{"id":1680,"date":"2025-04-24T12:06:29","date_gmt":"2025-04-24T10:06:29","guid":{"rendered":"https:\/\/fisiovitae.net\/?page_id=1680"},"modified":"2025-05-08T13:39:09","modified_gmt":"2025-05-08T11:39:09","slug":"historia-clinica","status":"publish","type":"page","link":"https:\/\/fisiovitae.net\/es\/historia-clinica\/","title":{"rendered":"Historia cl\u00ednica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1680\" class=\"elementor elementor-1680\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-45af9af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"45af9af\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4e1a792\" data-id=\"4e1a792\" 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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-816ba87 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"816ba87\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-9f794b8\" data-id=\"9f794b8\" 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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\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-247cb86 e-flex e-con-boxed e-con e-parent\" data-id=\"247cb86\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-08e1f4c e-con-full e-flex e-con e-child\" data-id=\"08e1f4c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-928d2b5 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"928d2b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Siguiente&quot;,&quot;step_previous_label&quot;:&quot;Anterior&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Nuevo formulario\" aria-label=\"Nuevo formulario\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1680\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"928d2b5\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Historia Cl\u00ednica | Fisiovitae\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"1680\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_5c8d667 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Datos personales\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_86f21e0 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_86f21e0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_86f21e0]\" id=\"form-field-field_86f21e0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_63d5a58 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_63d5a58\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tApellidos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_63d5a58]\" id=\"form-field-field_63d5a58\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_da1e89a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_da1e89a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel\u00e9fono\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_da1e89a]\" id=\"form-field-field_da1e89a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Solo se aceptan n\u00fameros y caracteres de tel\u00e9fono (#,-,*,etc).\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_4686d6c elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4686d6c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_4686d6c]\" id=\"form-field-field_4686d6c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_32061e2 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_32061e2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDirecci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_32061e2]\" id=\"form-field-field_32061e2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Ej. Avenida, 123, 1\u00baA\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7d2e6ce elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7d2e6ce\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPoblaci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7d2e6ce]\" id=\"form-field-field_7d2e6ce\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Ej. Barcelona\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_666bc31 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_666bc31\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tC\u00f3digo Postal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_666bc31]\" id=\"form-field-field_666bc31\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6462e53 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6462e53\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tD.N.I\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6462e53]\" id=\"form-field-field_6462e53\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_6b6abd1 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6b6abd1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFecha de nacimiento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_6b6abd1]\" id=\"form-field-field_6b6abd1\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6f33dc2 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6f33dc2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProfesi\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6f33dc2]\" id=\"form-field-field_6f33dc2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_cbfa6bd elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cbfa6bd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfComo nos ha conocido?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_cbfa6bd]\" id=\"form-field-field_cbfa6bd\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Recomendaci\u00f3n\">Recomendaci\u00f3n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Vive cerca\">Vive cerca<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Internet\">Internet<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Redes sociales (Facebook e Instagram)\">Redes sociales (Facebook e Instagram)<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_a38f993 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Historia cl\u00ednica\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f050980 elementor-col-100\">\n\t\t\t\t\t<b>Por favor, rellene la m\u00e1xima informaci\u00f3n posible<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_enfermedades elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_enfermedades\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnfermedades\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Diabetes\" id=\"form-field-field_enfermedades-0\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-0\">Diabetes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"C\u00e1ncer\" id=\"form-field-field_enfermedades-1\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-1\">C\u00e1ncer<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Fibromialgia\" id=\"form-field-field_enfermedades-2\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-2\">Fibromialgia<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Artrosis\" id=\"form-field-field_enfermedades-3\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-3\">Artrosis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Artritis\" id=\"form-field-field_enfermedades-4\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-4\">Artritis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Enfermedades autoinmunes\" id=\"form-field-field_enfermedades-5\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-5\">Enfermedades autoinmunes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Hepatitis\" id=\"form-field-field_enfermedades-6\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-6\">Hepatitis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Colesterol\" id=\"form-field-field_enfermedades-7\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-7\">Colesterol<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Escoliosis\" id=\"form-field-field_enfermedades-8\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-8\">Escoliosis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Enfermedades respiratorias\" id=\"form-field-field_enfermedades-9\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-9\">Enfermedades respiratorias<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Ninguna\" id=\"form-field-field_enfermedades-10\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-10\">Ninguna<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Otros\" id=\"form-field-field_enfermedades-11\" name=\"form_fields[field_enfermedades][]\"> <label for=\"form-field-field_enfermedades-11\">Otros<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_otros elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_otros\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOtros\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_otros]\" id=\"form-field-field_otros\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e8b55e5 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e8b55e5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCirug\u00edas\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e8b55e5]\" id=\"form-field-field_e8b55e5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Cu\u00e1les y a\u00f1o\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_0861c04 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0861c04\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTraumas\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_0861c04]\" id=\"form-field-field_0861c04\" rows=\"4\" placeholder=\"Accidentes de tr\u00e1fico, ca\u00eddas, lesones deportvas. Secuelas en general\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a6cd0d6 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a6cd0d6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMedicaci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a6cd0d6]\" id=\"form-field-field_a6cd0d6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Especificar\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fbbe2b3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fbbe2b3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAlergias\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_fbbe2b3]\" id=\"form-field-field_fbbe2b3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Especificar\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_e23034c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e23034c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMarque alguna de las siguientes situaciones\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Lleva marcapasos?\" id=\"form-field-field_e23034c-0\" name=\"form_fields[field_e23034c][]\"> <label for=\"form-field-field_e23034c-0\">Lleva marcapasos?<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Est\u00e1 o puede estar embarazada?\" id=\"form-field-field_e23034c-1\" name=\"form_fields[field_e23034c][]\"> <label for=\"form-field-field_e23034c-1\">Est\u00e1 o puede estar embarazada?<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Lleva pr\u00f3tesis?\" id=\"form-field-field_e23034c-2\" name=\"form_fields[field_e23034c][]\"> <label for=\"form-field-field_e23034c-2\">Lleva pr\u00f3tesis?<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Implantes?\" id=\"form-field-field_e23034c-3\" name=\"form_fields[field_e23034c][]\"> <label for=\"form-field-field_e23034c-3\">Implantes?<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3c59dc4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3c59dc4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAntecedentes familaires\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3c59dc4]\" id=\"form-field-field_3c59dc4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Factores hereditarios importantes\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8f800ba elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8f800ba\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfNos lleva pruebas complementarias?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Si\" id=\"form-field-field_8f800ba-0\" name=\"form_fields[field_8f800ba]\"> <label for=\"form-field-field_8f800ba-0\">Si<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_8f800ba-1\" name=\"form_fields[field_8f800ba]\"> <label for=\"form-field-field_8f800ba-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_58b734b elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Sintomatologia\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_8a54821 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8a54821\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCardiolog\u00eda\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Dolor tor\u00e1cico\" id=\"form-field-field_8a54821-0\" name=\"form_fields[field_8a54821][]\"> <label for=\"form-field-field_8a54821-0\">Dolor tor\u00e1cico<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Disnea\" id=\"form-field-field_8a54821-1\" name=\"form_fields[field_8a54821][]\"> <label for=\"form-field-field_8a54821-1\">Disnea<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Tensi\u00f3n