{"id":1466,"date":"2024-11-03T21:50:47","date_gmt":"2024-11-04T03:50:47","guid":{"rendered":"https:\/\/centrodecirugia.org\/?page_id=1466"},"modified":"2025-09-26T01:33:51","modified_gmt":"2025-09-26T07:33:51","slug":"cuestionario-paralisis-cerebral","status":"publish","type":"page","link":"https:\/\/centrodecirugia.org\/en\/cuestionario-paralisis-cerebral\/","title":{"rendered":"Cuestionario Par\u00e1lisis Cerebral"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1466\" class=\"elementor elementor-1466\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7b35fcf elementor-section-height-min-height elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-items-middle jltma-glass-effect-no\" data-id=\"7b35fcf\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;triangle-asymmetrical&quot;,&quot;shape_divider_bottom_negative&quot;:&quot;yes&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"true\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M737.9,94.7L0,0v100h1000V0L737.9,94.7z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-89bc04c jltma-glass-effect-no\" data-id=\"89bc04c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aa163ea jltma-glass-effect-no elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"aa163ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;slideInLeft&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Cuestionario Par\u00e1lisis Cerebral<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81efe12 elementor-widget-tablet__width-initial jltma-glass-effect-no elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"81efe12\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;slideInLeft&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Con el fin de evitarle traslados innecesarios desde su hogar hasta el Centro de Cirug\u00eda Especial de M\u00e9xico, les recomendamos enviar la siguiente informaci\u00f3n si desea una evaluaci\u00f3n a distancia. Por favor lea las indicaciones y recomendaciones ANTES de contestar el cuestionario.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8abdfcc jltma-glass-effect-no\" data-id=\"8abdfcc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-ca198cd e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"ca198cd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-10f9045 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"10f9045\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-be0111a e-full_width e-n-menu-layout-horizontal e-n-menu-tablet jltma-glass-effect-no elementor-widget elementor-widget-n-menu\" data-id=\"be0111a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;menu_items&quot;:[{&quot;item_title&quot;:&quot;Labio Leporino&quot;,&quot;_id&quot;:&quot;e25c0f6&quot;,&quot;item_dropdown_content&quot;:&quot;yes&quot;,&quot;item_link&quot;:{&quot;url&quot;:&quot;&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;item_icon_active&quot;:null,&quot;element_id&quot;:&quot;&quot;},{&quot;item_title&quot;:&quot;Par\\u00e1lisis Cerebral&quot;,&quot;_id&quot;:&quot;a5ab0e9&quot;,&quot;item_dropdown_content&quot;:&quot;yes&quot;,&quot;item_link&quot;:{&quot;url&quot;:&quot;&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;item_icon_active&quot;:null,&quot;element_id&quot;:&quot;&quot;},{&quot;item_title&quot;:&quot;Hemangiomas&quot;,&quot;_id&quot;:&quot;8e80143&quot;,&quot;item_dropdown_content&quot;:&quot;yes&quot;,&quot;item_link&quot;:{&quot;url&quot;:&quot;&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;item_icon_active&quot;:null,&quot;element_id&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;aef3e14&quot;,&quot;item_title&quot;:&quot;Malformaciones&quot;,&quot;item_dropdown_content&quot;:&quot;yes&quot;,&quot;item_link&quot;:{&quot;url&quot;:&quot;&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;},&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;item_icon_active&quot;:null,&quot;element_id&quot;:&quot;&quot;}],&quot;item_position_horizontal&quot;:&quot;center&quot;,&quot;content_width&quot;:&quot;full_width&quot;,&quot;item_layout&quot;:&quot;horizontal&quot;,&quot;open_on&quot;:&quot;hover&quot;,&quot;horizontal_scroll&quot;:&quot;disable&quot;,&quot;breakpoint_selector&quot;:&quot;tablet&quot;,&quot;menu_item_title_distance_from_content&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;menu_item_title_distance_from_content_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;menu_item_title_distance_from_content_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"mega-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<nav class=\"e-n-menu\" data-widget-number=\"199\" aria-label=\"Menu\">\n\t\t\t\t\t<button class=\"e-n-menu-toggle\" id=\"menu-toggle-199\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"menubar-199\" aria-label=\"Alternar men\u00fa\">\n\t\t\t<span class=\"e-n-menu-toggle-icon e-open\">\n\t\t\t\t<svg class=\"e-font-icon-svg e-eicon-menu-bar\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M104 333H896C929 333 958 304 958 271S929 208 896 208H104C71 208 42 237 42 271S71 333 104 333ZM104 583H896C929 583 958 554 958 521S929 458 896 458H104C71 458 42 487 42 521S71 583 104 583ZM104 833H896C929 833 958 804 958 771S929 708 896 708H104C71 708 42 737 42 771S71 833 104 833Z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t<span class=\"e-n-menu-toggle-icon e-close\">\n\t\t\t\t<svg class=\"e-font-icon-svg e-eicon-close\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M742 167L500 408 258 167C246 154 233 150 217 150 196 150 179 158 167 167 154 179 150 196 150 212 150 229 154 242 171 254L408 500 167 742C138 771 138 800 167 829 196 858 225 858 254 829L496 587 738 829C750 842 767 846 783 846 800 846 817 842 829 829 842 817 846 804 846 783 846 767 842 750 829 737L588 500 833 258C863 229 863 200 833 171 804 137 775 137 742 167Z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<div class=\"e-n-menu-wrapper\" id=\"menubar-199\" aria-labelledby=\"menu-toggle-199\">\n\t\t\t\t<ul class=\"e-n-menu-heading\">\n\t\t\t\t\t\t\t\t<li class=\"e-n-menu-item\">\n\t\t\t\t<div id=\"e-n-menu-title-1991\" class=\"e-n-menu-title\">\n\t\t\t\t\t<div class=\"e-n-menu-title-container\">\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-n-menu-title-text\">\n\t\t\t\t\t\t\tLabio Leporino\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t<button id=\"e-n-menu-dropdown-icon-1991\" class=\"e-n-menu-dropdown-icon e-focus\" data-tab-index=\"1\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"e-n-menu-content-1991\" >\n\t\t\t\t\t\t\t<span class=\"e-n-menu-dropdown-icon-opened\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg>\t\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Cerrar Labio Leporino<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"e-n-menu-dropdown-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Abrir Labio Leporino<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"e-n-menu-content\">\n\t\t\t\t\t\t<div id=\"e-n-menu-content-1991\" data-tab-index=\"1\" aria-labelledby=\"e-n-menu-dropdown-icon-1991\" class=\"elementor-element elementor-element-089f1d9 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"089f1d9\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-623f565 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"623f565\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0b64e13 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"0b64e13\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/que-es-labio-leporino\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/labio-paladar-hendido.jpg\" class=\"attachment-large size-large wp-image-1572\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/labio-paladar-hendido.jpg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/labio-paladar-hendido-300x225.jpg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/labio-paladar-hendido-768x576.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2f23f6 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"d2f23f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/que-es-labio-leporino\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tQu\u00e9 es Labio Leporino?\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-696c70b e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"696c70b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c8db52 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"4c8db52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cuestionario-para-labio-y-paladar-hendido\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/10\/labor-asistencial.jpg\" class=\"attachment-large size-large wp-image-175\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/10\/labor-asistencial.jpg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/10\/labor-asistencial-300x225.jpg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/10\/labor-asistencial-768x576.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81af4a0 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"81af4a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cuestionario-para-labio-y-paladar-hendido\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tCuestionario para Labio y Paladar Hendido\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"e-n-menu-item\">\n\t\t\t\t<div id=\"e-n-menu-title-1992\" class=\"e-n-menu-title\">\n\t\t\t\t\t<div class=\"e-n-menu-title-container\">\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-n-menu-title-text\">\n\t\t\t\t\t\t\tPar\u00e1lisis Cerebral\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t<button id=\"e-n-menu-dropdown-icon-1992\" class=\"e-n-menu-dropdown-icon e-focus\" data-tab-index=\"2\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"e-n-menu-content-1992\" >\n\t\t\t\t\t\t\t<span class=\"e-n-menu-dropdown-icon-opened\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg>\t\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Cerrar Par\u00e1lisis Cerebral<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"e-n-menu-dropdown-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Abrir Par\u00e1lisis Cerebral<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"e-n-menu-content\">\n\t\t\t\t\t\t<div id=\"e-n-menu-content-1992\" data-tab-index=\"2\" aria-labelledby=\"e-n-menu-dropdown-icon-1992\" class=\"elementor-element elementor-element-c9bfd50 e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"c9bfd50\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-487e89f e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"487e89f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-661a0d1 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"661a0d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/que-es-la-paralisis-cerebral\/\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-es-pci-1024x574.jpg\" class=\"attachment-large size-large wp-image-1458\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-es-pci-1024x574.jpg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-es-pci-300x168.jpg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-es-pci-768x431.jpg 768w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-es-pci.jpg 1312w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-196fadf elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"196fadf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/que-es-la-paralisis-cerebral\/\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tQu\u00e9 es la Par\u00e1lisis Cerebral?\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2a8f3f9 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"2a8f3f9\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1263c6b jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"1263c6b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/mitos-y-realidades-en-paralisis-cerebral\/\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/mitos-realidades-pci-1024x574.jpg\" class=\"attachment-large size-large wp-image-1459\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/mitos-realidades-pci-1024x574.jpg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/mitos-realidades-pci-300x168.jpg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/mitos-realidades-pci-768x431.jpg 768w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/mitos-realidades-pci.jpg 1312w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e530df elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"9e530df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/mitos-y-realidades-en-paralisis-cerebral\/\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tMitos y Realidades en Par\u00e1lisis Cerebral\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ecbc89a e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"ecbc89a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c9cb7f jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"4c9cb7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cirugia-minimo-invasiva-en-paralisis-cerebral\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cmi-pci-1024x574.jpeg\" class=\"attachment-large size-large wp-image-1509\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cmi-pci-1024x574.jpeg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cmi-pci-300x168.jpeg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cmi-pci-768x431.jpeg 768w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cmi-pci.jpeg 1312w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2540a7e elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"2540a7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cirugia-minimo-invasiva-en-paralisis-cerebral\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tCirug\u00eda M\u00ednimo Invasiva en Par\u00e1lisis Cerebral\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d2d5456 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"d2d5456\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a1d1e82 