{"id":55840,"date":"2014-11-20T17:14:26","date_gmt":"2014-11-20T23:14:26","guid":{"rendered":"https:\/\/www.erdheim-chester.org\/contatto-caregiver\/"},"modified":"2025-09-08T14:10:48","modified_gmt":"2025-09-08T19:10:48","slug":"contatto-caregiver","status":"publish","type":"page","link":"https:\/\/www.erdheim-chester.org\/it\/contatto-caregiver\/","title":{"rendered":"Contatto caregiver"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2024\/12\/Untitled-design-96-1.png&#8221; background_position=&#8221;bottom_center&#8221; background_vertical_offset=&#8221;20%&#8221; custom_padding=&#8221;20px||20px||true|false&#8221; background_last_edited=&#8221;on|desktop&#8221; background_position_tablet=&#8221;bottom_right&#8221; background_position_phone=&#8221;center_right&#8221; global_module=&#8221;28071&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_dmb_breadcrumbs _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; body_text_color=&#8221;#FFFFFF&#8221; body_font_size=&#8221;12px&#8221; link_text_color=&#8221;#35A4BB&#8221; custom_margin=&#8221;||5px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; body_font_size_tablet=&#8221;12px&#8221; body_font_size_phone=&#8221;10px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_dmb_breadcrumbs][et_pb_heading title=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@&#8221; _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;title&#8221; _module_preset=&#8221;default&#8221; title_font=&#8221;&#8211;et_global_heading_font|300|||||||&#8221; title_text_color=&#8221;#FFFFFF&#8221; title_font_size=&#8221;40px&#8221; custom_margin=&#8221;||3px|||&#8221; title_font_size_tablet=&#8221;&#8221; title_font_size_phone=&#8221;25px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_heading][et_pb_button button_url=&#8221;https:\/\/www.erdheim-chester.org\/it\/contattaci\/&#8221; button_text=&#8221;Contattaci&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;15px&#8221; button_text_color=&#8221;#C02E43&#8243; button_bg_color=&#8221;rgba(10,22,64,0.53)&#8221; button_border_width=&#8221;0px&#8221; button_icon=&#8221;&#xe60f;||divi||400&#8243; button_icon_color=&#8221;#C02E43&#8243; button_icon_placement=&#8221;left&#8221; button_on_hover=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; filter_opacity__hover_enabled=&#8221;on|hover&#8221; filter_opacity__hover=&#8221;70%&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;fila&#8221; _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_margin=&#8221;||17px|||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Connettiti con la comunit\u00e0 e con altri caregiver di ECD <\/h2>\n<p>Incontra altri caregiver seguendo le istruzioni <a href=\"https:\/\/www.erdheim-chester.org\/it\/chat-della-comunita\/\">qui<\/a> o iscriviti qui per ricevere maggiori informazioni per supportarti nel tuo ruolo di caregiver.<\/p>\n<p><strong>Connettiti con la comunit\u00e0 e con altri caregiver di ECD!<\/strong><\/p>\n<p>La ECD Global Alliance \u00e8 un&#8217;organizzazione di advocacy composta da una forte comunit\u00e0 dedicata alla consapevolezza, al supporto, all&#8217;educazione e alla ricerca relativi a Erdheim-Chester Malattia. La comunit\u00e0 si rafforza solo con l&#8217;aiuto dei pazienti e dei loro pi\u00f9 grandi sostenitori! <\/p>\n<p><strong>Perch\u00e9 devo registrarmi se la persona di cui mi occupo \u00e8 gi\u00e0 iscritta?<\/strong><\/p>\n<ul>\n<li>Vogliamo essere in grado di fornire risorse che possano essere utili per il tuo percorso specifico.<\/li>\n<li>Riceverai inviti e dettagli sui prossimi eventi pi\u00f9 legati al tuo ruolo.<\/li>\n<li>Aiuterai il sito ECDGA a mettere pi\u00f9 facilmente in contatto i caregiver tra loro, ispirando altri programmi che potrebbero essere interessanti per te.<\/li>\n<\/ul>\n<p><em>Ecco il link al modulo di iscrizione per i caregiver o i familiari che desiderano rimanere in contatto con il gruppo di supporto alla persona amata che lotta contro ECD.  <\/em><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<script>\nvar 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   <h2 class=\"gform_title\">Modulo per il paziente<\/h2>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/it\/wp-json\/wp\/v2\/pages\/55840#gf_1' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_20\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>La seguente registrazione \u00e8 per:<\/h3><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_6'>Tipo individuale<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_1_6' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Caregiver' >Caregiver<\/option><option value='Famiglia' >Famiglia<\/option><option value='Amico' >Amico<\/option><option value='Professionista medico' >Professionista medico<\/option><option value='Paziente' >Paziente<\/option><option value='Farmaceutica' >Farmaceutica<\/option><option value='Ricerca della diagnosi' >Ricerca della