{"id":55702,"date":"2014-11-20T17:14:26","date_gmt":"2014-11-20T23:14:26","guid":{"rendered":"https:\/\/www.erdheim-chester.org\/kontakt-for-omsorgspersoner\/"},"modified":"2025-09-08T14:10:45","modified_gmt":"2025-09-08T19:10:45","slug":"kontakt-for-omsorgspersoner","status":"publish","type":"page","link":"https:\/\/www.erdheim-chester.org\/no\/kontakt-for-omsorgspersoner\/","title":{"rendered":"Kontakt for omsorgspersoner"},"content":{"rendered":"<p>[et_pb_section fb_built=&raquo;1&#8243; _builder_version=&raquo;4.27.4&#8243; _module_preset=&raquo;default&raquo; background_image=&raquo;https:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2024\/12\/Untitled-design-96-1.png&raquo; background_position=&raquo;bottom_center&raquo; background_vertical_offset=&raquo;20%&raquo; custom_padding=&raquo;20px||20px||true|false&raquo; background_last_edited=&raquo;on|desktop&raquo; background_position_tablet=&raquo;bottom_right&raquo; background_position_phone=&raquo;center_right&raquo; global_module=&raquo;28071&#8243; global_colors_info=&raquo;{}&raquo;][et_pb_row _builder_version=&raquo;4.27.4&#8243; _module_preset=&raquo;default&raquo; global_colors_info=&raquo;{}&raquo;][et_pb_column type=&raquo;4_4&#8243; _builder_version=&raquo;4.27.4&#8243; _module_preset=&raquo;default&raquo; global_colors_info=&raquo;{}&raquo;][et_pb_dmb_breadcrumbs _builder_version=&raquo;4.27.4&#8243; _module_preset=&raquo;default&raquo; body_text_color=&raquo;#FFFFFF&raquo; body_font_size=&raquo;12px&raquo; link_text_color=&raquo;#35A4BB&raquo; custom_margin=&raquo;||5px||false|false&raquo; custom_padding=&raquo;||0px||false|false&raquo; body_font_size_tablet=&raquo;12px&raquo; body_font_size_phone=&raquo;10px&raquo; body_font_size_last_edited=&raquo;on|desktop&raquo; global_colors_info=&raquo;{}&raquo;][\/et_pb_dmb_breadcrumbs][et_pb_heading title=&raquo;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@&raquo; _builder_version=&raquo;4.27.4&#8243; _dynamic_attributes=&raquo;title&raquo; _module_preset=&raquo;default&raquo; title_font=&raquo;&#8211;et_global_heading_font|300|||||||&raquo; title_text_color=&raquo;#FFFFFF&raquo; title_font_size=&raquo;40px&raquo; custom_margin=&raquo;||3px|||&raquo; title_font_size_tablet=&raquo;&raquo; title_font_size_phone=&raquo;25px&raquo; title_font_size_last_edited=&raquo;on|phone&raquo; global_colors_info=&raquo;{}&raquo;][\/et_pb_heading][et_pb_button button_url=&raquo;https:\/\/www.erdheim-chester.org\/no\/kontakt-oss\/&raquo; button_text=&raquo;Kontakt oss&raquo; _builder_version=&raquo;4.27.4&#8243; _module_preset=&raquo;default&raquo; custom_button=&raquo;on&raquo; button_text_size=&raquo;15px&raquo; button_text_color=&raquo;#C02E43&#8243; button_bg_color=&raquo;rgba(10,22,64,0.53)&raquo; button_border_width=&raquo;0px&raquo; button_icon=&raquo;&#xe60f;||divi||400&#8243; button_icon_color=&raquo;#C02E43&#8243; button_icon_placement=&raquo;left&raquo; button_on_hover=&raquo;off&raquo; global_colors_info=&raquo;{}&raquo; filter_opacity__hover_enabled=&raquo;on|hover&raquo; filter_opacity__hover=&raquo;70%&raquo;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&raquo;1&#8243; admin_label=&raquo;section&raquo; _builder_version=&raquo;4.16&#8243; global_colors_info=&raquo;{}&raquo;][et_pb_row admin_label=&raquo;rad&raquo; _builder_version=&raquo;4.27.4&#8243; background_size=&raquo;initial&raquo; background_position=&raquo;top_left&raquo; background_repeat=&raquo;repeat&raquo; custom_padding=&raquo;||0px||false|false&raquo; global_colors_info=&raquo;{}&raquo;][et_pb_column type=&raquo;4_4&#8243; _builder_version=&raquo;4.16&#8243; custom_padding=&raquo;|||&raquo; global_colors_info=&raquo;{}&raquo; custom_padding__hover=&raquo;|||&raquo;][et_pb_text admin_label=&raquo;Text&raquo; _builder_version=&raquo;4.27.4&#8243; background_size=&raquo;initial&raquo; background_position=&raquo;top_left&raquo; background_repeat=&raquo;repeat&raquo; custom_margin=&raquo;||17px|||&raquo; hover_enabled=&raquo;0&#8243; global_colors_info=&raquo;{}&raquo; sticky_enabled=&raquo;0&#8243;]<\/p>\n<h2>F\u00e5 kontakt med lokalsamfunnet og andre ECD omsorgspersoner<\/h2>\n<p>M\u00f8t andre omsorgspersoner ved \u00e5 f\u00f8lge instruksjonene <a href=\"https:\/\/www.erdheim-chester.org\/no\/chatter-i-lokalsamfunnet\/\">her<\/a>, eller registrer deg her for \u00e5 motta mer informasjon som kan st\u00f8tte deg i rollen som omsorgsperson.<\/p>\n<p><strong>Kom i kontakt med samfunnet og andre ECD omsorgspersoner!