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"a1d1e82\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cuestionario-paralisis-cerebral\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-1024x574.jpg\" class=\"attachment-large size-large wp-image-1513\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-1024x574.jpg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-300x168.jpg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-768x431.jpg 768w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios.jpg 1312w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-864cfca elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"864cfca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cuestionario-paralisis-cerebral\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tCuestionario Par\u00e1lisis Cerebral\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"e-n-menu-item\">\n\t\t\t\t<div id=\"e-n-menu-title-1993\" class=\"e-n-menu-title\">\n\t\t\t\t\t<div class=\"e-n-menu-title-container\">\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-n-menu-title-text\">\n\t\t\t\t\t\t\tHemangiomas\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t<button id=\"e-n-menu-dropdown-icon-1993\" class=\"e-n-menu-dropdown-icon e-focus\" data-tab-index=\"3\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"e-n-menu-content-1993\" >\n\t\t\t\t\t\t\t<span class=\"e-n-menu-dropdown-icon-opened\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg>\t\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Cerrar Hemangiomas<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"e-n-menu-dropdown-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Abrir Hemangiomas<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"e-n-menu-content\">\n\t\t\t\t\t\t<div id=\"e-n-menu-content-1993\" data-tab-index=\"3\" aria-labelledby=\"e-n-menu-dropdown-icon-1993\" class=\"elementor-element elementor-element-fbfed21 e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"fbfed21\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-25b99f1 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"25b99f1\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2325eba jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"2325eba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/que-son-los-hemangiomas\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/hemangioma-1024x574.jpeg\" class=\"attachment-large size-large wp-image-1535\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/hemangioma-1024x574.jpeg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/hemangioma-300x168.jpeg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/hemangioma-768x431.jpeg 768w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/hemangioma.jpeg 1312w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7786526 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"7786526\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/que-son-los-hemangiomas\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tQu\u00e9 son los Hemangiomas?\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8876757 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"8876757\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4acce31 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"4acce31\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cuestionario-para-casos-de-hemangiomas-y-linfangiomas\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-1024x574.jpg\" class=\"attachment-large size-large wp-image-1513\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-1024x574.jpg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-300x168.jpg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-768x431.jpg 768w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios.jpg 1312w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-01b77d9 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"01b77d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cuestionario-para-casos-de-hemangiomas-y-linfangiomas\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tCuestionario para casos de Hemangiomas y Linfangiomas\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"e-n-menu-item\">\n\t\t\t\t<div id=\"e-n-menu-title-1994\" class=\"e-n-menu-title\">\n\t\t\t\t\t<div class=\"e-n-menu-title-container\">\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-n-menu-title-text\">\n\t\t\t\t\t\t\tMalformaciones\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t<button id=\"e-n-menu-dropdown-icon-1994\" class=\"e-n-menu-dropdown-icon e-focus\" data-tab-index=\"4\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"e-n-menu-content-1994\" >\n\t\t\t\t\t\t\t<span class=\"e-n-menu-dropdown-icon-opened\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg>\t\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Cerrar Malformaciones<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"e-n-menu-dropdown-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-screen-only\">Abrir Malformaciones<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"e-n-menu-content\">\n\t\t\t\t\t\t<div id=\"e-n-menu-content-1994\" data-tab-index=\"4\" aria-labelledby=\"e-n-menu-dropdown-icon-1994\" class=\"elementor-element elementor-element-2b75bdc e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"2b75bdc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-5d305bf e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"5d305bf\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-148b547 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"148b547\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/que-son-las-malformaciones\/\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-son-malforaciones-1024x574.png\" class=\"attachment-large size-large wp-image-1547\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-son-malforaciones-1024x574.png 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-son-malforaciones-300x168.png 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-son-malforaciones-768x431.png 768w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/que-son-malforaciones.png 1312w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b8e3313 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"b8e3313\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/que-son-las-malformaciones\/\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tQu\u00e9 son las Malformaciones?\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fb71d8d e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"fb71d8d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a32ef50 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"a32ef50\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cuestionario-para-casosde-hemangiomas-y-linfangiomas\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"448\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-1024x574.jpg\" class=\"attachment-large size-large wp-image-1513\" alt=\"\" srcset=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-1024x574.jpg 1024w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-300x168.jpg 300w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios-768x431.jpg 768w, https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/cuestionarios.jpg 1312w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-392a894 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"392a894\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centrodecirugia.org\/cuestionario-para-casosde-hemangiomas-y-linfangiomas\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\tCuestionario para casos de Malformaciones\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t<\/div>\n\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cbe2efd e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"cbe2efd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d49aba4 jltma-glass-effect-no elementor-widget elementor-widget-spacer\" data-id=\"d49aba4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e32286f e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"e32286f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9ca7e88 jltma-glass-effect-no elementor-widget elementor-widget-shortcode\" data-id=\"9ca7e88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\">#nex-forms{display:none;}<\/style><div id=\"nf_form_83689\">\n\t\t\t\n\t\t\t<style type=\"text\/css\">\n\t\t\t\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-spinner div:after {background: #40C4FF; }\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-grid div {background: #40C4FF; }\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-ellipsis div { background: #40C4FF;}\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-default div {background: #40C4FF;}\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-roller div:after {background: #40C4FF;}\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-heart div,\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-heart div:after,\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-heart div:before {background: #40C4FF;}\n\t\n\t\t\t\t\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-facebook div {background: #40C4FF;}\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-circle > div {background: #40C4FF;}\n\t\t\t\t\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-dual-ring:after {border: 6px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-ring div {border: 8px solid #40C4FF;border-color: #40C4FF transparent transparent transparent;}\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-hourglass:after {border: 32px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\n\t\t\t\t#nex-forms.cuestionario_par\u00e1lisis_cerebral .nf-loader-lds-ripple div {border: 4px solid #40C4FF;}\n\t\t\t<\/style>\n\t\t\t\n\t\t\t\n\t\t\t<div id=\"nex-forms\" data-loader=\"ellipsis\" data-msg-hide-form=\"yes\" data-msg-position=\"top\" data-msg-placement=\"outside\"  class=\"nex-forms cuestionario_par\u00e1lisis_cerebral  \"><div class=\"pre_fill_fields\"><\/div><div class=\"set_form_theme theme-cupertino\"><div class=\"nex_success_message msg_top msgv2 animated hidden\" style=\"display:none;\"><div class=\"nex_success_message_container\" style=\"background: #fff;box-shadow: #00000033 0px 7px 16px 0px;border-radius: 4px;padding: 30px;border-color:#ddd\"><div class=\"msg_text\"><div class=\"form_field all_fields icon html_fields wow bounceInUp\" style=\"margin-bottom: 15px\" id=\"_21501\" data-animation-name=\"bounceInUp\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"icon_container_wrapper icon_center\">\n\t\t\t\t\t\t\t\t  <div class=\"icon_container\" id=\"field_container\" style=\"border-width: 0px;background-color: transparent\">\n\t\t\t\t\t\t\t\t\t<div class=\"\">\n\t\t\t\t\t\t\t\t\t  <div class=\"input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element icon_element\" style=\"font-size: 50px;color: #2979ff\"><span class=\"fas fa-check-circle\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form_field all_fields html html_fields wow fadeInDown\" style=\"margin-bottom: 15px\" data-animation-name=\"fadeInDown\" data-wow-delay=\"0.5s\" id=\"_53573\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t  <div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t\t  <div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Thank you for connecting with us. We will respond to you shortly.<\/div>\n\t\t\t\t\t\t\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div data-timer-start=\"1\" data-timer-end=\"0\" class=\"inner-canvas-container ui-nex-forms-container ui-nex-forms-container-fe  bootstrap\" id=\"ui-nex-forms-container-7\"  ><div class=\"current_step\" style=\"display:none;\">1<\/div><div class=\"last_visited_step\" style=\"display:none;\">1<\/div><div class=\"nex-forms-header-footer nex-forms-header timer_inline timer_right \"><div class=\"bc-outer-container \"><div style=\"\" class=\"nf_ms_breadcrumb  bc-gutter-20 bc-top bc-solid bc-connected bc-unfolded pilled \">\n\t\t\t\t\t\t\t\t\t\t<ul class=\"the_br align_left pilled md-color-default has-descriptions\" data-align-crumb=\"align_left\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"pilled\" data-theme=\"default\" data-show-front-end=\"yes\" data-show-inside=\"no\"><li class=\"has-icon current\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">1<\/span><span class=\"the_step_icon fa-solid fa-1\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"1\"><div class=\"sreader\">1<\/div><div class=\"step_title\">Datos de Identificaci\u00f3n<\/div><div class=\"step_description\">ID<\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">2<\/span><span class=\"the_step_icon fa-solid fa-2\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"2\"><div class=\"sreader\">2<\/div><div class=\"step_title\">Antecedentes perinatales<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">3<\/span><span class=\"the_step_icon fa-solid fa-3\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"3\"><div class=\"sreader\">3<\/div><div class=\"step_title\">III. Historia M\u00e9dica y Familiar<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">4<\/span><span class=\"the_step_icon fa-solid fa-4\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"4\"><div class=\"sreader\">4<\/div><div class=\"step_title\">Condici\u00f3n actual<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon current-prev\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">5<\/span><span class=\"the_step_icon fa-solid fa-5\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"5\"><div class=\"sreader\">5<\/div><div class=\"step_title\">Informaci\u00f3n adicional <\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">6<\/span><span class=\"the_step_icon fa-solid fa-6\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"6\"><div class=\"sreader\">6<\/div><div class=\"step_title\">Fotos