{"id":1604,"date":"2024-11-04T02:11:11","date_gmt":"2024-11-04T08:11:11","guid":{"rendered":"https:\/\/centrodecirugia.org\/?page_id=1604"},"modified":"2025-09-23T18:52:27","modified_gmt":"2025-09-24T00:52:27","slug":"cuestionario-para-labio-y-paladar-hendido","status":"publish","type":"page","link":"https:\/\/centrodecirugia.org\/en\/cuestionario-para-labio-y-paladar-hendido\/","title":{"rendered":"Cuestionario para Labio y Paladar Hendido"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1604\" class=\"elementor elementor-1604\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bedbc7c 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=\"bedbc7c\" 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-62d0e85 jltma-glass-effect-no\" data-id=\"62d0e85\" 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-79e28fc jltma-glass-effect-no elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"79e28fc\" 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 para Labio y Paladar Hendido<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0479e8c elementor-widget-tablet__width-initial jltma-glass-effect-no elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"0479e8c\" 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-aceb673 jltma-glass-effect-no\" data-id=\"aceb673\" 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-d85da47 e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"d85da47\" 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-ad619f8 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"ad619f8\" 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-974d7c5 e-full_width e-n-menu-layout-horizontal e-n-menu-tablet jltma-glass-effect-no elementor-widget elementor-widget-n-menu\" data-id=\"974d7c5\" 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=\"158\" aria-label=\"Menu\">\n\t\t\t\t\t<button class=\"e-n-menu-toggle\" id=\"menu-toggle-158\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"menubar-158\" aria-label=\"Menu Toggle\">\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-158\" aria-labelledby=\"menu-toggle-158\">\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-1581\" 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-1581\" class=\"e-n-menu-dropdown-icon e-focus\" data-tab-index=\"1\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"e-n-menu-content-1581\" >\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\">Close 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\">Open 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-1581\" data-tab-index=\"1\" aria-labelledby=\"e-n-menu-dropdown-icon-1581\" class=\"elementor-element elementor-element-2f92ef7 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"2f92ef7\" 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-eda0461 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"eda0461\" 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-00d842a jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"00d842a\" 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-ff22186 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"ff22186\" 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-a932a89 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"a932a89\" 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-a52596e jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"a52596e\" 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-27b9801 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"27b9801\" 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-1582\" 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-1582\" class=\"e-n-menu-dropdown-icon e-focus\" data-tab-index=\"2\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"e-n-menu-content-1582\" >\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\">Close 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\">Open 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-1582\" data-tab-index=\"2\" aria-labelledby=\"e-n-menu-dropdown-icon-1582\" class=\"elementor-element elementor-element-d46cd8e e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"d46cd8e\" 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-b5a3274 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"b5a3274\" 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-4f0912f jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"4f0912f\" 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-3a6914c elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"3a6914c\" 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-6970b0a e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"6970b0a\" 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-9616837 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"9616837\" 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-a1e10d7 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"a1e10d7\" 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-cd4a02d e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"cd4a02d\" 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-ed6cc6c jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"ed6cc6c\" 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-b094583 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"b094583\" 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-3d53228 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"3d53228\" 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-f71248c jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"f71248c\" 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-73bcc74 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"73bcc74\" 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-1583\" 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-1583\" class=\"e-n-menu-dropdown-icon e-focus\" data-tab-index=\"3\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"e-n-menu-content-1583\" >\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\">Close 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\">Open 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-1583\" data-tab-index=\"3\" aria-labelledby=\"e-n-menu-dropdown-icon-1583\" class=\"elementor-element elementor-element-1dc33cb e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"1dc33cb\" 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-48209c2 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"48209c2\" 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-493bd88 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"493bd88\" 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-da06ce6 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"da06ce6\" 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-7ab5e67 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"7ab5e67\" 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-5a2daac jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"5a2daac\" 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-2155343 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"2155343\" 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-1584\" 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-1584\" class=\"e-n-menu-dropdown-icon e-focus\" data-tab-index=\"4\" aria-haspopup=\"true\" aria-expanded=\"false\" aria-controls=\"e-n-menu-content-1584\" >\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\">Close 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\">Open 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-1584\" data-tab-index=\"4\" aria-labelledby=\"e-n-menu-dropdown-icon-1584\" class=\"elementor-element elementor-element-a339d2c e-flex e-con-boxed jltma-glass-effect-no e-con e-child\" data-id=\"a339d2c\" 