<\/strong><\/p>\n<p>ECD Global Alliance er en interesseorganisasjon som best\u00e5r av et sterkt fellesskap dedikert til bevisstgj\u00f8ring, st\u00f8tte, utdanning og forskning knyttet til Erdheim-Chester sykdom. Fellesskapet blir bare sterkere med hjelp fra pasienter og deres st\u00f8rste st\u00f8ttespillere! <\/p>\n<p><strong>Hvorfor m\u00e5 jeg registrere meg hvis personen jeg bryr meg om allerede er registrert?<\/strong><\/p>\n<ul>\n<li>Vi \u00f8nsker \u00e5 kunne tilby ressurser som kan v\u00e6re til hjelp p\u00e5 akkurat din reise.<\/li>\n<li>Du vil motta invitasjoner og informasjon om kommende arrangementer som er mest relatert til din rolle.<\/li>\n<li>Du bidrar til at ECDGA lettere kan sette omsorgspersoner i kontakt med hverandre og inspirere til flere programmer som kan v\u00e6re interessante for deg.<\/li>\n<\/ul>\n<p><em>Her er en lenke til p\u00e5meldingsskjema for omsorgspersoner eller familiemedlemmer som \u00f8nsker \u00e5 holde kontakten med interessegruppen som st\u00f8tter deres kj\u00e6re som kjemper mot ECD.  <\/em><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&raquo;4.27.4&#8243; _module_preset=&raquo;default&raquo; 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class='gfield_label gform-field-label' for='input_1_6'>Individuell type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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='Omsorgsperson' >Omsorgsperson<\/option><option value='Familie' >Familie<\/option><option value='Venn' >Venn<\/option><option value='Medisinsk fagperson' >Medisinsk fagperson<\/option><option value='Pasient' >Pasient<\/option><option value='Pharma' >Pharma<\/option><option value='S\u00f8ker etter diagnose' >S\u00f8ker etter diagnose<\/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' >Navn<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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 '>Fornavn<\/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 '>Etternavn<\/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'>E-post<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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' >Telefon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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='USA-basert telefonnummer'  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'>USA-basert telefonnummer<\/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='Internasjonalt telefonnummer'  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'>Internasjonalt telefonnummer<\/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'>Telefon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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'>Telefon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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'>Navn p\u00e5 institusjon\/sykehus\/arbeidsgiver<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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 '>Adresselinje 1<\/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 '>Adresselinje 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 '>Poststed<\/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 '>State \/ Province \/ Region<\/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 '>Postnummer<\/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 '>Land<\/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='Algerie' >Algerie<\/option><option value='Amerika' >Amerika<\/option><option value='Amerikansk Samoa' >Amerikansk Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antartikis' >Antartikis<\/option><option value='Antigua og Barbuda' >Antigua og Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Aserbajdsjan' >Aserbajdsjan<\/option><option value='Australia' >Australia<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belgia' >Belgia<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia og Herzegovina' >Bosnia og Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brasil' >Brasil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/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='Cayman\u00f8yene' >Cayman\u00f8yene<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Congo' >Congo<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Czechia' >Czechia<\/option><option value='Danmark' >Danmark<\/option><option value='De amerikanske jomfru\u00f8yene' >De amerikanske jomfru\u00f8yene<\/option><option value='De britiske jomfru\u00f8yene' >De britiske jomfru\u00f8yene<\/option><option value='De forente arabiske emirater' >De forente arabiske emirater<\/option><option value='Den dominikanske