y videos<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><\/ul>\n\t\t\t\t\t\t\t\t\t\t<div class=\"nf_progressbar the_br\" style=\"display:none\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"pilled\" data-theme=\"default\" data-show-front-end=\"yes\" data-show-inside=\"no\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"nf_progressbar_percentage md-color-default\" style=\"width:5%\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span>0%<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><div id=\"the_plugin_url\" style=\"display:none;\">https:\/\/centrodecirugia.org\/wp-content\/plugins\/nex-forms-premium<\/div><div id=\"nf_save_form_progress\" style=\"display:none;\">false<\/div><div id=\"confirmation_page\" class=\"confirmation_page\" style=\"display:none;\"><\/div><div id=\"on_form_submmision\" class=\"on_form_submmision\" style=\"display:none;\">message<\/div><div class=\"hidden\" id=\"nf_ajax_url\" style=\"display:none;\">https:\/\/centrodecirugia.org\/wp-admin\/admin-ajax.php<\/div><div class=\"hidden\" id=\"paypal_return_url\" style=\"display:none;\">https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/pages\/1466<\/div><div class=\"hidden\" id=\"ms_scroll_to_top\" style=\"display:none;\">yes<\/div><div class=\"v7_container form_type_normal   \" style=\"background: #ffffff;box-shadow: #00000033 0px 7px 16px 0px;border-radius: 4px;padding: 30px;border-color: #dddddd;width: 80%\"><div class=\"current_field_on_focus\" style=\"display:none\">1<\/div><form id=\"7\" class=\"submit-nex-form nex-forms-7\" data-form-id=\"7\" name=\"nex_form\" action=\"https:\/\/centrodecirugia.org\/wp-admin\/admin-ajax.php\" method=\"post\" enctype=\"multipart\/form-data\"><div class=\"step_transition_in\" style=\"display:none;\">fadeIn<\/div><div class=\"step_transition_out\" style=\"display:none;\">fadeOut<\/div><input type=\"hidden\" name=\"nex_forms_Id\" value=\"7\"><input type=\"hidden\" name=\"page\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1466\"><input type=\"hidden\" name=\"ip\" value=\"216.73.217.23\"><input type=\"hidden\" name=\"nf_page_id\" value=\"1466\"><input type=\"hidden\" name=\"nf_page_title\" value=\"Cuestionario Par\u00e1lisis Cerebral\"><input type=\"text\" name=\"company_url\" value=\"\" placeholder=\"enter company url\" class=\"form-control req\">\n\t\t\t\t\t\t\t<div class=\"form_field hidden bootstrap_field\" data-id=\"_58109\" id=\"_58109\">\n\t\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\" id=\"_58109__ms_current_step\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"custom-fields step has_prefix_icon nf_multi_step_1 bootstrap_field is_grid\" data-step-num=\"1\" data-step-name=\"Datos de Identificaci\u00f3n\" data-step-description=\"ID\" data-id=\"_51934\" id=\"_51934\" data-step-icon=\"fa-solid fa-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading heading html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_60895\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_60895__math_result\"><h3 style=\"font-size: 21px\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">I. Datos de Identificaci\u00f3n<\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 has_prefix_icon bootstrap_field is_grid\" data-id=\"_86155\" id=\"_86155\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_86155 col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields name preset_fields has_prefix_icon required bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_2891\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__2891\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Nombre completo<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fas fa-user\" style=\"font-size: 17px\"><\/span><\/span><input type=\"text\" name=\"nombre_completo\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__2891\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_86155 col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields special_fields has_prefix_icon date bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_4596\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__4596\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Fecha de Nacimiento<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"DD\/MM\/YYYY\" data-language=\"en\"><span class=\"prefix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px\"><\/span><\/span><input type=\"text\" name=\"fecha_de_nacimiento\" class=\"error_message the_input_element aling_left align_left form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__4596\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_86155 col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields has_prefix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_71868\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__71868\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Edad  actual en a\u00f1os:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\"><span class=\"fa-solid fa-child\"><\/span><\/span><input type=\"text\" name=\"edad__actual_en_a\u00f1os:\" class=\"error_message the_input_element aling_left align_left form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__71868\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon bootstrap_field is_grid\" id=\"_61068\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_61068 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields name preset_fields required has_prefix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_94885\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__94885\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Nombre del padre<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fas fa-user\" style=\"font-size: 17px\"><\/span><\/span><input type=\"text\" name=\"nombre_del_padre\" class=\"error_message required the_input_element aling_left align_left form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__94885\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_61068 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields name preset_fields required has_prefix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_79294\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__79294\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Nombre de la madre<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fas fa-user\" style=\"font-size: 17px\"><\/span><\/span><input type=\"text\" name=\"nombre_de_la_madre\" class=\"error_message required the_input_element aling_left align_left form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__79294\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon bootstrap_field is_grid\" id=\"_58205\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_58205 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields has_prefix_icon required bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_32992\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__32992\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Direcci\u00f3n<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\"><span class=\"fa-solid fa-house\"><\/span><\/span><input type=\"text\" name=\"direcci\u00f3n\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__32992\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon required bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_61997\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__61997\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Ciudad<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\"><span class=\"fa-regular fa-images\"><\/span><\/span><input type=\"text\" name=\"ciudad\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__61997\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon required bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_13619\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__13619\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Estado<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\"><span class=\"fa-solid fa-image\"><\/span><\/span><input type=\"text\" name=\"estado\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__13619\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon required bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_40414\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__40414\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Pa\u00eds<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\"><span class=\"fa-solid fa-earth-americas\"><\/span><\/span><input type=\"text\" name=\"pa\u00eds\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__40414\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_58205 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields phone_number phone_number preset_fields required has_prefix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_85172\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__85172\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Tel\u00e9fono 1<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px\"><\/span><\/span><input type=\"text\" name=\"tel\u00e9fono_1\" class=\"error_message required phone_number the_input_element aling_left align_left form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__85172\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields required has_prefix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_26217\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__26217\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Tel\u00e9fono 2<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fa fa-phone\" style=\"font-size: 17px\"><\/span><\/span><input type=\"text\" name=\"tel\u00e9fono_2\" class=\"error_message required phone_number the_input_element aling_left align_left form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__26217\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required has_prefix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_27504\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__27504\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Correo Electr\u00f3nico 1<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fas fa-envelope\" style=\"font-size: 17px\"><\/span><\/span><input type=\"text\" name=\"correo_electr\u00f3nico_1\" class=\"error_message required email the_input_element aling_left align_left form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__27504\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required has_prefix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_79509\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__79509\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Correo Electr\u00f3nico 2<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fas fa-envelope\" style=\"font-size: 17px\"><\/span><\/span><input type=\"text\" name=\"correo_electr\u00f3nico_2\" class=\"error_message required email the_input_element aling_left align_left form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__79509\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 bootstrap_field is_grid\" data-id=\"_71740\" id=\"_71740\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_71740 col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;top: 0px;left: 0px;margin-bottom: 15px\" data-id=\"_46755\" id=\"_46755\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_71740 col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;left: 0px;top: 0px;margin-bottom: 15px\" data-id=\"_15679\" id=\"_15679\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step has_prefix_icon nf_multi_step_2 bootstrap_field is_grid\" id=\"_70865\" data-step-num=\"2\" style=\"display: none\" data-step-name=\"Antecedentes perinatales\" data-step-icon=\"fa-solid fa-2\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading heading html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_90619\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_90619__math_result\"><h3 style=\"font-size: 21px\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">II. Antecedentes Perinatales<\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields required bootstrap_field radio-group\" style=\"margin-bottom: 15px\" id=\"_44515\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Describa si present\u00f3 alg\u00fan de estos problemas durante el embarazo:<\/span><small class=\"sub-text style_italic\">Marque los que sean necesarios<\/small><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Ninguno_ninguno\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Ninguno_ninguno\" value=\"Ninguno\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Ninguno<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Dolor abdominal_dolor_abdominal\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Dolor abdominal_dolor_abdominal\" value=\"Dolor abdominal\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Dolor abdominal<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Sangrado_sangrado\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Sangrado_sangrado\" value=\"Sangrado\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Sangrado<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Traumatismo_traumatismo\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Traumatismo_traumatismo\" value=\"Traumatismo\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Traumatismo<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Infecci\u00f3n_infecci\u00f3n\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Infecci\u00f3n_infecci\u00f3n\" value=\"Infecci\u00f3n\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Infecci\u00f3n<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Embarazo m\u00faltiple_embarazo_m\u00faltiple\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__7__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Embarazo m\u00faltiple_embarazo_m\u00faltiple\" value=\"Embarazo