arterial\" id=\"form-field-field_8a54821-2\" name=\"form_fields[field_8a54821][]\"> <label for=\"form-field-field_8a54821-2\">Tensi\u00f3n arterial<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Circulaci\u00f3n\" id=\"form-field-field_8a54821-3\" name=\"form_fields[field_8a54821][]\"> <label for=\"form-field-field_8a54821-3\">Circulaci\u00f3n<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Infarto miocardio\" id=\"form-field-field_8a54821-4\" name=\"form_fields[field_8a54821][]\"> <label for=\"form-field-field_8a54821-4\">Infarto miocardio<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Accidente vasculo-cerebral\" id=\"form-field-field_8a54821-5\" name=\"form_fields[field_8a54821][]\"> <label for=\"form-field-field_8a54821-5\">Accidente vasculo-cerebral<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_respiratorias elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_respiratorias\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRespiratorias\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Disnea\" id=\"form-field-field_respiratorias-0\" name=\"form_fields[field_respiratorias][]\"> <label for=\"form-field-field_respiratorias-0\">Disnea<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Otros\" id=\"form-field-field_respiratorias-1\" name=\"form_fields[field_respiratorias][]\"> <label for=\"form-field-field_respiratorias-1\">Otros<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_otros_respiratorias elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_otros_respiratorias\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOtros\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_otros_respiratorias]\" id=\"form-field-field_otros_respiratorias\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_gastro elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_gastro\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGastrointestinal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Reflujo\" id=\"form-field-field_gastro-0\" name=\"form_fields[field_gastro][]\"> <label for=\"form-field-field_gastro-0\">Reflujo<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Digesti\u00f3n pesada\" id=\"form-field-field_gastro-1\" name=\"form_fields[field_gastro][]\"> <label for=\"form-field-field_gastro-1\">Digesti\u00f3n pesada<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Gastritis\" id=\"form-field-field_gastro-2\" name=\"form_fields[field_gastro][]\"> <label for=\"form-field-field_gastro-2\">Gastritis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Estrechamiento o diarrea\" id=\"form-field-field_gastro-3\" name=\"form_fields[field_gastro][]\"> <label for=\"form-field-field_gastro-3\">Estrechamiento o diarrea<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Otros\" id=\"form-field-field_gastro-4\" name=\"form_fields[field_gastro][]\"> <label for=\"form-field-field_gastro-4\">Otros<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_otros_gastro elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_otros_gastro\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOtros\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_otros_gastro]\" id=\"form-field-field_otros_gastro\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_db26a82 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_db26a82\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGenitourinario\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Alteraciones en la frecuencia miccional\" id=\"form-field-field_db26a82-0\" name=\"form_fields[field_db26a82][]\"> <label for=\"form-field-field_db26a82-0\">Alteraciones en la frecuencia miccional<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Dolor al orinar\" id=\"form-field-field_db26a82-1\" name=\"form_fields[field_db26a82][]\"> <label for=\"form-field-field_db26a82-1\">Dolor al orinar<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Embarazos\" id=\"form-field-field_db26a82-2\" name=\"form_fields[field_db26a82][]\"> <label for=\"form-field-field_db26a82-2\">Embarazos<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Abortos\" id=\"form-field-field_db26a82-3\" name=\"form_fields[field_db26a82][]\"> <label for=\"form-field-field_db26a82-3\">Abortos<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Menstruaci\u00f3n dolorosa\" id=\"form-field-field_db26a82-4\" name=\"form_fields[field_db26a82][]\"> <label for=\"form-field-field_db26a82-4\">Menstruaci\u00f3n dolorosa<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Alteraci\u00f3n ciclos menstruales\" id=\"form-field-field_db26a82-5\" name=\"form_fields[field_db26a82][]\"> <label for=\"form-field-field_db26a82-5\">Alteraci\u00f3n ciclos menstruales<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Menopausia\" id=\"form-field-field_db26a82-6\" name=\"form_fields[field_db26a82][]\"> <label for=\"form-field-field_db26a82-6\">Menopausia<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Prostatitis\" id=\"form-field-field_db26a82-7\" name=\"form_fields[field_db26a82][]\"> <label for=\"form-field-field_db26a82-7\">Prostatitis<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_28aa313 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_28aa313\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNeurol\u00f3gico\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Cefaleas\" id=\"form-field-field_28aa313-0\" name=\"form_fields[field_28aa313][]\"> <label for=\"form-field-field_28aa313-0\">Cefaleas<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Mareos \/ v\u00e9rtigos\" id=\"form-field-field_28aa313-1\" name=\"form_fields[field_28aa313][]\"> <label for=\"form-field-field_28aa313-1\">Mareos \/ v\u00e9rtigos<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Dolor irradiado\" id=\"form-field-field_28aa313-2\" name=\"form_fields[field_28aa313][]\"> <label for=\"form-field-field_28aa313-2\">Dolor irradiado<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Hormigueo\" id=\"form-field-field_28aa313-3\" name=\"form_fields[field_28aa313][]\"> <label for=\"form-field-field_28aa313-3\">Hormigueo<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Claudicaci\u00f3n\" id=\"form-field-field_28aa313-4\" name=\"form_fields[field_28aa313][]\"> <label for=\"form-field-field_28aa313-4\">Claudicaci\u00f3n<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Epilepsia\" id=\"form-field-field_28aa313-5\" name=\"form_fields[field_28aa313][]\"> <label