{"id":6826,"date":"2024-04-22T16:47:15","date_gmt":"2024-04-22T16:47:15","guid":{"rendered":"https:\/\/www.pacificasalud.com\/?page_id=6826"},"modified":"2026-06-18T16:52:13","modified_gmt":"2026-06-18T16:52:13","slug":"acreditaciones-medicas","status":"publish","type":"page","link":"https:\/\/www.pacificasalud.com\/en\/acreditaciones-medicas\/","title":{"rendered":"Acreditaciones Medicas"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-7581 forminator-design--default  forminator_ajax draft-enabled\" data-forminator-render=\"0\" data-form=\"forminator-module-7581\" data-uid=\"6a8d1f733f3fb\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-7581\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-7581 forminator-design--default  forminator_ajax draft-enabled\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"7581\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a8d1f733f3fb\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Fin\"\n\t\t\t\tdata-actual-label=\"Inicio\"\n\t\t\t\tdata-name=\"page-break-3\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\">\n<p>Pac\u00edfica Salud le da la bienvenida al portal de Acreditaci\u00f3n m\u00e9dica y de otros profesionales de salud.<\/p>\n<\/div>\n<div>\u00a0<\/div>\n<div style=\"color: #014446;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem;text-align: center\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/logoPacificaSalud.png\" class=\"lazyload aligncenter\">\n<p style=\"font-size: 10px\">versi\u00f3n 1.0.a<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"Inicio\"\n\t\t\t\tdata-actual-label=\"Intro\"\n\t\t\t\tdata-name=\"page-break-9\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12  grid-container\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem;line-height: 1.6\"><strong>ACREDITACI\u00d3N<\/strong>\n<p>Pac\u00edfica Salud le da la bienvenida al portal de Acreditaci\u00f3n m\u00e9dica y de otros profesionales de salud.<\/p>\n<p>A continuaci\u00f3n, usted podr\u00e1 completar el formato de solicitud de acreditaci\u00f3n.<\/p>\n<p>El cuerpo m\u00e9dico acreditado tendr\u00e1 como privilegios participar <strong>en congresos, seminarios, cursos, videoconferencias\u00a0<\/strong>con aval universitario y profesores de talla nacional e internacional, tambi\u00e9n contara con el departamento de investigaci\u00f3n para realizar publicaciones en revistas nacionales e internacionales, \u00a0acompa\u00f1amiento en proyectos de investigaci\u00f3n, acceso a trav\u00e9s de un c\u00f3digo QRL en las \u00e1reas para identificar y reportar eventos relacionados con la atenci\u00f3n lo que nos permitir\u00e1 que usted sea parte de la mejora continua en los procesos.<\/p>\n<p>Pac\u00edfica Salud le brinda un sistema de expediente electr\u00f3nico m\u00e9dico, un carn\u00e9 de identificaci\u00f3n con acceso a las \u00e1reas, estacionamiento gratuito y \u00e1reas de descanso m\u00e9dico.<\/p>\n<\/div>\n<div style=\"background:#fff;color: #014446;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem;line-height: 1.6\">\n<p><strong>Esta solicitud es el primer paso para el proceso de acreditaci\u00f3n. Le tomara alrededor de 15 minutos su completitud.<\/strong><\/p>\n<div class=\"grid-container\">\n<div><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/Paso1.jpg\"><\/div>\n<div>\n<p><strong>Paso 1. Aplicaci\u00f3n online<\/strong>\u00a0<img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/psAyuda.png\" title=\"Despu\u00e9s de completar la aplicaci\u00f3n online con la informaci\u00f3n y documentaci\u00f3n que se le pide, es posible que deba adjuntar otras credenciales de entrenamiento que respalden la solicitud de privilegios adicionales. Si en estos momentos no cuenta con toda la documentaci\u00f3n para completar este paso, usted puede ingresar nuevamente con su cuenta y terminar la solicitud.  Es el proceso mediante el cual el Comit\u00e9 de Acreditaci\u00f3n evaluar\u00e1 toda la informaci\u00f3n que usted proporcione en el paso 1 y el paso 2 siempre y cuando la informaci\u00f3n y documentaci\u00f3n este completa.   Si tiene alguna consulta, no dude en contactarnos al 204-8092 o al 204-8775.\" style=\"width: 16px;height: 16px\"><\/p>\n<p>Completar la solicitud o aplicaci\u00f3n con la informaci\u00f3n y documentaci\u00f3n que se le solicita aqu\u00ed, con el fin de reportar la informaci\u00f3n y documentaci\u00f3n este completa.<\/p>\n<\/div>\n<div><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/Paso2.jpg\"><\/div>\n<div>\n<p><strong>Paso 2. Revisi\u00f3n y verificaci\u00f3n de Credenciales<\/strong><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/psAyuda.png\" title=\"Despu\u00e9s de completar la aplicaci\u00f3n online con la informaci\u00f3n y documentaci\u00f3n que se le pide, es posible que deba adjuntar otras credenciales de entrenamiento que respalden la solicitud de privilegios adicionales. Si en estos momentos no cuenta con toda la documentaci\u00f3n para completar este paso, usted puede ingresar nuevamente con su cuenta y terminar la solicitud.  Es el proceso mediante el cual el Comit\u00e9 de Acreditaci\u00f3n evaluar\u00e1 toda la informaci\u00f3n que usted proporcione en el paso 1 y el paso 2 siempre y cuando la informaci\u00f3n y documentaci\u00f3n este completa.   Si tiene alguna consulta, no dude en contactarnos al 204-8092 o al 204-8775.\" style=\"width: 16px;height: 16px\"><\/p>\n<p>Despu\u00e9s de completar la solicitud o aplicaci\u00f3n con la informaci\u00f3n y documentaci\u00f3n que se le pide, se revisa con el fin de asegurarnos e informarle si la informaci\u00f3n y documentaci\u00f3n est\u00e1 completa. Es posible que deba adjuntar otras credenciales de entrenamiento que respalden la solicitud de privilegios adicionales.<\/p>\n<\/div>\n<div><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/Paso3.jpg\"><\/div>\n<div class=\"grid-item\">\n<p><strong>Paso 3. Otorgamiento de privilegios<\/strong><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/psAyuda.png\" title=\"Despu\u00e9s de completar la aplicaci\u00f3n online con la informaci\u00f3n y documentaci\u00f3n que se le pide, es posible que deba adjuntar otras credenciales de entrenamiento que respalden la solicitud de privilegios adicionales. Si en estos momentos no cuenta con toda la documentaci\u00f3n para completar este paso, usted puede ingresar nuevamente con su cuenta y terminar la solicitud.  Es el proceso mediante el cual el Comit\u00e9 de Acreditaci\u00f3n evaluar\u00e1 toda la informaci\u00f3n que usted proporcione en el paso 1 y el paso 2 siempre y cuando la informaci\u00f3n y documentaci\u00f3n este completa.   Si tiene alguna consulta, no dude en contactarnos al 204-8092 o al 204-8775.\" style=\"width: 16px;height: 16px\"><\/p>\n<p>La secci\u00f3n de privilegios son un listado de actividades cl\u00ednicas que usted solicita y que el comit\u00e9 de acreditaci\u00f3n evaluar\u00e1 en base principalmente en la informaci\u00f3n y documentaci\u00f3n que usted nos proporcione en la aplicaci\u00f3n.<\/p>\n<p>El comit\u00e9 de credenciales puede pedir informaci\u00f3n adicional, si as\u00ed se requiere y si este es su caso se le estar\u00e1 notificando v\u00eda correo.<\/p>\n<p>La notificaci\u00f3n de otorgamiento de privilegios\/aprobaci\u00f3n le ser\u00e1 notificado al correo. <strong>Los privilegios tienen un periodo de vigente de 3 a\u00f1os, antes de culmine este tiempo por favor aplique la solicitud de re-acreditaci\u00f3n al menos dos meses antes del vencimiento.<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"Intro\"\n\t\t\t\tdata-actual-label=\"Solicitud\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div style=\"background:#03787c;color:white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding-top: 1rem;padding-right: 0.75rem;padding-bottom: 1rem;padding-left: 1rem\"><strong>ELECCI\u00d3N DEL PROCESO DE LA SOLICITUD.<\/strong><\/div>\n<div style=\"color:#014446;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding-top: 1rem;padding-right: 0.75rem;padding-bottom: 1rem;padding-left: 1rem\">\n    <p><strong>Medical Accreditation<\/strong><\/p>\n    <p>Solicitado por primera vez<\/p>\n    <p><strong>Re-Acreditaci\u00f3n<\/strong><\/p>\n    <p>Solicitud de renovaci\u00f3n<\/p>\n    <p><strong>Otros Profesionales de salud<\/strong><\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-2_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-2_6a8d1f733f3fb-label\" class=\"forminator-label\">Por favor escoja al proceso que aplica: <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-2_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccione\" data-search=\"false\" data-search-placeholder=\"Seleccione\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-2_6a8d1f733f3fb-label\"><option value=\"\"  >Seleccione<\/option><option value=\"Acreditaci\u00f3n m\u00e9dica\"  data-calculation=\"0\">Acreditaci\u00f3n m\u00e9dica<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"Solicitud\"\n\t\t\t\tdata-actual-label=\"Informaci\u00f3n\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12  grid-container2\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\"><strong>Solicitud de Acreditaci\u00f3n M\u00e9dica.<\/strong><\/div>\n<div style=\"background: #fff;color: #014446;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem;line-height: 1.6\">\n<p><strong>Proceso de acreditaci\u00f3n<\/strong><\/p>\n<p>Esta solicitud es el primer paso para el proceso de acreditaci\u00f3n. Le tomar\u00e1 alrededor de 15 minutos su completitud.<\/p>\n<p>Si tiene alguna duda por favor comunicarse al 204-8092 o v\u00eda correo<strong> acreditacionmedica@pacificasalud.com<\/strong><\/p>\n<p><strong>\u00bfQu\u00e9 necesitamos para esta aplicaci\u00f3n?<\/strong><\/p>\n<div class=\"grid-container2\">\n<div><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/Sombrero_graduado.jpg\"><\/div>\n<div>\n<ul>\n<li>Hoja de Vida<\/li>\n<li>Diplomas<\/li>\n<li>Idoneidades<\/li>\n<li>Dos recomendaciones por m\u00e9dicos de la misma especialidad<\/li>\n<\/ul>\n<\/div>\n<div><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/Resucitacion.jpg\"><\/div>\n<div>\n<ul>\n<li>Curso de Soporte vital vigente<\/li>\n<\/ul>\n<\/div>\n<div><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/Cuestionario.jpg\"><\/div>\n<div>\n<ul>\n<li>Completar el cuestionario aqu\u00ed<\/li>\n<\/ul>\n<\/div>\n<div><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/isoftware.com.co\/wp-content\/uploads\/2023\/06\/Diploma.jpg\"><\/div>\n<div>\n<ul>\n<li>Otras credenciales<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-4\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-4-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"4\"\n\t\t\t\tdata-label=\"Informaci\u00f3n\"\n\t\t\t\tdata-actual-label=\"Informaci\u00f3n\"\n\t\t\t\tdata-name=\"page-break-4\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\"><strong>INFORMACI\u00d3N GENERAL.<\/strong><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a8d1f733f3fb\" id=\"forminator-field-text-2_6a8d1f733f3fb-label\" class=\"forminator-label\">N\u00famero de identificaci\u00f3n \/ Pasaporte <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"N\u00famero de identificaci\u00f3n \/ Pasaporte\" id=\"forminator-field-text-2_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"30\" \/><span id=\"forminator-field-text-2_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"30\" data-type=\"characters\">0 \/ 30<\/span><\/span><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a8d1f733f3fb\" id=\"forminator-field-text-1_6a8d1f733f3fb-label\" class=\"forminator-label\">Registro m\u00e9dico <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" \/><span id=\"forminator-field-text-1_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6a8d1f733f3fb\" id=\"forminator-field-text-14_6a8d1f733f3fb-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"Primer nombre\" id=\"forminator-field-text-14_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"50\" \/><span id=\"forminator-field-text-14_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6a8d1f733f3fb\" id=\"forminator-field-text-15_6a8d1f733f3fb-label\" class=\"forminator-label\">Segundo Nombre<\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"\" id=\"forminator-field-text-15_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"50\" \/><span id=\"forminator-field-text-15_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6a8d1f733f3fb\" id=\"forminator-field-text-16_6a8d1f733f3fb-label\" class=\"forminator-label\">Apellido <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"Primer Apellido\" id=\"forminator-field-text-16_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"50\" \/><span id=\"forminator-field-text-16_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6a8d1f733f3fb\" id=\"forminator-field-text-17_6a8d1f733f3fb-label\" class=\"forminator-label\">Segundo Apellido<\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"\" id=\"forminator-field-text-17_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"50\" \/><span id=\"forminator-field-text-17_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6a8d1f733f3fb\" id=\"forminator-field-text-18_6a8d1f733f3fb-label\" class=\"forminator-label\">Apellido de casada<\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"\" id=\"forminator-field-text-18_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"50\" \/><span id=\"forminator-field-text-18_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-4_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-4_6a8d1f733f3fb-label\" class=\"forminator-label\">Sexo: <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-4_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Sexo:\" data-search=\"false\" data-search-placeholder=\"Sexo:\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-4_6a8d1f733f3fb-label\"><option value=\"\"  >Sexo:<\/option><option value=\"Masculino\"  data-calculation=\"0\">Masculino<\/option><option value=\"Femenino\"  data-calculation=\"0\">Femenino<\/option><\/select><\/div><\/div><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-5_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-5_6a8d1f733f3fb-label\" class=\"forminator-label\">Estado Civil <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-5_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Estado Civil\" data-search=\"false\" data-search-placeholder=\"Estado Civil\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-5_6a8d1f733f3fb-label\"><option value=\"\"  >Estado Civil<\/option><option value=\"Soltero\/a\"  data-calculation=\"0\">Soltero\/a<\/option><option value=\"Casado\/a\"  data-calculation=\"0\">Casado\/a<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a8d1f733f3fb\" id=\"forminator-field-date-1-picker_6a8d1f733f3fb-label\" class=\"forminator-label\">Fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Seleccione fecha\" id=\"forminator-field-date-1-picker_6a8d1f733f3fb\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"yy-mm-dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1900\" data-end-year=\"2005\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1900\" data-end-date=\"12\/31\/2005\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-6_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-6_6a8d1f733f3fb-label\" class=\"forminator-label\">Religi\u00f3n <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-6_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-6\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccione\" data-search=\"false\" data-search-placeholder=\"Seleccione\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-6_6a8d1f733f3fb-label\"><option value=\"\"  >Seleccione<\/option><option value=\"2\"  data-calculation=\"0\">ANGLICANISMO<\/option><option value=\"19\"  data-calculation=\"0\">ATEO<\/option><option value=\"17\"  data-calculation=\"0\">BAUTISTA<\/option><option value=\"3\"  data-calculation=\"0\">BRAHAMANISMO<\/option><option value=\"4\"  data-calculation=\"0\">BUDISMO<\/option><option value=\"9\"  data-calculation=\"0\">CALVINISTA<\/option><option value=\"1\"  data-calculation=\"0\">CATOLICISMO<\/option><option value=\"5\"  data-calculation=\"0\">CONFUCIONISMO<\/option><option value=\"6\"  data-calculation=\"0\">CRISTIANISMO<\/option><option value=\"16\"  data-calculation=\"0\">EVANGELICO<\/option><option value=\"10\"  data-calculation=\"0\">HINDUISMO<\/option><option value=\"13\"  data-calculation=\"0\">ISLAMISMO<\/option><option value=\"11\"  data-calculation=\"0\">JUDAISMO<\/option><option value=\"8\"  data-calculation=\"0\">LUTERANO<\/option><option value=\"0\"  data-calculation=\"0\">NINGUNA<\/option><option value=\"20\"  data-calculation=\"0\">NO APLICA<\/option><option value=\"7\"  data-calculation=\"0\">PROTESTANTISMO<\/option><option value=\"12\"  data-calculation=\"0\">SHINTOISMO<\/option><option value=\"14\"  data-calculation=\"0\">TAOISMO<\/option><option value=\"18\"  data-calculation=\"0\">TESTIGO DE JEHOVA<\/option><option value=\"15\"  data-calculation=\"0\">ZOROASTRISMO<\/option><\/select><\/div><\/div><div id=\"select-115\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-115_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-115_6a8d1f733f3fb-label\" class=\"forminator-label\">Nacionalidad <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-115_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-115\" data-default-value=\"Paname\u00f1a\" data-hidden-behavior=\"zero\" data-placeholder=\"Please select an option\" data-search=\"false\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-115_6a8d1f733f3fb-label\"><option value=\"\"  >Please select an option<\/option><option value=\"Paname\u00f1a\" selected=\"selected\" data-calculation=\"0\">Paname\u00f1a<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\"><strong>Informaci\u00f3n de contacto.<\/strong><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6a8d1f733f3fb\" id=\"forminator-field-text-8_6a8d1f733f3fb-label\" class=\"forminator-label\">Direcci\u00f3n F\u00edsica completa donde se le pueda enviar informaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"100\" aria-describedby=\"forminator-field-text-8_6a8d1f733f3fb-description\" \/><span id=\"forminator-field-text-8_6a8d1f733f3fb-description\" class=\"forminator-description\">Address<span data-limit=\"100\" data-type=\"characters\">0 \/ 100<\/span><\/span><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6a8d1f733f3fb\" id=\"forminator-field-text-9_6a8d1f733f3fb-label\" class=\"forminator-label\">Lugar de trabajo (Institucional, si aplica) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"200\" aria-describedby=\"forminator-field-text-9_6a8d1f733f3fb-description\" \/><span id=\"forminator-field-text-9_6a8d1f733f3fb-description\" class=\"forminator-description\">Address<span data-limit=\"200\" data-type=\"characters\">0 \/ 200<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-1_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-1_6a8d1f733f3fb-label\" class=\"forminator-label\">Pa\u00eds de domicilio <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-1_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"Panama\" data-hidden-behavior=\"zero\" data-placeholder=\"Pa\u00eds de domicilio\" data-search=\"true\" data-search-placeholder=\"Pa\u00eds de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-1_6a8d1f733f3fb-label\"><option value=\"\"  >Pa\u00eds de domicilio<\/option><option value=\"Panama\" selected=\"selected\" data-calculation=\"0\">Panama<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6a8d1f733f3fb\" id=\"forminator-field-text-13_6a8d1f733f3fb-label\" class=\"forminator-label\">Provincia de domicilio <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"Provincia de domicilio\" id=\"forminator-field-text-13_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"200\" \/><span id=\"forminator-field-text-13_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"200\" data-type=\"characters\">0 \/ 200<\/span><\/span><\/div><\/div><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a8d1f733f3fb\" id=\"forminator-field-text-6_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Distrito de domicilio\" id=\"forminator-field-text-6_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"200\" \/><span id=\"forminator-field-text-6_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"200\" data-type=\"characters\">0 \/ 200<\/span><\/span><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a8d1f733f3fb\" id=\"forminator-field-text-7_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"Corregimiento de domicilio\" id=\"forminator-field-text-7_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"200\" \/><span id=\"forminator-field-text-7_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"200\" data-type=\"characters\">0 \/ 200<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-13\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-13_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-13_6a8d1f733f3fb-label\" class=\"forminator-label\">Provincia de domicilio <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-13_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-13\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Provincia de domicilio\" data-search=\"true\" data-search-placeholder=\"Provincia de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-13_6a8d1f733f3fb-label\"><option value=\"\"  >Provincia de domicilio<\/option><option value=\"BOCAS DEL TORO\"  data-calculation=\"0\">BOCAS DEL TORO<\/option><option value=\"CHIRIQUI\"  data-calculation=\"0\">CHIRIQUI<\/option><option value=\"COCLE\"  data-calculation=\"0\">COCLE<\/option><option value=\"COL\u00d3N\"  data-calculation=\"0\">COL\u00d3N<\/option><option value=\"COMARCA DE MADUNGANDI\"  data-calculation=\"0\">COMARCA DE MADUNGANDI<\/option><option value=\"COMARCA DE WARGANDI\"  data-calculation=\"0\">COMARCA DE WARGANDI<\/option><option value=\"COMARCA EMBERA-WOUNAAN\"  data-calculation=\"0\">COMARCA EMBERA-WOUNAAN<\/option><option value=\"COMARCA KUNA YALA\"  data-calculation=\"0\">COMARCA KUNA YALA<\/option><option value=\"COMARCA NGOBE BUGLE\"  data-calculation=\"0\">COMARCA NGOBE BUGLE<\/option><option value=\"DARIEN\"  data-calculation=\"0\">DARIEN<\/option><option value=\"HERRERA\"  data-calculation=\"0\">HERRERA<\/option><option value=\"LOS SANTOS\"  data-calculation=\"0\">LOS SANTOS<\/option><option value=\"PANAM\u00c1\"  data-calculation=\"0\">PANAM\u00c1<\/option><option value=\"PANAMA OESTE\"  data-calculation=\"0\">PANAMA OESTE<\/option><option value=\"VERAGUAS\"  data-calculation=\"0\">VERAGUAS<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-14\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-14_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-14_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (Chiriqui) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-14_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-14\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-14_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-14_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"ALANJE\"  data-calculation=\"0\">ALANJE<\/option><option value=\"BARU\"  data-calculation=\"0\">BARU<\/option><option value=\"BOQUERON\"  data-calculation=\"0\">BOQUERON<\/option><option value=\"BOQUETE\"  data-calculation=\"0\">BOQUETE<\/option><option value=\"BUGABA\"  data-calculation=\"0\">BUGABA<\/option><option value=\"DAVID\"  data-calculation=\"0\">DAVID<\/option><option value=\"DOLEGA\"  data-calculation=\"0\">DOLEGA<\/option><option value=\"GUALACA\"  data-calculation=\"0\">GUALACA<\/option><option value=\"REMEDIOS\"  data-calculation=\"0\">REMEDIOS<\/option><option value=\"RENACIMIENTO\"  data-calculation=\"0\">RENACIMIENTO<\/option><option value=\"SAN FELIX\"  data-calculation=\"0\">SAN FELIX<\/option><option value=\"SAN LORENZO\"  data-calculation=\"0\">SAN LORENZO<\/option><option value=\"TOLE\"  data-calculation=\"0\">TOLE<\/option><\/select><span id=\"forminator-form-7581__field--select-14_6a8d1f733f3fb-description\" class=\"forminator-description\">Chiriqui<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-15\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-15_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-15_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (ALANJE) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-15_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-15\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-15_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-15_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"ALANJE\"  data-calculation=\"0\">ALANJE<\/option><option value=\"CANTA GALLO\"  data-calculation=\"0\">CANTA GALLO<\/option><option value=\"DIVALA\"  data-calculation=\"0\">DIVALA<\/option><option value=\"EL TEJAR\"  data-calculation=\"0\">EL TEJAR<\/option><option value=\"GUARUMAL\"  data-calculation=\"0\">GUARUMAL<\/option><option value=\"NUEVO MEXICO\"  data-calculation=\"0\">NUEVO MEXICO<\/option><option value=\"PALO GRANDE\"  data-calculation=\"0\">PALO GRANDE<\/option><option value=\"QUEREVALO\"  data-calculation=\"0\">QUEREVALO<\/option><option value=\"SANTO TOMAS\"  data-calculation=\"0\">SANTO TOMAS<\/option><\/select><span id=\"forminator-form-7581__field--select-15_6a8d1f733f3fb-description\" class=\"forminator-description\">ALANJE<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-103\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-103_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-103_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Baru) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-103_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-103\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-103_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-103_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BACO\"  data-calculation=\"0\">BACO<\/option><option value=\"LIMONES\"  data-calculation=\"0\">LIMONES<\/option><option value=\"PROGRESO\"  data-calculation=\"0\">PROGRESO<\/option><option value=\"PUERTO ARMUELLES\"  data-calculation=\"0\">PUERTO ARMUELLES<\/option><option value=\"RODOLFO AGUILAR DELGADO\"  data-calculation=\"0\">RODOLFO AGUILAR DELGADO<\/option><\/select><span id=\"forminator-form-7581__field--select-103_6a8d1f733f3fb-description\" class=\"forminator-description\">Baru<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-104\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-104_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-104_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (BOQUERON) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-104_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-104\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-104_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-104_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BAGALA\"  data-calculation=\"0\">BAGALA<\/option><option value=\"BOQUERON\"  data-calculation=\"0\">BOQUERON<\/option><option value=\"CORDILLERA\"  data-calculation=\"0\">CORDILLERA<\/option><option value=\"GUABAL\"  data-calculation=\"0\">GUABAL<\/option><option value=\"GUAYABAL\"  data-calculation=\"0\">GUAYABAL<\/option><option value=\"PARAISO\"  data-calculation=\"0\">PARAISO<\/option><option value=\"PEDREGAL\"  data-calculation=\"0\">PEDREGAL<\/option><option value=\"TIJERAS\"  data-calculation=\"0\">TIJERAS<\/option><\/select><span id=\"forminator-form-7581__field--select-104_6a8d1f733f3fb-description\" class=\"forminator-description\">BOQUERON<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-105\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-105_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-105_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (BOQUETE) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-105_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-105\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-105_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-105_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"ALTO BOQUETE\"  data-calculation=\"0\">ALTO BOQUETE<\/option><option value=\"BOQUETE\"  data-calculation=\"0\">BOQUETE<\/option><option value=\"CALDERA\"  data-calculation=\"0\">CALDERA<\/option><option value=\"JARAMILLO\"  data-calculation=\"0\">JARAMILLO<\/option><option value=\"LOS NARANJOS\"  data-calculation=\"0\">LOS NARANJOS<\/option><option value=\"PALMIRA\"  data-calculation=\"0\">PALMIRA<\/option><\/select><span id=\"forminator-form-7581__field--select-105_6a8d1f733f3fb-description\" class=\"forminator-description\">BOQUETE<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-106\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-106_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-106_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (BUGABA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-106_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-106\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-106_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-106_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"ASERRIO DE GARICHE\"  data-calculation=\"0\">ASERRIO DE GARICHE<\/option><option value=\"BUGABA\"  data-calculation=\"0\">BUGABA<\/option><option value=\"CERRO PUNTA\"  data-calculation=\"0\">CERRO PUNTA<\/option><option value=\"EL BONGO\"  data-calculation=\"0\">EL BONGO<\/option><option value=\"GOMEZ\"  data-calculation=\"0\">GOMEZ<\/option><option value=\"LA CONCEPCION\"  data-calculation=\"0\">LA CONCEPCION<\/option><option value=\"LA ESTRELLA\"  data-calculation=\"0\">LA ESTRELLA<\/option><option value=\"SAN ANDRES\"  data-calculation=\"0\">SAN ANDRES<\/option><option value=\"SANTA MARTA\"  data-calculation=\"0\">SANTA MARTA<\/option><option value=\"SANTA ROSA\"  data-calculation=\"0\">SANTA ROSA<\/option><option value=\"SANTO DOMINGO\"  data-calculation=\"0\">SANTO DOMINGO<\/option><option value=\"SORTOVA\"  data-calculation=\"0\">SORTOVA<\/option><option value=\"VOLCAN\"  data-calculation=\"0\">VOLCAN<\/option><\/select><span id=\"forminator-form-7581__field--select-106_6a8d1f733f3fb-description\" class=\"forminator-description\">BUGABA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-107\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-107_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-107_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (DAVID) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-107_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-107\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-107_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-107_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BIJAGUAL\"  data-calculation=\"0\">BIJAGUAL<\/option><option value=\"CHIRIQUI GUACA\"  data-calculation=\"0\">CHIRIQUI GUACA<\/option><option value=\"COCHEA\"  data-calculation=\"0\">COCHEA<\/option><option value=\"DAVID\"  data-calculation=\"0\">DAVID<\/option><option value=\"LAS LOMAS\"  data-calculation=\"0\">LAS LOMAS<\/option><option value=\"PEDREGAL\"  data-calculation=\"0\">PEDREGAL<\/option><option value=\"SAN CARLOS\"  data-calculation=\"0\">SAN CARLOS<\/option><option value=\"SAN PABLO NUEVO\"  data-calculation=\"0\">SAN PABLO NUEVO<\/option><option value=\"SAN PABLO VIEJO\"  data-calculation=\"0\">SAN PABLO VIEJO<\/option><\/select><span id=\"forminator-form-7581__field--select-107_6a8d1f733f3fb-description\" class=\"forminator-description\">DAVID<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-108\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-108_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-108_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (DOLEGA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-108_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-108\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-108_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-108_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"DOLEGA\"  data-calculation=\"0\">DOLEGA<\/option><option value=\"DOS RIOS\"  data-calculation=\"0\">DOS RIOS<\/option><option value=\"LOS ALGARROBOS\"  data-calculation=\"0\">LOS ALGARROBOS<\/option><option value=\"LOS ANASTACIOS\"  data-calculation=\"0\">LOS ANASTACIOS<\/option><option value=\"POTRERILLOS\"  data-calculation=\"0\">POTRERILLOS<\/option><option value=\"POTRERILLOS ABAJO\"  data-calculation=\"0\">POTRERILLOS ABAJO<\/option><option value=\"ROVIRA\"  data-calculation=\"0\">ROVIRA<\/option><option value=\"TINAJAS\"  data-calculation=\"0\">TINAJAS<\/option><\/select><span id=\"forminator-form-7581__field--select-108_6a8d1f733f3fb-description\" class=\"forminator-description\">DOLEGA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-109\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-109_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-109_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (GUALCA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-109_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-109\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-109_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-109_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Gualaca\"  data-calculation=\"0\">Gualaca<\/option><option value=\"Hornito\"  data-calculation=\"0\">Hornito<\/option><option value=\"Los \u00c1ngeles\"  data-calculation=\"0\">Los \u00c1ngeles<\/option><option value=\"Paja de Sombrero\"  data-calculation=\"0\">Paja de Sombrero<\/option><option value=\"Rinc\u00f3n\"  data-calculation=\"0\">Rinc\u00f3n<\/option><\/select><span id=\"forminator-form-7581__field--select-109_6a8d1f733f3fb-description\" class=\"forminator-description\">GUALACA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-110\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-110_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-110_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (REMEDIOS) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-110_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-110\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-110_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-110_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"EL NANCITO\"  data-calculation=\"0\">EL NANCITO<\/option><option value=\"EL PORVENIR\"  data-calculation=\"0\">EL PORVENIR<\/option><option value=\"EL PUERTO\"  data-calculation=\"0\">EL PUERTO<\/option><option value=\"REMEDIOS\"  data-calculation=\"0\">REMEDIOS<\/option><option value=\"SANTA LUCIA\"  data-calculation=\"0\">SANTA LUCIA<\/option><\/select><span id=\"forminator-form-7581__field--select-110_6a8d1f733f3fb-description\" class=\"forminator-description\">REMEDIOS<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-111\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-111_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-111_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (RENACIMIENTO) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-111_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-111\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-111_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-111_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BRE\u00d1ON\"  data-calculation=\"0\">BRE\u00d1ON<\/option><option value=\"CA\u00d1AS GORDAS\"  data-calculation=\"0\">CA\u00d1AS GORDAS<\/option><option value=\"DOMINICAL\"  data-calculation=\"0\">DOMINICAL<\/option><option value=\"MONTE LIRIO\"  data-calculation=\"0\">MONTE LIRIO<\/option><option value=\"PLAZA KAISAN\"  data-calculation=\"0\">PLAZA KAISAN<\/option><option value=\"RIO SERENO\"  data-calculation=\"0\">RIO SERENO<\/option><option value=\"SANTA CLARA\"  data-calculation=\"0\">SANTA CLARA<\/option><option value=\"SANTA CRUZ\"  data-calculation=\"0\">SANTA CRUZ<\/option><\/select><span id=\"forminator-form-7581__field--select-111_6a8d1f733f3fb-description\" class=\"forminator-description\">RENACIMIENTO<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-112\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-112_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-112_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (SAN FELIX) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-112_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-112\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-112_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-112_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"JUAY\"  data-calculation=\"0\">JUAY<\/option><option value=\"LAJAS ADENTRO\"  data-calculation=\"0\">LAJAS ADENTRO<\/option><option value=\"LAS LAJAS\"  data-calculation=\"0\">LAS LAJAS<\/option><option value=\"SAN FELIX\"  data-calculation=\"0\">SAN FELIX<\/option><option value=\"SANTA CRUZ\"  data-calculation=\"0\">SANTA CRUZ<\/option><\/select><span id=\"forminator-form-7581__field--select-112_6a8d1f733f3fb-description\" class=\"forminator-description\">SAN FELIX<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-113\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-113_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-113_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (SAN LORENZO) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-113_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-113\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-113_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-113_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BOCA CHICA\"  data-calculation=\"0\">BOCA CHICA<\/option><option value=\"BOCA DEL MONTE\"  data-calculation=\"0\">BOCA DEL MONTE<\/option><option value=\"HORCONCITOS\"  data-calculation=\"0\">HORCONCITOS<\/option><option value=\"SAN JUAN\"  data-calculation=\"0\">SAN JUAN<\/option><option value=\"SAN LORENZO\"  data-calculation=\"0\">SAN LORENZO<\/option><\/select><span id=\"forminator-form-7581__field--select-113_6a8d1f733f3fb-description\" class=\"forminator-description\">SAN LORENZO<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-114\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-114_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-114_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (TOLE) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-114_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-114\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-114_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-114_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BELLA VISTA\"  data-calculation=\"0\">BELLA VISTA<\/option><option value=\"CERRO VIEJO\"  data-calculation=\"0\">CERRO VIEJO<\/option><option value=\"EL CRISTO\"  data-calculation=\"0\">EL CRISTO<\/option><option value=\"JUSTO FIDEL PALACIOS\"  data-calculation=\"0\">JUSTO FIDEL PALACIOS<\/option><option value=\"LAJAS DE TOLE\"  data-calculation=\"0\">LAJAS DE TOLE<\/option><option value=\"POTRERO DE CA\u00d1A\"  data-calculation=\"0\">POTRERO DE CA\u00d1A<\/option><option value=\"QUEBRADA DE PIEDRA\"  data-calculation=\"0\">QUEBRADA DE PIEDRA<\/option><option value=\"TOLE\"  data-calculation=\"0\">TOLE<\/option><option value=\"VELADERO\"  data-calculation=\"0\">VELADERO<\/option><\/select><span id=\"forminator-form-7581__field--select-114_6a8d1f733f3fb-description\" class=\"forminator-description\">TOLE<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-19\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-19_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-19_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (Bocas del Toro) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-19_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-19\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-19_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-19_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"CHANGUINOLA\"  data-calculation=\"0\">CHANGUINOLA<\/option><option value=\"CHIRIQUI GRANDE\"  data-calculation=\"0\">CHIRIQUI GRANDE<\/option><option value=\"BOCAS DEL TORO\"  data-calculation=\"0\">BOCAS DEL TORO<\/option><\/select><span id=\"forminator-form-7581__field--select-19_6a8d1f733f3fb-description\" class=\"forminator-description\">Bocas del Toro<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-20\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-20_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-20_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Bocas del Toro) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-20_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-20\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-20_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-20_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CAUCHERO\"  data-calculation=\"0\">CAUCHERO<\/option><option value=\"BASTIMENTOS\"  data-calculation=\"0\">BASTIMENTOS<\/option><option value=\"BOCAS DEL TORO\"  data-calculation=\"0\">BOCAS DEL TORO<\/option><option value=\"TIERRA OSCURA\"  data-calculation=\"0\">TIERRA OSCURA<\/option><option value=\"PUNTA LAUREL\"  data-calculation=\"0\">PUNTA LAUREL<\/option><\/select><span id=\"forminator-form-7581__field--select-20_6a8d1f733f3fb-description\" class=\"forminator-description\">Bocas del toro<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-21\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-21_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-21_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Bocas del Toro) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-21_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-21\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-21_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-21_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"ALMIRANTE\"  data-calculation=\"0\">ALMIRANTE<\/option><option value=\"CHANGUINOLA\"  data-calculation=\"0\">CHANGUINOLA<\/option><option value=\"EL EMPALME\"  data-calculation=\"0\">EL EMPALME<\/option><option value=\"EL TERIBE\"  data-calculation=\"0\">EL TERIBE<\/option><option value=\"GUABITO\"  data-calculation=\"0\">GUABITO<\/option><option value=\"LAS TABLAS\"  data-calculation=\"0\">LAS TABLAS<\/option><option value=\"VALLE DEL RISCO\"  data-calculation=\"0\">VALLE DEL RISCO<\/option><\/select><span id=\"forminator-form-7581__field--select-21_6a8d1f733f3fb-description\" class=\"forminator-description\">Bocas del toro<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-22\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-22_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-22_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Bocas del Toro) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-22_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-22\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-22_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-22_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CHIRIQUI GRANDE\"  data-calculation=\"0\">CHIRIQUI GRANDE<\/option><option value=\"MIRAMAR\"  data-calculation=\"0\">MIRAMAR<\/option><option value=\"PUNTA PE\u00d1A\"  data-calculation=\"0\">PUNTA PE\u00d1A<\/option><option value=\"PUNTA ROBALO\"  data-calculation=\"0\">PUNTA ROBALO<\/option><option value=\"RAMBALA\"  data-calculation=\"0\">RAMBALA<\/option><\/select><span id=\"forminator-form-7581__field--select-22_6a8d1f733f3fb-description\" class=\"forminator-description\">Bocas del toro<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-23\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-23_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-23_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (Cocle) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-23_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-23\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-23_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-23_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"AGUADULCE\"  data-calculation=\"0\">AGUADULCE<\/option><option value=\"ANTON\"  data-calculation=\"0\">ANTON<\/option><option value=\"LA PINTADA\"  data-calculation=\"0\">LA PINTADA<\/option><option value=\"NATA\"  data-calculation=\"0\">NATA<\/option><option value=\"OLA\"  data-calculation=\"0\">OLA<\/option><option value=\"PENONOME\"  data-calculation=\"0\">PENONOME<\/option><\/select><span id=\"forminator-form-7581__field--select-23_6a8d1f733f3fb-description\" class=\"forminator-description\">Cocle<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-24\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-24_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-24_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (AGUADULCE) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-24_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-24\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-24_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-24_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"AGUADULCE\"  data-calculation=\"0\">AGUADULCE<\/option><option value=\"BARRIOS UNIDOS\"  data-calculation=\"0\">BARRIOS UNIDOS<\/option><option value=\"EL CRISTO\"  data-calculation=\"0\">EL CRISTO<\/option><option value=\"EL ROBLE\"  data-calculation=\"0\">EL ROBLE<\/option><option value=\"POCRI\"  data-calculation=\"0\">POCRI<\/option><\/select><span id=\"forminator-form-7581__field--select-24_6a8d1f733f3fb-description\" class=\"forminator-description\">AGUADULCE<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-25\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-25_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-25_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (ANTON) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-25_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-25\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-25_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-25_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"ANTON\"  data-calculation=\"0\">ANTON<\/option><option value=\"CABALLERO\"  data-calculation=\"0\">CABALLERO<\/option><option value=\"CABUYA\"  data-calculation=\"0\">CABUYA<\/option><option value=\"EL CHIRU\"  data-calculation=\"0\">EL CHIRU<\/option><option value=\"EL RETIRO\"  data-calculation=\"0\">EL RETIRO<\/option><option value=\"EL VALLE\"  data-calculation=\"0\">EL VALLE<\/option><option value=\"JUAN DIAZ\"  data-calculation=\"0\">JUAN DIAZ<\/option><option value=\"RIO HATO\"  data-calculation=\"0\">RIO HATO<\/option><option value=\"SAN JUAN DE DIOS\"  data-calculation=\"0\">SAN JUAN DE DIOS<\/option><option value=\"SANTA RITA\"  data-calculation=\"0\">SANTA RITA<\/option><\/select><span id=\"forminator-form-7581__field--select-25_6a8d1f733f3fb-description\" class=\"forminator-description\">ANTON<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-26\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-26_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-26_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (LA PINTADA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-26_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-26\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-26_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-26_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"EL HARINO\"  data-calculation=\"0\">EL HARINO<\/option><option value=\"EL POTRERO\"  data-calculation=\"0\">EL POTRERO<\/option><option value=\"LA PINTADA\"  data-calculation=\"0\">LA PINTADA<\/option><option value=\"LAS LOMAS\"  data-calculation=\"0\">LAS LOMAS<\/option><option value=\"LLANO GRANDE\"  data-calculation=\"0\">LLANO GRANDE<\/option><option value=\"PIEDRAS GORDAS\"  data-calculation=\"0\">PIEDRAS GORDAS<\/option><\/select><span id=\"forminator-form-7581__field--select-26_6a8d1f733f3fb-description\" class=\"forminator-description\">LA PINTADA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-27\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-27_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-27_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (NATA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-27_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-27\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-27_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-27_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CAPELLANIA\"  data-calculation=\"0\">CAPELLANIA<\/option><option value=\"EL CA\u00d1O\"  data-calculation=\"0\">EL CA\u00d1O<\/option><option value=\"GUZMAN\"  data-calculation=\"0\">GUZMAN<\/option><option value=\"LAS HUACAS\"  data-calculation=\"0\">LAS HUACAS<\/option><option value=\"NATA\"  data-calculation=\"0\">NATA<\/option><option value=\"TOZA\"  data-calculation=\"0\">TOZA<\/option><\/select><span id=\"forminator-form-7581__field--select-27_6a8d1f733f3fb-description\" class=\"forminator-description\">NATA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-28\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-28_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-28_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (OLA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-28_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-28\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-28_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-28_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"El Cope\"  data-calculation=\"0\">El Cope<\/option><option value=\"El Palmar\"  data-calculation=\"0\">El Palmar<\/option><option value=\"El Picacho\"  data-calculation=\"0\">El Picacho<\/option><option value=\"La Pava\"  data-calculation=\"0\">La Pava<\/option><option value=\"Ola\"  data-calculation=\"0\">Ola<\/option><\/select><span id=\"forminator-form-7581__field--select-28_6a8d1f733f3fb-description\" class=\"forminator-description\">OLA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-31\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-31_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-31_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (PENONOME) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-31_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-31\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-31_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-31_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Ca\u00f1averal\"  data-calculation=\"0\">Ca\u00f1averal<\/option><option value=\"Chiriqui Arriba\"  data-calculation=\"0\">Chiriqui Arriba<\/option><option value=\"Cocle\"  data-calculation=\"0\">Cocle<\/option><option value=\"El Coco\"  data-calculation=\"0\">El Coco<\/option><option value=\"Pajonal\"  data-calculation=\"0\">Pajonal<\/option><option value=\"Penonome\"  data-calculation=\"0\">Penonome<\/option><option value=\"Rio Grande\"  data-calculation=\"0\">Rio Grande<\/option><option value=\"Rio Indio\"  data-calculation=\"0\">Rio Indio<\/option><option value=\"Toabre\"  data-calculation=\"0\">Toabre<\/option><option value=\"Tulu\"  data-calculation=\"0\">Tulu<\/option><\/select><span id=\"forminator-form-7581__field--select-31_6a8d1f733f3fb-description\" class=\"forminator-description\">PENONOME<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-30\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-30_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-30_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (COL\u00d3N) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-30_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-30\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-30_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-30_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"CHAGRES\"  data-calculation=\"0\">CHAGRES<\/option><option value=\"COL\u00d3N\"  data-calculation=\"0\">COL\u00d3N<\/option><option value=\"DONOSO\"  data-calculation=\"0\">DONOSO<\/option><option value=\"PORTOBELO\"  data-calculation=\"0\">PORTOBELO<\/option><option value=\"SANTA ISABEL\"  data-calculation=\"0\">SANTA ISABEL<\/option><\/select><span id=\"forminator-form-7581__field--select-30_6a8d1f733f3fb-description\" class=\"forminator-description\">COL\u00d3N<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-32\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-32_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-32_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (CHAGRES) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-32_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-32\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-32_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-32_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"ACHIOTE\"  data-calculation=\"0\">ACHIOTE<\/option><option value=\"EL GUABO\"  data-calculation=\"0\">EL GUABO<\/option><option value=\"LA ENCANTADA\"  data-calculation=\"0\">LA ENCANTADA<\/option><option value=\"NUEVO CHAGRES\"  data-calculation=\"0\">NUEVO CHAGRES<\/option><option value=\"PALMAS BELLAS\"  data-calculation=\"0\">PALMAS BELLAS<\/option><option value=\"PI\u00d1A\"  data-calculation=\"0\">PI\u00d1A<\/option><option value=\"SALUD\"  data-calculation=\"0\">SALUD<\/option><\/select><span