m\u00faltiple\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Embarazo m\u00faltiple<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_34603\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__34603\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">En caso de ser positivo alguno de los problemas antes anotados, favor de describirlo:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon ui-state-active\"><span class=\"fa-solid fa-highlighter\"><\/span><\/span><textarea name=\"en_caso_de_ser_positivo_alguno_de_los_problemas_antes_anotados_favor_de_describirlo:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__34603\"><\/textarea><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_52337\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields required bootstrap_field radio-group\" style=\"margin-bottom: 15px\" id=\"_56066\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Tipo de parto<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"__7__56066_tipo_de_parto[]_Normal Vaginal_normal_vaginal\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__7__56066_tipo_de_parto[]_Normal Vaginal_normal_vaginal\" value=\"Normal Vaginal\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Normal Vaginal<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__56066_tipo_de_parto[]_Ces\u00e1rea programada_ces\u00e1rea_programada\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__7__56066_tipo_de_parto[]_Ces\u00e1rea programada_ces\u00e1rea_programada\" value=\"Ces\u00e1rea programada\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Ces\u00e1rea programada<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__56066_tipo_de_parto[]_Ces\u00e1rea de Urgencia_ces\u00e1rea_de_urgencia\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__7__56066_tipo_de_parto[]_Ces\u00e1rea de Urgencia_ces\u00e1rea_de_urgencia\" value=\"Ces\u00e1rea de Urgencia\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Ces\u00e1rea de Urgencia<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__56066_tipo_de_parto[]_Se utilizaron F\u00f3rceps_se_utilizaron_f\u00f3rceps\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__7__56066_tipo_de_parto[]_Se utilizaron F\u00f3rceps_se_utilizaron_f\u00f3rceps\" value=\"Se utilizaron F\u00f3rceps\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Se utilizaron F\u00f3rceps<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__56066_tipo_de_parto[]_Maniobras de resucitaci\u00f3n_maniobras_de_resucitaci\u00f3n\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__7__56066_tipo_de_parto[]_Maniobras de resucitaci\u00f3n_maniobras_de_resucitaci\u00f3n\" value=\"Maniobras de resucitaci\u00f3n\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Maniobras de resucitaci\u00f3n<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_72815\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields required bootstrap_field radio-group\" style=\"margin-bottom: 15px\" id=\"_78119\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Seleccione si present\u00f3 alg\u00fan problema alrededor del parto<\/span><small class=\"sub-text style_italic\">Seleccione las que sean necesarias<\/small><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-solid fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Ninguno_ninguno\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Ninguno_ninguno\" value=\"Ninguno\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Ninguno<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Parto Prematuro_parto_prematuro\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Parto Prematuro_parto_prematuro\" value=\"Parto Prematuro\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Parto Prematuro<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Mayor de 40 semanas_mayor_de_40_semanas\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Mayor de 40 semanas_mayor_de_40_semanas\" value=\"Mayor de 40 semanas\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Mayor de 40 semanas<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Ruptura de Membranas_ruptura_de_membranas\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Ruptura de Membranas_ruptura_de_membranas\" value=\"Ruptura de Membranas\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Ruptura de Membranas<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Sangrado_sangrado\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__7__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Sangrado_sangrado\" value=\"Sangrado\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Sangrado<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 bootstrap_field is_grid\" id=\"_79824\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_79824 col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_87798\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__87798\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Duraci\u00f3n del embarazo en semanas<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"duraci\u00f3n_del_embarazo_en_semanas\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__87798\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_50192\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__50192\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Llor\u00f3 y respir\u00f3 al nacer?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"llor\u00f3_y_respir\u00f3_al_nacer\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__50192\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_94776\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__94776\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Necesit\u00f3 ox\u00edgeno al nacer?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"necesit\u00f3_ox\u00edgeno_al_nacer\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__94776\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_96486\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__96486\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Necesit\u00f3 incubadora?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"necesit\u00f3_incubadora\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__96486\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_79824 col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_61030\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__61030\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Cu\u00e1ntos d\u00edas estuvo en el hospital?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"cu\u00e1ntos_d\u00edas_estuvo_en_el_hospital\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__61030\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_3579\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__3579\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Necesit\u00f3 un tubo para respirar?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"necesit\u00f3_un_tubo_para_respirar\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__3579\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_21593\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__21593\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Hicieron Resonancia o Tomograf\u00eda<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"hicieron_resonancia_o_tomograf\u00eda\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__21593\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_97725\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__97725\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Present\u00f3 alg\u00fan problema cerebral?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"present\u00f3_alg\u00fan_problema_cerebral\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__97725\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_79824 col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_98624\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__98624\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Tuvo alg\u00fan problema respiratorio<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"tuvo_alg\u00fan_problema_respiratorio\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__98624\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_34133\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__34133\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Sali\u00f3 con usted o qued\u00f3 internado?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"sali\u00f3_con_usted_o_qued\u00f3_internado\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__34133\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_98529\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__98529\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Present\u00f3 color amarillo en su piel?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"present\u00f3_color_amarillo_en_su_piel\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__98529\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_65313\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__65313\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Cuantificaron las bilirrubinas?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"cuantificaron_las_bilirrubinas\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__65313\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 bootstrap_field is_grid\" id=\"_96879\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_96879 col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;top: 0px;left: 0px;margin-bottom: 15px\" id=\"_30930\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_96879 col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;left: 0px;top: 0px;margin-bottom: 15px\" id=\"_27417\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_3 bootstrap_field is_grid\" id=\"_1851\" data-step-num=\"3\" style=\"display: none\" data-step-name=\"III. Historia M\u00e9dica y Familiar\" data-step-icon=\"fa-solid fa-3\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading heading html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_94723\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_94723__math_result\"><h3 style=\"font-size: 21px\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">III. Historia M\u00e9dica y Familiar<\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_2961\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 bootstrap_field is_grid\" id=\"_46696\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_46696 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields textarea common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_46547\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__46547\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*D\u00f3nde y cu\u00e1ndo naci\u00f3?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"d\u00f3nde_y_cu\u00e1ndo_naci\u00f3\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__46547\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_51980\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__51980\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Cu\u00e1ndo notaron los primeros s\u00edntomas?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"cu\u00e1ndo_notaron_los_primeros_s\u00edntomas\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__51980\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_90752\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__90752\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*A qu\u00e9 edad realizaron el diagn\u00f3stico?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"a_qu\u00e9_edad_realizaron_el_diagn\u00f3stico\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__90752\"><\/textarea><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_46696 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields textarea common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_10424\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__10424\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*C\u00f3mo fueron sus primeros a\u00f1os?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"c\u00f3mo_fueron_sus_primeros_a\u00f1os\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__10424\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_96095\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__96095\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Cu\u00e1les fueron las opioniones de m\u00e9dicos o terapistas?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"cu\u00e1les_fueron_las_opioniones_de_m\u00e9dicos_o_terapistas\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__96095\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_20392\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__20392\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Lo han operado? Cu\u00e1les fueron los cambios logrados?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"lo_han_operado_cu\u00e1les_fueron_los_cambios_logrados\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__20392\"><\/textarea><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_91779\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_7201\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__7201\"><span class=\"the_label style_bold\" style=\"font-size: 13px;color: #5b5b5b\">Cu\u00e1l es el principal problema o problemas a los que se enfrenta diariamente?