for=\"form-field-field_28aa313-5\">Epilepsia<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"P\u00e9rdida de fuerza\" id=\"form-field-field_28aa313-6\" name=\"form_fields[field_28aa313][]\"> <label for=\"form-field-field_28aa313-6\">P\u00e9rdida de fuerza<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_0356faf elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0356faf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPsicol\u00f3gicos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Ansiedad\" id=\"form-field-field_0356faf-0\" name=\"form_fields[field_0356faf][]\"> <label for=\"form-field-field_0356faf-0\">Ansiedad<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Depresi\u00f3n\" id=\"form-field-field_0356faf-1\" name=\"form_fields[field_0356faf][]\"> <label for=\"form-field-field_0356faf-1\">Depresi\u00f3n<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_37a5698 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_37a5698\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEspecificar otras no descritas:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_37a5698]\" id=\"form-field-field_37a5698\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_31e06e4 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Tratamientos previos\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_077f2f8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_077f2f8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSe ha tratado alguna vez con alg\u00fan profesional sanitario tipo fisioterapeuta, oste\u00f3pata, quiropr\u00e1ctico, acupuntor?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Si\" id=\"form-field-field_077f2f8-0\" name=\"form_fields[field_077f2f8]\"> <label for=\"form-field-field_077f2f8-0\">Si<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_077f2f8-1\" name=\"form_fields[field_077f2f8]\"> <label for=\"form-field-field_077f2f8-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_c71f56e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c71f56e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfCu\u00e1l ha sido su experiencia? Resolvieron su patolog\u00eda?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_c71f56e]\" id=\"form-field-field_c71f56e\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_ed2fbfe elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Estilo de vida\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_8b1269e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8b1269e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrabajos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_8b1269e]\" id=\"form-field-field_8b1269e\" rows=\"4\" placeholder=\"Horas, postura, estr\u00e9s (escala 0-10). coge peso...\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_37a8ce3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_37a8ce3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEjercicio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_37a8ce3]\" id=\"form-field-field_37a8ce3\" rows=\"4\" placeholder=\"Tipo de ejercicio, horas...\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_a7231b3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a7231b3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDieta\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_a7231b3]\" id=\"form-field-field_a7231b3\" rows=\"4\" placeholder=\"\u00bfCome de todo? \u00bfSuele pasar hambre o tener hambre? \u00bfSufre p\u00e9rdida o aumento de peso importante?\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_c517252 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c517252\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfFuma?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Si\" id=\"form-field-field_c517252-0\" name=\"form_fields[field_c517252]\"> <label for=\"form-field-field_c517252-0\">Si<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_c517252-1\" name=\"form_fields[field_c517252]\"> <label for=\"form-field-field_c517252-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_9cc4ba0 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9cc4ba0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfToma alcohol a menudo?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Si\" id=\"form-field-field_9cc4ba0-0\" name=\"form_fields[field_9cc4ba0]\"> <label for=\"form-field-field_9cc4ba0-0\">Si<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_9cc4ba0-1\" name=\"form_fields[field_9cc4ba0]\"> <label for=\"form-field-field_9cc4ba0-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_96f5356 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_96f5356\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDescanso\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_96f5356]\" id=\"form-field-field_96f5356\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Horas y calidad\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_d728e63 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_d728e63]\" id=\"form-field-field_d728e63\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_d728e63\">Consiento el tratamiento de mis datos. FISIOVITAE tratar\u00e1 sus datos con la finalidad gestionar su historial cl\u00ednico. Puede ejercer sus derechos de acceso, rectificaci\u00f3n, supresi\u00f3n, portabilidad, limitaci\u00f3n y oposici\u00f3n, como le informamos en nuestra <a href=\"\/es\/politica-de-privacidad\">Pol\u00edtica de Privacidad y Aviso Legal.<\/a><\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<input type='hidden' name='lang' value='es' \/><\/form>\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\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-1680","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Historia Cl\u00ednica | Fisiovitae<\/title>\n<meta name=\"description\" content=\"Rellena tu historia cl\u00ednica online antes de tu primera visita. Ay\u00fadanos a conocerte mejor para ofrecerte un tratamiento personalizado.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fisiovitae.net\/historia-clinica\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Historia Cl\u00ednica | Fisiovitae\" \/>\n<meta property=\"og:description\" content=\"Rellena tu historia cl\u00ednica online antes de tu primera visita. 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