<div dir=3D"ltr">
<br>
</div>
<br>
<div class=3D"gmail_quote">
<div dir=3D"ltr" class=3D"gmail_attr">
El jue., 18 jul. 2019 a las 17:00, Viviana M (&lt;<a href=3D"mailto:vivimoragam@gmail.com">
vivimoragam@gmail.com</a>
&gt;) escribi=C3=B3:<br>
</div>
<blockquote class=3D"gmail_quote" style=3D"margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex">
<div dir=3D"ltr">
<br>
<br>
<div class=3D"gmail_quote">
<div dir=3D"ltr" class=3D"gmail_attr">
---------- Forwarded message ---------<br>
De: <strong class=3D"gmail_sendername" dir=3D"auto">
Google Forms</strong>
 <span dir=3D"auto">
&lt;<a href=3D"mailto:forms-receipts-noreply@google.com" target=3D"_blank">
forms-receipts-noreply@google.com</a>
&gt;</span>
<br>
Date: jue., 18 jul. 2019 a las 11:01<br>
Subject: Registro de Atenci=C3=B3n Domiciliaria Oncovida<br>
To:  &lt;<a href=3D"mailto:vivimoragam@gmail.com" target=3D"_blank">
vivimoragam@gmail.com</a>
&gt;<br>
</div>
<br>
<br>
<div style=3D"font-family:Roboto,Helvetica,Arial,sans-serif;margin:0px;padding:0px;height:100%;width:100%">
<table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:rgb(38,4,154)" width=3D"100%">
<tbody>
<tr height=3D"64px">
<td style=3D"padding-left:24px">
<img alt=3D"Google Forms" height=3D"26px" style=3D"display: inline-block; margin: 0px; vertical-align: middle;" width=3D"143px" src=3D"https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png">
</td>
</tr>
</tbody>
</table>
<div style=3D"padding:24px;background-color:rgb(229,218,254)">
<div align=3D"center" style=3D"background-color:rgb(255,255,255);border-bottom:1px solid rgb(224,224,224);margin:0px auto;max-width:624px;min-width:154px;padding:0px 24px">
<table align=3D"center" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:rgb(255,255,255)" width=3D"100%">
<tbody>
<tr height=3D"24px">
<td>
</td>
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:rgb(66,66,66);font-weight:700">
Thanks for filling out <a href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link" target=3D"_blank">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</a>
</div>
</td>
</tr>
<tr height=3D"12px">
</tr>
<tr>
<td>
<div style=3D"font-size:13px;line-height:18px;color:rgb(66,66,66)">
Here&#39;s what we got from you:</div>
</td>
</tr>
<tr>
<td>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-container">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-heading">
<h1 class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-title" dir=3D"ltr" style=3D"margin:0.67em 0px">
Registro de Atenci==C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-desc gmail-m_1797046831773305087m_8782793224169138494ss-no-ignore-whitespace" style=3D"font:inherit;width:99%;margin:0px 0px 1em;white-space:pre-wrap">
Este es el sistema de registro de atenciones domiciliarias de Oncovida.   Debe ser llenado por el prestador individual, y debe realizarse un registro por cada visita domiciliaria.   Si usted no es prestador de Oncovida por favor no llene este formulario.   A continuaci=C3=B3n indique su correo electr=C3=B3nico.</div>
</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form">
<form method=3D"GET" id=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form">
<br>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-item-required gmail-m_1797046831773305087m_8782793224169138494ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494emailAddress">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Email address<label for=3D"m_1797046831773305087m_8782793224169138494emailAddress">
</label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
</label>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-text gmail-m_1797046831773305087m_8782793224169138494ss-printable-text-line" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
<a href=3D"mailto:vivimoragam@gmail.com" target=3D"_blank">
vivimoragam@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" style=3D"width: 78px; outline: none;" alt=3D"Captionless Image">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3==B3n del Prestador</h2>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-page-description gmail-m_1797046831773305087m_8782793224169138494ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap">
Aqu=C3=AD debe ingresar sus datos personales</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-item-required gmail-m_1797046831773305087m_8782793224169138494ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494entry_579114469">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Primer Nombre y Apellido Paterno<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-help gmail-m_1797046831773305087m_8782793224169138494ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
Viviana Moraga</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-item-required gmail-m_1797046831773305087m_8782793224169138494ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494entry_1276273985">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
RUT<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-help gmail-m_1797046831773305087m_8782793224169138494ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
18121502-K</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-item-required gmail-m_1797046831773305087m_8782793224169138494ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494entry_133691676">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tipo<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-help gmail-m_1797046831773305087m_8782793224169138494ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
Si asisten m=C3=A1s de 1 prestador simult=C3=A1neamente, cada uno debe hacer un registro independiente</div>
</label>
<select name=3D"entry.133691676" disabled id=3D"gmail-m_1797046831773305087m_8782793224169138494entry_133691676">
<option value=3D"">
</option>
<option value=3D"MEDICO" disabled selected>
MEDICO</option>
 <option value=3D"ENFERMERA/O" disabled>
ENFERMERA/O</option>
 <option value=3D"TENS" disabled>
TENS</option>
 <option value=3D"KINESIOLOGA/O" disabled>
KINESIOLOGA/O</option>
 <option value=3D"PSICOLOGO" disabled>
PSICOLOGO</option>
 <option value==3D"NUTRICIONISTA" disabled>
NUTRICIONISTA</option>
