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<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;color:#1F497D;mso-fareast-language:EN-US">
Estimados ,Mis disculpas por no enviar antes últimas evaluaciones realizadas a paciente Marcela Contreras Aedo ,de Linares.<o:p>
</o:p>
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<span style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;color:#1F497D;mso-fareast-language:EN-US">
Muchas gracias.<o:p>
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<p class="MsoNormal">
<b>
<span style="font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;;color:#1F497D">
Mario Peña y Lillo Contreras</span>
</b>
<span style="font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;;color:#1F497D">
<br>

Medico Director<br>

Gerencia de Salud<br>

Tel.: (73) 563825 <br>

Fax: (73) 563810<br>

e-mail: </span>
<u>
<span style="font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;;color:blue">
mpenaylillo@mutual.cl</span>
</u>
<span style="font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;color:#1F497D">
<o:p>
</o:p>
</span>
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<span style="font-size:7.5pt;font-family:&quot;Verdana&quot;,&quot;sans-serif&quot;;color:#1F497D">
Freire n° 663- Linares Chile<br>

Mutual de Seguridad C. CH. C. Tel.: (2) 787 9000 - <a href="mailo:info@mutual.cl" title="mailo:info@mutual.cl">

info@mutual.cl</a>
 - <a href="http://www.mutual.cl/" title="http://www.mutual.cl/">

http://www.mutual.cl/</a>
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<o:p>
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<b>
<span lang="ES" style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;">
De:</span>
</b>
<span lang="ES" style="font-size:11.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;">
 Formularios de Google [mailto:forms-receipts-noreply@google.com]
<br>

<b>
Enviado el:</b>
 viernes, 21 de junio de 2019 9:36<br>

<b>
Para:</b>
 Mario Peña Y Lillo C<br>

<b>
Asunto:</b>
 Registro de Atención Domiciliaria Oncovida<o:p>
</o:p>
</span>
</p>

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<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
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<img border="0" id="_x0000_i1025" src="https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png" alt="Formularios de Google">
<o:p>
</o:p>
</p>

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&nbsp;</o:p>
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<p class="MsoNormal" style="line-height:13.5pt">
<b>
<span style="font-size:10.0pt;color:#424242">
Gracias por llenar
<a href="https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=mail_form_link">

Registro de Atención Domiciliaria Oncovida</a>
<o:p>
</o:p>
</span>
</b>
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Estas son tus respuestas:<o:p>
</o:p>
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</p>

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</td>

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<td style="padding:0cm 0cm 0cm 0cm">

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<h1 style="mso-margin-top-alt:8.05pt;margin-right:0cm;margin-bottom:8.05pt;margin-left:0cm">

Registro de Atención Domiciliaria Oncovida<o:p>
</o:p>
</h1>

<div style="margin-bottom:12.0pt;white-space:pre-wrap;word-wrap:break-word">

<p class="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 continuación indique su correo electrónico.<o:p>
</o:p>
</p>

</div>

</div>

<div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

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<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" style="vertical-align:middle">
<b>
Dirección de correo electrónico
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

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<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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
<a href="mailto:mpenaylillo@mutual.cl">
mpenaylillo@mutual.cl</a>
<o:p>
</o:p>
</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" align="right" style="text-align:right;vertical-align:middle">

<img border="0" id="_x0000_i1026" src="https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" alt="Imagen sin título">
<o:p>
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<p class="MsoNormal">
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&nbsp;</o:p>
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<h2 style="mso-margin-top-alt:24.0pt;margin-right:-4.8pt;margin-bottom:0cm;margin-left:-4.8pt;margin-bottom:.0001pt;background:#EEEEEE;vertical-align:middle">

Identificación del Prestador<o:p>
</o:p>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
Aquí debe ingresar sus datos personales<o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Primer Nombre y Apellido Paterno
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Mario Peña y Lillo<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
RUT <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
7837871-9<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Tipo <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666">
Si asisten más de 1 prestador simultáneamente, cada uno debe hacer un registro independiente<o:p>
</o:p>
</span>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
[MEDICO&nbsp;\/] <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" align="right" style="text-align:right;vertical-align:middle">