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-a054f86 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"a054f86\" 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-de4d2f8 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"de4d2f8\" 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-4cf00c8 elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"4cf00c8\" 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-4641326 e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"4641326\" 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-248e163 jltma-glass-effect-no elementor-widget elementor-widget-image\" data-id=\"248e163\" 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-232d92d elementor-align-center jltma-glass-effect-no elementor-widget elementor-widget-elementskit-button\" data-id=\"232d92d\" 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-4e4da51 e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"4e4da51\" 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-d6d60e7 jltma-glass-effect-no elementor-widget elementor-widget-spacer\" data-id=\"d6d60e7\" 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-5f55d91 e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"5f55d91\" 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-a92033b jltma-glass-effect-no elementor-widget elementor-widget-shortcode\" data-id=\"a92033b\" 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_63627\">\n\t\t\t\n\t\t\t<style type=\"text\/css\">\n\t\t\t\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-spinner div:after {background: #40C4FF; }\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-grid div {background: #40C4FF; }\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-ellipsis div { background: #40C4FF;}\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-default div {background: #40C4FF;}\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-roller div:after {background: #40C4FF;}\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-heart div,\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-heart div:after,\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-heart div:before {background: #40C4FF;}\n\t\n\t\t\t\t\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-facebook div {background: #40C4FF;}\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-circle > div {background: #40C4FF;}\n\t\t\t\t\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-dual-ring:after {border: 6px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-ring div {border: 8px solid #40C4FF;border-color: #40C4FF transparent transparent transparent;}\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .nf-loader-lds-hourglass:after {border: 32px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\n\t\t\t\t#nex-forms.cuestionario_labio_leporino .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_labio_leporino  \"><div class=\"pre_fill_fields\"><\/div><div class=\"set_form_theme theme-blue-gray\"><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  neumorphism\" id=\"ui-nex-forms-container-11\"  ><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\/1604<\/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=\"11\" class=\"submit-nex-form nex-forms-11\" data-form-id=\"11\" 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=\"11\"><input type=\"hidden\" name=\"page\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1604\"><input type=\"hidden\" name=\"ip\" value=\"216.73.217.23\"><input type=\"hidden\" name=\"nf_page_id\" value=\"1604\"><input type=\"hidden\" name=\"nf_page_title\" value=\"Cuestionario para Labio y Paladar Hendido\"><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\" style=\"\" 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\" autocomplete=\"enabled\" 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 is_grid\" data-step-num=\"1\" style=\"\" 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\" 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\" autocomplete=\"enabled\" 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 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\" 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<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"prefix input-group-addon\" 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\" class=\"error_message the_input_element aling_left align_left required form-control\" 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\" autocomplete=\"enabled\"><\/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\" 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\" 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\" 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\" autocomplete=\"enabled\"><\/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\" 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\"><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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" style=\"\" 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\" 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\" 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\" 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\" autocomplete=\"enabled\"><\/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\" 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\" 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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon is_grid\" style=\"\" 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\" 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\"><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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon required\" 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\"><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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon required\" 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\"><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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields has_prefix_icon required\" 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\"><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\" 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\" autocomplete=\"enabled\"><\/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\" 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\" 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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields phone_number phone_number preset_fields required has_prefix_icon\" 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\" 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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required has_prefix_icon\" 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\" 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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required has_prefix_icon\" 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\" 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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 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\" 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\" 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\" 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\" 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 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\" 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\" autocomplete=\"enabled\" 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 