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<div style=3D"font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);" id=3D"geom_inter_1559021342902_83_32">
JUNTO CON SALUDAR SOLICITO EVALUACION DE NUTRICIONISTA PARA PACIENTE</div>
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<b>
De:</b>
 Katherine Morales Cortes &lt;katherine.mcortes.md@outlook.com&gt;<br>
<b>
Enviado:</b>
 s=E1bado, 25 de mayo de 2019 1:09 p. m.<br>
<b>
Para:</b>
 claritamamani@telemed-chile.cl; pamelafajardo@telemed-chile.cl; informeges@telemed-chile.cl; Coordinadora@telemed-chile.cl<br>
<b>
Asunto:</b>
 MARCO VILLALOBOS 24/05/2019JU</font>
&nbsp;</div>
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<font face=3D"Calibri, sans-serif" color=3D"#000000" style=3D"font-size:11pt">
<b>
De:</b>
 Formularios de Google &lt;forms-receipts-noreply@google.com&gt;<br>
<b>
Enviado:</b>
 s=E1bado, 25 de mayo de 2019 1:08 p. m.<br>
<b>
Para:</b>
 katherine.mcortes.md@outlook.com<br>
<b>
Asunto:</b>
 Registro de Atenci=F3n Domiciliaria Oncovida</font>
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&nbsp;</div>
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<table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"100%" role=3D"presentation" style=3D"background-color:rgb(38,4,154)">
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<img alt=3D"Formularios de Google" height==3D"26px" width=3D"143px" style=3D"display:inline-block; margin:0; vertical-align:middle" src=3D"https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png">
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</tbody>
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<div style=3D"padding:24px; background-color:rgb(229,218,254)">
<div align=3D"center" style=3D"background-color:#fff; border-bottom:1px solid #e0e0e0; margin:0 auto; max-width:624px; min-width:154px; padding:0 24px">
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" width=3D"100%" role=3D"presentation" style=3D"background-color:#fff">
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<div style=3D"font-size:13px; line-height:18px; color:#424242; font-weight:700">
Gracias por rellenar<a href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link">
Registro de Atenci=F3n Domiciliaria Oncovida</a>
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<div style=3D"font-size:13px; line-height:18px; color:#424242">
Esto es lo que nos has enviado:</div>
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<div class=3D"ss-form-container" style=3D"">
<div class=3D"ss-form-heading" style=3D"">
<h1 class=3D"ss-form-title" dir=3D"ltr" style=3D"margin:.67em 0">
Registro de Atenci=F3n Domiciliaria Oncovida</h1>
<div class=3D"ss-form-desc ss-no-ignore-whitespace" style=3D"font:inherit; width:99%; margin:0 0 1em; white-space:pre-wrap; word-wrap:break-word">
Este es el sistema de registro de atenciones domiciliarias de Oncovida. Debe ser llenado por el prestador individual, y debe realizarse un registro por cada visita domiciliaria. Si usted no es prestador de Oncovida por favor no llene este formulario. A continuaci=F3n indique su correo electr=F3nico.</div>
</div>
<div class=3D"ss-form" style=3D"">
<form action=3D"" method=3D"GET" id=3D"ss-form" style=3D"">
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"emailAddress" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Direcci=F3n de correo electr=F3nico <label for=3D"emailAddress" aria-label==3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
</label>
<div class=3D"ss-q-text ss-printable-text-line" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
katherine.mcortes.md@outlook.com</div>
</div>
</div>
</div>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-embeddable-object-container" style==3D"margin:12px 0; max-width:100%">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"ss-image" title=3D"" alt=3D"Imagen sin leyenda" style=3D"width:78px; outline:none" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ">
</div>
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<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-page-break" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-page-title" style=3D"padding:0.4em; background-color:#eee">
Identificaci=F3n del Prestador</h2>
<div class=3D"ss-page-description ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap; word-wrap:break-word">
Aqu=ED debe ingresar sus datos personales</div>
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</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_579114469" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Primer Nombre y Apellido Paterno <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
KATHERINE MORALES </div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1276273985" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
RUT <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
RUT con Gui=F3n y D=EDgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
25184204-3</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-select" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_133691676" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Tipo <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
