{"id":181,"date":"2022-04-07T01:56:12","date_gmt":"2022-04-07T04:56:12","guid":{"rendered":"https:\/\/seniorlifehome.com.br\/?page_id=181"},"modified":"2022-04-07T02:30:40","modified_gmt":"2022-04-07T05:30:40","slug":"anamnese-on-line-paciente","status":"publish","type":"page","link":"https:\/\/seniorlifehome.com.br\/seniorlife\/anamnese-on-line-paciente\/","title":{"rendered":"ANAMNESE ON-LINE PACIENTE"},"content":{"rendered":"\t<section class=\"section\" id=\"section_724265225\">\n\t\t<div class=\"bg section-bg fill bg-fill bg-loaded bg-loaded\" >\n\n\t\t\t\n\t\t\t<button class=\"scroll-for-more z-5 icon absolute bottom h-center\" aria-label=\"Scroll for more\"><i class=\"icon-angle-down\" style=\"font-size:42px;\" ><\/i><\/button>\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row align-center\"  id=\"row-1014715204\">\n\n\t<div id=\"col-239383184\" class=\"col medium-8 small-10 large-7\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\n<h6 class=\"uppercase\">Preencha o formul\u00e1rio on-line<\/h6>\n<h2 style=\"font-size: 250%;\">ANAMNESE ON-LINE PACIENTE<\/h2>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-239383184 > .col-inner {\n  padding: 40px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_724265225 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n#section_724265225 .ux-shape-divider--top svg {\n  height: 150px;\n  --divider-top-width: 100%;\n}\n#section_724265225 .ux-shape-divider--bottom svg {\n  height: 150px;\n  --divider-width: 100%;\n}\n<\/style>\n\t<\/section>\n\t\n\t<section class=\"section\" id=\"section_650096273\">\n\t\t<div class=\"bg section-bg fill bg-fill bg-loaded bg-loaded\" >\n\n\t\t\t\n\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row align-center\"  id=\"row-1594368684\">\n\n\t<div id=\"col-822385291\" class=\"col medium-10 small-12 large-10\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f183-o1\" lang=\"pt-BR\" dir=\"ltr\" data-wpcf7-id=\"183\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/seniorlife\/wp-json\/wp\/v2\/pages\/181#wpcf7-f183-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formul\u00e1rios de contato\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"183\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pt_BR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f183-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"form-flat\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nome:*\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Data de Nascimento:*\" value=\"\" type=\"text\" name=\"your-date\" \/><\/span><br \/>\n<label>G\u00eanero<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Servio\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Servio\"><option value=\"Masculino\">Masculino<\/option><option value=\"Feminino\">Feminino<\/option><option value=\"Outros\">Outros<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-nature\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Naturalidade:*\" value=\"\" type=\"text\" name=\"your-nature\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cidade\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Cidade:*\" value=\"\" type=\"text\" name=\"cidade\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bairro\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Bairro:*\" value=\"\" type=\"text\" name=\"bairro\" \/><\/span><br \/>\n<label>Estado C\u00edvil<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Servio\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Servio\"><option value=\"Solteiro\">Solteiro<\/option><option value=\"Casado\">Casado<\/option><option value=\"Divorciado\">Divorciado<\/option><option value=\"Viuvo\">Viuvo<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-cpf\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"CPF:*\" value=\"\" type=\"text\" name=\"your-cpf\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-peso\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Peso:*\" value=\"\" type=\"text\" name=\"your-peso\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-altura\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Altura:*\" value=\"\" type=\"text\" name=\"your-altura\" \/><\/span><br \/>\n<Label>Faz uso de medica\u00e7\u00f5es?:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nececidade\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"Sim\" \/><span class=\"wpcf7-list-item-label\">Sim<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"N\u00e3o\" \/><span class=\"wpcf7-list-item-label\">N\u00e3o<\/span><\/label><\/span><\/span><\/span><br \/>\n<Label>Alimenta-se:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nececidade\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"Via Oral\" \/><span class=\"wpcf7-list-item-label\">Via Oral<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"Via Gastrotomia\" \/><span class=\"wpcf7-list-item-label\">Via Gastrotomia<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"DEAMBULA:\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"RESTRITO ACAMADO:\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<Label>Dieta:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nececidade\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"Pastosa\" \/><span class=\"wpcf7-list-item-label\">Pastosa<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"S\u00f3lida\" \/><span class=\"wpcf7-list-item-label\">S\u00f3lida<\/span><\/label><\/span><\/span><\/span><br \/>\n<Label>Banho:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nececidade\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"No Leito\" \/><span class=\"wpcf7-list-item-label\">No Leito<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"Aspers\u00e3o\" \/><span class=\"wpcf7-list-item-label\">Aspers\u00e3o<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Historico atual da doen\u00e7a:\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Hist\u00f3rico da doen\u00e7a pregressa:\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Hist\u00f3rico familiar:*\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Hist\u00f3rico social:\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<Label>Les\u00f5es na pele?:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nececidade\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"Sim\" \/><span class=\"wpcf7-list-item-label\">Sim<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"N\u00e3o\" \/><span class=\"wpcf7-list-item-label\">N\u00e3o<\/span><\/label><\/span><\/span><\/span><br \/>\n<Label>Interage ao ambiente?:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nececidade\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"Sim\" \/><span class=\"wpcf7-list-item-label\">Sim<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"N\u00e3o\" \/><span class=\"wpcf7-list-item-label\">N\u00e3o<\/span><\/label><\/span><\/span><\/span><br \/>\n<Label>L\u00facido orientado?:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nececidade\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"Sim\" \/><span class=\"wpcf7-list-item-label\">Sim<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Nececidade\" value=\"N\u00e3o\" \/><span class=\"wpcf7-list-item-label\">N\u00e3o<\/span><\/label><\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Enviar\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_650096273 {\n  padding-top: 60px;\n  padding-bottom: 60px;\n}\n#section_650096273 .ux-shape-divider--top svg {\n  height: 150px;\n  --divider-top-width: 100%;\n}\n#section_650096273 .ux-shape-divider--bottom svg {\n  height: 150px;\n  --divider-width: 100%;\n}\n<\/style>\n\t<\/section>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-181","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/seniorlifehome.com.br\/seniorlife\/wp-json\/wp\/v2\/pages\/181","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/seniorlifehome.com.br\/seniorlife\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/seniorlifehome.com.br\/seniorlife\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/seniorlifehome.com.br\/seniorlife\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/seniorlifehome.com.br\/seniorlife\/wp-json\/wp\/v2\/comments?post=181"}],"version-history":[{"count":2,"href":"https:\/\/seniorlifehome.com.br\/seniorlife\/wp-json\/wp\/v2\/pages\/181\/revisions"}],"predecessor-version":[{"id":184,"href":"https:\/\/seniorlifehome.com.br\/seniorlife\/wp-json\/wp\/v2\/pages\/181\/revisions\/184"}],"wp:attachment":[{"href":"https:\/\/seniorlifehome.com.br\/seniorlife\/wp-json\/wp\/v2\/media?parent=181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}