{"id":3690,"date":"2021-09-13T16:11:11","date_gmt":"2021-09-13T20:11:11","guid":{"rendered":"https:\/\/tourmed.ca\/ez-refer-referring-form\/"},"modified":"2026-07-14T08:17:57","modified_gmt":"2026-07-14T12:17:57","slug":"ez-refer-2","status":"publish","type":"page","link":"https:\/\/tourmed.ca\/en\/ez-refer-2\/","title":{"rendered":"EZ-Refer referring form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3690\" class=\"elementor elementor-3690 elementor-319\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8fbaaa1 e-flex e-con-boxed e-con e-parent\" data-id=\"8fbaaa1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-737c35e e-con-full e-flex e-con e-child\" data-id=\"737c35e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8d352a6 elementor-widget-mobile__width-initial elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"8d352a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\"><strong>EZ-Refer<\/strong> referring form<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-543b218 elementor-widget elementor-widget-text-editor\" data-id=\"543b218\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To be used by authorized referring parties only. You don\u2019t have a code and wish to become a representative?\u00a0<strong><a href=\"https:\/\/tourmed.ca\/en\/become-a-representative\/\">Use this form instead.<\/a><\/strong><\/p>\n<p>Please fill out this short form. An agent from Customer Service will call the client at the desired time\u00a0(Monday to Friday, between 8:30 AM and 5:00 PM EST, except on Holidays).<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-da8ee75 e-con-full e-flex e-con e-child\" data-id=\"da8ee75\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2e0a1bc elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"2e0a1bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"105\" height=\"103\" viewBox=\"0 0 105 103\" fill=\"none\"><path d=\"M93.5099 38.7085H65.3236V11.3742C65.3236 5.09132 60.1722 0 53.8152 0C47.4582 0 42.3069 5.09132 42.3069 11.3742V17.2599C42.3069 24.59 40.3706 30.2049 36.4796 34.1227C32.5887 38.0405 27.1268 40.0084 20.0757 40.0084H10.8507C4.85908 40.0084 0 44.8109 0 50.7327C0 56.6545 4.85908 61.457 10.8507 61.457H39.6581V90.2717C39.6581 97.3129 45.4306 103 52.5365 103C59.6425 103 65.3601 97.3671 65.4149 90.362L65.6524 61.4389H93.4916C99.8486 61.4389 105 56.3476 105 50.0647C105 43.7818 99.8486 38.6904 93.4916 38.6904L93.5099 38.7085Z\" fill=\"currentColor\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a87d56a elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"a87d56a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"105\" height=\"103\" viewBox=\"0 0 105 103\" fill=\"none\"><path d=\"M93.5099 38.7085H65.3236V11.3742C65.3236 5.09132 60.1722 0 53.8152 0C47.4582 0 42.3069 5.09132 42.3069 11.3742V17.2599C42.3069 24.59 40.3706 30.2049 36.4796 34.1227C32.5887 38.0405 27.1268 40.0084 20.0757 40.0084H10.8507C4.85908 40.0084 0 44.8109 0 50.7327C0 56.6545 4.85908 61.457 10.8507 61.457H39.6581V90.2717C39.6581 97.3129 45.4306 103 52.5365 103C59.6425 103 65.3601 97.3671 65.4149 90.362L65.6524 61.4389H93.4916C99.8486 61.4389 105 56.3476 105 50.0647C105 43.7818 99.8486 38.6904 93.4916 38.6904L93.5099 38.7085Z\" fill=\"currentColor\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3440c07 elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"3440c07\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"105\" height=\"103\" viewBox=\"0 0 105 103\" fill=\"none\"><path d=\"M93.5099 38.7085H65.3236V11.3742C65.3236 5.09132 60.1722 0 53.8152 0C47.4582 0 42.3069 5.09132 42.3069 11.3742V17.2599C42.3069 24.59 40.3706 30.2049 36.4796 34.1227C32.5887 38.0405 27.1268 40.0084 20.0757 40.0084H10.8507C4.85908 40.0084 0 44.8109 0 50.7327C0 56.6545 4.85908 61.457 10.8507 61.457H39.6581V90.2717C39.6581 97.3129 45.4306 103 52.5365 103C59.6425 103 65.3601 97.3671 65.4149 90.362L65.6524 61.4389H93.4916C99.8486 61.4389 105 56.3476 105 50.0647C105 43.7818 99.8486 38.6904 93.4916 38.6904L93.5099 38.7085Z\" fill=\"currentColor\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-76b9d3d elementor-widget elementor-widget-image\" data-id=\"76b9d3d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/tourmed.ca\/wp-content\/uploads\/2021\/12\/Femme-avec-enfant-asiatique.jpg\" class=\"attachment-large size-large wp-image-3337\" alt=\"\" srcset=\"https:\/\/tourmed.ca\/wp-content\/uploads\/2021\/12\/Femme-avec-enfant-asiatique.jpg 1024w, https:\/\/tourmed.ca\/wp-content\/uploads\/2021\/12\/Femme-avec-enfant-asiatique-300x225.jpg 300w, https:\/\/tourmed.ca\/wp-content\/uploads\/2021\/12\/Femme-avec-enfant-asiatique-768x576.jpg 768w, https:\/\/tourmed.ca\/wp-content\/uploads\/2021\/12\/Femme-avec-enfant-asiatique-60x45.jpg 60w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2f70509 e-flex e-con-boxed e-con e-parent\" data-id=\"2f70509\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9f14950 elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"9f14950\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Ez-Refer\" aria-label=\"Ez-Refer\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"3690\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"9f14950\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"EZ-Refer referring form - Tour+Med\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"3690\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-coderef elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-coderef\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tReferral