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"cu\u00e1l_es_el_principal_problema_o_problemas_a_los_que_se_enfrenta_diariamente\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control aling_left align_left ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Espacio requerido\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__7201\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields required bootstrap_field radio-group\" style=\"margin-bottom: 15px\" id=\"_31368\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Describa la situaci\u00f3n actual del ni\u00f1@<\/span><small class=\"sub-text style_italic\">Seleccione las opciones que apliquen<\/small><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Puede caminar_puede_caminar\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_la_situaci\u00f3n_actual_del_ni\u00f1[]\" id=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Puede caminar_puede_caminar\" value=\"Puede caminar\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Puede caminar<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Usa andador_usa_andador\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_la_situaci\u00f3n_actual_del_ni\u00f1[]\" id=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Usa andador_usa_andador\" value=\"Usa andador\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Usa andador<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Silla de ruedas_silla_de_ruedas\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_la_situaci\u00f3n_actual_del_ni\u00f1[]\" id=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Silla de ruedas_silla_de_ruedas\" value=\"Silla de ruedas\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Silla de ruedas<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Est\u00e1 en cama_est\u00e1_en_cama\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_la_situaci\u00f3n_actual_del_ni\u00f1[]\" id=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Est\u00e1 en cama_est\u00e1_en_cama\" value=\"Est\u00e1 en cama\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Est\u00e1 en cama<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Es de custodia_es_de_custodia\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"describa_la_situaci\u00f3n_actual_del_ni\u00f1[]\" id=\"__7__31368_describa_la_situaci\u00f3n_actual_del_ni\u00f1[]_Es de custodia_es_de_custodia\" value=\"Es de custodia\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Es de custodia<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_81065\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields required bootstrap_field radio-group\" style=\"margin-bottom: 15px\" id=\"_76797\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*IV. Condici\u00f3n Actual<\/span><small class=\"sub-text style_italic\">Incapacidad para flexionar o extender totalmente las articulaciones<\/small><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Columna_columna\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_las_partes_donde_presente_contracturas[]\" id=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Columna_columna\" value=\"Columna\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Columna<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Hombros_hombros\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_las_partes_donde_presente_contracturas[]\" id=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Hombros_hombros\" value=\"Hombros\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Hombros<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Mu\u00f1ecas_mu\u00f1ecas\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_las_partes_donde_presente_contracturas[]\" id=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Mu\u00f1ecas_mu\u00f1ecas\" value=\"Mu\u00f1ecas\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Mu\u00f1ecas<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Caderas_caderas\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_las_partes_donde_presente_contracturas[]\" id=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Caderas_caderas\" value=\"Caderas\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Caderas<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Rodillas_rodillas\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_las_partes_donde_presente_contracturas[]\" id=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Rodillas_rodillas\" value=\"Rodillas\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Rodillas<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Tobillos_tobillos\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_las_partes_donde_presente_contracturas[]\" id=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Tobillos_tobillos\" value=\"Tobillos\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Tobillos<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Dedos_dedos\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"seleccione_las_partes_donde_presente_contracturas[]\" id=\"__7__76797_seleccione_las_partes_donde_presente_contracturas[]_Dedos_dedos\" value=\"Dedos\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Dedos<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_8308\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\"><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 bootstrap_field is_grid\" id=\"_62037\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_62037 col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;top: 0px;left: 0px;margin-bottom: 15px\" id=\"_27241\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Regresar<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_62037 col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;left: 0px;top: 0px;margin-bottom: 15px\" id=\"_72997\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Siguiente<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_4 bootstrap_field is_grid\" id=\"_28255\" data-step-num=\"4\" style=\"display: none\" data-step-icon=\"fa-solid fa-4\" data-step-name=\"Condici\u00f3n actual\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading heading html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_70568\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_70568__math_result\"><h3 style=\"font-size: 21px\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">IV. Condici\u00f3n Actual<\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_21030\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading heading html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_22231\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_22231__math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">Describa su forma de hablar:<\/h4><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 bootstrap_field is_grid\" id=\"_78493\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_78493 col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_58300\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__58300\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Habla bien de acuerdo a su edad?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"habla_bien_de_acuerdo_a_su_edad\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__58300\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_68108\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__68108\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Habla cortando palabras?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"habla_cortando_palabras\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__68108\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_78493 col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_25399\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__25399\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Habla con se\u00f1as y palabras?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"habla_con_se\u00f1as_y_palabras\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__25399\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_33331\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__33331\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Pronuncia m\u00e1s de 3 palabras?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"pronuncia_m\u00e1s_de_3_palabras\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__33331\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_78493 col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_25282\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__25282\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Habla con palabras aisladas?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"habla_con_palabras_aisladas\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__25282\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_36176\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__36176\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Habla bien pero lento?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"habla_bien_pero_lento\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__36176\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_81070\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 bootstrap_field is_grid\" id=\"_55858\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_55858 col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_58720\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__58720\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Se puede sentar sin apoyo?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"se_puede_sentar_sin_apoyo\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__58720\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_40294\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__40294\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Se sostene de pie con ayuda?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"se_sostene_de_pie_con_ayuda\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__40294\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_61257\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__61257\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Acude a alguna escuela?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"acude_a_alguna_escuela\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__61257\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_80773\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__80773\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Puede caminar?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"puede_caminar\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__80773\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_97198\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__97198\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Tiene Saliveo Excesivo?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"tiene_saliveo_excesivo\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__97198\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_92356\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__92356\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Tiene desviaci\u00f3n de su columna?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"tiene_desviaci\u00f3n_de_su_columna\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__92356\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_55858 col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_78305\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__78305\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Tiene o ha tenido Convulsiones?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"tiene_o_ha_tenido_convulsiones\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__78305\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_84951\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__84951\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Tiene desviaci\u00f3n de sus ojos?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"tiene_desviaci\u00f3n_de_sus_ojos\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__84951\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_14605\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__14605\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Puede deglutir y masticar normal?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"puede_deglutir_y_masticar_normal\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__14605\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_56421\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__56421\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Tiene alguna sonda o v\u00e1lvula?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"tiene_alguna_sonda_o_v\u00e1lvula\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__56421\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_11048\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__11048\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">Toma medicamentos actualmente?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"toma_medicamentos_actualmente\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__11048\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_55858 col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_25095\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__25095\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Toma o ha tomado Baclofeno?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"toma_o_ha_tomado_baclofeno\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__25095\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_16753\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__16753\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Le han aplicado Toxina Botul\u00ednica?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"le_han_aplicado_toxina_botul\u00ednica\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__16753\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_6237\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__6237\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Tiene alguna alergia?