republikk' >Den dominikanske republikk<\/option><option value='Den sentralafrikanske republikk' >Den sentralafrikanske republikk<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='Ekvatorial-Guinea' >Ekvatorial-Guinea<\/option><option value='El Salvador' >El Salvador<\/option><option value='Elfenbenskysten' >Elfenbenskysten<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estland' >Estland<\/option><option value='Eswatini' >Eswatini<\/option><option value='Etiopia' >Etiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Filippinene' >Filippinene<\/option><option value='Finland' >Finland<\/option><option value='Frankrike' >Frankrike<\/option><option value='Fransk Polynesia' >Fransk Polynesia<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='F\u00e6r\u00f8yene' >F\u00e6r\u00f8yene<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenada' >Grenada<\/option><option value='Gr\u00f8nland' >Gr\u00f8nland<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Hellas' >Hellas<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hviterussland' >Hviterussland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irland' >Irland<\/option><option value='Island' >Island<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italia' >Italia<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jemen' >Jemen<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kambodsja' >Kambodsja<\/option><option value='Kamerun' >Kamerun<\/option><option value='Kanada' >Kanada<\/option><option value='Kapp Verde' >Kapp Verde<\/option><option value='Kasakhstan' >Kasakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kina' >Kina<\/option><option value='Kirgisistan' >Kirgisistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Komorene' >Komorene<\/option><option value='Kongo, Den demokratiske republikken' >Kongo, Den demokratiske republikken<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kroatia' >Kroatia<\/option><option value='Kuba' >Kuba<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kypros' >Kypros<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lesotho' >Lesotho<\/option><option value='Libanon' >Libanon<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litauen' >Litauen<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagaskar' >Madagaskar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldivene' >Maldivene<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marokko' >Marokko<\/option><option value='Marshall\u00f8yene' >Marshall\u00f8yene<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Mikronesia' >Mikronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mosambik' >Mosambik<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nederland' >Nederland<\/option><option value='Nepal' >Nepal<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Nord-Marianene' >Nord-Marianene<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='Norge' >Norge<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestina' >Palestina<\/option><option value='Panama' >Panama<\/option><option value='Papua Ny-Guinea' >Papua Ny-Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polen' >Polen<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts og Nevis' >Saint Kitts og Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent og Grenadinene' >Saint Vincent og Grenadinene<\/option><option value='Salomon\u00f8yene' >Salomon\u00f8yene<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome og Principe' >Sao Tome og Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychellene' >Seychellene<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Somalia' >Somalia<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spania' >Spania<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Storbritannia' >Storbritannia<\/option><option value='Sudan' >Sudan<\/option><option value='Surinam' >Surinam<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sveits' >Sveits<\/option><option value='Sverige' >Sverige<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='S\u00f8r-Afrika' >S\u00f8r-Afrika<\/option><option value='Tadsjikistan' >Tadsjikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad og Tobago' >Trinidad og Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Tyskland' >Tyskland<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukrania' >Ukrania<\/option><option value='Ungarn' >Ungarn<\/option><option value='Uruguay' >Uruguay<\/option><option