{"id":435,"date":"2023-01-18T08:57:02","date_gmt":"2023-01-18T12:57:02","guid":{"rendered":"https:\/\/misimagenes.online\/web\/?page_id=435"},"modified":"2025-07-30T07:31:49","modified_gmt":"2025-07-30T11:31:49","slug":"solicitud-de-estudio-de-imagenes","status":"publish","type":"page","link":"https:\/\/misimagenes.online\/web\/solicitud-de-estudio-de-imagenes\/","title":{"rendered":"Solicitud de Estudios de Im\u00e1genes"},"content":{"rendered":"\n<div class=\"wp-block-group alignfull has-background-color has-text-color has-background has-link-color wp-elements-cbe5736373a35858ea99fb1b25c19091 is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#292929;padding-top:6rem;padding-bottom:6rem\">\n<div class=\"wp-block-group alignwide is-layout-flow wp-block-group-is-layout-flow\"><div class='fluentform ff-default fluentform_wrapper_15  ff_guten_block ff_guten_block-15 ffs_default_wrap'><form data-form_id=\"15\" id=\"fluentform_15\" class=\"frm-fluent-form fluent_form_15 ff-el-form-top ff_form_instance_15_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_15_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Solicitud de Estudios &#8211; Tlf<\/legend>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_15_item_sf\" aria-label=\"Contact\">\n                    Contact                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_15__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_15_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='435' \/><input type=\"hidden\" id=\"_fluentform_15_fluentformnonce\" name=\"_fluentform_15_fluentformnonce\" value=\"06036501d5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/web\/wp-json\/wp\/v2\/pages\/435\" \/><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><input type=\"hidden\" name=\"hidden\" value=\"  - \" data-name=\"hidden\" ><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><input type=\"hidden\" name=\"hidden_1\" value=\"06\/09\/2026\" data-name=\"hidden_1\" ><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_1\" ><p>&nbsp;<\/p>\n<h3><strong>Datos del Paciente<\/strong><\/h3><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_4 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_names_first_name_' id='label_ff_15_names_first_name_' >Primer Nombre<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_15_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Como aparece en la c\u00e9dula\" tabindex=\"1\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div data-type=\"name-element\" data-name=\"Apelllido\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_Apelllido_last_name_' id='label_ff_15_Apelllido_last_name_' >Primer Apellido<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Apelllido[last_name]\" id=\"ff_15_Apelllido_last_name_\" class=\"ff-el-form-control\" placeholder=\"Si es casada, coloque su apellido de Soltera\" tabindex=\"2\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_Edad' id='label_ff_15_Edad' aria-label=\"Edad\">Edad<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Edad\" value=\"20\" class=\"ff-el-form-control\" placeholder=\"\u00bfCu\u00e1l es la edad del paciente?\" maxlength=\"2\" data-name=\"Edad\" tabindex=\"3\" id=\"ff_15_Edad\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_15_CedulaID' id='label_ff_15_CedulaID' aria-label=\"C\u00e9dula\">C\u00e9dula<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"CedulaID\" class=\"ff-el-form-control\" placeholder=\"00000000\" maxlength=\"9\" data-name=\"CedulaID\" tabindex=\"4\" id=\"ff_15_CedulaID\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_2\" ><h4>\u00a0<\/h4>\n<p><strong>Podemos enviar un mensaje de texto al paciente para que programe la cita de su estudio<\/strong><\/p><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Enviar mensaje de texto\">Enviar mensaje de texto<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check- ff_item_selected'><label class='ff-el-form-check-label' for='input_radio_82973c6725e8768343bf9050082f441b'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" checked=\"1\" tabindex=\"5\" value=\"S\u00ed\"  id='input_radio_82973c6725e8768343bf9050082f441b' aria-label='S\u00ed' aria-invalid='false' aria-required=false> <span>S\u00ed<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_d01b3a53b801c173f9e1b1fcfe991703'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"no\"  id='input_radio_d01b3a53b801c173f9e1b1fcfe991703' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_15_dropdown' id='label_ff_15_dropdown' aria-label=\"C\u00f3digo del celular\">C\u00f3digo del celular<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_15_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\" tabindex=\"6\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_15_dropdown\"><option