diagnosi<\/option><\/select><\/div><\/div><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nome<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub '>Nome<\/label>\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub '>Cognome<\/label>\n                                                            <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_1_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_1_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Telefono<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_33'>\n\t\t\t<div class='gchoice gchoice_1_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Numero di telefono con sede negli Stati Uniti'  id='choice_1_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_33_0' id='label_1_33_0' class='gform-field-label gform-field-label--type-inline'>Numero di telefono con sede negli Stati Uniti<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Numero di telefono internazionale'  id='choice_1_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_33_1' id='label_1_33_1' class='gform-field-label gform-field-label--type-inline'>Numero di telefono internazionale<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'>Telefono<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_1_4' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_32\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_32'>Telefono<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_1_32' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_26'>Nome dell&#039;istituto\/ospedale\/datore di lavoro<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_1_26' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_5\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Indirizzo<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_1_5' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_5_1_container' >\n                                        <label for='input_1_5_1' id='input_1_5_1_label' class='gform-field-label gform-field-label--type-sub '>Via\/Piazza\/Corso e numero civico<\/label>\n                                        <input type='text' name='input_5.1' id='input_1_5_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_1_5_2_container' >\n                                        <label for='input_1_5_2' id='input_1_5_2_label' class='gform-field-label gform-field-label--type-sub '>Indirizzo riga 2<\/label>\n                                        <input type='text' name='input_5.2' id='input_1_5_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_5_3_container' >\n                                    <label for='input_1_5_3' id='input_1_5_3_label' class='gform-field-label gform-field-label--type-sub '>Localit\u00e0<\/label>\n                                    <input type='text' name='input_5.3' id='input_1_5_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_5_4_container' >\n                                        <label for='input_1_5_4' id='input_1_5_4_label' class='gform-field-label gform-field-label--type-sub '>Stato \/ Provincia \/ Regione<\/label>\n                                        <input type='text' name='input_5.4' id='input_1_5_4' value=''      aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_1_5_5_container' >\n                                    <label for='input_1_5_5' id='input_1_5_5_label' class='gform-field-label gform-field-label--type-sub '>CAP \/ Codice postale<\/label>\n                                    <input type='text' name='input_5.5' id='input_1_5_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_1_5_6_container' >\n                                        <label for='input_1_5_6' id='input_1_5_6_label' class='gform-field-label gform-field-label--type-sub '>Nazione<\/label>\n                                        <select name='input_5.6' id='input_1_5_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antartide' >Antartide<\/option><option value='Antigua e Barbuda' >Antigua e Barbuda<\/option><option value='Arabia Saudita' >Arabia Saudita<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belgio' >Belgio<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bielorussia' >Bielorussia<\/option><option value='Birmania' >Birmania<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius e Saba' >Bonaire, Sint Eustatius e Saba<\/option><option value='Bosnia-Erzegovina' >Bosnia-Erzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brasile' >Brasile<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambogia' >Cambogia<\/option><option value='Camerun' >Camerun<\/option><option value='Canada' >Canada<\/option><option value='Capo Verde' >Capo Verde<\/option><option value='Chad' >Chad<\/option><option value='Cile' >Cile<\/option><option value='Cina' >Cina<\/option><option value='Cipro' >Cipro<\/option><option value='Colombia' >Colombia<\/option><option value='Comore' >Comore<\/option><option value='Congo' >Congo<\/option><option value='Congo, Repubblica Democratica del' >Congo, Repubblica