{"id":8741,"date":"2015-07-29T13:19:31","date_gmt":"2015-07-29T11:19:31","guid":{"rendered":"https:\/\/www.grupopoliclinica.es\/contacte-departamento-internacional\/"},"modified":"2024-02-07T09:32:36","modified_gmt":"2024-02-07T07:32:36","slug":"contacti-departament-internacional","status":"publish","type":"page","link":"https:\/\/www.grupopoliclinica.es\/ca\/contacti-departament-internacional\/","title":{"rendered":"Contactau amb el departament internacional"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8741\" class=\"elementor elementor-8741 elementor-4874\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ae9475 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ae9475\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-66 elementor-top-column elementor-element elementor-element-1908b57\" data-id=\"1908b57\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7aa81f2 elementor-widget elementor-widget-html\" data-id=\"7aa81f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\njQuery(document).ready(function($){\n    $('#solicitar-tratamiento a').click(function(){\n        if($('#tratamiento-internacional').is(':visible')){\n            $('#tratamiento-internacional').hide();\n        }else{\n            $('#tratamiento-internacional').show();\n        }\n    })\n});\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d02a51d elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d02a51d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-54fc8d8\" data-id=\"54fc8d8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e11eaec elementor-widget elementor-widget-heading\" data-id=\"e11eaec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Contactau amb el departament internacional<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-acab0c3\" data-id=\"acab0c3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3e8aa2e elementor-align-right elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"3e8aa2e\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"solicitar-tratamiento\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#tratamiento-internacional\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Sol\u00b7licitar Tractament<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb8a846 elementor-widget elementor-widget-text-editor\" data-id=\"bb8a846\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: justify;\">Contactau aqu\u00ed amb el nostre departament internacional. Estarem encantats d\u2019atendre-us. Quina consulta teniu?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db0b2de elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"db0b2de\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&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<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" id=\"ca_contacto_departamento_internacional\" name=\"CA Contacto Departamento Internacional\" aria-label=\"CA Contacto Departamento Internacional\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8741\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"db0b2de\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Contactau Amb El Departament Internacional - Grupo Policl\u00ednica\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"8741\"\/>\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-text elementor-field-group elementor-column elementor-field-group-name 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-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom i cognoms\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[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-md  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-email elementor-field-group elementor-column elementor-field-group-email 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-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCorreu electr\u00f2nic\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[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-md  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-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tConsulta\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"6\"><\/textarea>\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_a492434 elementor-col-100\">\n\t\t\t\t\t<p style=\"font-size:10px;margin-bottom:0px\">POLICL\u00cdNICA NTRA.SRA. DEL ROSARIO SLU \u00e9s el responsable del tractament de les dades personals de l'interessat i l'informa que aquestes dades seran tractades d'acord amb el que disposa el Reglament (UE) 2016\/679, de 27 d'abril, (GDPR) i la Llei Org\u00e0nica 3\/2018. , de 5 de desembre, (LOPDGDD), per la qual cosa es facilita la seg\u00fcent informaci\u00f3 de tractament: <\/p>\n<p style=\"font-size:10px;margin-bottom:0\"><u>Finalitats i licitud del tractament:<\/u>  <\/p>\n<ul style=\"font-size:10px\">\n<li><u>Per a la prestaci\u00f3 de l'assist\u00e8ncia sanit\u00e0ria i la correcta gesti\u00f3 <\/u>dels serveis assistencials i administratius necessaris per a la mateixa (manteniment de la hist\u00f2ria cl\u00ednica, cites, revisions, expedici\u00f3 de certificats d'assist\u00e8ncia d'acord amb la normativa, gesti\u00f3 de comunicacions amb pacients, etc.). etc.), sobre la base de l'art. 6.1.b GDPR, per a l'execuci\u00f3 d'un contracte o precontracte del qual l'interessat sigui part i que, en el tractament de dades relatives a la salut, estigui cobert per l'excepci\u00f3 prevista a l'art. 9.2.h GDPR, ja que el tractament \u00e9s necessari a efectes de medicina preventiva o del treball, avaluaci\u00f3 de la capacitat laboral del treballador, diagn\u00f2stic m\u00e8dic, prestaci\u00f3 d'atenci\u00f3 o tractament sanitari o social o gesti\u00f3 dels sistemes sanitaris i d'atenci\u00f3 social i serveis.