value=\"\">&#8211; Select &#8211;<\/option><option value=\"414\"  >414<\/option><option value=\"424\"  >424<\/option><option value=\"416\"  >416<\/option><option value=\"426\"  >426<\/option><option value=\"412\"  >412<\/option><option value=\"417\"  >417<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_15_input_mask' id='label_ff_15_input_mask' aria-label=\"N\u00famero de celular\">N\u00famero de celular<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask\" data-mask=\"###-####\" class=\"ff-el-form-control\" data-name=\"input_mask\" tabindex=\"7\" id=\"ff_15_input_mask\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_3\" ><p>&nbsp;<\/p>\n<h3><strong>Estudio(s) solicitado(s):<\/strong><\/h3><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"MAMOGRAF\u00cdA\">MAMOGRAF\u00cdA<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_16_7c114b1ba7e74432144892b89de7d5e2'><input  type=\"checkbox\" name=\"checkbox_16[]\" data-name=\"checkbox_16\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"8\" value=\"Mamograf\u00eda Digital\"  id='checkbox_16_7c114b1ba7e74432144892b89de7d5e2' aria-label='Mamograf\u00eda Digital' aria-invalid='false' aria-required=false> <span>Mamograf\u00eda Digital<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_16_c48f534e697b3b26586738479c2f954b'><input  type=\"checkbox\" name=\"checkbox_16[]\" data-name=\"checkbox_16\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Mamograf\u00eda Unilateral Derecha\"  id='checkbox_16_c48f534e697b3b26586738479c2f954b' aria-label='Mamograf\u00eda Unilateral Derecha' aria-invalid='false' aria-required=false> <span>Mamograf\u00eda Unilateral Derecha<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_16_41452d9173592320ee6cf5e7716e1e3b'><input  type=\"checkbox\" name=\"checkbox_16[]\" data-name=\"checkbox_16\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Mamograf\u00eda Unilateral Izquierda\"  id='checkbox_16_41452d9173592320ee6cf5e7716e1e3b' aria-label='Mamograf\u00eda Unilateral Izquierda' aria-invalid='false' aria-required=false> <span>Mamograf\u00eda Unilateral Izquierda<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_16_1f3538eb5ddc93d77500fcd82aef6fcd'><input  type=\"checkbox\" name=\"checkbox_16[]\" data-name=\"checkbox_16\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Tomos\u00edntesis (Mamograf\u00eda 3D)\"  id='checkbox_16_1f3538eb5ddc93d77500fcd82aef6fcd' aria-label='Tomos\u00edntesis (Mamograf\u00eda 3D)' aria-invalid='false' aria-required=false> <span>Tomos\u00edntesis (Mamograf\u00eda 3D)<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Estudios Odontol\u00f3gicos - ATM\">Estudios Odontol\u00f3gicos &#8211; ATM<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_1c345b95ad54170cb7f9280e34e2ffb8'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"9\" value=\"Panor\u00e1mica Dental\"  id='checkbox_2_1c345b95ad54170cb7f9280e34e2ffb8' aria-label='Panor\u00e1mica Dental' aria-invalid='false' aria-required=false> <span>Panor\u00e1mica Dental<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_cd9d5ab1f451388af1ceac3caf01f9ac'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Cef\u00e1lica Lateral\"  id='checkbox_2_cd9d5ab1f451388af1ceac3caf01f9ac' aria-label='Cef\u00e1lica Lateral' aria-invalid='false' aria-required=false> <span>Cef\u00e1lica Lateral<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_45742b565434862ba12c2f863877effb'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Articulaci\u00f3n Temporomandibular\"  id='checkbox_2_45742b565434862ba12c2f863877effb' aria-label='Articulaci\u00f3n Temporomandibular' aria-invalid='false' aria-required=false> <span>Articulaci\u00f3n Temporomandibular<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Rx Digital\">Rx Digital<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_0429edecf53fde28efa4116b090d6f55'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"10\" value=\"Abdomen simple de pie\"  id='checkbox_0429edecf53fde28efa4116b090d6f55' aria-label='Abdomen simple de pie' aria-invalid='false' aria-required=false> <span>Abdomen simple de pie<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_0dbb78ebb761573f043286b3a31eb69d'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Abdomen KUB\"  id='checkbox_0dbb78ebb761573f043286b3a31eb69d' aria-label='Abdomen KUB' aria-invalid='false' aria-required=false> <span>Abdomen KUB<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_b349b040aff233730d997546e0bda9ed'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Cr\u00e1neo 2P\"  id='checkbox_b349b040aff233730d997546e0bda9ed' aria-label='Cr\u00e1neo 2P' aria-invalid='false' aria-required=false> <span>Cr\u00e1neo 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_ce65bc51368cd3ac812224b43c18995b'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Cr\u00e1neo 