id=\"forminator-form-7581__field--select-32_6a8d1f733f3fb-description\" class=\"forminator-description\">CHAGRES<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-33\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-33_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-33_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (COL\u00d3N) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-33_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-33\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-33_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-33_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BARRIO NORTE\"  data-calculation=\"0\">BARRIO NORTE<\/option><option value=\"BARRIO SUR\"  data-calculation=\"0\">BARRIO SUR<\/option><option value=\"BUENA VISTA\"  data-calculation=\"0\">BUENA VISTA<\/option><option value=\"CATIVA\"  data-calculation=\"0\">CATIVA<\/option><option value=\"CIRICITO\"  data-calculation=\"0\">CIRICITO<\/option><option value=\"CRISTOBAL\"  data-calculation=\"0\">CRISTOBAL<\/option><option value=\"ESCOBAL\"  data-calculation=\"0\">ESCOBAL<\/option><option value=\"LIMON\"  data-calculation=\"0\">LIMON<\/option><option value=\"NUEVA PROVIDENCIA\"  data-calculation=\"0\">NUEVA PROVIDENCIA<\/option><option value=\"PUERTO PILON\"  data-calculation=\"0\">PUERTO PILON<\/option><option value=\"SABANITAS\"  data-calculation=\"0\">SABANITAS<\/option><option value=\"SALAMANCA\"  data-calculation=\"0\">SALAMANCA<\/option><option value=\"SAN JUAN\"  data-calculation=\"0\">SAN JUAN<\/option><option value=\"SANTA ROSA\"  data-calculation=\"0\">SANTA ROSA<\/option><\/select><span id=\"forminator-form-7581__field--select-33_6a8d1f733f3fb-description\" class=\"forminator-description\">COL\u00d3N<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-34\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-34_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-34_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (DONOSO) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-34_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-34\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-34_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-34_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"COCLE DEL NORTE\"  data-calculation=\"0\">COCLE DEL NORTE<\/option><option value=\"EL GUASIMO\"  data-calculation=\"0\">EL GUASIMO<\/option><option value=\"GOBEA\"  data-calculation=\"0\">GOBEA<\/option><option value=\"MIGUEL DE LA BORDA\"  data-calculation=\"0\">MIGUEL DE LA BORDA<\/option><option value=\"RIO INDIO\"  data-calculation=\"0\">RIO INDIO<\/option><option value=\"SAN JOSE DEL GENERAL\"  data-calculation=\"0\">SAN JOSE DEL GENERAL<\/option><\/select><span id=\"forminator-form-7581__field--select-34_6a8d1f733f3fb-description\" class=\"forminator-description\">DONOSO<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-35\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-35_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-35_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (PORTOBELO) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-35_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-35\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-35_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-35_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CACIQUE\"  data-calculation=\"0\">CACIQUE<\/option><option value=\"GARROTE\"  data-calculation=\"0\">GARROTE<\/option><option value=\"ISLA GRANDE\"  data-calculation=\"0\">ISLA GRANDE<\/option><option value=\"MARIA CHIQUITA\"  data-calculation=\"0\">MARIA CHIQUITA<\/option><option value=\"PORTOBELO\"  data-calculation=\"0\">PORTOBELO<\/option><\/select><span id=\"forminator-form-7581__field--select-35_6a8d1f733f3fb-description\" class=\"forminator-description\">PORTOBELO<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-36\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-36_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-36_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (SANTA ISABEL) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-36_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-36\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-36_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-36_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CUANGO\"  data-calculation=\"0\">CUANGO<\/option><option value=\"MIRAMAR\"  data-calculation=\"0\">MIRAMAR<\/option><option value=\"NOMBRE DE DIOS\"  data-calculation=\"0\">NOMBRE DE DIOS<\/option><option value=\"PALENQUE\"  data-calculation=\"0\">PALENQUE<\/option><option value=\"PALMIRA\"  data-calculation=\"0\">PALMIRA<\/option><option value=\"PLAYA CHIQUITA\"  data-calculation=\"0\">PLAYA CHIQUITA<\/option><option value=\"SANTA ISABEL\"  data-calculation=\"0\">SANTA ISABEL<\/option><option value=\"VIENTO FRIO\"  data-calculation=\"0\">VIENTO FRIO<\/option><\/select><span id=\"forminator-form-7581__field--select-36_6a8d1f733f3fb-description\" class=\"forminator-description\">SANTA ISABEL<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-37\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-37_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-37_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (COMARCA DE MADUNGANDI) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-37_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-37\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-37_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-37_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"MADUNGANDI\"  data-calculation=\"0\">MADUNGANDI<\/option><\/select><span id=\"forminator-form-7581__field--select-37_6a8d1f733f3fb-description\" class=\"forminator-description\">COMARCA DE MADUNGANDI<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-38\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-38_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-38_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (MADUNGANDI) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-38_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-38\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-38_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-38_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CUANGO\"  data-calculation=\"0\">CUANGO<\/option><option value=\"MIRAMAR\"  data-calculation=\"0\">MIRAMAR<\/option><option value=\"NOMBRE DE DIOS\"  data-calculation=\"0\">NOMBRE DE DIOS<\/option><option value=\"PALENQUE\"  data-calculation=\"0\">PALENQUE<\/option><option value=\"PALMIRA\"  data-calculation=\"0\">PALMIRA<\/option><option value=\"PLAYA CHIQUITA\"  data-calculation=\"0\">PLAYA CHIQUITA<\/option><option value=\"SANTA ISABEL\"  data-calculation=\"0\">SANTA ISABEL<\/option><option value=\"VIENTO FRIO\"  data-calculation=\"0\">VIENTO FRIO<\/option><\/select><span id=\"forminator-form-7581__field--select-38_6a8d1f733f3fb-description\" class=\"forminator-description\">MADUNGANDI<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-39\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-39_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-39_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (COMARCA DE WARGANDI) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-39_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-39\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-39_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-39_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"WARGANDI\"  data-calculation=\"0\">WARGANDI<\/option><\/select><span id=\"forminator-form-7581__field--select-39_6a8d1f733f3fb-description\" class=\"forminator-description\">COMARCA DE WARGANDI<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-40\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-40_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-40_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (MORTI) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-40_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-40\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-40_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-40_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"MORTI\"  data-calculation=\"0\">MORTI<\/option><\/select><span id=\"forminator-form-7581__field--select-40_6a8d1f733f3fb-description\" class=\"forminator-description\">MORTI<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-41\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-41_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-41_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (COMARCA EMBERA-WOUNAAN) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-41_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-41\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-41_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-41_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"CEMACO\"  data-calculation=\"0\">CEMACO<\/option><option value=\"SAMBU\"  data-calculation=\"0\">SAMBU<\/option><\/select><span id=\"forminator-form-7581__field--select-41_6a8d1f733f3fb-description\" class=\"forminator-description\">COMARCA EMBERA-WOUNAAN<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-42\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-42_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-42_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (CEMACO) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-42_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-42\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-42_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-42_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CIRILO GUAINORA\"  data-calculation=\"0\">CIRILO GUAINORA<\/option><option value=\"LAJAS BLANCAS\"  data-calculation=\"0\">LAJAS BLANCAS<\/option><\/select><span id=\"forminator-form-7581__field--select-42_6a8d1f733f3fb-description\" class=\"forminator-description\">CEMACO<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-43\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-43_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-43_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (SAMBU) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-43_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-43\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-43_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-43_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"JINGURUDO\"  data-calculation=\"0\">JINGURUDO<\/option><option value=\"RIO SABALO\"  data-calculation=\"0\">RIO SABALO<\/option><\/select><span id=\"forminator-form-7581__field--select-43_6a8d1f733f3fb-description\" class=\"forminator-description\">SAMBU<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-44\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-44_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-44_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (COMARCA KUNA YALA) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-44_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-44\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-44_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-44_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"EL PORVENIR\"  data-calculation=\"0\">EL PORVENIR<\/option><\/select><span id=\"forminator-form-7581__field--select-44_6a8d1f733f3fb-description\" class=\"forminator-description\">COMARCA KUNA YALA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-45\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-45_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-45_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (EL PORVENIR) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-45_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-45\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-45_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-45_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"AILIGANDI\"  data-calculation=\"0\">AILIGANDI<\/option><option value=\"NARGANA\"  data-calculation=\"0\">NARGANA<\/option><option value=\"PUERTO OBALDIA\"  data-calculation=\"0\">PUERTO OBALDIA<\/option><option value=\"TUBUALA\"  data-calculation=\"0\">TUBUALA<\/option><\/select><span id=\"forminator-form-7581__field--select-45_6a8d1f733f3fb-description\" class=\"forminator-description\">EL PORVENIR<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-46\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-46_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-46_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (COMARCA NGOBE BUGLE) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-46_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-46\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-46_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-46_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"BESIKO\"  data-calculation=\"0\">BESIKO<\/option><option value=\"KANKINTU\"  data-calculation=\"0\">KANKINTU<\/option><option value=\"KUSAPIN\"  data-calculation=\"0\">KUSAPIN<\/option><option value=\"MIRONO\"  data-calculation=\"0\">MIRONO<\/option><option value=\"MUNA\"  data-calculation=\"0\">MUNA<\/option><option value=\"NOLE DUIMA\"  data-calculation=\"0\">NOLE DUIMA<\/option><option value=\"\u00d1URUN\"  data-calculation=\"0\">\u00d1URUN<\/option><\/select><span id=\"forminator-form-7581__field--select-46_6a8d1f733f3fb-description\" class=\"forminator-description\">COMARCA NGOBE BUGLE<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-47\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-47_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-47_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (BESIKO) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-47_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-47\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-47_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-47_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BOCA DE BALSA\"  data-calculation=\"0\">BOCA DE BALSA<\/option><option value=\"CAMARON ARRIBA\"  data-calculation=\"0\">CAMARON ARRIBA<\/option><option value=\"CERRO BANCO\"  data-calculation=\"0\">CERRO BANCO<\/option><option value=\"CERRO DE PATENA\"  data-calculation=\"0\">CERRO DE PATENA<\/option><option value=\"EMPLANADA DE CHORCHA\"  data-calculation=\"0\">EMPLANADA DE CHORCHA<\/option><option value=\"NAMNONI\"  data-calculation=\"0\">NAMNONI<\/option><option value=\"NIBA\"  data-calculation=\"0\">NIBA<\/option><option value=\"SOLOY\"  data-calculation=\"0\">SOLOY<\/option><\/select><span id=\"forminator-form-7581__field--select-47_6a8d1f733f3fb-description\" class=\"forminator-description\">BESIKO<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-48\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-48_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-48_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (KANKINTU) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-48_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-48\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-48_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-48_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BISIRA\"  data-calculation=\"0\">BISIRA<\/option><option value=\"BURI\"  data-calculation=\"0\">BURI<\/option><option value=\"GUARIVIARA\"  data-calculation=\"0\">GUARIVIARA<\/option><option value=\"GUORONI\"  data-calculation=\"0\">GUORONI<\/option><option value=\"KANKINTU\"  data-calculation=\"0\">KANKINTU<\/option><option value=\"MAN CREEK\"  data-calculation=\"0\">MAN CREEK<\/option><option value=\"MUNUNI\"  data-calculation=\"0\">MUNUNI<\/option><option value=\"PIEDRA ROJA\"  data-calculation=\"0\">PIEDRA ROJA<\/option><option value=\"TUWAI\"  data-calculation=\"0\">TUWAI<\/option><\/select><span id=\"forminator-form-7581__field--select-48_6a8d1f733f3fb-description\" class=\"forminator-description\">KANKINTU<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-49\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-49_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-49_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (KUSAPIN) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-49_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-49\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-49_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-49_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BAHIA AZUL\"  data-calculation=\"0\">BAHIA AZUL<\/option><option value=\"CALOVEBORA O SANTA CATALINA\"  data-calculation=\"0\">CALOVEBORA O SANTA CATALINA<\/option><option value=\"KUSAPIN\"  data-calculation=\"0\">KUSAPIN<\/option><option value=\"LOMA YUCA\"  data-calculation=\"0\">LOMA YUCA<\/option><option value=\"RIO CHIRIQUI\"  data-calculation=\"0\">RIO CHIRIQUI<\/option><option value=\"TOBOBE\"  data-calculation=\"0\">TOBOBE<\/option><option value=\"VALLE BONITO\"  data-calculation=\"0\">VALLE BONITO<\/option><\/select><span id=\"forminator-form-7581__field--select-49_6a8d1f733f3fb-description\" class=\"forminator-description\">KUSAPIN<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-50\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-50_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-50_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (MIRONO) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-50_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-50\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-50_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-50_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CASCABEL\"  data-calculation=\"0\">CASCABEL<\/option><option value=\"HATO COROTU\"  data-calculation=\"0\">HATO COROTU<\/option><option value=\"HATO CULANTRO\"  data-calculation=\"0\">HATO CULANTRO<\/option><option value=\"HATO JOBO\"  data-calculation=\"0\">HATO JOBO<\/option><option value=\"HATO JULI\"  data-calculation=\"0\">HATO JULI<\/option><option value=\"HATO PILON\"  data-calculation=\"0\">HATO PILON<\/option><option value=\"QUEBRADA DE LORO\"  data-calculation=\"0\">QUEBRADA DE LORO<\/option><option value=\"SALTO DUPI\"  data-calculation=\"0\">SALTO DUPI<\/option><\/select><span id=\"forminator-form-7581__field--select-50_6a8d1f733f3fb-description\" class=\"forminator-description\">MIRONO<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-51\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-51_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-51_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (MUNA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-51_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-51\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-51_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-51_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"ALTO CABALLERO\"  data-calculation=\"0\">ALTO CABALLERO<\/option><option value=\"BACAMA\"  data-calculation=\"0\">BACAMA<\/option><option value=\"CERRO CA\u00d1A\"  data-calculation=\"0\">CERRO CA\u00d1A<\/option><option value=\"CERRO PUERCO\"  data-calculation=\"0\">CERRO PUERCO<\/option><option value=\"CHICHICA\"  data-calculation=\"0\">CHICHICA<\/option><option value=\"KRUA\"  data-calculation=\"0\">KRUA<\/option><option value=\"MARACA\"  data-calculation=\"0\">MARACA<\/option><option value=\"NIBRA\"  data-calculation=\"0\">NIBRA<\/option><option value=\"PE\u00d1A BLANCA\"  data-calculation=\"0\">PE\u00d1A BLANCA<\/option><option value=\"ROKA\"  data-calculation=\"0\">ROKA<\/option><option value=\"SITIO PRADO\"  data-calculation=\"0\">SITIO PRADO<\/option><option value=\"UMANI\"  data-calculation=\"0\">UMANI<\/option><\/select><span id=\"forminator-form-7581__field--select-51_6a8d1f733f3fb-description\" class=\"forminator-description\">MUNA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-52\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-52_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-52_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (NOLE DUIMA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-52_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-52\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-52_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-52_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CERRO IGLESIAS\"  data-calculation=\"0\">CERRO IGLESIAS<\/option><option value=\"HATO CHAMI\"  data-calculation=\"0\">HATO CHAMI<\/option><option value=\"JADABERI\"  data-calculation=\"0\">JADABERI<\/option><option value=\"LAJERO\"  data-calculation=\"0\">LAJERO<\/option><option value=\"SUSAMA\"  data-calculation=\"0\">SUSAMA<\/option><\/select><span id=\"forminator-form-7581__field--select-52_6a8d1f733f3fb-description\" class=\"forminator-description\">NOLE DUIMA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-53\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-53_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-53_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (DARIEN) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-53_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-53\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-53_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-53_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"CHEPIGANA\"  data-calculation=\"0\">CHEPIGANA<\/option><option value=\"PINOGANA\"  data-calculation=\"0\">PINOGANA<\/option><\/select><span id=\"forminator-form-7581__field--select-53_6a8d1f733f3fb-description\" class=\"forminator-description\">DARIEN<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-54\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-54_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-54_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (CHEPIGANA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-54_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-54\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-54_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-54_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"AGUA FRIA\"  data-calculation=\"0\">AGUA FRIA<\/option><option value=\"CAMOGANTI\"  data-calculation=\"0\">CAMOGANTI<\/option><option value=\"CHEPIGANA\"  data-calculation=\"0\">CHEPIGANA<\/option><option value=\"CUCUNATI\"  data-calculation=\"0\">CUCUNATI<\/option><option value=\"GARACHINE\"  data-calculation=\"0\">GARACHINE<\/option><option value=\"JAQUE\"  data-calculation=\"0\">JAQUE<\/option><option value=\"LA PALMA\"  data-calculation=\"0\">LA PALMA<\/option><option value=\"PUERTO PI\u00d1A\"  data-calculation=\"0\">PUERTO PI\u00d1A<\/option><option value=\"RIO CONGO\"  data-calculation=\"0\">RIO CONGO<\/option><option value=\"RIO CONGO ARRIBA\"  data-calculation=\"0\">RIO CONGO ARRIBA<\/option><option value=\"RIO IGLESIAS\"  data-calculation=\"0\">RIO IGLESIAS<\/option><option value=\"SAMBU\"  data-calculation=\"0\">SAMBU<\/option><option value=\"SANTA FE\"  data-calculation=\"0\">SANTA FE<\/option><option value=\"SETEGANTI\"  data-calculation=\"0\">SETEGANTI<\/option><option value=\"TAIMATI\"  data-calculation=\"0\">TAIMATI<\/option><option value=\"TUCUTI\"  data-calculation=\"0\">TUCUTI<\/option><\/select><span id=\"forminator-form-7581__field--select-54_6a8d1f733f3fb-description\" class=\"forminator-description\">CHEPIGANA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-55\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-55_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-55_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (PINOGANA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-55_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-55\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-55_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-55_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BOCA DE CUPE\"  data-calculation=\"0\">BOCA DE CUPE<\/option><option value=\"EL REAL DE SANTA MARIA\"  data-calculation=\"0\">EL REAL DE SANTA MARIA<\/option><option value=\"METETI\"  data-calculation=\"0\">METETI<\/option><option value=\"PAYA\"  data-calculation=\"0\">PAYA<\/option><option value=\"PINOGANA\"  data-calculation=\"0\">PINOGANA<\/option><option value=\"PUCURO\"  data-calculation=\"0\">PUCURO<\/option><option value=\"WARGANDI\"  data-calculation=\"0\">WARGANDI<\/option><option value=\"YAPE\"  data-calculation=\"0\">YAPE<\/option><option value=\"YAVIZA\"  data-calculation=\"0\">YAVIZA<\/option><\/select><span id=\"forminator-form-7581__field--select-55_6a8d1f733f3fb-description\" class=\"forminator-description\">PINOGANA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-56\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-56_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-56_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (HERRERA) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-56_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-56\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-56_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-56_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"CHITRE\"  data-calculation=\"0\">CHITRE<\/option><option value=\"LAS MINAS\"  data-calculation=\"0\">LAS MINAS<\/option><option value=\"LOS POZOS\"  data-calculation=\"0\">LOS POZOS<\/option><option value=\"OCU\"  data-calculation=\"0\">OCU<\/option><option value=\"PARITA\"  data-calculation=\"0\">PARITA<\/option><option value=\"PESE\"  data-calculation=\"0\">PESE<\/option><option value=\"SANTA MARIA\"  data-calculation=\"0\">SANTA MARIA<\/option><\/select><span id=\"forminator-form-7581__field--select-56_6a8d1f733f3fb-description\" class=\"forminator-description\">HERRERA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-57\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-57_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-57_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (CHITRE) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-57_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-57\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-57_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-57_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CHITRE\"  data-calculation=\"0\">CHITRE<\/option><option value=\"LA ARENA\"  data-calculation=\"0\">LA ARENA<\/option><option value=\"LLANO BONITO\"  data-calculation=\"0\">LLANO BONITO<\/option><option value=\"MONAGRILLO\"  data-calculation=\"0\">MONAGRILLO<\/option><option value=\"SAN JUAN BAUTISTA\"  data-calculation=\"0\">SAN JUAN BAUTISTA<\/option><\/select><span id=\"forminator-form-7581__field--select-57_6a8d1f733f3fb-description\" class=\"forminator-description\">CHITRE<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-58\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-58_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-58_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (LAS MINAS) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-58_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-58\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-58_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-58_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CHEPO\"  data-calculation=\"0\">CHEPO<\/option><option value=\"CHUMICAL\"  data-calculation=\"0\">CHUMICAL<\/option><option value=\"EL TORO\"  data-calculation=\"0\">EL TORO<\/option><option value=\"LAS MINAS\"  data-calculation=\"0\">LAS MINAS<\/option><option value=\"LEONES\"  data-calculation=\"0\">LEONES<\/option><option value=\"QUEBRADA DEL ROSARIO\"  data-calculation=\"0\">QUEBRADA DEL ROSARIO<\/option><option value=\"QUEBRADA EL CIPRIAN\"  data-calculation=\"0\">QUEBRADA EL CIPRIAN<\/option><\/select><span id=\"forminator-form-7581__field--select-58_6a8d1f733f3fb-description\" class=\"forminator-description\">LAS MINAS<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-59\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-59_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-59_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (LOS POZOS) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-59_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-59\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-59_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-59_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"EL CALABACITO\"  data-calculation=\"0\">EL CALABACITO<\/option><option value=\"EL CAPURI\"  data-calculation=\"0\">EL CAPURI<\/option><option value=\"EL CEDRO\"  data-calculation=\"0\">EL CEDRO<\/option><option value=\"LA ARENA\"  data-calculation=\"0\">LA ARENA<\/option><option value=\"LA PITALOZA\"  data-calculation=\"0\">LA PITALOZA<\/option><option value=\"LAS LLANAS\"  data-calculation=\"0\">LAS LLANAS<\/option><option value=\"LOS CERRITOS\"  data-calculation=\"0\">LOS CERRITOS<\/option><option value=\"LOS CERROS DE PAJA\"  data-calculation=\"0\">LOS CERROS DE PAJA<\/option><option value=\"LOS POZOS\"  data-calculation=\"0\">LOS POZOS<\/option><\/select><span id=\"forminator-form-7581__field--select-59_6a8d1f733f3fb-description\" class=\"forminator-description\">LOS POZOS<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-60\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-60_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-60_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (OCU) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-60_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-60\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-60_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-60_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CERRO LARGO\"  data-calculation=\"0\">CERRO LARGO<\/option><option value=\"EL TIJERA\"  data-calculation=\"0\">EL TIJERA<\/option><option value=\"LLANO GRANDE\"  data-calculation=\"0\">LLANO GRANDE<\/option><option value=\"LOS LLANOS\"  data-calculation=\"0\">LOS LLANOS<\/option><option value=\"MENCHACA\"  data-calculation=\"0\">MENCHACA<\/option><option value=\"OCU\"  data-calculation=\"0\">OCU<\/option><option value=\"PE\u00d1AS CHATAS\"  data-calculation=\"0\">PE\u00d1AS CHATAS<\/option><\/select><span id=\"forminator-form-7581__field--select-60_6a8d1f733f3fb-description\" class=\"forminator-description\">OCU<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-61\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-61_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-61_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (PARITA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-61_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-61\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-61_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-61_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CABUYA\"  data-calculation=\"0\">CABUYA<\/option><option value=\"LLANO DE LA CRUZ\"  data-calculation=\"0\">LLANO DE LA CRUZ<\/option><option value=\"LOS CASTILLOS\"  data-calculation=\"0\">LOS CASTILLOS<\/option><option value=\"PARIS\"  data-calculation=\"0\">PARIS<\/option><option value=\"PARITA\"  data-calculation=\"0\">PARITA<\/option><option value=\"PORTOBELILLO\"  data-calculation=\"0\">PORTOBELILLO<\/option><option value=\"POTUGA\"  data-calculation=\"0\">POTUGA<\/option><\/select><span id=\"forminator-form-7581__field--select-61_6a8d1f733f3fb-description\" class=\"forminator-description\">PARITA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-62\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-62_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-62_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (PESE) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-62_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-62\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-62_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-62_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"EL BARRENO\"  data-calculation=\"0\">EL BARRENO<\/option><option value=\"EL CIRUELO\"  data-calculation=\"0\">EL CIRUELO<\/option><option value=\"EL PAJARO\"  data-calculation=\"0\">EL PAJARO<\/option><option value=\"EL PEDREGOSO\"  data-calculation=\"0\">EL PEDREGOSO<\/option><option value=\"LAS CABRAS\"  data-calculation=\"0\">LAS CABRAS<\/option><option value=\"PESE\"  data-calculation=\"0\">PESE<\/option><option value=\"RINCON HONDO\"  data-calculation=\"0\">RINCON HONDO<\/option><option value=\"SABANA GRANDE\"  data-calculation=\"0\">SABANA GRANDE<\/option><\/select><span id=\"forminator-form-7581__field--select-62_6a8d1f733f3fb-description\" class=\"forminator-description\">PESE<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-63\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-63_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-63_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (SANTA MARIA) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-63_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-63\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-63_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-63_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"CHUPAMPA\"  data-calculation=\"0\">CHUPAMPA<\/option><option value=\"EL LIMON\"  data-calculation=\"0\">EL LIMON<\/option><option value=\"EL RINCON\"  data-calculation=\"0\">EL RINCON<\/option><option value=\"LOS CANELOS\"  data-calculation=\"0\">LOS CANELOS<\/option><option value=\"SANTA MARIA\"  data-calculation=\"0\">SANTA MARIA<\/option><\/select><span id=\"forminator-form-7581__field--select-63_6a8d1f733f3fb-description\" class=\"forminator-description\">SANTA MARIA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-64\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-64_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-64_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (LOS SANTOS) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-64_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-64\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-64_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-64_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"GUARARE\"  data-calculation=\"0\">GUARARE<\/option><option value=\"LAS TABLAS\"  data-calculation=\"0\">LAS TABLAS<\/option><option value=\"LOS SANTOS\"  data-calculation=\"0\">LOS SANTOS<\/option><option value=\"MACARACAS\"  data-calculation=\"0\">MACARACAS<\/option><option value=\"PEDASI\"  data-calculation=\"0\">PEDASI<\/option><option value=\"POCRI\"  data-calculation=\"0\">POCRI<\/option><option value=\"TONOSI\"  data-calculation=\"0\">TONOSI<\/option><\/select><span id=\"forminator-form-7581__field--select-64_6a8d1f733f3fb-description\" class=\"forminator-description\">LOS SANTOS<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-65\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-65_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-65_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (GUARARE) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-65_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-65\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-65_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-65_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"EL ESPINAL\"  data-calculation=\"0\">EL ESPINAL<\/option><option value=\"EL HATO\"  data-calculation=\"0\">EL HATO<\/option><option value=\"EL MACANO GUARARE ARRIBA\"  data-calculation=\"0\">EL MACANO GUARARE ARRIBA<\/option><option value=\"GUARARE\"  data-calculation=\"0\">GUARARE<\/option><option value=\"LA ENEA\"  data-calculation=\"0\">LA ENEA<\/option><option value=\"LA PASERA\"  data-calculation=\"0\">LA PASERA<\/option><option value=\"LAS TRANCAS\"  data-calculation=\"0\">LAS TRANCAS<\/option><option value=\"LLANO ABAJO\"  data-calculation=\"0\">LLANO ABAJO<\/option><option value=\"PERALES\"  data-calculation=\"0\">PERALES<\/option><\/select><span id=\"forminator-form-7581__field--select-65_6a8d1f733f3fb-description\" class=\"forminator-description\">GUARARE<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-66\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-66_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-66_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (LAS TABLAS) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-66_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-66\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-66_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-66_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BAJO CORRAL\"  data-calculation=\"0\">BAJO CORRAL<\/option><option value=\"BAYANO\"  data-calculation=\"0\">BAYANO<\/option><option value=\"EL CARATE\"  data-calculation=\"0\">EL CARATE<\/option><option value=\"EL COCAL\"  data-calculation=\"0\">EL COCAL<\/option><option value=\"EL MANANTIAL\"  data-calculation=\"0\">EL MANANTIAL<\/option><option value=\"EL MU\u00d1OZ\"  data-calculation=\"0\">EL MU\u00d1OZ<\/option><option value=\"EL PEDREGOSO\"  data-calculation=\"0\">EL PEDREGOSO<\/option><option value=\"LA LAJA\"  data-calculation=\"0\">LA LAJA<\/option><option value=\"LA MIEL\"  data-calculation=\"0\">LA MIEL<\/option><option value=\"LA PALMA\"  data-calculation=\"0\">LA PALMA<\/option><option value=\"LA TIZA\"  data-calculation=\"0\">LA TIZA<\/option><option value=\"LAS PALMITAS\"  data-calculation=\"0\">LAS PALMITAS<\/option><option value=\"LAS TABLAS\"  data-calculation=\"0\">LAS TABLAS<\/option><option value=\"LAS TABLAS ABAJO\"  data-calculation=\"0\">LAS TABLAS ABAJO<\/option><option value=\"NUARIO\"  data-calculation=\"0\">NUARIO<\/option><option value=\"PALMIRA\"  data-calculation=\"0\">PALMIRA<\/option><option value=\"PE\u00d1A BLANCA\"  data-calculation=\"0\">PE\u00d1A BLANCA<\/option><option value=\"RIO HONDO\"  data-calculation=\"0\">RIO HONDO<\/option><option value=\"SAN JOSE\"  data-calculation=\"0\">SAN JOSE<\/option><option value=\"SAN MIGUEL\"  data-calculation=\"0\">SAN MIGUEL<\/option><option value=\"SANTO DOMINGO\"  data-calculation=\"0\">SANTO DOMINGO<\/option><option value=\"SESTEADERO\"  data-calculation=\"0\">SESTEADERO<\/option><option value=\"VALLE RICO\"  data-calculation=\"0\">VALLE RICO<\/option><option value=\"VALLERRIQUITO\"  data-calculation=\"0\">VALLERRIQUITO<\/option><\/select><span id=\"forminator-form-7581__field--select-66_6a8d1f733f3fb-description\" class=\"forminator-description\">LAS TABLAS<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-67\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-67_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-67_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (LOS SANTOS) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-67_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-67\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-67_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-67_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"AGUA BUENA\"  data-calculation=\"0\">AGUA BUENA<\/option><option value=\"EL GUASIMO\"  data-calculation=\"0\">EL GUASIMO<\/option><option value=\"LA COLARADA\"  data-calculation=\"0\">LA COLARADA<\/option><option value=\"LA ESPIGADILLA\"  data-calculation=\"0\">LA ESPIGADILLA<\/option><option value=\"LA VILLA DE LOS SANTOS\"  data-calculation=\"0\">LA VILLA DE LOS SANTOS<\/option><option value=\"LAS CRUCES\"  data-calculation=\"0\">LAS CRUCES<\/option><option value=\"LAS GUABAS\"  data-calculation=\"0\">LAS GUABAS<\/option><option value=\"LLANO LARGO\"  data-calculation=\"0\">LLANO LARGO<\/option><option value=\"LOS ANGELES\"  data-calculation=\"0\">LOS ANGELES<\/option><option value=\"LOS OLIVOS\"  data-calculation=\"0\">LOS OLIVOS<\/option><option value=\"OTROS\"  data-calculation=\"0\">OTROS<\/option><option value=\"SABANA GRANDE\"  data-calculation=\"0\">SABANA GRANDE<\/option><option value=\"SANTA ANA\"  data-calculation=\"0\">SANTA ANA<\/option><option value=\"TRES QUEBRADAS\"  data-calculation=\"0\">TRES QUEBRADAS<\/option><option value=\"VILLA LOURDES\"  data-calculation=\"0\">VILLA LOURDES<\/option><\/select><span id=\"forminator-form-7581__field--select-67_6a8d1f733f3fb-description\" class=\"forminator-description\">LOS SANTOS<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-68\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-68_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-68_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (MACARACAS) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-68_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-68\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-68_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-68_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"BAHIA HONDA\"  data-calculation=\"0\">BAHIA HONDA<\/option><option value=\"BAJOS DE GUERA\"  data-calculation=\"0\">BAJOS DE GUERA<\/option><option value=\"CHUPA\"  data-calculation=\"0\">CHUPA<\/option><option value=\"COROZAL\"  data-calculation=\"0\">COROZAL<\/option><option value=\"EL CEDRO\"  data-calculation=\"0\">EL CEDRO<\/option><option value=\"ESPINO AMARILLO\"  data-calculation=\"0\">ESPINO AMARILLO<\/option><option value=\"LA MESA\"  data-calculation=\"0\">LA MESA<\/option><option value=\"LAS PALMAS\"  data-calculation=\"0\">LAS PALMAS<\/option><option value=\"LLANO DE PIEDRA\"  data-calculation=\"0\">LLANO DE PIEDRA<\/option><option value=\"MACARACAS\"  data-calculation=\"0\">MACARACAS<\/option><option value=\"MOGOLLON\"  data-calculation=\"0\">MOGOLLON<\/option><\/select><span id=\"forminator-form-7581__field--select-68_6a8d1f733f3fb-description\" class=\"forminator-description\">MACARACAS<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-69\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-69_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-69_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (PEDASI) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-69_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-69\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-69_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-69_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"LOS ASIENTOS\"  data-calculation=\"0\">LOS ASIENTOS<\/option><option value=\"MARIABE\"  data-calculation=\"0\">MARIABE<\/option><option value=\"ORIA ARRIBA\"  data-calculation=\"0\">ORIA ARRIBA<\/option><option value=\"PEDASI\"  data-calculation=\"0\">PEDASI<\/option><option value=\"PURIO\"  data-calculation=\"0\">PURIO<\/option><\/select><span id=\"forminator-form-7581__field--select-69_6a8d1f733f3fb-description\" class=\"forminator-description\">PEDASI<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-70\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-70_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-70_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (POCRI) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-70_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-70\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-70_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-70_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"EL CA\u00d1AFISTULO\"  data-calculation=\"0\">EL CA\u00d1AFISTULO<\/option><option value=\"LAJAMINA\"  data-calculation=\"0\">LAJAMINA<\/option><option value=\"PARAISO\"  data-calculation=\"0\">PARAISO<\/option><option value=\"PARITILLA\"  data-calculation=\"0\">PARITILLA<\/option><option value=\"POCRI\"  data-calculation=\"0\">POCRI<\/option><\/select><span id=\"forminator-form-7581__field--select-70_6a8d1f733f3fb-description\" class=\"forminator-description\">POCRI<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-72\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-72_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-72_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Tonos\u00ed) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-72_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-72\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-72_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-72_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Altos de G\u00fcera\"  data-calculation=\"0\">Altos de G\u00fcera<\/option><option value=\"Cambutal\"  data-calculation=\"0\">Cambutal<\/option><option value=\"Ca\u00f1as\"  data-calculation=\"0\">Ca\u00f1as<\/option><option value=\"El Bebedero\"  data-calculation=\"0\">El Bebedero<\/option><option value=\"El Cacao\"  data-calculation=\"0\">El Cacao<\/option><option value=\"El Cortezo\"  data-calculation=\"0\">El Cortezo<\/option><option value=\"Flores\"  data-calculation=\"0\">Flores<\/option><option value=\"Gu\u00e1nico\"  data-calculation=\"0\">Gu\u00e1nico<\/option><option value=\"Isla de Ca\u00f1as\"  data-calculation=\"0\">Isla de Ca\u00f1as<\/option><option value=\"La Tronosa\"  data-calculation=\"0\">La Tronosa<\/option><option value=\"Tonos\u00ed\"  data-calculation=\"0\">Tonos\u00ed<\/option><\/select><span id=\"forminator-form-7581__field--select-72_6a8d1f733f3fb-description\" class=\"forminator-description\">Tonos\u00ed<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-71\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-71_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-71_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (PANAM\u00c1) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-71_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-71\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-71_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-71_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"Balboa\"  data-calculation=\"0\">Balboa<\/option><option value=\"Chepo\"  data-calculation=\"0\">Chepo<\/option><option value=\"Chim\u00e1n\"  data-calculation=\"0\">Chim\u00e1n<\/option><option value=\"Panam\u00e1\"  data-calculation=\"0\">Panam\u00e1<\/option><option value=\"San Miguelito\"  data-calculation=\"0\">San Miguelito<\/option><option value=\"Taboga\"  data-calculation=\"0\">Taboga<\/option><\/select><span id=\"forminator-form-7581__field--select-71_6a8d1f733f3fb-description\" class=\"forminator-description\">PANAM\u00c1<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-98\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-98_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-98_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Balboa) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-98_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-98\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-98_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-98_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"La Ensenada\"  data-calculation=\"0\">La Ensenada<\/option><option value=\"La Esmeralda\"  data-calculation=\"0\">La Esmeralda<\/option><option value=\"La Guinea\"  data-calculation=\"0\">La Guinea<\/option><option value=\"Pedro Gonz\u00e1lez\"  data-calculation=\"0\">Pedro Gonz\u00e1lez<\/option><option value=\"Saboga\"  data-calculation=\"0\">Saboga<\/option><option value=\"San Miguel\"  data-calculation=\"0\">San Miguel<\/option><\/select><span id=\"forminator-form-7581__field--select-98_6a8d1f733f3fb-description\" class=\"forminator-description\">Balboa<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-74\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-74_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-74_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Chepo) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-74_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-74\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-74_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-74_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Ca\u00f1ita\"  data-calculation=\"0\">Ca\u00f1ita<\/option><option value=\"Chepillo\"  data-calculation=\"0\">Chepillo<\/option><option value=\"Chepo\"  data-calculation=\"0\">Chepo<\/option><option value=\"El Llano\"  data-calculation=\"0\">El Llano<\/option><option value=\"Las Margaritas\"  data-calculation=\"0\">Las Margaritas<\/option><option value=\"Madungandi\"  data-calculation=\"0\">Madungandi<\/option><option value=\"Santa Cruz De Chinina\"  data-calculation=\"0\">Santa Cruz De Chinina<\/option><option value=\"Torti\"  data-calculation=\"0\">Torti<\/option><\/select><span id=\"forminator-form-7581__field--select-74_6a8d1f733f3fb-description\" class=\"forminator-description\">Chepo<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-75\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-75_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-75_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Chim\u00e1n) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-75_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-75\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-75_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-75_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Brujas\"  data-calculation=\"0\">Brujas<\/option><option value=\"Chim\u00e1n\"  data-calculation=\"0\">Chim\u00e1n<\/option><option value=\"Gonzalo V\u00e1squez\"  data-calculation=\"0\">Gonzalo V\u00e1squez<\/option><option value=\"P\u00e1siga\"  data-calculation=\"0\">P\u00e1siga<\/option><option value=\"Uni\u00f3n Sante\u00f1a\"  data-calculation=\"0\">Uni\u00f3n Sante\u00f1a<\/option><\/select><span id=\"forminator-form-7581__field--select-75_6a8d1f733f3fb-description\" class=\"forminator-description\">Chim\u00e1n<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-76\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-76_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-76_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Panam\u00e1) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-76_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-76\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-76_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-76_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"24 de Diciembre\"  data-calculation=\"0\">24 de Diciembre<\/option><option value=\"Alcalde D\u00edaz\"  data-calculation=\"0\">Alcalde D\u00edaz<\/option><option value=\"Anc\u00f3n\"  data-calculation=\"0\">Anc\u00f3n<\/option><option value=\"Betania\"  data-calculation=\"0\">Betania<\/option><option value=\"Bella Vista\"  data-calculation=\"0\">Bella Vista<\/option><option value=\"Calidonia\"  data-calculation=\"0\">Calidonia<\/option><option value=\"Caimitillo\"  data-calculation=\"0\">Caimitillo<\/option><option value=\"Chilibre\"  data-calculation=\"0\">Chilibre<\/option><option value=\"Curund\u00fa\"  data-calculation=\"0\">Curund\u00fa<\/option><option value=\"Don Bosco\"  data-calculation=\"0\">Don Bosco<\/option><option value=\"El Chorrillo\"  data-calculation=\"0\">El Chorrillo<\/option><option value=\"Ernesto C\u00f3rdoba Campos\"  data-calculation=\"0\">Ernesto C\u00f3rdoba Campos<\/option><option value=\"Juan D\u00edaz\"  data-calculation=\"0\">Juan D\u00edaz<\/option><option value=\"Las Cumbres\"  data-calculation=\"0\">Las Cumbres<\/option><option value=\"Las Garzas\"  data-calculation=\"0\">Las Garzas<\/option><option value=\"Las Ma\u00f1anitas\"  data-calculation=\"0\">Las Ma\u00f1anitas<\/option><option value=\"Pacora\"  data-calculation=\"0\">Pacora<\/option><option value=\"Parque Lefevre\"  data-calculation=\"0\">Parque Lefevre<\/option><option value=\"Pedregal\"  data-calculation=\"0\">Pedregal<\/option><option value=\"Pueblo Nuevo\"  data-calculation=\"0\">Pueblo Nuevo<\/option><option value=\"R\u00edo Abajo\"  data-calculation=\"0\">R\u00edo Abajo<\/option><option value=\"San Felipe\"  data-calculation=\"0\">San Felipe<\/option><option value=\"San Francisco\"  data-calculation=\"0\">San Francisco<\/option><option value=\"San Mart\u00edn\"  data-calculation=\"0\">San Mart\u00edn<\/option><option value=\"Santa Ana\"  data-calculation=\"0\">Santa Ana<\/option><option value=\"Tocumen\"  data-calculation=\"0\">Tocumen<\/option><\/select><span id=\"forminator-form-7581__field--select-76_6a8d1f733f3fb-description\" class=\"forminator-description\">Panam\u00e1<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-102\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-102_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-102_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (San Miguelito) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-102_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-102\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-102_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-102_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Amelia Denis de Icaza\"  data-calculation=\"0\">Amelia Denis de Icaza<\/option><option value=\"Arnulfo Arias\"  data-calculation=\"0\">Arnulfo Arias<\/option><option value=\"Belisario Fr\u00edas\"  data-calculation=\"0\">Belisario Fr\u00edas<\/option><option value=\"Belisario Porras\"  data-calculation=\"0\">Belisario Porras<\/option><option value=\"Jos\u00e9 Domingo Espinar\"  data-calculation=\"0\">Jos\u00e9 Domingo Espinar<\/option><option value=\"Mateo Iturralde\"  data-calculation=\"0\">Mateo Iturralde<\/option><option value=\"Omar Torrijos\"  data-calculation=\"0\">Omar Torrijos<\/option><option value=\"Rufina Alfaro\"  data-calculation=\"0\">Rufina Alfaro<\/option><option value=\"Victoriano Lorenzo\"  data-calculation=\"0\">Victoriano Lorenzo<\/option><\/select><span id=\"forminator-form-7581__field--select-102_6a8d1f733f3fb-description\" class=\"forminator-description\">San Miguelito<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-78\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-78_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-78_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Taboga) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-78_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-78\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-78_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-78_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Taboga\"  