{"id":7049,"date":"2024-08-09T03:26:00","date_gmt":"2024-08-09T07:26:00","guid":{"rendered":"https:\/\/cliniquespectrum.com\/?page_id=7049"},"modified":"2026-05-12T14:07:13","modified_gmt":"2026-05-12T18:07:13","slug":"formulaire-de-demande-formation-clinique-ados-2-juin26","status":"publish","type":"page","link":"https:\/\/cliniquespectrum.com\/fr\/formulaire-de-demande-formation-clinique-ados-2-juin26\/","title":{"rendered":"Formulaire de demande &#8211; ADOS-2 formation en ligne (avec le Module \u00ab Toddler \u00bb)"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">8, 9, 10 juin, 2026, de 9h00 \u00e0 17h00 (heure avanc\u00e9e de l\u2019Est, EDT, UTC-4)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Formatrice : <a href=\"https:\/\/cliniquespectrum.com\/fr\/equipe\/#Simon\">Dre Rebecca Simon<\/a><br><a href=\"\/fr\/ados-2-formation-clinique-en-ligne-fev26\/\">Cliquer ici pour plus de d\u00e9tails<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-cyan-bluish-gray-color has-css-opacity has-cyan-bluish-gray-background-color has-background\"\/>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"seals-form\" style=\"text-align:center\"><img decoding=\"async\" src=\"https:\/\/cliniquespectrum.com\/wp-content\/uploads\/2022\/03\/OPQ-rectangle.jpg\" alt=\"18 hours of continuing education recognized by the Ordre des psychologues du Qu\u00e9bec\" style=\"margin-top:16.5px;\"> <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cliniquespectrum.com\/wp-content\/uploads\/2026\/03\/seal-19-5-heures-OPQ-120.jpg\" alt=\"18 hours of continuing education recognized by the Ordre des psychologues du Qu\u00e9bec\" width=\"120\" height=\"120\"> <span class=\"break\"><\/span><\/div>\n\n<div class=\"clear\"><\/div>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Cette activit\u00e9 est reconnue pour 19.5 heures de formation continue en psychoth\u00e9rapie par l\u2019Ordre des psychologues du Qu\u00e9bec (l&rsquo;OPQ)<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-cyan-bluish-gray-color has-css-opacity has-cyan-bluish-gray-background-color has-background\"\/>\n\n\n\n<h2 class=\"wp-block-heading spacing\">Inscrivez-vous \u00e0 la formation en utilisant le formulaire ci-dessous. Vous recevrez par la suite un courriel d\u00e9taill\u00e9 concernant la suite des proc\u00e9dures et du paiement.<\/h2>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Veuillez svp r\u00e9pondre \u00e0 toutes les questions en d\u00e9tails.<\/h4>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7919-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"7919\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/7049#wpcf7-f7919-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"7919\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7919-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"et_pb_contact training\">\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Nom complet (tel que vous d\u00e9sirez qu\u2019il apparaisse sur votre attestation de participation) (requis) :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"full-name\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_half\"><br \/>\n<label>Courriel :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_half second\"><br \/>\n<label>T\u00e9l\u00e9phone de jour :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Addresse postale :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"street\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_half\"><br \/>\n<label>Ville :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_half second\"><br \/>\n<label>Province :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_half\"><br \/>\n<label>Code postal :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postalcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postalcode\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_half second\"><br \/>\n<label>Pays :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country\" \/><\/span>\n\t<\/p>\n<hr \/>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Titre professionnel :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title-work\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"title-work\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Emploi actuel et nom de l\u2019employeur :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"place-work\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"place-work\" \/><\/span>\n\t<\/p>\n<hr \/>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Avez-vous actuellement acc\u00e8s \u00e0 une trousse compl\u00e8te ADOS-2 incluant le mat\u00e9riel, le manuel et les protocoles ?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"access\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"access\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Veuillez \u00e9num\u00e9rer tous vos dipl\u00f4mes d\u2019\u00e9tudes sup\u00e9rieures (pour les professionnels\/les) :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diplomes\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"diplomes\"><\/textarea><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Veuillez \u00e9num\u00e9rer tout ordre professionnel auquel vous appartenez :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ordre\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"ordre\"><\/textarea><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Si vous n\u2019\u00eates pas un\/e diagnosticien\/ne agr\u00e9\u00e9\/e, veuillez indiquer le nom, le titre professionnel (ex. psychologue, psychiatre, p\u00e9diatre) et les coordonn\u00e9es du professionnel agr\u00e9\u00e9 qui supervisera votre utilisation de l'ADOS-2 :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"otherContact\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"otherContact\"><\/textarea><\/span>\n\t<\/p>\n<hr \/>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Si vous \u00eates aux \u00e9tudes, nommez l\u2019universit\u00e9 ET le programme dans lequel vous \u00e9tudiez :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"universite\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"universite\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Si vous \u00eates aux \u00e9tudes, fournissez le nom de votre superviseur d\u2019\u00e9tudes sup\u00e9rieures :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"superviseur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"superviseur\" \/><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Date pr\u00e9vue de graduation\/obtention de dipl\u00f4me :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"graduation\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"graduation\" \/><\/span>\n\t<\/p>\n<hr \/>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label><b>D\u00e9crivez en d\u00e9tails<\/b> votre formation et\/ou exp\u00e9rience de travail avec les personnes atteintes de troubles du spectre de l\u2019autisme :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"formation\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"formation\"><\/textarea><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Suite \u00e0 la formation, comment envisagez-vous d\u2019utiliser le ADOS-2 dans votre pratique professionnelle ?