<div dir=3D"auto">
Muchas gracias a ambas por las gestiones realizadas.<div dir=3D"auto">
<br>
</div>
<div dir=3D"auto">
Saludos!!=C2=A0</div>
</div>
<br>
<div class=3D"gmail_quote">
<div dir=3D"ltr" class=3D"gmail_attr">
El mi=C3=A9., 24 de abr. de 2019 11:07, Laura Adasme Lobos &lt;<a href=3D"mailto:laura.adasme@oncovidachile.cl">
laura.adasme@oncovidachile.cl</a>
&gt; escribi=C3=B3:<br>
</div>
<blockquote class=3D"gmail_quote" style=3D"margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div lang=3D"ES-CL" link=3D"blue" vlink=3D"purple">
<div class=3D"m_6940797576726894770WordSection1">
<p class=3D"MsoNormal">
<span style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1f497d">
Estimada<u>
</u>
<u>
</u>
</span>
</p>
<p class=3D"MsoNormal">
<span style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1f497d">
Se dar=C3=A1 aviso a gerente del =C3==A1rea para que pueda arreglar el PDF<u>
</u>
<u>
</u>
</span>
</p>
<p class=3D"MsoNormal">
<span style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1f497d">
Saludos Cordiales<u>
</u>
<u>
</u>
</span>
</p>
<p class=3D"MsoNormal">
<span style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1f497d">
Atte:<u>
</u>
<u>
</u>
</span>
</p>
<p class=3D"MsoNormal">
<span style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1f497d">
<u>
</u>
=C2=A0<u>
</u>
</span>
</p>
<div>
<p class=3D"MsoNormal">
<span style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1f497d">
<img width=3D"451" height=3D"180" id==3D"m_6940797576726894770Imagen_x0020_1" src=3D"cid:image002.jpg@01D4FA8D.D93D4130">
<u>
</u>
<u>
</u>
</span>
</p>
</div>
<p class=3D"MsoNormal">
<span style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif;color:#1f497d">
<u>
</u>
=C2=A0<u>
</u>
</span>
</p>
<div>
<div style=3D"border:none;border-top:solid #e1e1e1 1.0pt;padding:3.0pt 0cm 0cm 0cm">
<p class=3D"MsoNormal">
<b>
<span lang=3D"ES" style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif">
De:</span>
</b>
<span lang=3D"ES" style=3D"font-size:11.0pt;font-family:&quot;Calibri&quot;,sans-serif">
 <a href==3D"mailto:coordinadora@telemed-chile.cl" target=3D"_blank" rel=3D"noreferrer">
coordinadora@telemed-chile.cl</a>
 [mailto:<a href=3D"mailto:coordinadora@telemed-chile.cl" target=3D"_blank" rel=3D"noreferrer">
coordinadora@telemed-chile.cl</a>
]<br>
<b>
Enviado el:</b>
 martes, 23 de abril de 2019 23:34<br>
<b>
Para:</b>
 Caro Villena &lt;<a href=3D"mailto:caroline.villena@gmail.com" target=3D"_blank" rel=3D"noreferrer">
caroline.villena@gmail.com</a>
&gt;; Laura Adasme Lobos &lt;<a href=3D"mailto:laura.adasme@oncovidachile.cl" target=3D"_blank" rel=3D"noreferrer">
laura.adasme@oncovidachile.cl</a>
&gt;<br>
<b>
CC:</b>
 <a href=3D"mailto:informeges@telemed-chile.cl" target=3D"_blank" rel=3D"noreferrer">
informeges@telemed-chile.cl</a>
<br>
<b>
Asunto:</b>
 Re: Informe Haydee Herrera / correcci=C3=B3n isapre<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<p style=3D"margin-top:0cm">
Estimada=C2=A0 copio a Laura para respuesta frente=C2=A0 al error<br>
Atenta a comentarios <br>
--<br>
Sandra Maulen Angel<br>
Enfermera <br>
Coordinadora<br>
Telemed-chile<u>
</u>
<u>
</u>
</p>
<p class=3D"MsoNormal">
martes, 23 abril 2019, 06:41p. m. -04:00 de Caro Villena <a href=3D"mailto:caroline.villena@gmail.com" target=3D"_blank" rel=3D"noreferrer">
caroline.villena@gmail.com</a>
:<br>
<br>
<br>
<u>
</u>
<u>
</u>
</p>
<blockquote style=3D"border:none;border-left:solid #fc2c38 1.0pt;padding:0cm 0cm 0cm 8.0pt;margin-left:7.5pt;margin-right:0cm">
<div>
<div>
<div id=3D"m_6940797576726894770style_15560592840000002580_BODY">
<div>
<div>
<p class=3D"MsoNormal">
Estimados:<u>
</u>
<u>
</u>
</p>
<div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
</div>
<div>
<p class=3D"MsoNormal">
Me acabo de dar cuenta que en la pen=C3=BAltima atenci=C3=B3n de Haydee, me equivoqu=C3=A9 en el ingreso de la isapre. Deb=C3==ADa ser nueva m=C3=A1s vida y puse por error cruz blanca.<u>
</u>
<u>
</u>
</p>
</div>
<div>
<p class=3D"MsoNormal">
C=C3=B3mo lo puedo corregir?<u>
</u>
<u>
</u>
</p>
</div>
<div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
</div>
<div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
</div>
<div>
<p class=3D"MsoNormal">
Saludos!<u>