data-calculation=\"0\">Taboga<\/option><option value=\"Otoque Occidente\"  data-calculation=\"0\">Otoque Occidente<\/option><option value=\"Otoque Oriente\"  data-calculation=\"0\">Otoque Oriente<\/option><\/select><span id=\"forminator-form-7581__field--select-78_6a8d1f733f3fb-description\" class=\"forminator-description\">Taboga<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-79\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-79_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-79_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (Panam\u00e1 Oeste) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-79_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-79\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-79_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-79_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"Arraij\u00e1n\"  data-calculation=\"0\">Arraij\u00e1n<\/option><option value=\"Capira\"  data-calculation=\"0\">Capira<\/option><option value=\"Chame\"  data-calculation=\"0\">Chame<\/option><option value=\"La Chorrera\"  data-calculation=\"0\">La Chorrera<\/option><option value=\"San Carlos\"  data-calculation=\"0\">San Carlos<\/option><\/select><span id=\"forminator-form-7581__field--select-79_6a8d1f733f3fb-description\" class=\"forminator-description\">Panam\u00e1 Oeste<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-80\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-80_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-80_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Arraij\u00e1n) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-80_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-80\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-80_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-80_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Arraij\u00e1n\"  data-calculation=\"0\">Arraij\u00e1n<\/option><option value=\"Burunga\"  data-calculation=\"0\">Burunga<\/option><option value=\"Cerro Silvestre\"  data-calculation=\"0\">Cerro Silvestre<\/option><option value=\"Juan Dem\u00f3stenes Arosemena\"  data-calculation=\"0\">Juan Dem\u00f3stenes Arosemena<\/option><option value=\"Nuevo Emperador\"  data-calculation=\"0\">Nuevo Emperador<\/option><option value=\"Santa Clara\"  data-calculation=\"0\">Santa Clara<\/option><option value=\"Veracruz\"  data-calculation=\"0\">Veracruz<\/option><option value=\"Vacamonte\"  data-calculation=\"0\">Vacamonte<\/option><option value=\"Vista Alegre\"  data-calculation=\"0\">Vista Alegre<\/option><\/select><span id=\"forminator-form-7581__field--select-80_6a8d1f733f3fb-description\" class=\"forminator-description\">Arraij\u00e1n<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-81\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-81_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-81_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Capira) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-81_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-81\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-81_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-81_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Caimito\"  data-calculation=\"0\">Caimito<\/option><option value=\"Campana\"  data-calculation=\"0\">Campana<\/option><option value=\"Capira\"  data-calculation=\"0\">Capira<\/option><option value=\"Cerme\u00f1o\"  data-calculation=\"0\">Cerme\u00f1o<\/option><option value=\"Cir\u00ed de Los Sotos\"  data-calculation=\"0\">Cir\u00ed de Los Sotos<\/option><option value=\"Cir\u00ed Grande\"  data-calculation=\"0\">Cir\u00ed Grande<\/option><option value=\"El Cacao\"  data-calculation=\"0\">El Cacao<\/option><option value=\"La Trinidad\"  data-calculation=\"0\">La Trinidad<\/option><option value=\"Las Ollas Arriba\"  data-calculation=\"0\">Las Ollas Arriba<\/option><option value=\"L\u00eddice\"  data-calculation=\"0\">L\u00eddice<\/option><option value=\"Villa Carmen\"  data-calculation=\"0\">Villa Carmen<\/option><option value=\"Villa Rosario\"  data-calculation=\"0\">Villa Rosario<\/option><option value=\"Santa Rosa\"  data-calculation=\"0\">Santa Rosa<\/option><\/select><span id=\"forminator-form-7581__field--select-81_6a8d1f733f3fb-description\" class=\"forminator-description\">Capira<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-82\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-82_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-82_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Chame) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-82_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-82\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-82_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-82_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Bejuco\"  data-calculation=\"0\">Bejuco<\/option><option value=\"Buenos Aires\"  data-calculation=\"0\">Buenos Aires<\/option><option value=\"Cabuya\"  data-calculation=\"0\">Cabuya<\/option><option value=\"Chame\"  data-calculation=\"0\">Chame<\/option><option value=\"Chic\u00e1\"  data-calculation=\"0\">Chic\u00e1<\/option><option value=\"El L\u00edbano\"  data-calculation=\"0\">El L\u00edbano<\/option><option value=\"Las Lajas\"  data-calculation=\"0\">Las Lajas<\/option><option value=\"Nueva Gorgona\"  data-calculation=\"0\">Nueva Gorgona<\/option><option value=\"Punta Chame\"  data-calculation=\"0\">Punta Chame<\/option><option value=\"Sajalices\"  data-calculation=\"0\">Sajalices<\/option><option value=\"Sor\u00e1\"  data-calculation=\"0\">Sor\u00e1<\/option><\/select><span id=\"forminator-form-7581__field--select-82_6a8d1f733f3fb-description\" class=\"forminator-description\">Chame<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-83\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-83_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-83_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (La Chorrera) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-83_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-83\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-83_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-83_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Amador\"  data-calculation=\"0\">Amador<\/option><option value=\"Arosemena\"  data-calculation=\"0\">Arosemena<\/option><option value=\"Barrio Balboa\"  data-calculation=\"0\">Barrio Balboa<\/option><option value=\"Barrio Col\u00f3n\"  data-calculation=\"0\">Barrio Col\u00f3n<\/option><option value=\"El Arado\"  data-calculation=\"0\">El Arado<\/option><option value=\"El Coco\"  data-calculation=\"0\">El Coco<\/option><option value=\"Feuillet\"  data-calculation=\"0\">Feuillet<\/option><option value=\"Guadalupe\"  data-calculation=\"0\">Guadalupe<\/option><option value=\"Herrera\"  data-calculation=\"0\">Herrera<\/option><option value=\"Hurtado\"  data-calculation=\"0\">Hurtado<\/option><option value=\"Iturralde\"  data-calculation=\"0\">Iturralde<\/option><option value=\"La Represa\"  data-calculation=\"0\">La Represa<\/option><option value=\"Los D\u00edaz\"  data-calculation=\"0\">Los D\u00edaz<\/option><option value=\"Mendoza\"  data-calculation=\"0\">Mendoza<\/option><option value=\"Obald\u00eda\"  data-calculation=\"0\">Obald\u00eda<\/option><option value=\"Playa Leona\"  data-calculation=\"0\">Playa Leona<\/option><option value=\"Puerto Caimito\"  data-calculation=\"0\">Puerto Caimito<\/option><option value=\"Santa Rita\"  data-calculation=\"0\">Santa Rita<\/option><\/select><span id=\"forminator-form-7581__field--select-83_6a8d1f733f3fb-description\" class=\"forminator-description\">La Chorrera<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-84\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-84_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-84_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (San Carlos) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-84_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-84\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-84_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-84_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"El Espino\"  data-calculation=\"0\">El Espino<\/option><option value=\"El Higo\"  data-calculation=\"0\">El Higo<\/option><option value=\"Guayabito\"  data-calculation=\"0\">Guayabito<\/option><option value=\"La Ermita\"  data-calculation=\"0\">La Ermita<\/option><option value=\"La Laguna\"  data-calculation=\"0\">La Laguna<\/option><option value=\"Las Uvas\"  data-calculation=\"0\">Las Uvas<\/option><option value=\"Los Llanitos\"  data-calculation=\"0\">Los Llanitos<\/option><option value=\"San Carlos\"  data-calculation=\"0\">San Carlos<\/option><option value=\"San Jos\u00e9\"  data-calculation=\"0\">San Jos\u00e9<\/option><\/select><span id=\"forminator-form-7581__field--select-84_6a8d1f733f3fb-description\" class=\"forminator-description\">San Carlos<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-85\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-85_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-85_6a8d1f733f3fb-label\" class=\"forminator-label\">Distrito de domicilio (Veraguas) ..* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-85_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-85\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Distrito de domicilio\" data-search=\"true\" data-search-placeholder=\"Distrito de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-85_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-85_6a8d1f733f3fb-description\"><option value=\"\"  >Distrito de domicilio<\/option><option value=\"Atalaya\"  data-calculation=\"0\">Atalaya<\/option><option value=\"Calobre\"  data-calculation=\"0\">Calobre<\/option><option value=\"Ca\u00f1azas\"  data-calculation=\"0\">Ca\u00f1azas<\/option><option value=\"La Mesa\"  data-calculation=\"0\">La Mesa<\/option><option value=\"Las Palmas\"  data-calculation=\"0\">Las Palmas<\/option><option value=\"Mariato\"  data-calculation=\"0\">Mariato<\/option><option value=\"Montijo\"  data-calculation=\"0\">Montijo<\/option><option value=\"R\u00edo de Jes\u00fas\"  data-calculation=\"0\">R\u00edo de Jes\u00fas<\/option><option value=\"San Francisco\"  data-calculation=\"0\">San Francisco<\/option><option value=\"Santa Fe\"  data-calculation=\"0\">Santa Fe<\/option><option value=\"Santiago\"  data-calculation=\"0\">Santiago<\/option><option value=\"Son\u00e1\"  data-calculation=\"0\">Son\u00e1<\/option><\/select><span id=\"forminator-form-7581__field--select-85_6a8d1f733f3fb-description\" class=\"forminator-description\">Veraguas<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-86\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-86_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-86_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Atalaya) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-86_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-86\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-86_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-86_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Atalaya\"  data-calculation=\"0\">Atalaya<\/option><option value=\"El Barrito\"  data-calculation=\"0\">El Barrito<\/option><option value=\"La Carrillo\"  data-calculation=\"0\">La Carrillo<\/option><option value=\"La Monta\u00f1uela\"  data-calculation=\"0\">La Monta\u00f1uela<\/option><option value=\"San Antonio\"  data-calculation=\"0\">San Antonio<\/option><\/select><span id=\"forminator-form-7581__field--select-86_6a8d1f733f3fb-description\" class=\"forminator-description\">Atalaya<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-87\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-87_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-87_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Calobre) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-87_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-87\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-87_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-87_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Barnizal\"  data-calculation=\"0\">Barnizal<\/option><option value=\"Calobre\"  data-calculation=\"0\">Calobre<\/option><option value=\"Chitra\"  data-calculation=\"0\">Chitra<\/option><option value=\"El Cocla\"  data-calculation=\"0\">El Cocla<\/option><option value=\"El Potrero\"  data-calculation=\"0\">El Potrero<\/option><option value=\"La Laguna\"  data-calculation=\"0\">La Laguna<\/option><option value=\"La Raya de Calobre\"  data-calculation=\"0\">La Raya de Calobre<\/option><option value=\"La Tetilla\"  data-calculation=\"0\">La Tetilla<\/option><option value=\"La Yeguada\"  data-calculation=\"0\">La Yeguada<\/option><option value=\"Las Gu\u00edas\"  data-calculation=\"0\">Las Gu\u00edas<\/option><option value=\"Monjar\u00e1s\"  data-calculation=\"0\">Monjar\u00e1s<\/option><option value=\"San Jos\u00e9\"  data-calculation=\"0\">San Jos\u00e9<\/option><\/select><span id=\"forminator-form-7581__field--select-87_6a8d1f733f3fb-description\" class=\"forminator-description\">Calobre<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-88\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-88_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-88_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Ca\u00f1azas) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-88_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-88\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-88_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-88_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Ca\u00f1azas\"  data-calculation=\"0\">Ca\u00f1azas<\/option><option value=\"Cerro de Plata\"  data-calculation=\"0\">Cerro de Plata<\/option><option value=\"El Aromillo\"  data-calculation=\"0\">El Aromillo<\/option><option value=\"El Picador\"  data-calculation=\"0\">El Picador<\/option><option value=\"Las Cruces\"  data-calculation=\"0\">Las Cruces<\/option><option value=\"Los Valles\"  data-calculation=\"0\">Los Valles<\/option><option value=\"San Jos\u00e9\"  data-calculation=\"0\">San Jos\u00e9<\/option><option value=\"San Marcelo\"  data-calculation=\"0\">San Marcelo<\/option><\/select><span id=\"forminator-form-7581__field--select-88_6a8d1f733f3fb-description\" class=\"forminator-description\">Ca\u00f1azas<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-89\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-89_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-89_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (La Mesa) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-89_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-89\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-89_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-89_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Bisvalles\"  data-calculation=\"0\">Bisvalles<\/option><option value=\"Bor\u00f3\"  data-calculation=\"0\">Bor\u00f3<\/option><option value=\"El Higo\"  data-calculation=\"0\">El Higo<\/option><option value=\"La Mesa\"  data-calculation=\"0\">La Mesa<\/option><option value=\"Los Milagros\"  data-calculation=\"0\">Los Milagros<\/option><option value=\"Llano Grande\"  data-calculation=\"0\">Llano Grande<\/option><option value=\"San Bartolo\"  data-calculation=\"0\">San Bartolo<\/option><\/select><span id=\"forminator-form-7581__field--select-89_6a8d1f733f3fb-description\" class=\"forminator-description\">La Mesa<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-90\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-90_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-90_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Las Palmas) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-90_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-90\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-90_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-90_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Cerro de Casa\"  data-calculation=\"0\">Cerro de Casa<\/option><option value=\"Corozal\"  data-calculation=\"0\">Corozal<\/option><option value=\"El Mar\u00eda\"  data-calculation=\"0\">El Mar\u00eda<\/option><option value=\"El Prado\"  data-calculation=\"0\">El Prado<\/option><option value=\"El Rinc\u00f3n\"  data-calculation=\"0\">El Rinc\u00f3n<\/option><option value=\"Las Palmas\"  data-calculation=\"0\">Las Palmas<\/option><option value=\"Lol\u00e1\"  data-calculation=\"0\">Lol\u00e1<\/option><option value=\"Manuel E. Amador Terrero\"  data-calculation=\"0\">Manuel E. Amador Terrero<\/option><option value=\"Pixvae\"  data-calculation=\"0\">Pixvae<\/option><option value=\"Puerto Vidal\"  data-calculation=\"0\">Puerto Vidal<\/option><option value=\"San Mart\u00edn de Porres\"  data-calculation=\"0\">San Mart\u00edn de Porres<\/option><option value=\"Vigu\u00ed\"  data-calculation=\"0\">Vigu\u00ed<\/option><option value=\"Zapotillo\"  data-calculation=\"0\">Zapotillo<\/option><\/select><span id=\"forminator-form-7581__field--select-90_6a8d1f733f3fb-description\" class=\"forminator-description\">Las Palmas<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-91\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-91_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-91_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Mariato) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-91_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-91\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-91_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-91_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Arenas\"  data-calculation=\"0\">Arenas<\/option><option value=\"El Cacao\"  data-calculation=\"0\">El Cacao<\/option><option value=\"Mariato\"  data-calculation=\"0\">Mariato<\/option><option value=\"Quebro\"  data-calculation=\"0\">Quebro<\/option><option value=\"Tebario\"  data-calculation=\"0\">Tebario<\/option><\/select><span id=\"forminator-form-7581__field--select-91_6a8d1f733f3fb-description\" class=\"forminator-description\">Mariato<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-92\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-92_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-92_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Montijo) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-92_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-92\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-92_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-92_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"C\u00e9baco\"  data-calculation=\"0\">C\u00e9baco<\/option><option value=\"Costa Hermosa\"  data-calculation=\"0\">Costa Hermosa<\/option><option value=\"Gobernadora\"  data-calculation=\"0\">Gobernadora<\/option><option value=\"La Garceana\"  data-calculation=\"0\">La Garceana<\/option><option value=\"Leones\"  data-calculation=\"0\">Leones<\/option><option value=\"Montijo\"  data-calculation=\"0\">Montijo<\/option><option value=\"Pil\u00f3n\"  data-calculation=\"0\">Pil\u00f3n<\/option><option value=\"Uni\u00f3n del Norte\"  data-calculation=\"0\">Uni\u00f3n del Norte<\/option><\/select><span id=\"forminator-form-7581__field--select-92_6a8d1f733f3fb-description\" class=\"forminator-description\">Montijo<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-93\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-93_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-93_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (R\u00edo de Jes\u00fas) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-93_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-93\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-93_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-93_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Catorce de Noviembre\"  data-calculation=\"0\">Catorce de Noviembre<\/option><option value=\"R\u00edo de Jes\u00fas\"  data-calculation=\"0\">R\u00edo de Jes\u00fas<\/option><option value=\"Las Huacas\"  data-calculation=\"0\">Las Huacas<\/option><option value=\"Los Castillos\"  data-calculation=\"0\">Los Castillos<\/option><option value=\"Utira\"  data-calculation=\"0\">Utira<\/option><\/select><span id=\"forminator-form-7581__field--select-93_6a8d1f733f3fb-description\" class=\"forminator-description\">R\u00edo de Jes\u00fas<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-94\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-94_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-94_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (San Francisco) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-94_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-94\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-94_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-94_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Corral Falso\"  data-calculation=\"0\">Corral Falso<\/option><option value=\"Los Hatillos\"  data-calculation=\"0\">Los Hatillos<\/option><option value=\"Remance\"  data-calculation=\"0\">Remance<\/option><option value=\"San Francisco\"  data-calculation=\"0\">San Francisco<\/option><option value=\"San Juan\"  data-calculation=\"0\">San Juan<\/option><option value=\"San Jos\u00e9\"  data-calculation=\"0\">San Jos\u00e9<\/option><\/select><span id=\"forminator-form-7581__field--select-94_6a8d1f733f3fb-description\" class=\"forminator-description\">San Francisco<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-95\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-95_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-95_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Santa Fe) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-95_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-95\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-95_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-95_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Calov\u00e9bora\"  data-calculation=\"0\">Calov\u00e9bora<\/option><option value=\"El Alto\"  data-calculation=\"0\">El Alto<\/option><option value=\"El Cuay\"  data-calculation=\"0\">El Cuay<\/option><option value=\"El Pantano\"  data-calculation=\"0\">El Pantano<\/option><option value=\"Gatuncito\"  data-calculation=\"0\">Gatuncito<\/option><option value=\"R\u00edo Luis\"  data-calculation=\"0\">R\u00edo Luis<\/option><option value=\"Rub\u00e9n Cant\u00fa\"  data-calculation=\"0\">Rub\u00e9n Cant\u00fa<\/option><option value=\"Santa Fe\"  data-calculation=\"0\">Santa Fe<\/option><\/select><span id=\"forminator-form-7581__field--select-95_6a8d1f733f3fb-description\" class=\"forminator-description\">Santa Fe<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-96\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-96_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-96_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Santiago) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-96_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-96\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-96_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-96_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Canto del Llano\"  data-calculation=\"0\">Canto del Llano<\/option><option value=\"Carlos Santana \u00c1vila\"  data-calculation=\"0\">Carlos Santana \u00c1vila<\/option><option value=\"Edwin F\u00e1brega\"  data-calculation=\"0\">Edwin F\u00e1brega<\/option><option value=\"La Colorada\"  data-calculation=\"0\">La Colorada<\/option><option value=\"La Pe\u00f1a\"  data-calculation=\"0\">La Pe\u00f1a<\/option><option value=\"La Raya de Santa Mar\u00eda\"  data-calculation=\"0\">La Raya de Santa Mar\u00eda<\/option><option value=\"Los Algarrobos\"  data-calculation=\"0\">Los Algarrobos<\/option><option value=\"Nuevo Santiago\"  data-calculation=\"0\">Nuevo Santiago<\/option><option value=\"Ponuga\"  data-calculation=\"0\">Ponuga<\/option><option value=\"San Mart\u00edn de Porres\"  data-calculation=\"0\">San Mart\u00edn de Porres<\/option><option value=\"San Pedro del Espino\"  data-calculation=\"0\">San Pedro del Espino<\/option><option value=\"Santiago\"  data-calculation=\"0\">Santiago<\/option><option value=\"Santiago Este\"  data-calculation=\"0\">Santiago Este<\/option><option value=\"Santiago Sur\"  data-calculation=\"0\">Santiago Sur<\/option><option value=\"Rodrigo Luque\"  data-calculation=\"0\">Rodrigo Luque<\/option><option value=\"Urrac\u00e1\"  data-calculation=\"0\">Urrac\u00e1<\/option><\/select><span id=\"forminator-form-7581__field--select-96_6a8d1f733f3fb-description\" class=\"forminator-description\">Santiago<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-97\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-97_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-97_6a8d1f733f3fb-label\" class=\"forminator-label\">Corregimiento de domicilio (Son\u00e1) ...* <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-97_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-97\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Corregimiento de domicilio\" data-search=\"true\" data-search-placeholder=\"Corregimiento de domicilio\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-97_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-97_6a8d1f733f3fb-description\"><option value=\"\"  >Corregimiento de domicilio<\/option><option value=\"Bah\u00eda Honda\"  data-calculation=\"0\">Bah\u00eda Honda<\/option><option value=\"Calidonia\"  data-calculation=\"0\">Calidonia<\/option><option value=\"Cativ\u00e9\"  data-calculation=\"0\">Cativ\u00e9<\/option><option value=\"El Mara\u00f1\u00f3n\"  data-calculation=\"0\">El Mara\u00f1\u00f3n<\/option><option value=\"Guarumal\"  data-calculation=\"0\">Guarumal<\/option><option value=\"Hicaco\"  data-calculation=\"0\">Hicaco<\/option><option value=\"La Soledad\"  data-calculation=\"0\">La Soledad<\/option><option value=\"La Trinchera\"  data-calculation=\"0\">La Trinchera<\/option><option value=\"Quebrada de Oro\"  data-calculation=\"0\">Quebrada de Oro<\/option><option value=\"R\u00edo Grande\"  data-calculation=\"0\">R\u00edo Grande<\/option><option value=\"Rodeo Viejo\"  data-calculation=\"0\">Rodeo Viejo<\/option><option value=\"Son\u00e1\"  data-calculation=\"0\">Son\u00e1<\/option><\/select><span id=\"forminator-form-7581__field--select-97_6a8d1f733f3fb-description\" class=\"forminator-description\">Son\u00e1<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a8d1f733f3fb\" id=\"forminator-field-text-4_6a8d1f733f3fb-label\" class=\"forminator-label\">N\u00famero de celular <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"N\u00famero de celular\" id=\"forminator-field-text-4_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"50\" \/><span id=\"forminator-field-text-4_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a8d1f733f3fb\" id=\"forminator-field-text-5_6a8d1f733f3fb-label\" class=\"forminator-label\">Tel\u00e9fono de oficina<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Tel\u00e9fono de oficina\" id=\"forminator-field-text-5_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"50\" \/><span id=\"forminator-field-text-5_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a8d1f733f3fb\" id=\"forminator-field-email-1_6a8d1f733f3fb-label\" class=\"forminator-label\">E-mail: <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E-mail:\" id=\"forminator-field-email-1_6a8d1f733f3fb\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6a8d1f733f3fb\" id=\"forminator-field-email-2_6a8d1f733f3fb-label\" class=\"forminator-label\">Correo electr\u00f3nico alternativo (opcional)<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"Correo electr\u00f3nico alternativo (opcional)\" id=\"forminator-field-email-2_6a8d1f733f3fb\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-10\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-10_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-10_6a8d1f733f3fb-label\" class=\"forminator-label\">\u00bfBrinda atenci\u00f3n en consultorios? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-10_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-10\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\u00bfBrinda atenci\u00f3n en consultorios?\" data-search=\"true\" data-search-placeholder=\"\u00bfBrinda atenci\u00f3n en consultorios?\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-10_6a8d1f733f3fb-label\"><option value=\"\"  >\u00bfBrinda atenci\u00f3n en consultorios?<\/option><option value=\"Hospital Punta Pac\u00edfica\"  data-calculation=\"0\">Consultorios Punta Pac\u00edfica<\/option><option value=\"Costa del Este (CDE)\"  data-calculation=\"0\">Town Center CDE<\/option><option value=\"No\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6a8d1f733f3fb\" id=\"forminator-field-text-12_6a8d1f733f3fb-label\" class=\"forminator-label\">Consultorio #<\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"\" id=\"forminator-field-text-12_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"15\" aria-describedby=\"forminator-field-text-12_6a8d1f733f3fb-description\" \/><span id=\"forminator-field-text-12_6a8d1f733f3fb-description\" class=\"forminator-description\">Address<span data-limit=\"15\" data-type=\"characters\">0 \/ 15<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\"><strong>Informaci\u00f3n del pago.<\/strong><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-3_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-3_6a8d1f733f3fb-label\" class=\"forminator-label\">Tipo de persona \/ identificaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-3_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccione\" data-search=\"false\" data-search-placeholder=\"Seleccione\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-3_6a8d1f733f3fb-label\"><option value=\"\"  >Seleccione<\/option><option value=\"Natural\"  data-calculation=\"0\">Natural<\/option><option value=\"Jurid\u00edca\"  data-calculation=\"0\">Jurid\u00edca<\/option><\/select><\/div><\/div><div id=\"select-9\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-9_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-9_6a8d1f733f3fb-label\" class=\"forminator-label\">Cheque a nombre de: <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-9_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-9\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Cheque a nombre de:\" data-search=\"true\" data-search-placeholder=\"Cheque a nombre de:\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-9_6a8d1f733f3fb-label\"><option value=\"\"  >Cheque a nombre de:<\/option><option value=\"M\u00e9dico\"  data-calculation=\"0\">Medical Services<\/option><option value=\"Empresa\"  data-calculation=\"0\">Empresa<\/option><option value=\"Otro\"  data-calculation=\"0\">Otro<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6a8d1f733f3fb\" id=\"forminator-field-text-10_6a8d1f733f3fb-label\" class=\"forminator-label\">Empresa del cheque <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\" id=\"forminator-field-text-10_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"50\" \/><span id=\"forminator-field-text-10_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6a8d1f733f3fb\" id=\"forminator-field-text-11_6a8d1f733f3fb-label\" class=\"forminator-label\">Beneficiario del cheque <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\" id=\"forminator-field-text-11_6a8d1f733f3fb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"50\" \/><span id=\"forminator-field-text-11_6a8d1f733f3fb-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-5\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-5-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"5\"\n\t\t\t\tdata-label=\"Informaci\u00f3n\"\n\t\t\t\tdata-actual-label=\"Privilegios\"\n\t\t\t\tdata-name=\"page-break-5\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\"><strong>Privilegios<\/strong>\n<p>En esta secci\u00f3n de privilegios escoja en la lista desplegable, su especialidad. Despu\u00e9s de su selecci\u00f3n se despliegan privilegios generales y adicionales, aseg\u00farese de marcar casillas de su solicitud y verificar antes de enviar.<\/p>\n<p>Tome en cuenta que es posible que deba adjuntar en la selecci\u00f3n de credenciales, otras credenciales adicionales que respalden la solicitud de privilegios adicionales.<\/p>\n<p>Si tiene alguna duda por favor comunicarse al 204-8092 o v\u00eda correo acreditacionmedica@pacificasalud.com<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-7\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-7_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-7_6a8d1f733f3fb-label\" class=\"forminator-label\">Specialty <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-7_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-7\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Especialidad\" data-search=\"false\" data-search-placeholder=\"Especialidad\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-7_6a8d1f733f3fb-label\"><option value=\"\"  >Specialty<\/option><option value=\"Anestesiolog\u00eda\"  data-calculation=\"0\">Anestesiolog\u00eda<\/option><option value=\"Audilog\u00eda\"  data-calculation=\"0\">Audilog\u00eda<\/option><option value=\"Cardiolog\u00eda\"  data-calculation=\"0\">Cardiology<\/option><option value=\"Cirug\u00eda Cardiovascular y Tor\u00e1cica\"  data-calculation=\"0\">Cirug\u00eda Cardiovascular y Tor\u00e1cica<\/option><option value=\"Cirug\u00eda General\"  data-calculation=\"0\">Cirug\u00eda General<\/option><option value=\"Cirug\u00eda Vascular Perif\u00e9rica\"  data-calculation=\"0\">Cirug\u00eda Vascular Perif\u00e9rica<\/option><option value=\"Cuidados Paleativos\"  data-calculation=\"0\">Cuidados Paleativos<\/option><option value=\"Dermatolog\u00eda\"  data-calculation=\"0\">Dermatolog\u00eda<\/option><option value=\"Endocrinolog\u00eda\"  data-calculation=\"0\">Endocrinolog\u00eda<\/option><option value=\"Enfermedades infecciosas\"  data-calculation=\"0\">Enfermedades infecciosas<\/option><option value=\"Gastroenterolog\u00eda\"  data-calculation=\"0\">Gastroenterolog\u00eda<\/option><option value=\"Ginecolog\u00eda y Obstetricia\"  data-calculation=\"0\">Ginecolog\u00eda y Obstetricia<\/option><option value=\"Hematolog\u00eda\"  data-calculation=\"0\">Hematolog\u00eda<\/option><option value=\"Medicina Cr\u00edtica\"  data-calculation=\"0\">Medicina Cr\u00edtica<\/option><option value=\"Medicina Familiar\"  data-calculation=\"0\">Medicina Familiar<\/option><option value=\"Medicina F\u00edsica y Rehabilitaci\u00f3n\"  data-calculation=\"0\">Medicina F\u00edsica y Rehabilitaci\u00f3n<\/option><option value=\"Medicina General\"  data-calculation=\"0\">Medicina General<\/option><option value=\"Medicina Interna\"  data-calculation=\"0\">Medicina Interna<\/option><option value=\"Medicina Nuclear\"  data-calculation=\"0\">Medicina Nuclear<\/option><option value=\"Nefrolog\u00eda\"  data-calculation=\"0\">Nefrolog\u00eda<\/option><option value=\"Neumolog\u00eda\"  data-calculation=\"0\">Neumolog\u00eda<\/option><option value=\"Neurocirug\u00eda\"  data-calculation=\"0\">Neurocirug\u00eda<\/option><option value=\"Neurolog\u00eda\"  data-calculation=\"0\">Neurology<\/option><option value=\"Oncolog\u00eda\"  data-calculation=\"0\">Oncology<\/option><option value=\"Ortopedia\"  data-calculation=\"0\">Ortopedia<\/option><option value=\"Otorrinolaringolog\u00eda\"  data-calculation=\"0\">Otorrinolaringolog\u00eda<\/option><option value=\"Patolog\u00eda\"  data-calculation=\"0\">Patolog\u00eda<\/option><option value=\"Pediatr\u00eda\"  data-calculation=\"0\">Pediatr\u00eda<\/option><option value=\"Psiquiatr\u00eda\"  data-calculation=\"0\">Psiquiatr\u00eda<\/option><option value=\"Radiolog\u00eda\"  data-calculation=\"0\">Radiology<\/option><option value=\"Radioterapia y Oncolog\u00eda\"  data-calculation=\"0\">Radioterapia y Oncolog\u00eda<\/option><option value=\"Reumatolog\u00eda\"  data-calculation=\"0\">Rheumatology<\/option><option value=\"Urolog\u00eda\"  data-calculation=\"0\">Urolog\u00eda<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-6\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-6-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"6\"\n\t\t\t\tdata-label=\"Privilegios\"\n\t\t\t\tdata-actual-label=\"Especialidad\"\n\t\t\t\tdata-name=\"page-break-6\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><div style=\"color: #014446;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\">\n<p>Yo solicito <strong>solamente los privilegios<\/strong> para los cuales fui educado, entrenado, tengo experiencia y he demostrado buenos resultados. Yo estoy calificado y deseo ejercer mi pr\u00e1ctica en Pac\u00edfica Salud.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios principales (Anestesiolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-3-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Administraci\u00f3n y manejo de sedaci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"102\" id=\"forminator-field-checkbox-3-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Administraci\u00f3n y manejo de sedaci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-3-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n de pacientes&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"103\" id=\"forminator-field-checkbox-3-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n de pacientes'<\/span><\/label><label id=\"forminator-field-checkbox-3-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inserci\u00f3n de Cat\u00e9ter Venoso Central&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"109\" id=\"forminator-field-checkbox-3-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inserci\u00f3n de Cat\u00e9ter Venoso Central'<\/span><\/label><label id=\"forminator-field-checkbox-3-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de los pacientes con v\u00eda a\u00e9rea dif\u00edcil&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"110\" id=\"forminator-field-checkbox-3-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de los pacientes con v\u00eda a\u00e9rea dif\u00edcil'<\/span><\/label><label id=\"forminator-field-checkbox-3-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de pacientes inducidos a la inconciencia o insensibilidad al dolor y estr\u00e9s emocional durante los procedimientos quir\u00fargicos, obst\u00e9tricos y algunos procedimientos m\u00e9dicos, incluyendo la evaluaci\u00f3n y tratamiento pre, intra y post operatorio&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"111\" id=\"forminator-field-checkbox-3-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de pacientes inducidos a la inconciencia o insensibilidad al dolor y estr\u00e9s emocional durante los procedimientos quir\u00fargicos, obst\u00e9tricos y algunos procedimientos m\u00e9dicos, incluyendo la evaluaci\u00f3n y tratamiento pre, intra y post operatorio'<\/span><\/label><label id=\"forminator-field-checkbox-3-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de problemas en el alivio del dolor&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"112\" id=\"forminator-field-checkbox-3-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de problemas en el alivio del dolor'<\/span><\/label><label id=\"forminator-field-checkbox-3-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Mantenimiento de las funciones vitales de los pacientes sometidos a sedaci\u00f3n o anestesia&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"114\" id=\"forminator-field-checkbox-3-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Mantenimiento de las funciones vitales de los pacientes sometidos a sedaci\u00f3n o anestesia'<\/span><\/label><label id=\"forminator-field-checkbox-3-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Resucitaci\u00f3n cardiopulmonar&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"115\" id=\"forminator-field-checkbox-3-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Resucitaci\u00f3n cardiopulmonar'<\/span><\/label><label id=\"forminator-field-checkbox-3-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-3-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Supervisi\u00f3n de los pacientes en cuidados post anest\u00e9sicos y unidades de cuidados cr\u00edticos, excepto aquellos que requieran privilegios adicionales&#039;\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"116\" id=\"forminator-field-checkbox-3-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-3-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Supervisi\u00f3n de los pacientes en cuidados post anest\u00e9sicos y unidades de cuidados cr\u00edticos, excepto aquellos que requieran privilegios adicionales'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales (Anestesiolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-4-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-4-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Anestesia a pacientes mayores de 6 meses de edad y menores de 6 a\u00f1os con ASA mayor o igual a 3&#039;\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"104\" id=\"forminator-field-checkbox-4-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-4-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Anestesia a pacientes mayores de 6 meses de edad y menores de 6 a\u00f1os con ASA mayor o igual a 3'<\/span><\/label><label id=\"forminator-field-checkbox-4-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-4-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Anestesia a pacientes menores de 6 meses de edad&#039;\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"105\" id=\"forminator-field-checkbox-4-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-4-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Anestesia a pacientes menores de 6 meses de edad'<\/span><\/label><label id=\"forminator-field-checkbox-4-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-4-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Anestesia cardiovascular&#039;\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"106\" id=\"forminator-field-checkbox-4-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-4-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Anestesia cardiovascular'<\/span><\/label><label id=\"forminator-field-checkbox-4-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-4-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Anestesia de trasplante hep\u00e1tico&#039;\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"107\" id=\"forminator-field-checkbox-4-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-4-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Anestesia de trasplante hep\u00e1tico'<\/span><\/label><label id=\"forminator-field-checkbox-4-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-4-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ecocardiograf\u00eda transesof\u00e1gica&#039;\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"108\" id=\"forminator-field-checkbox-4-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-4-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ecocardiograf\u00eda transesof\u00e1gica'<\/span><\/label><label id=\"forminator-field-checkbox-4-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-4-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo del dolor. Complejo&#039;\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"113\" id=\"forminator-field-checkbox-4-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-4-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo del dolor. Complejo'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales (Audilog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-1-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Actividades que identifican, eval\u00faan y tratan los trastornos de la audici\u00f3n, el equilibrio, y otros sistemas neuronales, y el o\u00eddo humano.   Los privilegios incluyen, pero no est\u00e1n limitados a: audiol\u00f3gica (auditiva) de rehabilitaci\u00f3n para ni\u00f1os y adultos de todas las edades.&#039;\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"117\" id=\"forminator-field-checkbox-1-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-1-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Actividades que identifican, eval\u00faan y tratan los trastornos de la audici\u00f3n, el equilibrio, y otros sistemas neuronales, y el o\u00eddo humano.   Los privilegios incluyen, pero no est\u00e1n limitados a: audiol\u00f3gica (auditiva) de rehabilitaci\u00f3n para ni\u00f1os y adultos de todas las edades.'<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-1-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Seleccionar, ajustar, y prescindir de sistemas de amplificaci\u00f3n, como aud\u00edfonos y dispositivos relacionados.   Prevenir la p\u00e9rdida de la audici\u00f3n mediante el suministro e instalaci\u00f3n de los dispositivos de protecci\u00f3n auditiva, y proporcionar asesoramiento sobre los efectos de diferentes estaciones de audiencia incluyendo la educaci\u00f3n del consumidor.&#039;\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"118\" id=\"forminator-field-checkbox-1-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-1-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Seleccionar, ajustar, y prescindir de sistemas de amplificaci\u00f3n, como aud\u00edfonos y dispositivos relacionados.   Prevenir la p\u00e9rdida de la audici\u00f3n mediante el suministro e instalaci\u00f3n de los dispositivos de protecci\u00f3n auditiva, y proporcionar asesoramiento sobre los efectos de diferentes estaciones de audiencia incluyendo la educaci\u00f3n del consumidor.'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-60\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-60-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-60-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales (Audilog\u00eda).