{"id":129,"date":"2013-10-11T15:14:17","date_gmt":"2013-10-11T13:14:17","guid":{"rendered":"http:\/\/www.studiovezia.ch\/?page_id=129"},"modified":"2025-10-22T10:15:51","modified_gmt":"2025-10-22T08:15:51","slug":"annuncio-pazienti","status":"publish","type":"page","link":"https:\/\/www.studiovezia.ch\/?page_id=129","title":{"rendered":"Formulario per l&#8217;annuncio pazienti"},"content":{"rendered":"\n<div class=\"wp-block-file\"><a href=\"https:\/\/www.studiovezia.ch\/wp-content\/uploads\/2025\/04\/AAA1-ANN-PAZ-2025.pdf\">AAA1-ANN-PAZ-2025<\/a><a href=\"https:\/\/www.studiovezia.ch\/wp-content\/uploads\/2025\/04\/AAA1-ANN-PAZ-2025.pdf\" class=\"wp-block-file__button\" download>Scarica<\/a><\/div>\n\n\n<div class=\"everest-forms\"><div class=\"evf-container default\" id=\"evf-234\"><form id=\"evf-form-234\" class=\"everest-form\" data-formid=\"234\" data-ajax_submission=\"0\" data-keyboard_friendly_form=\"0\" data-form_state_type=\"\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F129\"><div class=\"evf-field-container\"><input type=\"hidden\" id=\"_wpnonce234\" name=\"_wpnonce234\" value=\"f22d73415d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F129\" \/><div class=\"evf-frontend-row\" data-row=\"row_1\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-234-field_fullname-container\" class=\"evf-field evf-field-text form-row validate-required\" data-required-field-message=\"This field is required.\" data-field-id=\"fullname\"><label class=\"evf-field-label\" for=\"evf-234-field_fullname\"><span class=\"evf-label\">Nome<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"text\" id=\"evf-234-field_fullname\" class=\"input-text\" name=\"everest_forms[form_fields][fullname]\" required><\/div><div id=\"evf-234-field_ga3PQATgPh-1-container\" class=\"evf-field evf-field-first-name form-row validate-required\" data-required-field-message=\"This field is required.\" data-field-id=\"ga3PQATgPh-1\"><label class=\"evf-field-label\" for=\"evf-234-field_ga3PQATgPh-1\"><span class=\"evf-label\">Cognome<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"text\" id=\"evf-234-field_ga3PQATgPh-1\" class=\"input-text\" name=\"everest_forms[form_fields][ga3PQATgPh-1]\" required><\/div><div id=\"evf-234-field_A2IfqJrbZE-2-container\" class=\"evf-field evf-field-text form-row validate-required\" data-required-field-message=\"This field is required.\" data-field-id=\"A2IfqJrbZE-2\"><label class=\"evf-field-label\" for=\"evf-234-field_A2IfqJrbZE-2\"><span class=\"evf-label\">Nato\/a il<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"text\" id=\"evf-234-field_A2IfqJrbZE-2\" class=\"input-text\" name=\"everest_forms[form_fields][A2IfqJrbZE-2]\" required><\/div><div id=\"evf-234-field_daJNfRKyJ9-4-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"daJNfRKyJ9-4\"><label class=\"evf-field-label\" for=\"evf-234-field_daJNfRKyJ9-4\"><span class=\"evf-label\">Professione<\/span> <\/label><input type=\"text\" id=\"evf-234-field_daJNfRKyJ9-4\" class=\"input-text\" name=\"everest_forms[form_fields][daJNfRKyJ9-4]\" ><\/div><div id=\"evf-234-field_DajxTnb0ry-5-container\" class=\"evf-field evf-field-text form-row validate-required\" data-required-field-message=\"This field is required.\" data-field-id=\"DajxTnb0ry-5\"><label class=\"evf-field-label\" for=\"evf-234-field_DajxTnb0ry-5\"><span class=\"evf-label\">Via e numero<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"text\" id=\"evf-234-field_DajxTnb0ry-5\" class=\"input-text\" name=\"everest_forms[form_fields][DajxTnb0ry-5]\" required><\/div><div id=\"evf-234-field_U2iYj9uGI4-6-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"U2iYj9uGI4-6\"><label class=\"evf-field-label\" for=\"evf-234-field_U2iYj9uGI4-6\"><span class=\"evf-label\">CM<\/span> <\/label><input type=\"text\" id=\"evf-234-field_U2iYj9uGI4-6\" class=\"input-text\" name=\"everest_forms[form_fields][U2iYj9uGI4-6]\" ><\/div><div id=\"evf-234-field_cWQQWzSfUx-7-container\" class=\"evf-field evf-field-text form-row validate-required\" data-required-field-message=\"This field is required.