value='Usbekistan' >Usbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='\u00d8sterike' >\u00d8sterike<\/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'>Kj\u00f8nn<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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='Kvinne' >Kvinne<\/option><option value='Mann' >Mann<\/option><option value='Ukjent' >Ukjent<\/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'>F\u00f8dselsdato<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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\/dd\/yyyy' 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 DD slash YYYY<\/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'>Diagnose Dato<\/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\/dd\/yyyy' aria-describedby=\"input_1_9_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_9_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/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'>Medisinsk spesialitet<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_27'>Velg alle som gjelder. Tips! Hvis du vil velge flere alternativer, holder du nede CTRL-tasten (Windows) eller Kommando-tasten (Mac) mens du klikker p\u00e5 valgene. <\/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='Administrator' >Administrator<\/option><option value='Binyrene' >Binyrene<\/option><option value='Advokat' >Advokat<\/option><option value='Aldring' >Aldring<\/option><option value='Anatomisk og klinisk patologi' >Anatomisk og klinisk patologi<\/option><option value='Anestesilege' >Anestesilege<\/option><option value='Autoimmune sykdommer' >Autoimmune sykdommer<\/option><option value='Bioinfomatikk' >Bioinfomatikk<\/option><option value='Spesialist p\u00e5 blod- og benmargstransplantasjon' >Spesialist p\u00e5 blod- og benmargstransplantasjon<\/option><option value='Ben- og mineralmetabolisme' >Ben- og mineralmetabolisme<\/option><option value='Kardiolog' >Kardiolog<\/option><option value='Kardiovaskul\u00e6r endokrinologi' >Kardiovaskul\u00e6r endokrinologi<\/option><option value='Klinisk immunolog' >Klinisk immunolog<\/option><option value='Klinisk sosionom' >Klinisk sosionom<\/option><option value='Hudlege' >Hudlege<\/option><option value='Spesialist p\u00e5 utviklingshemming' >Spesialist p\u00e5 utviklingshemming<\/option><option value='Utvikling av legemidler' >Utvikling av legemidler<\/option><option value='Endokrinolog' >Endokrinolog<\/option><option value='\u00d8NH' >\u00d8NH<\/option><option value='Epidemiolog' >Epidemiolog<\/option><option value='Familiemedisin' >Familiemedisin<\/option><option value='Kvinnelig reproduktiv helse og biologi' >Kvinnelig reproduktiv helse og biologi<\/option><option value='\u00d8konomisk r\u00e5dgiver' >\u00d8konomisk r\u00e5dgiver<\/option><option value='Gastroenterologi' >Gastroenterologi<\/option><option value='Genterapi' >Genterapi<\/option><option value='Allmennpraktiserende lege' >Allmennpraktiserende lege<\/option><option value='Genetikk' >Genetikk<\/option><option value='Helseforskjeller og rettferdighet' >Helseforskjeller og rettferdighet<\/option><option value='Hematolog' >Hematolog<\/option><option value='Hematopatolog' >Hematopatolog<\/option><option value='Histiocytose' >Histiocytose<\/option><option value='HLH' >HLH<\/option><option value='Human genetikk' >Human genetikk<\/option><option value='Immunolog' >Immunolog<\/option><option value='Intensivpleie' >Intensivpleie<\/option><option value='Indremedisin' >Indremedisin<\/option><option value='Intervensjonsradiolog' >Intervensjonsradiolog<\/option><option value='Mannlig reproduktiv helse og biologi' >Mannlig reproduktiv helse og biologi<\/option><option value='Medisinsk utdanning og kommunikasjon' >Medisinsk utdanning og kommunikasjon<\/option><option value='Molekyl\u00e6rbiologi' >Molekyl\u00e6rbiologi<\/option><option value='Molekyl\u00e6rgenetisk patologi' >Molekyl\u00e6rgenetisk patologi<\/option><option value='Nefrolog' >Nefrolog<\/option><option value='Nevrolog' >Nevrolog<\/option><option value='Nevrokirurg' >Nevrokirurg<\/option><option value='Nukle\u00e6rmedisin' >Nukle\u00e6rmedisin<\/option><option value='Sykepleier' >Sykepleier<\/option><option value='Sykepleier' >Sykepleier<\/option><option value='Ern\u00e6ring' >Ern\u00e6ring<\/option><option value='Fedme' >Fedme<\/option><option value='Ergoterapeut' >Ergoterapeut<\/option><option value='Onkolog' >Onkolog<\/option><option value='\u00d8yelege' >\u00d8yelege<\/option><option value='Kjeve- og ansiktskirurgi' >Kjeve- og ansiktskirurgi<\/option><option value='Ortopedisk kirurg' >Ortopedisk kirurg<\/option><option value='OT' >OT<\/option><option value='Patolog' >Patolog<\/option><option value='Koordinator for