3P\"  id='checkbox_ce65bc51368cd3ac812224b43c18995b' aria-label='Cr\u00e1neo 3P' aria-invalid='false' aria-required=false> <span>Cr\u00e1neo 3P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_171e6268196fb26c93861bdb0cdbbf2d'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Senos Paranasales\"  id='checkbox_171e6268196fb26c93861bdb0cdbbf2d' aria-label='Senos Paranasales' aria-invalid='false' aria-required=false> <span>Senos Paranasales<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_92bbdb680a42f4d7359ba8fb0d33e011'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Rinofaringe BA - BC\"  id='checkbox_92bbdb680a42f4d7359ba8fb0d33e011' aria-label='Rinofaringe BA - BC' aria-invalid='false' aria-required=false> <span>Rinofaringe BA &#8211; BC<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_557ab33442ea6e6382c0786203c0c0a9'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Huesos propios de la nariz\"  id='checkbox_557ab33442ea6e6382c0786203c0c0a9' aria-label='Huesos propios de la nariz' aria-invalid='false' aria-required=false> <span>Huesos propios de la nariz<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_7bfe99995c34b1b2f50b5312da70d756'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Edad \u00f3sea (Ambas Manos 1P)\"  id='checkbox_7bfe99995c34b1b2f50b5312da70d756' aria-label='Edad \u00f3sea (Ambas Manos 1P)' aria-invalid='false' aria-required=false> <span>Edad \u00f3sea (Ambas Manos 1P)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_b607b5d26ecf7c9774762939b1c2d87b'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Medici\u00f3n de miembros inferiores\"  id='checkbox_b607b5d26ecf7c9774762939b1c2d87b' aria-label='Medici\u00f3n de miembros inferiores' aria-invalid='false' aria-required=false> <span>Medici\u00f3n de miembros inferiores<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_9fa59962eab0e5d6e33356beccd3b556'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"11\" value=\"Columna Cervical\"  id='checkbox_4_9fa59962eab0e5d6e33356beccd3b556' aria-label='Columna Cervical' aria-invalid='false' aria-required=false> <span>Columna Cervical<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_7815c655c41a0210d80c1d52314fe0d4'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Columna Dorsolumbar\"  id='checkbox_4_7815c655c41a0210d80c1d52314fe0d4' aria-label='Columna Dorsolumbar' aria-invalid='false' aria-required=false> <span>Columna Dorsolumbar<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_c7ddd4112cb1a9c5eac25bed82d421c7'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Columna Lumbosacra\"  id='checkbox_4_c7ddd4112cb1a9c5eac25bed82d421c7' aria-label='Columna Lumbosacra' aria-invalid='false' aria-required=false> <span>Columna Lumbosacra<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_52837c14903f2982308b0502d8696ab5'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"T\u00f3rax PA\"  id='checkbox_4_52837c14903f2982308b0502d8696ab5' aria-label='T\u00f3rax PA' aria-invalid='false' aria-required=false> <span>T\u00f3rax PA<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_4ece09534f477e25ca6830fbe7faec9f'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"T\u00f3rax PA y Lateral\"  id='checkbox_4_4ece09534f477e25ca6830fbe7faec9f' aria-label='T\u00f3rax PA y Lateral' aria-invalid='false' aria-required=false> <span>T\u00f3rax PA y Lateral<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_d569df5e1ef8f383a0350891ad4f3b11'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"T\u00f3rax \u00d3seo (2P)\"  id='checkbox_4_d569df5e1ef8f383a0350891ad4f3b11' aria-label='T\u00f3rax \u00d3seo (2P)' aria-invalid='false' aria-required=false> <span>T\u00f3rax \u00d3seo (2P)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_47d889fd11d18556c971efaf2a84bba2'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pelvis centrada en pubis\"  id='checkbox_4_47d889fd11d18556c971efaf2a84bba2' aria-label='Pelvis centrada en pubis' aria-invalid='false' aria-required=false> <span>Pelvis centrada en pubis<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_814592e5c1e293eb0cc1453d776034ab'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pelvis AP y &quot;rana&quot;\"  id='checkbox_4_814592e5c1e293eb0cc1453d776034ab' aria-label='Pelvis AP y &quot;rana&quot;' aria-invalid='false' aria-required=false> <span>Pelvis AP y \u00abrana\u00bb<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_dfa0eccb406448c5b6533a0917f6be80'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Radiopelvimetr\u00eda\"  id='checkbox_4_dfa0eccb406448c5b6533a0917f6be80' aria-label='Radiopelvimetr\u00eda' aria-invalid='false' aria-required=false> <span>Radiopelvimetr\u00eda<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Hombro