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=\"__11__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\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__11__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Ninguno_ninguno\" value=\"Ninguno\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__11__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Dolor abdominal_dolor_abdominal\" value=\"Dolor abdominal\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__11__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Sangrado_sangrado\" value=\"Sangrado\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__11__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Traumatismo_traumatismo\" value=\"Traumatismo\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__11__44515_describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]_Infecci\u00f3n_infecci\u00f3n\" value=\"Infecci\u00f3n\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"describa_si_present\u00f3_alg\u00fan_de_estos_problemas_durante_el_embarazo:[]\" id=\"__11__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;\" autocomplete=\"enabled\"><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\" 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\"><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\" 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\" 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 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=\"__11__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\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__11__56066_tipo_de_parto[]_Normal Vaginal_normal_vaginal\" value=\"Normal Vaginal\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__11__56066_tipo_de_parto[]_Ces\u00e1rea programada_ces\u00e1rea_programada\" value=\"Ces\u00e1rea programada\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__11__56066_tipo_de_parto[]_Ces\u00e1rea de Urgencia_ces\u00e1rea_de_urgencia\" value=\"Ces\u00e1rea de Urgencia\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__11__56066_tipo_de_parto[]_Se utilizaron F\u00f3rceps_se_utilizaron_f\u00f3rceps\" value=\"Se utilizaron F\u00f3rceps\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"tipo_de_parto[]\" id=\"__11__56066_tipo_de_parto[]_Maniobras de resucitaci\u00f3n_maniobras_de_resucitaci\u00f3n\" value=\"Maniobras de resucitaci\u00f3n\" style=\"display: none;\" autocomplete=\"enabled\"><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\" 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 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=\"__11__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\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__11__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Ninguno_ninguno\" value=\"Ninguno\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__11__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Parto Prematuro_parto_prematuro\" value=\"Parto Prematuro\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__11__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;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__11__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Ruptura de Membranas_ruptura_de_membranas\" value=\"Ruptura de Membranas\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__11__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Sangrado_sangrado\" value=\"Sangrado\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Alguna Infecci\u00f3n_alguna_infecci\u00f3n\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]\" id=\"__11__78119_seleccione_si_present\u00f3_alg\u00fan_problema_alrededor_del_parto[]_Alguna Infecci\u00f3n_alguna_infecci\u00f3n\" value=\"Alguna Infecci\u00f3n\" style=\"display: none;\" autocomplete=\"enabled\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #5b5b5b;\">Alguna Infecci\u00f3n<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 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\" 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\" 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\" 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\" 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 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\" 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\" autocomplete=\"enabled\" 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\" 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 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\" 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\" 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\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" 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\" 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><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\" 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 los m\u00e9dicos?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"cu\u00e1les_fueron_las_opioniones_de_los_m\u00e9dicos\" 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\" 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\" 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\u00e1ndo, D\u00f3nde?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"lo_han_operado_cu\u00e1ndo_d\u00f3nde\" 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\" 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\" 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=\"grid-system-2 is_grid\" id=\"_983\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_983 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_43546\"><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__43546\"><span class=\"the_label\" style=\"font-size: 13px; color: #5b5b5b;\">La madre fum\u00f3 durante el embarazo?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"la_madre_fum\u00f3_durante_el_embarazo\" class=\"form-control error_message the_input_element aling_left align_left\" 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__43546\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_5142\"><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__5142\"><span class=\"the_label\" style=\"font-size: 13px; color: #5b5b5b;\">La madre consumi\u00f3 alcohol durante el embarazo?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"la_madre_consumi\u00f3_alcohol_durante_el_embarazo\" class=\"form-control error_message the_input_element aling_left align_left\" 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__5142\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_983 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields\" style=\"margin-bottom: 15px;\" id=\"_92223\"><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__92223\"><span class=\"the_label\" style=\"font-size: 13px; color: #5b5b5b;\">La madre consumi\u00f3 drogas durante el embarazo?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"la_madre_consumi\u00f3_drogas_durante_el_embarazo\" class=\"form-control error_message the_input_element aling_left align_left\" 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__92223\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" style=\"margin-bottom: 15px;\" id=\"_62135\"><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__62135\"><span class=\"the_label\" style=\"font-size: 13px; color: #5b5b5b;\">La madre consumi\u00f3 medicamentos en el embarazo?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"la_madre_consumi\u00f3_medicamentos_en_el_embarazo\" class=\"form-control error_message the_input_element aling_left align_left\" 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__62135\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" id=\"_32341\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_32341 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields\" style=\"margin-bottom: 15px;\" id=\"_83215\"><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__83215\"><span class=\"the_label\" style=\"font-size: 13px; color: #5b5b5b;\">Hay otro hermano con Labio Leporino?