Democratica del<\/option><option value='Corea, (Repubblica Democratica Popolare di)' >Corea, (Repubblica Democratica Popolare di)<\/option><option value='Corea, Repubblica di' >Corea, Repubblica di<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Costa d&#039;Avorio' >Costa d&#039;Avorio<\/option><option value='Croazia' >Croazia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Danimarca' >Danimarca<\/option><option value='Dominica' >Dominica<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egitto' >Egitto<\/option><option value='El Salvador' >El Salvador<\/option><option value='Emirati Arabi Uniti' >Emirati Arabi Uniti<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Etiopia' >Etiopia<\/option><option value='Federazione Russa' >Federazione Russa<\/option><option value='Fiji' >Fiji<\/option><option value='Filippine' >Filippine<\/option><option value='Finlandia' >Finlandia<\/option><option value='Francia' >Francia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germania' >Germania<\/option><option value='Ghana' >Ghana<\/option><option value='Giamaica' >Giamaica<\/option><option value='Giappone' >Giappone<\/option><option value='Gibilterra' >Gibilterra<\/option><option value='Gibuti' >Gibuti<\/option><option value='Giordania' >Giordania<\/option><option value='Grecia' >Grecia<\/option><option value='Grenada' >Grenada<\/option><option value='Groenlandia' >Groenlandia<\/option><option value='Guadalupa' >Guadalupa<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guiana Francese' >Guiana Francese<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea Equatoriale' >Guinea Equatoriale<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Irlanda' >Irlanda<\/option><option value='Islanda' >Islanda<\/option><option value='Isola di Bouvet' >Isola di Bouvet<\/option><option value='Isola di Man' >Isola di Man<\/option><option value='Isola di Natale' >Isola di Natale<\/option><option value='Isola di Saint Barth\u00e9lemy' >Isola di Saint Barth\u00e9lemy<\/option><option value='Isole Aland' >Isole Aland<\/option><option value='Isole Cayman' >Isole Cayman<\/option><option value='Isole Cocos' >Isole Cocos<\/option><option value='Isole Cook' >Isole Cook<\/option><option value='Isole Falkland' >Isole Falkland<\/option><option value='Isole Faroe' >Isole Faroe<\/option><option value='Isole Heard e McDonald' >Isole Heard e McDonald<\/option><option value='Isole Marianne Settentrionali' >Isole Marianne Settentrionali<\/option><option value='Isole Marshall' >Isole Marshall<\/option><option value='Isole Norfolk' >Isole Norfolk<\/option><option value='Isole Saint Pierre e Miquelon' >Isole Saint Pierre e Miquelon<\/option><option value='Isole Salomone' >Isole Salomone<\/option><option value='Isole Svalbard e Jan Mayen' >Isole Svalbard e Jan Mayen<\/option><option value='Isole Turks e Caicos' >Isole Turks e Caicos<\/option><option value='Isole Vergini britanniche' >Isole Vergini britanniche<\/option><option value='Isole minori esterne degli Stati Uniti d&#039;America' >Isole minori esterne degli Stati Uniti d&#039;America<\/option><option value='Isole vergini americane' >Isole vergini americane<\/option><option value='Israele' >Israele<\/option><option value='Italia' >Italia<\/option><option value='Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy' >Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy<\/option><option value='Kazakistan' >Kazakistan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Laos' >Laos<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonia' >Lettonia<\/option><option value='Libano' >Libano<\/option><option value='Liberia' >Liberia<\/option><option value='Libia' >Libia<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituania' >Lituania<\/option><option value='Lussemburgo' >Lussemburgo<\/option><option value='Macao' >Macao<\/option><option value='Macedonia del Nord' >Macedonia del Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Maglia' >Maglia<\/option><option value='Malawi' >Malawi<\/option><option value='Maldive' >Maldive<\/option><option value='Malesia' >Malesia<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marocco' >Marocco<\/option><option value='Martinica' >Martinica<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Messico' >Messico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldavia' >Moldavia<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mozambico' >Mozambico<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norvegia' >Norvegia<\/option><option value='Nuova Caledonia' >Nuova Caledonia<\/option><option value='Nuova Zelanda' >Nuova Zelanda<\/option><option value='Oman' >Oman<\/option><option value='Paesi Bassi' >Paesi Bassi<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papua Nuova Guinea' >Papua Nuova Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polonia' >Polonia<\/option><option value='Polynesia Francese' >Polynesia