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"envisagez\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"envisagez\"><\/textarea><\/span>\n\t<\/p>\n\t<p class=\"et_pb_contact_field_last\"><br \/>\n<label>Comment avez-vous entendu parler de nous ?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"entendu\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"entendu\" value=\"Notre site web\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Notre site web<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"entendu\" value=\"Coll\u00e8gues\/Amis\" \/><span class=\"wpcf7-list-item-label\">Coll\u00e8gues\/Amis<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"entendu\" value=\"\u00c9cole\" \/><span class=\"wpcf7-list-item-label\">\u00c9cole<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"entendu\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/span><\/span><\/span><br \/>\n<label>S'il s'agit d'un \u00e9cole ou autre, veuillez pr\u00e9ciser<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"other\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other\" \/><\/span>\n\t<\/p>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Soumettre\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"102\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>8, 9, 10 juin, 2026, de 9h00 \u00e0 17h00 (heure avanc\u00e9e de l\u2019Est, EDT, UTC-4) Formatrice : Dre Rebecca SimonCliquer ici pour plus de d\u00e9tails Cette activit\u00e9 est reconnue pour 19.5 heures de formation continue en psychoth\u00e9rapie par l\u2019Ordre des psychologues du Qu\u00e9bec (l&rsquo;OPQ) Inscrivez-vous \u00e0 la formation en utilisant le formulaire ci-dessous. Vous recevrez [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":23,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\">22-23-24 septembre, 2025, de 9h00 \u00e0 17h00<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Formatrice : <a href=\"https:\/\/cliniquespectrum.com\/fr\/equipe\/#Simon\">Dre Rebecca Simon<\/a><br><a href=\"\/fr\/ados-2-formation-clinique-en-ligne-sep25\/\">Cliquer ici pour plus de d\u00e9tails<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:separator {\"opacity\":\"css\",\"backgroundColor\":\"cyan-bluish-gray\"} -->\n<hr class=\"wp-block-separator has-text-color has-cyan-bluish-gray-color has-css-opacity has-cyan-bluish-gray-background-color has-background\"\/>\n<!-- \/wp:separator -->\n\n<!-- wp:spacer {\"height\":\"30px\"} -->\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:html -->\n<div class=\"seals-form\" style=\"text-align:center\"><img src=\"https:\/\/cliniquespectrum.com\/wp-content\/uploads\/2022\/03\/OPQ-rectangle.jpg\" alt=\"18 hours of continuing education recognized by the Ordre des psychologues du Qu\u00e9bec\" style=\"margin-top:16.5px;\"> <img src=\"https:\/\/cliniquespectrum.com\/wp-content\/uploads\/2025\/02\/18h-par-OPQ-FR-120.png\" alt=\"18 hours of continuing education recognized by the Ordre des psychologues du Qu\u00e9bec\" width=\"120\" height=\"120\"> <span class=\"break\"><\/span><\/div>\n\n<div class=\"clear\"><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:spacer {\"height\":\"15px\"} -->\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:paragraph -->\n<p>Cette activit\u00e9 est reconnue pour 18 heures de formation continue en psychoth\u00e9rapie par l\u2019Ordre des psychologues du Qu\u00e9bec (l'OPQ)<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"30px\"} -->\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:separator {\"opacity\":\"css\",\"backgroundColor\":\"cyan-bluish-gray\"} -->\n<hr class=\"wp-block-separator has-text-color has-cyan-bluish-gray-color has-css-opacity has-cyan-bluish-gray-background-color has-background\"\/>\n<!-- \/wp:separator -->\n\n<!-- wp:heading {\"className\":\"spacing\"} -->\n<h2 class=\"wp-block-heading spacing\">Inscrivez-vous \u00e0 la formation en utilisant le formulaire ci-dessous. Vous recevrez par la suite un courriel d\u00e9taill\u00e9 concernant la suite des proc\u00e9dures et du paiement.<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:spacer {\"height\":\"15px\"} -->\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 class=\"wp-block-heading\">Veuillez svp r\u00e9pondre \u00e0 toutes les questions en d\u00e9tails.<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:shortcode -->\n[contact-form-7 id=\"b1ae3a2\" title=\"Formation - ADOS-2 Formation Clinique (incluant le Module Toddler) - sep25\"]\n<!-- \/wp:shortcode -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->","_et_gb_content_width":"","footnotes":""},"class_list":["post-7049","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaire de demande - ADOS-2 formation en ligne (avec le Module \u00ab Toddler \u00bb) - Clinique Spectrum<\/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:\/\/cliniquespectrum.com\/fr\/formulaire-de-demande-formation-clinique-ados-2-juin26\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire de demande - ADOS-2 formation en ligne (avec le Module \u00ab Toddler \u00bb) - Clinique Spectrum\" \/>\n<meta property=\"og:description\" content=\"8, 9, 10 juin, 2026, de 9h00 \u00e0 17h00 (heure avanc\u00e9e de l\u2019Est, EDT, UTC-4) Formatrice : Dre Rebecca SimonCliquer ici pour plus de d\u00e9tails Cette activit\u00e9 est reconnue pour 19.5 heures de formation continue en psychoth\u00e9rapie par l\u2019Ordre des psychologues du Qu\u00e9bec (l&rsquo;OPQ) Inscrivez-vous \u00e0 la formation en utilisant le formulaire ci-dessous. 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