{"id":2723,"date":"2021-02-19T12:30:19","date_gmt":"2021-02-19T15:30:19","guid":{"rendered":"https:\/\/www.newstar.com.br\/?page_id=2723"},"modified":"2021-02-19T15:17:59","modified_gmt":"2021-02-19T18:17:59","slug":"formulario-anamnese-massoterapia","status":"publish","type":"page","link":"https:\/\/www.newstar.com.br\/index.php\/agendamento\/formularios-anamnese\/formulario-anamnese-massoterapia\/","title":{"rendered":"Formul\u00e1rio Anamnese Massoterapia"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.5.7&#8243; background_enable_image=&#8221;off&#8221; background_size=&#8221;contain&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;28px||0px||false|false&#8221; custom_padding_tablet=&#8221;0px||||false|false&#8221; custom_padding_phone=&#8221;&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.5.7&#8243; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.5.7&#8243; custom_padding=&#8221;||30px||false|false&#8221; custom_padding_tablet=&#8221;||0px||false|false&#8221; custom_padding_phone=&#8221;||0px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221;][et_pb_text admin_label=&#8221;T\u00edtulo&#8221; _builder_version=&#8221;4.9.0&#8243; header_font_size=&#8221;55px&#8221; header_line_height=&#8221;1.2em&#8221; header_font_tablet=&#8221;Muli|600|||||||&#8221; header_font_phone=&#8221;&#8221; header_font_last_edited=&#8221;on|desktop&#8221; header_text_align_tablet=&#8221;&#8221; header_text_align_phone=&#8221;center&#8221; header_text_align_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;38px&#8221; header_font_size_phone=&#8221;32px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; header_letter_spacing_tablet=&#8221;2px&#8221; header_letter_spacing_phone=&#8221;0px&#8221; header_letter_spacing_last_edited=&#8221;on|desktop&#8221; header_text_shadow_style=&#8221;preset3&#8243; header_text_shadow_color=&#8221;#ffffff&#8221; locked=&#8221;off&#8221;]<\/p>\n<h1>Formul\u00e1rio Anamnese<\/h1>\n<h2>Massoterapia, Drenagem Linf\u00e1tica, Libera\u00e7\u00e3o Miofascial<\/h2>\n<h2>Bambuterapia, Ventosaterapia<\/h2>\n<h2>Eletroterapia TENS<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#7cc68d&#8221; divider_weight=&#8221;2px&#8221; _builder_version=&#8221;4.5.7&#8243; _module_preset=&#8221;default&#8221; width=&#8221;150px&#8221; custom_margin=&#8221;15px||||false|false&#8221; module_alignment_tablet=&#8221;&#8221; module_alignment_phone=&#8221;center&#8221; module_alignment_last_edited=&#8221;on|phone&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Descri\u00e7\u00e3o&#8221; _builder_version=&#8221;4.5.7&#8243; background_color=&#8221;#f7f7f7&#8243; background_enable_image=&#8221;off&#8221; background_size=&#8221;contain&#8221; custom_padding=&#8221;0px||0px|||&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.5.7&#8243; _module_preset=&#8221;default&#8221; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.5.7&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.9.0&#8243; text_font_size=&#8221;15px&#8221; header_font=&#8221;Abel||||||||&#8221; header_text_color=&#8221;#8f5f25&#8243; header_font_size=&#8221;20px&#8221; header_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;Abel||||||||&#8221; header_4_text_color=&#8221;#8f5f25&#8243; header_4_font_size=&#8221;20px&#8221; header_4_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;0px||0px||false|false&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||0px||false|false&#8221; header_font_size_tablet=&#8221;20px&#8221; header_font_size_phone=&#8221;17px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;18px&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221;]<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF602fc1c4c8d57\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/www.newstar.com.br\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF602fc1c4c8d57 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF602fc1c4c8d57_1\" data-form-id=\"CF602fc1c4c8d57\" aria-label=\"Anamnese de Massoterapia\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF602fc1c4c8d57-tmpl\" data-cfajax=\"CF602fc1c4c8d57\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/www.newstar.com.br\/cf-api\/CF602fc1c4c8d57\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF602fc1c4c8d57\" name=\"_cf_verify\" value=\"df47779402\"  data-nonce-time=\"1790074703\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/2723\" \/><div id=\"cf2-CF602fc1c4c8d57_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF602fc1c4c8d57\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF602fc1c4c8d57\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"2723\">\r\n<span class=\"caldera-grid\"><ol class=\"breadcrumb\" data-form=\"caldera_form_1\" id=\"caldera-forms-breadcrumb_1\">\r\n<li class=\"active\"><a aria-controls=\"form_page_1_pg_1\" aria-expanded=\"true\" id=\"breadcrumb_1_pg_1\" href=\"?cf_pg=1\" data-page=\"1\" data-pagenav=\"caldera_form_1\" title=\"Navigate to Dados Pessoais\">Dados Pessoais<\/a><\/li>\r\n<li><a aria-controls=\"form_page_1_pg_2\" aria-expanded=\"false\" id=\"breadcrumb_1_pg_2\" href=\"?cf_pg=2\" data-page=\"2\" data-pagenav=\"caldera_form_1\" title=\"Navigate to Dados Terapia\">Dados Terapia<\/a><\/li>\r\n<\/ol><\/span>\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>E-mail<\/label><input type=\"text\" name=\"email\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"form_page_1_pg_1\" data-formpage=\"1\" class=\"caldera-form-page\" style=\"display:block;\" role=\"region\" aria-labelledby=\"breadcrumb_1_pg_1\" aria-hidden=\"false\"><div id=\"CF602fc1c4c8d57_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_9348355\" class=\"form-group\" id=\"fld_9348355_1-wrap\">\r\n\t<label id=\"fld_9348355Label\" for=\"fld_9348355_1\" class=\"control-label\">E-mail <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_9348355\" class=\" form-control\" id=\"fld_9348355_1\" name=\"fld_9348355\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_9348355Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7732289\" class=\"form-group\" id=\"fld_7732289_1-wrap\">\r\n\t<label id=\"fld_7732289Label\" for=\"fld_7732289_1\" class=\"control-label\">Nome Completo <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7732289\" class=\" form-control\" id=\"fld_7732289_1\" name=\"fld_7732289\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7732289Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF602fc1c4c8d57_1-row-2\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_5587279\" class=\"form-group\" id=\"fld_5587279_1-wrap\">\r\n\t<label id=\"fld_5587279Label\" for=\"fld_5587279_1\" class=\"control-label\">N\u00famero Identidade <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '[9{*}]'\"  required type=\"text\" data-field=\"fld_5587279\" class=\" form-control\" id=\"fld_5587279_1\" name=\"fld_5587279\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_5587279Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4455205\" class=\"form-group\" id=\"fld_4455205_1-wrap\">\r\n\t<label id=\"fld_4455205Label\" for=\"fld_4455205_1\" class=\"control-label\">CPF <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '999.999.999\/99'\"  required type=\"text\" data-field=\"fld_4455205\" class=\" form-control\" id=\"fld_4455205_1\" name=\"fld_4455205\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4455205Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3535274\" class=\"form-group\" id=\"fld_3535274_1-wrap\">\r\n\t<label id=\"fld_3535274Label\" for=\"fld_3535274_1\" class=\"control-label\">Telefone <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"tel\" data-field=\"fld_3535274\" class=\" form-control\" id=\"fld_3535274_1\" name=\"fld_3535274\" value=\"\" data-type=\"phone_better\" aria-required=\"true\"   aria-labelledby=\"fld_3535274Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1165696\" class=\"form-group\" id=\"fld_1165696_1-wrap\">\r\n\t<label id=\"fld_1165696Label\" for=\"fld_1165696_1\" class=\"control-label\">Telefone Emerg\u00eancia <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"tel\" data-field=\"fld_1165696\" class=\" form-control\" id=\"fld_1165696_1\" name=\"fld_1165696\" value=\"\" data-type=\"phone_better\" aria-required=\"true\"   aria-labelledby=\"fld_1165696Label\" aria-describedby=\"fld_1165696Caption\" >\t\t<span id=\"fld_1165696Caption\" class=\"help-block\">(De pessoa pr\u00f3xima para caso de doen\u00e7a ou problema card\u00edaco,  convuls\u00e3o, epilepsia, depress\u00e3o ou taquicardia)<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \">\n<div data-field-wrapper=\"fld_1898311\" class=\"form-group\" id=\"fld_1898311_1-wrap\">\r\n\t<label id=\"fld_1898311Label\" for=\"fld_1898311_1\" class=\"control-label\">Data de Nascimento <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_1898311\" value=\"\" id=\"fld_1898311_1\" data-field=\"fld_1898311\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"dd-mm-yyyy\" required=\"1\" data-date-start-view=\"month\"  data-date-start-date=\"-100y\" data-date-end-date=\"0d\" data-date-language=\"pt-BR\"   aria-labelledby=\"fld_1898311Label\" required  \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2200576\" class=\"form-group\" id=\"fld_2200576_1-wrap\">\r\n<label id=\"fld_2200576Label\" for=\"fld_2200576_1\" class=\"control-label\">Sexo Biol\u00f3gico <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Masculino\" for=\"fld_2200576_1_opt1079885\"><input type=\"radio\" id=\"fld_2200576_1_opt1079885\" data-field=\"fld_2200576\" class=\"fld_2200576_1 option-required\" name=\"fld_2200576\" value=\"Masculino\"   required=\"required\" data-radio-field=\"fld_2200576_1\" data-type=\"radio\" data-calc-value=\"Masculino\" \/>\n\t\t\tMasculino\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Feminino\" for=\"fld_2200576_1_opt1850032\"><input type=\"radio\" id=\"fld_2200576_1_opt1850032\" data-field=\"fld_2200576\" class=\"fld_2200576_1 option-required\" name=\"fld_2200576\" value=\"Feminino\"   required=\"required\" data-radio-field=\"fld_2200576_1\" data-type=\"radio\" data-calc-value=\"Feminino\" \/>\n\t\t\tFeminino\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1574495\" class=\"form-group\" id=\"fld_1574495_1-wrap\">\r\n<label id=\"fld_1574495Label\" for=\"fld_1574495_1\" class=\"control-label\">Estado Civil <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Solteiro(a)\" for=\"fld_1574495_1_opt1616306\"><input type=\"radio\" id=\"fld_1574495_1_opt1616306\" data-field=\"fld_1574495\" class=\"fld_1574495_1 option-required\" name=\"fld_1574495\" value=\"Solteiro(a)\"   required=\"required\" data-radio-field=\"fld_1574495_1\" data-type=\"radio\" data-calc-value=\"Solteiro(a)\" \/>\n\t\t\tSolteiro(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Casado(a)\" for=\"fld_1574495_1_opt1371399\"><input type=\"radio\" id=\"fld_1574495_1_opt1371399\" data-field=\"fld_1574495\" class=\"fld_1574495_1 option-required\" name=\"fld_1574495\" value=\"Casado(a)\"   required=\"required\" data-radio-field=\"fld_1574495_1\" data-type=\"radio\" data-calc-value=\"Casado(a)\" \/>\n\t\t\tCasado(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Separado(a)\" for=\"fld_1574495_1_opt1432735\"><input type=\"radio\" id=\"fld_1574495_1_opt1432735\" data-field=\"fld_1574495\" class=\"fld_1574495_1 option-required\" name=\"fld_1574495\" value=\"Separado(a)\"   required=\"required\" data-radio-field=\"fld_1574495_1\" data-type=\"radio\" data-calc-value=\"Separado(a)\" \/>\n\t\t\tSeparado(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Divorciado(a)\" for=\"fld_1574495_1_opt1418034\"><input type=\"radio\" id=\"fld_1574495_1_opt1418034\" data-field=\"fld_1574495\" class=\"fld_1574495_1 option-required\" name=\"fld_1574495\" value=\"Divorciado(a)\"   required=\"required\" data-radio-field=\"fld_1574495_1\" data-type=\"radio\" data-calc-value=\"Divorciado(a)\" \/>\n\t\t\tDivorciado(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Vi\u00favo(a)\" for=\"fld_1574495_1_opt1437975\"><input type=\"radio\" id=\"fld_1574495_1_opt1437975\" data-field=\"fld_1574495\" class=\"fld_1574495_1 option-required\" name=\"fld_1574495\" value=\"Vi\u00favo(a)\"   required=\"required\" data-radio-field=\"fld_1574495_1\" data-type=\"radio\" data-calc-value=\"Vi\u00favo(a)\" \/>\n\t\t\tVi\u00favo(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Uni\u00e3o Est\u00e1vel\" for=\"fld_1574495_1_opt1535754\"><input type=\"radio\" id=\"fld_1574495_1_opt1535754\" data-field=\"fld_1574495\" class=\"fld_1574495_1 option-required\" name=\"fld_1574495\" value=\"Uni\u00e3o Est\u00e1vel\"   required=\"required\" data-radio-field=\"fld_1574495_1\" data-type=\"radio\" data-calc-value=\"Uni\u00e3o Est\u00e1vel\" \/>\n\t\t\tUni\u00e3o Est\u00e1vel\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Outro\" for=\"fld_1574495_1_opt1603568\"><input type=\"radio\" id=\"fld_1574495_1_opt1603568\" data-field=\"fld_1574495\" class=\"fld_1574495_1 option-required\" name=\"fld_1574495\" value=\"Outro\"   required=\"required\" data-radio-field=\"fld_1574495_1\" data-type=\"radio\" data-calc-value=\"Outro\" \/>\n\t\t\tOutro\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_8024994_1\" data-field-id=\"fld_8024994_1\"><\/span><\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_3473230\" class=\"form-group\" id=\"fld_3473230_1-wrap\">\r\n<label id=\"fld_3473230Label\" for=\"fld_3473230_1\" class=\"control-label\">Escolaridade <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino B\u00e1sico Incompleto\" for=\"fld_3473230_1_opt1962342\"><input type=\"radio\" id=\"fld_3473230_1_opt1962342\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"Ensino B\u00e1sico Incompleto\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"Ensino B\u00e1sico Incompleto\" \/>\n\t\t\tEnsino B\u00e1sico Incompleto\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino B\u00e1sico Completo\" for=\"fld_3473230_1_opt1738137\"><input type=\"radio\" id=\"fld_3473230_1_opt1738137\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"Ensino B\u00e1sico Completo\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"Ensino B\u00e1sico Completo\" \/>\n\t\t\tEnsino B\u00e1sico Completo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino M\u00e9dio Incompleto\" for=\"fld_3473230_1_opt1822752\"><input type=\"radio\" id=\"fld_3473230_1_opt1822752\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"Ensino M\u00e9dio Incompleto\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"Ensino M\u00e9dio Incompleto\" \/>\n\t\t\tEnsino M\u00e9dio Incompleto\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino M\u00e9dio Completo\" for=\"fld_3473230_1_opt1144506\"><input type=\"radio\" id=\"fld_3473230_1_opt1144506\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"Ensino M\u00e9dio Completo\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"Ensino M\u00e9dio Completo\" \/>\n\t\t\tEnsino M\u00e9dio Completo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino Superior Incompleto\" for=\"fld_3473230_1_opt1219521\"><input type=\"radio\" id=\"fld_3473230_1_opt1219521\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"Ensino Superior Incompleto\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"Ensino Superior Incompleto\" \/>\n\t\t\tEnsino Superior Incompleto\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino Superior Completo\" for=\"fld_3473230_1_opt1707489\"><input type=\"radio\" id=\"fld_3473230_1_opt1707489\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"Ensino Superior Completo\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"Ensino Superior Completo\" \/>\n\t\t\tEnsino Superior Completo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"P\u00f3s Gradua\u00e7\u00e3o\" for=\"fld_3473230_1_opt1416217\"><input type=\"radio\" id=\"fld_3473230_1_opt1416217\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"P\u00f3s Gradua\u00e7\u00e3o\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"P\u00f3s Gradua\u00e7\u00e3o\" \/>\n\t\t\tP\u00f3s Gradua\u00e7\u00e3o\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Doutorado\" for=\"fld_3473230_1_opt1881869\"><input type=\"radio\" id=\"fld_3473230_1_opt1881869\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"Doutorado\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"Doutorado\" \/>\n\t\t\tDoutorado\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"P\u00f3s Doutorado\" for=\"fld_3473230_1_opt1550592\"><input type=\"radio\" id=\"fld_3473230_1_opt1550592\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"P\u00f3s Doutorado\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"P\u00f3s Doutorado\" \/>\n\t\t\tP\u00f3s Doutorado\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Outro\" for=\"fld_3473230_1_opt1815639\"><input type=\"radio\" id=\"fld_3473230_1_opt1815639\" data-field=\"fld_3473230\" class=\"fld_3473230_1 option-required\" name=\"fld_3473230\" value=\"Outro\"   required=\"required\" data-radio-field=\"fld_3473230_1\" data-type=\"radio\" data-calc-value=\"Outro\" \/>\n\t\t\tOutro\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6472204_1\" data-field-id=\"fld_6472204_1\"><\/span><\/div><\/div><div id=\"CF602fc1c4c8d57_1-row-3\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_9052200\" class=\"form-group\" id=\"fld_9052200_1-wrap\">\r\n\t<label id=\"fld_9052200Label\" for=\"fld_9052200_1\" class=\"control-label\">Profiss\u00e3o <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9052200\" class=\" form-control\" id=\"fld_9052200_1\" name=\"fld_9052200\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9052200Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF602fc1c4c8d57_1-row-4\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_4776983\" class=\"form-group\" id=\"fld_4776983_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default cf-page-btn cf-page-btn-next\" type=\"button\" name=\"fld_4776983\" id=\"fld_4776983_1\" value=\"P\u00e1gina Seguinte\" data-field=\"fld_4776983\" data-page=\"next\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_4776983\" id=\"fld_4776983_1_btn\" value=\"\" data-field=\"fld_4776983\"  \/>\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9332146\" class=\"form-group\" id=\"fld_9332146_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"reset\" name=\"fld_9332146\" id=\"fld_9332146_1\" value=\"Limpar Formul\u00e1rio\" data-field=\"fld_9332146\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_9332146\" id=\"fld_9332146_1_btn\" value=\"\" data-field=\"fld_9332146\"  \/>\n<\/div><div  class=\"col-sm-3 \"><\/div><\/div><\/div><div id=\"form_page_1_pg_2\" data-formpage=\"2\" role=\"region\" aria-labelledby=\"breadcrumb_1_pg_2\" aria-hidden=\"true\" class=\"caldera-form-page\" style=\"display:none;\"><div id=\"CF602fc1c4c8d57_1-row-5\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_8380513\" class=\"form-group\" id=\"fld_8380513_1-wrap\">\r\n<label id=\"fld_8380513Label\" for=\"fld_8380513_1\" class=\"control-label\">Modalidade <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Massoterapia\" for=\"fld_8380513_1_opt1775127\"><input type=\"radio\" id=\"fld_8380513_1_opt1775127\" data-field=\"fld_8380513\" class=\"fld_8380513_1 option-required\" name=\"fld_8380513\" value=\"Massoterapia\"   required=\"required\" data-radio-field=\"fld_8380513_1\" data-type=\"radio\" data-calc-value=\"Massoterapia\" \/>\n\t\t\tMassoterapia\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Drenagem Linf\u00e1tica\" for=\"fld_8380513_1_opt1387134\"><input type=\"radio\" id=\"fld_8380513_1_opt1387134\" data-field=\"fld_8380513\" class=\"fld_8380513_1 option-required\" name=\"fld_8380513\" value=\"Drenagem Linf\u00e1tica\"   required=\"required\" data-radio-field=\"fld_8380513_1\" data-type=\"radio\" data-calc-value=\"Drenagem Linf\u00e1tica\" \/>\n\t\t\tDrenagem Linf\u00e1tica\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Libera\u00e7\u00e3o Miofascial\" for=\"fld_8380513_1_opt1603313\"><input type=\"radio\" id=\"fld_8380513_1_opt1603313\" data-field=\"fld_8380513\" class=\"fld_8380513_1 option-required\" name=\"fld_8380513\" value=\"Libera\u00e7\u00e3o Miofascial\"   required=\"required\" data-radio-field=\"fld_8380513_1\" data-type=\"radio\" data-calc-value=\"Libera\u00e7\u00e3o Miofascial\" \/>\n\t\t\tLibera\u00e7\u00e3o Miofascial\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Bambuterapia\" for=\"fld_8380513_1_opt1263254\"><input type=\"radio\" id=\"fld_8380513_1_opt1263254\" data-field=\"fld_8380513\" class=\"fld_8380513_1 option-required\" name=\"fld_8380513\" value=\"Bambuterapia\"   required=\"required\" data-radio-field=\"fld_8380513_1\" data-type=\"radio\" data-calc-value=\"Bambuterapia\" \/>\n\t\t\tBambuterapia\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ventosaterapia\" for=\"fld_8380513_1_opt1192878\"><input type=\"radio\" id=\"fld_8380513_1_opt1192878\" data-field=\"fld_8380513\" class=\"fld_8380513_1 option-required\" name=\"fld_8380513\" value=\"Ventosaterapia\"   required=\"required\" data-radio-field=\"fld_8380513_1\" data-type=\"radio\" data-calc-value=\"Ventosaterapia\" \/>\n\t\t\tVentosaterapia\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Eletroterapia TENS\" for=\"fld_8380513_1_opt1517949\"><input type=\"radio\" id=\"fld_8380513_1_opt1517949\" data-field=\"fld_8380513\" class=\"fld_8380513_1 