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"hay_otro_hermano_con_labio_leporino\" class=\"form-control error_message the_input_element aling_left align_left\" 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__83215\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_32341 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields\" style=\"margin-bottom: 15px;\" id=\"_98889\"><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__98889\"><span class=\"the_label\" style=\"font-size: 13px; color: #5b5b5b;\">Hay otro familiar con Labio leporino?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"hay_otro_familiar_con_labio_leporino\" class=\"form-control error_message the_input_element aling_left align_left\" 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__98889\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 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\" 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\" 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-_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\" 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\" 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_4 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\" 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\" autocomplete=\"enabled\" 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\" 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\" 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\" autocomplete=\"enabled\" 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 is_grid\" id=\"_78493\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_78493 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields required\" 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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required\" 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 gangoso?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"habla_gangoso\" class=\"error_message the_input_element aling_left align_left required form-control\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_78493 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields required\" 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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required\" 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;\">*Le da verg\u00fcenza hablar con gente desconocida?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"le_da_verg\u00fcenza_hablar_con_gente_desconocida\" class=\"error_message the_input_element aling_left align_left required form-control\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields\" 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=\"form_field all_fields multi-select selection_fields\" style=\"margin-bottom: 15px;\" id=\"_90329\"><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__90329\"><span class=\"the_label\" style=\"font-size: 13px; color: #5b5b5b;\">Ha sido operado previamente?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"ha_sido_operado_previamente[]\" multiple=\"\" class=\"the_input_element error_message text pre-format form-control aling_left align_left\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" style=\"font-size: 13px; color: #5b5b5b; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" id=\"input__90329\"><option value=\"0\" selected=\"selected\">--- Seleccione ---<\/option><option value=\"Nunca lo han operado\">Nunca lo han operado<\/option><option value=\"Fue operado del labio\">Fue operado del labio<\/option><option value=\"Fue operado del paladar\">Fue operado del paladar<\/option><option value=\"Fue operado del labio y del paladar\">Fue operado del labio y del paladar<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 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\" 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\" 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-_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\" 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\" 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_5 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\" 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\" autocomplete=\"enabled\" 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\" 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 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=\"__11__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\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__11__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Ninguno_ninguno\" value=\"Ninguno\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__11__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_IMSS_imss\" value=\"IMSS\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__11__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_ISSSTE_issste\" value=\"ISSSTE\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__11__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_PEMEX_pemex\" value=\"PEMEX\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__11__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Shriners_shriners\" value=\"Shriners\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__11__76065_cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]_Privado_privado\" value=\"Privado\" style=\"display: none;\" autocomplete=\"enabled\"><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=\"__11__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\" type=\"checkbox\" name=\"cuenta_con_alg\u00fan_servicio_m\u00e9dico_asistencial[]\" id=\"__11__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;\" autocomplete=\"enabled\"><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\" 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\" 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\" 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\" 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\u00ebxico, 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\u00ebxico_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\" 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\" 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\" 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\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields\" 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 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\" 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\" 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-_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\" 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\" 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 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\" 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\" autocomplete=\"enabled\" 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\" 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\" 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=\"\" autocomplete=\"enabled\" 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\" 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\" 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\" style=\"font-size: 13px; color: #5b5b5b; background: white; border-color: #dddddd;\" autocomplete=\"enabled\" 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\" 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\" 