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"tiene_alguna_alergia\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__6237\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_26120\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__26120\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Anote su peso en kg<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"anote_su_peso_en_kg\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__26120\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_17535\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__17535\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Anote su estatura en metros<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"anote_su_estatura_en_metros\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__17535\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 bootstrap_field is_grid\" id=\"_6290\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_6290 col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;top: 0px;left: 0px;margin-bottom: 15px\" id=\"_74418\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Regresar<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_6290 col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;left: 0px;top: 0px;margin-bottom: 15px\" id=\"_63844\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Siguiente<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_5 bootstrap_field is_grid\" id=\"_49878\" data-step-num=\"5\" style=\"display: none\" data-step-icon=\"fa-solid fa-5\" data-step-name=\"Informaci\u00f3n adicional \">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading heading html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_75984\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_75984__math_result\"><h3 style=\"font-size: 21px\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">V. Informaci\u00f3n Adicional<\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_36127\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields required bootstrap_field radio-group\" style=\"margin-bottom: 15px\" id=\"_76065\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Cuenta con alg\u00fan servicio m\u00e9dico asistencial?<\/span><small class=\"sub-text style_italic\">Seleccione todos los que apliquen<\/small><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Ninguno_ninguno\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Ninguno_ninguno\" value=\"Ninguno\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Ninguno<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_IMSS_imss\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_IMSS_imss\" value=\"IMSS\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">IMSS<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_ISSSTE_issste\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_ISSSTE_issste\" value=\"ISSSTE\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">ISSSTE<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_PEMEX_pemex\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_PEMEX_pemex\" value=\"PEMEX\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">PEMEX<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Shriners_shriners\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Shriners_shriners\" value=\"Shriners\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Shriners<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_CREE_cree\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_CREE_cree\" value=\"CREE\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">CREE<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_DIF_dif\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_DIF_dif\" value=\"DIF\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">DIF<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_EPS_eps\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_EPS_eps\" value=\"EPS\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">EPS<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Telet\u00f3n_telet\u00f3n\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Telet\u00f3n_telet\u00f3n\" value=\"Telet\u00f3n\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Telet\u00f3n<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_APAC_apac\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_APAC_apac\" value=\"APAC\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">APAC<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Centro de Rehabilitaci\u00f3n_centro_de_rehabilitaci\u00f3n\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Centro de Rehabilitaci\u00f3n_centro_de_rehabilitaci\u00f3n\" value=\"Centro de Rehabilitaci\u00f3n\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Centro de Rehabilitaci\u00f3n<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Privado_privado\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Privado_privado\" value=\"Privado\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Privado<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Seguro de Gastos M\u00e9dicos_seguro_de_gastos_m\u00e9dicos\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element form-control ui-state-default\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__7__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Seguro de Gastos M\u00e9dicos_seguro_de_gastos_m\u00e9dicos\" value=\"Seguro de Gastos M\u00e9dicos\" style=\"display: none\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b\">Seguro de Gastos M\u00e9dicos<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px;position: relative;z-index: 1000;left: 0px;top: 0px\" id=\"_96842\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_88162\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__88162\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Nombre de la persona que solicita ayuda y razones para contactarnos...<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"nombre_de_la_persona_que_solicita_ayuda_y_razones_para_contactarnos\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__88162\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_69073\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__69073\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Qui\u00e9n le recomienda o en d\u00f3nde escuch\u00f3 acerca del Centro de Cirugia Especial de M\u00e9xico, IAP?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"qui\u00e9n_le_recomienda_o_en_d\u00f3nde_escuch\u00f3_acerca_del_centro_de_cirugia_especial_de_m\u00e9xico_iap\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format aling_left align_left required form-control ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__69073\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_30909\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__30909\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">*Tel\u00e9fono y Correo Electr\u00f3nico para darles a conocer la respuesta de la Fundaci\u00f3n<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"tel\u00e9fono_y_correo_electr\u00f3nico_para_darles_a_conocer_la_respuesta_de_la_fundaci\u00f3n\" class=\"error_message the_input_element aling_left align_left required form-control ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"input__30909\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_93216\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 bootstrap_field is_grid\" id=\"_46172\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_46172 col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;top: 0px;left: 0px;margin-bottom: 15px\" id=\"_23945\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Regresar<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_46172 col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;left: 0px;top: 0px;margin-bottom: 15px\" id=\"_18894\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-step ui-state-default\" data-ga=\"\">Siguiente<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step has_postfix_icon nf_multi_step_6 bootstrap_field is_grid\" id=\"_63069\" data-step-num=\"6\" style=\"display: none\" data-step-name=\"Fotos y videos\" data-step-icon=\"fa-solid fa-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading heading html_fields bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_15957\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_15957__math_result\"><h3 style=\"font-size: 21px\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">6. Enviar Fotos y Videos<\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_33356\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields upload-single upload_fields has_postfix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_51162\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__51162\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">1. Acta o Registro de Nacimiento:<\/span><small class=\"sub-text style_italic\">Fotograf\u00eda en color o digitalizar documento<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\"><input type=\"hidden\" value=\"\" id=\"_51162__undefined\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div name=\"1_acta_o_registro_de_nacimiento:\" class=\"the_input_element aling_left uneditable-input span3 error_message form-control ui-state-default\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"bottom\" data-trigger=\"fileinput\"><i class=\"fas fa-cloud-upload-alt fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"btn-default btn-file postfix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fa-cloud-upload\" style=\"font-size: 17px\"><\/span><input type=\"file\" name=\"1_acta_o_registro_de_nacimiento:\" class=\"the_input_element align_left ui-state-default\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"_51162__1_acta_o_registro_de_nacimiento:\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"btn btn-default fileinput-exists input-group-addon ui-state-active\" data-dismiss=\"fileinput\"><span class=\"fu-text\">X<\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none\">doc,docx,mpg,mpeg,mp3,mp4,odt,odp,ods,pdf,ppt,pptx,txt,xls,xlsx<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields upload-single upload_fields has_postfix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_62739\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__62739\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">2. Comprobante de Domicilio<\/span><small class=\"sub-text style_italic\">Fotograf\u00eda en color o digitalizar documento<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\"><input type=\"hidden\" value=\"\" id=\"_62739__undefined\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div name=\"2_comprobante_de_domicilio\" class=\"the_input_element aling_left uneditable-input span3 error_message form-control ui-state-default\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"bottom\" data-trigger=\"fileinput\"><i class=\"fas fa-cloud-upload-alt fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"btn-default btn-file postfix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fa-cloud-upload\" style=\"font-size: 17px\"><\/span><input type=\"file\" name=\"2_comprobante_de_domicilio\" class=\"the_input_element align_left ui-state-default\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"_62739__2_comprobante_de_domicilio\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"btn btn-default fileinput-exists input-group-addon ui-state-active\" data-dismiss=\"fileinput\"><span class=\"fu-text\">X<\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none\">doc,docx,mpg,mpeg,mp3,mp4,odt,odp,ods,pdf,ppt,pptx,txt,xls,xlsx<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields upload-single upload_fields has_postfix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_55777\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__55777\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">3. Identificaci\u00f3n del Padre<\/span><small class=\"sub-text style_italic\">Fotograf\u00eda en color o digitalizar documento<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\"><input type=\"hidden\" value=\"\" id=\"_55777__undefined\"><input type=\"hidden\" value=\"\" id=\"_55777__undefined\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div name=\"3_identificaci\u00f3n_del_padre\" class=\"the_input_element aling_left uneditable-input span3 error_message form-control ui-state-default\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"bottom\" data-trigger=\"fileinput\"><i class=\"fas fa-cloud-upload-alt fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"btn-default btn-file postfix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fa-cloud-upload\" style=\"font-size: 17px\"><\/span><input type=\"file\" name=\"3_identificaci\u00f3n_del_padre\" class=\"the_input_element align_left ui-state-default\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"_55777__3_identificaci\u00f3n_del_padre\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"btn btn-default fileinput-exists input-group-addon ui-state-active\" data-dismiss=\"fileinput\"><span class=\"fu-text\">X<\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none\">doc,docx,mpg,mpeg,mp3,mp4,odt,odp,ods,pdf,ppt,pptx,txt,xls,xlsx<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields upload-single upload_fields has_postfix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_2850\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__2850\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">4. Identificaci\u00f3n de la Madre<\/span><small class=\"sub-text style_italic\">Fotograf\u00eda en color o digitalizar documento<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\"><input type=\"hidden\" value=\"\" id=\"_2850__undefined\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div name=\"4_identificaci\u00f3n_de_la_madre\" class=\"the_input_element aling_left uneditable-input span3 error_message form-control ui-state-default\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"bottom\" data-trigger=\"fileinput\"><i class=\"fas fa-cloud-upload-alt fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"btn-default btn-file postfix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fa-cloud-upload\" style=\"font-size: 17px\"><\/span><input type=\"file\" name=\"4_identificaci\u00f3n_de_la_madre\" class=\"the_input_element align_left ui-state-default\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"_2850__4_identificaci\u00f3n_de_la_madre\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"btn btn-default fileinput-exists input-group-addon ui-state-active\" data-dismiss=\"fileinput\"><span class=\"fu-text\">X<\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none\">doc,docx,mpg,mpeg,mp3,mp4,odt,odp,ods,pdf,ppt,pptx,txt,xls,xlsx<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields upload-multi upload_fields has_postfix_icon bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_4203\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__4203\"><span class=\"the_label\" style=\"font-size: 13px;color: #5b5b5b\">6. Fotos y Videos<\/span><small class=\"sub-text style_italic\">Formato para enviar varias fotos y videos en una misma selecci\u00f3n.