option-required\" name=\"fld_8380513\" value=\"Eletroterapia TENS\"   required=\"required\" data-radio-field=\"fld_8380513_1\" data-type=\"radio\" data-calc-value=\"Eletroterapia TENS\" \/>\n\t\t\tEletroterapia TENS\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<span id=\"fld_8380513Caption\" class=\"help-block\">Selecione a modalidade de Massoterapia<\/span>\r\n<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4635057\" class=\"form-group\" id=\"fld_4635057_1-wrap\">\r\n\t<label id=\"fld_4635057Label\" for=\"fld_4635057_1\" class=\"control-label\">Tratamento <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_4635057\" value=\"\" data-field=\"fld_4635057\" class=\"form-control\" id=\"fld_4635057_1\" rows=\"4\"  required=\"required\"  aria-labelledby=\"fld_4635057Label\" aria-describedby=\"fld_4635057Caption\" ><\/textarea>\n\t\t<span id=\"fld_4635057Caption\" class=\"help-block\">Descreva o(s) seu(s) problema(s) que deseja tratar<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_4985031_1\" data-field-id=\"fld_4985031_1\"><div data-field-wrapper=\"fld_4985031\" class=\"form-group\" id=\"fld_4985031_1-wrap\">\r\n<label id=\"fld_4985031Label\" for=\"fld_4985031_1\" class=\"control-label\">Gestante <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Sim\" for=\"fld_4985031_1_opt1686014\"><input type=\"radio\" id=\"fld_4985031_1_opt1686014\" data-field=\"fld_4985031\" class=\"fld_4985031_1 option-required\" name=\"fld_4985031\" value=\"Sim\"   required=\"required\" data-radio-field=\"fld_4985031_1\" data-type=\"radio\" data-calc-value=\"Sim\" \/>\n\t\t\tSim\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"N\u00e3o\" for=\"fld_4985031_1_opt1338100\"><input type=\"radio\" id=\"fld_4985031_1_opt1338100\" data-field=\"fld_4985031\" class=\"fld_4985031_1 option-required\" name=\"fld_4985031\" value=\"N\u00e3o\"   required=\"required\" data-radio-field=\"fld_4985031_1\" data-type=\"radio\" data-calc-value=\"N\u00e3o\" \/>\n\t\t\tN\u00e3o\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/span><div data-field-wrapper=\"fld_1664885\" class=\"form-group\" id=\"fld_1664885_1-wrap\">\r\n\t<label id=\"fld_1664885Label\" for=\"fld_1664885_1\" class=\"control-label\">Condi\u00e7\u00f5es Adversas<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt1585847\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Fatura recente (Menos de 1 m\u00eas)\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt1585847\"\n                                class=\"fld_1664885_1\"\n                                name=\"fld_1664885[opt1585847]\"\n                                value=\"Fatura recente (Menos de 1 m\u00eas)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_1\"\n                                                                data-calc-value=\"Fatura recente (Menos de 1 m\u00eas)\"\n                            >\n                    Fatura recente (Menos de 1 m\u00eas)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt2073763\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Les\u00e3o de pele\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt2073763\"\n                                class=\"fld_1664885_1\"\n                                name=\"fld_1664885[opt2073763]\"\n                                value=\"Les\u00e3o de pele\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_1\"\n                                                                data-calc-value=\"Les\u00e3o de pele\"\n                            >\n                    Les\u00e3o de pele                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt1255505\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Psoriase\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt1255505\"\n                                class=\"fld_1664885_1\"\n                                name=\"fld_1664885[opt1255505]\"\n                                value=\"Psoriase\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_1\"\n                                                                data-calc-value=\"Psoriase\"\n                            >\n                    Psoriase                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt2096396\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Varizes\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt2096396\"\n                                class=\"fld_1664885_1\"\n                                name=\"fld_1664885[opt2096396]\"\n                                value=\"Varizes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_1\"\n                                                                data-calc-value=\"Varizes\"\n                            >\n                    Varizes                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt1293607\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Trombose\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt1293607\"\n                                class=\"fld_1664885_1\"\n                                name=\"fld_1664885[opt1293607]\"\n                                value=\"Trombose\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_1\"\n                                                                data-calc-value=\"Trombose\"\n                            >\n                    Trombose                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt1717749\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Febre ou estado febril\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt1717749\"\n                                class=\"fld_1664885_1\"\n                                name=\"fld_1664885[opt1717749]\"\n                                value=\"Febre ou estado febril\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_1\"\n                                                                data-calc-value=\"Febre ou estado febril\"\n                            >\n                    Febre ou estado febril                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt1916703\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Virose\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt1916703\"\n                                class=\"fld_1664885_1\"\n                                name=\"fld_1664885[opt1916703]\"\n                                value=\"Virose\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_1\"\n                                                                data-calc-value=\"Virose\"\n                            >\n                    Virose                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt1084445\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Tumor cancerigeno\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt1084445\"\n                                class=\"fld_1664885_1\"\n                                name=\"fld_1664885[opt1084445]\"\n                                value=\"Tumor cancerigeno\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_1\"\n                                                                data-calc-value=\"Tumor