<\/li>\n<li><u>Per a la facturaci\u00f3, cobrament i comptabilitat <\/u>dels nostres serveis, per al compliment de les nostres obligacions legals, d'acord amb l'art. 6.1.c RGPD. <br\/>\n<u>Criteris de conservaci\u00f3 de dades:<\/u> Les dades es conservaran durant no m\u00e9s temps del necessari per complir amb la finalitat del tractament o durant el temps exigit per llei i, quan ja no siguin necessaris per a aquesta finalitat, s'eliminaran amb les mesures de seguretat adequades per garantir l'anonimat o la destrucci\u00f3 total de les dades. les dades. <br\/>\n<u>Comunicaci\u00f3 de dades:<\/u> A les finalitats anteriorment exposades, l'usuari consent la cessi\u00f3 de les seves dades personals a empreses del Grup Policl\u00ednica (EIVICONSULTA, SLU , CLINICA PREMIUM IBIZA, SLU , CLINICA VILAPARC, SLU i LOGISTICA PRODUCTOS SANITARIOS, SLU ) , companyies d'assegurances i altres entitats autoritzades per llei. <\/li>\n<li><u>Drets de l'interessat:<\/u> En qualsevol moment, podr\u00e0 exercir els seus drets d'acc\u00e9s, rectificaci\u00f3, portabilitat i cancel\u00b7laci\u00f3 de les seves dades, aix\u00ed com el dret a limitar o oposar-se al tractament, dirigint-se a POLICL\u00cdNICA NTRA.SRA.DEL ROSARIO SLU, per correu electr\u00f2nic: lopd@grupopoliclinica.es o info@grupopoliclinica.es o per correu postal: POLICL\u00cdNICA NTRA.SRA. DEL ROSARIO SLU, VIA ROMANA S\/N CP 07800, EIVISSA (ILLES BALEARS). Tamb\u00e9 t\u00e9 dret a presentar una reclamaci\u00f3 davant l'Ag\u00e8ncia Espanyola de Protecci\u00f3 de Dades ( www.aepd.es ) si considera que el tractament no s'ajusta a la normativa vigent.  <\/li>\n<\/ul>\n<p style=\"font-size:10px;margin-bottom:0\"><span style=\"text-decoration: underline;\">Dades de contacte per exercir els seus drets:<\/span> <a href=\"mailto:lopd@www.grupopoliclinica.es\">lopd@www.grupopoliclinica.es<\/a>. <span style=\"text-decoration: underline;\">Dades de contacte<\/span>\n<span style=\"text-decoration: underline;\">del delegat de protecci\u00f3 de dades:<\/span> <a href=\"mailto:dpo@tecnolawyer.com\">dpo@tecnolawyer.com<\/a><\/p>\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-accept_privacy 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[accept_privacy]\" id=\"form-field-accept_privacy\" class=\"elementor-field elementor-size-md  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-accept_privacy\">He llegit i accepto la <a href=\"\/ca\/politica-de-privacitat\/\">Pol\u00edtica de Privacitat<\/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-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_499ca26 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_499ca26\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LfRaKIUAAAAANBTUfBLV5NBHAc7EwPTDFdeHmXL\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\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-md\" 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<\/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<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-b3b75d0\" data-id=\"b3b75d0\" 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-295212e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"295212e\" 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-d0c76c9\" data-id=\"d0c76c9\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-15fd89d elementor-view-stacked elementor-shape-square elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"15fd89d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"tel:+34971301916;228\" class=\"elementor-icon\" tabindex=\"-1\" aria-label=\"Tel\u00e8fon Dpt. Internacional\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone\"><\/i>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"tel:+34971301916;228\" >\n\t\t\t\t\t\t\tTel\u00e8fon Dpt. Internacional\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t+34 971 30 19 16 (ext. 228)<br>(8:00 - 15:00)\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e63669 elementor-widget elementor-widget-image\" data-id=\"8e63669\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.grupopoliclinica.es\/wp-content\/uploads\/elementor\/thumbs\/recepcion-ppal-qfou5o24vncof4jj7pdrn0a5r8ak5520pn45aagdxc.jpg\" title=\"recepci\u00f3n ppal\" alt=\"recepci\u00f3n ppal\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ab45243 contenido-oculto elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ab45243\" data-element_type=\"section\" data-e-type=\"section\" id=\"tratamiento-internacional\">\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-top-column elementor-element elementor-element-1d93209\" data-id=\"1d93209\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-368be10 elementor-widget elementor-widget-heading\" data-id=\"368be10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ha decidit realitzar-se algun tractament amb nosaltres?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3ced51 elementor-widget elementor-widget-text-editor\" data-id=\"a3ced51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: justify;\">En aquest cas, ompliu el nostre q\u00fcestionari de salut i us contactarem amb la m\u00e0xima brevetat.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0d43080 elementor-widget elementor-widget-html\" data-id=\"0d43080\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\r\njQuery(document).ready(function($) {\r\n\r\n    $('body').on('change','.elementor-field-group-cardiologicos input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-cardiologicos_si').show();\r\n    \t\t$('.elementor-field-group-cardiologicos_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-cardiologicos_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-cardiologicos_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-cardiologicos_si').hide();\r\n    \t\t$('.elementor-field-group-cardiologicos_otra').hide();  \r\n    \t\t$('.elementor-field-group-cardiologicos_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-cardiologicos_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-diabetes input',function(){\r\n    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\t\t$('.elementor-field-group-sanguinea_si').show();\r\n    \t\t$('.elementor-field-group-sanguinea_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-sanguinea_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-sanguinea_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-sanguinea_si').hide();\r\n    \t\t$('.elementor-field-group-sanguinea_otra').hide();  \r\n    \t\t$('.elementor-field-group-sanguinea_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-sanguinea_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-respiratoria input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-respiratoria_si').show();\r\n    \t\t$('.elementor-field-group-respiratoria_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-respiratoria_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-respiratoria_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-respiratoria_si').hide();\r\n    \t\t$('.elementor-field-group-respiratoria_otra').hide();  \r\n    \t\t$('.elementor-field-group-respiratoria_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-respiratoria_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-renales input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-dialisis').show();\r\n    \t\t$('.elementor-field-group-dialisis input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-dialisis').hide();\t\r\n    \t\t$('.elementor-field-group-dialisis input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-higado input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n  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\t\t$('.elementor-field-group-hematologicos_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-hematologicos_si').hide();\r\n    \t\t$('.elementor-field-group-hematologicos_otra').hide();  \r\n    \t\t$('.elementor-field-group-hematologicos_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-hematologicos_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-oncologico input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-oncologico_si').show();\r\n    \t\t$('.elementor-field-group-tratamiento').show();   \t\t\r\n    \t\t$('.elementor-field-group-oncologico_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-tratamiento input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-oncologico_si').hide();\r\n    \t\t$('.elementor-field-group-tratamiento').hide();  \r\n    \t\t$('.elementor-field-group-oncologico_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-tratamiento input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-mental input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-mental_si').show();\r\n    \t\t$('.elementor-field-group-mental_otra').show();   \t\t\r\n    \t\t$('.elementor-field-group-mental_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-mental_otra input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-mental_si').hide();\r\n    \t\t$('.elementor-field-group-mental_otra').hide();  \r\n    \t\t$('.elementor-field-group-mental_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-mental_otra input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-neurologico input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-neurologico_si').show();\r\n    \t\t$('.elementor-field-group-neurologico_si input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-neurologico_si').hide();\t\r\n    \t\t$('.elementor-field-group-neurologico_si input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-anestesia input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-anestesia_si').show();\r\n    \t\t$('.elementor-field-group-anestesia_si input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-anestesia_si').hide();\t\r\n    \t\t$('.elementor-field-group-anestesia_si input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-alergia input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-alergia_si').show();\r\n    \t\t$('.elementor-field-group-alergia_cual').show();   \t\t\r\n    \t\t$('.elementor-field-group-alergia_si input').prop(\"required\", true);\r\n    \t\t$('.elementor-field-group-alergia_cual input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-alergia_si').hide();\r\n    \t\t$('.elementor-field-group-alergia_cual').hide();  \r\n    \t\t$('.elementor-field-group-alergia_si input').prop(\"required\", false);\r\n    \t\t$('.elementor-field-group-alergia_cual input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-medicacion input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-medicacion_cual').show();\r\n    \t\t$('.elementor-field-group-medicacion_cual input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-medicacion_cual').hide();\t\r\n    \t\t$('.elementor-field-group-medicacion_cual input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n    $('body').on('change','.elementor-field-group-hospitalizacion input',function(){\r\n    \tif($(this).val() == 'S\u00ed'){ \r\n    \t\t$('.elementor-field-group-hospitalizacion_cual').show();\r\n    \t\t$('.elementor-field-group-hospitalizacion_cual input').prop(\"required\", true);\t\r\n    \t}else{\r\n    \t\t$('.elementor-field-group-hospitalizacion_cual').hide();\t\r\n    \t\t$('.elementor-field-group-hospitalizacion_cual input').prop(\"required\", false);\r\n    \t}\r\n    });\r\n\r\n});\r\n<\/script>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-600a170 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"600a170\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&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<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" id=\"contacto\" name=\"Contacte\" aria-label=\"Contacte\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8741\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"600a170\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Contactau Amb El Departament Internacional - Grupo Policl\u00ednica\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"8741\"\/>\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-html elementor-field-group elementor-column elementor-field-group-field_9bc6415 elementor-col-100\">\n\t\t\t\t\t<strong>DADES PERSONALS DEL PACIENT<\/strong>\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-nombre 