</select>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-image" title=3D"" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" style=3D"width: 78px; outline: none;" alt=3D"Captionless Image">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3==B3n del Paciente</h2>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-page-description gmail-m_1797046831773305087m_8782793224169138494ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap">
En esta secci=C3=B3n debe ingresar los datos del paciente visitado</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-section-header" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-section-title" style=3D"background-color:rgb(238,238,238);padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-section-description gmail-m_1797046831773305087m_8782793224169138494ss-no-ignore-whitespace" style=3D"margin-top:0.5em;white-space:pre-wrap">
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-item-required gmail-m_1797046831773305087m_8782793224169138494ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494entry_823811303">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ingrese el Rut del Paciente<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-help gmail-m_1797046831773305087m_8782793224169138494ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:70%">
4451115-0</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-item-required gmail-m_1797046831773305087m_8782793224169138494ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494entry_1959365839">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
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Hans Aravena Butikofer</div>
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Previsi=C3=B3n<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ciudad<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
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*</span>
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Hualp=C3=A9n</div>
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<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494entry_1298871758">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Comuna<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
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*</span>
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En esta secci=C3=B3n debe ingresar los datos de la atenci=C3=B3n domiciliaria</div>
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494entry_2073233714">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
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<label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-item-control gmail-m_1797046831773305087m_8782793224169138494goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled checked value=3D"Domicilio" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_1222378237_1" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-radio">
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Domicilio</span>
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<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-item-control gmail-m_1797046831773305087m_8782793224169138494goog-inline-block" style=3D"display:inline-block">
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Ambulatorio</span>
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1978</option>
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1979</option>
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1980</option>
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1981</option>
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1982</option>
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1983</option>
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1984</option>
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1985</option>
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1986</option>
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1987</option>
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1988</option>
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1989</option>
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1990</option>
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1991</option>
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1992</option>
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1993</option>
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1994</option>
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1995</option>
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1996</option>
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1997</option>
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1998</option>
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1999</option>
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2000</option>
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2001</option>
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2002</option>
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2005</option>
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2006</option>
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2007</option>
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2026</option>
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2027</option>
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2028</option>
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2029</option>
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2030</option>
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2031</option>
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2032</option>
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2033</option>
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2034</option>
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2035</option>
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2036</option>
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2037</option>
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2038</option>
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2039</option>
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2040</option>
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2041</option>