cancerigeno\"\n                            >\n                    Tumor cancerigeno                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_1_opt1609486\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"ICC (Insufici\u00eancia Cardiaca Congestiva)\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_1_opt1609486\"\n     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_builder_version=&#8221;4.5.7&#8243; _module_preset=&#8221;default&#8221;][et_pb_image src=&#8221;https:\/\/www.newstar.com.br\/wp-content\/uploads\/sltm.jpg&#8221; alt=&#8221;ITR&#8221; title_text=&#8221;sltm&#8221; url=&#8221;https:\/\/sociedadelivre.org\/&#8221; url_new_window=&#8221;on&#8221; align=&#8221;center&#8221; admin_label=&#8221;SLTM&#8221; _builder_version=&#8221;4.7.7&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221;][\/et_pb_image][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;T\u00edtulo Publicit\u00e1ria&#8221; _builder_version=&#8221;4.5.7&#8243; _module_preset=&#8221;default&#8221; header_3_text_align=&#8221;center&#8221; custom_margin=&#8221;||10px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221;]<\/p>\n<h3>Filiado \u00e0<\/h3>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#7cc68d&#8221; divider_weight=&#8221;2px&#8221; _builder_version=&#8221;4.5.7&#8243; width=&#8221;100px&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221;][\/et_pb_divider][et_pb_image src=&#8221;https:\/\/www.newstar.com.br\/wp-content\/uploads\/brasil-terapias.jpg&#8221; alt=&#8221;Brasil Terapias &#8221; title_text=&#8221;Brasil Terapias &#8221; url=&#8221;https:\/\/www.brasilterapias.com.br\/&#8221; url_new_window=&#8221;on&#8221; align=&#8221;center&#8221; admin_label=&#8221;Brasil Terapias &#8221; _builder_version=&#8221;4.5.7&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;33px||||false|false&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Formul\u00e1rio Anamnese Massoterapia, Drenagem Linf\u00e1tica, Libera\u00e7\u00e3o Miofascial Bambuterapia, Ventosaterapia Eletroterapia TENS<div class=\"caldera-grid\" id=\"caldera_form_2\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF602fc1c4c8d57\"><div id=\"caldera_notices_2\" data-spinner=\"https:\/\/www.newstar.com.br\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"2\" class=\"CF602fc1c4c8d57 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF602fc1c4c8d57_2\" data-form-id=\"CF602fc1c4c8d57\" aria-label=\"Anamnese de Massoterapia\" data-target=\"#caldera_notices_2\" data-template=\"#cfajax_CF602fc1c4c8d57-tmpl\" data-cfajax=\"CF602fc1c4c8d57\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/www.newstar.com.br\/cf-api\/CF602fc1c4c8d57\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF602fc1c4c8d57\" name=\"_cf_verify\" value=\"df47779402\"  data-nonce-time=\"1790074703\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/2723\" \/><div id=\"cf2-CF602fc1c4c8d57_2\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF602fc1c4c8d57\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"2\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF602fc1c4c8d57\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"2723\">\r\n<span class=\"caldera-grid\"><ol class=\"breadcrumb\" data-form=\"caldera_form_2\" id=\"caldera-forms-breadcrumb_2\">\r\n<li class=\"active\"><a aria-controls=\"form_page_2_pg_1\" aria-expanded=\"true\" id=\"breadcrumb_2_pg_1\" href=\"?cf_pg=1\" data-page=\"1\" data-pagenav=\"caldera_form_2\" title=\"Navigate to Dados Pessoais\">Dados Pessoais<\/a><\/li>\r\n<li><a aria-controls=\"form_page_2_pg_2\" aria-expanded=\"false\" id=\"breadcrumb_2_pg_2\" href=\"?cf_pg=2\" data-page=\"2\" data-pagenav=\"caldera_form_2\" title=\"Navigate to Dados Terapia\">Dados Terapia<\/a><\/li>\r\n<\/ol><\/span>\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Nome<\/label><input type=\"text\" name=\"name\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"form_page_2_pg_1\" data-formpage=\"1\" class=\"caldera-form-page\" style=\"display:block;\" role=\"region\" aria-labelledby=\"breadcrumb_2_pg_1\" aria-hidden=\"false\"><div id=\"CF602fc1c4c8d57_2-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_9348355\" class=\"form-group\" id=\"fld_9348355_2-wrap\">\r\n\t<label id=\"fld_9348355Label\" for=\"fld_9348355_2\" class=\"control-label\">E-mail <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_9348355\" class=\" form-control\" id=\"fld_9348355_2\" name=\"fld_9348355\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_9348355Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7732289\" class=\"form-group\" id=\"fld_7732289_2-wrap\">\r\n\t<label id=\"fld_7732289Label\" for=\"fld_7732289_2\" class=\"control-label\">Nome Completo <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7732289\" class=\" form-control\" id=\"fld_7732289_2\" name=\"fld_7732289\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7732289Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF602fc1c4c8d57_2-row-2\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_5587279\" class=\"form-group\" id=\"fld_5587279_2-wrap\">\r\n\t<label id=\"fld_5587279Label\" for=\"fld_5587279_2\" class=\"control-label\">N\u00famero Identidade <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '[9{*}]'\"  required type=\"text\" data-field=\"fld_5587279\" class=\" form-control\" id=\"fld_5587279_2\" name=\"fld_5587279\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_5587279Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4455205\" class=\"form-group\" id=\"fld_4455205_2-wrap\">\r\n\t<label id=\"fld_4455205Label\" for=\"fld_4455205_2\" class=\"control-label\">CPF <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '999.999.999\/99'\"  required type=\"text\" data-field=\"fld_4455205\" class=\" form-control\" id=\"fld_4455205_2\" name=\"fld_4455205\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4455205Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3535274\" class=\"form-group\" id=\"fld_3535274_2-wrap\">\r\n\t<label id=\"fld_3535274Label\" for=\"fld_3535274_2\" class=\"control-label\">Telefone <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"tel\" data-field=\"fld_3535274\" class=\" form-control\" id=\"fld_3535274_2\" name=\"fld_3535274\" value=\"\" data-type=\"phone_better\" aria-required=\"true\"   aria-labelledby=\"fld_3535274Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1165696\" class=\"form-group\" id=\"fld_1165696_2-wrap\">\r\n\t<label id=\"fld_1165696Label\" for=\"fld_1165696_2\" class=\"control-label\">Telefone Emerg\u00eancia <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"tel\" data-field=\"fld_1165696\" class=\" form-control\" id=\"fld_1165696_2\" name=\"fld_1165696\" value=\"\" data-type=\"phone_better\" aria-required=\"true\"   aria-labelledby=\"fld_1165696Label\" aria-describedby=\"fld_1165696Caption\" >\t\t<span id=\"fld_1165696Caption\" class=\"help-block\">(De pessoa pr\u00f3xima para caso de doen\u00e7a ou problema card\u00edaco,  convuls\u00e3o, epilepsia, depress\u00e3o ou taquicardia)<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \">\n<div