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-nombre\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom\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[nombre]\" id=\"form-field-nombre\" class=\"elementor-field elementor-size-md  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-apellidos 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-apellidos\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCognom\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[apellidos]\" id=\"form-field-apellidos\" class=\"elementor-field elementor-size-md  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-sexo 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-sexo\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tG\u00e8nere\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[sexo]\" id=\"form-field-sexo\" class=\"elementor-field elementor-size-md  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-nacimiento 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-nacimiento\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tData de naixement\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[nacimiento]\" id=\"form-field-nacimiento\" class=\"elementor-field elementor-size-md  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-residencia 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-residencia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPa\u00eds de resid\u00e8ncia\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[residencia]\" id=\"form-field-residencia\" class=\"elementor-field elementor-size-md  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-nacionalidad 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-nacionalidad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNacionalitat\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[nacionalidad]\" id=\"form-field-nacionalidad\" class=\"elementor-field elementor-size-md  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-identificacion 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-identificacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00famero d'identificaci\u00f3 (n\u00famero de DNI , n\u00famero de resid\u00e8ncia, passaport)\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[identificacion]\" id=\"form-field-identificacion\" class=\"elementor-field elementor-size-md  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-html elementor-field-group elementor-column elementor-field-group-field_f119c52 elementor-col-100\">\n\t\t\t\t\tH\u00e0bits socials:\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-fumador elementor-col-30 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fumador\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVost\u00e8 fuma?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed \" id=\"form-field-fumador-0\" name=\"form_fields[fumador]\" required=\"required\"> <label for=\"form-field-fumador-0\">S\u00ed <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-fumador-1\" name=\"form_fields[fumador]\" required=\"required\"> <label for=\"form-field-fumador-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-alcohol elementor-col-70 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alcohol\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBeus alcohol amb regularitat?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-alcohol-0\" name=\"form_fields[alcohol]\" required=\"required\"> <label for=\"form-field-alcohol-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-alcohol-1\" name=\"form_fields[alcohol]\" required=\"required\"> <label for=\"form-field-alcohol-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-sustancia elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sustancia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAlguna ingesta d'altres subst\u00e0ncies? \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[sustancia]\" id=\"form-field-sustancia\" class=\"elementor-field elementor-size-md  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-html elementor-field-group elementor-column elementor-field-group-field_ea6d6e7 elementor-col-100\">\n\t\t\t\t\t<br\/><strong>INFORMACI\u00d3 M\u00c8DICA DEL PACIENT<\/strong>\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-cardiologicos elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cardiologicos\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMalalties del cor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-cardiologicos-0\" name=\"form_fields[cardiologicos]\" required=\"required\"> <label for=\"form-field-cardiologicos-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-cardiologicos-1\" name=\"form_fields[cardiologicos]\" required=\"required\"> <label for=\"form-field-cardiologicos-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-cardiologicos_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cardiologicos_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Infart agut\" id=\"form-field-cardiologicos_si-0\" name=\"form_fields[cardiologicos_si]\"> <label for=\"form-field-cardiologicos_si-0\">Infart agut<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Insufici\u00e8ncia card\u00edaca\" id=\"form-field-cardiologicos_si-1\" name=\"form_fields[cardiologicos_si]\"> <label for=\"form-field-cardiologicos_si-1\">Insufici\u00e8ncia card\u00edaca<\/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-cardiologicos_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cardiologicos_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltres:\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[cardiologicos_otra]\" id=\"form-field-cardiologicos_otra\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-diabetes elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-diabetes\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiab\u00e8tic insulinodependent\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-diabetes-0\" name=\"form_fields[diabetes]\" required=\"required\"> <label