Si asisten m=E1s de 1 prestador simult=E1neamente, cada uno debe hacer un registro independiente</div>
</label>
<select name=3D"entry.133691676" disabled=3D"" id=3D"entry_133691676" aria-label=3D"Tipo Si asisten m=E1s de 1 prestador simult=E1neamente, cada uno debe hacer un registro independiente " style=3D"">
<option value=3D"" style=3D"">
</option>
 <option value=3D"MEDICO" disabled=3D"" selected=3D"" style=3D"">
MEDICO</option>
<option value=3D"ENFERMERA/O" disabled=3D"" style=3D"">
ENFERMERA/O</option>
 <option value=3D"TENS" disabled=3D"" style=3D"">
TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled=3D"" style=3D"">
KINESIOLOGA/O</option>
<option value=3D"PSICOLOGO" disabled=3D"" style=3D"">
PSICOLOGO</option>
 <option value=3D"NUTRICIONISTA" disabled=3D"" style=3D"">
NUTRICIONISTA</option>
</select>
 </div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-embeddable-object-container" style==3D"margin:12px 0; max-width:100%">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"ss-image" title=3D"" alt=3D"Imagen sin leyenda" style=3D"width:78px; outline:none" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA">
</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-page-break" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-page-title" style=3D"padding:0.4em; background-color:#eee">
Identificaci=F3n del Paciente</h2>
<div class=3D"ss-page-description ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap; word-wrap:break-word">
En esta secci=F3n debe ingresar los datos del paciente visitado</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-section-header" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-section-title" style=3D"background-color:#eee; padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"ss-section-description ss-no-ignore-whitespace" style=3D"margin-top:0.5em; white-space:pre-wrap; word-wrap:break-word">
</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_823811303" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Ingrese el Rut del Paciente <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
RUT con Gui=F3n y D=EDgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
9015729-9</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1959365839" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
MARCO VILLALOBOS</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-select" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_545002227" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Previsi=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<select name=3D"entry.545002227" disabled=3D"" id=3D"entry_545002227" aria-label=3D"Previsi=F3n  " style=3D"">
<option value=3D"" style=3D"">
</option>
 <option value=3D"BANMEDICA" disabled=3D"" style=3D"">
BANMEDICA</option>
 <option value=3D"CAPREDENA" disabled=3D"" style=3D"">
CAPREDENA</option>
 <option value=3D"COLMENA" disabled=3D"" selected=3D"" style=3D"">
COLMENA</option>
 <option value=3D"CONSALUD" disabled=3D"" style=3D"">
CONSALUD</option>
 <option value=3D"CRUZ BLANCA" disabled=3D"" style=3D"">
CRUZ BLANCA</option>
 <option value=3D"DIPRECA" disabled=3D"" style=3D"">
DIPRECA</option>
<option value=3D"FONASA" disabled=3D"" style=3D"">
FONASA</option>
 <option value=3D"FUNDACION" disabled=3D"" style=3D"">
FUNDACION</option>
 <option value=3D"ISAPRES DEL COBRE" disabled=3D"" style==3D"">
ISAPRES DEL COBRE</option>
 <option value=3D"NUEVA MASVIDA" disabled=3D"" style=3D"">
NUEVA MASVIDA</option>
<option value=3D"VIDATRES" disabled=3D"" style=3D"">
VIDATRES</option>
 <option value=3D"PARTICULAR" disabled=3D"" style=3D"">
PARTICULAR</option>
</select>
 </div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1900161356" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Ciudad <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
ARICA</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1298871758" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Comuna <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
ARICA</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-embeddable-object-container" style==3D"margin:12px 0; max-width:100%">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"ss-image" title=3D"" alt=3D"Imagen sin leyenda" style=3D"width:78px; outline:none" src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ">
</div>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-page-break" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-page-title" style=3D"padding:0.4em; background-color:#eee">
Registro de la Atenci=F3n Domiciliaria</h2>
<div class=3D"ss-page-description ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap; word-wrap:break-word">
En esta secci=F3n debe ingresar los datos de la atenci=F3n domiciliaria</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-radio" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_2073233714" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Tipo de Atenci=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<ul class=3D"ss-choices" role=3D"radiogroup" aria-label=3D"Tipo de Atenci==F3n  " style=3D"list-style:none; padding:0; margin:.5em 0 0">
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled=3D"" checked=3D"" value=3D"Domicilio" id=3D"group_1222378237_1" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"Domicilio" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