code\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Oui\" id=\"form-field-coderef-0\" name=\"form_fields[coderef]\" checked=\"checked\" required=\"required\"> <label for=\"form-field-coderef-0\">Code<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Non\" id=\"form-field-coderef-1\" name=\"form_fields[coderef]\" required=\"required\"> <label for=\"form-field-coderef-1\">I forgot my code<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-votrecode elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-votrecode\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tYour code\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[votrecode]\" id=\"form-field-votrecode\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"(Starts with R or RE)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-votrecourriel elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-votrecourriel\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tYour Email Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[votrecourriel]\" id=\"form-field-votrecourriel\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_07c237b elementor-col-100\">\n\t\t\t\t\t<h3>Customer Contact Details<\/h3>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_915e370 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_915e370\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_915e370]\" id=\"form-field-field_915e370\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9aec9f2 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9aec9f2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9aec9f2]\" id=\"form-field-field_9aec9f2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-joindreleclient elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-joindreleclient\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBest moment to call them back\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"As soon as possible (max 4 business hours)\" id=\"form-field-joindreleclient-0\" name=\"form_fields[joindreleclient]\" required=\"required\"> <label for=\"form-field-joindreleclient-0\">As soon as possible (max 4 business hours)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Autre\" id=\"form-field-joindreleclient-1\" name=\"form_fields[joindreleclient]\" required=\"required\"> <label for=\"form-field-joindreleclient-1\">At another time<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_date elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_date\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_date]\" id=\"form-field-field_date\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-heure elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-heure\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTime\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"time\" name=\"form_fields[heure]\" id=\"form-field-heure\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field elementor-use-native\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMessage\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"8\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text\">\n\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a5f6500]\" id=\"form-field-field_a5f6500\" class=\"elementor-field elementor-size-sm \" style=\"display:none !important;\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_1e2ece1 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_1e2ece1\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LerTmQqAAAAAAMG8nA6C-XGGjImrsj0h6cj2g2r\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xmlns:serif=\"http:\/\/www.serif.com\/\" width=\"100%\" height=\"100%\" viewBox=\"0 0 16 16\" xml:space=\"preserve\" style=\"fill-rule:evenodd;clip-rule:evenodd;stroke-linejoin:round;stroke-miterlimit:2;\">    <g transform=\"matrix(1,0,0,1,-255.875,-20.5)\">        <path d=\"M269.189,27.75L265.697,24.257C265.404,23.965 265.404,23.49 265.697,23.197C265.99,22.904 266.464,22.904 266.757,23.197L271.53,27.97C271.823,28.263 271.823,28.737 271.53,29.03L266.757,33.803C266.464,34.096 265.99,34.096 265.697,33.803C265.404,33.51 265.404,33.036 265.697,32.743L269.189,29.25L256,29.25L256,27.75L269.189,27.75Z\" fill=\"currentColor\"><\/path>    <\/g><\/svg>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send my request<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2d58b3 elementor-widget elementor-widget-html\" data-id=\"e2d58b3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\r\n.elementor-field-group-votrecode,\r\n.elementor-field-group-heure,\r\n.elementor-field-group-field_date { display: none; }\r\n\r\n\/* Ast\u00e9risque fa\u00e7on Elementor *\/\r\n.js-required-mark { color: #d72b3f; padding-left: 0.2em; }\r\n<\/style>\r\n\r\n<script>\r\ndocument.addEventListener('DOMContentLoaded', function () {\r\n\r\n  function setRequiredMark(group, required) {\r\n    var label = group.querySelector('.elementor-field-label');\r\n    if (!label) return;\r\n    var mark = label.querySelector('.js-required-mark');\r\n    if (required) {\r\n      group.classList.add('elementor-field-required');\r\n      if (!mark) {\r\n        mark = document.createElement('span');\r\n        mark.className = 'js-required-mark';\r\n        mark.textContent = '*';\r\n        label.appendChild(mark);\r\n      }\r\n    } else {\r\n      group.classList.remove('elementor-field-required');\r\n      if (mark) mark.remove();\r\n    }\r\n  }\r\n\r\n  function setField(groupClass, show, makeRequired) {\r\n    var group = document.querySelector('.elementor-field-group-' + groupClass);\r\n    if (!group) return;\r\n    group.style.display = show ? 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