for=\"form-field-diabetes-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-diabetes-1\" name=\"form_fields[diabetes]\" required=\"required\"> <label for=\"form-field-diabetes-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-diabetes_si elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-diabetes_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Diabetis tipus I\" id=\"form-field-diabetes_si-0\" name=\"form_fields[diabetes_si]\"> <label for=\"form-field-diabetes_si-0\">Diabetis tipus I<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Diabetis tipus II\" id=\"form-field-diabetes_si-1\" name=\"form_fields[diabetes_si]\"> <label for=\"form-field-diabetes_si-1\">Diabetis tipus II<\/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-tiroides elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tiroides\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrastorns de la tiroide\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-tiroides-0\" name=\"form_fields[tiroides]\" required=\"required\"> <label for=\"form-field-tiroides-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-tiroides-1\" name=\"form_fields[tiroides]\" required=\"required\"> <label for=\"form-field-tiroides-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-tiroides_si elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tiroides_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tiroide hiperactiva\" id=\"form-field-tiroides_si-0\" name=\"form_fields[tiroides_si]\"> <label for=\"form-field-tiroides_si-0\">Tiroide hiperactiva<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tiroide hipoactiva\" id=\"form-field-tiroides_si-1\" name=\"form_fields[tiroides_si]\"> <label for=\"form-field-tiroides_si-1\">Tiroide hipoactiva<\/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-sanguinea elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sanguinea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrastorns de la pressi\u00f3 arterial\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-sanguinea-0\" name=\"form_fields[sanguinea]\" required=\"required\"> <label for=\"form-field-sanguinea-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-sanguinea-1\" name=\"form_fields[sanguinea]\" required=\"required\"> <label for=\"form-field-sanguinea-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-sanguinea_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sanguinea_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tensi\u00f3 arterial alta\" id=\"form-field-sanguinea_si-0\" name=\"form_fields[sanguinea_si]\"> <label for=\"form-field-sanguinea_si-0\">Tensi\u00f3 arterial alta<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tensi\u00f3 arterial baixa\" id=\"form-field-sanguinea_si-1\" name=\"form_fields[sanguinea_si]\"> <label for=\"form-field-sanguinea_si-1\">Tensi\u00f3 arterial baixa<\/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-sanguinea_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sanguinea_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltres:\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[sanguinea_otra]\" id=\"form-field-sanguinea_otra\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-respiratoria elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-respiratoria\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMalalties Respirat\u00f2ries\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-respiratoria-0\" name=\"form_fields[respiratoria]\" required=\"required\"> <label for=\"form-field-respiratoria-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-respiratoria-1\" name=\"form_fields[respiratoria]\" required=\"required\"> <label for=\"form-field-respiratoria-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-respiratoria_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-respiratoria_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"MPOC\" id=\"form-field-respiratoria_si-0\" name=\"form_fields[respiratoria_si]\"> <label for=\"form-field-respiratoria_si-0\">MPOC<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Asma\" id=\"form-field-respiratoria_si-1\" name=\"form_fields[respiratoria_si]\"> <label for=\"form-field-respiratoria_si-1\">Asma<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Insufici\u00e8ncia respirat\u00f2ria\" id=\"form-field-respiratoria_si-2\" name=\"form_fields[respiratoria_si]\"> <label for=\"form-field-respiratoria_si-2\">Insufici\u00e8ncia respirat\u00f2ria<\/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-respiratoria_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-respiratoria_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltres:\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[respiratoria_otra]\" id=\"form-field-respiratoria_otra\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-renales elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-renales\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMalalties Renals\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-renales-0\" name=\"form_fields[renales]\" required=\"required\"> <label for=\"form-field-renales-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-renales-1\" name=\"form_fields[renales]\" required=\"required\"> <label for=\"form-field-renales-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-dialisis elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dialisis\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDi\u00e0lisi:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-dialisis-0\" name=\"form_fields[dialisis]\"> <label for=\"form-field-dialisis-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-dialisis-1\" name=\"form_fields[dialisis]\"> <label for=\"form-field-dialisis-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-higado elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-higado\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMalalties del fetge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-higado-0\" name=\"form_fields[higado]\" required=\"required\"> <label