Domicilio</span>
 </label>
</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled=3D"" value=3D"Ambulatorio" id=3D"group_1222378237_2" role=3D"radio" class=3D"ss-q-radio" aria-label=3D"Ambulatorio" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
Ambulatorio</span>
 </label>
</li>
</ul>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-date" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1705849412" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Fecha de la Atenci=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-date" role=3D"group" aria-label=3D"Fecha de la Atenci=F3n  " style=3D"">
<div class=3D"ss-datetime-box goog-inline-block" role=3D"group" style=3D"border:1px solid #dcdcdc; margin-right:2em; min-height:32px; padding-left:3px; vertical-align:middle; margin:4px 3px; display:inline-block">
<select name=3D"entry.1705849412_day" disabled=3D"" class=3D"ss-day-dropdown" id=3D"entry.1705849412_day" aria-label=3D"D=EDa del mes" style=3D"">
<option value=3D"" style=3D"">
D=EDa</option>
 <option value=3D"1" style=3D"">
1</option>
 <option value=3D"2" style=3D"">
2</option>
<option value=3D"3" style=3D"">
3</option>
 <option value=3D"4" style=3D"">
4</option>
 <option value=3D"5" style=3D"">
5</option>
 <option value=3D"6" style=3D"">
6</option>
 <option value=3D"7" style=3D"">
7</option>
<option value=3D"8" style=3D"">
8</option>
 <option value=3D"9" style=3D"">
9</option>
 <option value=3D"10" style=3D"">
10</option>
 <option value=3D"11" style=3D"">
11</option>
 <option value=3D"12" style=3D"">
12</option>
 <option value=3D"13" style=3D"">
13</option>
 <option value=3D"14" style=3D"">
14</option>
<option value=3D"15" style=3D"">
15</option>
 <option value=3D"16" style=3D"">
16</option>
 <option value=3D"17" style=3D"">
17</option>
 <option value=3D"18" style=3D"">
18</option>
 <option value=3D"19" style=3D"">
19</option>
 <option value=3D"20" style=3D"">
20</option>
 <option value=3D"21" style=3D"">
21</option>
<option value=3D"22" style=3D"">
22</option>
 <option value=3D"23" style=3D"">
23</option>
 <option value=3D"24" selected=3D"" style=3D"">
24</option>
 <option value=3D"25" style=3D"">
25</option>
 <option value=3D"26" style=3D"">
26</option>
 <option value=3D"27" style=3D"">
27</option>
 <option value=3D"28" style=3D"">
28</option>
<option value=3D"29" style=3D"">
29</option>
 <option value=3D"30" style=3D"">
30</option>
 <option value=3D"31" style=3D"">
31</option>
</select>
 <select name=3D"entry.1705849412_month" disabled=3D"" class=3D"ss-month-dropdown" id=3D"entry.1705849412_month" aria-label=3D"Mes" style=3D"">
<option value=3D"" style=3D"">
Mes</option>
 <option value=3D"1" style=3D"">
enero</option>
 <option value=3D"2" style=3D"">
febrero</option>
 <option value=3D"3" style=3D"">
marzo</option>
 <option value=3D"4" style=3D"">
abril</option>
 <option value=3D"5" selected=3D"" style=3D"">
mayo</option>
 <option value=3D"6" style=3D"">
junio</option>
 <option value=3D"7" style=3D"">
julio</option>
 <option value==3D"8" style=3D"">
agosto</option>
 <option value=3D"9" style=3D"">
septiembre</option>
 <option value=3D"10" style=3D"">
octubre</option>
 <option value=3D"11" style=3D"">
noviembre</option>
 <option value=3D"12" style=3D"">
diciembre</option>
</select>
 <select name=3D"entry.1705849412_year" disabled=3D"" id=3D"entry.1705849412_year" aria-label=3D"A=F1o" style=3D"">
<option value=3D"" style=3D"">
A=F1o</option>
 <option value=3D"1896" style=3D"">
1896</option>
 <option value=3D"1897" style=3D"">
1897</option>
 <option value=3D"1898" style=3D"">
1898</option>
 <option value=3D"1899" style=3D"">
1899</option>
 <option value=3D"1900" style=3D"">
1900</option>
 <option value=3D"1901" style=3D"">
1901</option>
 <option value=3D"1902" style=3D"">
1902</option>
 <option value=3D"1903" style=3D"">
1903</option>
 <option value=3D"1904" style=3D"">
1904</option>
 <option value=3D"1905" style=3D"">
1905</option>
 <option value=3D"1906" style=3D"">
1906</option>
 <option value=3D"1907" style=3D"">
1907</option>
 <option value=3D"1908" style=3D"">
1908</option>
 <option value=3D"1909" style=3D"">
1909</option>
 <option value=3D"1910" style=3D"">
1910</option>
 <option value=3D"1911" style=3D"">
1911</option>
 <option value=3D"1912" style=3D"">
1912</option>
 <option value=3D"1913" style=3D"">
1913</option>
 <option value=3D"1914" style=3D"">
1914</option>
 <option value=3D"1915" style=3D"">
1915</option>
 <option value=3D"1916" style=3D"">
1916</option>
 <option value=3D"1917" style=3D"">
1917</option>
 <option value=3D"1918" style=3D"">
1918</option>
 <option value=3D"1919" style=3D"">
1919</option>
 <option value=3D"1920" style=3D"">
1920</option>
 <option value=3D"1921" style=3D"">
1921</option>
 <option value=3D"1922" style=3D"">
1922</option>
 <option value=3D"1923" style=3D"">
1923</option>
 <option value=3D"1924" style=3D"">
1924</option>
 <option value=3D"1925" style=3D"">
1925</option>
 <option value=3D"1926" style=3D"">
1926</option>
 <option value=3D"1927" style=3D"">
1927</option>
 <option value=3D"1928" style=3D"">
1928</option>
 <option value=3D"1929" style=3D"">
1929</option>
 <option value=3D"1930" style=3D"">
1930</option>
