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Gracias laurita lindo día </p>
 <div id="mail-app-auto-default-signature">
  <p dir="ltr">
--<br>
 Sandra Maulen Angel<br>
 Enfermera <br>
 Coordinadora<br>
 Telemed-chile</p>
 </div>
miércoles, 24 abril 2019, 11:08a. m. -04:00 de Laura Adasme Lobos <a href="mailto:laura.adasme@oncovidachile.cl">
laura.adasme@oncovidachile.cl</a>
:<br>
<br>
<blockquote id="mail-app-auto-quote" cite="15561185010000002591" style="border-left:1px solid #FC2C38; margin:0px 0px 0px 10px; padding:0px 0px 0px 10px;">
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    <base target="_self" href="https://e-aj.my.com/">
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<span style="font-size:11.0pt;font-family:'Calibri',sans-serif;color:#1F497D;mso-fareast-language:EN-US">
Estimada</span>
</p>
       <p class="MsoNormal_mailru_css_attribute_postfix">
<span style="font-size:11.0pt;font-family:'Calibri',sans-serif;color:#1F497D;mso-fareast-language:EN-US">
Se dará aviso a gerente del área para que pueda arreglar el PDF </span>
</p>
       <p class="MsoNormal_mailru_css_attribute_postfix">
<span style="font-size:11.0pt;font-family:'Calibri',sans-serif;color:#1F497D;mso-fareast-language:EN-US">
Saludos Cordiales</span>
</p>
       <p class="MsoNormal_mailru_css_attribute_postfix">
<span style="font-size:11.0pt;font-family:'Calibri',sans-serif;color:#1F497D;mso-fareast-language:EN-US">
Atte:</span>
</p>
       <p class="MsoNormal_mailru_css_attribute_postfix">
<span style="font-size:11.0pt;font-family:'Calibri',sans-serif;color:#1F497D;mso-fareast-language:EN-US">
&nbsp;</span>
</p>
       <div>
        <p class="MsoNormal_mailru_css_attribute_postfix">
<span style="font-size:11.0pt;font-family:'Calibri',sans-serif;color:#1F497D">
<img width="451" height="180" id="Imagen_x0020_1_mailru_css_attribute_postfix" src="cid:image002.jpg@01D4FA8D.D93D4130">
</span>
</p>
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       <p class="MsoNormal_mailru_css_attribute_postfix">
<span style="font-size:11.0pt;font-family:'Calibri',sans-serif;color:#1F497D;mso-fareast-language:EN-US">
&nbsp;</span>
</p>
       <div>
        <div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0cm 0cm 0cm">
         <p class="MsoNormal_mailru_css_attribute_postfix">
<b>
<span lang="ES" style="font-size:11.0pt;font-family:'Calibri',sans-serif">
De:</span>
</b>
<span lang="ES" style="font-size:11.0pt;font-family:'Calibri',sans-serif">
 <a href="mailto:coordinadora@telemed-chile.cl">
coordinadora@telemed-chile.cl</a>
 [mailto:coordinadora@telemed-chile.cl] <br>
 <b>
Enviado el:</b>
 martes, 23 de abril de 2019 23:34<br>
 <b>
Para:</b>
 Caro Villena &lt;<a href="mailto:caroline.villena@gmail.com">
caroline.villena@gmail.com</a>
&gt;; Laura Adasme Lobos &lt;<a href="mailto:laura.adasme@oncovidachile.cl">
laura.adasme@oncovidachile.cl</a>
&gt;<br>
 <b>
CC:</b>
 <a href="mailto:informeges@telemed-chile.cl">
informeges@telemed-chile.cl</a>
<br>
 <b>
Asunto:</b>
 Re: Informe Haydee Herrera / corrección isapre</span>
</p>
        </div>
       </div>
       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
       <p style="margin-top:0cm">
Estimada&nbsp; copio a Laura para respuesta frente&nbsp; al error <br>
 Atenta a comentarios <br>
 --<br>
 Sandra Maulen Angel<br>
 Enfermera <br>
 Coordinadora<br>
 Telemed-chile</p>
       <p class="MsoNormal_mailru_css_attribute_postfix">
martes, 23 abril 2019, 06:41p. m. -04:00 de Caro Villena <a href="mailto:caroline.villena@gmail.com" target="_blank" rel=" noopener noreferrer">
 caroline.villena@gmail.com</a>
:<br>
 <br>
 <br>
 </p>
       <blockquote style="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="style_15560592840000002580_BODY_mailru_css_attribute_postfix">
           <div>
            <div>
             <p class="MsoNormal_mailru_css_attribute_postfix">
Estimados:</p>
             <div>
              <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
             </div>
             <div>
              <p class="MsoNormal_mailru_css_attribute_postfix">
Me acabo de dar cuenta que en la penúltima atención de Haydee, me equivoqué en el ingreso de la isapre. Debía ser nueva más vida y puse por error cruz blanca.</p>
             </div>
             <div>
              <p class="MsoNormal_mailru_css_attribute_postfix">
Cómo lo puedo corregir?</p>
             </div>
             <div>
              <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
             </div>
             <div>
              <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
             </div>
             <div>
              <p class="MsoNormal_mailru_css_attribute_postfix">
Saludos!</p>
             </div>
            </div>
            <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
            <div>
             <div>
              <p class="MsoNormal_mailru_css_attribute_postfix">
---------- Forwarded message ---------<br>
 From: <strong>
Formularios de Google</strong>
 &lt;<a href="mailto:forms-receipts-noreply@google.com" target="_blank" rel=" noopener noreferrer">
forms-receipts-noreply@google.com</a>
&gt;<br>
 Date: mar., 23 de abr. de 2019 18:37<br>
 Subject: Registro de Atención Domiciliaria Oncovida<br>
 To: &lt;<a href="mailto:caroline.villena@gmail.com" target="_blank" rel=" noopener noreferrer">
caroline.villena@gmail.com</a>
&gt;</p>
             </div>
