{"id":32,"date":"2019-04-16T18:32:04","date_gmt":"2019-04-16T18:32:04","guid":{"rendered":"http:\/\/driscoll.gomohealth.care\/pregnant-hra\/"},"modified":"2023-11-20T17:28:01","modified_gmt":"2023-11-20T17:28:01","slug":"pregnant-hra","status":"publish","type":"page","link":"https:\/\/driscoll.gomohealth.care\/es\/pregnant-hra\/","title":{"rendered":"Pregnant HRA"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\">\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_46' style='display:none'><div id='gf_46' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_46' id='gform_46'  action='\/es\/wp-json\/wp\/v2\/pages\/32#gf_46' ><input id=\"gpnf_session_hash_46\" type=\"hidden\" name=\"gpnf_session_hash\" value=\"e1e83ecb3475\"><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_46\" \/>\n                        <div class='gform_body gform-body'><ul id='gform_fields_46' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_46_1\"  class=\"gfield mt_25 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_1\"><p>Bienvenido al Driscoll Health Plan. Nuestros registros indican que usted est\u00e1 embarazada. Queremos saber de usted para poder prestarle un mejor servicio durante el embarazo y el parto. Nuestros administradores de casos est\u00e1n aqu\u00ed para brindarle buenos consejos y ayudarle a asegurar la mejor oportunidad de tener un beb\u00e9 sano. Responda las pr\u00f3ximas preguntas de la Evaluaci\u00f3n de riesgos de salud para que podamos brindarle la mayor asistencia posible.<\/p>\n\n<p><b><span style=\"color: #790000;\">*<\/span> = requerido<\/b><\/p><\/li><li id=\"field_46_2\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_46_2\"><label class='gfield_label gfield_label_before_complex'  >Nombre de miembro:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_46_2'>\n                            \n                            <span id='input_46_2_3_container' class='name_first' >\n                                                    <input type='text' name='input_2.3' id='input_46_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_46_2_3' >Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_46_2_6_container' class='name_last' >\n                                                    <input type='text' name='input_2.6' id='input_46_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_46_2_6' >Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_46_24\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_24\"><label class='gfield_label gfield_label_before_complex'  >Si es un menor: Padre, madre o tutor:<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_46_24'>\n                            \n                            <span id='input_46_24_3_container' class='name_first' >\n                                                    <input type='text' name='input_24.3' id='input_46_24_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_46_24_3' >Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_46_24_6_container' class='name_last' >\n                                                    <input type='text' name='input_24.6' id='input_46_24_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_46_24_6' >Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_46_25\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_25\"><label class='gfield_label' for='input_46_25' >ID de miembro o SSN:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_46_25' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_46_26\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_26\"><label class='gfield_label' for='input_46_26' >Fecha de Nacimiento del miembro:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_26' id='input_46_26' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_46_26_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_46_26_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_46_26' class='gform_hidden' value='\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_46_28\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_28\"><label class='gfield_label' for='input_46_28' >Edad:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_46_28' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_46_29\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_29\"><label class='gfield_label gfield_label_before_complex'  >Direcci\u00f3n del miembro:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_46_29' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_46_29_1_container' >\n                                        <input type='text' name='input_29.1' id='input_46_29_1' value=''    aria-required='true'    \/>\n                                        <label for='input_46_29_1' id='input_46_29_1_label' >Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_46_29_2_container' >\n                                        <input type='text' name='input_29.2' id='input_46_29_2' value=''     aria-required='false'   \/>\n                                        <label for='input_46_29_2' id='input_46_29_2_label' >Direcci\u00f3n 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_46_29_3_container' >\n                                    <input type='text' name='input_29.3' id='input_46_29_3' value=''    aria-required='true'    \/>\n                                    <label for='input_46_29_3' id='input_46_29_3_label' >Ciudad<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_46_29_4_container' >\n                                        <select name='input_29.4' id='input_46_29_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Islas Marianas del Norte' >Islas Marianas del Norte<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' selected='selected'>Texas<\/option><option value='Utah' >Utah<\/option><option value='Islas V\u00edrgenes de los Estados Unidos' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_46_29_4' id='input_46_29_4_label' >Provincia<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_46_29_5_container' >\n                                    <input type='text' name='input_29.5' id='input_46_29_5' value=''    aria-required='true'    \/>\n                                    <label for='input_46_29_5' id='input_46_29_5_label' >C\u00f3digo Postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_29.6' id='input_46_29_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_46_30\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_30\"><label class='gfield_label' for='input_46_30' >Nombre del PCP:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_46_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_46_3\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_3\"><label class='gfield_label'  >Nuestros registros indican que usted est\u00e1 embarazada. \u00bf Correcto?