data-field-wrapper=\"fld_1898311\" class=\"form-group\" id=\"fld_1898311_2-wrap\">\r\n\t<label id=\"fld_1898311Label\" for=\"fld_1898311_2\" class=\"control-label\">Data de Nascimento <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_1898311\" value=\"\" id=\"fld_1898311_2\" data-field=\"fld_1898311\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"dd-mm-yyyy\" required=\"1\" data-date-start-view=\"month\"  data-date-start-date=\"-100y\" data-date-end-date=\"0d\" data-date-language=\"pt-BR\"   aria-labelledby=\"fld_1898311Label\" required  \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2200576\" class=\"form-group\" id=\"fld_2200576_2-wrap\">\r\n<label id=\"fld_2200576Label\" for=\"fld_2200576_2\" class=\"control-label\">Sexo Biol\u00f3gico <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Masculino\" for=\"fld_2200576_2_opt1079885\"><input type=\"radio\" id=\"fld_2200576_2_opt1079885\" data-field=\"fld_2200576\" class=\"fld_2200576_2 option-required\" name=\"fld_2200576\" value=\"Masculino\"   required=\"required\" data-radio-field=\"fld_2200576_2\" data-type=\"radio\" data-calc-value=\"Masculino\" \/>\n\t\t\tMasculino\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Feminino\" for=\"fld_2200576_2_opt1850032\"><input type=\"radio\" id=\"fld_2200576_2_opt1850032\" data-field=\"fld_2200576\" class=\"fld_2200576_2 option-required\" name=\"fld_2200576\" value=\"Feminino\"   required=\"required\" data-radio-field=\"fld_2200576_2\" data-type=\"radio\" data-calc-value=\"Feminino\" \/>\n\t\t\tFeminino\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1574495\" class=\"form-group\" id=\"fld_1574495_2-wrap\">\r\n<label id=\"fld_1574495Label\" for=\"fld_1574495_2\" class=\"control-label\">Estado Civil <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Solteiro(a)\" for=\"fld_1574495_2_opt1616306\"><input type=\"radio\" id=\"fld_1574495_2_opt1616306\" data-field=\"fld_1574495\" class=\"fld_1574495_2 option-required\" name=\"fld_1574495\" value=\"Solteiro(a)\"   required=\"required\" data-radio-field=\"fld_1574495_2\" data-type=\"radio\" data-calc-value=\"Solteiro(a)\" \/>\n\t\t\tSolteiro(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Casado(a)\" for=\"fld_1574495_2_opt1371399\"><input type=\"radio\" id=\"fld_1574495_2_opt1371399\" data-field=\"fld_1574495\" class=\"fld_1574495_2 option-required\" name=\"fld_1574495\" value=\"Casado(a)\"   required=\"required\" data-radio-field=\"fld_1574495_2\" data-type=\"radio\" data-calc-value=\"Casado(a)\" \/>\n\t\t\tCasado(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Separado(a)\" for=\"fld_1574495_2_opt1432735\"><input type=\"radio\" id=\"fld_1574495_2_opt1432735\" data-field=\"fld_1574495\" class=\"fld_1574495_2 option-required\" name=\"fld_1574495\" value=\"Separado(a)\"   required=\"required\" data-radio-field=\"fld_1574495_2\" data-type=\"radio\" data-calc-value=\"Separado(a)\" \/>\n\t\t\tSeparado(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Divorciado(a)\" for=\"fld_1574495_2_opt1418034\"><input type=\"radio\" id=\"fld_1574495_2_opt1418034\" data-field=\"fld_1574495\" class=\"fld_1574495_2 option-required\" name=\"fld_1574495\" value=\"Divorciado(a)\"   required=\"required\" data-radio-field=\"fld_1574495_2\" data-type=\"radio\" data-calc-value=\"Divorciado(a)\" \/>\n\t\t\tDivorciado(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Vi\u00favo(a)\" for=\"fld_1574495_2_opt1437975\"><input type=\"radio\" id=\"fld_1574495_2_opt1437975\" data-field=\"fld_1574495\" class=\"fld_1574495_2 option-required\" name=\"fld_1574495\" value=\"Vi\u00favo(a)\"   required=\"required\" data-radio-field=\"fld_1574495_2\" data-type=\"radio\" data-calc-value=\"Vi\u00favo(a)\" \/>\n\t\t\tVi\u00favo(a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Uni\u00e3o Est\u00e1vel\" for=\"fld_1574495_2_opt1535754\"><input type=\"radio\" id=\"fld_1574495_2_opt1535754\" data-field=\"fld_1574495\" class=\"fld_1574495_2 option-required\" name=\"fld_1574495\" value=\"Uni\u00e3o Est\u00e1vel\"   required=\"required\" data-radio-field=\"fld_1574495_2\" data-type=\"radio\" data-calc-value=\"Uni\u00e3o Est\u00e1vel\" \/>\n\t\t\tUni\u00e3o Est\u00e1vel\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Outro\" for=\"fld_1574495_2_opt1603568\"><input type=\"radio\" id=\"fld_1574495_2_opt1603568\" data-field=\"fld_1574495\" class=\"fld_1574495_2 option-required\" name=\"fld_1574495\" value=\"Outro\"   required=\"required\" data-radio-field=\"fld_1574495_2\" data-type=\"radio\" data-calc-value=\"Outro\" \/>\n\t\t\tOutro\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_8024994_2\" data-field-id=\"fld_8024994_2\"><\/span><\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_3473230\" class=\"form-group\" id=\"fld_3473230_2-wrap\">\r\n<label id=\"fld_3473230Label\" for=\"fld_3473230_2\" class=\"control-label\">Escolaridade <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino B\u00e1sico Incompleto\" for=\"fld_3473230_2_opt1962342\"><input type=\"radio\" id=\"fld_3473230_2_opt1962342\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"Ensino B\u00e1sico Incompleto\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"Ensino B\u00e1sico Incompleto\" \/>\n\t\t\tEnsino B\u00e1sico Incompleto\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino B\u00e1sico Completo\" for=\"fld_3473230_2_opt1738137\"><input type=\"radio\" id=\"fld_3473230_2_opt1738137\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"Ensino B\u00e1sico Completo\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"Ensino B\u00e1sico Completo\" \/>\n\t\t\tEnsino B\u00e1sico Completo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino M\u00e9dio Incompleto\" for=\"fld_3473230_2_opt1822752\"><input type=\"radio\" id=\"fld_3473230_2_opt1822752\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"Ensino M\u00e9dio Incompleto\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"Ensino M\u00e9dio Incompleto\" \/>\n\t\t\tEnsino M\u00e9dio Incompleto\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino M\u00e9dio Completo\" for=\"fld_3473230_2_opt1144506\"><input type=\"radio\" id=\"fld_3473230_2_opt1144506\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"Ensino M\u00e9dio Completo\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"Ensino M\u00e9dio Completo\" \/>\n\t\t\tEnsino M\u00e9dio Completo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino Superior Incompleto\" for=\"fld_3473230_2_opt1219521\"><input type=\"radio\" id=\"fld_3473230_2_opt1219521\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"Ensino Superior Incompleto\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"Ensino Superior Incompleto\" \/>\n\t\t\tEnsino Superior Incompleto\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ensino Superior Completo\" for=\"fld_3473230_2_opt1707489\"><input type=\"radio\" id=\"fld_3473230_2_opt1707489\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"Ensino Superior Completo\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"Ensino Superior Completo\" \/>\n\t\t\tEnsino Superior Completo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"P\u00f3s