pasienttilgang' >Koordinator for pasienttilgang<\/option><option value='Veileder for pasientnavigasjon' >Veileder for pasientnavigasjon<\/option><option value='Barnelege' >Barnelege<\/option><option value='Pharma' >Pharma<\/option><option value='Farmas\u00f8ytisk representant\/forsker' >Farmas\u00f8ytisk representant\/forsker<\/option><option value='Plastikkirurgi' >Plastikkirurgi<\/option><option value='Psykolog' >Psykolog<\/option><option value='Lungelege' >Lungelege<\/option><option value='Radiolog' >Radiolog<\/option><option value='Henvisning' >Henvisning<\/option><option value='Forskningsassistent' >Forskningsassistent<\/option><option value='Etterlevelse av forskning' >Etterlevelse av forskning<\/option><option value='Informasjonstjenester for forskning' >Informasjonstjenester for forskning<\/option><option value='Forsker' >Forsker<\/option><option value='Beboer' >Beboer<\/option><option value='Revmatolog' >Revmatolog<\/option><option value='Sosialarbeider' >Sosialarbeider<\/option><option value='Staben' >Staben<\/option><option value='Kirurg' >Kirurg<\/option><option value='Skjoldbruskkjertelen' >Skjoldbruskkjertelen<\/option><option value='Transgendermedisin' >Transgendermedisin<\/option><option value='Transplantasjonsnefrologi' >Transplantasjonsnefrologi<\/option><option value='Tilgang til behandling' >Tilgang til behandling<\/option><option value='Ukjent' >Ukjent<\/option><option value='Urolog' >Urolog<\/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'>Spr\u00e5k som snakkes<\/label><div class='gfield_description' id='gfield_description_1_17'>Velg alle som gjelder. Tips! Hvis du vil velge flere alternativer, holder du nede CTRL-tasten (Windows) eller Kommando-tasten (Mac) mens du klikker p\u00e5 valgene. <\/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='Engelsk' >Engelsk<\/option><option value='afrikaans' >afrikaans<\/option><option value='Albansk' >Albansk<\/option><option value='Arabisk' >Arabisk<\/option><option value='armensk' >armensk<\/option><option value='baskisk' >baskisk<\/option><option value='Bengali' >Bengali<\/option><option value='Bulgarsk' >Bulgarsk<\/option><option value='Katalansk' >Katalansk<\/option><option value='Kambodsjansk' >Kambodsjansk<\/option><option value='Kinesisk (mandarin)' >Kinesisk (mandarin)<\/option><option value='Kroatisk' >Kroatisk<\/option><option value='Tsjekkisk' >Tsjekkisk<\/option><option value='Dansk' >Dansk<\/option><option value='Nederlandsk' >Nederlandsk<\/option><option value='Engelsk' >Engelsk<\/option><option value='Estisk' >Estisk<\/option><option value='Fiji' >Fiji<\/option><option value='Finsk' >Finsk<\/option><option value='Fransk' >Fransk<\/option><option value='georgisk' >georgisk<\/option><option value='Tysk' >Tysk<\/option><option value='Gresk' >Gresk<\/option><option value='Gujarati' >Gujarati<\/option><option value='Hebraisk' >Hebraisk<\/option><option value='Hindi' >Hindi<\/option><option value='Ungarsk' >Ungarsk<\/option><option value='Islandsk' >Islandsk<\/option><option value='Indonesisk' >Indonesisk<\/option><option value='Irsk' >Irsk<\/option><option value='Italiensk' >Italiensk<\/option><option value='Japansk' >Japansk<\/option><option value='javanesisk' >javanesisk<\/option><option value='Koreansk' >Koreansk<\/option><option value='Latin' >Latin<\/option><option value='latvisk' >latvisk<\/option><option value='litauisk' >litauisk<\/option><option value='makedonsk' >makedonsk<\/option><option value='Malay' >Malay<\/option><option value='Malayalam' >Malayalam<\/option><option value='Maltesisk' >Maltesisk<\/option><option value='Maori' >Maori<\/option><option value='Marathi' >Marathi<\/option><option value='Mongolsk' >Mongolsk<\/option><option value='Nepali' >Nepali<\/option><option value='Norsk' >Norsk<\/option><option value='Persisk' >Persisk<\/option><option value='Polsk' >Polsk<\/option><option value='Portugisisk' >Portugisisk<\/option><option value='Punjabi' >Punjabi<\/option><option value='Quechua' >Quechua<\/option><option value='rumensk' >rumensk<\/option><option value='Russisk' >Russisk<\/option><option value='Samoansk' >Samoansk<\/option><option value='Serbisk' >Serbisk<\/option><option value='slovakisk' >slovakisk<\/option><option value='Slovensk' >Slovensk<\/option><option value='Spansk' >Spansk<\/option><option value='Swahili' >Swahili<\/option><option value='Svensk' >Svensk<\/option><option value='Tamil' >Tamil<\/option><option value='Tatar' >Tatar<\/option><option value='Telugu' >Telugu<\/option><option value='Thai' >Thai<\/option><option value='tibetansk' >tibetansk<\/option><option