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_46_3'>\n\t\t\t<li class='gchoice gchoice_46_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='Yes'  id='choice_46_3_0'    \/>\n\t\t\t\t<label for='choice_46_3_0' id='label_46_3_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_46_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='No'  id='choice_46_3_1'    \/>\n\t\t\t\t<label for='choice_46_3_1' id='label_46_3_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_46_31\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_31\"><label class='gfield_label' for='input_46_31' >\u00bfCu\u00e1ndo nacer\u00e1 su beb\u00e9?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_31' id='input_46_31' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_46_31_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_46_31_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_46_31' class='gform_hidden' value='\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_46_32\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_32\"><label class='gfield_label' for='input_46_32' >\u00bfQui\u00e9n es su m\u00e9dico obstetra\/ginec\u00f3logo?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_46_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_46_33\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_33\"><label class='gfield_label'  >\u00bfHa consultado a su m\u00e9dico obstetra\/ginec\u00f3logo?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_46_33'>\n\t\t\t<li class='gchoice gchoice_46_33_0'>\n\t\t\t\t<input name='input_33' type='radio' value='Yes'  id='choice_46_33_0'    \/>\n\t\t\t\t<label for='choice_46_33_0' id='label_46_33_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_46_33_1'>\n\t\t\t\t<input name='input_33' type='radio' value='No'  id='choice_46_33_1'    \/>\n\t\t\t\t<label for='choice_46_33_1' id='label_46_33_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_46_34\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_34\"><label class='gfield_label' for='input_46_34' >\u00bfCu\u00e1ndo es su pr\u00f3xima cita con el m\u00e9dico?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_34' id='input_46_34' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_46_34_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_46_34_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_46_34' class='gform_hidden' value='\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_46_35\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_35\"><label class='gfield_label'  >\u00bfEs este su primer embarazo?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_46_35'>\n\t\t\t<li class='gchoice gchoice_46_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Yes'  id='choice_46_35_0'    \/>\n\t\t\t\t<label for='choice_46_35_0' id='label_46_35_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_46_35_1'>\n\t\t\t\t<input name='input_35' type='radio' value='No'  id='choice_46_35_1'    \/>\n\t\t\t\t<label for='choice_46_35_1' id='label_46_35_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_46_43\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_43\"><label class='gfield_label' for='input_46_43' >\u00bfCu\u00e1ntos beb\u00e9s nacieron vivos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_46_43' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_46_44\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_44\"><label class='gfield_label' for='input_46_44' >\u00bfCu\u00e1ntos hijos tiene?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_46_44' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_46_42\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_42\"><label class='gfield_label' for='input_46_42' >Edad para cada ni\u00f1o\/a:<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-1\">\n\t\t\t\t\tEdad\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f1.label, attr: { 'data-value': f1.label }\"\n\t\t\t\t\tdata-heading=\"Edad\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button class=\"edit-button\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Entry {0} where Edad is {1}.'.format( $index() + 1, f1.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button class=\"delete-button\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Entry {0} where Edad is {1}.'.format( $index() + 1, f1.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"2\">\n\t\t\t\tThere are no <span>Entries.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"46\"\n\t\t        data-nestedformid=\"47\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Entry\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of entries reached.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_42\"\n                id=\"input_46_42\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/li><li id=\"field_46_38\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_38\"><label class='gfield_label'  >\u00bfTuvo alg\u00fan problema con sus embarazos anteriores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_46_38'>\n\t\t\t<li class='gchoice gchoice_46_38_0'>\n\t\t\t\t<input name='input_38' type='radio' value='Yes'  id='choice_46_38_0'    \/>\n\t\t\t\t<label for='choice_46_38_0' id='label_46_38_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_46_38_1'>\n\t\t\t\t<input name='input_38' type='radio' value='No'  id='choice_46_38_1'    \/>\n\t\t\t\t<label for='choice_46_38_1' id='label_46_38_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_46_39\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_39\"><label class='gfield_label' for='input_46_39' >Por favor, enumere las problemas:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_39' id='input_46_39' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_46_52\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_52\"><label class='gfield_label'  >\u00bfTiene enc\u00edas inflamadas o sangrantes, dolor de muelas, problemas para comer o masticar alimentos u otros problemas en tu boca?