</u>
<u>
</u>
</p>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div>
<p class=3D"MsoNormal">
---------- Forwarded message ---------<br>
From: <strong>
Formularios de Google</strong>
 &lt;<a href=3D"mailto:forms-receipts-noreply@google.com" target=3D"_blank" rel=3D"noreferrer">
forms-receipts-noreply@google.com</a>
&gt;<br>
Date: mar., 23 de abr. de 2019 18:37<br>
Subject: Registro de Atenci=C3=B3n Domiciliaria Oncovida<br>
To: &lt;<a href=3D"mailto:caroline.villena@gmail.com" target=3D"_blank" rel=3D"noreferrer">
caroline.villena@gmail.com</a>
&gt;<u>
</u>
<u>
</u>
</p>
</div>
<p class=3D"MsoNormal" style=3D"margin-bottom:12.0pt">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<table class=3D"m_6940797576726894770MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpadding=3D"0" width=3D"100%" style=3D"width:100.0%;background:#26049a">
<tbody>
<tr>
<td style=3D"padding:0cm 0cm 0cm 18.0pt">
<p class=3D"MsoNormal">
<span style=3D"border:solid windowtext 1.0pt;padding:0cm">
<img border=3D"0" width=3D"100" height=3D"100" id=3D"m_6940797576726894770_x0000_i1025" src=3D"cid:~WRD199.jpg" alt=3D"Imagen quitada por el remitente. Formularios de Google">
</span>
<u>
</u>
<u>
</u>
</p>
</td>
</tr>
</tbody>
</table>
<div>
<div style=3D"border:none;border-bottom:solid #e0e0e0 1.0pt;padding:0cm 0cm 0cm 0cm;max-width:624px;min-width:154px">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center;background:white">
<span style=3D"font-family:&quot;Roboto&quot;,serif;display:none">
<u>
</u>
=C2=A0<u>
</u>
</span>
</p>
<div align=3D"center">
<table class=3D"m_6940797576726894770MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpadding=3D"0" width=3D"100%" style=3D"width:100.0%;background:white">
<tbody>
<tr>
<td style=3D"padding:0cm 0cm 0cm 0cm">
</td>
</tr>
<tr>
<td style=3D"padding:0cm 0cm 0cm 0cm">
<div>
<p class=3D"MsoNormal" style=3D"line-height:13.5pt">
<b>
<span style=3D"font-size:10.0pt;color:#424242">
Gracias por rellenar<a href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link" target=3D"_blank" rel=3D"noreferrer">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</a>
<u>
</u>
<u>
</u>
</span>
</b>
</p>
</div>
</td>
</tr>
<tr>
<td style=3D"padding:0cm 0cm 0cm 0cm">
</td>
</tr>
<tr>
<td style=3D"padding:0cm 0cm 0cm 0cm">
<div>
<p class=3D"MsoNormal" style=3D"line-height:13.5pt">
<span style=3D"font-size:10.0pt;color:#424242">
Esto es lo que nos has enviado:<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
</tr>
<tr>
<td style=3D"padding:0cm 0cm 0cm 0cm">
<div>
<div>
<h1 style=3D"margin-right:0cm;margin-bottom:8.05pt;margin-left:0cm">
Registro de Atenci=C3=B3n Domiciliaria Oncovida<u>
</u>
<u>
</u>
</h1>
<div style=3D"margin-bottom:12.0pt;white-space:pre-wrap;word-wrap:break-word">
<p class=3D"MsoNormal">
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=C3=B3n indique su correo electr=C3=B3nico.<u>
</u>
<u>
</u>
</p>
</div>
</div>
<div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Direcci=C3=B3n de correo electr=C3=B3nico<span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
<a href=3D"mailto:caroline.villena@gmail.com" target=3D"_blank" rel=3D"noreferrer">
caroline.villena@gmail.com</a>
<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<p class=3D"MsoNormal" align=3D"right" style=3D"text-align:right;vertical-align:middle">
<span style=3D"border:solid windowtext 1.0pt;padding:0cm">
<img border=3D"0" width=3D"100" height=3D"100" id=3D"m_6940797576726894770_x0000_i1026" src==3D"cid:~WRD199.jpg" alt=3D"Imagen quitada por el remitente. Imagen sin leyenda">
</span>
<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<h2 style=3D"background:#eeeeee;vertical-align:middle">
Identificaci=C3=B3n del Prestador<u>
</u>
<u>
</u>
</h2>
<div>
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
Aqu=C3=AD debe ingresar sus datos personales<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Primer Nombre y Apellido Paterno<span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
Caroline Villena<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
RUT <span class==3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"margin-top:1.2pt;margin-bottom:3.0pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<span style=3D"color:#666666">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)<u>