 <option value=3D"1931" style=3D"">
1931</option>
 <option value=3D"1932" style=3D"">
1932</option>
 <option value=3D"1933" style=3D"">
1933</option>
 <option value=3D"1934" style=3D"">
1934</option>
 <option value=3D"1935" style=3D"">
1935</option>
 <option value=3D"1936" style=3D"">
1936</option>
 <option value=3D"1937" style=3D"">
1937</option>
 <option value=3D"1938" style=3D"">
1938</option>
 <option value=3D"1939" style=3D"">
1939</option>
 <option value=3D"1940" style=3D"">
1940</option>
 <option value=3D"1941" style=3D"">
1941</option>
 <option value=3D"1942" style=3D"">
1942</option>
 <option value=3D"1943" style=3D"">
1943</option>
 <option value=3D"1944" style=3D"">
1944</option>
 <option value=3D"1945" style=3D"">
1945</option>
 <option value=3D"1946" style=3D"">
1946</option>
 <option value=3D"1947" style=3D"">
1947</option>
 <option value=3D"1948" style=3D"">
1948</option>
 <option value=3D"1949" style=3D"">
1949</option>
 <option value=3D"1950" style=3D"">
1950</option>
 <option value=3D"1951" style=3D"">
1951</option>
 <option value=3D"1952" style=3D"">
1952</option>
 <option value=3D"1953" style=3D"">
1953</option>
 <option value=3D"1954" style=3D"">
1954</option>
 <option value=3D"1955" style=3D"">
1955</option>
 <option value=3D"1956" style=3D"">
1956</option>
 <option value=3D"1957" style=3D"">
1957</option>
 <option value=3D"1958" style=3D"">
1958</option>
 <option value=3D"1959" style=3D"">
1959</option>
 <option value=3D"1960" style=3D"">
1960</option>
 <option value=3D"1961" style=3D"">
1961</option>
 <option value=3D"1962" style=3D"">
1962</option>
 <option value=3D"1963" style=3D"">
1963</option>
 <option value=3D"1964" style=3D"">
1964</option>
 <option value=3D"1965" style=3D"">
1965</option>
 <option value=3D"1966" style=3D"">
1966</option>
 <option value=3D"1967" style=3D"">
1967</option>
 <option value=3D"1968" style=3D"">
1968</option>
 <option value=3D"1969" style=3D"">
1969</option>
 <option value=3D"1970" style=3D"">
1970</option>
 <option value=3D"1971" style=3D"">
1971</option>
 <option value=3D"1972" style=3D"">
1972</option>
 <option value=3D"1973" style=3D"">
1973</option>
 <option value=3D"1974" style=3D"">
1974</option>
 <option value=3D"1975" style=3D"">
1975</option>
 <option value=3D"1976" style=3D"">
1976</option>
 <option value=3D"1977" style=3D"">
1977</option>
 <option value=3D"1978" style=3D"">
1978</option>
 <option value=3D"1979" style=3D"">
1979</option>
 <option value=3D"1980" style=3D"">
1980</option>
 <option value=3D"1981" style=3D"">
1981</option>
 <option value=3D"1982" style=3D"">
1982</option>
 <option value=3D"1983" style=3D"">
1983</option>
 <option value=3D"1984" style=3D"">
1984</option>
 <option value=3D"1985" style=3D"">
1985</option>
 <option value=3D"1986" style=3D"">
1986</option>
 <option value=3D"1987" style=3D"">
1987</option>
 <option value=3D"1988" style=3D"">
1988</option>
 <option value=3D"1989" style=3D"">
1989</option>
 <option value=3D"1990" style=3D"">
1990</option>
 <option value=3D"1991" style=3D"">
1991</option>
 <option value=3D"1992" style=3D"">
1992</option>
 <option value=3D"1993" style=3D"">
1993</option>
 <option value=3D"1994" style=3D"">
1994</option>
 <option value=3D"1995" style=3D"">
1995</option>
 <option value=3D"1996" style=3D"">
1996</option>
 <option value=3D"1997" style=3D"">
1997</option>
 <option value=3D"1998" style=3D"">
1998</option>
 <option value=3D"1999" style=3D"">
1999</option>
 <option value=3D"2000" style=3D"">
2000</option>
 <option value=3D"2001" style=3D"">
2001</option>
 <option value=3D"2002" style=3D"">
2002</option>
 <option value=3D"2003" style=3D"">
2003</option>
 <option value=3D"2004" style=3D"">
2004</option>
 <option value=3D"2005" style=3D"">
2005</option>
 <option value=3D"2006" style=3D"">
2006</option>
 <option value=3D"2007" style=3D"">
2007</option>
 <option value=3D"2008" style=3D"">
2008</option>
 <option value=3D"2009" style=3D"">
2009</option>
 <option value=3D"2010" style=3D"">
2010</option>
 <option value=3D"2011" style=3D"">
2011</option>
 <option value=3D"2012" style=3D"">
2012</option>
 <option value=3D"2013" style=3D"">
2013</option>
 <option value=3D"2014" style=3D"">
2014</option>
 <option value=3D"2015" style=3D"">
2015</option>
 <option value=3D"2016" style=3D"">
2016</option>
 <option value=3D"2017" style=3D"">
2017</option>
 <option value=3D"2018" style=3D"">
2018</option>
 <option value=3D"2019" selected=3D"" style=3D"">
2019</option>
 <option value=3D"2020" style=3D"">
2020</option>
 <option value=3D"2021" style=3D"">
2021</option>
 <option value=3D"2022" style=3D"">
2022</option>
 <option value=3D"2023" style=3D"">
2023</option>
 <option value=3D"2024" style=3D"">
2024</option>
 <option value=3D"2025" style=3D"">
2025</option>
 <option value=3D"2026" style=3D"">
2026</option>
 <option value=3D"2027" style=3D"">
2027</option>
 <option value=3D"2028" style=3D"">
2028</option>
 <option value=3D"2029" style=3D"">
2029</option>
 <option value=3D"2030" style=3D"">
2030</option>
 <option value=3D"2031" style=3D"">
2031</option>
 <option value=3D"2032" style=3D"">
2032</option>
 <option value=3D"2033" style=3D"">
2033</option>
 <option value=3D"2034" style=3D"">
2034</option>
 <option value=3D"2035" style=3D"">
2035</option>