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2042</option>
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2043</option>
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2044</option>
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2045</option>
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2046</option>
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2047</option>
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2048</option>
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2049</option>
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2050</option>
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2051</option>
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2052</option>
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2053</option>
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2054</option>
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2055</option>
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2056</option>
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2057</option>
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2058</option>
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2059</option>
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2060</option>
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2061</option>
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2062</option>
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2063</option>
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2064</option>
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2065</option>
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2066</option>
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2067</option>
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2068</option>
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2069</option>
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39</option>
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54</option>
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55</option>
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56</option>
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59</option>
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</div>
</div>
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<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-item-required gmail-m_1797046831773305087m_8782793224169138494ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Performance Status ECOG del Paciente<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
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<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
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0</option>
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1</option>
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2</option>
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3</option>
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4</option>
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<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA Actual</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-help gmail-m_1797046831773305087m_8782793224169138494ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
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<td class==3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style==3D"text-align:center">
</td>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
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<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
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<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
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<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
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<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
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<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
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<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1421689035_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow gmail-m_1797046831773305087m_8782793224169138494ss-leftlabel" style=3D"text-align:right;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em 0.5em 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494aria-todo">
</div>
</td>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
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</div>
</td>
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
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</div>
</td>
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</div>
</td>
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"4" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_1421689035_5" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-radio">
</div>
</td>
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</div>
</td>
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
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</div>
</td>
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</div>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
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</div>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"9" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_1421689035_10" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
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</div>
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<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow gmail-m_1797046831773305087m_8782793224169138494ss-rightlabel" style=3D"text-align:left;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0px 0.5em 0.25em">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-item gmail-m_1797046831773305087m_8782793224169138494ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-title" style=3D"display:block;font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA M=C3=A1ximo</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-help gmail-m_1797046831773305087m_8782793224169138494ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"gmail-m_1797046831773305087m_8782793224169138494entry_1244707512">