Francese<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portogallo' >Portogallo<\/option><option value='Qatar' >Qatar<\/option><option value='Regno Unito' >Regno Unito<\/option><option value='Repubblica Araba di Siria' >Repubblica Araba di Siria<\/option><option value='Repubblica Ceca' >Repubblica Ceca<\/option><option value='Repubblica Centrafricana' >Repubblica Centrafricana<\/option><option value='Repubblica Dominicana' >Repubblica Dominicana<\/option><option value='Riunione (Isola della)' >Riunione (Isola della)<\/option><option value='Romania' >Romania<\/option><option value='Ruanda' >Ruanda<\/option><option value='Sahara Occidentale' >Sahara Occidentale<\/option><option value='Saint Kitts e Nevis' >Saint Kitts e Nevis<\/option><option value='Saint Vincent e Grenadine' >Saint Vincent e Grenadine<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa americane' >Samoa americane<\/option><option value='San Marino' >San Marino<\/option><option value='Sant&#039;Elena, Ascensione e Tristan da Cunha' >Sant&#039;Elena, Ascensione e Tristan da Cunha<\/option><option value='Santa Lucia' >Santa Lucia<\/option><option value='Sao Tome e Pr\u00edncipe' >Sao Tome e Pr\u00edncipe<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovacchia' >Slovacchia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Somalia' >Somalia<\/option><option value='Spagna' >Spagna<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Stati Uniti' >Stati Uniti<\/option><option value='Stato della Palestina' >Stato della Palestina<\/option><option value='Sudafrica' >Sudafrica<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan del Sud' >Sudan del Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Svezia' >Svezia<\/option><option value='Svizzera' >Svizzera<\/option><option value='Tagikistan' >Tagikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania (Repubblica Unita della)' >Tanzania (Repubblica Unita della)<\/option><option value='Territori Meridionali Francesi' >Territori Meridionali Francesi<\/option><option value='Territorio Britannico nell&#039;Oceano Indiano' >Territorio Britannico nell&#039;Oceano Indiano<\/option><option value='Thailandia' >Thailandia<\/option><option value='Timor Est' >Timor Est<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad e Tobago' >Trinidad e Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turchia' >Turchia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ucraina' >Ucraina<\/option><option value='Uganda' >Uganda<\/option><option value='Ungheria' >Ungheria<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vaticano (Santa Sede)' >Vaticano (Santa Sede)<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis e Futuna' >Wallis e Futuna<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='eSwatini' >eSwatini<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><input type=\"hidden\" name=\"gpaa_place_5\" class=\"gform_hidden\" value=\"\"><\/fieldset><div id=\"field_1_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'>Genere<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_1_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Donna' >Donna<\/option><option value='Uomo' >Uomo<\/option><option value='Sconosciuto' >Sconosciuto<\/option><\/select><\/div><\/div><div id=\"field_1_15\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_15'>Data di nascita<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_15' id='input_1_15' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/gg\/aaaa' aria-describedby=\"input_1_15_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_15_date_format' class='screen-reader-text'>MM slash GG slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_15' class='gform_hidden' value='https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'>Data della diagnosi<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_1_9' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/gg\/aaaa' aria-describedby=\"input_1_9_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_9_date_format' class='screen-reader-text'>MM slash GG slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_9' class='gform_hidden' value='https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_27\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_27'>Specialit\u00e0 medica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_27'>Scegli tutti quelli che si applicano. Suggerimento: Per selezionare pi\u00f9 opzioni, tieni premuto il tasto \"CTRL\" (Windows) o il tasto \"Comando\" (Mac) mentre fai clic sulle tue scelte. <\/div><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_27[]' id='input_1_27' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" aria-describedby=\"gfield_description_1_27\"><option value='Amministratore' >Amministratore<\/option><option value='Surrenale' >Surrenale<\/option><option value='Avvocato' >Avvocato<\/option><option value='Invecchiamento' >Invecchiamento<\/option><option value='Patologia anatomica e clinica' >Patologia anatomica