\" data-field-id=\"cWQQWzSfUx-7\"><label class=\"evf-field-label\" for=\"evf-234-field_cWQQWzSfUx-7\"><span class=\"evf-label\">NAP Citt\u00e0<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"text\" id=\"evf-234-field_cWQQWzSfUx-7\" class=\"input-text\" name=\"everest_forms[form_fields][cWQQWzSfUx-7]\" required><\/div><div id=\"evf-234-field_YzgSxCccMW-15-container\" class=\"evf-field evf-field-number form-row\" data-field-id=\"YzgSxCccMW-15\"><label class=\"evf-field-label\" for=\"evf-234-field_YzgSxCccMW-15\"><span class=\"evf-label\">Telefono ufficio<\/span> <\/label><input type=\"number\" id=\"evf-234-field_YzgSxCccMW-15\" class=\"input-text\" name=\"everest_forms[form_fields][YzgSxCccMW-15]\" \/><\/div><div id=\"evf-234-field_i5IBamaVYt-16-container\" class=\"evf-field evf-field-number form-row\" data-field-id=\"i5IBamaVYt-16\"><label class=\"evf-field-label\" for=\"evf-234-field_i5IBamaVYt-16\"><span class=\"evf-label\">Telefono privato<\/span> <\/label><input type=\"number\" id=\"evf-234-field_i5IBamaVYt-16\" class=\"input-text\" name=\"everest_forms[form_fields][i5IBamaVYt-16]\" \/><\/div><div id=\"evf-234-field_Sxr6LmYTPv-17-container\" class=\"evf-field evf-field-number form-row\" data-field-id=\"Sxr6LmYTPv-17\"><label class=\"evf-field-label\" for=\"evf-234-field_Sxr6LmYTPv-17\"><span class=\"evf-label\">Cellulare<\/span> <\/label><input type=\"number\" id=\"evf-234-field_Sxr6LmYTPv-17\" class=\"input-text\" name=\"everest_forms[form_fields][Sxr6LmYTPv-17]\" \/><\/div><div id=\"evf-234-field_email-container\" class=\"evf-field evf-field-email form-row validate-required validate-email\" data-required-field-message=\"Please enter a valid email address.\" data-field-id=\"email\"><label class=\"evf-field-label\" for=\"evf-234-field_email\"><span class=\"evf-label\">Indirizzo e-mail<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"email\" id=\"evf-234-field_email\" class=\"input-text\" name=\"everest_forms[form_fields][email]\" required ><\/div><div id=\"evf-234-field_FVN82Zm4Sx-11-container\" class=\"evf-field evf-field-text form-row validate-required\" data-required-field-message=\"This field is required.\" data-field-id=\"FVN82Zm4Sx-11\"><label class=\"evf-field-label\" for=\"evf-234-field_FVN82Zm4Sx-11\"><span class=\"evf-label\">Medico curante<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"text\" id=\"evf-234-field_FVN82Zm4Sx-11\" class=\"input-text\" name=\"everest_forms[form_fields][FVN82Zm4Sx-11]\" required><\/div><div id=\"evf-234-field_HvnIEJe6iA-18-container\" class=\"evf-field evf-field-radio form-row\" data-field-id=\"HvnIEJe6iA-18\"><label class=\"evf-field-label\" for=\"evf-234-field_HvnIEJe6iA-18\"><span class=\"evf-label\">Diagnosi (*): segnare tutto quanto fa al caso<\/span> <\/label><ul id=\"evf-234-field_HvnIEJe6iA-18\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"evf-234-field_HvnIEJe6iA-18_1\" class=\"input-text\" name=\"everest_forms[form_fields][HvnIEJe6iA-18]\" value=\"Infarto del miocardio con o senza PTCA\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-234-field_HvnIEJe6iA-18_1\">Infarto del miocardio con o senza PTCA<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"evf-234-field_HvnIEJe6iA-18_2\" class=\"input-text\" name=\"everest_forms[form_fields][HvnIEJe6iA-18]\" value=\"Bypass\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-234-field_HvnIEJe6iA-18_2\">Bypass<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"evf-234-field_HvnIEJe6iA-18_3\" class=\"input-text\" name=\"everest_forms[form_fields][HvnIEJe6iA-18]\" value=\"Altri interventi sul cuore o sui grandi vasi\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-234-field_HvnIEJe6iA-18_3\">Altri interventi sul cuore o sui grandi vasi<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"evf-234-field_HvnIEJe6iA-18_4\" class=\"input-text\" name=\"everest_forms[form_fields][HvnIEJe6iA-18]\" value=\"PTCA, in particolare in caso di precedente inattivit\u00e0 o di molteplici fattori di rischio\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-234-field_HvnIEJe6iA-18_4\">PTCA, in particolare in caso di precedente inattivit\u00e0 o di