Gradua\u00e7\u00e3o\" for=\"fld_3473230_2_opt1416217\"><input type=\"radio\" id=\"fld_3473230_2_opt1416217\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"P\u00f3s Gradua\u00e7\u00e3o\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"P\u00f3s Gradua\u00e7\u00e3o\" \/>\n\t\t\tP\u00f3s Gradua\u00e7\u00e3o\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Doutorado\" for=\"fld_3473230_2_opt1881869\"><input type=\"radio\" id=\"fld_3473230_2_opt1881869\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"Doutorado\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"Doutorado\" \/>\n\t\t\tDoutorado\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"P\u00f3s Doutorado\" for=\"fld_3473230_2_opt1550592\"><input type=\"radio\" id=\"fld_3473230_2_opt1550592\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"P\u00f3s Doutorado\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"P\u00f3s Doutorado\" \/>\n\t\t\tP\u00f3s Doutorado\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Outro\" for=\"fld_3473230_2_opt1815639\"><input type=\"radio\" id=\"fld_3473230_2_opt1815639\" data-field=\"fld_3473230\" class=\"fld_3473230_2 option-required\" name=\"fld_3473230\" value=\"Outro\"   required=\"required\" data-radio-field=\"fld_3473230_2\" data-type=\"radio\" data-calc-value=\"Outro\" \/>\n\t\t\tOutro\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6472204_2\" data-field-id=\"fld_6472204_2\"><\/span><\/div><\/div><div id=\"CF602fc1c4c8d57_2-row-3\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_9052200\" class=\"form-group\" id=\"fld_9052200_2-wrap\">\r\n\t<label id=\"fld_9052200Label\" for=\"fld_9052200_2\" class=\"control-label\">Profiss\u00e3o <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9052200\" class=\" form-control\" id=\"fld_9052200_2\" name=\"fld_9052200\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9052200Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF602fc1c4c8d57_2-row-4\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_4776983\" class=\"form-group\" id=\"fld_4776983_2-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default cf-page-btn cf-page-btn-next\" type=\"button\" name=\"fld_4776983\" id=\"fld_4776983_2\" value=\"P\u00e1gina Seguinte\" data-field=\"fld_4776983\" data-page=\"next\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_2\" type=\"hidden\" name=\"fld_4776983\" id=\"fld_4776983_2_btn\" value=\"\" data-field=\"fld_4776983\"  \/>\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9332146\" class=\"form-group\" id=\"fld_9332146_2-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"reset\" name=\"fld_9332146\" id=\"fld_9332146_2\" value=\"Limpar Formul\u00e1rio\" data-field=\"fld_9332146\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_2\" type=\"hidden\" name=\"fld_9332146\" id=\"fld_9332146_2_btn\" value=\"\" data-field=\"fld_9332146\"  \/>\n<\/div><div  class=\"col-sm-3 \"><\/div><\/div><\/div><div id=\"form_page_2_pg_2\" data-formpage=\"2\" role=\"region\" aria-labelledby=\"breadcrumb_2_pg_2\" aria-hidden=\"true\" class=\"caldera-form-page\" style=\"display:none;\"><div id=\"CF602fc1c4c8d57_2-row-5\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_8380513\" class=\"form-group\" id=\"fld_8380513_2-wrap\">\r\n<label id=\"fld_8380513Label\" for=\"fld_8380513_2\" class=\"control-label\">Modalidade <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Massoterapia\" for=\"fld_8380513_2_opt1775127\"><input type=\"radio\" id=\"fld_8380513_2_opt1775127\" data-field=\"fld_8380513\" class=\"fld_8380513_2 option-required\" name=\"fld_8380513\" value=\"Massoterapia\"   required=\"required\" data-radio-field=\"fld_8380513_2\" data-type=\"radio\" data-calc-value=\"Massoterapia\" \/>\n\t\t\tMassoterapia\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Drenagem Linf\u00e1tica\" for=\"fld_8380513_2_opt1387134\"><input type=\"radio\" id=\"fld_8380513_2_opt1387134\" data-field=\"fld_8380513\" class=\"fld_8380513_2 option-required\" name=\"fld_8380513\" value=\"Drenagem Linf\u00e1tica\"   required=\"required\" data-radio-field=\"fld_8380513_2\" data-type=\"radio\" data-calc-value=\"Drenagem Linf\u00e1tica\" \/>\n\t\t\tDrenagem Linf\u00e1tica\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Libera\u00e7\u00e3o Miofascial\" for=\"fld_8380513_2_opt1603313\"><input type=\"radio\" id=\"fld_8380513_2_opt1603313\" data-field=\"fld_8380513\" class=\"fld_8380513_2 option-required\" name=\"fld_8380513\" value=\"Libera\u00e7\u00e3o Miofascial\"   required=\"required\" data-radio-field=\"fld_8380513_2\" data-type=\"radio\" data-calc-value=\"Libera\u00e7\u00e3o Miofascial\" \/>\n\t\t\tLibera\u00e7\u00e3o Miofascial\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Bambuterapia\" for=\"fld_8380513_2_opt1263254\"><input type=\"radio\" id=\"fld_8380513_2_opt1263254\" data-field=\"fld_8380513\" class=\"fld_8380513_2 option-required\" name=\"fld_8380513\" value=\"Bambuterapia\"   required=\"required\" data-radio-field=\"fld_8380513_2\" data-type=\"radio\" data-calc-value=\"Bambuterapia\" \/>\n\t\t\tBambuterapia\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Ventosaterapia\" for=\"fld_8380513_2_opt1192878\"><input type=\"radio\" id=\"fld_8380513_2_opt1192878\" data-field=\"fld_8380513\" class=\"fld_8380513_2 option-required\" name=\"fld_8380513\" value=\"Ventosaterapia\"   required=\"required\" data-radio-field=\"fld_8380513_2\" data-type=\"radio\" data-calc-value=\"Ventosaterapia\" \/>\n\t\t\tVentosaterapia\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Eletroterapia TENS\" for=\"fld_8380513_2_opt1517949\"><input type=\"radio\" id=\"fld_8380513_2_opt1517949\" data-field=\"fld_8380513\" class=\"fld_8380513_2 option-required\" name=\"fld_8380513\" value=\"Eletroterapia TENS\"   required=\"required\" data-radio-field=\"fld_8380513_2\" data-type=\"radio\" data-calc-value=\"Eletroterapia TENS\" \/>\n\t\t\tEletroterapia TENS\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<span id=\"fld_8380513Caption\" class=\"help-block\">Selecione a modalidade de Massoterapia<\/span>\r\n<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4635057\" class=\"form-group\" id=\"fld_4635057_2-wrap\">\r\n\t<label id=\"fld_4635057Label\" for=\"fld_4635057_2\" class=\"control-label\">Tratamento <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_4635057\" value=\"\" data-field=\"fld_4635057\" class=\"form-control\" id=\"fld_4635057_2\" rows=\"4\"  required=\"required\"  aria-labelledby=\"fld_4635057Label\" aria-describedby=\"fld_4635057Caption\" ><\/textarea>\n\t\t<span id=\"fld_4635057Caption\" class=\"help-block\">Descreva o(s) seu(s) problema(s) que deseja tratar<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_4985031_2\" data-field-id=\"fld_4985031_2\"><div data-field-wrapper=\"fld_4985031\" class=\"form-group\" id=\"fld_4985031_2-wrap\">\r\n<label id=\"fld_4985031Label\" for=\"fld_4985031_2\" class=\"control-label\">Gestante <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Sim\" for=\"fld_4985031_2_opt1686014\"><input type=\"radio\" id=\"fld_4985031_2_opt1686014\" data-field=\"fld_4985031\" class=\"fld_4985031_2 