<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\"><input type=\"hidden\" value=\"\" id=\"_4203__undefined\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div name=\"6_fotos_y_videos[]\" class=\"the_input_element aling_left uneditable-input span3 error_message form-control ui-state-default\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-max-per-file-message=\"Maximum File Size of {x}MB Exceeded\" data-min-per-file-message=\"Minimum File Size of {x}MB Required\" data-max-all-file-message=\"Maximum Size for all files can not exceed {x}MB \" data-file-upload-limit-message=\"Only a maximum of {x} files can be uploaded\" data-max-size-pf=\"0\" data-min-size-pf=\"0\" data-max-size-overall=\"0\" data-max-files=\"0\" data-placement=\"bottom\" data-trigger=\"fileinput\"><i class=\"fas fa-cloud-upload-alt fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"btn-default btn-file postfix input-group-addon ui-state-active\" style=\"color: #888888;background: white;border-color: #dddddd\"><span class=\"fa fa-cloud-upload\" style=\"font-size: 17px\"><\/span><input type=\"file\" name=\"6_fotos_y_videos[]\" multiple=\"\" class=\"the_input_element align_left ui-state-default\" style=\"font-size: 13px;color: #5b5b5b;background: white;border-color: #dddddd\" id=\"_4203__6_fotos_y_videos[]\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"btn btn-default fileinput-exists input-group-addon ui-state-active\" data-dismiss=\"fileinput\"><span class=\"fu-text\">X<\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none\">doc,docx,mpg,mpeg,mp3,mp4,odt,odp,ods,pdf,ppt,pptx,txt,xls,xlsx,jpg,jpeg,png,psd,tif,tiff<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_18524\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields paragraph paragraph html_fields bootstrap_field\" style=\"margin-bottom: 15px\" id=\"_76895\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"background-color: transparent\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_76895__math_result\"><div class=\"the_input_element style_bold\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"color: #999999\">IMPORTANTE:<br>* Antes de enviar documentos, fotos y videos debe seguir las siguientes recomendaciones:<br>* Las fotos y videos deben tomarse con ropa corta<br>* Deben tomar las fotos sin calcetines y sin zapatos<br>* De ser posible env\u00ede m\u00e1s de una foto de cada zona<br>* Lo importante es mostrar la parte del cuerpo con el problema<br>* Intente generar un solo documento con todas las fotos en un archivo PDF<br>* Una vez que tome fotos y videos puede enviarlas por este medio<br>* Tambi\u00e9n puede enviar documentos, fotos y videos V\u00eda WhatsApp: +521 55 4812 8004<br>* No poder lograr los movimientos o posiciones no descarta enviar las fotos y videos.<\/div><div style=\"clear:both\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields bootstrap_field\" style=\"margin-bottom: 15px;position: relative;top: 0px\" id=\"_74951\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"border-color: #3d85c6\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px;border-color: #3d85c6\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields paragraph paragraph html_fields\" style=\"margin-bottom: 15px\" id=\"_64169\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" id=\"_64169__math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\"><b>Necesitamos nos env\u00eden las siguientes fotograf\u00edas y videos:<\/b><br><br><b>Importante:<\/b><br><br>\u2022\tLas fotos y videos deben tomarse con ropa corta<br><br>\u2022\tSin calcetines, sin zapatos<br><br>\u2022\tSin disfraces<br><br>\u2022\tDe ser posible env\u00ede m\u00e1s de una foto de cada zona<br><br>\u2022\tLo importante es mostrar la parte del cuerpo con el problema<br><br>\u2022\tIntente generar un solo documento con todas las fotos en un archivo PDF<br><br>\u2022\tLos videos los puede enviar m\u00e1s f\u00e1cilmente V\u00eda WhatsApp: +52 1 55 4812 8004<br><br>\u2022\tNo poder lograr los movimientos o posiciones no descarta enviar las fotos o videos<br><br><br><b>Documentos de Identidad:<\/b> <br><br>1.\tActa o Registro de Nacimiento<br><br>2.\tComprobante de domicilio<br><br>3.\tIdentificaci\u00f3n del padre<br><br>4.\tIdentificaci\u00f3n de la madre<br><br><br><b>Fotos:<\/b><br>1.\tDe su cara<br><br>2.\tCon uno de sus padres<br><br>3.\tDe sus brazos intentando llevarlos hacia arriba al m\u00e1ximo, sin ayuda<br><br>4.\tDe su espalda descubierta sentado y acostado<br><br>5.\tDe sus manos sobre sus muslos con las palmas hacia arriba, sin ayuda<br><br>6.\tDe sus manos sobre sus muslos con las palmas hacia abajo, sin ayuda<br><br>7.\tSentado separando sus rodillas al m\u00e1ximo<br><br>8.\tDe sus piernas, de pie con ayuda, para valorar sus rodillas de cada uno de los lados<br><br>9.\tDe sus pies de cada uno de los lados, de frente y de pie desde atr\u00e1s<br><br><br><br><b>Videos:<\/b><br><br>10.\tElevando los brazos lo m\u00e1s posible SIN ayuda<br><br>11.\tUn video donde se aprecie cu\u00e1nto puede separar sus rodillas en posici\u00f3n sentada<br><br>12.\tUn video de pie con o sin ayuda<br><br>13.\tUn video caminando de frente y de espalda con o sin ayuda<br><br>14.\tSi no puede hacer alg\u00fan movimiento de todos modos son \u00fatiles fotos y videos, para valorar cu\u00e1nto pueden hacer.<br><br>15.\tUn video hablando algunas palabras, aunque no se entiendan mucho<br><\/div><div style=\"clear:both\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 bootstrap_field is_grid\" id=\"_53616\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_53616 col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;top: 0px;left: 0px;margin-bottom: 15px\" id=\"_73959\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Regresar<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_53616 col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" style=\"position: relative;left: 0px;top: 0px;margin-bottom: 15px\" id=\"_30825\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-submit ui-state-default\" data-ga=\"\">Enviar Cuestionario<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/form><\/div><\/div><\/div><\/div><\/div><style type=\"text\/css\" class=\"nex-forms-custom-css\"><\/style><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aed3829 e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"aed3829\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-99e306c jltma-glass-effect-no elementor-widget elementor-widget-spacer\" data-id=\"99e306c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5488e7f elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\" data-id=\"5488e7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-860398f e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"860398f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a256d7b e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"a256d7b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7f07cdf jltma-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"7f07cdf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1582\" data-end=\"1897\">La <strong data-start=\"1585\" data-end=\"1612\">Par\u00e1lisis Cerebral (PC)<\/strong> es una condici\u00f3n neurol\u00f3gica compleja que requiere evaluaciones m\u00e9dicas especializadas y continuas. Sin embargo, para miles de familias de bajos recursos, trasladar a sus hijos hasta centros especializados implica gastos elevados, tiempo perdido y una carga emocional significativa.<\/p>\n<p data-start=\"1899\" data-end=\"2317\">Por esta raz\u00f3n, utilizamos la <strong data-start=\"1919\" data-end=\"1935\">telemedicina <\/strong>para poder realizar realizar <strong data-start=\"1961\" data-end=\"1997\">evaluaciones m\u00e9dicas a distancia<\/strong> que permiten un diagn\u00f3stico m\u00e1s oportuno y accesible.&nbsp;<\/p>\n<p data-start=\"1899\" data-end=\"2317\">Estas evaluaciones remotas se basan en cuestionarios estandarizados, entrevistas virtuales con especialistas y la revisi\u00f3n de fotos, videos, estudios y radiograf\u00edas enviados por las familias, lo que facilita la identificaci\u00f3n de patrones de movimiento, contracturas y determinar necesidades de tratamiento.<\/p>\n<p data-start=\"2319\" data-end=\"2589\">Por esto el costo de un tratamiento vitalicio de un ni\u00f1o con Par\u00e1lisis Cerebral es muy caro, supera el mill\u00f3n de d\u00f3lares como el caso de Estados Unidos.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7249b24 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"7249b24\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a9158de jltma-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"a9158de\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"2591\" data-end=\"2929\"><span style=\"font-size: 1rem;\">Por ello,<\/span><span style=\"font-size: 1rem;\">&nbsp;<\/span><span data-start=\"2429\" data-end=\"2491\" style=\"font-size: 1rem; font-weight: bolder;\">optimizar el diagn\u00f3stico temprano y preciso es fundamental<\/span><span style=\"font-size: 1rem;\">&nbsp;<\/span><span style=\"font-size: 1rem;\">para reducir complicaciones, mejorar la calidad de vida y disminuir los gastos m\u00e9dicos futuros.<\/span><\/p>\n<p data-start=\"2591\" data-end=\"2929\">Nuestro <strong data-start=\"2599\" data-end=\"2633\">protocolo de evaluaci\u00f3n remota<\/strong> est\u00e1 dise\u00f1ado para contextos de vulnerabilidad econ\u00f3mica.&nbsp;<span style=\"font-size: 1rem;\">Busca reducir desplazamientos innecesarios y garantizar un an\u00e1lisis m\u00e9dico riguroso que, aunque no sustituye la valoraci\u00f3n presencial, permite orientar tratamientos iniciales, priorizar casos urgentes y dar tranquilidad a las familias.<\/span><\/p>\n<p data-start=\"2931\" data-end=\"3159\">Adem\u00e1s, ofrecemos una <strong data-start=\"2953\" data-end=\"2982\">gu\u00eda clara y comprensible<\/strong> para que los padres sepan qu\u00e9 esperar de una evaluaci\u00f3n remota, c\u00f3mo preparar la informaci\u00f3n de su hijo y c\u00f3mo tomar decisiones basadas en evidencia, sin falsas expectativas.<\/p>\n<p data-start=\"3161\" data-end=\"3342\">La atenci\u00f3n m\u00e9dica a distancia representa un cambio positivo en la vida de las familias con ni\u00f1os con <b>PC<\/b>: m\u00e1s accesible, m\u00e1s emp\u00e1tica y m\u00e1s centrada en sus verdaderas necesidades.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3655a3a e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"3655a3a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-04ee888 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\" data-id=\"04ee888\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f192d3 e-n-tabs-mobile jltma-glass-effect-no elementor-invisible elementor-widget elementor-widget-n-tabs\" data-id=\"1f192d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeft&quot;}\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"32608979\" aria-label=\"Pesta\u00f1as. Abre elementos con Intro o Espacio, ci\u00e9rralos con Escape y navega con las fechas.\">\n\t\t\t<div class=\"e-n-tabs-heading\" role=\"tablist\">\n\t\t\t\t\t<button id=\"e-n-tab-title-326089791\" data-tab-title-id=\"e-n-tab-title-326089791\" class=\"e-n-tab-title\" aria-selected=\"true\" data-tab-index=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"e-n-tab-content-326089791\" style=\"--n-tabs-title-order: 1;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tQu\u00e9 es una Evaluaci\u00f3n M\u00e9dica a Distancia\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-326089792\" data-tab-title-id=\"e-n-tab-title-326089792\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-326089792\" style=\"--n-tabs-title-order: 2;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tQu\u00e9 necesito preparar?\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-326089793\" data-tab-title-id=\"e-n-tab-title-326089793\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-326089793\" style=\"--n-tabs-title-order: 3;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tQu\u00e9 beneficio tiene?\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-326089794\" data-tab-title-id=\"e-n-tab-title-326089794\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-326089794\" style=\"--n-tabs-title-order: 4;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tQu\u00e9 limitaciones hay?