*<\/span><label id=\"forminator-field-checkbox-60-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-60-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;No Aplica&#039;\"><input type=\"checkbox\" name=\"checkbox-60[]\" value=\"-1\" id=\"forminator-field-checkbox-60-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-60-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'No Aplica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales (Cardiolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-5-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cardioversi\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"119\" id=\"forminator-field-checkbox-5-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cardioversi\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-5-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de marcapaso transvenoso transitorio&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"120\" id=\"forminator-field-checkbox-5-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de marcapaso transvenoso transitorio'<\/span><\/label><label id=\"forminator-field-checkbox-5-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n y manejo de cat\u00e9teres venosos centrales, arteriales y de la arteria pulmonar&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"121\" id=\"forminator-field-checkbox-5-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n y manejo de cat\u00e9teres venosos centrales, arteriales y de la arteria pulmonar'<\/span><\/label><label id=\"forminator-field-checkbox-5-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n y programaci\u00f3n de marcapasos&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"122\" id=\"forminator-field-checkbox-5-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n y programaci\u00f3n de marcapasos'<\/span><\/label><label id=\"forminator-field-checkbox-5-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretaci\u00f3n del Estudio Holter&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"123\" id=\"forminator-field-checkbox-5-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretaci\u00f3n del Estudio Holter'<\/span><\/label><label id=\"forminator-field-checkbox-5-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pericardiocentesis de urgencia&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"124\" id=\"forminator-field-checkbox-5-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pericardiocentesis de urgencia'<\/span><\/label><label id=\"forminator-field-checkbox-5-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con problemas del coraz\u00f3n, pulmones y vasos sangu\u00edneos. Se incluyen los siguientes procedimientos&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"125\" id=\"forminator-field-checkbox-5-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con problemas del coraz\u00f3n, pulmones y vasos sangu\u00edneos. Se incluyen los siguientes procedimientos'<\/span><\/label><label id=\"forminator-field-checkbox-5-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Prueba de esfuerzo con banda&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"126\" id=\"forminator-field-checkbox-5-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Prueba de esfuerzo con banda'<\/span><\/label><label id=\"forminator-field-checkbox-5-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizaci\u00f3n e Interpretaci\u00f3n oficial de ecocardiogramas&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"127\" id=\"forminator-field-checkbox-5-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizaci\u00f3n e Interpretaci\u00f3n oficial de ecocardiogramas'<\/span><\/label><label id=\"forminator-field-checkbox-5-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizaci\u00f3n e Interpretaci\u00f3n oficial del EKG&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"128\" id=\"forminator-field-checkbox-5-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizaci\u00f3n e Interpretaci\u00f3n oficial del EKG'<\/span><\/label><label id=\"forminator-field-checkbox-5-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Reanimaci\u00f3n y monitorizaci\u00f3n cardiopulmonar&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"129\" id=\"forminator-field-checkbox-5-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Reanimaci\u00f3n y monitorizaci\u00f3n cardiopulmonar'<\/span><\/label><label id=\"forminator-field-checkbox-5-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-5-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de agentes trombol\u00edticos&#039;\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"130\" id=\"forminator-field-checkbox-5-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-5-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de agentes trombol\u00edticos'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-6\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-6-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-6-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales (Cardiolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-6-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admitir tratar, evaluar y dar seguimiento a pacientes de 14 a\u00f1os o menos&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"131\" id=\"forminator-field-checkbox-6-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admitir tratar, evaluar y dar seguimiento a pacientes de 14 a\u00f1os o menos'<\/span><\/label><label id=\"forminator-field-checkbox-6-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Angiograf\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"132\" id=\"forminator-field-checkbox-6-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Angiograf\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-6-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Angioplast\u00eda coronaria con bal\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"133\" id=\"forminator-field-checkbox-6-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Angioplast\u00eda coronaria con bal\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-6-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Angioplast\u00eda perif\u00e9rica&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"134\" id=\"forminator-field-checkbox-6-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Angioplast\u00eda perif\u00e9rica'<\/span><\/label><label id=\"forminator-field-checkbox-6-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia endomioc\u00e1rdica&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"135\" id=\"forminator-field-checkbox-6-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia endomioc\u00e1rdica'<\/span><\/label><label id=\"forminator-field-checkbox-6-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cardiolog\u00eda nuclear&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"136\" id=\"forminator-field-checkbox-6-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cardiolog\u00eda nuclear'<\/span><\/label><label id=\"forminator-field-checkbox-6-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cateterizaci\u00f3n card\u00edaca&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"137\" id=\"forminator-field-checkbox-6-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cateterizaci\u00f3n card\u00edaca'<\/span><\/label><label id=\"forminator-field-checkbox-6-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de bal\u00f3n de contrapulsaci\u00f3n aortico&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"138\" id=\"forminator-field-checkbox-6-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de bal\u00f3n de contrapulsaci\u00f3n aortico'<\/span><\/label><label id=\"forminator-field-checkbox-6-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de desfibrilador implantable&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"139\" id=\"forminator-field-checkbox-6-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de desfibrilador implantable'<\/span><\/label><label id=\"forminator-field-checkbox-6-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de marcapaso permanente&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"140\" id=\"forminator-field-checkbox-6-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de marcapaso permanente'<\/span><\/label><label id=\"forminator-field-checkbox-6-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de stent carot\u00eddeo&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"141\" id=\"forminator-field-checkbox-6-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de stent carot\u00eddeo'<\/span><\/label><label id=\"forminator-field-checkbox-6-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de stent coronario&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"142\" id=\"forminator-field-checkbox-6-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de stent coronario'<\/span><\/label><label id=\"forminator-field-checkbox-6-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ecocardiograf\u00eda transesof\u00e1gica&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"143\" id=\"forminator-field-checkbox-6-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ecocardiograf\u00eda transesof\u00e1gica'<\/span><\/label><label id=\"forminator-field-checkbox-6-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Estudios electrofisiol\u00f3gicos con y sin ablaci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"144\" id=\"forminator-field-checkbox-6-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Estudios electrofisiol\u00f3gicos con y sin ablaci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-6-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Extracci\u00f3n de electrodo de marcapaso&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"145\" id=\"forminator-field-checkbox-6-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Extracci\u00f3n de electrodo de marcapaso'<\/span><\/label><label id=\"forminator-field-checkbox-6-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inserci\u00f3n y cuidado de dispositivos de soporte cardiaco percut\u00e1neo&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"146\" id=\"forminator-field-checkbox-6-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inserci\u00f3n y cuidado de dispositivos de soporte cardiaco percut\u00e1neo'<\/span><\/label><label id=\"forminator-field-checkbox-6-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo y cuidado de dispositivos de asistencia ventricular mec\u00e1nica izquierda y derecha&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"147\" id=\"forminator-field-checkbox-6-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo y cuidado de dispositivos de asistencia ventricular mec\u00e1nica izquierda y derecha'<\/span><\/label><label id=\"forminator-field-checkbox-6-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-6-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso del equipo de fluroscop\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"148\" id=\"forminator-field-checkbox-6-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-6-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso del equipo de fluroscop\u00eda'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-7\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-7-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-7-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales (Cirug\u00eda Cardiovascular y Tor\u00e1cica)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-7-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Cardiaca pedi\u00e1trica y de adultos&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"149\" id=\"forminator-field-checkbox-7-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Cardiaca pedi\u00e1trica y de adultos'<\/span><\/label><label id=\"forminator-field-checkbox-7-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de car\u00f3tida&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"150\" id=\"forminator-field-checkbox-7-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de car\u00f3tida'<\/span><\/label><label id=\"forminator-field-checkbox-7-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Tor\u00e1cica oncol\u00f3gica y no oncol\u00f3gica&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"151\" id=\"forminator-field-checkbox-7-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Tor\u00e1cica oncol\u00f3gica y no oncol\u00f3gica'<\/span><\/label><label id=\"forminator-field-checkbox-7-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda toracoscopica&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"152\" id=\"forminator-field-checkbox-7-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda toracoscopica'<\/span><\/label><label id=\"forminator-field-checkbox-7-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Vascular y Endovascular&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"153\" id=\"forminator-field-checkbox-7-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Vascular y Endovascular'<\/span><\/label><label id=\"forminator-field-checkbox-7-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n y manejo de tubos pleurales y l\u00edneas centrales&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"154\" id=\"forminator-field-checkbox-7-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n y manejo de tubos pleurales y l\u00edneas centrales'<\/span><\/label><label id=\"forminator-field-checkbox-7-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Completo cuidado de pacientes cr\u00edticamente enfermos con condiciones quir\u00fargicas en cuarto de urgencias o en la unidad de trauma (como parte de un grupo especializado)&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"155\" id=\"forminator-field-checkbox-7-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Completo cuidado de pacientes cr\u00edticamente enfermos con condiciones quir\u00fargicas en cuarto de urgencias o en la unidad de trauma (como parte de un grupo especializado)'<\/span><\/label><label id=\"forminator-field-checkbox-7-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de trauma vascular y tor\u00e1cico&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"156\" id=\"forminator-field-checkbox-7-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de trauma vascular y tor\u00e1cico'<\/span><\/label><label id=\"forminator-field-checkbox-7-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de tumores locales&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"157\" id=\"forminator-field-checkbox-7-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de tumores locales'<\/span><\/label><label id=\"forminator-field-checkbox-7-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta, cuidados preoperatorios, intra y post operatorios&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"158\" id=\"forminator-field-checkbox-7-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta, cuidados preoperatorios, intra y post operatorios'<\/span><\/label><label id=\"forminator-field-checkbox-7-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos quir\u00fargicos de cuello, incluyendo trauma, vascular, endocrino, y cong\u00e9nito y trastornos oncol\u00f3gicos particularmente tumores locales&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"159\" id=\"forminator-field-checkbox-7-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos quir\u00fargicos de cuello, incluyendo trauma, vascular, endocrino, y cong\u00e9nito y trastornos oncol\u00f3gicos particularmente tumores locales'<\/span><\/label><label id=\"forminator-field-checkbox-7-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos quir\u00fargicos en cirug\u00eda Oncol\u00f3gica, incluyendo la coordinaci\u00f3n con el manejo multidisciplinario del paciente con c\u00e1ncer en diagn\u00f3stico, seguimiento, terapia adyuvante y rehabilitaci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"160\" id=\"forminator-field-checkbox-7-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos quir\u00fargicos en cirug\u00eda Oncol\u00f3gica, incluyendo la coordinaci\u00f3n con el manejo multidisciplinario del paciente con c\u00e1ncer en diagn\u00f3stico, seguimiento, terapia adyuvante y rehabilitaci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-7-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-7-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizaci\u00f3n de pericardiocentesis, traqueotom\u00eda, paracentesis y toracocentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"161\" id=\"forminator-field-checkbox-7-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-7-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizaci\u00f3n de pericardiocentesis, traqueotom\u00eda, paracentesis y toracocentesis'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-8\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-8-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-8-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales (Cirug\u00eda Cardiovascular y Tor\u00e1cica).*<\/span><label id=\"forminator-field-checkbox-8-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Amputaciones por causa vascular&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"162\" id=\"forminator-field-checkbox-8-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Amputaciones por causa vascular'<\/span><\/label><label id=\"forminator-field-checkbox-8-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda card\u00edaca en general&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"163\" id=\"forminator-field-checkbox-8-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda card\u00edaca en general'<\/span><\/label><label id=\"forminator-field-checkbox-8-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda con L\u00e1ser para ablaci\u00f3n de venas o radiofrecuencia&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"164\" id=\"forminator-field-checkbox-8-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda con L\u00e1ser para ablaci\u00f3n de venas o radiofrecuencia'<\/span><\/label><label id=\"forminator-field-checkbox-8-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de Trasplante Cardiaco y\/o de Pulm\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"165\" id=\"forminator-field-checkbox-8-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de Trasplante Cardiaco y\/o de Pulm\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-8-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda oncol\u00f3gica tor\u00e1cica&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"166\" id=\"forminator-field-checkbox-8-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda oncol\u00f3gica tor\u00e1cica'<\/span><\/label><label id=\"forminator-field-checkbox-8-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Rob\u00f3tica&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"167\" id=\"forminator-field-checkbox-8-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Rob\u00f3tica'<\/span><\/label><label id=\"forminator-field-checkbox-8-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Tor\u00e1cica en general&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"168\" id=\"forminator-field-checkbox-8-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Tor\u00e1cica en general'<\/span><\/label><label id=\"forminator-field-checkbox-8-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de Cat\u00e9ter centrales&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"169\" id=\"forminator-field-checkbox-8-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de Cat\u00e9ter centrales'<\/span><\/label><label id=\"forminator-field-checkbox-8-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de v\u00e1lvulas a\u00f3rticas&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"170\" id=\"forminator-field-checkbox-8-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de v\u00e1lvulas a\u00f3rticas'<\/span><\/label><label id=\"forminator-field-checkbox-8-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Creaci\u00f3n de fistulas A-V para hemodi\u00e1lisis&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"171\" id=\"forminator-field-checkbox-8-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Creaci\u00f3n de fistulas A-V para hemodi\u00e1lisis'<\/span><\/label><label id=\"forminator-field-checkbox-8-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Laparoscopia avanzada&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"172\" id=\"forminator-field-checkbox-8-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Laparoscopia avanzada'<\/span><\/label><label id=\"forminator-field-checkbox-8-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-8-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de \u00falceras arteriales y venosas&#039;\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"173\" id=\"forminator-field-checkbox-8-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-8-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de \u00falceras arteriales y venosas'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-9\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-9-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-9-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales (Cirug\u00eda General)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-9-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Abordaje de arter\u00eda mesent\u00e9rica&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"174\" id=\"forminator-field-checkbox-9-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Abordaje de arter\u00eda mesent\u00e9rica'<\/span><\/label><label id=\"forminator-field-checkbox-9-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n y manejo de tubos pleurales y l\u00edneas centrales&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"175\" id=\"forminator-field-checkbox-9-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n y manejo de tubos pleurales y l\u00edneas centrales'<\/span><\/label><label id=\"forminator-field-checkbox-9-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Completo cuidado de pacientes cr\u00edticamente enfermos con condiciones quir\u00fargicas en cuarto de urgencias o en la unidad de trauma (como parte de un grupo especializado)&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"176\" id=\"forminator-field-checkbox-9-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Completo cuidado de pacientes cr\u00edticamente enfermos con condiciones quir\u00fargicas en cuarto de urgencias o en la unidad de trauma (como parte de un grupo especializado)'<\/span><\/label><label id=\"forminator-field-checkbox-9-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de trauma incluyendo m\u00fasculo esquel\u00e9tico y manos&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"177\" id=\"forminator-field-checkbox-9-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de trauma incluyendo m\u00fasculo esquel\u00e9tico y manos'<\/span><\/label><label id=\"forminator-field-checkbox-9-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta, cuidados preoperatorios, intra y postoperatorios&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"178\" id=\"forminator-field-checkbox-9-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta, cuidados preoperatorios, intra y postoperatorios'<\/span><\/label><label id=\"forminator-field-checkbox-9-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos quir\u00fargicos de cabeza (extracraneal, cuero cabelludo), no ORL, no oftalmolog\u00eda, no neurocirug\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"179\" id=\"forminator-field-checkbox-9-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos quir\u00fargicos de cabeza (extracraneal, cuero cabelludo), no ORL, no oftalmolog\u00eda, no neurocirug\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-9-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos quir\u00fargicos de mamas, piel y tejidos blandos (excepto los que sean especificados como privilegios adicionales)&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"180\" id=\"forminator-field-checkbox-9-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos quir\u00fargicos de mamas, piel y tejidos blandos (excepto los que sean especificados como privilegios adicionales)'<\/span><\/label><label id=\"forminator-field-checkbox-9-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos quir\u00fargicos de trauma, vascular, endocrino, y cong\u00e9nito y trastornos oncol\u00f3gicos particularmente tumores de piel y gl\u00e1ndulas salivares, tiroides, paratiroides y cavidad oral&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"181\" id=\"forminator-field-checkbox-9-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos quir\u00fargicos de trauma, vascular, endocrino, y cong\u00e9nito y trastornos oncol\u00f3gicos particularmente tumores de piel y gl\u00e1ndulas salivares, tiroides, paratiroides y cavidad oral'<\/span><\/label><label id=\"forminator-field-checkbox-9-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos quir\u00fargicos del sistema endocrino incluyendo tiroides, paratiroides adrenales y p\u00e1ncreas endocrino&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"182\" id=\"forminator-field-checkbox-9-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos quir\u00fargicos del sistema endocrino incluyendo tiroides, paratiroides adrenales y p\u00e1ncreas endocrino'<\/span><\/label><label id=\"forminator-field-checkbox-9-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos quir\u00fargicos en condiciones, enfermedades y traumas del tracto alimentario, abdomen, y sus contenidos (excepto los que sean especificados como privilegios adicionales)&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"183\" id=\"forminator-field-checkbox-9-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos quir\u00fargicos en condiciones, enfermedades y traumas del tracto alimentario, abdomen, y sus contenidos (excepto los que sean especificados como privilegios adicionales)'<\/span><\/label><label id=\"forminator-field-checkbox-9-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-9-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizaci\u00f3n de traqueostom\u00eda, paracentesis y toracocentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"184\" id=\"forminator-field-checkbox-9-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-9-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizaci\u00f3n de traqueostom\u00eda, paracentesis y toracocentesis'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-10\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-10-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-10-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales (Cirug\u00eda General).*<\/span><label id=\"forminator-field-checkbox-10-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-10-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Bari\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"190\" id=\"forminator-field-checkbox-10-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-10-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Bari\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-10-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-10-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de trasplante de \u00f3rganos&#039;\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"189\" id=\"forminator-field-checkbox-10-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-10-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de trasplante de \u00f3rganos'<\/span><\/label><label id=\"forminator-field-checkbox-10-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-10-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Oncol\u00f3gica&#039;\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"185\" id=\"forminator-field-checkbox-10-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-10-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Oncol\u00f3gica'<\/span><\/label><label id=\"forminator-field-checkbox-10-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-10-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"187\" id=\"forminator-field-checkbox-10-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-10-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Pedi\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-10-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-10-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Rob\u00f3tica&#039;\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"191\" id=\"forminator-field-checkbox-10-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-10-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Rob\u00f3tica'<\/span><\/label><label id=\"forminator-field-checkbox-10-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-10-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Vascular Perif\u00e9rica&#039;\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"188\" id=\"forminator-field-checkbox-10-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-10-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Vascular Perif\u00e9rica'<\/span><\/label><label id=\"forminator-field-checkbox-10-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-10-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Coloproctolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"265\" id=\"forminator-field-checkbox-10-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-10-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Coloproctolog\u00eda'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-11\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-11-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-11-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales (Cirug\u00eda Vascular Perif\u00e9rica)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-11-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Amputaciones por causa vascular&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"192\" id=\"forminator-field-checkbox-11-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Amputaciones por causa vascular'<\/span><\/label><label id=\"forminator-field-checkbox-11-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Angiograf\u00eda de miembros inferiores&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"193\" id=\"forminator-field-checkbox-11-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Angiograf\u00eda de miembros inferiores'<\/span><\/label><label id=\"forminator-field-checkbox-11-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Angioplastia&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"194\" id=\"forminator-field-checkbox-11-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Angioplastia'<\/span><\/label><label id=\"forminator-field-checkbox-11-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda car\u00f3tida&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"195\" id=\"forminator-field-checkbox-11-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda car\u00f3tida'<\/span><\/label><label id=\"forminator-field-checkbox-11-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda con l\u00e1ser para ablaci\u00f3n de venas o radiofrecuencia&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"196\" id=\"forminator-field-checkbox-11-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda con l\u00e1ser para ablaci\u00f3n de venas o radiofrecuencia'<\/span><\/label><label id=\"forminator-field-checkbox-11-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda vascular y endovascular&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"197\" id=\"forminator-field-checkbox-11-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda vascular y endovascular'<\/span><\/label><label id=\"forminator-field-checkbox-11-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de cat\u00e9teres centrales&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"198\" id=\"forminator-field-checkbox-11-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de cat\u00e9teres centrales'<\/span><\/label><label id=\"forminator-field-checkbox-11-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de CVC y Mahurkar guiados por fluoroscopia&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"199\" id=\"forminator-field-checkbox-11-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de CVC y Mahurkar guiados por fluoroscopia'<\/span><\/label><label id=\"forminator-field-checkbox-11-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de filtro de Vena Cava&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"200\" id=\"forminator-field-checkbox-11-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de filtro de Vena Cava'<\/span><\/label><label id=\"forminator-field-checkbox-11-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de Permacath&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"201\" id=\"forminator-field-checkbox-11-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de Permacath'<\/span><\/label><label id=\"forminator-field-checkbox-11-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n y manejo de l\u00edneas centrales&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"202\" id=\"forminator-field-checkbox-11-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n y manejo de l\u00edneas centrales'<\/span><\/label><label id=\"forminator-field-checkbox-11-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Completo cuidado de pacientes cr\u00edticamente enfermos con condiciones quir\u00fargicas en cuarto de urgencias o en la unidad de trauma (trauma vascular)&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"203\" id=\"forminator-field-checkbox-11-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Completo cuidado de pacientes cr\u00edticamente enfermos con condiciones quir\u00fargicas en cuarto de urgencias o en la unidad de trauma (trauma vascular)'<\/span><\/label><label id=\"forminator-field-checkbox-11-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cosecha endosc\u00f3pica de vena safena para CABG&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"204\" id=\"forminator-field-checkbox-11-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cosecha endosc\u00f3pica de vena safena para CABG'<\/span><\/label><label id=\"forminator-field-checkbox-11-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Creaci\u00f3n de fistuales A-V para hemodi\u00e1lisis&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"205\" id=\"forminator-field-checkbox-11-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Creaci\u00f3n de fistuales A-V para hemodi\u00e1lisis'<\/span><\/label><label id=\"forminator-field-checkbox-11-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Embolizaci\u00f3n de malformaciones vasculares&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"206\" id=\"forminator-field-checkbox-11-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Embolizaci\u00f3n de malformaciones vasculares'<\/span><\/label><label id=\"forminator-field-checkbox-11-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Embolizaci\u00f3n p\u00e9lvica&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"207\" id=\"forminator-field-checkbox-11-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Embolizaci\u00f3n p\u00e9lvica'<\/span><\/label><label id=\"forminator-field-checkbox-11-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de trauma vascular&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"208\" id=\"forminator-field-checkbox-11-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de trauma vascular'<\/span><\/label><label id=\"forminator-field-checkbox-11-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de ulceras arteriales y venosas&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"209\" id=\"forminator-field-checkbox-11-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de ulceras arteriales y venosas'<\/span><\/label><label id=\"forminator-field-checkbox-11-19-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-19-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento a pacientes preoperatorios, intra y post operatorios.  Se incluyen los siguientes procedimientos.&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"210\" id=\"forminator-field-checkbox-11-19-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-19-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento a pacientes preoperatorios, intra y post operatorios.  Se incluyen los siguientes procedimientos.'<\/span><\/label><label id=\"forminator-field-checkbox-11-20-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-20-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos quir\u00fargicos de cuello, incluyendo trauma vascular&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"211\" id=\"forminator-field-checkbox-11-20-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-20-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos quir\u00fargicos de cuello, incluyendo trauma vascular'<\/span><\/label><label id=\"forminator-field-checkbox-11-21-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-21-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Retiro de Portocath&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"212\" id=\"forminator-field-checkbox-11-21-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-21-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Retiro de Portocath'<\/span><\/label><label id=\"forminator-field-checkbox-11-22-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-22-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Revisi\u00f3n de injertos AV&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"213\" id=\"forminator-field-checkbox-11-22-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-22-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Revisi\u00f3n de injertos AV'<\/span><\/label><label id=\"forminator-field-checkbox-11-23-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-23-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Revisi\u00f3n de Portocath&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"214\" id=\"forminator-field-checkbox-11-23-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-23-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Revisi\u00f3n de Portocath'<\/span><\/label><label id=\"forminator-field-checkbox-11-24-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-24-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Venoplastia y Stent de Cava superior&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"215\" id=\"forminator-field-checkbox-11-24-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-24-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Venoplastia y Stent de Cava superior'<\/span><\/label><label id=\"forminator-field-checkbox-11-25-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-11-25-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Venoplastia y Stent de Cava superior otro&#039;\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"294\" id=\"forminator-field-checkbox-11-25-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-11-25-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Venoplastia y Stent de Cava superior otro'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-61\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-61-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-61-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Cirug\u00eda Vascular Perif\u00e9rica).*<\/span><label id=\"forminator-field-checkbox-61-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-61-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;No Aplica&#039;\"><input type=\"checkbox\" name=\"checkbox-61[]\" value=\"-1\" id=\"forminator-field-checkbox-61-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-61-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'No Aplica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-13\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-13-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-13-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Cuidados Paleativos)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-13-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de la disnea a pacientes en Atenci\u00f3n Paliativa (farmacol\u00f3gico y no farmacol\u00f3gico)&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"216\" id=\"forminator-field-checkbox-13-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de la disnea a pacientes en Atenci\u00f3n Paliativa (farmacol\u00f3gico y no farmacol\u00f3gico)'<\/span><\/label><label id=\"forminator-field-checkbox-13-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de otros s\u00edntomas frecuentes en pacientes que requieren Cuidados Paliativos, de acuerdo con la Escala de Valoraci\u00f3n de S\u00edntomas de Edmonton: dolor, cansancio, ansiedad, depresi\u00f3n, bienestar, nausea, insomnio)&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"217\" id=\"forminator-field-checkbox-13-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de otros s\u00edntomas frecuentes en pacientes que requieren Cuidados Paliativos, de acuerdo con la Escala de Valoraci\u00f3n de S\u00edntomas de Edmonton: dolor, cansancio, ansiedad, depresi\u00f3n, bienestar, nausea, insomnio)'<\/span><\/label><label id=\"forminator-field-checkbox-13-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de v\u00eda subcut\u00e1nea para la administraci\u00f3n de medicamentos, hidrataci\u00f3n ante la necesidad del paciente. Instrucci\u00f3n y capacitaci\u00f3n al Cuidador Primario&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"218\" id=\"forminator-field-checkbox-13-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de v\u00eda subcut\u00e1nea para la administraci\u00f3n de medicamentos, hidrataci\u00f3n ante la necesidad del paciente. Instrucci\u00f3n y capacitaci\u00f3n al Cuidador Primario'<\/span><\/label><label id=\"forminator-field-checkbox-13-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo del delirio (secundario a progresi\u00f3n de enfermedad, o el delirio en la agon\u00eda)&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"219\" id=\"forminator-field-checkbox-13-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo del delirio (secundario a progresi\u00f3n de enfermedad, o el delirio en la agon\u00eda)'<\/span><\/label><label id=\"forminator-field-checkbox-13-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo del dolor a pacientes en Atenci\u00f3n Paliativa (dolor oncol\u00f3gico, dolor no oncol\u00f3gico, hiperalgesia, tolerancia).  Incluye el manejo farmacol\u00f3gico con sustancias controladas (psicotr\u00f3picos y estupefacientes), as\u00ed como el manejo de la intoxicaci\u00f3n por opioides)&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"220\" id=\"forminator-field-checkbox-13-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo del dolor a pacientes en Atenci\u00f3n Paliativa (dolor oncol\u00f3gico, dolor no oncol\u00f3gico, hiperalgesia, tolerancia).  Incluye el manejo farmacol\u00f3gico con sustancias controladas (psicotr\u00f3picos y estupefacientes), as\u00ed como el manejo de la intoxicaci\u00f3n por opioides)'<\/span><\/label><label id=\"forminator-field-checkbox-13-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo del paciente en situaci\u00f3n de \u00faltimos d\u00edas (Agon\u00eda): equilibrio en el manejo terap\u00e9utico entre el abandono y la distanasia)&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"221\" id=\"forminator-field-checkbox-13-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo del paciente en situaci\u00f3n de \u00faltimos d\u00edas (Agon\u00eda): equilibrio en el manejo terap\u00e9utico entre el abandono y la distanasia)'<\/span><\/label><label id=\"forminator-field-checkbox-13-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo interdisciplinario y hol\u00edstico (f\u00edsico, emocional, social, espiritual): fase de choque, ira, negaci\u00f3n, aceptaci\u00f3n, transcendencia del ser de acuerdo a su espiritualidad y religiosidad). Incluye el manejo interdisciplinario con la especialidad de su diagn\u00f3stico de base)&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"222\" id=\"forminator-field-checkbox-13-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo interdisciplinario y hol\u00edstico (f\u00edsico, emocional, social, espiritual): fase de choque, ira, negaci\u00f3n, aceptaci\u00f3n, transcendencia del ser de acuerdo a su espiritualidad y religiosidad). Incluye el manejo interdisciplinario con la especialidad de su diagn\u00f3stico de base)'<\/span><\/label><label id=\"forminator-field-checkbox-13-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Paracentesis en pacientes en Atenci\u00f3n Paliativa (ascitis por carcinomatosis, hepatopat\u00edas cr\u00f3nicas terminales, Enfermedad Renal Cr\u00f3nica)&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"223\" id=\"forminator-field-checkbox-13-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Paracentesis en pacientes en Atenci\u00f3n Paliativa (ascitis por carcinomatosis, hepatopat\u00edas cr\u00f3nicas terminales, Enfermedad Renal Cr\u00f3nica)'<\/span><\/label><label id=\"forminator-field-checkbox-13-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-13-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento m\u00e9dico a pacientes que acudan con necesidades y problemas m\u00e9dicos que requieran Cuidados Paliativos. Se incluyen los siguientes procedimientos en pacientes&#039;\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"224\" id=\"forminator-field-checkbox-13-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-13-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento m\u00e9dico a pacientes que acudan con necesidades y problemas m\u00e9dicos que requieran Cuidados Paliativos. Se incluyen los siguientes procedimientos en pacientes'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-63\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-63-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-63-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Cuidados Paleativos).*<\/span><label id=\"forminator-field-checkbox-63-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-63-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;No Aplica&#039;\"><input type=\"checkbox\" name=\"checkbox-63[]\" value=\"-1\" id=\"forminator-field-checkbox-63-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-63-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'No Aplica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-15\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-15-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-15-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Dermatolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-15-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-15-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admitir, evaluar, diagnosticar, proveer de tratamiento y ser consultado sobre los problemas benignos y malignos de la piel y tegumentos (epidermis, dermis, tejido subcut\u00e1neo, cabello, u\u00f1as, boca, genitales externos y gl\u00e1ndulas cut\u00e1neas) en pacientes de todas las edades&#039;\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"225\" id=\"forminator-field-checkbox-15-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-15-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admitir, evaluar, diagnosticar, proveer de tratamiento y ser consultado sobre los problemas benignos y malignos de la piel y tegumentos (epidermis, dermis, tejido subcut\u00e1neo, cabello, u\u00f1as, boca, genitales externos y gl\u00e1ndulas cut\u00e1neas) en pacientes de todas las edades'<\/span><\/label><label id=\"forminator-field-checkbox-15-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-15-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Canceres de la piel, melanomas, lunares y otros tumores de la piel&#039;\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"226\" id=\"forminator-field-checkbox-15-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-15-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Canceres de la piel, melanomas, lunares y otros tumores de la piel'<\/span><\/label><label id=\"forminator-field-checkbox-15-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-15-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda dermatol\u00f3gica incluyendo t\u00e9cnicas de biopsia, excisiones y reparaci\u00f3n de piel y u\u00f1as&#039;\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"227\" id=\"forminator-field-checkbox-15-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-15-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda dermatol\u00f3gica incluyendo t\u00e9cnicas de biopsia, excisiones y reparaci\u00f3n de piel y u\u00f1as'<\/span><\/label><label id=\"forminator-field-checkbox-15-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-15-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de alteraciones cosm\u00e9ticas de la piel por ejemplo alopecia, cicatrices y cambios relacionados con la edad&#039;\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"228\" id=\"forminator-field-checkbox-15-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-15-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de alteraciones cosm\u00e9ticas de la piel por ejemplo alopecia, cicatrices y cambios relacionados con la edad'<\/span><\/label><label id=\"forminator-field-checkbox-15-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-15-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de la dermatitis por contacto y otras reacciones al\u00e9rgicas y no al\u00e9rgicas de la piel&#039;\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"229\" id=\"forminator-field-checkbox-15-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-15-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de la dermatitis por contacto y otras reacciones al\u00e9rgicas y no al\u00e9rgicas de la piel'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-64\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-64-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-64-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Dermatolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-64-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-64-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;No Aplica&#039;\"><input type=\"checkbox\" name=\"checkbox-64[]\" value=\"-1\" id=\"forminator-field-checkbox-64-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-64-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'No Aplica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-14\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-14-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-14-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Endocrinolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-14-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-14-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con problemas endocrinol\u00f3gicos o metab\u00f3licos (gl\u00e1ndula tiroides y adrenales, desordenes nutricionales, enfermedades pituitarias y enfermedades sexuales y menstruales)&#039;\"><input type=\"checkbox\" name=\"checkbox-14[]\" value=\"230\" id=\"forminator-field-checkbox-14-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-14-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con problemas endocrinol\u00f3gicos o metab\u00f3licos (gl\u00e1ndula tiroides y adrenales, desordenes nutricionales, enfermedades pituitarias y enfermedades sexuales y menstruales)'<\/span><\/label><label id=\"forminator-field-checkbox-14-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-14-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n por aguja fina de la tiroides e interpretaci\u00f3n de resultados&#039;\"><input type=\"checkbox\" name=\"checkbox-14[]\" value=\"231\" id=\"forminator-field-checkbox-14-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-14-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n por aguja fina de la tiroides e interpretaci\u00f3n de resultados'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-16\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-16-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-16-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Endocrinolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-16-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-16-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia de hueso&#039;\"><input type=\"checkbox\" name=\"checkbox-16[]\" value=\"232\" id=\"forminator-field-checkbox-16-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-16-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia de hueso'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-12\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-12-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-12-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Enfermedades infecciosas)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-12-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-12-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con problemas infecciosos&#039;\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"233\" id=\"forminator-field-checkbox-12-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-12-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con problemas infecciosos'<\/span><\/label><label id=\"forminator-field-checkbox-12-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-12-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n de abscesos superficiales&#039;\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"234\" id=\"forminator-field-checkbox-12-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-12-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n de abscesos superficiales'<\/span><\/label><label id=\"forminator-field-checkbox-12-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-12-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretaci\u00f3n de tinciones de Gram&#039;\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"235\" id=\"forminator-field-checkbox-12-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-12-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretaci\u00f3n de tinciones de Gram'<\/span><\/label><label id=\"forminator-field-checkbox-12-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-12-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo agente anti-infecciosos en investigaci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"236\" id=\"forminator-field-checkbox-12-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-12-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo agente anti-infecciosos en investigaci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-12-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-12-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de infecciones inusualmente severas como tuberculosis, meningitis, tuberculosis diseminada, micosis sist\u00e9micas e infecciones inusuales que comprometen al paciente inmunodeficiente&#039;\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"237\" id=\"forminator-field-checkbox-12-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-12-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de infecciones inusualmente severas como tuberculosis, meningitis, tuberculosis diseminada, micosis sist\u00e9micas e infecciones inusuales que comprometen al paciente inmunodeficiente'<\/span><\/label><label id=\"forminator-field-checkbox-12-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-12-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n lumbar&#039;\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"238\" id=\"forminator-field-checkbox-12-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-12-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n lumbar'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-17\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-17-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-17-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Enfermedades infecciosas).