for=\"form-field-higado-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-higado-1\" name=\"form_fields[higado]\" required=\"required\"> <label for=\"form-field-higado-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-higado_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-higado_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Hepatitis A\" id=\"form-field-higado_si-0\" name=\"form_fields[higado_si]\"> <label for=\"form-field-higado_si-0\">Hepatitis A<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Hepatitis B\" id=\"form-field-higado_si-1\" name=\"form_fields[higado_si]\"> <label for=\"form-field-higado_si-1\">Hepatitis B<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Hepatitis C\" id=\"form-field-higado_si-2\" name=\"form_fields[higado_si]\"> <label for=\"form-field-higado_si-2\">Hepatitis C<\/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-higado_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-higado_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltres:\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[higado_otra]\" id=\"form-field-higado_otra\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-hematologicos elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hematologicos\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrastorns de la sang\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-hematologicos-0\" name=\"form_fields[hematologicos]\" required=\"required\"> <label for=\"form-field-hematologicos-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-hematologicos-1\" name=\"form_fields[hematologicos]\" required=\"required\"> <label for=\"form-field-hematologicos-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-hematologicos_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hematologicos_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"An\u00e8mia\" id=\"form-field-hematologicos_si-0\" name=\"form_fields[hematologicos_si]\"> <label for=\"form-field-hematologicos_si-0\">An\u00e8mia<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Hemof\u00edlia\" id=\"form-field-hematologicos_si-1\" name=\"form_fields[hematologicos_si]\"> <label for=\"form-field-hematologicos_si-1\">Hemof\u00edlia<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Trastorns de la coagulaci\u00f3\" id=\"form-field-hematologicos_si-2\" name=\"form_fields[hematologicos_si]\"> <label for=\"form-field-hematologicos_si-2\">Trastorns de la coagulaci\u00f3<\/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-hematologicos_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hematologicos_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltres:\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[hematologicos_otra]\" id=\"form-field-hematologicos_otra\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-oncologico elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-oncologico\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHist\u00f2ria del c\u00e0ncer\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-oncologico-0\" name=\"form_fields[oncologico]\" required=\"required\"> <label for=\"form-field-oncologico-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-oncologico-1\" name=\"form_fields[oncologico]\" required=\"required\"> <label for=\"form-field-oncologico-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-oncologico_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-oncologico_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEn cas afirmatiu, expliqueu:\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[oncologico_si]\" id=\"form-field-oncologico_si\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-tratamiento elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tratamiento\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTractament rebut:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Quimioter\u00e0pia\" id=\"form-field-tratamiento-0\" name=\"form_fields[tratamiento]\"> <label for=\"form-field-tratamiento-0\">Quimioter\u00e0pia<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Radioter\u00e0pia\" id=\"form-field-tratamiento-1\" name=\"form_fields[tratamiento]\"> <label for=\"form-field-tratamiento-1\">Radioter\u00e0pia<\/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-vih elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vih\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSIDA o VIH\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-vih-0\" name=\"form_fields[vih]\"> <label for=\"form-field-vih-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-vih-1\" name=\"form_fields[vih]\"> <label for=\"form-field-vih-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-mental elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mental\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrastorns de salut mental\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-mental-0\" name=\"form_fields[mental]\" required=\"required\"> <label for=\"form-field-mental-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-mental-1\" name=\"form_fields[mental]\" required=\"required\"> <label for=\"form-field-mental-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-mental_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mental_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ansietat\" id=\"form-field-mental_si-0\" name=\"form_fields[mental_si]\"> <label for=\"form-field-mental_si-0\">Ansietat<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Depressi\u00f3\" id=\"form-field-mental_si-1\" name=\"form_fields[mental_si]\"> <label for=\"form-field-mental_si-1\">Depressi\u00f3<\/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-mental_otra elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mental_otra\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAltres:\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[mental_otra]\" id=\"form-field-mental_otra\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-neurologico elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-neurologico\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProblemes neurol\u00f2gics\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-neurologico-0\" name=\"form_fields[neurologico]\" required=\"required\"> <label for=\"form-field-neurologico-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-neurologico-1\" name=\"form_fields[neurologico]\" required=\"required\"> <label for=\"form-field-neurologico-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-neurologico_si elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-neurologico_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEn cas afirmatiu, expliqueu:\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[neurologico_si]\" id=\"form-field-neurologico_si\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-anestesia elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anestesia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tReaccions a l'anest\u00e8sia\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-anestesia-0\" name=\"form_fields[anestesia]\" required=\"required\"> <label for=\"form-field-anestesia-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-anestesia-1\" name=\"form_fields[anestesia]\" required=\"required\"> <label for=\"form-field-anestesia-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-anestesia_si elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anestesia_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEn cas afirmatiu, expliqueu:\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[anestesia_si]\" id=\"form-field-anestesia_si\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-alergia elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alergia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAl\u00b7l\u00e8rgies conegudes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-alergia-0\" name=\"form_fields[alergia]\" required=\"required\"> <label for=\"form-field-alergia-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-alergia-1\" name=\"form_fields[alergia]\" required=\"required\"> <label for=\"form-field-alergia-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-alergia_si elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alergia_si\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccioni:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Medicament\" id=\"form-field-alergia_si-0\" name=\"form_fields[alergia_si]\"> <label for=\"form-field-alergia_si-0\">Medicament<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"L\u00e0tex\" id=\"form-field-alergia_si-1\" name=\"form_fields[alergia_si]\"> <label for=\"form-field-alergia_si-1\">L\u00e0tex<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yode\" id=\"form-field-alergia_si-2\" name=\"form_fields[alergia_si]\"> <label for=\"form-field-alergia_si-2\">Yode<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Al\u00b7l\u00e8rgies aliment\u00e0ries\" id=\"form-field-alergia_si-3\" name=\"form_fields[alergia_si]\"> <label for=\"form-field-alergia_si-3\">Al\u00b7l\u00e8rgies aliment\u00e0ries<\/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-alergia_cual elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alergia_cual\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEn cas afirmatiu, expliqueu:\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[alergia_cual]\" id=\"form-field-alergia_cual\" class=\"elementor-field elementor-size-md  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-html elementor-field-group elementor-column elementor-field-group-field_9a9f1bd elementor-col-100\">\n\t\t\t\t\t<br\/><strong>HISTORIAL M\u00c8DIC<\/strong>\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-medicacion elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-medicacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPren vost\u00e8 medicaci\u00f3 habitual ?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-medicacion-0\" name=\"form_fields[medicacion]\" required=\"required\"> <label for=\"form-field-medicacion-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-medicacion-1\" name=\"form_fields[medicacion]\" required=\"required\"> <label for=\"form-field-medicacion-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-medicacion_cual elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-medicacion_cual\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEn cas afirmatiu, enumereu tots els medicaments que preneu i expliqueu per qu\u00e8: \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[medicacion_cual]\" id=\"form-field-medicacion_cual\" class=\"elementor-field elementor-size-md  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-radio elementor-field-group elementor-column elementor-field-group-hospitalizacion elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hospitalizacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHa estat hospitalitzat, s'ha operat o ha rebut atenci\u00f3 m\u00e8dica? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-hospitalizacion-0\" name=\"form_fields[hospitalizacion]\" required=\"required\"> <label for=\"form-field-hospitalizacion-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-hospitalizacion-1\" name=\"form_fields[hospitalizacion]\" required=\"required\"> <label for=\"form-field-hospitalizacion-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-hospitalizacion_cual elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hospitalizacion_cual\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExpliqueu i indiqueu les dates aproximades: \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[hospitalizacion_cual]\" id=\"form-field-hospitalizacion_cual\" class=\"elementor-field elementor-size-md  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-textarea elementor-field-group elementor-column elementor-field-group-field_f673fbf elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f673fbf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tINFORMACI\u00d3 