e clinica<\/option><option value='Anestesista' >Anestesista<\/option><option value='Malattie autoimmuni' >Malattie autoimmuni<\/option><option value='Bioinfomatica' >Bioinfomatica<\/option><option value='Specialista in trapianti di sangue e di midollo' >Specialista in trapianti di sangue e di midollo<\/option><option value='Metabolismo osseo e minerale' >Metabolismo osseo e minerale<\/option><option value='Cardiologo' >Cardiologo<\/option><option value='Endocrinologia cardiovascolare' >Endocrinologia cardiovascolare<\/option><option value='Immunologo clinico' >Immunologo clinico<\/option><option value='Assistente sociale clinico' >Assistente sociale clinico<\/option><option value='Dermatologo' >Dermatologo<\/option><option value='Specialista in disabilit\u00e0 dello sviluppo' >Specialista in disabilit\u00e0 dello sviluppo<\/option><option value='Sviluppo di farmaci' >Sviluppo di farmaci<\/option><option value='Endocrinologo' >Endocrinologo<\/option><option value='ENT' >ENT<\/option><option value='Epidemiologo' >Epidemiologo<\/option><option value='Medicina di famiglia' >Medicina di famiglia<\/option><option value='Salute e biologia dell&#039;apparato riproduttivo femminile' >Salute e biologia dell&#039;apparato riproduttivo femminile<\/option><option value='Consulente finanziario' >Consulente finanziario<\/option><option value='Gastroenterologia' >Gastroenterologia<\/option><option value='Terapia genica' >Terapia genica<\/option><option value='Medico di base' >Medico di base<\/option><option value='Genetica' >Genetica<\/option><option value='Disparit\u00e0 ed equit\u00e0 nella salute' >Disparit\u00e0 ed equit\u00e0 nella salute<\/option><option value='Ematologo' >Ematologo<\/option><option value='Ematopatologo' >Ematopatologo<\/option><option value='Istiocitosi' >Istiocitosi<\/option><option value='HLH' >HLH<\/option><option value='Genetica umana' >Genetica umana<\/option><option value='Immunologo' >Immunologo<\/option><option value='Terapia intensiva' >Terapia intensiva<\/option><option value='Medicina interna' >Medicina interna<\/option><option value='Radiologo interventista' >Radiologo interventista<\/option><option value='Salute e biologia della riproduzione maschile' >Salute e biologia della riproduzione maschile<\/option><option value='Formazione medica e comunicazione' >Formazione medica e comunicazione<\/option><option value='Biologia molecolare' >Biologia molecolare<\/option><option value='Patologia genetica molecolare' >Patologia genetica molecolare<\/option><option value='Nefrologo' >Nefrologo<\/option><option value='Neurologo' >Neurologo<\/option><option value='Neurochirurgo' >Neurochirurgo<\/option><option value='Medicina nucleare' >Medicina nucleare<\/option><option value='Infermiera' >Infermiera<\/option><option value='Infermiere professionista' >Infermiere professionista<\/option><option value='Alimentazione' >Alimentazione<\/option><option value='Obesit\u00e0' >Obesit\u00e0<\/option><option value='Terapista occupazionale' >Terapista occupazionale<\/option><option value='Oncologo' >Oncologo<\/option><option value='Oftalmologo' >Oftalmologo<\/option><option value='Chirurgia orale e maxillo-facciale' >Chirurgia orale e maxillo-facciale<\/option><option value='Chirurgo ortopedico' >Chirurgo ortopedico<\/option><option value='OT' >OT<\/option><option value='Patologo' >Patologo<\/option><option value='Coordinatore dell&#039;accesso al paziente' >Coordinatore dell&#039;accesso al paziente<\/option><option value='Supervisore della navigazione dei pazienti' >Supervisore della navigazione dei pazienti<\/option><option value='Pediatra' >Pediatra<\/option><option value='Farmaceutica' >Farmaceutica<\/option><option value='Rappresentante farmaceutico\/scienziato' >Rappresentante farmaceutico\/scienziato<\/option><option value='Chirurgia plastica' >Chirurgia plastica<\/option><option value='Psicologo' >Psicologo<\/option><option value='Pneumologo' >Pneumologo<\/option><option value='Radiologo' >Radiologo<\/option><option value='Referral' >Referral<\/option><option value='Assistente alla ricerca' >Assistente alla ricerca<\/option><option value='Conformit\u00e0 della ricerca' >Conformit\u00e0 della ricerca<\/option><option value='Servizi di ricerca e informazione' >Servizi di ricerca e informazione<\/option><option value='Ricercatore' >Ricercatore<\/option><option value='Residente' >Residente<\/option><option value='Reumatologo' >Reumatologo<\/option><option value='Assistente sociale' >Assistente sociale<\/option><option value='Personale' >Personale<\/option><option value='Chirurgo' >Chirurgo<\/option><option value='Tiroide' >Tiroide<\/option><option value='Medicina transgender' >Medicina transgender<\/option><option value='Nefrologia dei trapianti' >Nefrologia dei trapianti<\/option><option value='Accesso al trattamento' >Accesso al trattamento<\/option><option value='Sconosciuto' >Sconosciuto<\/option><option value='Urologo' >Urologo<\/option><\/select><\/div><\/div><div