value='Tonga' >Tonga<\/option><option value='Tyrkisk' >Tyrkisk<\/option><option value='Ukrainsk' >Ukrainsk<\/option><option value='Urdu' >Urdu<\/option><option value='usbekisk' >usbekisk<\/option><option value='vietnamesisk' >vietnamesisk<\/option><option value='Walisisk' >Walisisk<\/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'>Foretrukket spr\u00e5k<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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='Engelsk' >Engelsk<\/option><option value='afrikaans' >afrikaans<\/option><option value='Albansk' >Albansk<\/option><option value='Arabisk' >Arabisk<\/option><option value='armensk' >armensk<\/option><option value='baskisk' >baskisk<\/option><option value='Bengali' >Bengali<\/option><option value='Bulgarsk' >Bulgarsk<\/option><option value='Katalansk' >Katalansk<\/option><option value='Kambodsjansk' >Kambodsjansk<\/option><option value='Kinesisk (mandarin)' >Kinesisk (mandarin)<\/option><option value='Kroatisk' >Kroatisk<\/option><option value='Tsjekkisk' >Tsjekkisk<\/option><option value='Dansk' >Dansk<\/option><option value='Nederlandsk' >Nederlandsk<\/option><option value='Engelsk' >Engelsk<\/option><option value='Estisk' >Estisk<\/option><option value='Fiji' >Fiji<\/option><option value='Finsk' >Finsk<\/option><option value='Fransk' >Fransk<\/option><option value='georgisk' >georgisk<\/option><option value='Tysk' >Tysk<\/option><option value='Gresk' >Gresk<\/option><option value='Gujarati' >Gujarati<\/option><option value='Hebraisk' >Hebraisk<\/option><option value='Hindi' >Hindi<\/option><option value='Ungarsk' >Ungarsk<\/option><option value='Islandsk' >Islandsk<\/option><option value='Indonesisk' >Indonesisk<\/option><option value='Irsk' >Irsk<\/option><option value='Italiensk' >Italiensk<\/option><option value='Japansk' >Japansk<\/option><option value='javanesisk' >javanesisk<\/option><option value='Koreansk' >Koreansk<\/option><option value='Latin' >Latin<\/option><option value='latvisk' >latvisk<\/option><option value='litauisk' >litauisk<\/option><option value='makedonsk' >makedonsk<\/option><option value='Malay' >Malay<\/option><option value='Malayalam' >Malayalam<\/option><option value='Maltesisk' >Maltesisk<\/option><option value='Maori' >Maori<\/option><option value='Marathi' >Marathi<\/option><option value='Mongolsk' >Mongolsk<\/option><option value='Nepali' >Nepali<\/option><option value='Norsk' >Norsk<\/option><option value='Persisk' >Persisk<\/option><option value='Polsk' >Polsk<\/option><option value='Portugisisk' >Portugisisk<\/option><option value='Punjabi' >Punjabi<\/option><option value='Quechua' >Quechua<\/option><option value='rumensk' >rumensk<\/option><option value='Russisk' >Russisk<\/option><option value='Samoansk' >Samoansk<\/option><option value='Serbisk' >Serbisk<\/option><option value='slovakisk' >slovakisk<\/option><option value='Slovensk' >Slovensk<\/option><option value='Spansk' >Spansk<\/option><option value='Swahili' >Swahili<\/option><option value='Svensk' >Svensk<\/option><option value='Tamil' >Tamil<\/option><option value='Tatar' >Tatar<\/option><option value='Telugu' >Telugu<\/option><option value='Thai' >Thai<\/option><option value='tibetansk' >tibetansk<\/option><option value='Tonga' >Tonga<\/option><option value='Tyrkisk' >Tyrkisk<\/option><option value='Ukrainsk' >Ukrainsk<\/option><option value='Urdu' >Urdu<\/option><option value='usbekisk' >usbekisk<\/option><option value='vietnamesisk' >vietnamesisk<\/option><option value='Walisisk' >Walisisk<\/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'>Antall ECD Pasienter (hvis kliniker)<\/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'>Navn p\u00e5 pasientens lege(r)<\/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'>Kontaktinformasjon til pasientens lege(r)<\/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' >Behandlinger<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_12'>Velg alle som gjelder. Tips! Hvis du vil velge flere alternativer, holder du nede CTRL-tasten (Windows) eller Kommando-tasten (Mac) mens du klikker p\u00e5 valgene. <\/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='Betennelsesdempende medisiner (Anakinra Actemra Remicade osv.)'  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'>Betennelsesdempende medisiner (Anakinra Actemra Remicade osv.)<\/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='BRAF- og MEK-hemmere (Zelboraf Tafinlar Mekinist Cotellic osv.)'  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'>BRAF- og MEK-hemmere (Zelboraf Tafinlar Mekinist Cotellic osv.)