1<!DOCTYPE html> 2<html lang="en"> 3 <head> 4 <meta charset="utf-8"> 5 <meta http-equiv="X-UA-Compatible" content="IE=edge"> 6 <meta name="viewport" content="width=device-width, initial-scale=1"> 7 <meta name="viewport" content="width=device-width, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0, user-scalable=no"> 8 <meta name="theme-color" content="#333"> 9 <title>MHCC - Healthcare</title> 10 <meta name="description" content=""> 11 <link rel="stylesheet" href="https://fonts.googleapis.com/icon?family=Material+Icons"> 12 <link rel="stylesheet" href="/assets/css/preload.min.css" /> 13 <link rel="stylesheet" href="/assets/css/plugins.min.css" /> 14 <link rel="stylesheet" href="/assets/css/style.light-blue-500.min.css" /> 15 <!--Customized version of the above stylesheet //--> 16 <link rel="stylesheet" href="/assets/css/general.css" /> 17 <link rel="stylesheet" href="/assets/css/gmw-ellerbeck.css" /> 18 <link rel="stylesheet" href="/assets/css/forms.css"> 19 <!--[if lt IE 9]> 20
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24</head> 25 <body> 26 <div id="ms-preload" class="ms-preload"> 27 <div id="status"> 28 <div class="spinner"> 29 <div class="dot1"></div> 30 <div class="dot2"></div> 31 </div> 32 </div> 33 </div> 34 <div class="sb-site-container"> 35 <nav class="mhcc-top-bar"> 36 <ul class="list-unstyled list-inline"> 37 <li> 38 <a href="https://www.prendresoindestravailleursdelasante.com/contact-us"> 39 <span lang="fr" xml:lang="fr">Français</span> 40 </a> 41 </li> 42 <li id="right-link"><a href="/about/about-signup">Sign Up</a></li> 43 44 </ul> 45 </nav> 46 <nav class="mhcc-nav navbar"> 47 <div class="mhcc-logo-desc-box"> 48 <div class="mhcc-logo-box"> 49 <div class="navbar-toggle"> 50 <a href="javascript:void(0)" class="sb-toggle-left btn-navbar-menu"><i class="zmdi zmdi-menu" style="font-size: 30px; color: #fff;"></i></a> 51 </div> 52 <a href="/"><img src="/assets/img/PH&S_brand_header.svg" alt="Guarding Minds at Work" class="mhcc-logo-img"></a> 53 </div> 54 <span class="mhcc-logo-desc">Caring for Healthcare Workers</span> 55 </div> 56 57 <div class="collapse navbar-collapse mhcc-navbar" id="myNavbar"> 58 <ul class="nav navbar-nav"> 59 <li class="dropdown"> 60 <a href="javascript:void(0);" class="dropdown-toggle disabled animated fadeIn animation-delay-7" data-toggle="dropdown" data-hover="dropdown" data-name="about" aria-haspopup="true" aria-expanded="false">About 61 <i class="zmdi zmdi-chevron-down"></i> 62 </a> 63 <ul class="dropdown-menu"> 64 <li><a href="/about/about">About Caring for Healthcare Workers</a></li> 65 <li><a href="/about/about-steps">How to use Caring for Healthcare Workers</a></li> 66 </ul> 67 </li> 68 <li><a href="/resources" class="animated fadeIn animation-delay-7">Resources</a></li> 69 <li><a href="/faq" class="animated fadeIn animation-delay-7">FAQs</a></li> 70 <li><a href="/login" class="animated fadeIn animation-delay-7">Dashboard Login</a></li> 71 </ul> 72 </div> 73 </nav> 74 75 <main class="mhcc-wrapper mb-4"> 76<article class="mhcc-sec-page-outer"> 77<!--// Main title block STARTS--> 78 <header class="mt-0 mb-4 text-center light-green-bg sec-page-main-header"> 79 <h1 class="text-left sec-page-main-title sec-page-lead-text--light-blue sec-page-main-title--big">Contact Us</h1> 80 </header> 81<!--// Main title block ENDS--> 82 83 <!--// Form container STARTS --> 84 <div class="mhcc-inner-content"> 85 <p class="mb-4 sec-page-lead-text sec-page-lead-text--big sec-page-lead-text--dark-blue">Caring for Healthcare Workers will help you make meaningful and lasting advances in workplace psychological health and safety</p> 86 <p class="mb-4 sec-page-lead-text sec-page-lead-text--big sec-page-lead-text--dark-blue">Please contact us if you would like further information.