 <option value=3D"2036" style=3D"">
2036</option>
 <option value=3D"2037" style=3D"">
2037</option>
 <option value=3D"2038" style=3D"">
2038</option>
 <option value=3D"2039" style=3D"">
2039</option>
 <option value=3D"2040" style=3D"">
2040</option>
 <option value=3D"2041" style=3D"">
2041</option>
 <option value=3D"2042" style=3D"">
2042</option>
 <option value=3D"2043" style=3D"">
2043</option>
 <option value=3D"2044" style=3D"">
2044</option>
 <option value=3D"2045" style=3D"">
2045</option>
 <option value=3D"2046" style=3D"">
2046</option>
 <option value=3D"2047" style=3D"">
2047</option>
 <option value=3D"2048" style=3D"">
2048</option>
 <option value=3D"2049" style=3D"">
2049</option>
 <option value=3D"2050" style=3D"">
2050</option>
 <option value=3D"2051" style=3D"">
2051</option>
 <option value=3D"2052" style=3D"">
2052</option>
 <option value=3D"2053" style=3D"">
2053</option>
 <option value=3D"2054" style=3D"">
2054</option>
 <option value=3D"2055" style=3D"">
2055</option>
 <option value=3D"2056" style=3D"">
2056</option>
 <option value=3D"2057" style=3D"">
2057</option>
 <option value=3D"2058" style=3D"">
2058</option>
 <option value=3D"2059" style=3D"">
2059</option>
 <option value=3D"2060" style=3D"">
2060</option>
 <option value=3D"2061" style=3D"">
2061</option>
 <option value=3D"2062" style=3D"">
2062</option>
 <option value=3D"2063" style=3D"">
2063</option>
 <option value=3D"2064" style=3D"">
2064</option>
 <option value=3D"2065" style=3D"">
2065</option>
 <option value=3D"2066" style=3D"">
2066</option>
 <option value=3D"2067" style=3D"">
2067</option>
 <option value=3D"2068" style=3D"">
2068</option>
 <option value=3D"2069" style=3D"">
2069</option>
</select>
 </div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item ss-item-required ss-time" style=3D"margin:12px 0; font:inherit">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_206244955" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Hora de la Atenci=F3n <label for=3D"itemView.getDomIdToLabel()" aria-label==3D"(Campo obligatorio)" style=3D"">
</label>
<span class=3D"ss-required-asterisk" aria-hidden=3D"true" style=3D"color:#c43b1d">
*</span>
</div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-time" style=3D"">
<div class=3D"ss-datetime-box goog-inline-block" dir=3D"ltr" style=3D"border:1px solid #dcdcdc; margin-right:2em; min-height:32px; padding-left:3px; vertical-align:middle; margin:4px 3px; display:inline-block">
<select name=3D"entry.206244955_hour" disabled=3D"" id=3D"entry.206244955_hour" aria-label=3D"Hora" style=3D"">
<option value=3D"" style=3D"">
h</option>
 <option value=3D"00" style=3D"">
00</option>
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Performance Status ECOG del Paciente <label for=3D"itemView.getDomIdToLabel()" aria-label=3D"(Campo obligatorio)" style=3D"">
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Escala Dolor EVA Actual </div>
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Escala Dolor EVA M=E1ximo </div>
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1</label>
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2</label>
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3</label>
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4</label>
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5</label>
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6</label>
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7</label>
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8</label>
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9</label>
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10</label>
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<td class=3D"ss-scalenumbers" style=3D"text-align:center">
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<div aria-hidden=3D"true" class=3D"aria-todo" style=3D"">
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<td class=3D"ss-scalerow" style=3D"text-align:center; color:#666; border:1px solid #d3d8d3; border-left:0; border-right:0; padding:.5em .25em">
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PACIENTE REFIERE SENTIRSE CON BUEN ANIMO, APETITO, NECESIDADES FISIOLOGICAS NORMALES. CONTINUA CON XEROSTOMIA, HA MEJORADO ASPECTO DE LENGUA RESPECTO A CONTROLES PREVIOS, SIN DOLOR. SE OBSERVA UN POCO MAS DELGADO. LA SIGUIENTE SEMANA TIENE PREVISTA EVALUACION CON ONCOLOGO Y REALIZACION DEL PET EN SANTIAGO.</div>
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Mucosas: normocoloreadas sequedad escasa en mucosa oral ACV: rr2tss, llene capilar menor a 2 seg. TA: 128/76 mmHg fc: 51 por min. AR: mp presente sin ruidos agregados, no uso de musculatura accesoria ni cianosis. SAT: 98% SNC: vigil, orientado en tiempo espacio y persona, sin signos de focalizaci=F3n neurol=F3gica. Cincinnati negativo. Pupilas isoc=F3ricas y normo reactivas. Lengua de coloraci=F3n grisaceo claro enc=EDas sin alteraciones faringe de coloraci=F3n normal sin exudado, sin otras alteraciones evidentes. Piel: hiperpigmentaci=F3n y sequedad en =E1rea del cuello. Regi=F3n cervical: sin cambios respecto a control previo</div>
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Carcinoma Escamoso de Am=EDgala Izquierda</div>