</u>
<u>
</u>
</span>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
17142186-1<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Tipo <span class==3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"margin-top:1.2pt;margin-bottom:3.0pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<span style=3D"color:#666666">
Si asisten m=C3=A1s de 1 prestador simult=C3=A1neamente, cada uno debe hacer un registro independiente<u>
</u>
<u>
</u>
</span>
</p>
</div>
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
[MEDICO=C2=A0\/] <u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<p class=3D"MsoNormal" align=3D"right" style=3D"text-align:right;vertical-align:middle">
<span style=3D"border:solid windowtext 1.0pt;padding:0cm">
<img border=3D"0" width=3D"100" height=3D"100" id=3D"m_6940797576726894770_x0000_i1027" src==3D"cid:~WRD199.jpg" alt=3D"Imagen quitada por el remitente. Imagen sin leyenda">
</span>
<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<h2 style=3D"background:#eeeeee;vertical-align:middle">
Identificaci=C3=B3n del Paciente<u>
</u>
<u>
</u>
</h2>
<div>
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
En esta secci=C3=B3n debe ingresar los datos del paciente visitado<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<h2 style=3D"background:#eeeeee;vertical-align:middle">
Datos Personales del Paciente<u>
</u>
<u>
</u>
</h2>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Ingrese el Rut del Paciente<span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"margin-top:1.2pt;margin-bottom:3.0pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<span style=3D"color:#666666">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)<u>
</u>
<u>
</u>
</span>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
9208160-5<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Ingrese el Primer Nombre y Apellido Paterno del Paciente<span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
Haydee Herrera<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Previsi=C3=B3n <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
[BANMEDICA=C2=A0\/] <u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Ciudad <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
Valparaiso<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Comuna <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
Con Con<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<p class=3D"MsoNormal" align=3D"right" style=3D"text-align:right;vertical-align:middle">
<span style=3D"border:solid windowtext 1.0pt;padding:0cm">
<img border=3D"0" width=3D"100" height=3D"100" id=3D"m_6940797576726894770_x0000_i1028" src==3D"cid:~WRD199.jpg" alt=3D"Imagen quitada por el remitente. Imagen sin leyenda">
</span>
<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<h2 style=3D"background:#eeeeee;vertical-align:middle">
Registro de la Atenci=C3=B3n Domiciliaria<u>
</u>
<u>
</u>
</h2>
<div>
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
En esta secci=C3=B3n debe ingresar los datos de la atenci=C3=B3n domiciliaria<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Tipo de Atenci=C3=B3n <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<p class=3D"MsoNormal" style=3D"margin-left:0cm;line-height:15.6pt;vertical-align:middle">
<u>
</u>
<span style=3D"font-size:10.0pt;font-family:Symbol">
<span>
=C2=B7<span style=3D"font:7.0pt &quot;Times New Roman&quot;">
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0</span>
</span>
</span>
<u>
</u>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-item-controlmailrucssattributepostfix">
(=C2=A0)</span>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-labelmailrucssattributepostfix">
Domicilio</span>
<u>
</u>
<u>
</u>
</p>
<p class=3D"MsoNormal" style=3D"margin-left:0cm;line-height:15.6pt;vertical-align:middle">
<u>
</u>
<span style=3D"font-size:10.0pt;font-family:Symbol">
<span>
=C2=B7<span style=3D"font:7.0pt &quot;Times New Roman&quot;">
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0</span>
</span>
</span>
<u>
</u>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-item-controlmailrucssattributepostfix">
(=C2=A0)</span>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-labelmailrucssattributepostfix">