             <p class="MsoNormal_mailru_css_attribute_postfix" style="margin-bottom:12.0pt">
&nbsp;</p>
             <div>
              <table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;background:#26049A">
               <tbody>
                <tr>
                 <td style="padding:0cm 0cm 0cm 18.0pt">
 <p class="MsoNormal_mailru_css_attribute_postfix">
<span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="_x0000_i1025_mailru_css_attribute_postfix" src="cid:~WRD199.jpg" alt="Imagen quitada por el remitente. Formularios de Google">
</span>
</p>
 </td>
                </tr>
               </tbody>
              </table>
              <div>
               <div style="border:none;border-bottom:solid #E0E0E0 1.0pt;padding:0cm 0cm 0cm 0cm;max-width:624px;min-width:154px">
                <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center;background:white">
<span style="font-family:'Roboto',serif;display:none">
&nbsp;</span>
</p>
                <div align="center">
                 <table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;background:white">
                  <tbody>
                   <tr>
                    <td style="padding:0cm 0cm 0cm 0cm">
</td>
                   </tr>
                   <tr>
                    <td style="padding:0cm 0cm 0cm 0cm">
                     <div>
                      <p class="MsoNormal_mailru_css_attribute_postfix" style="line-height:13.5pt">
<b>
<span style="font-size:10.0pt;color:#424242">
Gracias por rellenar <a href="https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=mail_form_link" target="_blank" rel=" noopener noreferrer">
 Registro de Atención Domiciliaria Oncovida</a>
</span>
</b>
</p>
                     </div>
 </td>
                   </tr>
                   <tr>
                    <td style="padding:0cm 0cm 0cm 0cm">
</td>
                   </tr>
                   <tr>
                    <td style="padding:0cm 0cm 0cm 0cm">
                     <div>
                      <p class="MsoNormal_mailru_css_attribute_postfix" style="line-height:13.5pt">
<span style="font-size:10.0pt;color:#424242">
Esto es lo que nos has enviado:</span>
</p>
                     </div>
 </td>
                   </tr>
                   <tr>
                    <td style="padding:0cm 0cm 0cm 0cm">
                     <div>
                      <div>
                       <h1 style="mso-margin-top-alt:8.05pt;margin-right:0cm;margin-bottom:8.05pt;margin-left:0cm">
 Registro de Atención Domiciliaria Oncovida</h1>
                       <div style="margin-bottom:12.0pt;white-space:pre-wrap;word-wrap:break-word">
                        <p class="MsoNormal_mailru_css_attribute_postfix">
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 continuación indique su correo electrónico.</p>
                       </div>
                      </div>
                      <div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Dirección de correo electrónico <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
<span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
<a href="mailto:caroline.villena@gmail.com" target="_blank" rel=" noopener noreferrer">
caroline.villena@gmail.com</a>
</span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <p class="MsoNormal_mailru_css_attribute_postfix" align="right" style="text-align:right;vertical-align:middle">
 <span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="_x0000_i1026_mailru_css_attribute_postfix" src="cid:~WRD199.jpg" alt="Imagen quitada por el remitente. Imagen sin leyenda">
</span>
</p>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <h2 style="background:#EEEEEE;vertical-align:middle">
Identificación del Prestador</h2>
                          <div>
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
Aquí debe ingresar sus datos personales</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Primer Nombre y Apellido Paterno <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
<span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Caroline Villena </span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
RUT <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="margin-top:1.2pt;margin-bottom:3.0pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:#666666">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)</span>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
17142186-1</span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Tipo <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="margin-top:1.2pt;margin-bottom:3.0pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:#666666">
Si asisten más de 1 prestador simultáneamente, cada uno debe hacer un registro independiente</span>
</p>
                          </div>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
[MEDICO&nbsp;\/] </p>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <p class="MsoNormal_mailru_css_attribute_postfix" align="right" style="text-align:right;vertical-align:middle">
 <span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="_x0000_i1027_mailru_css_attribute_postfix" src="cid:~WRD199.jpg" alt="Imagen quitada por el remitente. Imagen sin leyenda">
</span>
</p>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <h2 style="background:#EEEEEE;vertical-align:middle">
Identificación del Paciente</h2>
                          <div>
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