*<\/span><label id=\"forminator-field-checkbox-17-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-17-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Tratamiento de HIV\/SIDA&#039;\"><input type=\"checkbox\" name=\"checkbox-17[]\" value=\"239\" id=\"forminator-field-checkbox-17-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-17-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Tratamiento de HIV\/SIDA'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-18\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-18-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-18-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Gastroenterolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-18-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-18-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento a pacientes que se presenten con enfermedades, lesiones o problemas del est\u00f3mago, es\u00f3fago, intestinos y \u00f3rganos relacionados como el h\u00edgado, p\u00e1ncreas y ves\u00edcula&#039;\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"240\" id=\"forminator-field-checkbox-18-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-18-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento a pacientes que se presenten con enfermedades, lesiones o problemas del est\u00f3mago, es\u00f3fago, intestinos y \u00f3rganos relacionados como el h\u00edgado, p\u00e1ncreas y ves\u00edcula'<\/span><\/label><label id=\"forminator-field-checkbox-18-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-18-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colonoscop\u00eda, incluyendo biopsia y polipectom\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"241\" id=\"forminator-field-checkbox-18-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-18-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colonoscop\u00eda, incluyendo biopsia y polipectom\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-18-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-18-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Dilataci\u00f3n esof\u00e1gica&#039;\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"242\" id=\"forminator-field-checkbox-18-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-18-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Dilataci\u00f3n esof\u00e1gica'<\/span><\/label><label id=\"forminator-field-checkbox-18-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-18-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Endoscopia digestiva alta diagnostica, toma de biopsia y hemostasia&#039;\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"243\" id=\"forminator-field-checkbox-18-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-18-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Endoscopia digestiva alta diagnostica, toma de biopsia y hemostasia'<\/span><\/label><label id=\"forminator-field-checkbox-18-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-18-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de gastrostomia, yeyunostomia, sondas de alimentaci\u00f3n nasog\u00e1strica y nasoyeyunal&#039;\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"244\" id=\"forminator-field-checkbox-18-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-18-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de gastrostomia, yeyunostomia, sondas de alimentaci\u00f3n nasog\u00e1strica y nasoyeyunal'<\/span><\/label><label id=\"forminator-field-checkbox-18-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-18-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Paracentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"245\" id=\"forminator-field-checkbox-18-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-18-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Paracentesis'<\/span><\/label><label id=\"forminator-field-checkbox-18-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-18-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Proctoscopia o rectosigmoidoscopia flexible&#039;\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"246\" id=\"forminator-field-checkbox-18-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-18-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Proctoscopia o rectosigmoidoscopia flexible'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales (Gastroenterolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-2-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-2-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de stent esof\u00e1gico, duodenog\u00e1strico, pancre\u00e1tico y col\u00f3nico&#039;\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"247\" id=\"forminator-field-checkbox-2-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-2-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de stent esof\u00e1gico, duodenog\u00e1strico, pancre\u00e1tico y col\u00f3nico'<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-2-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;CPRE y papilotomias&#039;\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"248\" id=\"forminator-field-checkbox-2-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-2-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'CPRE y papilotomias'<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-2-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Escleroterapia&#039;\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"249\" id=\"forminator-field-checkbox-2-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-2-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Escleroterapia'<\/span><\/label><label id=\"forminator-field-checkbox-2-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-2-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Terapia con L\u00e1ser&#039;\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"250\" id=\"forminator-field-checkbox-2-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-2-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Terapia con L\u00e1ser'<\/span><\/label><label id=\"forminator-field-checkbox-2-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-2-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Terapia endosc\u00f3pica para ERGE&#039;\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"251\" id=\"forminator-field-checkbox-2-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-2-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Terapia endosc\u00f3pica para ERGE'<\/span><\/label><label id=\"forminator-field-checkbox-2-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-2-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso del equipo de fluoroscopia. (o supervisi\u00f3n del personal que usa el equipo)&#039;\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"252\" id=\"forminator-field-checkbox-2-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-2-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso del equipo de fluoroscopia. (o supervisi\u00f3n del personal que usa el equipo)'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-19\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-19-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-19-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Ginecolog\u00eda y Obstetricia)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-19-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-19-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ginecolog\u00eda Oncol\u00f3gica: Esto aplica para aquellos individuos que se les aprob\u00f3 realizar privilegios de Ginecolog\u00eda Oncol\u00f3gica como un requisito adicional&#039;\"><input type=\"checkbox\" name=\"checkbox-19[]\" value=\"332\" id=\"forminator-field-checkbox-19-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-19-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ginecolog\u00eda Oncol\u00f3gica: Esto aplica para aquellos individuos que se les aprob\u00f3 realizar privilegios de Ginecolog\u00eda Oncol\u00f3gica como un requisito adicional'<\/span><\/label><label id=\"forminator-field-checkbox-19-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-19-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ginecolog\u00eda Oncol\u00f3gica: Tiene privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta, y proveen cirug\u00eda y terap\u00e9utica de mujeres con enfermedades malignas que se incluye carcinoma de cerviz, \u00fatero, vulva, vagina. Tambi\u00e9n se incluye microcirug\u00eda, quimioterapia, exenteracion p\u00e9lvica, vulvectomia, procedimientos en el intestino, uretra, vejiga cuando se indica y tratamiento de enfermedades malignas tempranas&#039;\"><input type=\"checkbox\" name=\"checkbox-19[]\" value=\"333\" id=\"forminator-field-checkbox-19-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-19-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ginecolog\u00eda Oncol\u00f3gica: Tiene privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta, y proveen cirug\u00eda y terap\u00e9utica de mujeres con enfermedades malignas que se incluye carcinoma de cerviz, \u00fatero, vulva, vagina. Tambi\u00e9n se incluye microcirug\u00eda, quimioterapia, exenteracion p\u00e9lvica, vulvectomia, procedimientos en el intestino, uretra, vejiga cuando se indica y tratamiento de enfermedades malignas tempranas'<\/span><\/label><label id=\"forminator-field-checkbox-19-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-19-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ginecolog\u00eda: Admisi\u00f3n, tratamiento, seguimiento de cuidados en pacientes femeninas que se presenten en cualquier etapa del embarazo y se incluyen trauma y cualquier desorden de sus aparatos reproductivos&#039;\"><input type=\"checkbox\" name=\"checkbox-19[]\" value=\"334\" id=\"forminator-field-checkbox-19-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-19-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ginecolog\u00eda: Admisi\u00f3n, tratamiento, seguimiento de cuidados en pacientes femeninas que se presenten en cualquier etapa del embarazo y se incluyen trauma y cualquier desorden de sus aparatos reproductivos'<\/span><\/label><label id=\"forminator-field-checkbox-19-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-19-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ginecolog\u00eda: Privilegios para admitir, evaluar, diagnosticar, consultar y realizar cuidado pre y postoperatorio de ser necesario para corregir o tratar pacientes femeninos que se presenten con enfermedades, traumas, o desordenes ginecol\u00f3gicos o del sistema genitopurinario, tratamiento no quir\u00fargico de las enfermedades o traumas en las gl\u00e1ndulas mamarias y el tratamiento de carcinoma de cervix in situ&#039;\"><input type=\"checkbox\" name=\"checkbox-19[]\" value=\"335\" id=\"forminator-field-checkbox-19-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-19-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ginecolog\u00eda: Privilegios para admitir, evaluar, diagnosticar, consultar y realizar cuidado pre y postoperatorio de ser necesario para corregir o tratar pacientes femeninos que se presenten con enfermedades, traumas, o desordenes ginecol\u00f3gicos o del sistema genitopurinario, tratamiento no quir\u00fargico de las enfermedades o traumas en las gl\u00e1ndulas mamarias y el tratamiento de carcinoma de cervix in situ'<\/span><\/label><label id=\"forminator-field-checkbox-19-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-19-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ginecolog\u00eda: Se incluye el uso del laparoscopio, histeroscopio para diagn\u00f3stico o tratamiento&#039;\"><input type=\"checkbox\" name=\"checkbox-19[]\" value=\"336\" id=\"forminator-field-checkbox-19-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-19-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ginecolog\u00eda: Se incluye el uso del laparoscopio, histeroscopio para diagn\u00f3stico o tratamiento'<\/span><\/label><label id=\"forminator-field-checkbox-19-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-19-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Obstetricia: Privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta y tratamiento de pacientes femeninas en cualquier condici\u00f3n o en cualquier estado del embarazo que se presenten al cuarto de urgencias&#039;\"><input type=\"checkbox\" name=\"checkbox-19[]\" value=\"337\" id=\"forminator-field-checkbox-19-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-19-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Obstetricia: Privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta y tratamiento de pacientes femeninas en cualquier condici\u00f3n o en cualquier estado del embarazo que se presenten al cuarto de urgencias'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-20\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-20-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-20-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Ginecolog\u00eda y Obstetricia).*<\/span><label id=\"forminator-field-checkbox-20-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n, tratamiento o procedimientos quir\u00fargicos o seguimiento en pacientes hospitalizados menores de 12\u00aa&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"338\" id=\"forminator-field-checkbox-20-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n, tratamiento o procedimientos quir\u00fargicos o seguimiento en pacientes hospitalizados menores de 12\u00aa'<\/span><\/label><label id=\"forminator-field-checkbox-20-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Fertilizaci\u00f3n Vitro y procedimientos asociados&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"339\" id=\"forminator-field-checkbox-20-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Fertilizaci\u00f3n Vitro y procedimientos asociados'<\/span><\/label><label id=\"forminator-field-checkbox-20-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Microcirug\u00eda por infertilidad&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"340\" id=\"forminator-field-checkbox-20-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Microcirug\u00eda por infertilidad'<\/span><\/label><label id=\"forminator-field-checkbox-20-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Muestra de vellosidades cori\u00f3nicas&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"341\" id=\"forminator-field-checkbox-20-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Muestra de vellosidades cori\u00f3nicas'<\/span><\/label><label id=\"forminator-field-checkbox-20-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sigmoidoscopia y biopsia&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"342\" id=\"forminator-field-checkbox-20-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sigmoidoscopia y biopsia'<\/span><\/label><label id=\"forminator-field-checkbox-20-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Transfusi\u00f3n intrauterina&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"343\" id=\"forminator-field-checkbox-20-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Transfusi\u00f3n intrauterina'<\/span><\/label><label id=\"forminator-field-checkbox-20-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Tuboplastia con bal\u00f3n transcervical&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"344\" id=\"forminator-field-checkbox-20-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Tuboplastia con bal\u00f3n transcervical'<\/span><\/label><label id=\"forminator-field-checkbox-20-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de equipo de fluoroscopia (o supervisi\u00f3n de otro que usa el equipo)&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"345\" id=\"forminator-field-checkbox-20-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de equipo de fluoroscopia (o supervisi\u00f3n de otro que usa el equipo)'<\/span><\/label><label id=\"forminator-field-checkbox-20-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-20-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de laser&#039;\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"346\" id=\"forminator-field-checkbox-20-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-20-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de laser'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-21\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-21-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-21-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Hematolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-21-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Administraci\u00f3n de gammaglobulina intravenosa u otros medicamentos biotecnol\u00f3gicos(anticuerpos monoclonales entre otros)&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"347\" id=\"forminator-field-checkbox-21-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Administraci\u00f3n de gammaglobulina intravenosa u otros medicamentos biotecnol\u00f3gicos(anticuerpos monoclonales entre otros)'<\/span><\/label><label id=\"forminator-field-checkbox-21-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Af\u00e9resis de plaqueta terap\u00e9utica&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"348\" id=\"forminator-field-checkbox-21-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Af\u00e9resis de plaqueta terap\u00e9utica'<\/span><\/label><label id=\"forminator-field-checkbox-21-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n de ganglios linf\u00e1ticos&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"349\" id=\"forminator-field-checkbox-21-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n de ganglios linf\u00e1ticos'<\/span><\/label><label id=\"forminator-field-checkbox-21-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspirado y biopsia de m\u00e9dula \u00f3sea. Administraci\u00f3n de quimioterapia intravenosa, intratecal, subcut\u00e1nea o intramuscular&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"350\" id=\"forminator-field-checkbox-21-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspirado y biopsia de m\u00e9dula \u00f3sea. Administraci\u00f3n de quimioterapia intravenosa, intratecal, subcut\u00e1nea o intramuscular'<\/span><\/label><label id=\"forminator-field-checkbox-21-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n y cuidado de cat\u00e9ter tipo Hickman&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"351\" id=\"forminator-field-checkbox-21-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n y cuidado de cat\u00e9ter tipo Hickman'<\/span><\/label><label id=\"forminator-field-checkbox-21-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Flebotom\u00eda terap\u00e9utica&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"352\" id=\"forminator-field-checkbox-21-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Flebotom\u00eda terap\u00e9utica'<\/span><\/label><label id=\"forminator-field-checkbox-21-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo y cuidado de cat\u00e9teres venosos&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"353\" id=\"forminator-field-checkbox-21-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo y cuidado de cat\u00e9teres venosos'<\/span><\/label><label id=\"forminator-field-checkbox-21-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento a pacientes que se presenten con problemas de la sangre y de los tejidos del sistema hematopoy\u00e9tico&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"354\" id=\"forminator-field-checkbox-21-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento a pacientes que se presenten con problemas de la sangre y de los tejidos del sistema hematopoy\u00e9tico'<\/span><\/label><label id=\"forminator-field-checkbox-21-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n y administraci\u00f3n de quimioterapia a trav\u00e9s de un reservorio de Ommaya&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"355\" id=\"forminator-field-checkbox-21-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n y administraci\u00f3n de quimioterapia a trav\u00e9s de un reservorio de Ommaya'<\/span><\/label><label id=\"forminator-field-checkbox-21-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-21-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Toracocentesis y paracentesis terap\u00e9utica&#039;\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"356\" id=\"forminator-field-checkbox-21-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-21-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Toracocentesis y paracentesis terap\u00e9utica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-22\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-22-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-22-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Hematolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-22-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-22-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Hemato oncolog\u00eda pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"357\" id=\"forminator-field-checkbox-22-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-22-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Hemato oncolog\u00eda pedi\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-22-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-22-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pediatra&#039;\"><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"358\" id=\"forminator-field-checkbox-22-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-22-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pediatra'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-23\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-23-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-23-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Medicina Cr\u00edtica)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-23-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que tengan una condici\u00f3n muy compleja de tipo m\u00e9dica, neurol\u00f3gica, postquir\u00fargica, periobst\u00e9trica con disfunci\u00f3n m\u00faltiple de \u00f3rganos y que est\u00e9n en necesidad de cuidado cr\u00edtico.&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"359\" id=\"forminator-field-checkbox-23-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que tengan una condici\u00f3n muy compleja de tipo m\u00e9dica, neurol\u00f3gica, postquir\u00fargica, periobst\u00e9trica con disfunci\u00f3n m\u00faltiple de \u00f3rganos y que est\u00e9n en necesidad de cuidado cr\u00edtico.'<\/span><\/label><label id=\"forminator-field-checkbox-23-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Artrocentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"360\" id=\"forminator-field-checkbox-23-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Artrocentesis'<\/span><\/label><label id=\"forminator-field-checkbox-23-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Calibraci\u00f3n y operaci\u00f3n de sistemas de monitorizaci\u00f3n hemodin\u00e1mica.&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"361\" id=\"forminator-field-checkbox-23-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Calibraci\u00f3n y operaci\u00f3n de sistemas de monitorizaci\u00f3n hemodin\u00e1mica.'<\/span><\/label><label id=\"forminator-field-checkbox-23-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cardioversi\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"362\" id=\"forminator-field-checkbox-23-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cardioversi\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-23-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de balones para tamponamiento gastroesof\u00e1gico&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"363\" id=\"forminator-field-checkbox-23-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de balones para tamponamiento gastroesof\u00e1gico'<\/span><\/label><label id=\"forminator-field-checkbox-23-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de tubo pleural&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"364\" id=\"forminator-field-checkbox-23-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de tubo pleural'<\/span><\/label><label id=\"forminator-field-checkbox-23-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n y manejo de l\u00edneas arteriales y venosas as\u00ed como cat\u00e9teres de la arteria pulmonar&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"365\" id=\"forminator-field-checkbox-23-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n y manejo de l\u00edneas arteriales y venosas as\u00ed como cat\u00e9teres de la arteria pulmonar'<\/span><\/label><label id=\"forminator-field-checkbox-23-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Control y medici\u00f3n de presi\u00f3n intracraneal&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"366\" id=\"forminator-field-checkbox-23-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Control y medici\u00f3n de presi\u00f3n intracraneal'<\/span><\/label><label id=\"forminator-field-checkbox-23-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inserci\u00f3n de cat\u00e9teres venosos Centrales&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"367\" id=\"forminator-field-checkbox-23-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inserci\u00f3n de cat\u00e9teres venosos Centrales'<\/span><\/label><label id=\"forminator-field-checkbox-23-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de transfusiones masivas&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"368\" id=\"forminator-field-checkbox-23-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de transfusiones masivas'<\/span><\/label><label id=\"forminator-field-checkbox-23-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de ventilaci\u00f3n mec\u00e1nica.&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"369\" id=\"forminator-field-checkbox-23-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de ventilaci\u00f3n mec\u00e1nica.'<\/span><\/label><label id=\"forminator-field-checkbox-23-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo y monitorizaci\u00f3n del metabolismo y nutrici\u00f3n. (incluye nutrici\u00f3n enteral y parenteral)&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"370\" id=\"forminator-field-checkbox-23-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo y monitorizaci\u00f3n del metabolismo y nutrici\u00f3n. (incluye nutrici\u00f3n enteral y parenteral)'<\/span><\/label><label id=\"forminator-field-checkbox-23-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Mantenimiento de la v\u00eda a\u00e9rea, incluyendo intubaci\u00f3n.&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"371\" id=\"forminator-field-checkbox-23-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Mantenimiento de la v\u00eda a\u00e9rea, incluyendo intubaci\u00f3n.'<\/span><\/label><label id=\"forminator-field-checkbox-23-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Paracentesis diagn\u00f3stica&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"372\" id=\"forminator-field-checkbox-23-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Paracentesis diagn\u00f3stica'<\/span><\/label><label id=\"forminator-field-checkbox-23-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pericardiocentesis urgente&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"373\" id=\"forminator-field-checkbox-23-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pericardiocentesis urgente'<\/span><\/label><label id=\"forminator-field-checkbox-23-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Reanimaci\u00f3n cardiopulmonar&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"374\" id=\"forminator-field-checkbox-23-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Reanimaci\u00f3n cardiopulmonar'<\/span><\/label><label id=\"forminator-field-checkbox-23-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Toracotom\u00eda externa&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"375\" id=\"forminator-field-checkbox-23-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Toracotom\u00eda externa'<\/span><\/label><label id=\"forminator-field-checkbox-23-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Traqueotom\u00eda \/ cricotirodotom\u00eda urgente&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"376\" id=\"forminator-field-checkbox-23-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Traqueotom\u00eda \/ cricotirodotom\u00eda urgente'<\/span><\/label><label id=\"forminator-field-checkbox-23-19-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-23-19-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Tratamiento de anafilaxia y reacciones al\u00e9rgicas aguda&#039;\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"377\" id=\"forminator-field-checkbox-23-19-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-23-19-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Tratamiento de anafilaxia y reacciones al\u00e9rgicas aguda'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-24\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-24-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-24-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Medicina Cr\u00edtica).*<\/span><label id=\"forminator-field-checkbox-24-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-24-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de dispositivos de asistencia cardiaca&#039;\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"378\" id=\"forminator-field-checkbox-24-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-24-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de dispositivos de asistencia cardiaca'<\/span><\/label><label id=\"forminator-field-checkbox-24-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-24-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Traqueostom\u00eda percut\u00e1nea t\u00e9cnica Seldinger&#039;\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"379\" id=\"forminator-field-checkbox-24-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-24-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Traqueostom\u00eda percut\u00e1nea t\u00e9cnica Seldinger'<\/span><\/label><label id=\"forminator-field-checkbox-24-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-24-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de ultrasonido diagn\u00f3stico al pie de la cama&#039;\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"380\" id=\"forminator-field-checkbox-24-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-24-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de ultrasonido diagn\u00f3stico al pie de la cama'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-29\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-29-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-29-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Medicina F\u00edsica y Rehabilitaci\u00f3n)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-29-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;(Epidural, faceta, sacroil\u00edaca, la columna vertebral, discograf\u00eda)&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"398\" id=\"forminator-field-checkbox-29-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'(Epidural, faceta, sacroil\u00edaca, la columna vertebral, discograf\u00eda)'<\/span><\/label><label id=\"forminator-field-checkbox-29-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Bombas de llenado de la balcofen&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"399\" id=\"forminator-field-checkbox-29-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Bombas de llenado de la balcofen'<\/span><\/label><label id=\"forminator-field-checkbox-29-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n del cat\u00e9ter IV (l\u00ednea perif\u00e9rica)&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"400\" id=\"forminator-field-checkbox-29-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n del cat\u00e9ter IV (l\u00ednea perif\u00e9rica)'<\/span><\/label><label id=\"forminator-field-checkbox-29-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Conjunto de inyecci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"401\" id=\"forminator-field-checkbox-29-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Conjunto de inyecci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-29-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Desbridamiento de heridas&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"402\" id=\"forminator-field-checkbox-29-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Desbridamiento de heridas'<\/span><\/label><label id=\"forminator-field-checkbox-29-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Electromiograf\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"403\" id=\"forminator-field-checkbox-29-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Electromiograf\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-29-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Enfermedades neurol\u00f3gicas&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"404\" id=\"forminator-field-checkbox-29-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Enfermedades neurol\u00f3gicas'<\/span><\/label><label id=\"forminator-field-checkbox-29-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Estudios de conducci\u00f3n nerviosa (en particular las respuestas tard\u00edas)&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"405\" id=\"forminator-field-checkbox-29-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Estudios de conducci\u00f3n nerviosa (en particular las respuestas tard\u00edas)'<\/span><\/label><label id=\"forminator-field-checkbox-29-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Estudios de la Uni\u00f3n Neuromuscular&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"406\" id=\"forminator-field-checkbox-29-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Estudios de la Uni\u00f3n Neuromuscular'<\/span><\/label><label id=\"forminator-field-checkbox-29-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n de la Discapacidad \/ IME&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"407\" id=\"forminator-field-checkbox-29-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n de la Discapacidad \/ IME'<\/span><\/label><label id=\"forminator-field-checkbox-29-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n integral de rehabilitaci\u00f3n y gesti\u00f3n de Pediatr\u00eda neurol\u00f3gicos y trastornos neuromusculares&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"408\" id=\"forminator-field-checkbox-29-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n integral de rehabilitaci\u00f3n y gesti\u00f3n de Pediatr\u00eda neurol\u00f3gicos y trastornos neuromusculares'<\/span><\/label><label id=\"forminator-field-checkbox-29-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n integral de rehabilitaci\u00f3n y tratamiento de&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"409\" id=\"forminator-field-checkbox-29-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n integral de rehabilitaci\u00f3n y tratamiento de'<\/span><\/label><label id=\"forminator-field-checkbox-29-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n integral de rehabilitaci\u00f3n y tratamiento enfermedades del aparato locomotor&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"410\" id=\"forminator-field-checkbox-29-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n integral de rehabilitaci\u00f3n y tratamiento enfermedades del aparato locomotor'<\/span><\/label><label id=\"forminator-field-checkbox-29-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n Integral fisiatra \/ consulta&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"411\" id=\"forminator-field-checkbox-29-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n Integral fisiatra \/ consulta'<\/span><\/label><label id=\"forminator-field-checkbox-29-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n y recetas&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"412\" id=\"forminator-field-checkbox-29-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n y recetas'<\/span><\/label><label id=\"forminator-field-checkbox-29-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inyecciones de toxina botul\u00ednica&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"413\" id=\"forminator-field-checkbox-29-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inyecciones de toxina botul\u00ednica'<\/span><\/label><label id=\"forminator-field-checkbox-29-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inyecciones en la columna bajo la orientaci\u00f3n fluorosc\u00f3pica&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"414\" id=\"forminator-field-checkbox-29-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inyecciones en la columna bajo la orientaci\u00f3n fluorosc\u00f3pica'<\/span><\/label><label id=\"forminator-field-checkbox-29-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La gesti\u00f3n integral de las amputaciones \/ desarticulaciones&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"415\" id=\"forminator-field-checkbox-29-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La gesti\u00f3n integral de las amputaciones \/ desarticulaciones'<\/span><\/label><label id=\"forminator-field-checkbox-29-19-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-19-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La prescripci\u00f3n de la terapia del habla y de Servicios Psicol\u00f3gicos&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"416\" id=\"forminator-field-checkbox-29-19-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-19-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La prescripci\u00f3n de la terapia del habla y de Servicios Psicol\u00f3gicos'<\/span><\/label><label id=\"forminator-field-checkbox-29-20-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-20-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La prescripci\u00f3n de la terapia f\u00edsica&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"417\" id=\"forminator-field-checkbox-29-20-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-20-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La prescripci\u00f3n de la terapia f\u00edsica'<\/span><\/label><label id=\"forminator-field-checkbox-29-21-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-21-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La prescripci\u00f3n de la Terapia Ocupacional&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"418\" id=\"forminator-field-checkbox-29-21-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-21-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La prescripci\u00f3n de la Terapia Ocupacional'<\/span><\/label><label id=\"forminator-field-checkbox-29-22-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-22-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La prescripci\u00f3n de Servicios de Recreaci\u00f3n Terap\u00e9utica&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"419\" id=\"forminator-field-checkbox-29-22-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-22-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La prescripci\u00f3n de Servicios de Recreaci\u00f3n Terap\u00e9utica'<\/span><\/label><label id=\"forminator-field-checkbox-29-23-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-23-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Medicina F\u00edsica y Rehabilitaci\u00f3n n\u00facleo privilegios se conceden como una sola entidad para el examen, diagn\u00f3stico y tratamiento m\u00e9dico de los adultos, incluidos:&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"420\" id=\"forminator-field-checkbox-29-23-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-23-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Medicina F\u00edsica y Rehabilitaci\u00f3n n\u00facleo privilegios se conceden como una sola entidad para el examen, diagn\u00f3stico y tratamiento m\u00e9dico de los adultos, incluidos:'<\/span><\/label><label id=\"forminator-field-checkbox-29-24-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-24-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Motor punto \/ bloqueo del nervio perif\u00e9rico (espasticidad)&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"421\" id=\"forminator-field-checkbox-29-24-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-24-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Motor punto \/ bloqueo del nervio perif\u00e9rico (espasticidad)'<\/span><\/label><label id=\"forminator-field-checkbox-29-25-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-25-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neuro-ecograf\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"422\" id=\"forminator-field-checkbox-29-25-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-25-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neuro-ecograf\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-29-26-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-26-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pr\u00f3tesis, ortesis, sillas de ruedas y de ayuda dispositivo&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"423\" id=\"forminator-field-checkbox-29-26-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-26-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pr\u00f3tesis, ortesis, sillas de ruedas y de ayuda dispositivo'<\/span><\/label><label id=\"forminator-field-checkbox-29-27-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-27-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n arterial&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"424\" id=\"forminator-field-checkbox-29-27-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-27-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n arterial'<\/span><\/label><label id=\"forminator-field-checkbox-29-28-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-28-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sutura \/ eliminaci\u00f3n de primera necesidad&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"425\" id=\"forminator-field-checkbox-29-28-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-28-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sutura \/ eliminaci\u00f3n de primera necesidad'<\/span><\/label><label id=\"forminator-field-checkbox-29-29-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-29-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Trastornos cardiopulmonares y M\u00e9dico&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"426\" id=\"forminator-field-checkbox-29-29-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-29-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Trastornos cardiopulmonares y M\u00e9dico'<\/span><\/label><label id=\"forminator-field-checkbox-29-30-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-30-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Trigger punto de inyecci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"427\" id=\"forminator-field-checkbox-29-30-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-30-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Trigger punto de inyecci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-29-31-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-29-31-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Venopunci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"428\" id=\"forminator-field-checkbox-29-31-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-29-31-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Venopunci\u00f3n'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-65\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-65-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-65-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Medicina F\u00edsica y Rehabilitaci\u00f3n).*<\/span><label id=\"forminator-field-checkbox-65-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-65-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;No Aplica&#039;\"><input type=\"checkbox\" name=\"checkbox-65[]\" value=\"-1\" id=\"forminator-field-checkbox-65-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-65-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'No Aplica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-25\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-25-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-25-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Medicina Familiar)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-25-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-25-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Alergia&#039;\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"381\" id=\"forminator-field-checkbox-25-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-25-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Alergia'<\/span><\/label><label id=\"forminator-field-checkbox-25-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-25-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cardiolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"382\" id=\"forminator-field-checkbox-25-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-25-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cardiolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-25-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-25-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Dermatolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"383\" id=\"forminator-field-checkbox-25-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-25-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Dermatolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-25-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-25-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Endocrinolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"384\" id=\"forminator-field-checkbox-25-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-25-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Endocrinolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-25-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-25-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Gastroenterolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"386\" id=\"forminator-field-checkbox-25-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-25-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Gastroenterolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-25-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-25-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Gen\u00e9tica&#039;\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"387\" id=\"forminator-field-checkbox-25-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-25-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Gen\u00e9tica'<\/span><\/label><label id=\"forminator-field-checkbox-25-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-25-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Geriatr\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"388\" id=\"forminator-field-checkbox-25-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-25-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Geriatr\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-25-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-25-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Medicina Familiar privilegios b\u00e1sicos son concedidas como una sola entidad para el examen, diagn\u00f3stico y tratamiento m\u00e9dico de los adultos, incluidos:&#039;\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"391\" id=\"forminator-field-checkbox-25-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-25-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Medicina Familiar privilegios b\u00e1sicos son concedidas como una sola entidad para el examen, diagn\u00f3stico y tratamiento m\u00e9dico de los adultos, incluidos:'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-26\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-26-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-26-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Medicina Familiar).*<\/span><label id=\"forminator-field-checkbox-26-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Enfermedades Infecciosas&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"385\" id=\"forminator-field-checkbox-26-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Enfermedades Infecciosas'<\/span><\/label><label id=\"forminator-field-checkbox-26-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Gero-Psiquiatr\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"389\" id=\"forminator-field-checkbox-26-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Gero-Psiquiatr\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-26-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Hematolog\u00eda \/ Oncolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"390\" id=\"forminator-field-checkbox-26-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Hematolog\u00eda \/ Oncolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-26-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Medicina F\u00edsica&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"392\" id=\"forminator-field-checkbox-26-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Medicina F\u00edsica'<\/span><\/label><label id=\"forminator-field-checkbox-26-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Medicina Pulmonar&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"393\" id=\"forminator-field-checkbox-26-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Medicina Pulmonar'<\/span><\/label><label id=\"forminator-field-checkbox-26-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Nefrolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"394\" id=\"forminator-field-checkbox-26-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Nefrolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-26-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neurolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"395\" id=\"forminator-field-checkbox-26-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neurolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-26-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ortopedia&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"396\" id=\"forminator-field-checkbox-26-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ortopedia'<\/span><\/label><label id=\"forminator-field-checkbox-26-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-26-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Reumatolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"397\" id=\"forminator-field-checkbox-26-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-26-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Reumatolog\u00eda'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-27\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-27-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-27-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Medicina General)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-27-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspirar secreciones oro y nasofar\u00edngeas&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"429\" id=\"forminator-field-checkbox-27-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspirar secreciones oro y nasofar\u00edngeas'<\/span><\/label><label id=\"forminator-field-checkbox-27-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de f\u00e9rulas&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"430\" id=\"forminator-field-checkbox-27-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de f\u00e9rulas'<\/span><\/label><label id=\"forminator-field-checkbox-27-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de vendajes&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"431\" id=\"forminator-field-checkbox-27-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de vendajes'<\/span><\/label><label id=\"forminator-field-checkbox-27-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n y retiro de sondas&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"432\" id=\"forminator-field-checkbox-27-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n y retiro de sondas'<\/span><\/label><label id=\"forminator-field-checkbox-27-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Conocer e indicar los estudios de laboratorio, gabinete o procedimentales que requiera el &#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"&#039;Conocer e indicar los estudios de laboratorio, gabinete o procedimentales que requiera el &#039;\" id=\"forminator-field-checkbox-27-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Conocer e indicar los estudios de laboratorio, gabinete o procedimentales que requiera el '<\/span><\/label><label id=\"forminator-field-checkbox-27-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Conocer y utilizar apropiadamente los medicamentos y terapias para tratar y mejorar la &#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"&#039;Conocer y utilizar apropiadamente los medicamentos y terapias para tratar y mejorar la &#039;\" id=\"forminator-field-checkbox-27-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Conocer y utilizar apropiadamente los medicamentos y terapias para tratar y mejorar la '<\/span><\/label><label id=\"forminator-field-checkbox-27-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Desfibrilaci\u00f3n el\u00e9ctrica&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"435\" id=\"forminator-field-checkbox-27-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Desfibrilaci\u00f3n el\u00e9ctrica'<\/span><\/label><label id=\"forminator-field-checkbox-27-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Extracci\u00f3n de cuerpos extra\u00f1os superficiales de la piel y tejidos blandos&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"436\" id=\"forminator-field-checkbox-27-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Extracci\u00f3n de cuerpos extra\u00f1os superficiales de la piel y tejidos blandos'<\/span><\/label><label id=\"forminator-field-checkbox-27-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Incisi\u00f3n y drenaje de absceso cut\u00e1neos&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"437\" id=\"forminator-field-checkbox-27-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Incisi\u00f3n y drenaje de absceso cut\u00e1neos'<\/span><\/label><label id=\"forminator-field-checkbox-27-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Incisi\u00f3n y Drenar abscesos de tejidos blandos&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"438\" id=\"forminator-field-checkbox-27-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Incisi\u00f3n y Drenar abscesos de tejidos blandos'<\/span><\/label><label id=\"forminator-field-checkbox-27-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretar los reportes de estudios de laboratorio, gabinete o procedimentales con el fin de integrarlos a la atenci\u00f3n y tratamiento de sus pacientes&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"439\" id=\"forminator-field-checkbox-27-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretar los reportes de estudios de laboratorio, gabinete o procedimentales con el fin de integrarlos a la atenci\u00f3n y tratamiento de sus pacientes'<\/span><\/label><label id=\"forminator-field-checkbox-27-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Intubaci\u00f3n endotraqueal y utilizaci\u00f3n de otros equipos de manejo de la v\u00eda a\u00e9rea en caso &#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"&#039;Intubaci\u00f3n endotraqueal y utilizaci\u00f3n de otros equipos de manejo de la v\u00eda a\u00e9rea en caso &#039;\" id=\"forminator-field-checkbox-27-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Intubaci\u00f3n endotraqueal y utilizaci\u00f3n de otros equipos de manejo de la v\u00eda a\u00e9rea en caso '<\/span><\/label><label id=\"forminator-field-checkbox-27-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo y cuidado de \u00falceras&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"441\" id=\"forminator-field-checkbox-27-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo y cuidado de \u00falceras'<\/span><\/label><label id=\"forminator-field-checkbox-27-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento m\u00e9dico a pacientes que acudan con problemas m\u00e9dicos generales&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"442\" id=\"forminator-field-checkbox-27-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento m\u00e9dico a pacientes que acudan con problemas m\u00e9dicos generales'<\/span><\/label><label id=\"forminator-field-checkbox-27-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar el examen f\u00edsico completo&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"443\" id=\"forminator-field-checkbox-27-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar el examen f\u00edsico completo'<\/span><\/label><label id=\"forminator-field-checkbox-27-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar intervenciones de cirug\u00eda menor&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"444\" id=\"forminator-field-checkbox-27-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar intervenciones de cirug\u00eda menor'<\/span><\/label><label id=\"forminator-field-checkbox-27-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar la entrevista cl\u00ednica, encaminada a determinar los problemas de salud de las personas en todas sus dimensiones y los determinantes de salud&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"445\" id=\"forminator-field-checkbox-27-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar la entrevista cl\u00ednica, encaminada a determinar los problemas de salud de las personas en todas sus dimensiones y los determinantes de salud'<\/span><\/label><label id=\"forminator-field-checkbox-27-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar un electrocardiograma&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"446\" id=\"forminator-field-checkbox-27-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar un electrocardiograma'<\/span><\/label><label id=\"forminator-field-checkbox-27-19-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-19-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sutura de lesiones superficiales&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"447\" id=\"forminator-field-checkbox-27-19-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-19-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sutura de lesiones superficiales'<\/span><\/label><label id=\"forminator-field-checkbox-27-20-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-20-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Toma de muestras para cultivo&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"448\" id=\"forminator-field-checkbox-27-20-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-20-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Toma de muestras para cultivo'<\/span><\/label><label id=\"forminator-field-checkbox-27-21-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-27-21-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Valorar e interpretar en su consulta estudios de im\u00e1genes m\u00e9dicas como apoyo diagn\u00f3stico en sus propios pacientes, sin embargo, no podr\u00e1 extender, firmar, entregar reportes o soporte f\u00edsico o digital del estudio para uso externo, pero s\u00ed puede asentar su impresi\u00f3n en el exp-ediente cl\u00ednico del paciente&#039;\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"449\" id=\"forminator-field-checkbox-27-21-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-27-21-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Valorar e interpretar en su consulta estudios de im\u00e1genes m\u00e9dicas como apoyo diagn\u00f3stico en sus propios pacientes, sin embargo, no podr\u00e1 extender, firmar, entregar reportes o soporte f\u00edsico o digital del estudio para uso externo, pero s\u00ed puede asentar su impresi\u00f3n en el exp-ediente cl\u00ednico del paciente'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-28\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-28-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-28-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Medicina General).