Ambulatorio</span>
<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Fecha de la Atenci=C3=B3n <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div>
<div style=3D"border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
[D=C3=ADa=C2=A0\/] [Mes=C2=A0\/] [A=C3=B1o=C2=A0\/] <u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Hora de la Atenci=C3=B3n <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div>
<div style=3D"border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
[h=C2=A0\/] : [min==C2=A0\/] <u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Performance Status ECOG del Paciente<span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
[0=C2=A0\/] <u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Escala Dolor EVA Actual <u>
</u>
<u>
</u>
</b>
</p>
</div>
<table class=3D"m_6940797576726894770MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpadding=3D"0" id=3D"m_6940797576726894770m_7334030330649689774entry_1421689035_mailru_css_attribute_postfix">
<tbody>
<tr>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
0<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
1<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
2<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
3<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
4<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
5<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
6<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
7<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
8<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
9<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
10<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
</tr>
<tr>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Escala Dolor EVA M=C3=A1ximo <u>
</u>
<u>
</u>
</b>
</p>
</div>
<table class=3D"m_6940797576726894770MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpadding=3D"0" id=3D"m_6940797576726894770m_7334030330649689774entry_1244707512_mailru_css_attribute_postfix">
<tbody>
<tr>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
0<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
1<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
2<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
3<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
4<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
5<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
6<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
7<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
8<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
9<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
10<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
</tr>
<tr>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Escala Dolor EVA M=C3=ADnimo <u>
</u>
<u>
</u>
</b>
</p>
</div>
<table class=3D"m_6940797576726894770MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpadding=3D"0" id=3D"m_6940797576726894770m_7334030330649689774entry_853118630_mailru_css_attribute_postfix">
<tbody>
<tr>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
0<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
1<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
2<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
3<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
4<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
5<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
6<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
7<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
8<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
9<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
10<u>
</u>
<u>
</u>
</p>
</td>
<td style=3D"padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
</tr>
<tr>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
<div>
<p class=3D"MsoNormal" align=3D"center" style=3D"text-align:center">
<span style=3D"color:#666666">
(=C2=A0)<u>
</u>
<u>
</u>
</span>
</p>
</div>
</td>
<td style=3D"border:solid #d3d8d3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Anamnesis/Evoluci=C3=B3n <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