ADICIONAL\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[field_f673fbf]\" id=\"form-field-field_f673fbf\" rows=\"4\"><\/textarea>\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_dae5314 elementor-col-100\">\n\t\t\t\t\t<p style=\"font-size:10px;margin-bottom:0px\">POLICL\u00cdNICA NTRA.SRA. DEL ROSARIO SLU \u00e9s el responsable del tractament de les dades personals de l'interessat i l'informa que aquestes dades seran tractades d'acord amb el que disposa el Reglament (UE) 2016\/679, de 27 d'abril, (GDPR) i la Llei Org\u00e0nica 3\/2018. , de 5 de desembre, (LOPDGDD), per la qual cosa es facilita la seg\u00fcent informaci\u00f3 de tractament: <\/p>\n<p style=\"font-size:10px;margin-bottom:0\"><u>Finalitats i licitud del tractament:<\/u>  <\/p>\n<ul style=\"font-size:10px\">\n<li><u>Per a la prestaci\u00f3 de l'assist\u00e8ncia sanit\u00e0ria i la correcta gesti\u00f3 <\/u>dels serveis assistencials i administratius necessaris per a la mateixa (manteniment de la hist\u00f2ria cl\u00ednica, cites, revisions, expedici\u00f3 de certificats d'assist\u00e8ncia d'acord amb la normativa, gesti\u00f3 de comunicacions amb pacients, etc.). etc.), sobre la base de l'art. 6.1.b GDPR, per a l'execuci\u00f3 d'un contracte o precontracte del qual l'interessat sigui part i que, en el tractament de dades relatives a la salut, estigui cobert per l'excepci\u00f3 prevista a l'art. 9.2.h GDPR, ja que el tractament \u00e9s necessari a efectes de medicina preventiva o del treball, avaluaci\u00f3 de la capacitat laboral del treballador, diagn\u00f2stic m\u00e8dic, prestaci\u00f3 d'atenci\u00f3 o tractament sanitari o social o gesti\u00f3 dels sistemes sanitaris i d'atenci\u00f3 social i serveis.<\/li>\n<li><u>Per a la facturaci\u00f3, cobrament i comptabilitat <\/u>dels nostres serveis, per al compliment de les nostres obligacions legals, d'acord amb l'art. 6.1.c RGPD. <br\/>\n<u>Criteris de conservaci\u00f3 de dades:<\/u> Les dades es conservaran durant no m\u00e9s temps del necessari per complir amb la finalitat del tractament o durant el temps exigit per llei i, quan ja no siguin necessaris per a aquesta finalitat, s'eliminaran amb les mesures de seguretat adequades per garantir l'anonimat o la destrucci\u00f3 total de les dades. les dades. <br\/>\n<u>Comunicaci\u00f3 de dades:<\/u> A les finalitats anteriorment exposades, l'usuari consent la cessi\u00f3 de les seves dades personals a empreses del Grup Policl\u00ednica (EIVICONSULTA, SLU , CLINICA PREMIUM IBIZA, SLU , CLINICA VILAPARC, SLU i LOGISTICA PRODUCTOS SANITARIOS, SLU ) , companyies d'assegurances i altres entitats autoritzades per llei. <\/li>\n<li><u>Drets de l'interessat:<\/u> En qualsevol moment, podr\u00e0 exercir els seus drets d'acc\u00e9s, rectificaci\u00f3, portabilitat i cancel\u00b7laci\u00f3 de les seves dades, aix\u00ed com el dret a limitar o oposar-se al tractament, dirigint-se a POLICL\u00cdNICA NTRA.SRA.DEL ROSARIO SLU, per correu electr\u00f2nic: lopd@grupopoliclinica.es o info@grupopoliclinica.es o per correu postal: POLICL\u00cdNICA NTRA.SRA. DEL ROSARIO SLU, VIA ROMANA S\/N CP 07800, EIVISSA (ILLES BALEARS). Tamb\u00e9 t\u00e9 dret a presentar una reclamaci\u00f3 davant l'Ag\u00e8ncia Espanyola de Protecci\u00f3 de Dades ( www.aepd.es ) si considera que el tractament no s'ajusta a la normativa vigent.  <\/li>\n<\/ul>\n<p style=\"font-size:10px;margin-bottom:0\"><span style=\"text-decoration: underline;\">Dades de contacte per exercir els seus drets:<\/span> <a href=\"mailto:lopd@www.grupopoliclinica.es\">lopd@www.grupopoliclinica.es<\/a>. <span style=\"text-decoration: underline;\">Dades de contacte<\/span>\n<span style=\"text-decoration: underline;\">del delegat de protecci\u00f3 de dades:<\/span> <a href=\"mailto:dpo@tecnolawyer.com\">dpo@tecnolawyer.com<\/a><\/p>\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_a3a7e4a 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_a3a7e4a]\" id=\"form-field-field_a3a7e4a\" class=\"elementor-field elementor-size-md  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_a3a7e4a\">He llegit i accepto la <a href=\"\/ca\/politica-de-privacitat\/\">Pol\u00edtica de Privacitat<\/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-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_1a488f1 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_1a488f1\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LfRaKIUAAAAANBTUfBLV5NBHAc7EwPTDFdeHmXL\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\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-md\" 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<\/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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Contactau amb el departament internacional Sol\u00b7licitar Tractament Contactau aqu\u00ed amb el nostre departament internacional. Estarem encantats d\u2019atendre-us. Quina consulta teniu? Tel\u00e8fon Dpt. Internacional +34 971 30 19 16 (ext. 228)(8:00 &#8211; 15:00) Ha decidit realitzar-se algun tractament amb nosaltres? En aquest cas, ompliu el nostre q\u00fcestionari de salut i us contactarem amb la m\u00e0xima brevetat.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-8741","page","type-page","status-publish","hentry"],"acf":[],"featured_image_urls":{},"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.grupopoliclinica.es\/ca\/wp-json\/wp\/v2\/pages\/8741","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupopoliclinica.es\/ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.grupopoliclinica.es\/ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupopoliclinica.es\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupopoliclinica.es\/ca\/wp-json\/wp\/v2\/comments?post=8741"}],"version-history":[{"count":0,"href":"https:\/\/www.grupopoliclinica.es\/ca\/wp-json\/wp\/v2\/pages\/8741\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.grupopoliclinica.es\/ca\/wp-json\/wp\/v2\/media?parent=8741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}