<img border="0" id="_x0000_i1027" src="https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" alt="Imagen sin título">
<o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="mso-margin-top-alt:24.0pt;margin-right:-4.8pt;margin-bottom:0cm;margin-left:-4.8pt;margin-bottom:.0001pt;background:#EEEEEE;vertical-align:middle">

Identificación del Paciente<o:p>
</o:p>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
En esta sección debe ingresar los datos del paciente visitado<o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="mso-margin-top-alt:24.0pt;margin-right:-4.8pt;margin-bottom:0cm;margin-left:-4.8pt;margin-bottom:.0001pt;background:#EEEEEE;vertical-align:middle">

Datos Personales del Paciente<o:p>
</o:p>
</h2>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Ingrese el Rut del Paciente
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666">
RUT con Guión y Dígito Verificador, sin puntos ( Ej: 5632200-k)<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
10560826-8<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Ingrese el Primer Nombre y Apellido Paterno del Paciente
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Marcela Contreras Aedo<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Previsión <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
[COLMENA&nbsp;\/] <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Ciudad <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Esperanza 15,Linares<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Comuna <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Linares.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" align="right" style="text-align:right;vertical-align:middle">

<img border="0" id="_x0000_i1028" src="https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ" alt="Imagen sin título">
<o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt;max-width:100%">

<h2 style="mso-margin-top-alt:24.0pt;margin-right:-4.8pt;margin-bottom:0cm;margin-left:-4.8pt;margin-bottom:.0001pt;background:#EEEEEE;vertical-align:middle">

Registro de la Atención Domiciliaria<o:p>
</o:p>
</h2>

<div>

<p class="MsoNormal" style="vertical-align:middle">
En esta sección debe ingresar los datos de la atención domiciliaria<o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</p>

<div>

<div style="margin-top:9.0pt;margin-bottom:9.0pt">

<div style="margin-bottom:18.0pt">

<div style="margin-top:9.95pt;margin-bottom:9.95pt">

<p class="MsoNormal" style="vertical-align:middle">
<b>
Tipo de Atención <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo1;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
(X)</span>
 <span class="ss-choice-label">

Domicilio</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l0 level1 lfo1;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
(&nbsp;)</span>
 <span class="ss-choice-label">

Ambulatorio</span>
 <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Fecha de la Atención <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="vertical-align:middle">
[junio&nbsp;\/] [18&nbsp;\/] [2019&nbsp;\/] <o:p>

</o:p>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Hora de la Atención <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="vertical-align:middle">
[08&nbsp;\/] . [30&nbsp;\/] <o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Performance Status ECOG del Paciente
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</b>
</p>

</div>

<p class="MsoNormal" style="vertical-align:middle">
[1&nbsp;\/] <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Escala Dolor EVA Actual <o:p>

</o:p>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="entry_1421689035">

<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" align="center" style="text-align:center">
0<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
1<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
2<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
3<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
4<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
5<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
6<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
7<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
8<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
9<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
10<o:p>
</o:p>
</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" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</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">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Escala Dolor EVA Máximo <o:p>

</o:p>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="entry_1244707512">

<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" align="center" style="text-align:center">
0<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
1<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
2<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
3<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
4<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
5<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
6<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
7<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
8<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
9<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
10<o:p>
</o:p>
</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" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</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">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Escala Dolor EVA Mínimo <o:p>

</o:p>
</b>
</p>

</div>

<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" id="entry_853118630">

<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" align="center" style="text-align:center">
0<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
1<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
2<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
3<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
4<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
5<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
6<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
7<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
8<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
9<o:p>
</o:p>
</p>

</td>

<td style="padding:3.75pt 3.75pt 3.75pt 3.75pt">

<p class="MsoNormal" align="center" style="text-align:center">
10<o:p>
</o:p>
</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" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(X)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</span>
</p>