option-required\" name=\"fld_4985031\" value=\"Sim\"   required=\"required\" data-radio-field=\"fld_4985031_2\" data-type=\"radio\" data-calc-value=\"Sim\" \/>\n\t\t\tSim\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"N\u00e3o\" for=\"fld_4985031_2_opt1338100\"><input type=\"radio\" id=\"fld_4985031_2_opt1338100\" data-field=\"fld_4985031\" class=\"fld_4985031_2 option-required\" name=\"fld_4985031\" value=\"N\u00e3o\"   required=\"required\" data-radio-field=\"fld_4985031_2\" data-type=\"radio\" data-calc-value=\"N\u00e3o\" \/>\n\t\t\tN\u00e3o\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/span><div data-field-wrapper=\"fld_1664885\" class=\"form-group\" id=\"fld_1664885_2-wrap\">\r\n\t<label id=\"fld_1664885Label\" for=\"fld_1664885_2\" class=\"control-label\">Condi\u00e7\u00f5es Adversas<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt1585847\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Fatura recente (Menos de 1 m\u00eas)\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt1585847\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt1585847]\"\n                                value=\"Fatura recente (Menos de 1 m\u00eas)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"Fatura recente (Menos de 1 m\u00eas)\"\n                            >\n                    Fatura recente (Menos de 1 m\u00eas)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt2073763\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Les\u00e3o de pele\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt2073763\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt2073763]\"\n                                value=\"Les\u00e3o de pele\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"Les\u00e3o de pele\"\n                            >\n                    Les\u00e3o de pele                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt1255505\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Psoriase\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt1255505\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt1255505]\"\n                                value=\"Psoriase\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"Psoriase\"\n                            >\n                    Psoriase                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt2096396\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Varizes\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt2096396\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt2096396]\"\n                                value=\"Varizes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"Varizes\"\n                            >\n                    Varizes                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt1293607\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Trombose\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt1293607\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt1293607]\"\n                                value=\"Trombose\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"Trombose\"\n                            >\n                    Trombose                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt1717749\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Febre ou estado febril\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt1717749\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt1717749]\"\n                                value=\"Febre ou estado febril\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"Febre ou estado febril\"\n                            >\n                    Febre ou estado febril                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt1916703\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Virose\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt1916703\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt1916703]\"\n                                value=\"Virose\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"Virose\"\n                            >\n                    Virose                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt1084445\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Tumor cancerigeno\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt1084445\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt1084445]\"\n                                value=\"Tumor cancerigeno\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"Tumor cancerigeno\"\n                            >\n                    Tumor cancerigeno                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1664885_2_opt1609486\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"ICC (Insufici\u00eancia Cardiaca Congestiva)\"\n                                data-field=\"fld_1664885\"\n                                id=\"fld_1664885_2_opt1609486\"\n                                class=\"fld_1664885_2\"\n                                name=\"fld_1664885[opt1609486]\"\n                                value=\"ICC (Insufici\u00eancia Cardiaca Congestiva)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1664885_2\"\n                                                                data-calc-value=\"ICC (Insufici\u00eancia Cardiaca Congestiva)\"\n                            >\n                    ICC (Insufici\u00eancia Cardiaca Congestiva)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<span id=\"fld_1664885Caption\" class=\"help-block\">Marque se possuir alguma das situa\u00e7\u00f5es<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6325070\" class=\"form-group\" id=\"fld_6325070_2-wrap\">\r\n\t<label id=\"fld_6325070Label\" for=\"fld_6325070_2\" class=\"control-label\">Complementar<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_6325070\" value=\"\" data-field=\"fld_6325070\" class=\"form-control\" id=\"fld_6325070_2\" rows=\"4\"    aria-labelledby=\"fld_6325070Label\" aria-describedby=\"fld_6325070Caption\" ><\/textarea>\n\t\t<span id=\"fld_6325070Caption\" class=\"help-block\">Descreva as op\u00e7\u00f5es marcadas acima, se possuir<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1834444\" class=\"form-group\" id=\"fld_1834444_2-wrap\">\r\n<label id=\"fld_1834444Label\" for=\"fld_1834444_2\" class=\"control-label\">Diab\u00e9tes <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"N\u00e3o possuo\" for=\"fld_1834444_2_opt1340575\"><input type=\"radio\" id=\"fld_1834444_2_opt1340575\" data-field=\"fld_1834444\" class=\"fld_1834444_2 option-required\" name=\"fld_1834444\" value=\"N\u00e3o possuo\"   required=\"required\" data-radio-field=\"fld_1834444_2\" data-type=\"radio\" data-calc-value=\"N\u00e3o possuo\" \/>\n\t\t\tN\u00e3o possuo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Possuo, mas est\u00e1 controlada\" for=\"fld_1834444_2_opt1068985\"><input type=\"radio\" id=\"fld_1834444_2_opt1068985\" data-field=\"fld_1834444\" class=\"fld_1834444_2 option-required\" name=\"fld_1834444\" value=\"Possuo, mas est\u00e1 controlada\"   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