molteplici fattori di rischio<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"evf-234-field_HvnIEJe6iA-18_5\" class=\"input-text\" name=\"everest_forms[form_fields][HvnIEJe6iA-18]\" value=\"Malattia cronica e fattori multipli di rischio refrattari alla terapia\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-234-field_HvnIEJe6iA-18_5\">Malattia cronica e fattori multipli di rischio refrattari alla terapia<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"evf-234-field_HvnIEJe6iA-18_6\" class=\"input-text\" name=\"everest_forms[form_fields][HvnIEJe6iA-18]\" value=\"Malattia cronica con cattiva funzione ventricolare\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-234-field_HvnIEJe6iA-18_6\">Malattia cronica con cattiva funzione ventricolare<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"evf-234-field_HvnIEJe6iA-18_7\" class=\"input-text\" name=\"everest_forms[form_fields][HvnIEJe6iA-18]\" value=\"Altro\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-234-field_HvnIEJe6iA-18_7\">Altro<\/label><\/li><\/ul><\/div><div id=\"evf-234-field_V0qliSfJko-19-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"V0qliSfJko-19\"><label class=\"evf-field-label\" for=\"evf-234-field_V0qliSfJko-19\"><span class=\"evf-label\">Descrivere Altro<\/span> <\/label><input type=\"text\" id=\"evf-234-field_V0qliSfJko-19\" class=\"input-text\" name=\"everest_forms[form_fields][V0qliSfJko-19]\" ><div class=\"evf-field-description\">(*) N.d.R.: Criteri SAKR\/GSRC, SGED\/SSED, convenzione Sant\u00e9 Suisse, OPre, Foglio ufficiale 6\/2010<\/div><\/div><div id=\"evf-234-field_XWQJLsUgZv-20-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"XWQJLsUgZv-20\"><label class=\"evf-field-label\" for=\"evf-234-field_XWQJLsUgZv-20\"><span class=\"evf-label\">Terapia completa<\/span> <\/label><input type=\"text\" id=\"evf-234-field_XWQJLsUgZv-20\" class=\"input-text\" name=\"everest_forms[form_fields][XWQJLsUgZv-20]\" ><\/div><div id=\"evf-234-field_lJkE0bipnD-28-container\" class=\"evf-field evf-field-select form-row\" data-field-id=\"lJkE0bipnD-28\"><label class=\"evf-field-label\" for=\"evf-234-field_lJkE0bipnD-28\"><span class=\"evf-label\">Fattori di rischio cardiovascolare:<\/span> <\/label><select id=\"evf-234-field_lJkE0bipnD-28\" class=\"input-text\" name=\"everest_forms[form_fields][lJkE0bipnD-28]\" ><option value=\"Scegli\" >Scegli<\/option><option value=\"Fumo\" >Fumo<\/option><option value=\"Famigliarit\u00e0\" >Famigliarit\u00e0<\/option><option value=\"ITA\" >ITA<\/option><option value=\"DM\" >DM<\/option><\/select><\/div><div id=\"evf-234-field_WePbo83cqR-33-container\" class=\"evf-field evf-field-number form-row validate-required\" data-required-field-message=\"Please enter a valid number.\" data-field-id=\"WePbo83cqR-33\"><label class=\"evf-field-label\" for=\"evf-234-field_WePbo83cqR-33\"><span class=\"evf-label\">Peso Kg<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"number\" id=\"evf-234-field_WePbo83cqR-33\" class=\"input-text\" name=\"everest_forms[form_fields][WePbo83cqR-33]\" required\/><\/div><div id=\"evf-234-field_4ext7BVGgs-31-container\" class=\"evf-field evf-field-number form-row validate-required\" data-required-field-message=\"Please enter a valid number.\" data-field-id=\"4ext7BVGgs-31\"><label class=\"evf-field-label\" for=\"evf-234-field_4ext7BVGgs-31\"><span class=\"evf-label\">Altezza cm<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"number\" id=\"evf-234-field_4ext7BVGgs-31\" class=\"input-text\" name=\"everest_forms[form_fields][4ext7BVGgs-31]\" required\/><\/div><div id=\"evf-234-field_3snfgxSCFk-32-container\" class=\"evf-field evf-field-number form-row validate-required\" data-required-field-message=\"Please enter a valid number.\" data-field-id=\"3snfgxSCFk-32\"><label class=\"evf-field-label\" for=\"evf-234-field_3snfgxSCFk-32\"><span class=\"evf-label\"> BMI kg\/m2<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"number\" id=\"evf-234-field_3snfgxSCFk-32\" class=\"input-text\" name=\"everest_forms[form_fields][3snfgxSCFk-32]\" required\/><\/div><div id=\"evf-234-field_CjBTo2epFp-34-container\" class=\"evf-field evf-field-number form-row validate-required\" data-required-field-message=\"Please enter a valid number.