<\/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='Kjemoterapi (Cladribin Clofarabin osv.)'  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'>Kjemoterapi (Cladribin Clofarabin osv.)<\/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='Immunsuppressiva (Rapamune Cellcept Imurane Methotrexate osv.)'  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'>Immunsuppressiva (Rapamune Cellcept Imurane Methotrexate osv.)<\/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='Immunterapi (interferon osv.)'  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'>Immunterapi (interferon osv.)<\/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='Ingen behandling'  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'>Ingen behandling<\/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='Steroider (f.eks. Prednison osv.)'  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'>Steroider (f.eks. Prednison osv.)<\/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'>Mutasjonsstatus<\/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='Jeg har IKKE blitt testet for en mutasjon.' >Jeg har IKKE blitt testet for en mutasjon.<\/option><option value='Jeg har testet, men ingen mutasjon ble funnet.' >Jeg har testet, men ingen mutasjon ble funnet.<\/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' >Pasientens navn<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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 '>Fornavn<\/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 '>Etternavn<\/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'>Pasientens e-post<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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'>Hvis pasienten ikke har en e-postadresse, vennligst legg inn din e-postadresse som omsorgsperson<\/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'>Pasientens f\u00f8dselsdato<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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\/dd\/yyyy' 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 DD slash YYYY<\/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'>Ditt forhold til pasienten.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/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' >Er du interessert i \u00e5 bli med i ECD Referral Care Center Network?<\/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='Ja'  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'>Ja<\/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='Nei'  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'>Nei<\/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'>Kommentarer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_1_13' class='textarea large'    placeholder='Eventuelle merknader eller kommentarer om hvordan vi best kan hjelpe deg.' 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'>Dagens dato<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(P\u00e5krevd)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_22' id='input_1_22' type='text' value='\/\/' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='{dato_mdy}' 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 DD slash YYYY<\/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=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_35'>URL til kildesiden<\/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\/no\/wp-json\/wp\/v2\/pages\/55702' 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' class='ginput_container ginput_recaptcha' data-sitekey='6LfhQ2wpAAAAAIT2_BGV64BPz8p9O7_76bM_tz2s'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send inn'  \/> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=1&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=1571e0ea3d79fc28759bdb5c7620ccb3' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' 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='fKMsjRhKSta28MxAJko\/OIWywQt+i4DL5ltBoxWTY0Dt+B8umgxvTXbMBmo2C4R3XhGYck9NIgmm0pseqA8ri1nXyJ568i3DaMFeL\/IH5Ll+SKY=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='WyJ7XCI2XCI6W1wiMGYzYzI1NDQ5NDRkMDFlZmU0ZjA1YTNiZTRiZDlkNDRcIixcIjhkZjViY2ExMTZhMzJmMDkzYmQwZmYzZWY5MDZlNGNhXCIsXCI3ODM5OGJjNTBjZTNiNGQyZmE3Yzc5ZjNkYzI2MzY2MFwiLFwiZmJmMjU1ZGY4NGUzZjY5MTMxYjQxZjI4YzMwMzgwZGRcIixcIjNlYWE3YzYzNTE0Y2IxMTc5Y2ExZTRlMmE4NGU0NDQxXCIsXCI3NmMwYjc3NzAxMDE0ZDYzYjJkMjFkNTlhNzlmZmVhNlwiLFwiMDZiMzM5NjNhMWMyM2QzNWEwOTEzOTU4ZjQ4OGI0NzNcIl0sXCIzM1wiOltcImVkMmUzNzBlMjlmOGExZTFiODNiODNjOWM1ZGI1YjM5XCIsXCJlNDhlNmExZGVkZGY5NjJjZmU0YjhlYjQ3MjIwZjVhY1wiXSxcIjdcIjpbXCIwMTgwZTVhNzkzNTMxOWI4MWE5ZGIzMDFkNjYwOGU4NVwiLFwiZDFiOWM1Y2VjYjc1OTkzYzBkN2Q3ZjI3M2QwMTI2YzZcIixcIjEwNjdhYjEzYmJlODJjZGNmNTBlNmQ1YTE1ZjFlYmYyXCJdLFwiOFwiOltcImYyMTc4NTEwZDgxZTZkYjhlMDgxZDgxMGNiNGRiOTNlXCIsXCIxZTFlN2Y0OWU0NWE5ZTQ2NTJjY2M2MmI3ZWVkMGU2MFwiLFwiOWY4MDk2ZjI1OWM0YmJjYTA5YWM3YmFjZGFlMDRkYTRcIixcIjgxZTJlOTlhNDc5N2IxODE2YjNkMzkzNmRhODZlZWEzXCIsXCI3ZDBiN2ZkNGQ2OGRkOTIwOTUzNDNkNmZiNDI1NTZhZVwiLFwiNjIyNmMwNGMwNTdkNjllM2IxZDliOWNhZDE5YTJkYTdcIixcImY3ZDk2MGJiODFhZWU4YzY4MzUzMWM1ZjdiZGIzODA1XCIsXCJjZGZjNmQzZGVlOTIwMTQwZDM0Njk4MDg5ODc3Mzg4MFwiLFwiYWU4ZjZjMjhmNmEyNjU1OTJjN2ZlZTYzODgwNTNjYmZcIixcImU2MGVmZDBkY2EzMzA3OGEwNDczNWJiNzA4YTk1NDYwXCIsXCJjZWQwYTc1Mzk3OTBiNDFlMjYxNGFhMzVmNDE5MGVjMlwiLFwiMWY3MzU1YTQ1ZmRhMzZlMWFlYTZiYTFhMTNhYzIzYzRcIixcImY3NjdlNDA0NjI1ZDI4ZmRlNjMxYjA1MDMyNjNmYzMwXCIsXCJiMTljNDg0MTU0M2Q5MGE0MGU2ZDkxOTUxYzYyMDBjMVwiLFwiNDM1MjhmNTBmNjA0OTJhMjRjNGUwNTEzNjI0YjU3OTFcIixcImYyMTc4NTEwZDgxZTZkYjhlMDgxZDgxMGNiNGRiOTNlXCIsXCI0Yjg3ZTJiYzYwZWRiYmU1ZjE0MDZlNWExY2IwZmU2MlwiLFwiZmNmMWRiMjg3MDEyNTExYzExMzUxOTViY2U3NGZhYjRcIixcIjAzOGExNGYxZDYxNmQxYWE1OWNhZDliZGM1NGUwOGZlXCIsXCI0ZjVlMzk1MTFlMmQwYWRhMmE2YjkzMTBkYWUxMThjNlwiLFwiYTgzNGYzYzk1YzhiMDZiOGMzNmMxNWQ4NWU4NzEyZTVcIixcIjExOTczMGMzODc4Y2I0NGQzMjg0NzA5NDMyNDhiNWUzXCIsXCI3YzhkYmQ4YWJhYWE3MWYwNTI1ZDk4ZDAxZDIwNzhiZFwiLFwiYTJmMjhjNTU1ZGEwZmUxMTQxMGQ4YjcwZjFmNzA3YzJcIixcIjViYjc3M2ZmOWIxN2EwZDNhNDM3ZmM2NzM3Y2NkMDNkXCIsXCIwNjZlM2YxZmIyZjMwMDE1OTgxYjY2MDNiZmE3MzQ3YlwiLFwiNzkzM2E1ZGIyZTVkMjFkNjAzMWJlMGQxODI2NGUwM2FcIixcIjM1NWQ4ODhhODU1MDk5NDM1N2RlYjIyODA0ZWNiMWM3XCIsXCI0MjExY2VkZTg1MGQyZjI4ZTEwMjlmM2JmMTRlNDNiN1wiLFwiNjcwODNkNTEzNGFlODcxYjUxYjM1MjlkZTkyMjNhOTdcIixcIjYzOGIzNjA3NjI1YmNiYmVlMTMzOWNkMDNhMzNjODA1XCIsXCJkNTkxNzJhMTAwZmY3MzJlNDZhMjk1ODZiZmRmYzMwY1wiLFwiNGNjNGM2M2Y5NjY1NDYyYjE1ZTVlN2UyYjk1OGYyODhcIixcIjA3ODljN2VkOTU1MTcwNDUwNGFkNTZjOTJiMjkzNTdmXCIsXCIxMDRiMWZmZDA0MTJhYzQ5ZjZmMjAxYTYxMjNjYzE0YVwiLFwiNjJjOTUzZTg1OWZlZmUzODlkMTBiYTUzZTFmNjllOGRcIixcIjRkMzljZTljMDQxM2ViODAyNzJiMjFkZDQwM2Q2MzY2XCIsXCJlMmFjNTc1ZDNmNDczOTBlOTc3NzFjNGViOTU3NTFmYVwiLFwiOTIyYzZhZjJhZDU3ZTc3MzBmYjMzYjE1YTk4NTQ4MmRcIixcImJiY2VkMTdiMzk0NWYxZmQxNjUwMDhiODAyNWE2ZjE0XCIsXCJiMThiOTM2YzY2ZjhkMDllNTQ2MjA5Mjg3ZDU2MTRjYlwiLFwiOGQ4NjdjMGFiMjhmMzkyYzU3ZTRhZjI2NTNiMjA1ZGJcIixcIjU1ODcyMzliZGIyMWUyNWYwMmM4YzFhN2ZlZjMyOTNlXCIsXCJlNGI1NjQxMDEyZmNhNThhYWQyZjliNDM5NTU3YWQxZVwiLFwiYzdiYTM4OTA4M2VmYmNhZmU0NDhhODc4OGVjZDRkNjdcIixcIjgwMzg4MzE5YTA3OGI0OTVmN2FjYWM3MTJlMGU3MTQ0XCIsXCIxNGFlZjA1MzBhZThiZTM4ZmRkMzgwMjkxNDFkOGU2YVwiLFwiMjkyODI3MWIzNjgyODcwMzNmNDc2YTk0YjcxZjlmNTlcIixcIjYwMWE1MTJlNTYwM2U4NzZlM2QxODdmM2I5MTdjZDNkXCIsXCJiYTUyYTNiNWIyYjVjYWY0MmM2YWFlOWEzN2IxMjRkZFwiLFwiOTQ3ZjY5ZThjMzQ4ODQzZjAxOTAyNzYxMDNmMjllNDFcIixcImE3Zjg3ZmJhYTU3Y2FlZjg0ZmRjZDBjZGU3YzU3Y2QwXCIsXCI3NDExZTAyMmUxYzAwNGFjMjBhNmEyNzJmYWQ3NzcyZlwiLFwiMmIyOWFkZGY2YTNkNWNkZWI1OTAzODY1NWVjNDc5NWZcIixcImFiZmNjM2E2YzUzNjJhY2QxOTE5MmFhZjgyZjhkNzIxXCIsXCJmYzg2NTY0OTQ2YWUxNTgwOGMzNzE1Mjk1M2FiNWUzZlwiLFwiNmI0ZTY1MmEzMzI2ZWYwZGY5ZWUwZTFjODdlNmQ4ZWFcIixcIjQ3MjUzOTFjNjNmOGFhMzkwOGRlOGEwM2M2ZDAzMTkyXCIsXCI1ZjBhODFhYzcxZjQ4MmVjZmEwZDZmNjA1MTAyOTMxYVwiLFwiN2Y3MTUzNWQ4MzYzMmUzNWU4Y2QwODQwNjYwNDEwMmZcIixcImUxYTQzNTUxYjBlYmQxMzg3ODMwYThiZDVhNzYwNTY5XCIsXCJiNDVkZGE5NGQ1MDMxYTliYTEwNjYzYThmYzljYTZmMFwiLFwiMDY5MTA0NTc3YTcxMDhlODdhNzIwM2NiMjQ4YjNjNTVcIixcImRhZWVkYjU0NDM2OTI3NjcxY2U0YWY0Y2ZmOGJmMzE4XCIsXCI5NzFlNTk3NTY4NWEyZTc0MDE1MGQ5YmMxNThkOTJmOVwiLFwiMjNlN2RiNTFmZTBiMzMxYmM2NjBkNDhjMTVkZjdiZWRcIixcIjJmNmEwZjIxNTI5YmY5MDdiOWQ5ZTJiMGU4MzdiMDhhXCIsXCI0MmIwZDgyMjM2NGU4ZDVmYTVjMmZkOWZkMzNjMzgzMFwiLFwiMmE2NDViNzk5MjFlZDJkODY4ZDc2ZjIxY2JmM2I2YjJcIixcIjhjNTdiNTIxZmYxOTlhNTFlZGJhZTgzNDdlNjhmYTc1XCIsXCJhMGEwMThkMDBiNzYyMTYyODgzZGFiNDhmODg2OTYyOVwiLFwiMmE4MGI1MTRhZDdiYTFhZWQ1MDYwMGI2MWFjYTgzZDhcIixcIjU0ZTFjZWIyODlhMjI3OTU4ZWZmYjZjMzU4Yjc1MmRhXCJdLFwiMTIuMVwiOlwiMWE5MmE1NzRmZWIyZmZmYmNkMDBlYzRiZDdhOTg3NWFcIixcIjEyLjJcIjpcIjRmZGY5YTIyNDQ3NWUyNjk0OWMzNTMxNGIyODU4Zjc3XCIsXCIxMi4zXCI6XCI5MDRjZWE4Y2Q5MzAyMWE1OTEzZDgyMGYyMDE4YzdmNFwiLFwiMTIuNFwiOlwiZGIwMGI2OTk5ZDVkNjY2YzZkNDQ5YzYyMmRjYzliNjNcIixcIjEyLjVcIjpcIjc0NGQ0ZjEzNzhjYmU1Mjc5NjZkN2NhNGZiYjViODBkXCIsXCIxMi42XCI6XCJlYjJiOTNjMTg3OWNjZTcyNTU4OWRhZjI1NTRkZWEzYVwiLFwiMTIuN1wiOlwiYjJmNjBlNWQxODA5Y2QxZDA5Zjg5NTkzODI0YzgzNGFcIixcIjE2XCI6W1wiNTllMTAzOTM5ZTFkNGNhN2UyZTc4OTkzMmE1YWM4M2ZcIixcIjcwMzJkZmI1NWQ3ZTQxYmIwOWFkZTE4NzM0MmE0ZGVjXCIsXCIzMTkyOGU5MDFjY2YwMjhiODg4M2ZmNDI4MjU0MjFhNlwiLFwiNzQxNTljOTg4YmIyNWFmZGRmODExOTBhNGZlNDhmNjhcIixcImM3MmEwNGJkNTI2Nzg2YjVmNjIwMTMzNWJkMDkxZTgyXCJdLFwiMjlcIjpbXCJiODRkMGNkNTUwYmVlMTRjMTdiODY1ODg1N2RjYjY0NVwiLFwiY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