\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t<button id=\"e-n-tab-title-326089795\" data-tab-title-id=\"e-n-tab-title-326089795\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-326089795\" style=\"--n-tabs-title-order: 5;\">\n\t\t\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\tNuestro compromiso\t\t\t<\/span>\n\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div id=\"e-n-tab-content-326089791\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-326089791\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-c1313eb e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"c1313eb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-2168d99 e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"2168d99\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b5db0a6 jltma-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"b5db0a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-size: 14pt;\">Es una valoraci\u00f3n m\u00e9dica especializada&nbsp; a distancia por env\u00edo de informaci\u00f3n digital:<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 14pt;\">Cuestionario<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Fotos<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Videos<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Radiograf\u00eda de pelvis<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Documentos de identidad<\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: 14pt;\">&#8230; con estos datos se eval\u00faa el estado actual de tu hijo sin necesidad de viajar.<\/span><\/p>\n<p><span style=\"font-size: 14pt;\">Si los padres tienen dudas o preguntas acerca del tratamiento, traslado, hospedaje, alimentaci\u00f3n, etc., est\u00e1 siempre la posibilidad de realizar una consulta virtual desde casa.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-326089792\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-326089792\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-78b3f34 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"78b3f34\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-afda9b7 e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"afda9b7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-74bd94c jltma-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"74bd94c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li data-start=\"4632\" data-end=\"4699\"><p data-start=\"4634\" data-end=\"4699\"><span style=\"font-size: 14pt;\">Responder el cuestionario sobre la salud y desarrollo del ni\u00f1o.<\/span><\/p><\/li><li data-start=\"4632\" data-end=\"4699\"><p data-start=\"4634\" data-end=\"4699\"><span style=\"font-size: 14pt;\">Contestar el cuestionario con la mayor informaci\u00f3n posible, evitando respuestas S\u00cd o NO.<\/span><\/p><\/li><li data-start=\"4632\" data-end=\"4699\"><p data-start=\"4634\" data-end=\"4699\"><span style=\"font-size: 14pt;\">Enviar informes m\u00e9dicos de otros hospitales<\/span><\/p><\/li><li data-start=\"4700\" data-end=\"4779\"><p data-start=\"4702\" data-end=\"4779\"><span style=\"font-size: 14pt;\">Grabar videos simples en casa mostrando c\u00f3mo se mueve, juega o se alimenta.<\/span><\/p><\/li><li data-start=\"4780\" data-end=\"4865\"><p data-start=\"4782\" data-end=\"4865\"><span style=\"font-size: 14pt;\">Tener lista la cartilla de vacunaci\u00f3n.<\/span><\/p><\/li><li data-start=\"4780\" data-end=\"4865\"><span style=\"font-size: 14pt;\">Escribir una Carta de Solicitud de Atenci\u00f3n escrita por uno de los padres<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-326089793\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-326089793\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-0e53396 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"0e53396\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-862e8f3 e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"862e8f3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ef8c60 jltma-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"8ef8c60\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li data-start=\"4896\" data-end=\"4945\"><p data-start=\"4898\" data-end=\"4945\"><span style=\"font-size: 14pt;\">Evitas gastos de transporte, hospedaje, alimentaci\u00f3n simplemente para una consulta de valoraci\u00f3n.<\/span><\/p><\/li><li data-start=\"4896\" data-end=\"4945\"><p data-start=\"4898\" data-end=\"4945\"><span style=\"font-size: 14pt;\">En caso de no estar interesado en el tratamiento, despu\u00e9s del Resultado de la Evaluaci\u00f3n a Distancia, afortunadamente no realiz\u00f3 gastos innecesarios.<\/span><\/p><\/li><li data-start=\"4946\" data-end=\"4996\"><p data-start=\"4948\" data-end=\"4996\"><span style=\"font-size: 14pt;\">Recibes una primera orientaci\u00f3n m\u00e9dica r\u00e1pida.<\/span><\/p><\/li><li data-start=\"4997\" data-end=\"5091\"><p data-start=\"4999\" data-end=\"5091\"><span style=\"font-size: 14pt;\">Conocer exactamente cu\u00e1les pueden ser los beneficios de ser tratado en el Centro de Cirug\u00eda Especial de M\u00e9xico, IAP.<\/span><\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-326089794\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-326089794\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-e14a9f1 e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"e14a9f1\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a15f635 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"a15f635\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-260d7e0 jltma-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"260d7e0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li data-start=\"5122\" data-end=\"5186\"><span style=\"font-size: 14pt;\">Es IMPOSIBLE realizar una adecuada evaluaci\u00f3n si no env\u00eda la informaci\u00f3n completa<\/span><\/li><li data-start=\"5122\" data-end=\"5186\"><span style=\"font-size: 14pt;\">No sustituye todos los ex\u00e1menes f\u00edsicos ni estudios m\u00e9dicos.<\/span><\/li><li data-start=\"5122\" data-end=\"5186\"><span style=\"font-size: 14pt;\">Si no siguen las indicaciones de c\u00f3mo enviar fotos y videos, se dificulta la evaluaci\u00f3n a distancia.<\/span><\/li><li data-start=\"5122\" data-end=\"5186\"><span style=\"font-size: 14pt;\">Si no desea enviar informaci\u00f3n y prefiere una consulta presencial, le informamos que se atender\u00e1 como un paciente privado con costos de consulta, costos de cirug\u00eda de hospitales privados y beneficios de este tipo de atenci\u00f3n.<\/span><\/li><li data-start=\"5122\" data-end=\"5186\"><span style=\"font-size: 14pt;\">Si los familiares no mantienen la comunicaci\u00f3n constante cada 6 a 8 semanas para lograr el m\u00e1ximo resultados, pueden no lograrse las metas propuestas.<\/span><\/li><li data-start=\"5122\" data-end=\"5186\"><span style=\"font-size: 14pt;\">Si los padres acuden a las terapias ANTIGUAS que NO funcionaron ANTES de la cirug\u00eda, TAMPOCO funcionar\u00e1n DESPU\u00c9S de la cirugia y las metas de resultados propuestos en el Resultado de la Evaluaci\u00f3n a distancia no podr\u00e1n lograrse.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-326089795\" role=\"tabpanel\" aria-labelledby=\"e-n-tab-title-326089795\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-f3493f1 e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"f3493f1\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4c8e2ad e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"4c8e2ad\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-12ea5e1 jltma-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"12ea5e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li><span style=\"font-size: 14pt;\">Brindar una orientaci\u00f3n clara, emp\u00e1tica y basada en ciencia, para que tomes decisiones informadas y seguras sobre la salud de tu hijo.&nbsp;<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Nos comprometemos a escuchar cada detalle, respetar tus circunstancias econ\u00f3micas y emocionales<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Ofrecer recomendaciones realistas, sin falsas promesas, siempre buscando mejorar la calidad de vida familiar.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Los resultados probables enviados por escrito como Resultado de la Evaluaci\u00f3n a Distancia son alcanzables e incluso superiores si los familiares se comprometen a continuar en comunicaci\u00f3n con el Centro de Cirug\u00eda Especial de M\u00e9xico, IAP.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Si deciden acudir a tratamiento, el primer d\u00eda de su estancia en la Ciudad de M\u00e9xico en el Centro de Cirug\u00eda Especial de M\u00e9xico, IAP, se realiza una evaluaci\u00f3n presencial y aclaraci\u00f3n de dudas.<\/span><\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ac16bcd e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"ac16bcd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a8d4371 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"a8d4371\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"jet-tooltip-widget elementor-element elementor-element-11332c2 jltma-glass-effect-no elementor-widget elementor-widget-html\" role=\"tooltip\" data-jet-tricks-settings=\"{&quot;tooltip&quot;:&quot;true&quot;,&quot;tooltipDescription&quot;:&quot;&lt;p&gt;P\\u00c1GINA ANTERIOR&lt;\\\/p&gt;&quot;,&quot;tooltipPlacement&quot;:&quot;top-start&quot;,&quot;tooltipArrow&quot;:true,&quot;xOffset&quot;:0,&quot;yOffset&quot;:0,&quot;tooltipAnimation&quot;:&quot;scale&quot;,&quot;tooltipTrigger&quot;:&quot;mouseenter&quot;,&quot;zIndex&quot;:999,&quot;appendTo&quot;:&quot;widget&quot;,&quot;customSelector&quot;:&quot;&quot;,&quot;delay&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;followCursor&quot;:&quot;false&quot;}\" data-id=\"11332c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"jet-tricks-tooltip-content-11332c2\" class=\"jet-tooltip-widget__content\"><p>P\u00c1GINA ANTERIOR<\/p><\/div><!DOCTYPE html>\n<html lang=\"es\">\n<head>\n    <meta charset=\"UTF-8\">\n    <meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n    <title>Bot\u00f3n de Regreso<\/title>\n    <style>\n        .back-button {\n            display: inline-block;\n            padding: 9px 16px;\n            font-size: 19px;\n            color: #fff;\n            background-color: #6384F1;\n            border: none;\n            border-radius: 5px;\n            cursor: pointer;\n            text-decoration: none;\n        }\n\n        .back-button:hover {\n            background-color: #6384F1;\n        }\n    <\/style>\n<\/head>\n<body>\n    <button class=\"back-button\" onclick=\"history.back()\">\u276e<\/button>\n<\/body>\n<\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-tooltip-widget elementor-element elementor-element-7a33e18 jltma-glass-effect-no elementor-widget elementor-widget-button\" role=\"tooltip\" data-jet-tricks-settings=\"{&quot;tooltip&quot;:&quot;true&quot;,&quot;tooltipDescription&quot;:&quot;&lt;p&gt;\\u00a0\\u00a0\\u00a0 P\\u00c1GINA PRINCIPAL&lt;\\\/p&gt;&quot;,&quot;tooltipPlacement&quot;:&quot;top-start&quot;,&quot;tooltipArrow&quot;:true,&quot;xOffset&quot;:0,&quot;yOffset&quot;:0,&quot;tooltipAnimation&quot;:&quot;scale&quot;,&quot;tooltipTrigger&quot;:&quot;mouseenter&quot;,&quot;zIndex&quot;:999,&quot;appendTo&quot;:&quot;widget&quot;,&quot;customSelector&quot;:&quot;&quot;,&quot;delay&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;followCursor&quot;:&quot;false&quot;}\" data-id=\"7a33e18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"jet-tricks-tooltip-content-7a33e18\" class=\"jet-tooltip-widget__content\"><p>\u00a0\u00a0\u00a0 P\u00c1GINA PRINCIPAL<\/p><\/div>\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/centrodecirugia.org\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"jltma-material-icon jltma-material-icon-home\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-tooltip-widget elementor-element elementor-element-ca030b4 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-button\" role=\"tooltip\" data-jet-tricks-settings=\"{&quot;tooltip&quot;:&quot;true&quot;,&quot;tooltipDescription&quot;:&quot;&lt;p&gt;SUBIR&lt;\\\/p&gt;&quot;,&quot;tooltipPlacement&quot;:&quot;top-start&quot;,&quot;tooltipArrow&quot;:true,&quot;xOffset&quot;:0,&quot;yOffset&quot;:0,&quot;tooltipAnimation&quot;:&quot;scale&quot;,&quot;tooltipTrigger&quot;:&quot;mouseenter&quot;,&quot;zIndex&quot;:999,&quot;appendTo&quot;:&quot;widget&quot;,&quot;customSelector&quot;:&quot;&quot;,&quot;delay&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;followCursor&quot;:&quot;false&quot;}\" data-id=\"ca030b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"jet-tricks-tooltip-content-ca030b4\" class=\"jet-tooltip-widget__content\"><p>SUBIR<\/p><\/div>\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cuestionario Par\u00e1lisis Cerebral Con el fin de evitarle traslados innecesarios desde su hogar hasta el Centro de Cirug\u00eda Especial de M\u00e9xico, les recomendamos enviar la siguiente informaci\u00f3n si desea una evaluaci\u00f3n a distancia. Por favor lea las indicaciones y recomendaciones ANTES de contestar el cuestionario. Labio Leporino Close Labio Leporino Open Labio Leporino Qu\u00e9 es [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12467,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_jet_sm_ready_style":"","_jet_sm_style":"","_jet_sm_controls_values":"","_jet_sm_fonts_collection":"","_jet_sm_fonts_links":"","footnotes":""},"categories":[42],"tags":[],"class_list":["post-1466","page","type-page","status-publish","has-post-thumbnail","hentry","category-cuestionarios"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/pages\/1466","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/comments?post=1466"}],"version-history":[{"count":95,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/pages\/1466\/revisions"}],"predecessor-version":[{"id":12494,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/pages\/1466\/revisions\/12494"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/media\/12467"}],"wp:attachment":[{"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/media?parent=1466"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/categories?post=1466"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/tags?post=1466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}