En esta sección debe ingresar los datos del paciente visitado</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <h2 style="background:#EEEEEE;vertical-align:middle">
Datos Personales del Paciente</h2>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Ingrese el Rut del Paciente <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
<span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="margin-top:1.2pt;margin-bottom:3.0pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:#666666">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)</span>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
9208160-5</span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Ingrese el Primer Nombre y Apellido Paterno del Paciente <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
<span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Haydee Herrera</span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Previsión <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
[BANMEDICA&nbsp;\/] </p>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Ciudad <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Valparaiso</span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Comuna <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Con Con</span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <p class="MsoNormal_mailru_css_attribute_postfix" align="right" style="text-align:right;vertical-align:middle">
 <span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="_x0000_i1028_mailru_css_attribute_postfix" src="cid:~WRD199.jpg" alt="Imagen quitada por el remitente. Imagen sin leyenda">
</span>
</p>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <h2 style="background:#EEEEEE;vertical-align:middle">
Registro de la Atención Domiciliaria</h2>
                          <div>
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
En esta sección debe ingresar los datos de la atención domiciliaria</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Tipo de Atención <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="margin-left:0cm;line-height:15.6pt;mso-list:l0 level1 lfo1;vertical-align:middle">
 <span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt 'Times New Roman'">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="m7334030330649689774ss-choice-item-controlmailrucssattributepostfix_mailru_css_attribute_postfix">
(&nbsp;)</span>
 <span class="m7334030330649689774ss-choice-labelmailrucssattributepostfix_mailru_css_attribute_postfix">
Domicilio</span>
 </p>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="margin-left:0cm;line-height:15.6pt;mso-list:l0 level1 lfo1;vertical-align:middle">
 <span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt 'Times New Roman'">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="m7334030330649689774ss-choice-item-controlmailrucssattributepostfix_mailru_css_attribute_postfix">
(&nbsp;)</span>
 <span class="m7334030330649689774ss-choice-labelmailrucssattributepostfix_mailru_css_attribute_postfix">
Ambulatorio</span>
 </p>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Fecha de la Atención <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div>
                           <div style="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="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
[Día&nbsp;\/] [Mes&nbsp;\/] [Año&nbsp;\/] </p>
                           </div>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Hora de la Atención <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div>
                           <div style="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="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
[h&nbsp;\/] : [min&nbsp;\/] </p>
                           </div>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Performance Status ECOG del Paciente <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
<span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
[0&nbsp;\/] </p>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Escala Dolor EVA Actual </b>
</p>
                          </div>
                          <table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" id="m_7334030330649689774entry_1421689035_mailru_css_attribute_postfix_mailru_css_attribute_postfix">
                           <tbody>
                            <tr>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
0</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
1</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
2</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
3</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
4</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
5</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
6</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
7</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
8</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
9</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
10</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
                            </tr>
                            <tr>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
                            </tr>
                           </tbody>
                          </table>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Escala Dolor EVA Máximo </b>
</p>
                          </div>
                          <table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" id="m_7334030330649689774entry_1244707512_mailru_css_attribute_postfix_mailru_css_attribute_postfix">