id=\"field_1_17\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_17'>Lingue parlate<\/label><div class='gfield_description' id='gfield_description_1_17'>Scegli tutti quelli che si applicano. Suggerimento: Per selezionare pi\u00f9 opzioni, tieni premuto il tasto \"CTRL\" (Windows) o il tasto \"Comando\" (Mac) mentre fai clic sulle tue scelte. <\/div><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_17[]' id='input_1_17' class='large gfield_select'   aria-invalid=\"false\"  aria-describedby=\"gfield_description_1_17\"><option value='Inglese' >Inglese<\/option><option value='Afrikaans' >Afrikaans<\/option><option value='Albanese' >Albanese<\/option><option value='Arabo' >Arabo<\/option><option value='Armeno' >Armeno<\/option><option value='Basco' >Basco<\/option><option value='Bengalese' >Bengalese<\/option><option value='Bulgaro' >Bulgaro<\/option><option value='Catalano' >Catalano<\/option><option value='Cambogiano' >Cambogiano<\/option><option value='Cinese (mandarino)' >Cinese (mandarino)<\/option><option value='Croato' >Croato<\/option><option value='Ceca' >Ceca<\/option><option value='Danese' >Danese<\/option><option value='Olandese' >Olandese<\/option><option value='Inglese' >Inglese<\/option><option value='Estone' >Estone<\/option><option value='Figi' >Figi<\/option><option value='Finlandese' >Finlandese<\/option><option value='Francese' >Francese<\/option><option value='Georgiano' >Georgiano<\/option><option value='Tedesco' >Tedesco<\/option><option value='Greco' >Greco<\/option><option value='Gujarati' >Gujarati<\/option><option value='Ebraico' >Ebraico<\/option><option value='Hindi' >Hindi<\/option><option value='Ungherese' >Ungherese<\/option><option value='Islandese' >Islandese<\/option><option value='Indonesiano' >Indonesiano<\/option><option value='Irlandese' >Irlandese<\/option><option value='Italiano' >Italiano<\/option><option value='Giapponese' >Giapponese<\/option><option value='Giavanese' >Giavanese<\/option><option value='Coreano' >Coreano<\/option><option value='Latino' >Latino<\/option><option value='Lettone' >Lettone<\/option><option value='Lituano' >Lituano<\/option><option value='Macedone' >Macedone<\/option><option value='Malese' >Malese<\/option><option value='Malayalam' >Malayalam<\/option><option value='Maltese' >Maltese<\/option><option value='Maori' >Maori<\/option><option value='Marathi' >Marathi<\/option><option value='Mongolo' >Mongolo<\/option><option value='Nepali' >Nepali<\/option><option value='Norvegese' >Norvegese<\/option><option value='Persiano' >Persiano<\/option><option value='Polacco' >Polacco<\/option><option value='Portoghese' >Portoghese<\/option><option value='Punjabi' >Punjabi<\/option><option value='Quechua' >Quechua<\/option><option value='Rumeno' >Rumeno<\/option><option value='Russo' >Russo<\/option><option value='Samoano' >Samoano<\/option><option value='Serbo' >Serbo<\/option><option value='Slovacco' >Slovacco<\/option><option value='Sloveno' >Sloveno<\/option><option value='Spagnolo' >Spagnolo<\/option><option value='Swahili' >Swahili<\/option><option value='Svedese' >Svedese<\/option><option value='Tamil' >Tamil<\/option><option value='Tatar' >Tatar<\/option><option value='Telugu' >Telugu<\/option><option value='Thai' >Thai<\/option><option value='Tibetano' >Tibetano<\/option><option value='Tonga' >Tonga<\/option><option value='Turco' >Turco<\/option><option value='Ucraino' >Ucraino<\/option><option value='Urdu' >Urdu<\/option><option value='Uzbeko' >Uzbeko<\/option><option value='Vietnamita' >Vietnamita<\/option><option value='Gallese' >Gallese<\/option><option value='Xhosa' >Xhosa<\/option><\/select><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'>Lingua preferita<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_1_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Inglese' >Inglese<\/option><option value='Afrikaans' >Afrikaans<\/option><option value='Albanese' >Albanese<\/option><option value='Arabo' >Arabo<\/option><option value='Armeno' >Armeno<\/option><option value='Basco' >Basco<\/option><option value='Bengalese' >Bengalese<\/option><option value='Bulgaro' >Bulgaro<\/option><option value='Catalano' >Catalano<\/option><option value='Cambogiano' >Cambogiano<\/option><option value='Cinese (mandarino)' >Cinese (mandarino)<\/option><option value='Croato' >Croato<\/option><option value='Ceca' >Ceca<\/option><option value='Danese' >Danese<\/option><option value='Olandese' >Olandese<\/option><option value='Inglese' >Inglese<\/option><option value='Estone' >Estone<\/option><option value='Figi' >Figi<\/option><option value='Finlandese' >Finlandese<\/option><option value='Francese' >Francese<\/option><option value='Georgiano' >Georgiano<\/option><option value='Tedesco' >Tedesco<\/option><option value='Greco' >Greco<\/option><option value='Gujarati' >Gujarati<\/option><option value='Ebraico' >Ebraico<\/option><option value='Hindi' >Hindi<\/option><option