<tbody>
<tr>
<td class==3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style==3D"text-align:center">
</td>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_1244707512_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow gmail-m_1797046831773305087m_8782793224169138494ss-leftlabel" style=3D"text-align:right;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em 0.5em 0px">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494aria-todo">
</div>
</td>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
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</div>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
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</div>
</td>
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</div>
</td>
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"3" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_1244707512_4" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-radio">
</div>
</td>
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</div>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"5" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_1244707512_6" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-radio">
</div>
</td>
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"6" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_1244707512_7" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-radio">
</div>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled checked value=3D"7" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_1244707512_8" class==3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-radio">
</div>
</td>
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</div>
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</div>
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Escala Dolor EVA M=C3=ADnimo</div>
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</td>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_1" style=3D"display:block;padding:0.5em 0px">
0</label>
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<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style==3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
 <td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumber" for=3D"m_1797046831773305087m_8782793224169138494group_853118630_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494aria-todo">
</div>
</td>
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</div>
</td>
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</div>
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</div>
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Paciente de 75 a=C3=B1os de edad, profesor de profesi=C3=B3n. Vive con su esposa Alicia; tienen dos hijos, Carlos (44 a=C3=B1os) y Rodrigo (33). Parte de su red de apoyo es Marcela, vecina y amiga.Antecedentes m=C3=B3rbidos: cardiopat=C3=ADa coronaria, angioplast=C3=ADa con stent (marzo y junio 2018), hernia hiatal, enfermedad por reflujo gastroesof=C3=A1gico. Usuario de omeprazol 20mg/d=C3=ADa, losart=C3=A1n 25mg/d=C3=ADa, carvedilol 12,5mg/d=C3=ADa, clopidogrel 75 mg/d=C3=ADa, aspirina 100mg/d=C3=ADa, metformina 1000 mg/d=C3=ADa, rosuvastatina 20mg/d=C3=ADa, bromazepam 3mg/noche. Sin alergias medicamentosas conocidas.=20En marzo 2019 inicia con distensi=C3=B3n abdominal, por lo que comienza estudio con EDA y ecograf=C3=ADa abdominal. Se diagnostica ves=C3=ADcula escleroatr=C3=B3fica, por lo que el 13/05/19 se practica laparotom=C3=ADa exploradora, evidenci=C3=A1ndose plastr=C3=B3n vesicular con adherencia a planos profundos, no siendo posible la colecistectom=C3=ADa. Se realiza biopsia, la cual informa adenocarcinoma vesicular tubular. El 25/05/19 se realiza PET-CT, que demuestra enfermedad confinada a zona vesicular y met=C3=A1stasis cervical izquierda.=20Complet=C3=B3 5 sesiones de radioterapia del 1 al 7/07/19. Actualmente con plan de inicio de quimioterapia, para lo cual tiene pendiente instalaci=C3==B3n de cat=C3=A9ter subcut=C3=A1neo, previo pase cardiol=C3=B3gico.=20Actualmente refiere dolor en cuadrante superior derecho abdominal, constante, ocasionalmente irradiado en faja, EVA 2/10. Ha presentado n=C3=A1useas solamente asociado al uso de tramadol gotas SOS. Sin v=C3=B3mitos. Apetito conservado. Baja de peso 18 kg en 6 meses aprox. Deposiciones diarias semiformadas. Orina clara.=20Tiene ex=C3=A1menes del 09/07/19: Hb 14,5/plaq 174.000/GB 5.760/crea 0,93/VFG 79,21/BT 1,03/GOT 141/GPT 223/FA 363/ GGT 390/ Alb 4,4</div>
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Examen F=C3=ADsico<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
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PA 150/80, FC 57, FR 16, SatO2 97, T 36,1=C2=BACBuen estado general, enflaquecido. Piel y mucosas rosadas, sin ictericia evidente. Cavidad oral sin lesiones. RR2T sin soplos, pulsos perif=C3=A9ricos sim=C3=A9tricos. MP + SRA. Abdomen RHA +, depresible, levemente doloroso en hipocondrio derecho, sin masas ni visceromegalias palpables, sin signos de irritaci=C3=B3n peritoneal. EEII sin edema ni signos de TVP. Sin lesiones en piel</div>
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Diagn=C3=B3stico<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
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1) C=C3=A1ncer de ves=C3=ADcula metast=C3=A1sico 2) Cardiopat=C3=ADa coronaria 3) Antecedente angioplast=C3=ADa con stent x2 4) Enfermedad por reflujo gastroesof=C3=A1gico 5) Hernia hiatal</div>
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Plan de Tratamiento e Indicaciones<label for=3D"m_1797046831773305087m_8782793224169138494itemView.getDomIdToLabel()">
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1) Optimizar analgesia de base + de rescate 2) Pendiente pase cardiol=C3=B3gico para instalaci=C3=B3n de cat=C3=A9ter subcut=C3=A1neo, para inicio de quimioterapia 3) Se solicita a ISAPRE aumento de prestaciones, considerando 4 por ciclo de m=C3=A9dica, 4 por EU, evaluaci=C3=B3n y control nutricional (2 por ciclo), evaluaci=C3=B3n y control por psic=C3=B3loga (2 por ciclo)</div>