*<\/span><label id=\"forminator-field-checkbox-28-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ayudar a los cirujanos a hacer incisiones y cerrar las \u00e1reas de la cirug\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"450\" id=\"forminator-field-checkbox-28-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ayudar a los cirujanos a hacer incisiones y cerrar las \u00e1reas de la cirug\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-28-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocar cat\u00e9teres&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"451\" id=\"forminator-field-checkbox-28-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocar cat\u00e9teres'<\/span><\/label><label id=\"forminator-field-checkbox-28-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cortar las ligaduras cuando el cirujano y el primer asistente hacen hemostasia&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"452\" id=\"forminator-field-checkbox-28-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cortar las ligaduras cuando el cirujano y el primer asistente hacen hemostasia'<\/span><\/label><label id=\"forminator-field-checkbox-28-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cuidados de ileostom\u00eda y colostom\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"453\" id=\"forminator-field-checkbox-28-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cuidados de ileostom\u00eda y colostom\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-28-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Drenaje de abscesos y hematomas superficiales&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"454\" id=\"forminator-field-checkbox-28-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Drenaje de abscesos y hematomas superficiales'<\/span><\/label><label id=\"forminator-field-checkbox-28-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inmovilizaci\u00f3n de extremidades&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"455\" id=\"forminator-field-checkbox-28-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inmovilizaci\u00f3n de extremidades'<\/span><\/label><label id=\"forminator-field-checkbox-28-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manipular dispositivos quir\u00fargicos o drenajes&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"456\" id=\"forminator-field-checkbox-28-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manipular dispositivos quir\u00fargicos o drenajes'<\/span><\/label><label id=\"forminator-field-checkbox-28-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ocluir o cauterizar vasos sangu\u00edneos o tejido&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"457\" id=\"forminator-field-checkbox-28-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ocluir o cauterizar vasos sangu\u00edneos o tejido'<\/span><\/label><label id=\"forminator-field-checkbox-28-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Poner vendajes en el \u00e1rea de la cirug\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"458\" id=\"forminator-field-checkbox-28-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Poner vendajes en el \u00e1rea de la cirug\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-28-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Reparaci\u00f3n de heridas abiertas (suturas)&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"459\" id=\"forminator-field-checkbox-28-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Reparaci\u00f3n de heridas abiertas (suturas)'<\/span><\/label><label id=\"forminator-field-checkbox-28-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sostener los separadores&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"460\" id=\"forminator-field-checkbox-28-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sostener los separadores'<\/span><\/label><label id=\"forminator-field-checkbox-28-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Succionar el \u00e1rea de la cirug\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"461\" id=\"forminator-field-checkbox-28-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Succionar el \u00e1rea de la cirug\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-28-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Toma de biopsias cut\u00e1neas&#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"462\" id=\"forminator-field-checkbox-28-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Toma de biopsias cut\u00e1neas'<\/span><\/label><label id=\"forminator-field-checkbox-28-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-28-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Utilizar el ultrasonido como una herramienta diagnostica para uso en sus propios pacientes y no podr\u00e1 extender el reporte o soporte f\u00edsico o digital de dicho reporte para uso externo, &#039;\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"&#039;Utilizar el ultrasonido como una herramienta diagnostica para uso en sus propios pacientes y no podr\u00e1 extender el reporte o soporte f\u00edsico o digital de dicho reporte para uso externo, &#039;\" id=\"forminator-field-checkbox-28-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-28-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Utilizar el ultrasonido como una herramienta diagnostica para uso en sus propios pacientes y no podr\u00e1 extender el reporte o soporte f\u00edsico o digital de dicho reporte para uso externo, '<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-30\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-30-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-30-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Medicina Interna)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-30-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Anoscopia&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"464\" id=\"forminator-field-checkbox-30-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Anoscopia'<\/span><\/label><label id=\"forminator-field-checkbox-30-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Artocentesis de grandes articulaciones&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"465\" id=\"forminator-field-checkbox-30-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Artocentesis de grandes articulaciones'<\/span><\/label><label id=\"forminator-field-checkbox-30-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n de quistes subcut\u00e1neos, forunculos, etc&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"466\" id=\"forminator-field-checkbox-30-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n de quistes subcut\u00e1neos, forunculos, etc'<\/span><\/label><label id=\"forminator-field-checkbox-30-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia de piel&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"467\" id=\"forminator-field-checkbox-30-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia de piel'<\/span><\/label><label id=\"forminator-field-checkbox-30-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de cat\u00e9ter venoso central&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"468\" id=\"forminator-field-checkbox-30-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de cat\u00e9ter venoso central'<\/span><\/label><label id=\"forminator-field-checkbox-30-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de l\u00ednea arterial percut\u00e1nea&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"469\" id=\"forminator-field-checkbox-30-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de l\u00ednea arterial percut\u00e1nea'<\/span><\/label><label id=\"forminator-field-checkbox-30-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de tubo endotraqueal urgente&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"470\" id=\"forminator-field-checkbox-30-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de tubo endotraqueal urgente'<\/span><\/label><label id=\"forminator-field-checkbox-30-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Incisi\u00f3n y drenaje de abscesos cut\u00e1neos&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"471\" id=\"forminator-field-checkbox-30-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Incisi\u00f3n y drenaje de abscesos cut\u00e1neos'<\/span><\/label><label id=\"forminator-field-checkbox-30-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inyecciones terap\u00e9uticas de grandes articulaciones y peque\u00f1as&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"472\" id=\"forminator-field-checkbox-30-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inyecciones terap\u00e9uticas de grandes articulaciones y peque\u00f1as'<\/span><\/label><label id=\"forminator-field-checkbox-30-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Medici\u00f3n de diafragma&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"473\" id=\"forminator-field-checkbox-30-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Medici\u00f3n de diafragma'<\/span><\/label><label id=\"forminator-field-checkbox-30-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Paracentesis diagn\u00f3stico y terap\u00e9utica&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"474\" id=\"forminator-field-checkbox-30-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Paracentesis diagn\u00f3stico y terap\u00e9utica'<\/span><\/label><label id=\"forminator-field-checkbox-30-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n arterial&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"475\" id=\"forminator-field-checkbox-30-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n arterial'<\/span><\/label><label id=\"forminator-field-checkbox-30-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n lumbar&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"476\" id=\"forminator-field-checkbox-30-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n lumbar'<\/span><\/label><label id=\"forminator-field-checkbox-30-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n Lumbar&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"477\" id=\"forminator-field-checkbox-30-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n Lumbar'<\/span><\/label><label id=\"forminator-field-checkbox-30-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Retiro de cuerpos extra\u00f1os corn\u00e9ales no penetrantes&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"478\" id=\"forminator-field-checkbox-30-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Retiro de cuerpos extra\u00f1os corn\u00e9ales no penetrantes'<\/span><\/label><label id=\"forminator-field-checkbox-30-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Retiro de DIU&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"479\" id=\"forminator-field-checkbox-30-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Retiro de DIU'<\/span><\/label><label id=\"forminator-field-checkbox-30-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sigmoidoscopia r\u00edgida&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"480\" id=\"forminator-field-checkbox-30-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sigmoidoscopia r\u00edgida'<\/span><\/label><label id=\"forminator-field-checkbox-30-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sutura de laceraciones menores&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"481\" id=\"forminator-field-checkbox-30-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sutura de laceraciones menores'<\/span><\/label><label id=\"forminator-field-checkbox-30-19-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-30-19-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Toracocentesis diagnostica&#039;\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"482\" id=\"forminator-field-checkbox-30-19-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-30-19-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Toracocentesis diagnostica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-32\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-32-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-32-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Medicina Interna).*<\/span><label id=\"forminator-field-checkbox-32-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n, tratamiento o seguimiento en pacientes hospitalizados menores de 14 a\u00f1os&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"483\" id=\"forminator-field-checkbox-32-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n, tratamiento o seguimiento en pacientes hospitalizados menores de 14 a\u00f1os'<\/span><\/label><label id=\"forminator-field-checkbox-32-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n de masa mamaria&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"484\" id=\"forminator-field-checkbox-32-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n de masa mamaria'<\/span><\/label><label id=\"forminator-field-checkbox-32-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspirado y biopsia de medula \u00f3sea&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"485\" id=\"forminator-field-checkbox-32-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspirado y biopsia de medula \u00f3sea'<\/span><\/label><label id=\"forminator-field-checkbox-32-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Atrocentesis-peque\u00f1as articulaciones&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"486\" id=\"forminator-field-checkbox-32-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Atrocentesis-peque\u00f1as articulaciones'<\/span><\/label><label id=\"forminator-field-checkbox-32-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia de h\u00edgado percut\u00e1nea&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"487\" id=\"forminator-field-checkbox-32-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia de h\u00edgado percut\u00e1nea'<\/span><\/label><label id=\"forminator-field-checkbox-32-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de DIU&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"488\" id=\"forminator-field-checkbox-32-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de DIU'<\/span><\/label><label id=\"forminator-field-checkbox-32-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de l\u00ednea arterial-disecci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"489\" id=\"forminator-field-checkbox-32-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de l\u00ednea arterial-disecci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-32-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de l\u00ednea venosa-disecci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"490\" id=\"forminator-field-checkbox-32-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de l\u00ednea venosa-disecci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-32-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de marcapaso Transitorio&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"491\" id=\"forminator-field-checkbox-32-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de marcapaso Transitorio'<\/span><\/label><label id=\"forminator-field-checkbox-32-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretaci\u00f3n oficial de EKG&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"492\" id=\"forminator-field-checkbox-32-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretaci\u00f3n oficial de EKG'<\/span><\/label><label id=\"forminator-field-checkbox-32-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Prueba de esfuerzo&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"493\" id=\"forminator-field-checkbox-32-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Prueba de esfuerzo'<\/span><\/label><label id=\"forminator-field-checkbox-32-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sigmoidoscopia flexible-con biopsia&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"494\" id=\"forminator-field-checkbox-32-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sigmoidoscopia flexible-con biopsia'<\/span><\/label><label id=\"forminator-field-checkbox-32-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sigmoidoscopia flexible-diagn\u00f3stico&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"495\" id=\"forminator-field-checkbox-32-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sigmoidoscopia flexible-diagn\u00f3stico'<\/span><\/label><label id=\"forminator-field-checkbox-32-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-32-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de equipo de flouroscopia(o supervisi\u00f3n de otro que usa el equipo)&#039;\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"496\" id=\"forminator-field-checkbox-32-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-32-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de equipo de flouroscopia(o supervisi\u00f3n de otro que usa el equipo)'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-31\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-31-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-31-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Medicina Nuclear)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-31-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-31-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Diagnosticar, evaluar y proporcionar tratamiento a las condiciones metab\u00f3licas, fisiol\u00f3gicas y  patol\u00f3gicas del cuerpo, utilizando los m\u00e9todos cl\u00ednicos de laboratorio que emplean las propiedades nucleares medidas de nucleidos radiactivos y estables&#039;\"><input type=\"checkbox\" name=\"checkbox-31[]\" value=\"497\" id=\"forminator-field-checkbox-31-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-31-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Diagnosticar, evaluar y proporcionar tratamiento a las condiciones metab\u00f3licas, fisiol\u00f3gicas y  patol\u00f3gicas del cuerpo, utilizando los m\u00e9todos cl\u00ednicos de laboratorio que emplean las propiedades nucleares medidas de nucleidos radiactivos y estables'<\/span><\/label><label id=\"forminator-field-checkbox-31-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-31-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Supervisar la preparaci\u00f3n, administraci\u00f3n y el uso de radionucleidos no selladas y radiof\u00e1rmacos para ex\u00e1menes de diagn\u00f3sticos de los pacientes.  Interpretar los resultados de los ex\u00e1menes de diagn\u00f3sticos de los pacientes que usan los radionucleidos no selladas y radiof\u00e1rmacos&#039;\"><input type=\"checkbox\" name=\"checkbox-31[]\" value=\"498\" id=\"forminator-field-checkbox-31-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-31-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Supervisar la preparaci\u00f3n, administraci\u00f3n y el uso de radionucleidos no selladas y radiof\u00e1rmacos para ex\u00e1menes de diagn\u00f3sticos de los pacientes.  Interpretar los resultados de los ex\u00e1menes de diagn\u00f3sticos de los pacientes que usan los radionucleidos no selladas y radiof\u00e1rmacos'<\/span><\/label><label id=\"forminator-field-checkbox-31-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-31-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Supervisar la preparaci\u00f3n, administraci\u00f3n y uso de radionucleidos no selladas con fines terap\u00e9uticos. Realizar ex\u00e1menes de radioinmunoan\u00e1lisis y manejar a los pacientes y sus instalaciones contaminadas radiactivamente&#039;\"><input type=\"checkbox\" name=\"checkbox-31[]\" value=\"499\" id=\"forminator-field-checkbox-31-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-31-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Supervisar la preparaci\u00f3n, administraci\u00f3n y uso de radionucleidos no selladas con fines terap\u00e9uticos. Realizar ex\u00e1menes de radioinmunoan\u00e1lisis y manejar a los pacientes y sus instalaciones contaminadas radiactivamente'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-66\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-66-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-66-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Medicina Nuclear).*<\/span><label id=\"forminator-field-checkbox-66-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-66-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;No Aplica&#039;\"><input type=\"checkbox\" name=\"checkbox-66[]\" value=\"-1\" id=\"forminator-field-checkbox-66-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-66-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'No Aplica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-33\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-33-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-33-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Nefrolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-33-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-33-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsias percut\u00e1neas de ri\u00f1ones aut\u00f3logos y trasplantados&#039;\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"500\" id=\"forminator-field-checkbox-33-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-33-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsias percut\u00e1neas de ri\u00f1ones aut\u00f3logos y trasplantados'<\/span><\/label><label id=\"forminator-field-checkbox-33-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-33-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de accesos vasculares temporales para hemodi\u00e1lisis y procedimientos relacionados&#039;\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"501\" id=\"forminator-field-checkbox-33-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-33-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de accesos vasculares temporales para hemodi\u00e1lisis y procedimientos relacionados'<\/span><\/label><label id=\"forminator-field-checkbox-33-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-33-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de cat\u00e9teres&#039;\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"502\" id=\"forminator-field-checkbox-33-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-33-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de cat\u00e9teres'<\/span><\/label><label id=\"forminator-field-checkbox-33-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-33-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Di\u00e1lisis peritoneal (se excluye la colocaci\u00f3n de cat\u00e9teres peritoneales temporales)&#039;\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"503\" id=\"forminator-field-checkbox-33-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-33-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Di\u00e1lisis peritoneal (se excluye la colocaci\u00f3n de cat\u00e9teres peritoneales temporales)'<\/span><\/label><label id=\"forminator-field-checkbox-33-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-33-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Estudios de aclaraci\u00f3n renal&#039;\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"504\" id=\"forminator-field-checkbox-33-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-33-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Estudios de aclaraci\u00f3n renal'<\/span><\/label><label id=\"forminator-field-checkbox-33-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-33-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Hemodi\u00e1lisis aguda y cr\u00f3nica&#039;\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"505\" id=\"forminator-field-checkbox-33-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-33-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Hemodi\u00e1lisis aguda y cr\u00f3nica'<\/span><\/label><label id=\"forminator-field-checkbox-33-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-33-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Hemoperfusi\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"506\" id=\"forminator-field-checkbox-33-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-33-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Hemoperfusi\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-33-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-33-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Terapia de reemplazo hormonal continua&#039;\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"507\" id=\"forminator-field-checkbox-33-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-33-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Terapia de reemplazo hormonal continua'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-34\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-34-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-34-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Nefrolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-34-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-34-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os&#039;\"><input type=\"checkbox\" name=\"checkbox-34[]\" value=\"508\" id=\"forminator-field-checkbox-34-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-34-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-35\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-35-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-35-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Neumolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-35-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-35-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de cat\u00e9ter de la arteria pulmonar&#039;\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"509\" id=\"forminator-field-checkbox-35-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-35-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de cat\u00e9ter de la arteria pulmonar'<\/span><\/label><label id=\"forminator-field-checkbox-35-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-35-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de cat\u00e9ter venoso central&#039;\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"510\" id=\"forminator-field-checkbox-35-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-35-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de cat\u00e9ter venoso central'<\/span><\/label><label id=\"forminator-field-checkbox-35-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-35-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de l\u00ednea arterial&#039;\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"511\" id=\"forminator-field-checkbox-35-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-35-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de l\u00ednea arterial'<\/span><\/label><label id=\"forminator-field-checkbox-35-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-35-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretaci\u00f3n de las pruebas de funci\u00f3n pulmonar&#039;\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"512\" id=\"forminator-field-checkbox-35-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-35-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretaci\u00f3n de las pruebas de funci\u00f3n pulmonar'<\/span><\/label><label id=\"forminator-field-checkbox-35-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-35-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Intubaci\u00f3n nasal \/ oral&#039;\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"513\" id=\"forminator-field-checkbox-35-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-35-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Intubaci\u00f3n nasal \/ oral'<\/span><\/label><label id=\"forminator-field-checkbox-35-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-35-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con enfermedades o des\u00f3rdenes de los \u00f3rganos del t\u00f3rax, pulmones, sistemas cardiovasculares o traqueobronquiales, es\u00f3fago y otros contenidos del mediastino, diafragma y sistema circulatorio.  Se incluyen los siguientes procedimientos&#039;\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"514\" id=\"forminator-field-checkbox-35-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-35-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con enfermedades o des\u00f3rdenes de los \u00f3rganos del t\u00f3rax, pulmones, sistemas cardiovasculares o traqueobronquiales, es\u00f3fago y otros contenidos del mediastino, diafragma y sistema circulatorio.  Se incluyen los siguientes procedimientos'<\/span><\/label><label id=\"forminator-field-checkbox-35-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-35-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n arterial&#039;\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"515\" id=\"forminator-field-checkbox-35-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-35-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n arterial'<\/span><\/label><label id=\"forminator-field-checkbox-35-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-35-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Toracocentesis y biopsia percut\u00e1nea de pleura.  de piel&#039;\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"516\" id=\"forminator-field-checkbox-35-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-35-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Toracocentesis y biopsia percut\u00e1nea de pleura.  de piel'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-59\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-59-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-59-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Neumolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-59-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-59-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os&#039;\"><input type=\"checkbox\" name=\"checkbox-59[]\" value=\"517\" id=\"forminator-field-checkbox-59-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-59-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os'<\/span><\/label><label id=\"forminator-field-checkbox-59-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-59-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Broncoscop\u00eda flexible&#039;\"><input type=\"checkbox\" name=\"checkbox-59[]\" value=\"518\" id=\"forminator-field-checkbox-59-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-59-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Broncoscop\u00eda flexible'<\/span><\/label><label id=\"forminator-field-checkbox-59-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-59-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de tubo pleural&#039;\"><input type=\"checkbox\" name=\"checkbox-59[]\" value=\"519\" id=\"forminator-field-checkbox-59-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-59-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de tubo pleural'<\/span><\/label><label id=\"forminator-field-checkbox-59-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-59-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso del equipo de fluoroscopia&#039;\"><input type=\"checkbox\" name=\"checkbox-59[]\" value=\"520\" id=\"forminator-field-checkbox-59-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-59-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso del equipo de fluoroscopia'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-37\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-37-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-37-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Neurocirug\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-37-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n de pacientes&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"521\" id=\"forminator-field-checkbox-37-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n de pacientes'<\/span><\/label><label id=\"forminator-field-checkbox-37-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Electroencefalograf\u00edas digitales&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"522\" id=\"forminator-field-checkbox-37-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Electroencefalograf\u00edas digitales'<\/span><\/label><label id=\"forminator-field-checkbox-37-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Electromiograf\u00edas convencionales, cuantitativas y fibra \u00fanica&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"523\" id=\"forminator-field-checkbox-37-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Electromiograf\u00edas convencionales, cuantitativas y fibra \u00fanica'<\/span><\/label><label id=\"forminator-field-checkbox-37-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Estudio de neuro conducci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"524\" id=\"forminator-field-checkbox-37-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Estudio de neuro conducci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-37-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Monitoreo Neurofisiol\u00f3gico Intraoperatorio (todo tipo de modalidad)&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"525\" id=\"forminator-field-checkbox-37-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Monitoreo Neurofisiol\u00f3gico Intraoperatorio (todo tipo de modalidad)'<\/span><\/label><label id=\"forminator-field-checkbox-37-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Polisomnograf\u00edas digitales&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"526\" id=\"forminator-field-checkbox-37-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Polisomnograf\u00edas digitales'<\/span><\/label><label id=\"forminator-field-checkbox-37-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales evocados auditivos y de screening de audici\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"527\" id=\"forminator-field-checkbox-37-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales evocados auditivos y de screening de audici\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-37-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales evocados magn\u00e9ticos&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"528\" id=\"forminator-field-checkbox-37-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales evocados magn\u00e9ticos'<\/span><\/label><label id=\"forminator-field-checkbox-37-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales evocados somatosensorial&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"529\" id=\"forminator-field-checkbox-37-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales evocados somatosensorial'<\/span><\/label><label id=\"forminator-field-checkbox-37-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales evocados visuales&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"530\" id=\"forminator-field-checkbox-37-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales evocados visuales'<\/span><\/label><label id=\"forminator-field-checkbox-37-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-37-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales motores el\u00e9ctricos&#039;\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"531\" id=\"forminator-field-checkbox-37-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-37-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales motores el\u00e9ctricos'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-68\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-68-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-68-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Neurocirug\u00eda)*<\/span><label id=\"forminator-field-checkbox-68-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-68-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;No Aplica&#039;\"><input type=\"checkbox\" name=\"checkbox-68[]\" value=\"&#039;No Aplica&#039;\" id=\"forminator-field-checkbox-68-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-68-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'No Aplica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-38\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-38-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-38-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Neurolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-38-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-38-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Correlacionar la informaci\u00f3n obtenida de estas pruebas diagn\u00f3sticas con la historia cl\u00ednica y el examen f\u00edsico para formular un diagn\u00f3stico diferencial y un plan de trabajo&#039;\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"532\" id=\"forminator-field-checkbox-38-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-38-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Correlacionar la informaci\u00f3n obtenida de estas pruebas diagn\u00f3sticas con la historia cl\u00ednica y el examen f\u00edsico para formular un diagn\u00f3stico diferencial y un plan de trabajo'<\/span><\/label><label id=\"forminator-field-checkbox-38-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-38-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Determinar las indicaciones y limitaciones de las pruebas electrodiagn\u00f3sticas cl\u00ednicas&#039;\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"533\" id=\"forminator-field-checkbox-38-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-38-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Determinar las indicaciones y limitaciones de las pruebas electrodiagn\u00f3sticas cl\u00ednicas'<\/span><\/label><label id=\"forminator-field-checkbox-38-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-38-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretar estudios cl\u00ednicos de neuroimagen incluyendo CT y RMN&#039;\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"534\" id=\"forminator-field-checkbox-38-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-38-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretar estudios cl\u00ednicos de neuroimagen incluyendo CT y RMN'<\/span><\/label><label id=\"forminator-field-checkbox-38-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-38-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretar las pruebas electrodiagn\u00f3sticas&#039;\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"535\" id=\"forminator-field-checkbox-38-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-38-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretar las pruebas electrodiagn\u00f3sticas'<\/span><\/label><label id=\"forminator-field-checkbox-38-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-38-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con problemas neurol\u00f3gicos. Se incluyen los siguientes procedimientos&#039;\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"536\" id=\"forminator-field-checkbox-38-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-38-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con problemas neurol\u00f3gicos. Se incluyen los siguientes procedimientos'<\/span><\/label><label id=\"forminator-field-checkbox-38-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-38-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n lumbar&#039;\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"537\" id=\"forminator-field-checkbox-38-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-38-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n lumbar'<\/span><\/label><label id=\"forminator-field-checkbox-38-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-38-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar un examen neurol\u00f3gico completo&#039;\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"538\" id=\"forminator-field-checkbox-38-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-38-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar un examen neurol\u00f3gico completo'<\/span><\/label><label id=\"forminator-field-checkbox-38-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-38-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Tensilon test&#039;\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"539\" id=\"forminator-field-checkbox-38-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-38-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Tensilon test'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-39\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-39-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-39-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Neurolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-39-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Activaci\u00f3n del protocolo Stroke para casos detectados en las \u00e1reas de hospitalizaci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"540\" id=\"forminator-field-checkbox-39-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Activaci\u00f3n del protocolo Stroke para casos detectados en las \u00e1reas de hospitalizaci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-39-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Administraci\u00f3n de rtpa para Stroke: La administraci\u00f3n de trombol\u00edticos intravenosos en el paciente con accidente cerebrovascular agudo.&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"541\" id=\"forminator-field-checkbox-39-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Administraci\u00f3n de rtpa para Stroke: La administraci\u00f3n de trombol\u00edticos intravenosos en el paciente con accidente cerebrovascular agudo.'<\/span><\/label><label id=\"forminator-field-checkbox-39-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os.&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"542\" id=\"forminator-field-checkbox-39-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os.'<\/span><\/label><label id=\"forminator-field-checkbox-39-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia de m\u00fasculo&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"543\" id=\"forminator-field-checkbox-39-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia de m\u00fasculo'<\/span><\/label><label id=\"forminator-field-checkbox-39-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia de nervio&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"544\" id=\"forminator-field-checkbox-39-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia de nervio'<\/span><\/label><label id=\"forminator-field-checkbox-39-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Bloqueo de nervios&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"545\" id=\"forminator-field-checkbox-39-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Bloqueo de nervios'<\/span><\/label><label id=\"forminator-field-checkbox-39-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Doppler transcraneal&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"546\" id=\"forminator-field-checkbox-39-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Doppler transcraneal'<\/span><\/label><label id=\"forminator-field-checkbox-39-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Electrocorticografia transoperatoria&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"547\" id=\"forminator-field-checkbox-39-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Electrocorticografia transoperatoria'<\/span><\/label><label id=\"forminator-field-checkbox-39-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Electroencefalograf\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"548\" id=\"forminator-field-checkbox-39-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Electroencefalograf\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-39-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;EMG y VCN&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"549\" id=\"forminator-field-checkbox-39-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'EMG y VCN'<\/span><\/label><label id=\"forminator-field-checkbox-39-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Estimulaci\u00f3n magn\u00e9tica cerebral&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"550\" id=\"forminator-field-checkbox-39-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Estimulaci\u00f3n magn\u00e9tica cerebral'<\/span><\/label><label id=\"forminator-field-checkbox-39-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretaci\u00f3n de EEG ambulatorio&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"551\" id=\"forminator-field-checkbox-39-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretaci\u00f3n de EEG ambulatorio'<\/span><\/label><label id=\"forminator-field-checkbox-39-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inyecci\u00f3n de puntos gatillo&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"552\" id=\"forminator-field-checkbox-39-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inyecci\u00f3n de puntos gatillo'<\/span><\/label><label id=\"forminator-field-checkbox-39-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inyecci\u00f3n de toxina botul\u00ednica&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"553\" id=\"forminator-field-checkbox-39-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inyecci\u00f3n de toxina botul\u00ednica'<\/span><\/label><label id=\"forminator-field-checkbox-39-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo agudo de pacientes post tromb\u00f3lisis y\/o trombectom\u00eda seg\u00fan protocolo de Programa Stroke&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"554\" id=\"forminator-field-checkbox-39-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo agudo de pacientes post tromb\u00f3lisis y\/o trombectom\u00eda seg\u00fan protocolo de Programa Stroke'<\/span><\/label><label id=\"forminator-field-checkbox-39-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo de complicaciones secundarias a tromb\u00f3lisis y\/o trombectom\u00eda seg\u00fan protocolo de Programa Stroke&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"555\" id=\"forminator-field-checkbox-39-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo de complicaciones secundarias a tromb\u00f3lisis y\/o trombectom\u00eda seg\u00fan protocolo de Programa Stroke'<\/span><\/label><label id=\"forminator-field-checkbox-39-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Monitoreo \u2013 Video \u2013 EEG&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"556\" id=\"forminator-field-checkbox-39-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Monitoreo \u2013 Video \u2013 EEG'<\/span><\/label><label id=\"forminator-field-checkbox-39-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Monitoreo neurofisiol\u00f3gico transoperatorio&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"557\" id=\"forminator-field-checkbox-39-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Monitoreo neurofisiol\u00f3gico transoperatorio'<\/span><\/label><label id=\"forminator-field-checkbox-39-19-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-19-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Polisomnograf\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"558\" id=\"forminator-field-checkbox-39-19-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-19-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Polisomnograf\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-39-20-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-20-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales auditivos evocados&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"559\" id=\"forminator-field-checkbox-39-20-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-20-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales auditivos evocados'<\/span><\/label><label id=\"forminator-field-checkbox-39-21-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-21-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales sensoriales evocados&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"560\" id=\"forminator-field-checkbox-39-21-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-21-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales sensoriales evocados'<\/span><\/label><label id=\"forminator-field-checkbox-39-22-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-22-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales Somatosensoriales&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"561\" id=\"forminator-field-checkbox-39-22-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-22-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales Somatosensoriales'<\/span><\/label><label id=\"forminator-field-checkbox-39-23-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-23-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Potenciales visuales evocados&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"562\" id=\"forminator-field-checkbox-39-23-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-23-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Potenciales visuales evocados'<\/span><\/label><label id=\"forminator-field-checkbox-39-24-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-24-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Prueba de Wada&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"563\" id=\"forminator-field-checkbox-39-24-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-24-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Prueba de Wada'<\/span><\/label><label id=\"forminator-field-checkbox-39-25-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-25-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n cisternal&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"564\" id=\"forminator-field-checkbox-39-25-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-25-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n cisternal'<\/span><\/label><label id=\"forminator-field-checkbox-39-26-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-26-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n subdural&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"565\" id=\"forminator-field-checkbox-39-26-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-26-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n subdural'<\/span><\/label><label id=\"forminator-field-checkbox-39-27-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-27-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar e Interpretar \u2013 SPECT&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"566\" id=\"forminator-field-checkbox-39-27-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-27-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar e Interpretar \u2013 SPECT'<\/span><\/label><label id=\"forminator-field-checkbox-39-28-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-28-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar neuroim\u00e1genes - MRI&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"567\" id=\"forminator-field-checkbox-39-28-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-28-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar neuroim\u00e1genes - MRI'<\/span><\/label><label id=\"forminator-field-checkbox-39-29-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-29-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar neuroim\u00e1genes - Tomograf\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"568\" id=\"forminator-field-checkbox-39-29-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-29-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar neuroim\u00e1genes - Tomograf\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-39-30-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-30-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Realizar una mielograf\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"569\" id=\"forminator-field-checkbox-39-30-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-30-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Realizar una mielograf\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-39-31-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-31-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Seguimiento y monitorizaci\u00f3n neurol\u00f3gica (NIHSS) seg\u00fan protocolo del Programa Stroke&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"570\" id=\"forminator-field-checkbox-39-31-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-31-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Seguimiento y monitorizaci\u00f3n neurol\u00f3gica (NIHSS) seg\u00fan protocolo del Programa Stroke'<\/span><\/label><label id=\"forminator-field-checkbox-39-32-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-39-32-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ultrasonido craneocervical&#039;\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"571\" id=\"forminator-field-checkbox-39-32-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-39-32-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ultrasonido craneocervical'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-40\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-40-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-40-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Oncolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-40-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-40-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Administraci\u00f3n de quimioterapia y modificadores biol\u00f3gicos a trav\u00e9s de todos los modos terap\u00e9uticos&#039;\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"572\" id=\"forminator-field-checkbox-40-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-40-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Administraci\u00f3n de quimioterapia y modificadores biol\u00f3gicos a trav\u00e9s de todos los modos terap\u00e9uticos'<\/span><\/label><label id=\"forminator-field-checkbox-40-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-40-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo y mantenimiento de los accesos venosos permanentes&#039;\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"573\" id=\"forminator-field-checkbox-40-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-40-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo y mantenimiento de los accesos venosos permanentes'<\/span><\/label><label id=\"forminator-field-checkbox-40-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-40-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Paracentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"574\" id=\"forminator-field-checkbox-40-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-40-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Paracentesis'<\/span><\/label><label id=\"forminator-field-checkbox-40-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-40-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con tumores malignos. Se incluyen los siguientes procedimientos&#039;\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"575\" id=\"forminator-field-checkbox-40-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-40-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con tumores malignos. Se incluyen los siguientes procedimientos'<\/span><\/label><label id=\"forminator-field-checkbox-40-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-40-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Punci\u00f3n lumbar&#039;\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"576\" id=\"forminator-field-checkbox-40-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-40-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Punci\u00f3n lumbar'<\/span><\/label><label id=\"forminator-field-checkbox-40-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-40-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Thoracocentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"577\" id=\"forminator-field-checkbox-40-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-40-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Thoracocentesis'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-41\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-41-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-41-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Oncolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-41-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-41-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os&#039;\"><input type=\"checkbox\" name=\"checkbox-41[]\" value=\"578\" id=\"forminator-field-checkbox-41-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-41-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os'<\/span><\/label><label id=\"forminator-field-checkbox-41-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-41-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n de tumores por aguja fina&#039;\"><input type=\"checkbox\" name=\"checkbox-41[]\" value=\"579\" id=\"forminator-field-checkbox-41-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-41-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n de tumores por aguja fina'<\/span><\/label><label id=\"forminator-field-checkbox-41-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-41-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de un cat\u00e9ter venoso central&#039;\"><input type=\"checkbox\" name=\"checkbox-41[]\" value=\"580\" id=\"forminator-field-checkbox-41-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-41-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de un cat\u00e9ter venoso central'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-42\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-42-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-42-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Ortopedia)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-42-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aplicaci\u00f3n, reforzamiento y retiro de yesos&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"581\" id=\"forminator-field-checkbox-42-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aplicaci\u00f3n, reforzamiento y retiro de yesos'<\/span><\/label><label id=\"forminator-field-checkbox-42-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n e inyecci\u00f3n de articulaciones&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"582\" id=\"forminator-field-checkbox-42-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n e inyecci\u00f3n de articulaciones'<\/span><\/label><label id=\"forminator-field-checkbox-42-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de manos y pies&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"583\" id=\"forminator-field-checkbox-42-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de manos y pies'<\/span><\/label><label id=\"forminator-field-checkbox-42-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Lesiones relacionadas al ejercicio, incluyendo artroscopia&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"584\" id=\"forminator-field-checkbox-42-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Lesiones relacionadas al ejercicio, incluyendo artroscopia'<\/span><\/label><label id=\"forminator-field-checkbox-42-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Reemplazo de articulaciones&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"585\" id=\"forminator-field-checkbox-42-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Reemplazo de articulaciones'<\/span><\/label><label id=\"forminator-field-checkbox-42-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Rehabilitaci\u00f3n ortop\u00e9dica&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"586\" id=\"forminator-field-checkbox-42-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Rehabilitaci\u00f3n ortop\u00e9dica'<\/span><\/label><label id=\"forminator-field-checkbox-42-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Solicito Privilegios para admitir, evaluar, diagnosticar, ser consultado y proveer de tratamiento quir\u00fargico a pacientes que se presenten con condiciones y problemas m\u00fasculo esquel\u00e9tico.  Se incluyen los siguientes procedimientos:&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"587\" id=\"forminator-field-checkbox-42-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Solicito Privilegios para admitir, evaluar, diagnosticar, ser consultado y proveer de tratamiento quir\u00fargico a pacientes que se presenten con condiciones y problemas m\u00fasculo esquel\u00e9tico.  Se incluyen los siguientes procedimientos:'<\/span><\/label><label id=\"forminator-field-checkbox-42-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Sutura y empaque de heridas&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"588\" id=\"forminator-field-checkbox-42-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Sutura y empaque de heridas'<\/span><\/label><label id=\"forminator-field-checkbox-42-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-42-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Trauma, incluyendo politraumatismo&#039;\"><input type=\"checkbox\" name=\"checkbox-42[]\" value=\"589\" id=\"forminator-field-checkbox-42-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-42-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Trauma, incluyendo politraumatismo'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-43\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-43-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-43-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Ortopedia).*<\/span><label id=\"forminator-field-checkbox-43-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-43-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n y tratamiento de paciente menores de 15 a\u00f1os&#039;\"><input type=\"checkbox\" name=\"checkbox-43[]\" value=\"590\" id=\"forminator-field-checkbox-43-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-43-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n y tratamiento de paciente menores de 15 a\u00f1os'<\/span><\/label><label id=\"forminator-field-checkbox-43-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-43-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cambio de pr\u00f3tesis&#039;\"><input type=\"checkbox\" name=\"checkbox-43[]\" value=\"591\" id=\"forminator-field-checkbox-43-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-43-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cambio de pr\u00f3tesis'<\/span><\/label><label id=\"forminator-field-checkbox-43-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-43-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de columna vertebral (requiere entrenamiento correspondiente)&#039;\"><input type=\"checkbox\" name=\"checkbox-43[]\" value=\"592\" id=\"forminator-field-checkbox-43-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-43-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de columna vertebral (requiere entrenamiento correspondiente)'<\/span><\/label><label id=\"forminator-field-checkbox-43-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-43-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de t\u00fanel carpal endosc\u00f3pica&#039;\"><input type=\"checkbox\" name=\"checkbox-43[]\" value=\"593\" id=\"forminator-field-checkbox-43-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-43-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de t\u00fanel carpal endosc\u00f3pica'<\/span><\/label><label id=\"forminator-field-checkbox-43-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-43-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Rob\u00f3tica&#039;\"><input type=\"checkbox\" name=\"checkbox-43[]\" value=\"594\" id=\"forminator-field-checkbox-43-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-43-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Rob\u00f3tica'<\/span><\/label><label id=\"forminator-field-checkbox-43-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-43-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Remplazo de articulaciones complejas&#039;\"><input type=\"checkbox\" name=\"checkbox-43[]\" value=\"595\" id=\"forminator-field-checkbox-43-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-43-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Remplazo de articulaciones complejas'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-44\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-44-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-44-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Otorrinolaringolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-44-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsias del \u00e1rea de la cabeza y cuello&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"596\" id=\"forminator-field-checkbox-44-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsias del \u00e1rea de la cabeza y cuello'<\/span><\/label><label id=\"forminator-field-checkbox-44-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de la gl\u00e1ndula tiroides, paratiroides y gl\u00e1ndulas salivales&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"597\" id=\"forminator-field-checkbox-44-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de la gl\u00e1ndula tiroides, paratiroides y gl\u00e1ndulas salivales'<\/span><\/label><label id=\"forminator-field-checkbox-44-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de los tejidos linf\u00e1ticos la cabeza y cuello&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"598\" id=\"forminator-field-checkbox-44-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de los tejidos linf\u00e1ticos la cabeza y cuello'<\/span><\/label><label id=\"forminator-field-checkbox-44-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de senos paranasales endosc\u00f3pica&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"599\" id=\"forminator-field-checkbox-44-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de senos paranasales endosc\u00f3pica'<\/span><\/label><label id=\"forminator-field-checkbox-44-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda del tracto gastrointestinal superior&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"600\" id=\"forminator-field-checkbox-44-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda del tracto gastrointestinal superior'<\/span><\/label><label id=\"forminator-field-checkbox-44-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda maxilofacial que incluye las \u00f3rbitas, mand\u00edbula, y el esqueleto facial&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"601\" id=\"forminator-field-checkbox-44-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda maxilofacial que incluye las \u00f3rbitas, mand\u00edbula, y el esqueleto facial'<\/span><\/label><label id=\"forminator-field-checkbox-44-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda nasal y de senos paranasales&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"602\" id=\"forminator-field-checkbox-44-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda nasal y de senos paranasales'<\/span><\/label><label id=\"forminator-field-checkbox-44-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda pl\u00e1stica, est\u00e9tica y de la cara, cabeza y cuello&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"603\" id=\"forminator-field-checkbox-44-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda pl\u00e1stica, est\u00e9tica y de la cara, cabeza y cuello'<\/span><\/label><label id=\"forminator-field-checkbox-44-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda reconstructiva de la cabeza y cuello en relaci\u00f3n con malformaciones cong\u00e9nitas, trauma y neoplasias&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"604\" id=\"forminator-field-checkbox-44-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda reconstructiva de la cabeza y cuello en relaci\u00f3n con malformaciones cong\u00e9nitas, trauma y neoplasias'<\/span><\/label><label id=\"forminator-field-checkbox-44-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Endoscopia de la v\u00eda a\u00e9rea superior diagn\u00f3stica y terap\u00e9utica&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"605\" id=\"forminator-field-checkbox-44-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Endoscopia de la v\u00eda a\u00e9rea superior diagn\u00f3stica y terap\u00e9utica'<\/span><\/label><label id=\"forminator-field-checkbox-44-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Extracci\u00f3n de dientes cercanos a tumores o por reparaci\u00f3n de traumas&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"606\" id=\"forminator-field-checkbox-44-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Extracci\u00f3n de dientes cercanos a tumores o por reparaci\u00f3n de traumas'<\/span><\/label><label id=\"forminator-field-checkbox-44-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Gastrostom\u00eda percut\u00e1nea&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"607\" id=\"forminator-field-checkbox-44-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Gastrostom\u00eda percut\u00e1nea'<\/span><\/label><label id=\"forminator-field-checkbox-44-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inyecci\u00f3n de col\u00e1geno, dermoabrasi\u00f3n, excisiones menores de quistes y lunares&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"608\" id=\"forminator-field-checkbox-44-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inyecci\u00f3n de col\u00e1geno, dermoabrasi\u00f3n, excisiones menores de quistes y lunares'<\/span><\/label><label id=\"forminator-field-checkbox-44-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Microcirug\u00eda del o\u00eddo, hueso petroso, nervio facial y estructuras relacionadas&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"609\" id=\"forminator-field-checkbox-44-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Microcirug\u00eda del o\u00eddo, hueso petroso, nervio facial y estructuras relacionadas'<\/span><\/label><label id=\"forminator-field-checkbox-44-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Obtenci\u00f3n de material para injertos y reconstrucciones&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"610\" id=\"forminator-field-checkbox-44-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Obtenci\u00f3n de material para injertos y reconstrucciones'<\/span><\/label><label id=\"forminator-field-checkbox-44-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Resecci\u00f3n de neoplasias de la cabeza y cuello&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"611\" id=\"forminator-field-checkbox-44-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Resecci\u00f3n de neoplasias de la cabeza y cuello'<\/span><\/label><label id=\"forminator-field-checkbox-44-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-44-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de l\u00e1ser en cirug\u00eda otorrinolaringol\u00f3gica y est\u00e9tica&#039;\"><input type=\"checkbox\" name=\"checkbox-44[]\" value=\"612\" id=\"forminator-field-checkbox-44-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-44-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de l\u00e1ser en cirug\u00eda otorrinolaringol\u00f3gica y est\u00e9tica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-45\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-45-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-45-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Otorrinolaringolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-45-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-45-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os&#039;\"><input type=\"checkbox\" name=\"checkbox-45[]\" value=\"613\" id=\"forminator-field-checkbox-45-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-45-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os'<\/span><\/label><label id=\"forminator-field-checkbox-45-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-45-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de base de cr\u00e1neo&#039;\"><input type=\"checkbox\" name=\"checkbox-45[]\" value=\"614\" id=\"forminator-field-checkbox-45-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-45-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de base de cr\u00e1neo'<\/span><\/label><label id=\"forminator-field-checkbox-45-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-45-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de la hip\u00f3fisis&#039;\"><input type=\"checkbox\" name=\"checkbox-45[]\" value=\"615\" id=\"forminator-field-checkbox-45-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-45-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de la hip\u00f3fisis'<\/span><\/label><label id=\"forminator-field-checkbox-45-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-45-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colgajos&#039;\"><input type=\"checkbox\" name=\"checkbox-45[]\" value=\"616\" id=\"forminator-field-checkbox-45-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-45-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colgajos'<\/span><\/label><label id=\"forminator-field-checkbox-45-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-45-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Fluoroscopia&#039;\"><input type=\"checkbox\" name=\"checkbox-45[]\" value=\"617\" id=\"forminator-field-checkbox-45-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-45-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Fluoroscopia'<\/span><\/label><label id=\"forminator-field-checkbox-45-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-45-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neurootolog\u00eda quir\u00fargica (craniotom\u00eda de fosa posterior y media)&#039;\"><input type=\"checkbox\" name=\"checkbox-45[]\" value=\"618\" id=\"forminator-field-checkbox-45-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-45-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neurootolog\u00eda quir\u00fargica (craniotom\u00eda de fosa posterior y media)'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-46\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-46-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-46-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Patolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-46-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-46-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Anatom\u00eda patol\u00f3gica incluyendo la autopsia patolog\u00eda, patolog\u00eda quir\u00fargica, citopatolog\u00eda y Hematolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-46[]\" value=\"619\" id=\"forminator-field-checkbox-46-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-46-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Anatom\u00eda patol\u00f3gica incluyendo la autopsia patolog\u00eda, patolog\u00eda quir\u00fargica, citopatolog\u00eda y Hematolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-46-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-46-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Patolog\u00eda cl\u00ednica incluida la interpretaci\u00f3n de la prueba de rutina de laboratorio cl\u00ednico, inmunohematolog\u00eda y la toxicolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-46[]\" value=\"622\" id=\"forminator-field-checkbox-46-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-46-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Patolog\u00eda cl\u00ednica incluida la interpretaci\u00f3n de la prueba de rutina de laboratorio cl\u00ednico, inmunohematolog\u00eda y la toxicolog\u00eda'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-47\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-47-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-47-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Patolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-47-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-47-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n con aguja fina&#039;\"><input type=\"checkbox\" name=\"checkbox-47[]\" value=\"620\" id=\"forminator-field-checkbox-47-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-47-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n con aguja fina'<\/span><\/label><label id=\"forminator-field-checkbox-47-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-47-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;M\u00e9dula \u00f3sea&#039;\"><input type=\"checkbox\" name=\"checkbox-47[]\" value=\"621\" id=\"forminator-field-checkbox-47-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-47-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'M\u00e9dula \u00f3sea'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-48\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-48-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-48-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Pediatr\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-48-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Alergia e inmunolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"623\" id=\"forminator-field-checkbox-48-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Alergia e inmunolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-48-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cardiolog\u00eda pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"624\" id=\"forminator-field-checkbox-48-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cardiolog\u00eda pedi\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-48-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cuidados cr\u00edticos pedi\u00e1tricos&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"625\" id=\"forminator-field-checkbox-48-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cuidados cr\u00edticos pedi\u00e1tricos'<\/span><\/label><label id=\"forminator-field-checkbox-48-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Endocrinolog\u00eda pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"626\" id=\"forminator-field-checkbox-48-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Endocrinolog\u00eda pedi\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-48-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Gastroenterolog\u00eda pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"627\" id=\"forminator-field-checkbox-48-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Gastroenterolog\u00eda pedi\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-48-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Gen\u00e9tica&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"628\" id=\"forminator-field-checkbox-48-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Gen\u00e9tica'<\/span><\/label><label id=\"forminator-field-checkbox-48-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Hematolog\u00eda \/ Oncolog\u00eda pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"629\" id=\"forminator-field-checkbox-48-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Hematolog\u00eda \/ Oncolog\u00eda pedi\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-48-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Nefrolog\u00eda pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"630\" id=\"forminator-field-checkbox-48-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Nefrolog\u00eda pedi\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-48-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Nenonatal:Cuidados del neonato normal, incluyendo los cuidados en la sala de partos.&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"631\" id=\"forminator-field-checkbox-48-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Nenonatal:Cuidados del neonato normal, incluyendo los cuidados en la sala de partos.'<\/span><\/label><label id=\"forminator-field-checkbox-48-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neonatal: Cuidados del neonato con problemas que amenazan la vida incluyendo distr\u00e9s respiratorio que necesite ventilaci\u00f3n mec\u00e1nica. Los m\u00e9dicos que soliciten estos privilegios deben demostrar entrenamiento adecuado y experiencia en resucitaci\u00f3n y cuidados cr\u00edticos neonatales.&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"632\" id=\"forminator-field-checkbox-48-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neonatal: Cuidados del neonato con problemas que amenazan la vida incluyendo distr\u00e9s respiratorio que necesite ventilaci\u00f3n mec\u00e1nica. Los m\u00e9dicos que soliciten estos privilegios deben demostrar entrenamiento adecuado y experiencia en resucitaci\u00f3n y cuidados cr\u00edticos neonatales.'<\/span><\/label><label id=\"forminator-field-checkbox-48-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neonatal: Cuidados del neonato de bajo peso (menos de 2500g.) o cualquier infante con problemas neonatales significativos (p. ej. Ictericia, fiebre, infecci\u00f3n sospechada, SDR moderado, etc.)&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"633\" id=\"forminator-field-checkbox-48-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neonatal: Cuidados del neonato de bajo peso (menos de 2500g.) o cualquier infante con problemas neonatales significativos (p. ej. Ictericia, fiebre, infecci\u00f3n sospechada, SDR moderado, etc.)'<\/span><\/label><label id=\"forminator-field-checkbox-48-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neonatolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"634\" id=\"forminator-field-checkbox-48-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neonatolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-48-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neumolog\u00eda pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"635\" id=\"forminator-field-checkbox-48-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neumolog\u00eda pedi\u00e1trica'<\/span><\/label><label id=\"forminator-field-checkbox-48-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neurolog\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"636\" id=\"forminator-field-checkbox-48-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neurolog\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-48-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pediatr\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"637\" id=\"forminator-field-checkbox-48-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pediatr\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-48-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pediatr\u00eda: Cuidados de enfermedades cr\u00edticas del ni\u00f1o que puede requerir soporte vital avanzado y ventilatorio. Los m\u00e9dicos que aplican a esta categor\u00eda tienen entrenamiento en Cuidados Cr\u00edticos Pedi\u00e1tricos.&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"638\" id=\"forminator-field-checkbox-48-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pediatr\u00eda: Cuidados de enfermedades cr\u00edticas del ni\u00f1o que puede requerir soporte vital avanzado y ventilatorio. Los m\u00e9dicos que aplican a esta categor\u00eda tienen entrenamiento en Cuidados Cr\u00edticos Pedi\u00e1tricos.'<\/span><\/label><label id=\"forminator-field-checkbox-48-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pediatr\u00eda: Cuidados de infantes con problemas que requieren que el m\u00e9dico posea entrenamiento en alguna de las subespecialidades de la pediatr\u00eda.&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"639\" id=\"forminator-field-checkbox-48-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pediatr\u00eda: Cuidados de infantes con problemas que requieren que el m\u00e9dico posea entrenamiento en alguna de las subespecialidades de la pediatr\u00eda.'<\/span><\/label><label id=\"forminator-field-checkbox-48-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pediatr\u00eda: Cuidados de problemas pedi\u00e1tricos complejos que pueden poner en peligro la vida del ni\u00f1o. Estos cuidados requieren que el m\u00e9dico cuente con un entrenamiento en Pediatr\u00eda.&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"640\" id=\"forminator-field-checkbox-48-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pediatr\u00eda: Cuidados de problemas pedi\u00e1tricos complejos que pueden poner en peligro la vida del ni\u00f1o. Estos cuidados requieren que el m\u00e9dico cuente con un entrenamiento en Pediatr\u00eda.'<\/span><\/label><label id=\"forminator-field-checkbox-48-19-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-48-19-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Reumatolog\u00eda pedi\u00e1trica&#039;\"><input type=\"checkbox\" name=\"checkbox-48[]\" value=\"641\" id=\"forminator-field-checkbox-48-19-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-48-19-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Reumatolog\u00eda pedi\u00e1trica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-49\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-49-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-49-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Pediatr\u00eda).*<\/span><label id=\"forminator-field-checkbox-49-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Alimentaci\u00f3n parenteral&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"642\" id=\"forminator-field-checkbox-49-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Alimentaci\u00f3n parenteral'<\/span><\/label><label id=\"forminator-field-checkbox-49-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Angioplast\u00eda y valvuloplast\u00eda con bal\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"644\" id=\"forminator-field-checkbox-49-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Angioplast\u00eda y valvuloplast\u00eda con bal\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-49-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspirado y biopsia de m\u00e9dula \u00f3sea.&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"645\" id=\"forminator-field-checkbox-49-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspirado y biopsia de m\u00e9dula \u00f3sea.'<\/span><\/label><label id=\"forminator-field-checkbox-49-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia de piel&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"646\" id=\"forminator-field-checkbox-49-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia de piel'<\/span><\/label><label id=\"forminator-field-checkbox-49-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia percut\u00e1nea de h\u00edgado&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"647\" id=\"forminator-field-checkbox-49-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia percut\u00e1nea de h\u00edgado'<\/span><\/label><label id=\"forminator-field-checkbox-49-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Biopsia renal percut\u00e1nea&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"648\" id=\"forminator-field-checkbox-49-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Biopsia renal percut\u00e1nea'<\/span><\/label><label id=\"forminator-field-checkbox-49-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Broncoscop\u00eda \/ Laringoscop\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"649\" id=\"forminator-field-checkbox-49-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Broncoscop\u00eda \/ Laringoscop\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-49-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Broncoscosp\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"650\" id=\"forminator-field-checkbox-49-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Broncoscosp\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-49-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cauterizaci\u00f3n de los vasos umbilicales.&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"651\" id=\"forminator-field-checkbox-49-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cauterizaci\u00f3n de los vasos umbilicales.'<\/span><\/label><label id=\"forminator-field-checkbox-49-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Circuncisi\u00f3n del neonato por campana&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"652\" id=\"forminator-field-checkbox-49-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Circuncisi\u00f3n del neonato por campana'<\/span><\/label><label id=\"forminator-field-checkbox-49-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de cat\u00e9ter arterial&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"653\" id=\"forminator-field-checkbox-49-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de cat\u00e9ter arterial'<\/span><\/label><label id=\"forminator-field-checkbox-49-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de cat\u00e9ter de la arteria pulmonar.&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"654\" id=\"forminator-field-checkbox-49-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de cat\u00e9ter de la arteria pulmonar.'<\/span><\/label><label id=\"forminator-field-checkbox-49-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de cat\u00e9ter venoso central.&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"655\" id=\"forminator-field-checkbox-49-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de cat\u00e9ter venoso central.'<\/span><\/label><label id=\"forminator-field-checkbox-49-14-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-14-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colocaci\u00f3n de tubo tor\u00e1cico.&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"656\" id=\"forminator-field-checkbox-49-14-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-14-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colocaci\u00f3n de tubo tor\u00e1cico.'<\/span><\/label><label id=\"forminator-field-checkbox-49-15-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-15-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Colonoscop\u00eda con biopsia&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"657\" id=\"forminator-field-checkbox-49-15-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-15-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Colonoscop\u00eda con biopsia'<\/span><\/label><label id=\"forminator-field-checkbox-49-16-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-16-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cuidado de fracturas simples y dislocaciones&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"658\" id=\"forminator-field-checkbox-49-16-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-16-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cuidado de fracturas simples y dislocaciones'<\/span><\/label><label id=\"forminator-field-checkbox-49-17-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-17-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Di\u00e1lisis peritoneal&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"659\" id=\"forminator-field-checkbox-49-17-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-17-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Di\u00e1lisis peritoneal'<\/span><\/label><label id=\"forminator-field-checkbox-49-18-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-18-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ecocardiograf\u00eda fetal&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"660\" id=\"forminator-field-checkbox-49-18-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-18-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ecocardiograf\u00eda fetal'<\/span><\/label><label id=\"forminator-field-checkbox-49-19-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-19-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ecocardiograf\u00eda transesof\u00e1gica&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"661\" id=\"forminator-field-checkbox-49-19-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-19-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ecocardiograf\u00eda transesof\u00e1gica'<\/span><\/label><label id=\"forminator-field-checkbox-49-20-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-20-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Ecocardiograma e interpretaci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"662\" id=\"forminator-field-checkbox-49-20-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-20-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Ecocardiograma e interpretaci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-49-21-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-21-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Endoscop\u00eda digestiva alta&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"663\" id=\"forminator-field-checkbox-49-21-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-21-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Endoscop\u00eda digestiva alta'<\/span><\/label><label id=\"forminator-field-checkbox-49-22-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-22-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Estudios electrofisiol\u00f3gicos con ablaci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"664\" id=\"forminator-field-checkbox-49-22-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-22-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Estudios electrofisiol\u00f3gicos con ablaci\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-49-23-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-23-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Exsang\u00edneo transfusi\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"665\" id=\"forminator-field-checkbox-49-23-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-23-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Exsang\u00edneo transfusi\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-49-24-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-24-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Exsangu\u00edneo transfusi\u00f3n.&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"666\" id=\"forminator-field-checkbox-49-24-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-24-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Exsangu\u00edneo transfusi\u00f3n.'<\/span><\/label><label id=\"forminator-field-checkbox-49-25-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-25-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Hemodi\u00e1lisis&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"667\" id=\"forminator-field-checkbox-49-25-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-25-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Hemodi\u00e1lisis'<\/span><\/label><label id=\"forminator-field-checkbox-49-26-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-26-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Incisi\u00f3n y drenajes simples&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"668\" id=\"forminator-field-checkbox-49-26-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-26-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Incisi\u00f3n y drenajes simples'<\/span><\/label><label id=\"forminator-field-checkbox-49-27-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-27-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Interpretaci\u00f3n de electrocardiogramas&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"669\" id=\"forminator-field-checkbox-49-27-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-27-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Interpretaci\u00f3n de electrocardiogramas'<\/span><\/label><label id=\"forminator-field-checkbox-49-28-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-28-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Intubaci\u00f3n endotraqueal&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"670\" id=\"forminator-field-checkbox-49-28-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-28-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Intubaci\u00f3n endotraqueal'<\/span><\/label><label id=\"forminator-field-checkbox-49-29-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-29-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Intubaci\u00f3n endotraqueal&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"671\" id=\"forminator-field-checkbox-49-29-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-29-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Intubaci\u00f3n endotraqueal'<\/span><\/label><label id=\"forminator-field-checkbox-49-30-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-30-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo del ventilador mec\u00e1nico&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"672\" id=\"forminator-field-checkbox-49-30-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-30-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo del ventilador mec\u00e1nico'<\/span><\/label><label id=\"forminator-field-checkbox-49-31-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-31-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manometr\u00eda esof\u00e1gica&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"673\" id=\"forminator-field-checkbox-49-31-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-31-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manometr\u00eda esof\u00e1gica'<\/span><\/label><label id=\"forminator-field-checkbox-49-32-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-32-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Oclusi\u00f3n del septum percut\u00e1nea&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"674\" id=\"forminator-field-checkbox-49-32-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-32-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Oclusi\u00f3n del septum percut\u00e1nea'<\/span><\/label><label id=\"forminator-field-checkbox-49-33-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-33-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Paracentesis abdominal&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"675\" id=\"forminator-field-checkbox-49-33-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-33-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Paracentesis abdominal'<\/span><\/label><label id=\"forminator-field-checkbox-49-34-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-34-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pericardiocentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"676\" id=\"forminator-field-checkbox-49-34-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-34-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pericardiocentesis'<\/span><\/label><label id=\"forminator-field-checkbox-49-35-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-35-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;pH metr\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"679\" id=\"forminator-field-checkbox-49-35-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-35-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'pH metr\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-49-36-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-36-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos generales&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"680\" id=\"forminator-field-checkbox-49-36-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-36-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos generales'<\/span><\/label><label id=\"forminator-field-checkbox-49-37-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-37-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Pruebas cut\u00e1neas al\u00e9rgicas&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"681\" id=\"forminator-field-checkbox-49-37-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-37-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Pruebas cut\u00e1neas al\u00e9rgicas'<\/span><\/label><label id=\"forminator-field-checkbox-49-38-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-38-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Septostomia con bal\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"682\" id=\"forminator-field-checkbox-49-38-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-38-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Septostomia con bal\u00f3n'<\/span><\/label><label id=\"forminator-field-checkbox-49-39-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-39-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;T\u00edmpanocentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"683\" id=\"forminator-field-checkbox-49-39-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-39-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'T\u00edmpanocentesis'<\/span><\/label><label id=\"forminator-field-checkbox-49-40-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-40-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Transplante de m\u00e9dula \u00f3sea.&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"684\" id=\"forminator-field-checkbox-49-40-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-40-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Transplante de m\u00e9dula \u00f3sea.'