                           <tbody>
                            <tr>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
0</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
1</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
2</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
3</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
4</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
5</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
6</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
7</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
8</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
9</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
10</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
                            </tr>
                            <tr>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
                            </tr>
                           </tbody>
                          </table>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt;overflow-x:auto">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Escala Dolor EVA Mínimo </b>
</p>
                          </div>
                          <table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" id="m_7334030330649689774entry_853118630_mailru_css_attribute_postfix_mailru_css_attribute_postfix">
                           <tbody>
                            <tr>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
0</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
1</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
2</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
3</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
4</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
5</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
6</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
7</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
8</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
9</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
 <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
10</p>
 </td>
                             <td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">
</td>
                            </tr>
                            <tr>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 0cm">
</td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">
                              <div>
                               <p class="MsoNormal_mailru_css_attribute_postfix" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)</span>
</p>
                              </div>
 </td>
                             <td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 0cm 6.0pt 3.0pt">
</td>
                            </tr>
                           </tbody>
                          </table>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Anamnesis/Evolución <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Se retomó sesión semanal en virtud de algunos elementos surgidos en esta sesión. </span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Examen Físico <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
No corresponde</span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Diagnóstico <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
 <span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
TEPT Leve</span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Plan de Tratamiento e Indicaciones <span class="m7334030330649689774ss-required-asteriskmailrucssattributepostfix_mailru_css_attribute_postfix">
<span style="color:#C43B1D">
*</span>
</span>
</b>
</p>
                          </div>
                          <div style="border:solid silver 1.0pt;padding:4.0pt 4.0pt 4.0pt 4.0pt;max-width:90%;white-space:pre-wrap">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Sesiones psicoterapéuticas </span>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Medicamentos Indicados </b>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Fecha aproximada del Próximo Control con usted </b>
</p>
                          </div>
                          <div>
                           <div style="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="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
[Día&nbsp;\/] [Mes&nbsp;\/] [Año&nbsp;\/] </p>
                           </div>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Tratamiento Realizado (si corresponde) </b>
</p>
                          </div>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <div style="margin-top:9.95pt;margin-bottom:9.95pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<b>
Derivación a otro Prestador Domiciliario </b>
</p>
                          </div>
                          <div style="margin-top:1.2pt;margin-bottom:3.0pt">
                           <p class="MsoNormal_mailru_css_attribute_postfix" style="vertical-align:middle">
<span style="color:#666666">
Sólo llene esta sección si es médico y solicita la visita de otro prestador del equipo</span>
</p>
                          </div>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="margin-left:0cm;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
 <span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt 'Times New Roman'">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="m7334030330649689774ss-choice-item-controlmailrucssattributepostfix_mailru_css_attribute_postfix">