Se retom=C3=B3 sesi=C3=B3n semanal en virtud de algunos elementos surgidos en esta sesi=C3=B3n.<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Examen F=C3=ADsico <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
No corresponde<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Diagn=C3=B3stico <span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
TEPT Leve<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Plan de Tratamiento e Indicaciones<span class=3D"m_6940797576726894770m7334030330649689774ss-required-asteriskmailrucssattributepostfix">
<span style=3D"color:#c43b1d">
*</span>
</span>
<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
<p class=3D"MsoNormal" style=3D"background:#eeeeee;vertical-align:middle">
<span style=3D"color:#545454">
Sesiones psicoterap=C3=A9uticas<u>
</u>
<u>
</u>
</span>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Medicamentos Indicados <u>
</u>
<u>
</u>
</b>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Fecha aproximada del Pr=C3=B3ximo Control con usted<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div>
<div style=3D"border:solid gainsboro 1.0pt;padding:0cm 0cm 0cm 2.0pt;margin-left:2.25pt;margin-top:3.0pt;margin-right:2.25pt;margin-bottom:3.0pt;min-height:32px;display:inline-block">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
[D=C3=ADa=C2=A0\/] [Mes=C2=A0\/] [A=C3=B1o=C2=A0\/] <u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Tratamiento Realizado (si corresponde)<u>
</u>
<u>
</u>
</b>
</p>
</div>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<div style=3D"margin-top:9.95pt;margin-bottom:9.95pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<b>
Derivaci=C3=B3n a otro Prestador Domiciliario<u>
</u>
<u>
</u>
</b>
</p>
</div>
<div style=3D"margin-top:1.2pt;margin-bottom:3.0pt">
<p class=3D"MsoNormal" style=3D"vertical-align:middle">
<span style=3D"color:#666666">
S=C3=B3lo llene esta secci=C3=B3n si es m=C3=A9dico y solicita la visita de otro prestador del equipo<u>
</u>
<u>
</u>
</span>
</p>
</div>
<p class=3D"MsoNormal" style=3D"margin-left:0cm;line-height:15.6pt;vertical-align:middle">
<u>
</u>
<span style=3D"font-size:10.0pt;font-family:Symbol">
<span>
=C2=B7<span style=3D"font:7.0pt &quot;Times New Roman&quot;">
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0</span>
</span>
</span>
<u>
</u>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-item-controlmailrucssattributepostfix">
[=C2=A0]</span>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-labelmailrucssattributepostfix">
ENFERMERA</span>
<u>
</u>
<u>
</u>
</p>
<p class=3D"MsoNormal" style=3D"margin-left:0cm;line-height:15.6pt;vertical-align:middle">
<u>
</u>
<span style=3D"font-size:10.0pt;font-family:Symbol">
<span>
=C2=B7<span style=3D"font:7.0pt &quot;Times New Roman&quot;">
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0</span>
</span>
</span>
<u>
</u>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-item-controlmailrucssattributepostfix">
[=C2=A0]</span>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-labelmailrucssattributepostfix">
TENS</span>
<u>
</u>
<u>
</u>
</p>
<p class=3D"MsoNormal" style=3D"margin-left:0cm;line-height:15.6pt;vertical-align:middle">
<u>
</u>
<span style=3D"font-size:10.0pt;font-family:Symbol">
<span>
=C2=B7<span style=3D"font:7.0pt &quot;Times New Roman&quot;">
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0</span>
</span>
</span>
<u>
</u>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-item-controlmailrucssattributepostfix">
[=C2=A0]</span>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-labelmailrucssattributepostfix">
NUTRICIONISTA</span>
<u>
</u>
<u>
</u>
</p>
<p class=3D"MsoNormal" style=3D"margin-left:0cm;line-height:15.6pt;vertical-align:middle">
<u>
</u>
<span style=3D"font-size:10.0pt;font-family:Symbol">
<span>
=C2=B7<span style=3D"font:7.0pt &quot;Times New Roman&quot;">
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0</span>
</span>
</span>
<u>
</u>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-item-controlmailrucssattributepostfix">
[=C2=A0]</span>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-labelmailrucssattributepostfix">
KINESIOLOGO</span>
<u>
</u>
<u>
</u>
</p>
<p class=3D"MsoNormal" style=3D"margin-left:0cm;line-height:15.6pt;vertical-align:middle">
<u>
</u>