</div>

</td>

<td style="border:solid #D3D8D3 1.0pt;padding:6.0pt 3.0pt 6.0pt 3.0pt">

<div>

<p class="MsoNormal" align="center" style="text-align:center">
<span style="color:#666666">
(&nbsp;)<o:p>
</o:p>
</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">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Anamnesis/Evolución <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Paciente evaluada la semana pasada por Oncólogo/Ginecologo tratante ,en Clínica Sanatorio Alemán de Concepción quien considera que desde punto de vista de la cirugía
 realizada ,la paciente se encontraría en buenas condiciones y le extendió por ello licencia medica hasta el día 12/06/2019 por considerar que se encuentra en condiciones de Alta Laboral. Paciente cursa cuadro de infección urinaria por lo cual se encuentra
 en tratamiento medico ,además presenta fuertes dolores de pelvis ósea, por lo cual requiere uso diario de Tramadol con paracetamol .Además se solicita RNM de pelvis, para precisar Diagnóstico .Se extiende licencia medica por 15 días mas ,en espera de resultado
 de exámenes solicitados.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Examen Físico <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Vigil orientada ,glasgow de 15 puntos examen cardiopulmonar normal con dolor pélvico y de caderas a la movilización y palpación. Abdomen BDH ,sin blumberg. sin
 lesiones de su piel. Herida operatoria sin complicaciones.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Diagnóstico <span class="ss-required-asterisk">

<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
1.- Cancer Anexial izq Operado 2.- ITU en tratamiento 3.- Algia pelvica moderada a severa en evolucion y estudio<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Plan de Tratamiento e Indicaciones
<span class="ss-required-asterisk">
<span style="color:#C43B1D">
*</span>
</span>
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
en espera de terminar tratamiento y control con URA de ITU. Control con RNM de pelvis solicitada.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Medicamentos Indicados <o:p>

</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
Tramadol con paracetamol en comp. 1/2-1/2 y uno por dia por 2 semanas . Ciprofloxacino 500 mg vo c/12 hrs por 10 días Control SOS o con URA y/o RNM de pelvis solicitada<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Fecha aproximada del Próximo Control con usted
<o:p>
</o:p>
</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" style="vertical-align:middle">
[junio&nbsp;\/] [22&nbsp;\/] [2019&nbsp;\/] <o:p>

</o:p>
</p>

</div>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Tratamiento Realizado (si corresponde)
<o:p>
</o:p>
</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" style="background:#EEEEEE;vertical-align:middle">
<span style="color:#545454">
No.<o:p>
</o:p>
</span>
</p>

</div>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" style="vertical-align:middle">
<b>
Derivación a otro Prestador Domiciliario
<o:p>
</o:p>
</b>
</p>

</div>

<div style="margin-top:1.2pt;margin-bottom:3.0pt">

<p class="MsoNormal" style="vertical-align:middle">
<span style="color:#666666">
Sólo llene esta sección si es médico y solicita la visita de otro prestador del equipo<o:p>
</o:p>
</span>
</p>

</div>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[X]</span>
 <span class="ss-choice-label">

ENFERMERA</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[&nbsp;]</span>
 <span class="ss-choice-label">

TENS</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[&nbsp;]</span>
 <span class="ss-choice-label">

NUTRICIONISTA</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[&nbsp;]</span>
 <span class="ss-choice-label">

KINESIOLOGO</span>
 <o:p>
</o:p>
</p>

<p class="MsoNormal" style="margin-left:0cm;text-indent:-18.0pt;line-height:15.6pt;mso-list:l1 level1 lfo2;vertical-align:middle">

<![if !supportLists]>
<span style="font-size:10.0pt;font-family:Symbol">
<span style="mso-list:Ignore">
·<span style="font:7.0pt &quot;Times New Roman&quot;">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>
</span>
</span>
<![endif]>
<span class="ss-choice-item-control">
[&nbsp;]</span>
 <span class="ss-choice-label">

PSICOLOGO</span>
 <o:p>
</o:p>
</p>

</div>

</div>

</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
</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" align="right" style="text-align:right;vertical-align:middle">

<img border="0" id="_x0000_i1029" src="https://lh6.googleusercontent.com/ho5-aEhqapElKPfY3C043hrFRDZHbYmYQL4MdTOUr9VmGAzMIk1T6XQ9jJN3CuGBWoqcxaMG3A" alt="Imagen sin título">
<o:p>
</o:p>
</p>

</div>

</div>

</div>

</div>

</div>

</td>

</tr>

<tr>

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<p class="MsoNormal">
<a href="https://docs.google.com/forms?usp=mail_form_link">
<span style="font-size:10.0pt;color:#424242">
Crear tu propio Formulario de Google</span>
</a>
<o:p>
</o:p>
</p>

</td>

</tr>

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</div>

<p class="MsoNormal">
<o:p>
&nbsp;</o:p>
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