value='Ungherese' >Ungherese<\/option><option value='Islandese' >Islandese<\/option><option value='Indonesiano' >Indonesiano<\/option><option value='Irlandese' >Irlandese<\/option><option value='Italiano' >Italiano<\/option><option value='Giapponese' >Giapponese<\/option><option value='Giavanese' >Giavanese<\/option><option value='Coreano' >Coreano<\/option><option value='Latino' >Latino<\/option><option value='Lettone' >Lettone<\/option><option value='Lituano' >Lituano<\/option><option value='Macedone' >Macedone<\/option><option value='Malese' >Malese<\/option><option value='Malayalam' >Malayalam<\/option><option value='Maltese' >Maltese<\/option><option value='Maori' >Maori<\/option><option value='Marathi' >Marathi<\/option><option value='Mongolo' >Mongolo<\/option><option value='Nepali' >Nepali<\/option><option value='Norvegese' >Norvegese<\/option><option value='Persiano' >Persiano<\/option><option value='Polacco' >Polacco<\/option><option value='Portoghese' >Portoghese<\/option><option value='Punjabi' >Punjabi<\/option><option value='Quechua' >Quechua<\/option><option value='Rumeno' >Rumeno<\/option><option value='Russo' >Russo<\/option><option value='Samoano' >Samoano<\/option><option value='Serbo' >Serbo<\/option><option value='Slovacco' >Slovacco<\/option><option value='Sloveno' >Sloveno<\/option><option value='Spagnolo' >Spagnolo<\/option><option value='Swahili' >Swahili<\/option><option value='Svedese' >Svedese<\/option><option value='Tamil' >Tamil<\/option><option value='Tatar' >Tatar<\/option><option value='Telugu' >Telugu<\/option><option value='Thai' >Thai<\/option><option value='Tibetano' >Tibetano<\/option><option value='Tonga' >Tonga<\/option><option value='Turco' >Turco<\/option><option value='Ucraino' >Ucraino<\/option><option value='Urdu' >Urdu<\/option><option value='Uzbeko' >Uzbeko<\/option><option value='Vietnamita' >Vietnamita<\/option><option value='Gallese' >Gallese<\/option><option value='Xhosa' >Xhosa<\/option><\/select><\/div><\/div><div id=\"field_1_28\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_28'>Numero di pazienti di ECD (se medico)<\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_1_28' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_10'>Nome del medico del paziente<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_1_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_11'>Informazioni di contatto del medico del paziente<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_1_11' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Trattamenti<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_12'>Scegli tutti quelli che si applicano. Suggerimento: Per selezionare pi\u00f9 opzioni, tieni premuto il tasto \"CTRL\" (Windows) o il tasto \"Comando\" (Mac) mentre fai clic sulle tue scelte. <\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_12'><div class='gchoice gchoice_1_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='Farmaci antinfiammatori (Anakinra Actemra Remicade ecc.)'  id='choice_1_12_1'   aria-describedby=\"gfield_description_1_12\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_1' id='label_1_12_1' class='gform-field-label gform-field-label--type-inline'>Farmaci antinfiammatori (Anakinra Actemra Remicade ecc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='Inibitori di BRAF e MEK (Zelboraf Tafinlar Mekinist Cotellic ecc.)'  id='choice_1_12_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_2' id='label_1_12_2' class='gform-field-label gform-field-label--type-inline'>Inibitori di BRAF e MEK (Zelboraf Tafinlar Mekinist Cotellic ecc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='Chemioterapia (cladribina, clofarabina, ecc.)'  id='choice_1_12_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_3' id='label_1_12_3' class='gform-field-label gform-field-label--type-inline'>Chemioterapia (cladribina, clofarabina, ecc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='Immunosoppressori (Rapamune Cellcept Imurane Methotrexate ecc.)'  id='choice_1_12_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_4' id='label_1_12_4' class='gform-field-label gform-field-label--type-inline'>Immunosoppressori (Rapamune Cellcept Imurane Methotrexate ecc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.5' type='checkbox'  value='Immunoterapia (interferone ecc.)'  id='choice_1_12_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_5' id='label_1_12_5' class='gform-field-label gform-field-label--type-inline'>Immunoterapia (interferone ecc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.6' type='checkbox'  value='Nessun trattamento'  id='choice_1_12_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_6' id='label_1_12_6' class='gform-field-label gform-field-label--type-inline'>Nessun trattamento<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.7' type='checkbox'  value='Steroidi (ad es. Prednisone ecc.)'  id='choice_1_12_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_7' id='label_1_12_7' class='gform-field-label gform-field-label--type-inline'>Steroidi (ad es. Prednisone ecc.)