Derecho\">Hombro Derecho<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_7_6d0227aec7f26ef04ce299e30ef9b98a'><input  type=\"checkbox\" name=\"checkbox_7[]\" data-name=\"checkbox_7\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"12\" value=\"Hombro Derecho AP\"  id='checkbox_7_6d0227aec7f26ef04ce299e30ef9b98a' aria-label='Hombro Derecho AP' aria-invalid='false' aria-required=false> <span>Hombro Derecho AP<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_7_4c4c890da2f5387fceb77b807980c9f3'><input  type=\"checkbox\" name=\"checkbox_7[]\" data-name=\"checkbox_7\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Hombro Derecho Rotaci\u00f3n Interna - Externa\"  id='checkbox_7_4c4c890da2f5387fceb77b807980c9f3' aria-label='Hombro Derecho Rotaci\u00f3n Interna - Externa' aria-invalid='false' aria-required=false> <span>Hombro Derecho Rotaci\u00f3n Interna &#8211; Externa<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_7_fc2b48349269b37ddda8346927ff54be'><input  type=\"checkbox\" name=\"checkbox_7[]\" data-name=\"checkbox_7\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Axial de Hombro Derecho\"  id='checkbox_7_fc2b48349269b37ddda8346927ff54be' aria-label='Axial de Hombro Derecho' aria-invalid='false' aria-required=false> <span>Axial de Hombro Derecho<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_7_acdf208519f3eabf88b14ab14296ca30'><input  type=\"checkbox\" name=\"checkbox_7[]\" data-name=\"checkbox_7\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Interescapulohumeral Derecha\"  id='checkbox_7_acdf208519f3eabf88b14ab14296ca30' aria-label='Interescapulohumeral Derecha' aria-invalid='false' aria-required=false> <span>Interescapulohumeral Derecha<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Hombro Iquierdo\">Hombro Iquierdo<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_8_a2d1d5743e2d6e2687b3b6784836f56c'><input  type=\"checkbox\" name=\"checkbox_8[]\" data-name=\"checkbox_8\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"13\" value=\"Hombro Izquierdo AP\"  id='checkbox_8_a2d1d5743e2d6e2687b3b6784836f56c' aria-label='Hombro Izquierdo AP' aria-invalid='false' aria-required=false> <span>Hombro Izquierdo AP<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_8_16d9a53905c9f8b222e56d722c54b55d'><input  type=\"checkbox\" name=\"checkbox_8[]\" data-name=\"checkbox_8\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Hombro IzquierdoRotaci\u00f3n Interna - Externa\"  id='checkbox_8_16d9a53905c9f8b222e56d722c54b55d' aria-label='Hombro IzquierdoRotaci\u00f3n Interna - Externa' aria-invalid='false' aria-required=false> <span>Hombro IzquierdoRotaci\u00f3n Interna &#8211; Externa<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_8_76c3c25e22b6547d6d28efe4dcc8c202'><input  type=\"checkbox\" name=\"checkbox_8[]\" data-name=\"checkbox_8\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Axial de Hombro Izquierdo\"  id='checkbox_8_76c3c25e22b6547d6d28efe4dcc8c202' aria-label='Axial de Hombro Izquierdo' aria-invalid='false' aria-required=false> <span>Axial de Hombro Izquierdo<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_8_1ae6d55b1d54c869cf0d52ca9761fd7e'><input  type=\"checkbox\" name=\"checkbox_8[]\" data-name=\"checkbox_8\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Interescapulohumeral Izquierda\"  id='checkbox_8_1ae6d55b1d54c869cf0d52ca9761fd7e' aria-label='Interescapulohumeral Izquierda' aria-invalid='false' aria-required=false> <span>Interescapulohumeral Izquierda<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Miembro Superior Derecho\">Miembro Superior Derecho<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_9_51e5b31d539a7614a056410e13f9c4d6'><input  type=\"checkbox\" name=\"checkbox_9[]\" data-name=\"checkbox_9\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"14\" value=\"Brazo  derecho 2P\"  id='checkbox_9_51e5b31d539a7614a056410e13f9c4d6' aria-label='Brazo  derecho 2P' aria-invalid='false' aria-required=false> <span>Brazo  derecho 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_9_210ae87d7e749d131ab5d4a6f6516df3'><input  type=\"checkbox\" name=\"checkbox_9[]\" data-name=\"checkbox_9\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Codo derecho 2P\"  id='checkbox_9_210ae87d7e749d131ab5d4a6f6516df3' aria-label='Codo derecho 2P' aria-invalid='false' aria-required=false> <span>Codo derecho 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_9_d5375d39fbfac8fe04452ab85cb6e2f9'><input  type=\"checkbox\" name=\"checkbox_9[]\" data-name=\"checkbox_9\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Mu\u00f1eca  derecha 2P\"  id='checkbox_9_d5375d39fbfac8fe04452ab85cb6e2f9' aria-label='Mu\u00f1eca  derecha 