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Medicamentos Indicados</div>
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1) Paracetamol 500 mg, 2 comp/8hrs vo=202) Tramadol 10mg/mL, 10 gotas SOS vo=203) Omeprazol 20mg/d=C3=ADa4) Losart=C3=A1n 25mg/d=C3=ADa5) Carvedilol 12,5mg/d=C3=ADa6) Clopidogrel 75 mg/d=C3=ADa7) Aspirina 100mg/d=C3=ADa8) Metformina 1000 mg/d=C3=ADa (de momento suspendido por paciente)9) Rosuvastatina 20mg/d=C3=ADa10) Bromazepam 3mg/noche</div>
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Fecha aproximada del Pr=C3=B3ximo Control con usted</div>
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2020</option>
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2021</option>
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2022</option>
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2023</option>
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2024</option>
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2025</option>
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2026</option>
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2027</option>
 <option value=3D"2028">
2028</option>
 <option value=3D"2029">
2029</option>
 <option value=3D"2030">
2030</option>
 <option value=3D"2031">
2031</option>
 <option value=3D"2032">
2032</option>
 <option value=3D"2033">
2033</option>
 <option value=3D"2034">
2034</option>
 <option value=3D"2035">
2035</option>
 <option value=3D"2036">
2036</option>
 <option value=3D"2037">
2037</option>
 <option value==3D"2038">
2038</option>
 <option value=3D"2039">
2039</option>
 <option value==3D"2040">
2040</option>
 <option value=3D"2041">
2041</option>
 <option value==3D"2042">
2042</option>
 <option value=3D"2043">
2043</option>
 <option value==3D"2044">
2044</option>
 <option value=3D"2045">
2045</option>
 <option value==3D"2046">
2046</option>
 <option value=3D"2047">
2047</option>
 <option value==3D"2048">
2048</option>
 <option value=3D"2049">
2049</option>
 <option value==3D"2050">
2050</option>
 <option value=3D"2051">
2051</option>
 <option value==3D"2052">
2052</option>
 <option value=3D"2053">
2053</option>
 <option value==3D"2054">
2054</option>
 <option value=3D"2055">
2055</option>
 <option value==3D"2056">
2056</option>
 <option value=3D"2057">
2057</option>
 <option value==3D"2058">
2058</option>
 <option value=3D"2059">
2059</option>
 <option value==3D"2060">
2060</option>
 <option value=3D"2061">
2061</option>
 <option value==3D"2062">
2062</option>
 <option value=3D"2063">
2063</option>
 <option value==3D"2064">
2064</option>
 <option value=3D"2065">
2065</option>
 <option value==3D"2066">
2066</option>
 <option value=3D"2067">
2067</option>
 <option value==3D"2068">
2068</option>
 <option value=3D"2069">
2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
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Tratamiento Realizado (si corresponde)</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-help gmail-m_1797046831773305087m_8782793224169138494ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
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 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-question gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
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<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-item-label" for=3D"m_1797046831773305087m_8782793224169138494entry_1219705969">
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Derivaci=C3=B3n a otro Prestador Domiciliario</div>
<div class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-help gmail-m_1797046831773305087m_8782793224169138494ss-secondary-text" dir=3D"auto" style=3D"display:block;margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
S==C3=B3lo llene esta secci=C3=B3n si es m=C3=A9dico y solicita la visita de otro prestador del equipo</div>
</label>
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<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-label">
ENFERMERA</span>
</label>
</li>
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<label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-item-control gmail-m_1797046831773305087m_8782793224169138494goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"TENS" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_503039759_2" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-checkbox">
</span>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-label">
TENS</span>
</label>
</li>
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<label>
<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-item-control gmail-m_1797046831773305087m_8782793224169138494goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled checked value=3D"NUTRICIONISTA" id=3D"gmail-m_1797046831773305087m_8782793224169138494group_503039759_3" class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-q-checkbox">
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<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-label">
NUTRICIONISTA</span>
</label>
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 <li class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
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<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-label">
KINESIOLOGO</span>
</label>
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<label>
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<span class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-choice-label">
PSICOLOGO</span>
</label>
</li>
</ul>
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<br>
 <div class=3D"gmail-m_1797046831773305087m_8782793224169138494errorbox-good">
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<img class=3D"gmail-m_1797046831773305087m_8782793224169138494ss-image" title=3D"" src=3D"https://lh6.googleusercontent.com/ho5-aEhqapElKPfY3C043hrFRDZHbYmYQL4MdTOUr9VmGAzMIk1T6XQ9jJN3CuGBWoqcxaMG3A" style=3D"width: 78px; outline: none;" alt=3D"Captionless Image">
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Create your own Google Form</a>
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</blockquote>
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