con e-atomic-element e-flexbox-base main-wrapper \" data-id=\"9615c16\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"9615c16\" data-e-type=\"e-flexbox\" data-id=\"9615c16\">\n    <div class=\"elementor-element elementor-element-686a891 e-con e-atomic-element e-flexbox-base inner-wrapper \" data-id=\"686a891\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"686a891\" data-e-type=\"e-flexbox\" data-id=\"686a891\">\n    \t\t\t<div class=\"elementor-element elementor-element-1f9lwsa e-con e-atomic-element e-flexbox-base e-6fe0af7-f514395 \" data-id=\"1f9lwsa\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"6fe0af7\" data-e-type=\"e-flexbox\" data-id=\"1f9lwsa\">\n    \t\t\t<h1 data-interaction-id=\"7dae58a\" class=\"e-7dae58a-3e1a301 e-heading-base\" data-e-type=\"widget\" data-id=\"14xxlni\">Create an account<\/h1>\n\t\t\n<\/div>\n\n\t\t\t\t\t<p class=\"e-e8aa554-c507b40 e-paragraph-base\" data-interaction-id=\"e8aa554\" data-e-type=\"widget\" data-id=\"e8aa554\">Cousin product resources are reserved for healthcare professionals and associated personnel registered on our website. To access them, you must have an account. <\/p>\n\t\t<div class=\"elementor-element elementor-element-e50badc e-con e-atomic-element e-flexbox-base e-e50badc-b9bed81 \" data-id=\"e50badc\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"e50badc\" data-e-type=\"e-flexbox\" data-id=\"e50badc\">\n    \t\t<div class=\"elementor-element elementor-element-8bd4630 elementor-widget elementor-widget-shortcode\" data-id=\"8bd4630\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"jet-fb-form-block\" data-is-block=\"jet-forms\/form-block\"><style id=\"jet-form-builder-6341-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/cousin-surgery.com\/en\/wp-json\/wp\/v2\/pages\/6359\/?3U0w0e=4R37Tq0c58FO&amp;method=reload\" method=\"POST\" data-form-id=\"6341\" data-layout=\"column\" enctype=\"multipart\/form-data\" novalidate=\"null\" ssr_validation_method=\"rest\"><input type=\"hidden\" id=\"_wpnonce_6341\" name=\"_wpnonce\" value=\"982f9af8f3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/6359\" \/>\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"6341\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/cousin-surgery.com\/en\/wp-json\/wp\/v2\/pages\/6359\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"6359\">\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"registration_date\" data-field-name=\"registration_date\" data-jfb-sync=\"null\" value=\"5 August 2026 01:01\">\n\n\n\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"user_lang\" data-field-name=\"user_lang\" data-jfb-sync=\"null\">\n\n\n\n<div  class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field cb-n5iqiplt\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Title<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" name=\"titre\" data-field-name=\"titre\" id=\"titre\" data-jfb-sync=\"null\">\n\t\t<option value=\"\"  selected>- Options -<\/option><option value=\"ms\" >Ms.<\/option><option value=\"mr\" >Mr.<\/option><option value=\"dr\" >Dr.<\/option><option value=\"prof\" >Prof.<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field cb-to8twbxm\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Name <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"name\" id=\"name\" type=\"text\" data-field-name=\"name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_lSvuwIoK\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field cb-bmiektzt\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Firstname <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"firstname\" id=\"firstname\" type=\"text\" data-field-name=\"firstname\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_xtnc0zUw\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field cb-rluisbev\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">You are<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" name=\"professional_profile\" data-field-name=\"professional_profile\" id=\"professional_profile\" data-jfb-sync=\"null\">\n\t\t<option value=\"\"  selected>- Options -<\/option><option value=\"surgeon\" >Surgeon<\/option><option value=\"pharmacist\" >Pharmacist<\/option><option value=\"other_healthcare_pro\" >Other Healthcare Professional<\/option><option value=\"distributor\" >Distributor<\/option><option value=\"other\" >Other<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field cb-mgcp2mqm\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Position <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"occupation\" id=\"occupation\" type=\"text\" data-field-name=\"occupation\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_5gn8IcvD\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field cb-resdweym\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">\u00c9tablissement <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"institution\" id=\"institution\" type=\"text\" data-field-name=\"institution\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_2VsIPFcb\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<input class=\"cb-dpxdi68a\" type=\"hidden\" name=\"_jfb_validation_sigs[27bf9ab16c49330def73911802be9125]\" value=\"8b75b1f2395fd16b9ff36f8a6b0e3676\" \/><div  data-validation-type=\"advanced\" data-validation-rules=\"[{&quot;__visible&quot;:true,&quot;type&quot;:&quot;ssr&quot;,&quot;value&quot;:&quot;jfb_verifier_email_unique&quot;,&quot;message&quot;:&quot;This email address is already associated with an existing account.&quot;,&quot;_sig&quot;:&quot;8b75b1f2395fd16b9ff36f8a6b0e3676&quot;}]\" class=\"jet-form-builder-row field-type-text-field cb-dpxdi68a\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">E-mail <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"email\" id=\"email\" type=\"email\" data-field-name=\"email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_MB5lugG9\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div class=\"jet-form-builder-row captcha-token-container cb-jf77jcjg\" data-validation-type=\"inherit\">\n\t<input type=\"hidden\" class=\"captcha-token\" name=\"_captcha_token\" value=\"\" data-jfb-sync required=\"required\">\n<\/div><div  class=\"jet-form-builder-row field-type-submit-field cb-jf77jcjg\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap\">\n\t<button class=\"jet-form-builder__action-button jet-form-builder__submit submit-type-ajax\" type=\"submit\">Register<\/button>\n\t<\/div>\n\t\n<\/div>\n\n\n<script data-wp-block-html=\"js\">\ndocument.addEventListener('DOMContentLoaded', function() {\n    \/\/ On cible le champ e-mail par son nom (assurez-vous que le nom du champ est bien \"email\")\n    var emailInput = document.querySelector('input[name=\"email\"]');\n    \n    if (emailInput) {\n        \/\/ \u00c0 chaque fois que l'utilisateur tape une touche ou quitte le champ...\n        emailInput.addEventListener('input', function(e) {\n            \/\/ ...on transforme silencieusement le texte en minuscules\n            e.target.value = e.target.value.toLowerCase();\n        });\n    }\n});\n\n\/\/ Capturer la langue du site\n    var langField = document.querySelector('input[name=\"user_lang\"]');\n    if (langField) {\n        \/\/ R\u00e9cup\u00e8re \"fr\", \"en\", \"de\", ou \"es\" depuis la balise HTML principale\n        var currentLang = document.documentElement.lang.substring(0, 2).toLowerCase();\n        langField.value = currentLang;\n    }\n<\/script>\n\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"6341\"><\/div>\n<\/form>\n<\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Products Cousin product resources are reserved for healthcare professionals and associated personnel registered on our website. 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