2P' aria-invalid='false' aria-required=false> <span>Mu\u00f1eca  derecha 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_9_2b43a6f62cdbdc9fe729ad046f279982'><input  type=\"checkbox\" name=\"checkbox_9[]\" data-name=\"checkbox_9\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Mano derecha 2P\"  id='checkbox_9_2b43a6f62cdbdc9fe729ad046f279982' aria-label='Mano derecha 2P' aria-invalid='false' aria-required=false> <span>Mano derecha 2P<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Miembro Superior Izquierdo\">Miembro Superior Izquierdo<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_11_55932fe1f87c8fe24b46e92488cb7520'><input  type=\"checkbox\" name=\"checkbox_11[]\" data-name=\"checkbox_11\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"15\" value=\"Brazo  izquierdo 2P\"  id='checkbox_11_55932fe1f87c8fe24b46e92488cb7520' aria-label='Brazo  izquierdo 2P' aria-invalid='false' aria-required=false> <span>Brazo  izquierdo 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_11_e8ae4fcb16d5496bdce3317293f73a7f'><input  type=\"checkbox\" name=\"checkbox_11[]\" data-name=\"checkbox_11\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Codo izquierdo 2P\"  id='checkbox_11_e8ae4fcb16d5496bdce3317293f73a7f' aria-label='Codo izquierdo 2P' aria-invalid='false' aria-required=false> <span>Codo izquierdo 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_11_234b5893b5cdaccf6b9a7dc77e230528'><input  type=\"checkbox\" name=\"checkbox_11[]\" data-name=\"checkbox_11\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Mu\u00f1eca  izquierda 2P\"  id='checkbox_11_234b5893b5cdaccf6b9a7dc77e230528' aria-label='Mu\u00f1eca  izquierda 2P' aria-invalid='false' aria-required=false> <span>Mu\u00f1eca  izquierda 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_11_fe1f6d4fbd23d27ab6618531d091c3df'><input  type=\"checkbox\" name=\"checkbox_11[]\" data-name=\"checkbox_11\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Mano izquierda 2P\"  id='checkbox_11_fe1f6d4fbd23d27ab6618531d091c3df' aria-label='Mano izquierda 2P' aria-invalid='false' aria-required=false> <span>Mano izquierda 2P<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Miembro Inferior Derecho\">Miembro Inferior Derecho<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_425e835129461f4b39c65d9f6c1c437e'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"16\" value=\"Cadera derecha 2P\"  id='checkbox_12_425e835129461f4b39c65d9f6c1c437e' aria-label='Cadera derecha 2P' aria-invalid='false' aria-required=false> <span>Cadera derecha 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_052849787f3e6c560e8510cf6ba0dd99'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"F\u00e9mur derecho 2P\"  id='checkbox_12_052849787f3e6c560e8510cf6ba0dd99' aria-label='F\u00e9mur derecho 2P' aria-invalid='false' aria-required=false> <span>F\u00e9mur derecho 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_3a2564463b7d13093d41db9fb7a7c05f'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Rodilla derecha 2P\"  id='checkbox_12_3a2564463b7d13093d41db9fb7a7c05f' aria-label='Rodilla derecha 2P' aria-invalid='false' aria-required=false> <span>Rodilla derecha 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_4a14ba32654806edd5c9f34b79546f3c'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Rodilla derecha 2P con apoyo\"  id='checkbox_12_4a14ba32654806edd5c9f34b79546f3c' aria-label='Rodilla derecha 2P con apoyo' aria-invalid='false' aria-required=false> <span>Rodilla derecha 2P con apoyo<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_07eeee6df66d81362515d6eb7c9a3547'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pierna derecha 2P\"  id='checkbox_12_07eeee6df66d81362515d6eb7c9a3547' aria-label='Pierna derecha 2P' aria-invalid='false' aria-required=false> <span>Pierna derecha 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_4f4e580100d3a11d6404657ca2ccc7cd'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Tobillo derecho 2P\"  id='checkbox_12_4f4e580100d3a11d6404657ca2ccc7cd' aria-label='Tobillo derecho 2P' aria-invalid='false' aria-required=false> <span>Tobillo derecho 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_3cd741c14d8a366d205bba27ba57afe8'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pie derecho 2P\"  id='checkbox_12_3cd741c14d8a366d205bba27ba57afe8' aria-label='Pie derecho 2P' aria-invalid='false' aria-required=false> <span>Pie derecho 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_3851ccb0db56ed74bf9b7be4870fdc5a'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pie derecho 2P con apoyo\"  id='checkbox_12_3851ccb0db56ed74bf9b7be4870fdc5a' aria-label='Pie derecho 2P con apoyo' aria-invalid='false' aria-required=false> <span>Pie derecho 2P con