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=\"\" autocomplete=\"enabled\" 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\" 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\" 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\" style=\"font-size: 13px; color: #5b5b5b; background: white; border-color: #dddddd;\" autocomplete=\"enabled\" 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\" 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\" 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=\"\" autocomplete=\"enabled\" id=\"_55777__undefined\"><input type=\"hidden\" value=\"\" autocomplete=\"enabled\" 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\" 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\" 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\" style=\"font-size: 13px; color: #5b5b5b; background: white; border-color: #dddddd;\" autocomplete=\"enabled\" 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\" 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\" 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=\"\" autocomplete=\"enabled\" 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\" 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\" 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\" style=\"font-size: 13px; color: #5b5b5b; background: white; border-color: #dddddd;\" autocomplete=\"enabled\" 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\" 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\" 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=\"\" autocomplete=\"enabled\" 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\" 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\" 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\" style=\"font-size: 13px; color: #5b5b5b; background: white; border-color: #dddddd;\" autocomplete=\"enabled\" 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\" 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\" 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\" 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\" autocomplete=\"enabled\" 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;\">Debe enviar fotos en las siguientes cuatro posiciones:<br>* \n1. De su cara de frente<br>* \n2. De su cara de perfil izquierdo<br>* \n3. De su cara de perfil derecho<br>* \n4. De su cara mirando hacia arriba<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider divider html_fields\" 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=\"grid-system-2 is_grid\" id=\"_20915\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_20915 col-sm-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\"><div class=\"form_field all_fields html_image html_image html_fields wow zoomIn\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_19276\" data-animation-name=\"zoomIn\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_center\"><div class=\"image_container empty\" style=\"display: none;\"><span class=\"far fa-image\"><\/span><\/div><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/LyPH01.jpg\" class=\"html-image-obj ui-resizable\" data-original-height=\"416\" data-original-width=\"313\" alt=\"\" width=\"313\" height=\"416\" style=\"margin: 0px; resize: none; position: static; zoom: 1; display: block; height: 200px; width: 151px;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields html_image html_image html_fields wow zoomIn\" style=\"margin-bottom: 15px;\" id=\"_30580\" data-animation-name=\"zoomIn\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_center\"><div class=\"image_container empty\" style=\"display: none;\"><span class=\"far fa-image\"><\/span><\/div><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/LyPH03.jpg\" class=\"html-image-obj ui-resizable\" data-original-height=\"416\" data-original-width=\"315\" alt=\"\" width=\"315\" height=\"416\" style=\"margin: 0px; resize: none; position: static; zoom: 1; display: block; height: 200px; width: 151px;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_20915 col-sm-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\"><div class=\"form_field all_fields html_image html_image html_fields wow zoomIn\" style=\"margin-bottom: 15px;\" id=\"_99461\" data-animation-name=\"zoomIn\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_center\"><div class=\"image_container empty\" style=\"display: none;\"><span class=\"far fa-image\"><\/span><\/div><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/LyPH02.jpg\" class=\"html-image-obj ui-resizable\" data-original-height=\"416\" data-original-width=\"312\" alt=\"\" width=\"312\" height=\"416\" style=\"margin: 0px; resize: none; position: static; zoom: 1; display: block; height: 200px; width: 151px;\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields html_image html_image html_fields wow zoomIn\" style=\"margin-bottom: 15px;\" id=\"_21248\" data-animation-name=\"zoomIn\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_center\"><div class=\"image_container empty\" style=\"display: none;\"><span class=\"far fa-image\"><\/span><\/div><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/centrodecirugia.org\/wp-content\/uploads\/2024\/11\/LyPH04.jpg\" class=\"html-image-obj ui-resizable\" data-original-height=\"416\" data-original-width=\"315\" alt=\"\" width=\"315\" height=\"416\" style=\"margin: 0px; resize: none; position: static; zoom: 1; display: block; height: 200px; width: 151px;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 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\" 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\" 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-_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\" 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\" data-ga=\"\">Enviar<\/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-57f0edb e-flex e-con-boxed jltma-glass-effect-no e-con e-parent\" data-id=\"57f0edb\" 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-d44519f e-con-full e-flex jltma-glass-effect-no e-con e-child\" data-id=\"d44519f\" 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-ee29a6d 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=\"ee29a6d\" 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-ee29a6d\" 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-66266cb 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=\"66266cb\" 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-66266cb\" 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-31bf017 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=\"31bf017\" 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-31bf017\" 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 para Labio y Paladar Hendido 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 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"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":[46],"tags":[],"class_list":["post-1604","page","type-page","status-publish","hentry","category-labio-y-paladar-hendido"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/pages\/1604","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=1604"}],"version-history":[{"count":40,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/pages\/1604\/revisions"}],"predecessor-version":[{"id":8656,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/pages\/1604\/revisions\/8656"}],"wp:attachment":[{"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/media?parent=1604"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/categories?post=1604"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/centrodecirugia.org\/en\/wp-json\/wp\/v2\/tags?post=1604"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}