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Psicoterapia. Acudir a medico de previsi=F3n para realizar estudio complementario por BRADICARDIA ASINTOMATICA SE ENTREGA INFORME PARA MEDICO TRATANTE DONDE SE SOLICITA ECG ECORCARDIOGRAMA PARA ESTUDIO. ANALGESIA SOS SOS ACUDIR A URGENCIA CORRESPONDIENTE. SE SUGIERE REALIZAR TEST DE HOMA SE SOLICITA ATENCION DE NTA. </div>
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Medicamentos Indicados </div>
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</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
SE MANTIENE IDEM SOS </div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-date" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_2063615873" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Fecha aproximada del Pr=F3ximo Control con usted </div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-date" role=3D"group" aria-label=3D"Fecha aproximada del Pr=F3ximo Control con usted  " style=3D"">
<div class=3D"ss-datetime-box goog-inline-block" role=3D"group" style=3D"border:1px solid #dcdcdc; margin-right:2em; min-height:32px; padding-left:3px; vertical-align:middle; margin:4px 3px; display:inline-block">
<select name=3D"entry.2063615873_day" disabled=3D"" class=3D"ss-day-dropdown" id=3D"entry.2063615873_day" aria-label=3D"D=EDa del mes" style=3D"">
<option value=3D"" style=3D"">
D=EDa</option>
 <option value=3D"1" style=3D"">
1</option>
 <option value=3D"2" style=3D"">
2</option>
<option value=3D"3" style=3D"">
3</option>
 <option value=3D"4" style=3D"">
4</option>
 <option value=3D"5" style=3D"">
5</option>
 <option value=3D"6" style=3D"">
6</option>
 <option value=3D"7" style=3D"">
7</option>
<option value=3D"8" style=3D"">
8</option>
 <option value=3D"9" style=3D"">
9</option>
 <option value=3D"10" style=3D"">
10</option>
 <option value=3D"11" style=3D"">
11</option>
 <option value=3D"12" style=3D"">
12</option>
 <option value=3D"13" style=3D"">
13</option>
 <option value=3D"14" style=3D"">
14</option>
<option value=3D"15" style=3D"">
15</option>
 <option value=3D"16" style=3D"">
16</option>
 <option value=3D"17" style=3D"">
17</option>
 <option value=3D"18" style=3D"">
18</option>
 <option value=3D"19" style=3D"">
19</option>
 <option value=3D"20" style=3D"">
20</option>
 <option value=3D"21" style=3D"">
21</option>
<option value=3D"22" style=3D"">
22</option>
 <option value=3D"23" style=3D"">
23</option>
 <option value=3D"24" style=3D"">
24</option>
 <option value=3D"25" style=3D"">
25</option>
 <option value=3D"26" style=3D"">
26</option>
 <option value=3D"27" style=3D"">
27</option>
 <option value=3D"28" style=3D"">
28</option>
<option value=3D"29" style=3D"">
29</option>
 <option value=3D"30" selected==3D"" style=3D"">
30</option>
 <option value=3D"31" style=3D"">
31</option>
</select>
 <select name=3D"entry.2063615873_month" disabled=3D"" class=3D"ss-month-dropdown" id=3D"entry.2063615873_month" aria-label=3D"Mes" style=3D"">
<option value=3D"" style=3D"">
Mes</option>
 <option value=3D"1" style=3D"">
enero</option>
 <option value=3D"2" style=3D"">
febrero</option>
 <option value=3D"3" style=3D"">
marzo</option>
 <option value=3D"4" style=3D"">
abril</option>
 <option value=3D"5" selected=3D"" style=3D"">
mayo</option>
 <option value=3D"6" style=3D"">
junio</option>
 <option value=3D"7" style=3D"">
julio</option>
 <option value==3D"8" style=3D"">
agosto</option>
 <option value=3D"9" style=3D"">
septiembre</option>
 <option value=3D"10" style=3D"">
octubre</option>
 <option value=3D"11" style=3D"">
noviembre</option>
 <option value=3D"12" style=3D"">
diciembre</option>
</select>
 <select name=3D"entry.2063615873_year" disabled=3D"" id=3D"entry.2063615873_year" aria-label=3D"A=F1o" style=3D"">
<option value=3D"" style=3D"">
A=F1o</option>
 <option value=3D"1896" style=3D"">
1896</option>
 <option value=3D"1897" style=3D"">
1897</option>
 <option value=3D"1898" style=3D"">
1898</option>
 <option value=3D"1899" style=3D"">
1899</option>
 <option value=3D"1900" style=3D"">
1900</option>
 <option value=3D"1901" style=3D"">
1901</option>
 <option value=3D"1902" style=3D"">
1902</option>
 <option value=3D"1903" style=3D"">
1903</option>
 <option value=3D"1904" style=3D"">
1904</option>
 <option value=3D"1905" style=3D"">
1905</option>
 <option value=3D"1906" style=3D"">
1906</option>
 <option value=3D"1907" style=3D"">
1907</option>
 <option value=3D"1908" style=3D"">
1908</option>
 <option value=3D"1909" style=3D"">
1909</option>
 <option value=3D"1910" style=3D"">
1910</option>
 <option value=3D"1911" style=3D"">
1911</option>
 <option value=3D"1912" style=3D"">
1912</option>
 <option value=3D"1913" style=3D"">
1913</option>
 <option value=3D"1914" style=3D"">
1914</option>
 <option value=3D"1915" style=3D"">
1915</option>
 <option value=3D"1916" style=3D"">
1916</option>
 <option value=3D"1917" style=3D"">
1917</option>
 <option value=3D"1918" style=3D"">
1918</option>
 <option value=3D"1919" style=3D"">
1919</option>
 <option value=3D"1920" style=3D"">
1920</option>
 <option value=3D"1921" style=3D"">
1921</option>
 <option value=3D"1922" style=3D"">
1922</option>
 <option value=3D"1923" style=3D"">
1923</option>
 <option value=3D"1924" style=3D"">
1924</option>
 <option value=3D"1925" style=3D"">
1925</option>