[&nbsp;]</span>
 <span class="m7334030330649689774ss-choice-labelmailrucssattributepostfix_mailru_css_attribute_postfix">
ENFERMERA</span>
 </p>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="margin-left:0cm;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
 <span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt 'Times New Roman'">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="m7334030330649689774ss-choice-item-controlmailrucssattributepostfix_mailru_css_attribute_postfix">
[&nbsp;]</span>
 <span class="m7334030330649689774ss-choice-labelmailrucssattributepostfix_mailru_css_attribute_postfix">
TENS</span>
 </p>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="margin-left:0cm;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
 <span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt 'Times New Roman'">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="m7334030330649689774ss-choice-item-controlmailrucssattributepostfix_mailru_css_attribute_postfix">
[&nbsp;]</span>
 <span class="m7334030330649689774ss-choice-labelmailrucssattributepostfix_mailru_css_attribute_postfix">
NUTRICIONISTA</span>
 </p>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="margin-left:0cm;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
 <span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt 'Times New Roman'">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="m7334030330649689774ss-choice-item-controlmailrucssattributepostfix_mailru_css_attribute_postfix">
[&nbsp;]</span>
 <span class="m7334030330649689774ss-choice-labelmailrucssattributepostfix_mailru_css_attribute_postfix">
KINESIOLOGO</span>
 </p>
                          <p class="MsoNormal_mailru_css_attribute_postfix" style="margin-left:0cm;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">
 <span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt 'Times New Roman'">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</span>
</span>
<span class="m7334030330649689774ss-choice-item-controlmailrucssattributepostfix_mailru_css_attribute_postfix">
[&nbsp;]</span>
 <span class="m7334030330649689774ss-choice-labelmailrucssattributepostfix_mailru_css_attribute_postfix">
PSICOLOGO</span>
 </p>
                         </div>
                        </div>
                       </div>
                       <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
                       <div>
                        <div style="margin-top:9.0pt;margin-bottom:9.0pt;max-width:100%">
                         <div style="margin-bottom:18.0pt;max-width:100%">
                          <p class="MsoNormal_mailru_css_attribute_postfix" align="right" style="text-align:right;vertical-align:middle">
 <span style="border:solid windowtext 1.0pt;padding:0cm">
<img border="0" width="100" height="100" id="_x0000_i1029_mailru_css_attribute_postfix" src="cid:~WRD199.jpg" alt="Imagen quitada por el remitente. Imagen sin leyenda">
</span>
</p>
                         </div>
                        </div>
                       </div>
                      </div>
                     </div>
 </td>
                   </tr>
                   <tr>
                    <td style="padding:0cm 0cm 0cm 0cm">
</td>
                   </tr>
                  </tbody>
                 </table>
                </div>
               </div>
               <div align="center">
                <table class="MsoNormalTable_mailru_css_attribute_postfix" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
                 <tbody>
                  <tr>
                   <td style="padding:0cm 0cm 0cm 0cm">
</td>
                  </tr>
                  <tr>
                   <td style="padding:0cm 0cm 0cm 0cm">
 <p class="MsoNormal_mailru_css_attribute_postfix">
<a href="https://docs.google.com/forms?usp=mail_form_link" target="_blank" rel=" noopener noreferrer">
<span style="font-size:10.0pt;color:#424242">
Crea tu propio formulario de Google</span>
</a>
</p>
 </td>
                  </tr>
                 </tbody>
                </table>
               </div>
               <p class="MsoNormal_mailru_css_attribute_postfix">
&nbsp;</p>
              </div>
             </div>
            </div>
           </div>
          </div>
         </div>
        </div>
       </blockquote>
      </div>
 &nbsp;     <br>
      <br>
      <div style="background-color:#D5EAFF;border:1px dotted #003333;padding:.8em;">
       <p style="font-size:10pt;line-height:10pt;font-family: 'Cambria','times roman',serif;">
 La información recibida es meramente informativa y no necesariamente implicará una oferta o aceptación de compra o venta de ningún tipo de bien o servicio, o una confirmación formal de cualquier transacción. Asimismo, la información contenida en este correo electrónico y/o archivo adjunto es de carácter 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 electrónico, le agradeceremos notificar al remitente y borrarlo. Finalmente, informamos que, aun cuando se hayan tomado las medidas razonables para que los correos electrónicos 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 condición y acepta que no es responsabilidad de su remitente.</p>
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------w8WXlVZ5BGsbQAxx0hL3GyI5ftK3FsxO-cwWdYfEtwxx4YPdP-1556118849------ALT--w8WXlVZ5BGsbQAxx0hL3GyI5ftK3FsxO1556118849--