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'>Stato della mutazione<\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_1_16' class='large gfield_select'     aria-invalid=\"false\" ><option value='BRAF V600 E' >BRAF V600 E<\/option><option value='MAP2K1' >MAP2K1<\/option><option value='NRAS' >NRAS<\/option><option value='NON sono stato sottoposto a un test di mutazione.' >NON sono stato sottoposto a un test di mutazione.<\/option><option value='Ho fatto il test, ma non \u00e8 stata trovata alcuna mutazione.' >Ho fatto il test, ma non \u00e8 stata trovata alcuna mutazione.<\/option><\/select><\/div><\/div><fieldset id=\"field_1_24\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nome del paziente<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_24'>\n                            \n                            <span id='input_1_24_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_24_3' class='gform-field-label gform-field-label--type-sub '>Nome<\/label>\n                                                    <input type='text' name='input_24.3' id='input_1_24_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_1_24_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_24_6' class='gform-field-label gform-field-label--type-sub '>Cognome<\/label>\n                                                            <input type='text' name='input_24.6' id='input_1_24_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_36\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_36'>Email del paziente<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_36' id='input_1_36' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_1_36\" \/>\n                        <\/div><div class='gfield_description' id='gfield_description_1_36'>Se il paziente non ha un'email, inserisci la tua email come assistente.<\/div><\/div><div id=\"field_1_25\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_25'>Data di nascita del paziente<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_25' id='input_1_25' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/gg\/aaaa' aria-describedby=\"input_1_25_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_25_date_format' class='screen-reader-text'>MM slash GG slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_25' class='gform_hidden' value='https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_23'>Il tuo rapporto con il paziente.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_1_23' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Sei interessato a far parte della rete dei centri di assistenza ECD?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_29'>\n\t\t\t<div class='gchoice gchoice_1_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='S\u00ec'  id='choice_1_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_0' id='label_1_29_0' class='gform-field-label gform-field-label--type-inline'>S\u00ec<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='No'  id='choice_1_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_1' id='label_1_29_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_13'>Commenti<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_1_13' class='textarea large'    placeholder='Eventuali note o commenti su come possiamo aiutarti al meglio.' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_22\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_22'>Data di oggi<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obbligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_22' id='input_1_22' type='text' value='06\/03\/2026' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='06\/03\/2026' aria-describedby=\"input_1_22_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_22_date_format' class='screen-reader-text'>MM slash GG slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_22' class='gform_hidden' value='https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Questo campo \u00e8 nascosto quando si visualizza il modulo\"><\/i><span>Questo campo \u00e8 nascosto quando si visualizza il modulo<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_35'>URL della pagina sorgente<\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_35' id='input_1_35' type='text' value='https:\/\/www.erdheim-chester.org\/it\/wp-json\/wp\/v2\/pages\/55840' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_34\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_34'>CAPTCHA<\/label><div id='input_1_34' 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id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='uiqokNkyPmHrd6hpS9ZxgDHu8tBgUmef5X0y6iy5BACP83VkflQ4Ujra5sCgdwbIpBwDsfpwKcThuqCPQtN3w5rUnGR1KjonbPPdCkuvot8sRWo=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' 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