<span style=3D"font-size:10.0pt;font-family:Symbol">
<span>
=C2=B7<span style=3D"font:7.0pt &quot;Times New Roman&quot;">
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0</span>
</span>
</span>
<u>
</u>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-item-controlmailrucssattributepostfix">
[=C2=A0]</span>
<span class=3D"m_6940797576726894770m7334030330649689774ss-choice-labelmailrucssattributepostfix">
PSICOLOGO</span>
<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
<div>
<div style=3D"margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
<div style=3D"margin-bottom:18.0pt;max-width:100%">
<p class=3D"MsoNormal" align=3D"right" style=3D"text-align:right;vertical-align:middle">
<span style=3D"border:solid windowtext 1.0pt;padding:0cm">
<img border=3D"0" width=3D"100" height=3D"100" id=3D"m_6940797576726894770_x0000_i1029" src==3D"cid:~WRD199.jpg" alt=3D"Imagen quitada por el remitente. Imagen sin leyenda">
</span>
<u>
</u>
<u>
</u>
</p>
</div>
</div>
</div>
</div>
</div>
</td>
</tr>
<tr>
<td style=3D"padding:0cm 0cm 0cm 0cm">
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div align=3D"center">
<table class=3D"m_6940797576726894770MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpadding=3D"0" width=3D"100%" style=3D"width:100.0%">
<tbody>
<tr>
<td style=3D"padding:0cm 0cm 0cm 0cm">
</td>
</tr>
<tr>
<td style=3D"padding:0cm 0cm 0cm 0cm">
<p class=3D"MsoNormal">
<a href=3D"https://docs.google.com/forms?usp=3Dmail_form_link" target=3D"_blank" rel=3D"noreferrer">
<span style=3D"font-size:10.0pt;color:#424242">
Crea tu propio formulario de Google</span>
</a>
<u>
</u>
<u>
</u>
</p>
</td>
</tr>
</tbody>
</table>
</div>
<p class=3D"MsoNormal">
<u>
</u>
=C2=A0<u>
</u>
</p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</blockquote>
</div>
=C2=A0<br>
<br>
<div style=3D"background-color:#d5eaff;border:1px dotted #003333;padding:.8em">
<p style=3D"font-size:10pt;line-height:10pt;font-family:&#39;Cambria&#39;,&#39;times roman&#39;,serif">
La informaci=C3=B3n recibida es meramente informativa y no necesariamente implicar=C3=A1 una oferta o aceptaci=C3=B3n de compra o venta de ning=C3=BAn tipo de bien o servicio, o una confirmaci=C3=B3n formal de cualquier transacci=C3=B3n. Asimismo, la informaci=C3=B3n contenida en este correo electr=C3=B3nico y/o archivo adjunto es de car=C3=A1cter confidencial y exclusivo para el individuo o entidad a la que van dirigidas y no necesariamente reflejan las declaraciones o comentarios emitidos por la empresa. De manera que si usted no es el destinario individualizado y por error recibiera este correo electr=C3=B3nico, le agradeceremos notificar al remitente y borrarlo. Finalmente, informamos que, aun cuando se hayan tomado las medidas razonables para que los correos electr=C3=B3nicos y sus archivos adjuntos se encuentren libres de virus o cualquier otro defecto que pueda afectar el sistema computacional de quien lo recibe o abre, es responsabilidad del destinatario asegurarse de esta condici=C3=B3n y acepta que no es responsabilidad de su remitente.</p>
<br>
<br>
</div>
</div>
</blockquote>
</div>
--0000000000006e8edf058748190f----0000000000006e8ee10587481910Content-Type: image/jpeg; name="~WRD199.jpg"Content-Disposition: inline; filename="~WRD199.jpg"Content-Transfer-Encoding: base64Content-ID: <>
X-Attachment-Id: /9j/4AAQSkZJRgABAQEAYABgAAD/2wBDAAgGBgcGBQgHBwcJCQgKDBQNDAsLDBkSEw8UHRofHh0aHBwgJC4nICIsIxwcKDcpLDAxNDQ0Hyc5PTgyPC4zNDL/2wBDAQkJCQwLDBgNDRgyIRwhMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjL/wAARCABkAGQDASIAAhEBAxEB/8QAHwAAAQUBAQEBAQEAAAAAAAAAAAECAwQFBgcICQoL/8QAtRAAAgEDAwIEAwUFBAQAAAF9AQIDAAQRBRIhMUEGE1FhByJxFDKBkaEII0KxwRVS0fAkM2JyggkKFhcYGRolJicoKSo0NTY3ODk6Q0RFRkdISUpTVFVWV1hZWmNkZWZnaGlqc3R1dnd4eXqDhIWGh4iJipKTlJWWl5iZmqKjpKWmp6ipqrKztLW2t7i5usLDxMXGx8jJytLT1NXW19jZ2uHi4+Tl5ufo6erx8vP09fb3+Pn6/8QAHwEAAwEBAQEBAQEBAQAAAAAAAAECAwQFBgcICQoL/8QAtREAAgECBAQDBAcFBAQAAQJ3AAECAxEEBSExBhJBUQdhcRMiMoEIFEKRobHBCSMzUvAVYnLRChYkNOEl8RcYGRomJygpKjU2Nzg5OkNERUZHSElKU1RVVldYWVpjZGVmZ2hpanN0dXZ3eHl6goOEhYaHiImKkpOUlZaXmJmaoqOkpaanqKmqsrO0tba3uLm6wsPExcbHyMnK0tPU1dbX2Nna4uPk5ebn6Onq8vP09fb3+Pn6/9oADAMBAAIRAxEAPwD3+iiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigD//2Q==--0000000000006e8ee10587481910--