apoyo<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_12_59fd78f11c9271d60a824dc5ba6a58da'><input  type=\"checkbox\" name=\"checkbox_12[]\" data-name=\"checkbox_12\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Calc\u00e1neo derecho\"  id='checkbox_12_59fd78f11c9271d60a824dc5ba6a58da' aria-label='Calc\u00e1neo derecho' aria-invalid='false' aria-required=false> <span>Calc\u00e1neo derecho<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Miembro Inferior Izquierdo\">Miembro Inferior Izquierdo<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_3a4771192e4c0444350af86bb61a592e'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"17\" value=\"Cadera izquierda 2P\"  id='checkbox_13_3a4771192e4c0444350af86bb61a592e' aria-label='Cadera izquierda 2P' aria-invalid='false' aria-required=false> <span>Cadera izquierda 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_aacd82e21af566a1b4775ea84104dbf4'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"F\u00e9mur izquierdo 2P\"  id='checkbox_13_aacd82e21af566a1b4775ea84104dbf4' aria-label='F\u00e9mur izquierdo 2P' aria-invalid='false' aria-required=false> <span>F\u00e9mur izquierdo 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_ebc8dfe6e53070c3b989297b15390fa9'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Rodilla izquierda 2P\"  id='checkbox_13_ebc8dfe6e53070c3b989297b15390fa9' aria-label='Rodilla izquierda 2P' aria-invalid='false' aria-required=false> <span>Rodilla izquierda 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_e4b8a35aa444f7413b0ab9ebad0a7bfe'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Rodilla izquierda 2P con apoyo\"  id='checkbox_13_e4b8a35aa444f7413b0ab9ebad0a7bfe' aria-label='Rodilla izquierda 2P con apoyo' aria-invalid='false' aria-required=false> <span>Rodilla izquierda 2P con apoyo<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_16dc289c3654f1f53a0004796ed5e4ad'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pierna izquierda 2P\"  id='checkbox_13_16dc289c3654f1f53a0004796ed5e4ad' aria-label='Pierna izquierda 2P' aria-invalid='false' aria-required=false> <span>Pierna izquierda 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_a8cde9cc36596b247fa10d24e4552e41'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Tobillo izquierdo 2P\"  id='checkbox_13_a8cde9cc36596b247fa10d24e4552e41' aria-label='Tobillo izquierdo 2P' aria-invalid='false' aria-required=false> <span>Tobillo izquierdo 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_0da6145b6c940f7f301809e9954d9a68'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pie izquierdo 2P\"  id='checkbox_13_0da6145b6c940f7f301809e9954d9a68' aria-label='Pie izquierdo 2P' aria-invalid='false' aria-required=false> <span>Pie izquierdo 2P<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_2cdc39fb8822d5259644f76efd21dc07'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pie izquierdo 2P con apoyo\"  id='checkbox_13_2cdc39fb8822d5259644f76efd21dc07' aria-label='Pie izquierdo 2P con apoyo' aria-invalid='false' aria-required=false> <span>Pie izquierdo 2P con apoyo<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13_ac3b10abab9366cd56adb34387f58368'><input  type=\"checkbox\" name=\"checkbox_13[]\" data-name=\"checkbox_13\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Calc\u00e1neo izquierdo\"  id='checkbox_13_ac3b10abab9366cd56adb34387f58368' aria-label='Calc\u00e1neo izquierdo' aria-invalid='false' aria-required=false> <span>Calc\u00e1neo izquierdo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_4\" ><p>&nbsp;<\/p>\n<p>&#8230;<\/p><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ecosonograma (Ultrasonido)\">Ecosonograma (Ultrasonido)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_8620999bce41246611a67adbcccb319f'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"18\" value=\"Abdomen\"  id='checkbox_14_8620999bce41246611a67adbcccb319f' aria-label='Abdomen' aria-invalid='false' aria-required=false> <span>Abdomen<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_bcfc67af9aaf784073a26da79bbf6078'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Abdomen - Pelvis\"  id='checkbox_14_bcfc67af9aaf784073a26da79bbf6078' aria-label='Abdomen - Pelvis' aria-invalid='false' aria-required=false> <span>Abdomen &#8211; Pelvis<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_bafa0ebe9b1d340a77515ab0be077bbf'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Medici\u00f3n de Volumen PM\"  id='checkbox_14_bafa0ebe9b1d340a77515ab0be077bbf' aria-label='Medici\u00f3n de Volumen PM' aria-invalid='false' aria-required=false> <span>Medici\u00f3n de Volumen PM<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_857e9a2cfafefb6724e558f2545d7f7c'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Mamario\"  