 <option value=3D"1926" style=3D"">
1926</option>
 <option value=3D"1927" style=3D"">
1927</option>
 <option value=3D"1928" style=3D"">
1928</option>
 <option value=3D"1929" style=3D"">
1929</option>
 <option value=3D"1930" style=3D"">
1930</option>
 <option value=3D"1931" style=3D"">
1931</option>
 <option value=3D"1932" style=3D"">
1932</option>
 <option value=3D"1933" style=3D"">
1933</option>
 <option value=3D"1934" style=3D"">
1934</option>
 <option value=3D"1935" style=3D"">
1935</option>
 <option value=3D"1936" style=3D"">
1936</option>
 <option value=3D"1937" style=3D"">
1937</option>
 <option value=3D"1938" style=3D"">
1938</option>
 <option value=3D"1939" style=3D"">
1939</option>
 <option value=3D"1940" style=3D"">
1940</option>
 <option value=3D"1941" style=3D"">
1941</option>
 <option value=3D"1942" style=3D"">
1942</option>
 <option value=3D"1943" style=3D"">
1943</option>
 <option value=3D"1944" style=3D"">
1944</option>
 <option value=3D"1945" style=3D"">
1945</option>
 <option value=3D"1946" style=3D"">
1946</option>
 <option value=3D"1947" style=3D"">
1947</option>
 <option value=3D"1948" style=3D"">
1948</option>
 <option value=3D"1949" style=3D"">
1949</option>
 <option value=3D"1950" style=3D"">
1950</option>
 <option value=3D"1951" style=3D"">
1951</option>
 <option value=3D"1952" style=3D"">
1952</option>
 <option value=3D"1953" style=3D"">
1953</option>
 <option value=3D"1954" style=3D"">
1954</option>
 <option value=3D"1955" style=3D"">
1955</option>
 <option value=3D"1956" style=3D"">
1956</option>
 <option value=3D"1957" style=3D"">
1957</option>
 <option value=3D"1958" style=3D"">
1958</option>
 <option value=3D"1959" style=3D"">
1959</option>
 <option value=3D"1960" style=3D"">
1960</option>
 <option value=3D"1961" style=3D"">
1961</option>
 <option value=3D"1962" style=3D"">
1962</option>
 <option value=3D"1963" style=3D"">
1963</option>
 <option value=3D"1964" style=3D"">
1964</option>
 <option value=3D"1965" style=3D"">
1965</option>
 <option value=3D"1966" style=3D"">
1966</option>
 <option value=3D"1967" style=3D"">
1967</option>
 <option value=3D"1968" style=3D"">
1968</option>
 <option value=3D"1969" style=3D"">
1969</option>
 <option value=3D"1970" style=3D"">
1970</option>
 <option value=3D"1971" style=3D"">
1971</option>
 <option value=3D"1972" style=3D"">
1972</option>
 <option value=3D"1973" style=3D"">
1973</option>
 <option value=3D"1974" style=3D"">
1974</option>
 <option value=3D"1975" style=3D"">
1975</option>
 <option value=3D"1976" style=3D"">
1976</option>
 <option value=3D"1977" style=3D"">
1977</option>
 <option value=3D"1978" style=3D"">
1978</option>
 <option value=3D"1979" style=3D"">
1979</option>
 <option value=3D"1980" style=3D"">
1980</option>
 <option value=3D"1981" style=3D"">
1981</option>
 <option value=3D"1982" style=3D"">
1982</option>
 <option value=3D"1983" style=3D"">
1983</option>
 <option value=3D"1984" style=3D"">
1984</option>
 <option value=3D"1985" style=3D"">
1985</option>
 <option value=3D"1986" style=3D"">
1986</option>
 <option value=3D"1987" style=3D"">
1987</option>
 <option value=3D"1988" style=3D"">
1988</option>
 <option value=3D"1989" style=3D"">
1989</option>
 <option value=3D"1990" style=3D"">
1990</option>
 <option value=3D"1991" style=3D"">
1991</option>
 <option value=3D"1992" style=3D"">
1992</option>
 <option value=3D"1993" style=3D"">
1993</option>
 <option value=3D"1994" style=3D"">
1994</option>
 <option value=3D"1995" style=3D"">
1995</option>
 <option value=3D"1996" style=3D"">
1996</option>
 <option value=3D"1997" style=3D"">
1997</option>
 <option value=3D"1998" style=3D"">
1998</option>
 <option value=3D"1999" style=3D"">
1999</option>
 <option value=3D"2000" style=3D"">
2000</option>
 <option value=3D"2001" style=3D"">
2001</option>
 <option value=3D"2002" style=3D"">
2002</option>
 <option value=3D"2003" style=3D"">
2003</option>
 <option value=3D"2004" style=3D"">
2004</option>
 <option value=3D"2005" style=3D"">
2005</option>
 <option value=3D"2006" style=3D"">
2006</option>
 <option value=3D"2007" style=3D"">
2007</option>
 <option value=3D"2008" style=3D"">
2008</option>
 <option value=3D"2009" style=3D"">
2009</option>
 <option value=3D"2010" style=3D"">
2010</option>
 <option value=3D"2011" style=3D"">
2011</option>
 <option value=3D"2012" style=3D"">
2012</option>
 <option value=3D"2013" style=3D"">
2013</option>
 <option value=3D"2014" style=3D"">
2014</option>
 <option value=3D"2015" style=3D"">
2015</option>
 <option value=3D"2016" style=3D"">
2016</option>
 <option value=3D"2017" style=3D"">
2017</option>
 <option value=3D"2018" style=3D"">
2018</option>
 <option value=3D"2019" selected=3D"" style=3D"">
2019</option>
 <option value=3D"2020" style=3D"">
2020</option>
 <option value=3D"2021" style=3D"">
2021</option>
 <option value=3D"2022" style=3D"">
2022</option>
 <option value=3D"2023" style=3D"">
2023</option>
 <option value=3D"2024" style=3D"">
2024</option>
 <option value=3D"2025" style=3D"">
2025</option>
 <option value=3D"2026" style=3D"">
2026</option>
 <option value=3D"2027" style=3D"">
2027</option>
 <option value=3D"2028" style=3D"">
2028</option>
 <option value=3D"2029" style=3D"">
2029</option>
 <option value=3D"2030" style=3D"">