<\/span><\/label><label id=\"forminator-field-checkbox-49-41-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-49-41-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Venodisecci\u00f3n&#039;\"><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"685\" id=\"forminator-field-checkbox-49-41-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-49-41-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Venodisecci\u00f3n'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-50\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-50-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-50-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Psiquiatr\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-50-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Atenci\u00f3n m\u00e9dica general de los pacientes psiqui\u00e1tricos&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"687\" id=\"forminator-field-checkbox-50-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Atenci\u00f3n m\u00e9dica general de los pacientes psiqui\u00e1tricos'<\/span><\/label><label id=\"forminator-field-checkbox-50-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Consulta y enlace a otros m\u00e9dicos&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"688\" id=\"forminator-field-checkbox-50-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Consulta y enlace a otros m\u00e9dicos'<\/span><\/label><label id=\"forminator-field-checkbox-50-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cumplir con los procedimientos y pol\u00edticas establecidas de las metas internacionales de seguridad del paciente, PR-MED-007 \u201cPol\u00edtica de atenci\u00f3n de paciente de salud mental y psiquiatr\u00eda\u201d, PL-MED-016 POL\u00cdTICA DE IDENTIFICACI\u00d3N Y EVALUACI\u00d3N INICIAL DE PACIENTES DE POBLACIONES ESPECIALES \u2013 ALTO RIESGO O VULNERABLES (PFR.1.5, AOP.1.6, COP.3)&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"689\" id=\"forminator-field-checkbox-50-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cumplir con los procedimientos y pol\u00edticas establecidas de las metas internacionales de seguridad del paciente, PR-MED-007 \u201cPol\u00edtica de atenci\u00f3n de paciente de salud mental y psiquiatr\u00eda\u201d, PL-MED-016 POL\u00cdTICA DE IDENTIFICACI\u00d3N Y EVALUACI\u00d3N INICIAL DE PACIENTES DE POBLACIONES ESPECIALES \u2013 ALTO RIESGO O VULNERABLES (PFR.1.5, AOP.1.6, COP.3)'<\/span><\/label><label id=\"forminator-field-checkbox-50-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;El ni\u00f1o y la consulta psiqui\u00e1trica de los adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"690\" id=\"forminator-field-checkbox-50-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'El ni\u00f1o y la consulta psiqui\u00e1trica de los adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-50-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La planificaci\u00f3n de la continuaci\u00f3n del tratamiento y la gesti\u00f3n de la atenci\u00f3n hospitalaria de los ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"691\" id=\"forminator-field-checkbox-50-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La planificaci\u00f3n de la continuaci\u00f3n del tratamiento y la gesti\u00f3n de la atenci\u00f3n hospitalaria de los ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-50-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La terapia cognitiva de los ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"692\" id=\"forminator-field-checkbox-50-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La terapia cognitiva de los ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-50-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La terapia de conducta de los ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"693\" id=\"forminator-field-checkbox-50-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La terapia de conducta de los ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-50-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Psicoterapia de grupo m\u00e9dico de los ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"694\" id=\"forminator-field-checkbox-50-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Psicoterapia de grupo m\u00e9dico de los ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-50-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Psicoterapia individual m\u00e9dica&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"695\" id=\"forminator-field-checkbox-50-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Psicoterapia individual m\u00e9dica'<\/span><\/label><label id=\"forminator-field-checkbox-50-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Psicoterapia m\u00e9dicos de la familia de los ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"696\" id=\"forminator-field-checkbox-50-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Psicoterapia m\u00e9dicos de la familia de los ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-50-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Tratamiento de los trastornos psiqui\u00e1tricos en ni\u00f1os y adolescentes con enfermedades f\u00edsicas graves&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"697\" id=\"forminator-field-checkbox-50-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Tratamiento de los trastornos psiqui\u00e1tricos en ni\u00f1os y adolescentes con enfermedades f\u00edsicas graves'<\/span><\/label><label id=\"forminator-field-checkbox-50-12-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-12-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Tratamiento farmacol\u00f3gico de los ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"698\" id=\"forminator-field-checkbox-50-12-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-12-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Tratamiento farmacol\u00f3gico de los ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-50-13-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-50-13-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Yo solicito privilegios para la atenci\u00f3n del paciente con diagn\u00f3stico de crisis de ansiedad, depresi\u00f3n sin ideas suicida, adultos mayores con demencia senil, pacientes con delirium, pacientes con histeria, pacientes agudos, solamente el que venga con intento autol\u00edtico que requiera atenci\u00f3n en UCI y los cuidados los brinda la enfermera intensivista, pues lo que busca es salvaguardar la vida del paciente&#039;\"><input type=\"checkbox\" name=\"checkbox-50[]\" value=\"699\" id=\"forminator-field-checkbox-50-13-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-50-13-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Yo solicito privilegios para la atenci\u00f3n del paciente con diagn\u00f3stico de crisis de ansiedad, depresi\u00f3n sin ideas suicida, adultos mayores con demencia senil, pacientes con delirium, pacientes con histeria, pacientes agudos, solamente el que venga con intento autol\u00edtico que requiera atenci\u00f3n en UCI y los cuidados los brinda la enfermera intensivista, pues lo que busca es salvaguardar la vida del paciente'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-51\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-51-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-51-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Psiquiatr\u00eda).*<\/span><label id=\"forminator-field-checkbox-51-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-51-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Consulta a otro ni\u00f1o y psiquiatras de los adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-51[]\" value=\"700\" id=\"forminator-field-checkbox-51-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-51-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Consulta a otro ni\u00f1o y psiquiatras de los adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-51-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-51-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;El abuso de sustancias, desintoxicaci\u00f3n y tratamiento de ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-51[]\" value=\"701\" id=\"forminator-field-checkbox-51-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-51-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'El abuso de sustancias, desintoxicaci\u00f3n y tratamiento de ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-51-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-51-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n Forense y el tratamiento de ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-51[]\" value=\"702\" id=\"forminator-field-checkbox-51-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-51-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n Forense y el tratamiento de ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-51-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-51-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La admisi\u00f3n y el tratamiento de los ni\u00f1os&#039;\"><input type=\"checkbox\" name=\"checkbox-51[]\" value=\"703\" id=\"forminator-field-checkbox-51-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-51-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La admisi\u00f3n y el tratamiento de los ni\u00f1os'<\/span><\/label><label id=\"forminator-field-checkbox-51-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-51-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;La terapia de Biofeedback de los ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-51[]\" value=\"704\" id=\"forminator-field-checkbox-51-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-51-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'La terapia de Biofeedback de los ni\u00f1os y adolescentes'<\/span><\/label><label id=\"forminator-field-checkbox-51-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-51-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Nutrici\u00f3n y dietas de los ni\u00f1os y adolescentes&#039;\"><input type=\"checkbox\" name=\"checkbox-51[]\" value=\"705\" id=\"forminator-field-checkbox-51-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-51-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Nutrici\u00f3n y dietas de los ni\u00f1os y adolescentes'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-52\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-52-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-52-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Radiolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-52-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Estudios radiol\u00f3gicos simples de rutina&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"706\" id=\"forminator-field-checkbox-52-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Estudios radiol\u00f3gicos simples de rutina'<\/span><\/label><label id=\"forminator-field-checkbox-52-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Mamograf\u00eda&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"707\" id=\"forminator-field-checkbox-52-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Mamograf\u00eda'<\/span><\/label><label id=\"forminator-field-checkbox-52-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neuroradiolog\u00eda diagn\u00f3stico&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"708\" id=\"forminator-field-checkbox-52-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neuroradiolog\u00eda diagn\u00f3stico'<\/span><\/label><label id=\"forminator-field-checkbox-52-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para realizar, interpretar, y ser consultado en procesos diagn\u00f3sticos en los cuales     se requieran estudios radiol\u00f3gicos.  Se incluyen los siguientes procedimientos&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"709\" id=\"forminator-field-checkbox-52-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para realizar, interpretar, y ser consultado en procesos diagn\u00f3sticos en los cuales     se requieran estudios radiol\u00f3gicos.  Se incluyen los siguientes procedimientos'<\/span><\/label><label id=\"forminator-field-checkbox-52-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos de ultrasonido&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"710\" id=\"forminator-field-checkbox-52-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos de ultrasonido'<\/span><\/label><label id=\"forminator-field-checkbox-52-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos de ultrasonido avanzados como Doppler&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"711\" id=\"forminator-field-checkbox-52-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos de ultrasonido avanzados como Doppler'<\/span><\/label><label id=\"forminator-field-checkbox-52-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos fluorosc\u00f3picos&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"712\" id=\"forminator-field-checkbox-52-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos fluorosc\u00f3picos'<\/span><\/label><label id=\"forminator-field-checkbox-52-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos radiol\u00f3gicos del sistema genitourinario&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"713\" id=\"forminator-field-checkbox-52-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos radiol\u00f3gicos del sistema genitourinario'<\/span><\/label><label id=\"forminator-field-checkbox-52-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Procedimientos radiol\u00f3gicos del sistema m\u00fasculo-esquel\u00e9tico&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"714\" id=\"forminator-field-checkbox-52-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Procedimientos radiol\u00f3gicos del sistema m\u00fasculo-esquel\u00e9tico'<\/span><\/label><label id=\"forminator-field-checkbox-52-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Resonancia magn\u00e9tica del cerebro, cuello, t\u00f3rax, sistema cardiovascular, abdomen, pelvis y extremidades&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"715\" id=\"forminator-field-checkbox-52-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Resonancia magn\u00e9tica del cerebro, cuello, t\u00f3rax, sistema cardiovascular, abdomen, pelvis y extremidades'<\/span><\/label><label id=\"forminator-field-checkbox-52-11-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-52-11-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Tomograf\u00eda computada del cerebro, cuello, t\u00f3rax, sistema cardiovascular, abdomen, pelvis y extremidades&#039;\"><input type=\"checkbox\" name=\"checkbox-52[]\" value=\"716\" id=\"forminator-field-checkbox-52-11-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-52-11-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Tomograf\u00eda computada del cerebro, cuello, t\u00f3rax, sistema cardiovascular, abdomen, pelvis y extremidades'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-53\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-53-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-53-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Radiolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-53-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-53-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Angiograf\u00eda diagn\u00f3stica e intervencionista&#039;\"><input type=\"checkbox\" name=\"checkbox-53[]\" value=\"717\" id=\"forminator-field-checkbox-53-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-53-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Angiograf\u00eda diagn\u00f3stica e intervencionista'<\/span><\/label><label id=\"forminator-field-checkbox-53-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-53-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Neuroradiolog\u00eda intervencionista&#039;\"><input type=\"checkbox\" name=\"checkbox-53[]\" value=\"718\" id=\"forminator-field-checkbox-53-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-53-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Neuroradiolog\u00eda intervencionista'<\/span><\/label><label id=\"forminator-field-checkbox-53-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-53-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Radiolog\u00eda intervencionista&#039;\"><input type=\"checkbox\" name=\"checkbox-53[]\" value=\"719\" id=\"forminator-field-checkbox-53-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-53-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Radiolog\u00eda intervencionista'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-54\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-54-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-54-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Radioterapia y Oncolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-54-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n de Im\u00e1genes para la Planeaci\u00f3n en el Sistema Computarizado de Im\u00e1genes: Rayos X Convencionales&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"720\" id=\"forminator-field-checkbox-54-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n de Im\u00e1genes para la Planeaci\u00f3n en el Sistema Computarizado de Im\u00e1genes: Rayos X Convencionales'<\/span><\/label><label id=\"forminator-field-checkbox-54-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n de Im\u00e1genes para la Planeaci\u00f3n en el Sistema Computarizado de Im\u00e1genes: Resonancia Magn\u00e9tica (MRI)&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"721\" id=\"forminator-field-checkbox-54-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n de Im\u00e1genes para la Planeaci\u00f3n en el Sistema Computarizado de Im\u00e1genes: Resonancia Magn\u00e9tica (MRI)'<\/span><\/label><label id=\"forminator-field-checkbox-54-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n de Im\u00e1genes para la Planeaci\u00f3n en el Sistema Computarizado de Im\u00e1genes: Tomograf\u00eda Axial Computarizada (CT)&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"722\" id=\"forminator-field-checkbox-54-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n de Im\u00e1genes para la Planeaci\u00f3n en el Sistema Computarizado de Im\u00e1genes: Tomograf\u00eda Axial Computarizada (CT)'<\/span><\/label><label id=\"forminator-field-checkbox-54-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Evaluaci\u00f3n de Im\u00e1genes para la Planeaci\u00f3n en el Sistema Computarizado de Im\u00e1genes: Tomograf\u00eda de Positrones (PET)&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"723\" id=\"forminator-field-checkbox-54-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Evaluaci\u00f3n de Im\u00e1genes para la Planeaci\u00f3n en el Sistema Computarizado de Im\u00e1genes: Tomograf\u00eda de Positrones (PET)'<\/span><\/label><label id=\"forminator-field-checkbox-54-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Planeaci\u00f3n y Simulaci\u00f3n de Pacientes para Radioterapia: Colocaci\u00f3n de Sonda Foley&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"724\" id=\"forminator-field-checkbox-54-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Planeaci\u00f3n y Simulaci\u00f3n de Pacientes para Radioterapia: Colocaci\u00f3n de Sonda Foley'<\/span><\/label><label id=\"forminator-field-checkbox-54-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Planeaci\u00f3n y Simulaci\u00f3n de Pacientes para Radioterapia: Colocaci\u00f3n de Sonda Rectal&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"725\" id=\"forminator-field-checkbox-54-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Planeaci\u00f3n y Simulaci\u00f3n de Pacientes para Radioterapia: Colocaci\u00f3n de Sonda Rectal'<\/span><\/label><label id=\"forminator-field-checkbox-54-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de los Sistemas y Equipos de Im\u00e1genes: CT Scan&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"726\" id=\"forminator-field-checkbox-54-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de los Sistemas y Equipos de Im\u00e1genes: CT Scan'<\/span><\/label><label id=\"forminator-field-checkbox-54-8-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-8-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de los Sistemas y Equipos de Im\u00e1genes: MRI&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"727\" id=\"forminator-field-checkbox-54-8-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-8-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de los Sistemas y Equipos de Im\u00e1genes: MRI'<\/span><\/label><label id=\"forminator-field-checkbox-54-9-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-9-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de los Sistemas y Equipos de Im\u00e1genes: PFT (si hay disponible)&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"728\" id=\"forminator-field-checkbox-54-9-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-9-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de los Sistemas y Equipos de Im\u00e1genes: PFT (si hay disponible)'<\/span><\/label><label id=\"forminator-field-checkbox-54-10-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-54-10-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Uso de los Sistemas y Equipos de Im\u00e1genes: Rayos X&#039;\"><input type=\"checkbox\" name=\"checkbox-54[]\" value=\"729\" id=\"forminator-field-checkbox-54-10-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-54-10-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Uso de los Sistemas y Equipos de Im\u00e1genes: Rayos X'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-67\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-67-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-67-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Radioterapia y Oncolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-67-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-67-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;No aplica&#039;\"><input type=\"checkbox\" name=\"checkbox-67[]\" value=\"-1\" id=\"forminator-field-checkbox-67-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-67-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'No aplica'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-55\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-55-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-55-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Reumatolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-55-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-55-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Aspiraci\u00f3n diagn\u00f3stica del l\u00edquido sinovial de las articulaciones diartrodiales, bursas y estructuras tenosinoviales&#039;\"><input type=\"checkbox\" name=\"checkbox-55[]\" value=\"730\" id=\"forminator-field-checkbox-55-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-55-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Aspiraci\u00f3n diagn\u00f3stica del l\u00edquido sinovial de las articulaciones diartrodiales, bursas y estructuras tenosinoviales'<\/span><\/label><label id=\"forminator-field-checkbox-55-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-55-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Inyecci\u00f3n terap\u00e9utica de articulaciones diartrodiales, bursas y estructuras tenosinoviales, entesis y artrocentesis&#039;\"><input type=\"checkbox\" name=\"checkbox-55[]\" value=\"731\" id=\"forminator-field-checkbox-55-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-55-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Inyecci\u00f3n terap\u00e9utica de articulaciones diartrodiales, bursas y estructuras tenosinoviales, entesis y artrocentesis'<\/span><\/label><label id=\"forminator-field-checkbox-55-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-55-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con enfermedades o des\u00f3rdenes reum\u00e1ticas.  Se incluyen los siguientes procedimientos&#039;\"><input type=\"checkbox\" name=\"checkbox-55[]\" value=\"732\" id=\"forminator-field-checkbox-55-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-55-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios para admitir, evaluar, diagnosticar, ser consultado, y proveer de tratamiento no quir\u00fargico en pacientes que se presenten con enfermedades o des\u00f3rdenes reum\u00e1ticas.  Se incluyen los siguientes procedimientos'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-56\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-56-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-56-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Reumatolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-56-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-56-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Administraci\u00f3n de quimioterapia para enfermedades reumatol\u00f3gicas&#039;\"><input type=\"checkbox\" name=\"checkbox-56[]\" value=\"733\" id=\"forminator-field-checkbox-56-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-56-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Administraci\u00f3n de quimioterapia para enfermedades reumatol\u00f3gicas'<\/span><\/label><label id=\"forminator-field-checkbox-56-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-56-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os&#039;\"><input type=\"checkbox\" name=\"checkbox-56[]\" value=\"734\" id=\"forminator-field-checkbox-56-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-56-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Admisi\u00f3n y tratamiento de pacientes menores de 15 a\u00f1os'<\/span><\/label><label id=\"forminator-field-checkbox-56-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-56-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Artroscopia&#039;\"><input type=\"checkbox\" name=\"checkbox-56[]\" value=\"735\" id=\"forminator-field-checkbox-56-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-56-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Artroscopia'<\/span><\/label><label id=\"forminator-field-checkbox-56-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-56-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Lavado articular&#039;\"><input type=\"checkbox\" name=\"checkbox-56[]\" value=\"736\" id=\"forminator-field-checkbox-56-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-56-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Lavado articular'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-57\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-57-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-57-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Principales(Urolog\u00eda)* <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-57-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-57-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda oncol\u00f3gica incluyendo la coordinaci\u00f3n con el manejo multidisciplinario del paciente con c\u00e1ncer en diagn\u00f3stico, seguimiento, terapia adyuvante y rehabilitaci\u00f3n en los tumores urol\u00f3gico&#039;\"><input type=\"checkbox\" name=\"checkbox-57[]\" value=\"737\" id=\"forminator-field-checkbox-57-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-57-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda oncol\u00f3gica incluyendo la coordinaci\u00f3n con el manejo multidisciplinario del paciente con c\u00e1ncer en diagn\u00f3stico, seguimiento, terapia adyuvante y rehabilitaci\u00f3n en los tumores urol\u00f3gico'<\/span><\/label><label id=\"forminator-field-checkbox-57-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-57-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Completo cuidado de pacientes cr\u00edticamente enfermos con condiciones urol\u00f3gicas en el cuarto de urgencia o en la unidad de trauma&#039;\"><input type=\"checkbox\" name=\"checkbox-57[]\" value=\"738\" id=\"forminator-field-checkbox-57-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-57-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Completo cuidado de pacientes cr\u00edticamente enfermos con condiciones urol\u00f3gicas en el cuarto de urgencia o en la unidad de trauma'<\/span><\/label><label id=\"forminator-field-checkbox-57-3-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-57-3-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Condiciones, enfermedades y traumas del tracto urinario (excepto los que sean especificados como privilegios adicionales)&#039;\"><input type=\"checkbox\" name=\"checkbox-57[]\" value=\"739\" id=\"forminator-field-checkbox-57-3-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-57-3-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Condiciones, enfermedades y traumas del tracto urinario (excepto los que sean especificados como privilegios adicionales)'<\/span><\/label><label id=\"forminator-field-checkbox-57-4-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-57-4-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Manejo del trauma incluyendo aparato urinario y genital&#039;\"><input type=\"checkbox\" name=\"checkbox-57[]\" value=\"740\" id=\"forminator-field-checkbox-57-4-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-57-4-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Manejo del trauma incluyendo aparato urinario y genital'<\/span><\/label><label id=\"forminator-field-checkbox-57-5-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-57-5-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta, cuidados preoperatorios- intra y post operatorios y adem\u00e1s realizar los siguientes procedimientos quir\u00fargicos:&#039;\"><input type=\"checkbox\" name=\"checkbox-57[]\" value=\"741\" id=\"forminator-field-checkbox-57-5-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-57-5-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Privilegios de admisi\u00f3n, evaluaci\u00f3n, diagn\u00f3stico, consulta, cuidados preoperatorios- intra y post operatorios y adem\u00e1s realizar los siguientes procedimientos quir\u00fargicos:'<\/span><\/label><label id=\"forminator-field-checkbox-57-6-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-57-6-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Quir\u00fargicas de ri\u00f1\u00f3n y v\u00edas urinarias altas Aparato genital masculino&#039;\"><input type=\"checkbox\" name=\"checkbox-57[]\" value=\"742\" id=\"forminator-field-checkbox-57-6-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-57-6-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Quir\u00fargicas de ri\u00f1\u00f3n y v\u00edas urinarias altas Aparato genital masculino'<\/span><\/label><label id=\"forminator-field-checkbox-57-7-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-57-7-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Quir\u00fargicos y endosc\u00f3picas de las v\u00edas urinarias&#039;\"><input type=\"checkbox\" name=\"checkbox-57[]\" value=\"743\" id=\"forminator-field-checkbox-57-7-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-57-7-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Quir\u00fargicos y endosc\u00f3picas de las v\u00edas urinarias'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-58\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-58-6a8d1f733f3fb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-58-6a8d1f733f3fb-label\" class=\"forminator-label\">Privilegios Adicionales(Urolog\u00eda).*<\/span><label id=\"forminator-field-checkbox-58-1-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-58-1-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda Rob\u00f3tica&#039;\"><input type=\"checkbox\" name=\"checkbox-58[]\" value=\"744\" id=\"forminator-field-checkbox-58-1-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-58-1-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda Rob\u00f3tica'<\/span><\/label><label id=\"forminator-field-checkbox-58-2-6a8d1f733f3fb-label\" for=\"forminator-field-checkbox-58-2-6a8d1f733f3fb\" class=\"forminator-checkbox\" title=\"&#039;Cirug\u00eda de Trasplante Renal&#039;\"><input type=\"checkbox\" name=\"checkbox-58[]\" value=\"745\" id=\"forminator-field-checkbox-58-2-6a8d1f733f3fb\" aria-labelledby=\"forminator-field-checkbox-58-2-6a8d1f733f3fb-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">'Cirug\u00eda de Trasplante Renal'<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-8\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-8_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-8_6a8d1f733f3fb-label\" class=\"forminator-label\">Comprendo que, con los privilegios otorgados, me comprometo a seguir con las pol\u00edticas del hospital, protocolos y procesos establecidos en esta organizaci\u00f3n. <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-8_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-8\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccione\" data-search=\"false\" data-search-placeholder=\"Seleccione\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-8_6a8d1f733f3fb-label\"><option value=\"\"  >Seleccione<\/option><option value=\"Acepto\"  data-calculation=\"0\">Acepto<\/option><option value=\"No Acepto\"  data-calculation=\"0\">No Acepto<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-7\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-7-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"7\"\n\t\t\t\tdata-label=\"Especialidad\"\n\t\t\t\tdata-actual-label=\"Consentimiento\"\n\t\t\t\tdata-name=\"page-break-7\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"select-17\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-17_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-17_6a8d1f733f3fb-label\" class=\"forminator-label\">Pac\u00edfica Salud en cumplimiento con los est\u00e1ndares internacionales en materia de acreditaci\u00f3n, le solicita que otorgue el consentimiento para que el departamento de acreditaci\u00f3n verifique con la fuente original los documentos suministrados. <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-17_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-17\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccione\" data-search=\"false\" data-search-placeholder=\"Seleccione\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-17_6a8d1f733f3fb-label\"><option value=\"\"  >Seleccione<\/option><option value=\"Acepto\"  data-calculation=\"0\">Acepto<\/option><option value=\"No Acepto\"  data-calculation=\"0\">No Acepto<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-11\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-11_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-11_6a8d1f733f3fb-label\" class=\"forminator-label\">Una vez este acreditado como cuerpo m\u00e9dico del hospital, recibir\u00e9 el Reglamento M\u00e9dico (By-Laws) y el c\u00f3digo de \u00e9tica. <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-11_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-11\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccione\" data-search=\"false\" data-search-placeholder=\"Seleccione\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-11_6a8d1f733f3fb-label\"><option value=\"\"  >Seleccione<\/option><option value=\"Si\"  data-calculation=\"0\">Si<\/option><option value=\"No\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-12\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7581__field--select-12_6a8d1f733f3fb\" id=\"forminator-form-7581__field--select-12_6a8d1f733f3fb-label\" class=\"forminator-label\">Entiendo que existe un proceso anual de evaluaci\u00f3n de desempe\u00f1o como m\u00e9dico. El Director M\u00e9dico del hospital designara al Jefe del Departamento correspondiente para llevar a cabo este proceso. <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7581__field--select-12_6a8d1f733f3fb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-12\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccione\" data-search=\"false\" data-search-placeholder=\"Seleccione\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7581__field--select-12_6a8d1f733f3fb-label\" aria-describedby=\"forminator-form-7581__field--select-12_6a8d1f733f3fb-description\"><option value=\"\"  >Seleccione<\/option><option value=\"Si\"  data-calculation=\"0\">Si<\/option><option value=\"No\"  data-calculation=\"0\">No<\/option><\/select><span id=\"forminator-form-7581__field--select-12_6a8d1f733f3fb-description\" class=\"forminator-description\">Entiendo que el cumplir con este requisito condicionara mi reacreditaci\u00f3n en este hospital cada 3 a\u00f1os.<\/span><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-8\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-8-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"8\"\n\t\t\t\tdata-label=\"Consentimiento\"\n\t\t\t\tdata-actual-label=\"Credenciales\"\n\t\t\t\tdata-name=\"page-break-8\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\">Credenciales<\/div>\n<div style=\"color: #014446;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem;line-height: 1.6\">\n<p>En esta secci\u00f3n se le solicitara adjuntar las credenciales, se recomienda que sean en formato PDF.<\/p>\n<p>Aseg\u00farese de adjuntar los documentos requeridos y cualquier otro documento que respalda la solicitud de privilegios que marco en la secci\u00f3n anterior.<\/p>\n<p><strong>Le pedimos que verifique que los documentos sean de buena calidad, aseg\u00farese de que no se encuentre borroso o recortado el documento.<\/strong><\/p>\n<p><em>Para los efectos de documentos emitidos en el extranjero deben estar debidamente apostillados.<\/em><\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-2\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-2_6a8d1f733f3fb\" id=\"forminator-field-upload-2_6a8d1f733f3fb-label\" class=\"forminator-label\">Hoja de Vida Actualizada <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-multi-upload\" data-element=\"upload-2_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-2_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-2[]\" id=\"forminator-field-upload-2_6a8d1f733f3fb\" class=\"forminator-input-file-required do-validate forminator-field-upload-2_6a8d1f733f3fb-7581\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"2\" data-limit-message=\"You can upload a maximum of 2 files.\" data-size=\"10485760\" data-size-message=\"Maximum file size allowed is 10 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-2_6a8d1f733f3fb\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-2_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (2); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><ul class=\"forminator-uploaded-files upload-container-upload-2_6a8d1f733f3fb\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-3\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-3_6a8d1f733f3fb\" id=\"forminator-field-upload-3_6a8d1f733f3fb-label\" class=\"forminator-label\">Diploma M\u00e9dico General <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-multi-upload\" data-element=\"upload-3_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-3_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-3[]\" id=\"forminator-field-upload-3_6a8d1f733f3fb\" class=\"forminator-input-file-required do-validate forminator-field-upload-3_6a8d1f733f3fb-7581\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"2\" data-limit-message=\"You can upload a maximum of 2 files.\" data-size=\"10485760\" data-size-message=\"Maximum file size allowed is 10 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-3_6a8d1f733f3fb\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-3_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (2); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><ul class=\"forminator-uploaded-files upload-container-upload-3_6a8d1f733f3fb\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-4\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-4_6a8d1f733f3fb\" id=\"forminator-field-upload-4_6a8d1f733f3fb-label\" class=\"forminator-label\">Idoneidad de M\u00e9dico General<\/label><div class=\"forminator-file-upload\" data-element=\"upload-4_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-4_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-4\" id=\"forminator-field-upload-4_6a8d1f733f3fb\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,image\/jpeg,image\/gif,image\/png,image\/bmp,image\/tiff,image\/webp,image\/x-icon,image\/heic,video\/x-ms-asf,video\/x-ms-wmv,video\/x-ms-wmx,video\/x-ms-wm,video\/avi,video\/divx,video\/x-flv,video\/quicktime,video\/mpeg,video\/mp4,video\/ogg,video\/webm,video\/x-matroska,video\/3gpp,video\/3gpp2,text\/plain,text\/csv,text\/tab-separated-values,text\/calendar,text\/richtext,text\/vtt,audio\/mpeg,audio\/aac,audio\/x-realaudio,audio\/wav,audio\/ogg,audio\/flac,audio\/midi,audio\/x-ms-wma,audio\/x-ms-wax,audio\/x-matroska,application\/rtf,application\/pdf,application\/java,application\/x-tar,application\/zip,application\/x-gzip,application\/x-7z-compressed,application\/octet-stream,application\/msword,application\/vnd.ms-powerpoint,application\/vnd.ms-write,application\/vnd.ms-excel,application\/vnd.ms-access,application\/vnd.ms-project,application\/vnd.openxmlformats-officedocument.wordprocessingml.document,application\/vnd.ms-word.document.macroEnabled.12,application\/vnd.openxmlformats-officedocument.wordprocessingml.template,application\/vnd.ms-word.template.macroEnabled.12,application\/vnd.openxmlformats-officedocument.spreadsheetml.sheet,application\/vnd.ms-excel.sheet.macroEnabled.12,application\/vnd.ms-excel.sheet.binary.macroEnabled.12,application\/vnd.openxmlformats-officedocument.spreadsheetml.template,application\/vnd.ms-excel.template.macroEnabled.12,application\/vnd.ms-excel.addin.macroEnabled.12,application\/vnd.openxmlformats-officedocument.presentationml.presentation,application\/vnd.ms-powerpoint.presentation.macroEnabled.12,application\/vnd.openxmlformats-officedocument.presentationml.slideshow,application\/vnd.ms-powerpoint.slideshow.macroEnabled.12,application\/vnd.openxmlformats-officedocument.presentationml.template,application\/vnd.ms-powerpoint.template.macroEnabled.12,application\/vnd.ms-powerpoint.addin.macroEnabled.12,application\/vnd.openxmlformats-officedocument.presentationml.slide,application\/vnd.ms-powerpoint.slide.macroEnabled.12,application\/onenote,application\/oxps,application\/vnd.ms-xpsdocument,application\/vnd.oasis.opendocument.text,application\/vnd.oasis.opendocument.presentation,application\/vnd.oasis.opendocument.spreadsheet,application\/vnd.oasis.opendocument.graphics,application\/vnd.oasis.opendocument.chart,application\/vnd.oasis.opendocument.database,application\/vnd.oasis.opendocument.formula,application\/wordperfect,application\/vnd.apple.keynote,application\/vnd.apple.numbers,application\/vnd.apple.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-4_6a8d1f733f3fb_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-4_6a8d1f733f3fb\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><span id=\"forminator-field-upload-4_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (1); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-5\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-5_6a8d1f733f3fb\" id=\"forminator-field-upload-5_6a8d1f733f3fb-label\" class=\"forminator-label\">Diploma de especialidad y\/o subespecialidad <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-multi-upload\" data-element=\"upload-5_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-5_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-5[]\" id=\"forminator-field-upload-5_6a8d1f733f3fb\" class=\"forminator-input-file-required do-validate forminator-field-upload-5_6a8d1f733f3fb-7581\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"5\" data-limit-message=\"You can upload a maximum of 5 files.\" data-size=\"10485760\" data-size-message=\"Maximum file size allowed is 10 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-5_6a8d1f733f3fb\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-5_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (5); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><ul class=\"forminator-uploaded-files upload-container-upload-5_6a8d1f733f3fb\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-6\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-6_6a8d1f733f3fb\" id=\"forminator-field-upload-6_6a8d1f733f3fb-label\" class=\"forminator-label\">Idoneidad de especialidad y\/o subespecialidad <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-multi-upload\" data-element=\"upload-6_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-6_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-6[]\" id=\"forminator-field-upload-6_6a8d1f733f3fb\" class=\"forminator-input-file-required do-validate forminator-field-upload-6_6a8d1f733f3fb-7581\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"2\" data-limit-message=\"You can upload a maximum of 2 files.\" data-size=\"10485760\" data-size-message=\"Maximum file size allowed is 10 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-6_6a8d1f733f3fb\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-6_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (2); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><ul class=\"forminator-uploaded-files upload-container-upload-6_6a8d1f733f3fb\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-7\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-7_6a8d1f733f3fb\" id=\"forminator-field-upload-7_6a8d1f733f3fb-label\" class=\"forminator-label\">Educaci\u00f3n continua, otras credenciales, entrenamientos, otros<\/label><div class=\"forminator-multi-upload\" data-element=\"upload-7_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-7_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-7[]\" id=\"forminator-field-upload-7_6a8d1f733f3fb\" class=\"forminator-input-file forminator-field-upload-7_6a8d1f733f3fb-7581\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"5\" data-limit-message=\"You can upload a maximum of 5 files.\" data-size=\"10485760\" data-size-message=\"Maximum file size allowed is 10 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-7_6a8d1f733f3fb\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-7_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (5); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><ul class=\"forminator-uploaded-files upload-container-upload-7_6a8d1f733f3fb\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-8\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-8_6a8d1f733f3fb\" id=\"forminator-field-upload-8_6a8d1f733f3fb-label\" class=\"forminator-label\">Copia de c\u00e9dula<\/label><div class=\"forminator-file-upload\" data-element=\"upload-8_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-8_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-8\" id=\"forminator-field-upload-8_6a8d1f733f3fb\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,image\/jpeg,image\/gif,image\/png,image\/bmp,image\/tiff,image\/webp,image\/x-icon,image\/heic,video\/x-ms-asf,video\/x-ms-wmv,video\/x-ms-wmx,video\/x-ms-wm,video\/avi,video\/divx,video\/x-flv,video\/quicktime,video\/mpeg,video\/mp4,video\/ogg,video\/webm,video\/x-matroska,video\/3gpp,video\/3gpp2,text\/plain,text\/csv,text\/tab-separated-values,text\/calendar,text\/richtext,text\/vtt,audio\/mpeg,audio\/aac,audio\/x-realaudio,audio\/wav,audio\/ogg,audio\/flac,audio\/midi,audio\/x-ms-wma,audio\/x-ms-wax,audio\/x-matroska,application\/rtf,application\/pdf,application\/java,application\/x-tar,application\/zip,application\/x-gzip,application\/x-7z-compressed,application\/octet-stream,application\/msword,application\/vnd.ms-powerpoint,application\/vnd.ms-write,application\/vnd.ms-excel,application\/vnd.ms-access,application\/vnd.ms-project,application\/vnd.openxmlformats-officedocument.wordprocessingml.document,application\/vnd.ms-word.document.macroEnabled.12,application\/vnd.openxmlformats-officedocument.wordprocessingml.template,application\/vnd.ms-word.template.macroEnabled.12,application\/vnd.openxmlformats-officedocument.spreadsheetml.sheet,application\/vnd.ms-excel.sheet.macroEnabled.12,application\/vnd.ms-excel.sheet.binary.macroEnabled.12,application\/vnd.openxmlformats-officedocument.spreadsheetml.template,application\/vnd.ms-excel.template.macroEnabled.12,application\/vnd.ms-excel.addin.macroEnabled.12,application\/vnd.openxmlformats-officedocument.presentationml.presentation,application\/vnd.ms-powerpoint.presentation.macroEnabled.12,application\/vnd.openxmlformats-officedocument.presentationml.slideshow,application\/vnd.ms-powerpoint.slideshow.macroEnabled.12,application\/vnd.openxmlformats-officedocument.presentationml.template,application\/vnd.ms-powerpoint.template.macroEnabled.12,application\/vnd.ms-powerpoint.addin.macroEnabled.12,application\/vnd.openxmlformats-officedocument.presentationml.slide,application\/vnd.ms-powerpoint.slide.macroEnabled.12,application\/onenote,application\/oxps,application\/vnd.ms-xpsdocument,application\/vnd.oasis.opendocument.text,application\/vnd.oasis.opendocument.presentation,application\/vnd.oasis.opendocument.spreadsheet,application\/vnd.oasis.opendocument.graphics,application\/vnd.oasis.opendocument.chart,application\/vnd.oasis.opendocument.database,application\/vnd.oasis.opendocument.formula,application\/wordperfect,application\/vnd.apple.keynote,application\/vnd.apple.numbers,application\/vnd.apple.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-8_6a8d1f733f3fb_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-8_6a8d1f733f3fb\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><span id=\"forminator-field-upload-8_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (1); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div style=\"color: #014446;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;line-height: normal\">\n<p><strong>Le pedimos que adjunte el curso de soporte vital b\u00e1sico vigente (BLS). (m\u00e1ximo 2 archivos)<\/strong><\/p>\n<p>Si usted es anestesi\u00f3logo o intensivista adjunte ACLS vigente<\/p>\n<p>Si usted es pediatra adjunte PALS vigente<\/p>\n<p>Si usted es neonat\u00f3logo adjunte NALS vigente<\/p>\n<p>*BLS: Soporte vital b\u00e1sico<\/p>\n<p>*ACLS: Soporte vital avanzado<\/p>\n<p>*PALS: Soporte Vital Pedi\u00e1trico<\/p>\n<p>*NALS: Soporte Vital Neonatal<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-10\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-10_6a8d1f733f3fb\" id=\"forminator-field-upload-10_6a8d1f733f3fb-label\" class=\"forminator-label\">Curso vital vigente<\/label><div class=\"forminator-multi-upload\" data-element=\"upload-10_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-10_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-10[]\" id=\"forminator-field-upload-10_6a8d1f733f3fb\" class=\"forminator-input-file forminator-field-upload-10_6a8d1f733f3fb-7581\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"2\" data-limit-message=\"You can upload a maximum of 2 files.\" data-size=\"10485760\" data-size-message=\"Maximum file size allowed is 10 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-10_6a8d1f733f3fb\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-10_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (2); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><ul class=\"forminator-uploaded-files upload-container-upload-10_6a8d1f733f3fb\"><\/ul><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7581--page-9\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7581--page-9-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"9\"\n\t\t\t\tdata-label=\"Credenciales\"\n\t\t\t\tdata-actual-label=\"Fin\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><div style=\"background: #03787c;color: white;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\"><strong>Formularios del Hospital.<\/strong><\/div>\n<div style=\"color: #014446;border-top-left-radius: 0.25rem;border-top-right-radius: 0.25rem;padding: 1rem 0.75rem 1rem 1rem\">\n<p>Para su facilidad el hospital le comparte el formulario de recomendaci\u00f3n para que pueda descargarlo y completarlo <a target=\"_blank\" href=\"https:\/\/apps.pacificasalud.com\/pdf\/recomendacion.pdf\">(Descargue aqu\u00ed)<\/a>.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-11\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-11_6a8d1f733f3fb\" id=\"forminator-field-upload-11_6a8d1f733f3fb-label\" class=\"forminator-label\">Recomendaci\u00f3n 1 <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-multi-upload\" data-element=\"upload-11_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-11_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-11[]\" id=\"forminator-field-upload-11_6a8d1f733f3fb\" class=\"forminator-input-file-required do-validate forminator-field-upload-11_6a8d1f733f3fb-7581\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"2\" data-limit-message=\"You can upload a maximum of 2 files.\" data-size=\"10485760\" data-size-message=\"Maximum file size allowed is 10 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-11_6a8d1f733f3fb\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-11_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (2); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><ul class=\"forminator-uploaded-files upload-container-upload-11_6a8d1f733f3fb\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-12\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-12_6a8d1f733f3fb\" id=\"forminator-field-upload-12_6a8d1f733f3fb-label\" class=\"forminator-label\">Recomendaci\u00f3n 2 <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-multi-upload\" data-element=\"upload-12_6a8d1f733f3fb\" aria-describedby=\"forminator-field-upload-12_6a8d1f733f3fb-description\"><input type=\"file\" name=\"upload-12[]\" id=\"forminator-field-upload-12_6a8d1f733f3fb\" class=\"forminator-input-file-required do-validate forminator-field-upload-12_6a8d1f733f3fb-7581\" multiple=\"multiple\" data-method=\"ajax\" data-limit=\"2\" data-limit-message=\"You can upload a maximum of 2 files.\" data-size=\"10485760\" data-size-message=\"Maximum file size allowed is 10 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-12_6a8d1f733f3fb\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-12_6a8d1f733f3fb-description\" class=\"forminator-description\">L\u00edmite de n\u00famero de archivos (2); L\u00edmite del tama\u00f1o de archivo individual: 10 MB;  Tipo de archivos permitidos: Word, PDF, Excel, PPT, Imagen,Video,Audio.<\/span><ul class=\"forminator-uploaded-files upload-container-upload-12_6a8d1f733f3fb\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\" style=\"margin: 0;\"><div id=\"captcha-1\" class=\"forminator-field-captcha  forminator-col-12\"><div class=\"forminator-captcha-left forminator-g-recaptcha recaptcha-invisible\" data-theme=\"light\" data-badge=\"bottomright\" data-sitekey=\"6LfakPomAAAAAIQr-K0VphbqkxZ0NBhXBpghtIqL\" data-size=\"invisible\"><\/div> <\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Enviar solicitud<\/button><a href=\"#\" class=\"forminator-save-draft-link disabled\" title=\"Fill in form fields before saving it as a draft\" formnovalidate>Grabar como borrador<\/a><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"baf508dd9e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/6826\" \/><input type=\"hidden\" name=\"form_id\" value=\"7581\"><input type=\"hidden\" name=\"page_id\" value=\"6826\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.pacificasalud.com\/en\/acreditaciones-medicas\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"forminator-multifile-hidden\" class=\"forminator-multifile-hidden\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"save_draft\" value=\"false\"><label for=\"input_204\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_204\" type=\"text\" name=\"input_204\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"content-type":"","rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","inline_featured_image":false,"footnotes":""},"class_list":["post-6826","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Acreditaciones Medicas - Pac\u00edfica Salud<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pacificasalud.com\/en\/acreditaciones-medicas\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Acreditaciones Medicas - Pac\u00edfica Salud\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.pacificasalud.com\/en\/acreditaciones-medicas\/\" \/>\n<meta property=\"og:site_name\" content=\"Pac\u00edfica Salud\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-18T16:52:13+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"37 minutes\" \/>\n<script type=\"application\/ld+json\" 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