\" data-field-id=\"CjBTo2epFp-34\"><label class=\"evf-field-label\" for=\"evf-234-field_CjBTo2epFp-34\"><span class=\"evf-label\"> Circonferenza addominale cm<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"number\" id=\"evf-234-field_CjBTo2epFp-34\" class=\"input-text\" name=\"everest_forms[form_fields][CjBTo2epFp-34]\" required\/><\/div><div id=\"evf-234-field_HVTcAx6VIw-38-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"HVTcAx6VIw-38\"><label class=\"evf-field-label\" for=\"evf-234-field_HVTcAx6VIw-38\"><span class=\"evf-label\">Colesterolo Totale<\/span> <\/label><input type=\"text\" id=\"evf-234-field_HVTcAx6VIw-38\" class=\"input-text\" name=\"everest_forms[form_fields][HVTcAx6VIw-38]\" ><\/div><div id=\"evf-234-field_r5tHAbw7mU-39-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"r5tHAbw7mU-39\"><label class=\"evf-field-label\" for=\"evf-234-field_r5tHAbw7mU-39\"><span class=\"evf-label\">Colesterolo HDL<\/span> <\/label><input type=\"text\" id=\"evf-234-field_r5tHAbw7mU-39\" class=\"input-text\" name=\"everest_forms[form_fields][r5tHAbw7mU-39]\" ><\/div><div id=\"evf-234-field_TROuhwp0s9-40-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"TROuhwp0s9-40\"><label class=\"evf-field-label\" for=\"evf-234-field_TROuhwp0s9-40\"><span class=\"evf-label\">Colesterolo LDL<\/span> <\/label><input type=\"text\" id=\"evf-234-field_TROuhwp0s9-40\" class=\"input-text\" name=\"everest_forms[form_fields][TROuhwp0s9-40]\" ><\/div><div id=\"evf-234-field_AFhsjXp0oq-41-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"AFhsjXp0oq-41\"><label class=\"evf-field-label\" for=\"evf-234-field_AFhsjXp0oq-41\"><span class=\"evf-label\">Colesterolo TG<\/span> <\/label><input type=\"text\" id=\"evf-234-field_AFhsjXp0oq-41\" class=\"input-text\" name=\"everest_forms[form_fields][AFhsjXp0oq-41]\" ><\/div><div id=\"evf-234-field_4ZAIf2PipA-42-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"4ZAIf2PipA-42\"><label class=\"evf-field-label\" for=\"evf-234-field_4ZAIf2PipA-42\"><span class=\"evf-label\">Colesterolo Glic. HbA1C<\/span> <\/label><input type=\"text\" id=\"evf-234-field_4ZAIf2PipA-42\" class=\"input-text\" name=\"everest_forms[form_fields][4ZAIf2PipA-42]\" ><\/div><div id=\"evf-234-field_dTvFuvd9fI-43-container\" class=\"evf-field evf-field-textarea form-row\" data-field-id=\"dTvFuvd9fI-43\"><label class=\"evf-field-label\" for=\"evf-234-field_dTvFuvd9fI-43\"><span class=\"evf-label\">Osservazioni<\/span> <\/label><textarea id=\"evf-234-field_dTvFuvd9fI-43\" class=\"input-text\" name=\"everest_forms[form_fields][dTvFuvd9fI-43]\"  ><\/textarea><\/div><\/div><\/div><\/div><div class=\"evf-submit-container \" ><input type=\"hidden\" name=\"everest_forms[id]\" value=\"234\"><input type=\"hidden\" name=\"everest_forms[author]\" value=\"1\"><button type='submit' name='everest_forms[submit]' class='everest-forms-submit-button button evf-submit ' id='evf-submit-234' value='evf-submit' data-process-text=\"Processing&hellip;\" conditional_rules='&quot;&quot;' conditional_id='evf-submit-234'  id=\"evf-submit-234\" aria-live=\"assertive\">Invia<\/button><\/div><\/form><\/div><!-- .evf-container --><\/div>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":7,"parent":9,"menu_order":1,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-129","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=\/wp\/v2\/pages\/129","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=129"}],"version-history":[{"count":20,"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=\/wp\/v2\/pages\/129\/revisions"}],"predecessor-version":[{"id":1473,"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=\/wp\/v2\/pages\/129\/revisions\/1473"}],"up":[{"embeddable":true,"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=\/wp\/v2\/pages\/9"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=\/wp\/v2\/media\/7"}],"wp:attachment":[{"href":"https:\/\/www.studiovezia.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}