id='checkbox_14_857e9a2cfafefb6724e558f2545d7f7c' aria-label='Mamario' aria-invalid='false' aria-required=false> <span>Mamario<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_423e2d8185490b2355afbdad7be21508'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Prost\u00e1tico Suprap\u00fabico\"  id='checkbox_14_423e2d8185490b2355afbdad7be21508' aria-label='Prost\u00e1tico Suprap\u00fabico' aria-invalid='false' aria-required=false> <span>Prost\u00e1tico Suprap\u00fabico<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_108be65499c70d58a7640317c0c3cb45'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Prost\u00e1tico Transrectal\"  id='checkbox_14_108be65499c70d58a7640317c0c3cb45' aria-label='Prost\u00e1tico Transrectal' aria-invalid='false' aria-required=false> <span>Prost\u00e1tico Transrectal<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_3b87a7d1272864220b7a09aea70b2ff2'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"P\u00e9lvico\"  id='checkbox_14_3b87a7d1272864220b7a09aea70b2ff2' aria-label='P\u00e9lvico' aria-invalid='false' aria-required=false> <span>P\u00e9lvico<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_79bf0c945fcf0ed4d86f208d63d48955'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Renal\"  id='checkbox_14_79bf0c945fcf0ed4d86f208d63d48955' aria-label='Renal' aria-invalid='false' aria-required=false> <span>Renal<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_746c76a3923988006f16d6b758bfab59'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Partes Blandas  (observaciones)\"  id='checkbox_14_746c76a3923988006f16d6b758bfab59' aria-label='Partes Blandas  (observaciones)' aria-invalid='false' aria-required=false> <span>Partes Blandas  (observaciones)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_42e76cd8f26e220539eaed2eb6009024'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Tiroides\"  id='checkbox_14_42e76cd8f26e220539eaed2eb6009024' aria-label='Tiroides' aria-invalid='false' aria-required=false> <span>Tiroides<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_14_30a0aa49952268726e2c54dfda9c0de8'><input  type=\"checkbox\" name=\"checkbox_14[]\" data-name=\"checkbox_14\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Transvaginal\"  id='checkbox_14_30a0aa49952268726e2c54dfda9c0de8' aria-label='Transvaginal' aria-invalid='false' aria-required=false> <span>Transvaginal<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ecosonograma Doppler\">Ecosonograma Doppler<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_58c704fc8c4f9c0a2164697f21687c4a'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"19\" value=\"Abdomen\"  id='checkbox_15_58c704fc8c4f9c0a2164697f21687c4a' aria-label='Abdomen' aria-invalid='false' aria-required=false> <span>Abdomen<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_b029baf917162adf96123e410fc928e5'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Carotideo-vertebral\"  id='checkbox_15_b029baf917162adf96123e410fc928e5' aria-label='Carotideo-vertebral' aria-invalid='false' aria-required=false> <span>Carotideo-vertebral<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_e96b0460da3d1ba2fa7c918024e2ce54'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Mamario\"  id='checkbox_15_e96b0460da3d1ba2fa7c918024e2ce54' aria-label='Mamario' aria-invalid='false' aria-required=false> <span>Mamario<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_1aaa62bcdb3040749876e340590ba1b1'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Pelvis\"  id='checkbox_15_1aaa62bcdb3040749876e340590ba1b1' aria-label='Pelvis' aria-invalid='false' aria-required=false> <span>Pelvis<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_d52138f496893bc27957dfc426d2ed38'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Renal\"  id='checkbox_15_d52138f496893bc27957dfc426d2ed38' aria-label='Renal' aria-invalid='false' aria-required=false> <span>Renal<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_a7bbb181843e73180d07214a2a816556'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Testicular - Escrotal\"  id='checkbox_15_a7bbb181843e73180d07214a2a816556' aria-label='Testicular - Escrotal' aria-invalid='false' aria-required=false> <span>Testicular &#8211; Escrotal<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_e88ca3e7e4945c599cfa5fca201b2a76'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Tiroides\"  id='checkbox_15_e88ca3e7e4945c599cfa5fca201b2a76' aria-label='Tiroides' aria-invalid='false' aria-required=false> <span>Tiroides<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_1824c39818c23fa42daede8c788550c0'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Arterial Miembro Inferior derecho \"  id='checkbox_15_1824c39818c23fa42daede8c788550c0' aria-label='Arterial Miembro Inferior