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_46_52'>\n\t\t\t<li class='gchoice gchoice_46_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Yes'  id='choice_46_52_0'    \/>\n\t\t\t\t<label for='choice_46_52_0' id='label_46_52_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_46_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='No'  id='choice_46_52_1'    \/>\n\t\t\t\t<label for='choice_46_52_1' id='label_46_52_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_46_40\"  class=\"gfield gfield--width-full field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_46_40\"><label class='gfield_label gfield_label_before_complex'  >\u00bfTiene usted alguno de los siguientes problemas de salud?<\/label><div class='gfield_description' id='gfield_description_46_40'>Por favor seleccione todas las respuestas v\u00e1lidas.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_46_40'><li class='gchoice gchoice_46_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Diabetes'  id='choice_46_40_1'   aria-describedby=\"gfield_description_46_40\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_46_40_1' id='label_46_40_1'>Diabetes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_46_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Depression'  id='choice_46_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_46_40_2' id='label_46_40_2'>Depresi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_46_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Anxiety'  id='choice_46_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_46_40_3' id='label_46_40_3'>Ansiedad<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_46_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='Heart Disease'  id='choice_46_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_46_40_4' id='label_46_40_4'>Enfermedad card\u00edaca<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_46_40_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.5' type='checkbox'  value='Hypertension'  id='choice_46_40_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_46_40_5' id='label_46_40_5'>Hipertensi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_46_40_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.6' type='checkbox'  value='Substance Abuse'  id='choice_46_40_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_46_40_6' id='label_46_40_6'>Abuso de sustancias<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_46_40_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.7' type='checkbox'  value='Kidney Disease'  id='choice_46_40_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_46_40_7' id='label_46_40_7'>Enfermedad renal<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_46_51\"  class=\"gfield gfield--width-full gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_51\"><h3 style=\"font-weight: bold; font-size: 20px; margin-top:35px; border-bottom: 1px solid #ddd; padding-bottom: 10px;\">Gracias por la informaci\u00f3n corregida. Vamos a actualizar nuestros registros.<\/h3><\/li><li id=\"field_46_10\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_10\"><div class='ginput_container ginput_container_text'><input name='input_10' id='input_46_10' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='English' \/><\/div><\/li><li id=\"field_46_11\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_46_11\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_46_11' >subsid<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_46_11' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_46_12\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_46_12\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_46_12' >mobile<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_46_12' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_46' class='gform_button button' value='ENVIAR'  onclick='if(window[\"gf_submitting_46\"]){return false;}  window[\"gf_submitting_46\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_46\"]){return false;} window[\"gf_submitting_46\"]=true;  jQuery(\"#gform_46\").trigger(\"submit\",[true]); }' \/> <input type='hidden' name='gform_ajax' value='form_id=46&amp;title=&amp;description=&amp;tabindex=0' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_46' value='1' \/>\n   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id='gform_source_page_number_46' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"48\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div>\n                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_46' id='gform_ajax_frame_46' title='Este iframe contiene la l\u00f3gica necesaria para gestionar formularios con ajax activado.'><\/iframe>\n                <script type=\"text\/javascript\">\ngform.initializeOnLoaded( function() {gformInitSpinner( 46, '\/wp-content\/plugins\/gravityforms\/images\/spinner.svg' 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jQuery(document).scrollTop(jQuery('#gform_wrapper_46').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_46').val();gformInitSpinner( 46, '\/wp-content\/plugins\/gravityforms\/images\/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [46, current_page]);window['gf_submitting_46'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_46').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_46').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [46]);window['gf_submitting_46'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_46').text());}, 50);}else{jQuery('#gform_46').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [46, current_page]);} );} );\n<\/script>\n<div class=\"fusion-text fusion-text-1\" style=\"font-size:12px;\"><p>Universidad de Michigan, 12\/13 \u2013 Directrices prenatales de alineaci\u00f3n cl\u00ednica y excelencia en el rendimiento<br \/>\nrecuperadas de <a href=\"http:\/\/www.med.umich.edu\/1info\/FHP\/practiceguides\/newpnc\/PNC.pdf\">http:\/\/www.med.umich.edu\/1info\/FHP\/practiceguides\/newpnc\/PNC.pdf<\/a><br \/>\nLa herramienta de detecci\u00f3n de necesidades sociales de las comunidades de salud responsables, relacionada con la salud,<br \/>\n<a href=\"https:\/\/innovation.cms.gov\/files\/worksheets\/ahcm-screeningtool.pdf\">https:\/\/innovation.cms.gov\/files\/worksheets\/ahcm-screeningtool.pdf<\/a><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Health Risk Assessment | Driscoll Health Plan<\/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:\/\/driscoll.gomohealth.care\/es\/pregnant-hra\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Health Risk Assessment | Driscoll Health Plan\" \/>\n<meta property=\"og:url\" content=\"https:\/\/driscoll.gomohealth.care\/es\/pregnant-hra\/\" \/>\n<meta property=\"og:site_name\" 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