2030</option>
 <option value=3D"2031" style=3D"">
2031</option>
 <option value=3D"2032" style=3D"">
2032</option>
 <option value=3D"2033" style=3D"">
2033</option>
 <option value=3D"2034" style=3D"">
2034</option>
 <option value=3D"2035" style=3D"">
2035</option>
 <option value=3D"2036" style=3D"">
2036</option>
 <option value=3D"2037" style=3D"">
2037</option>
 <option value=3D"2038" style=3D"">
2038</option>
 <option value=3D"2039" style=3D"">
2039</option>
 <option value=3D"2040" style=3D"">
2040</option>
 <option value=3D"2041" style=3D"">
2041</option>
 <option value=3D"2042" style=3D"">
2042</option>
 <option value=3D"2043" style=3D"">
2043</option>
 <option value=3D"2044" style=3D"">
2044</option>
 <option value=3D"2045" style=3D"">
2045</option>
 <option value=3D"2046" style=3D"">
2046</option>
 <option value=3D"2047" style=3D"">
2047</option>
 <option value=3D"2048" style=3D"">
2048</option>
 <option value=3D"2049" style=3D"">
2049</option>
 <option value=3D"2050" style=3D"">
2050</option>
 <option value=3D"2051" style=3D"">
2051</option>
 <option value=3D"2052" style=3D"">
2052</option>
 <option value=3D"2053" style=3D"">
2053</option>
 <option value=3D"2054" style=3D"">
2054</option>
 <option value=3D"2055" style=3D"">
2055</option>
 <option value=3D"2056" style=3D"">
2056</option>
 <option value=3D"2057" style=3D"">
2057</option>
 <option value=3D"2058" style=3D"">
2058</option>
 <option value=3D"2059" style=3D"">
2059</option>
 <option value=3D"2060" style=3D"">
2060</option>
 <option value=3D"2061" style=3D"">
2061</option>
 <option value=3D"2062" style=3D"">
2062</option>
 <option value=3D"2063" style=3D"">
2063</option>
 <option value=3D"2064" style=3D"">
2064</option>
 <option value=3D"2065" style=3D"">
2065</option>
 <option value=3D"2066" style=3D"">
2066</option>
 <option value=3D"2067" style=3D"">
2067</option>
 <option value=3D"2068" style=3D"">
2068</option>
 <option value=3D"2069" style=3D"">
2069</option>
</select>
 </div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-text" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_74766472" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Tratamiento Realizado (si corresponde) </div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
</div>
</label>
<div class=3D"ss-q-text" dir=3D"auto" style=3D"background-color:#eee; max-width:90%; border:1px solid #c0c0c0; padding:5px; white-space:pre-wrap; color:#545454; width:70%">
</div>
</div>
</div>
</div>
<br>
<div class=3D"ss-form-question errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-checkbox" style=3D"margin:12px 0">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<label class=3D"ss-q-item-label" for=3D"entry_1219705969" style=3D"">
<div class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
Derivaci=F3n a otro Prestador Domiciliario </div>
<div class=3D"ss-q-help ss-secondary-text" dir=3D"auto" style=3D"display:block; margin:.1em 0 .25em 0; color:#666">
S=F3lo llene esta secci=F3n si es m=E9dico y solicita la visita de otro prestador del equipo</div>
</label>
<ul class=3D"ss-choices" role=3D"group" aria-label=3D"Derivaci=F3n a otro Prestador Domiciliario S=F3lo llene esta secci=F3n si es m=E9dico y solicita la visita de otro prestador del equipo " style=3D"list-style:none; padding:0; margin:.5em 0 0">
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"ENFERMERA" id=3D"group_503039759_1" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
ENFERMERA</span>
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</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"TENS" id=3D"group_503039759_2" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
TENS</span>
 </label>
</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" checked=3D"" value=3D"NUTRICIONISTA" id=3D"group_503039759_3" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
NUTRICIONISTA</span>
 </label>
</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"KINESIOLOGO" id=3D"group_503039759_4" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
KINESIOLOGO</span>
 </label>
</li>
<li class=3D"ss-choice-item" style=3D"margin:0; line-height:1.3em; padding-bottom:.5em">
<label>
<span class=3D"ss-choice-item-control goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled=3D"" value=3D"PSICOLOGO" id=3D"group_503039759_5" role=3D"checkbox" class=3D"ss-q-checkbox" style=3D"">
</span>
<span class=3D"ss-choice-label" style=3D"">
PSICOLOGO</span>
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</li>
</ul>
</div>
</div>
</div>
<br>
<div class=3D"errorbox-good" role=3D"listitem" style=3D"">
<div dir=3D"auto" class=3D"ss-item  ss-embeddable-object-container" style==3D"margin:12px 0; max-width:100%">
<div class=3D"ss-form-entry" style=3D"margin-bottom:1.5em; vertical-align:middle; margin-left:0; margin-top:0; max-width:100%">
<h2 class=3D"ss-q-title" style=3D"display:block; font-weight:bold; margin-top:.83em; margin-bottom:.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"ss-image" title=3D"" alt=3D"Imagen sin leyenda" style=3D"width:78px; outline:none" src=3D"https://lh6.googleusercontent.com/ho5-aEhqapElKPfY3C043hrFRDZHbYmYQL4MdTOUr9VmGAzMIk1T6XQ9jJN3CuGBWoqcxaMG3A">
</div>
</div>
</div>
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