</p> 87 <!--Form starts //--> 88 <form class="mhcc-contact-us-wrapper" action="/contact-us" method="POST"> 89 <!--Form card starts //--> 90 <section class="card card-default shadow-6dp animated fadeIn animation-delay-7 mb-4"> 91 <header class="card-header mhcc-form-header bg-primary "> 92 <h2 class="no-m pt-4 pb-4 color-white mhcc-form-title mhcc-form-title--left">Contact Us</h2> 93 </header> 94 <!--Card inner block starts //--> 95 <div class="card-block mhcc-card-block-form"> 96 97 <!--Form field starts //--> 98 <div class="form-group label-floating mhcc-form-group"> 99 <label for="firstName" class="control-label">* First Name</label> 100 <input type="text" name="firstName" id="firstName" value="" class="form-control" required="required" /> 101 </div> 102 <!--Form field starts //--> 103 <div class="form-group label-floating mhcc-form-group"> 104 <label for="lastName" class="control-label">* Last Name</label> 105 <input type="text" name="lastName" id="lastName" value="" class="form-control" required="required" /> 106 </div> 107 <!--Form field starts //--> 108 <div class="form-group label-floating mhcc-form-group"> 109 <label for="jobTitle" class="control-label">* Job Title</label> 110 <input type="text" name="jobTitle" id="jobTitle" value="" class="form-control" required="required" /> 111 </div> 112 <!--Form field starts //--> 113 <div class="form-group label-floating mhcc-form-group"> 114 <label class="control-label" for="emailContactUs">* Email</label> 115 <input type="email" id="emailContactUs" name="emailContactUs" class="form-control" required="required" /> 116 </div> 117 <!--Form field starts //--> 118 <div class="form-group label-floating mhcc-form-group"> 119 <label for="phoneContactUs" class="control-label">Phone Number</label> 120 <input type="text" name="phoneContactUs" id="phoneContactUs" value="" class="form-control" /> 121 </div> 122 123 <!--Form field starts //--> 124 <div class="form-group label-floating mhcc-form-group"> 125 <label for="subjectContactUs" class="control-label">* Subject</label> 126 <input type="text" name="subjectContactUs" id="subjectContactUs" value="" class="form-control" required="required"/> 127 </div> 128 <!--Form field starts //--> 129 <div class="form-group label-floating mhcc-form-group"> 130 <label for="messageContactUs" class="control-label">* Message</label> 131 <textarea class="form-control psla-form" name="messageContactUs" id="messageContactUs" rows="6" required="required"></textarea> 132 </div> 133 <!--Form fields end //--> 134 135 <!-- To handle spam messages starts --> 136 <div class="sr-only"> 137 <div><span id="checkmeCont"></span></div> 138 <div><span><label for="userid">User ID</label><input type="text" id="userid" name="userid" value="" /><span class="redNote">*</span></span></div> 139 <div><span><label for="password">Password</label><input type="text" id="password" name="password" value="" /><span class="redNote">*</span></span></div> 140
140<script type="text/javascript"> 141 var newField = document.createElement("input"); 142 var newFieldLabel = document.createElement("label"); 143 var checkmeCont = document.getElementById("checkmeCont"); 144 145 newField.id = "checkme"; 146 newField.name = "checkme"; 147 newField.value = "online"; 148 checkmeCont.appendChild(newField); 149 150 newFieldLabel.htmlFor = "checkme"; 151 newFieldLabel.innerHTML = "Pass"; 152 checkmeCont.appendChild(newFieldLabel); 153 </script>