derecho' aria-invalid='false' aria-required=false> <span>Arterial Miembro Inferior derecho <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_7294c1332ecef527212f33c8403bbf51'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Venoso Miembro Inferior derecho \"  id='checkbox_15_7294c1332ecef527212f33c8403bbf51' aria-label='Venoso Miembro Inferior derecho' aria-invalid='false' aria-required=false> <span>Venoso Miembro Inferior derecho <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_8e66ef71f5ec494a13cfea46fb103f99'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Arterial Miembro Inferior izquierdo\"  id='checkbox_15_8e66ef71f5ec494a13cfea46fb103f99' aria-label='Arterial Miembro Inferior izquierdo' aria-invalid='false' aria-required=false> <span>Arterial Miembro Inferior izquierdo<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15_e65495f423f2c0fd488ecb38c9803734'><input  type=\"checkbox\" name=\"checkbox_15[]\" data-name=\"checkbox_15\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Venoso Miembro Inferior izquierdo\"  id='checkbox_15_e65495f423f2c0fd488ecb38c9803734' aria-label='Venoso Miembro Inferior izquierdo' aria-invalid='false' aria-required=false> <span>Venoso Miembro Inferior izquierdo<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Densitometr\u00eda \u00f3sea\">Densitometr\u00eda \u00f3sea<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_23613a7206ae7716165fa0bd062821be'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"20\" value=\"DMO Pesquisa (Columna AP y Cadera izquierda)\"  id='checkbox_1_23613a7206ae7716165fa0bd062821be' aria-label='DMO Pesquisa (Columna AP y Cadera izquierda)' aria-invalid='false' aria-required=false> <span>DMO Pesquisa (Columna AP y Cadera izquierda)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_d98c033210a39077c37b86386098188d'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"DMO Columna Lumbar AP y Lateral\"  id='checkbox_1_d98c033210a39077c37b86386098188d' aria-label='DMO Columna Lumbar AP y Lateral' aria-invalid='false' aria-required=false> <span>DMO Columna Lumbar AP y Lateral<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_9e422189966c126e2fb9e9dcf1326370'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Densitometr\u00eda \u00f3sea de Cuerpo Entero\"  id='checkbox_1_9e422189966c126e2fb9e9dcf1326370' aria-label='Densitometr\u00eda \u00f3sea de Cuerpo Entero' aria-invalid='false' aria-required=false> <span>Densitometr\u00eda \u00f3sea de Cuerpo Entero<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_55fdb53d225835711488f8591daacf7c'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Densitometr\u00eda de Mu\u00f1eca izquierda\"  id='checkbox_1_55fdb53d225835711488f8591daacf7c' aria-label='Densitometr\u00eda de Mu\u00f1eca izquierda' aria-invalid='false' aria-required=false> 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theChampDropboxLoginSvg\"><\/ss><\/i><\/li><\/ul><\/div><\/div><div style=\"clear:both\"><\/div><script type=\"text\/javascript\">theChampCustomRedirect = \"https%3A%2F%2Fmisimagenes.online%2Fweb%2Fsolicitud-de-estudio-de-imagenes%2F\";var theChampSteamAuthUrl = \"\",theChampTwitterAuthUrl = theChampSiteUrl + \"?SuperSocializerAuth=Twitter&super_socializer_redirect_to=\" + theChampCustomRedirect, theChampLineAuthUrl = theChampSiteUrl + \"?SuperSocializerAuth=Line&super_socializer_redirect_to=\" + theChampCustomRedirect, theChampLiveAuthUrl = theChampSiteUrl + \"?SuperSocializerAuth=Live&super_socializer_redirect_to=\" + theChampCustomRedirect, theChampFacebookAuthUrl = theChampSiteUrl + \"?SuperSocializerAuth=Facebook&super_socializer_redirect_to=\" + theChampCustomRedirect, theChampYahooAuthUrl = theChampSiteUrl + \"?SuperSocializerAuth=Yahoo&super_socializer_redirect_to=\" + theChampCustomRedirect, theChampGoogleAuthUrl = theChampSiteUrl + 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\"?SuperSocializerAuth=Stackoverflow&super_socializer_redirect_to=\" + theChampCustomRedirect,  theChampDiscordAuthUrl = theChampSiteUrl + \"?SuperSocializerAuth=Discord&super_socializer_redirect_to=\" + theChampCustomRedirect, theChampAmazonAuthUrl = theChampSiteUrl + \"?SuperSocializerAuth=Amazon&super_socializer_redirect_to=\" + theChampCustomRedirect, theChampMailruAuthUrl = theChampSiteUrl + \"?SuperSocializerAuth=Mailru&super_socializer_redirect_to=\" + theChampCustomRedirect;<\/script>\n\n\n\n<p>o, si lo prefieres,<\/p>\n\n\n\n<p><a href=\"https:\/\/misimagenes.online\/web\/wp-login.php\">reg\u00edstrate para que puedas ver el formulario<\/a><\/p>\n\n\n\n<p><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Para entrar, selecciona la red social de tu preferencia o, si lo prefieres, reg\u00edstrate para que puedas ver el 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