153 154 </div> 155 <!-- To handle spam messages starts --> 156 157 </div> 158 <!--Card inner block ENDS //--> 159 </section> 160 <!--Form card ENDS //--> 161 <!--Submit button starts //--> 162 <div class="mhcc-resources-container-buttons"> 163 <input type="submit" name="submitButton" class="btn btn-raised btn-success mhcc-resources-container-button" value="Submit" /> 164 <div class="ripple-container"></div> 165 </div> 166 <!--Submit button ENDS //--> 167 </form> 168 <!--Form ENDS //--> 169 </div> 170 <!--// Form container ENDS --> 171</article> 172</main> 173 174 175 <!-- Partners logos block starts //--> 176<aside class="partners-logos-wrapper"> 177 <div class="center-block partners-logos-block"> 178 <a href=" https://www.mentalhealthcommission.ca/English/workplace-healthcare-declaration " target="_blank"> 179 <figure class="pt-4 pb-4"> 180 <img src="/assets/img/PH&S_brand_footer.svg" class="partners-logo phsh-logo" alt="Psychosocial Survey for Healthcare"> 181 </figure> 182 </a> 183 <a href="http://www.healthcarecan.ca/" target="_blank"> 184 <figure class="pt-4 pb-4"> 185 <img src="/assets/img/HealthCareCAN_brand_footer.svg" class="partners-logo healthcare-can-logo" alt="HealthCareCAN"> 186 </figure> 187 </a> 188 <a href="https://www.mentalhealthcommission.ca/English" target="_blank"> 189 <figure class="pt-4 pb-4"> 190 <img src="/assets/img/MHCC_brand_footer.svg" class="partners-logo mhcc-logo" alt="The Mental Health Commission of Canada"> 191 </figure> 192 </a> 193 <a href="https://psychhealthandsafety.org/" target="_blank"> 194 <figure class="pt-4 pb-4"> 195 <img src="/assets/img/PH+S_brand_footer.svg" class="partners-logo phs-logo" alt="Vancouver Psych Health + Safety "> 196 </figure> 197 </a> 198 <a href="https://www.ccohs.ca/" target="_blank"> 199 <figure class="pt-4 pb-4"> 200 <img src="/assets/img/ccohs_brand_footer.svg" class="partners-logo ccohs-logo" alt="The Canadian Centre for Occupational Health and Safety"> 201 </figure> 202 </a> 203 </div> 204</aside> 205<!-- Partners logos block ends //--> 206<footer class="pt-2 pb-2 black-bg mhcc-footer-wrapper"> 207 <div class="center-block mhcc-footer-block"> 208 <div class="mhcc-footer-content"> 209 <p class="white-text">© 2018 Mental Health Commission of Canada</p> 210 </div> 211 <div class="mt-2 mhcc-footer-content"> 212 <ul class="list-unstyled list-inline text-center mhcc-footer-content-terms"> 213 <li><a href="/terms">Terms and Conditions</a></li> 214 <li class="no-brd-last-item"><a href="/contact-us">Contact Us</a></li> 215 </ul> 216 </div> 217 </div> 218</footer> </div> 219 220 <div class="ms-slidebar sb-slidebar sb-left sb-style-overlay" id="ms-slidebar"> 221 <div class="sb-slidebar-container"> 222 <header class="ms-slidebar-header"> 223 <div style="margin-top: 30px; margin-left: 22px;"><a href="/"><img src="/assets/img/PH&S_brand_header.svg" alt="Guarding Minds at Work" class="img-responsive"></a></div> 224 </header> 225 <ul class="ms-slidebar-menu" id="slidebar-menu" role="tablist" aria-multiselectable="true"> 226 <li class="panel" role="tab" id="sch1"> 227 <a class="collapsed" role="button" data-toggle="collapse" data-parent="#slidebar-menu" href="#sc1" aria-expanded="true" aria-controls="sc1"><i class="zmdi zmdi-home"></i> About</a> 228 <ul id="sc1" class="panel-collapse collapse" role="tabpanel" aria-labelledby="sch1"> 229 <li><a href="/about/about">About Caring for Healthcare Workers</a></li> 230 <li><a href="/about/about-psychosocial-factors">How to use Caring for Healthcare Workers</a></li> 231 </ul> 232 </li> 233 <li><a class="link" href="/resources"><i class="zmdi zmdi-link"></i> Resources</a></li> 234 <li><a class="link" href="/faq"><i class="zmdi zmdi-link"></i> FAQs</a></li> 235 <li><a class="link" href="#"><i class="zmdi zmdi-link"></i> Dashboard</a></li> 236 </ul> 237 </div> 238 </div> 239 240 <!-- [if lt IE 9]> 241
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