{"id":5280,"date":"2020-05-18T09:53:25","date_gmt":"2020-05-18T07:53:25","guid":{"rendered":"http:\/\/www.cobe.dental\/?page_id=5280"},"modified":"2021-05-08T07:30:55","modified_gmt":"2021-05-08T05:30:55","slug":"triage","status":"publish","type":"page","link":"https:\/\/www.cobe.dental\/en\/triage\/","title":{"rendered":"Triage"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-margin-bottom:50px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img width=\"400\" height=\"158\" title=\"Logo_COBE_400px\" src=\"http:\/\/www.cobe.dental\/wp-content\/uploads\/2021\/04\/Logo_COBE_400px.png\" alt class=\"img-responsive wp-image-5099\" srcset=\"https:\/\/www.cobe.dental\/wp-content\/uploads\/2021\/04\/Logo_COBE_400px-200x79.png 200w, https:\/\/www.cobe.dental\/wp-content\/uploads\/2021\/04\/Logo_COBE_400px.png 400w\" sizes=\"(max-width: 1280px) 100vw, (max-width: 1024px) 100vw, 400px\" \/><\/span><\/div><div class=\"fusion-title title fusion-title-1 fusion-title-center fusion-title-text fusion-title-size-two\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#eff3f9;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h2 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\">Triage Form COVID-19<\/h2><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#eff3f9;\"><\/div><\/div><\/div><div class=\"fusion-title title fusion-title-2 fusion-title-center fusion-title-text fusion-title-size-four\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#eff3f9;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h4 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\"><p><strong>Prevenzione rischio Coronavirus (COVID-19)<\/strong><br \/>\n(Rif. Circolare 5443 Ministero della Salute, 22702\/2020 D.L. No.6 23702\/2020)<\/p><\/h4><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#eff3f9;\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-1\"><p>Gentile Paziente,<br \/>\nla recente epidemia di Coronavirus ha messo a dura prova l\u2019intera nazione.<br \/>\nIn questi mesi abbiamo lavorato intensamente con l\u2019obiettivo di tenere la COVID-19 fuori da COBE Dental, investendo in un nuovo impianto per la sanificazione dell\u2019aria e pianificando procedure per velocizzare e rendere maggiormente sicuri i nostri servizi.<br \/>\nAlcune delle pratiche che normalmente svolgevamo in segreteria e che La costringevano ad arrivare in anticipo presso il nostro studio, possono ora essere comodamente espletate a distanza in tutta sicurezza tramite il nostro sito. Una di queste, assolutamente necessaria in questa fase delicata, \u00e8 quella del triage.<br \/>\nLe chiediamo pertanto di prendere cortesemente visione del seguente Questionario Informativo e di compilarlo in ogni parte prima del suo prossimo appuntamento.<br \/>\nIn occasione del suo prossimo appuntamento La invitiamo gentilmente a:<br \/>\n\u00b7 <strong>VENIRE NON ACCOMPAGNATA\/O<\/strong> o, in caso di minori, con <strong>UN SOLO ACCOMPAGNATORE<\/strong><br \/>\n\u00b7 <strong>INDOSSARE LA MASCHERINA<\/strong><br \/>\n\u00b7 <strong>MOLTO IMPORTANTE:<\/strong> <strong>LAVARE I DENTI<\/strong> E <strong>MISURARE LA TEMPERATURA CORPOREA<\/strong> prima di uscire di casa per raggiungere il nostro studio.<br \/>\nRimaniamo a sua completa disposizione per qualsiasi domanda o dubbio e la ringraziamo per la collaborazione e per averci scelto.<br \/>\nCordiali saluti,<br \/>\nLo Staff e i Dottori COBE Dental<\/p>\n<\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-5283\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;\" data-form-id=\"5283\" data-config=\"{&quot;form_id&quot;:5283,&quot;form_post_id&quot;:5283,&quot;post_id&quot;:5280,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;name&quot;:&quot;Name&quot;,&quot;last_name&quot;:&quot;Last Name&quot;,&quot;email&quot;:&quot;Email&quot;,&quot;phone&quot;:&quot;Phone&quot;,&quot;step_1&quot;:&quot;1) Al momento \\u00e8 affetta\\\/o oppure sospetta di essere affetta\\\/o da COVID-19?&quot;,&quot;step_2&quot;:&quot;2) \\u00c8 stata\\\/o, che Lei sappia, affetta\\\/o da COVID-19?&quot;,&quot;step_3&quot;:&quot;Se ha risposto S\\u00ec alla precedente domanda, \\u00e8 stata\\\/o dichiarata\\\/o guarita\\\/o clinicamente o con tampone?&quot;,&quot;step_4&quot;:&quot;3) Ha avuto contatti stretti con soggetti COVID-19 positivi negli ultimi 14 giorni?&quot;,&quot;step_5&quot;:&quot;4) Ha avuto contatti con pazienti in quarantena, sia autoimposta che stabilita dalle autorit\\u00e0 sanitarie negli ultimi 14 giorni?&quot;,&quot;step_6&quot;:&quot;5) Ha avuto contatti stretti con pazienti COVID-19 in ambito professionale negli ultimi 14 giorni?&quot;,&quot;step_7&quot;:&quot;6) Ha o ha avuto qualcuno di questi sintomi negli ultimi 14 giorni?&quot;,&quot;domanda6_bis&quot;:&quot;Nel caso abbia segnalato uno o pi\\u00f9 di questi sintomi La preghiamo di fornire ulteriori informazioni al riguardo:&quot;,&quot;dichiarazione&quot;:&quot;Dichiarazione&quot;,&quot;veridicitainformazioni&quot;:&quot;Veridicit\\u00e0 delle informazioni fornite&quot;,&quot;informativaprivacy&quot;:&quot;Informativa sulla Privacy&quot;,&quot;informativacovid19&quot;:&quot;Informativa COVID-19&quot;},&quot;field_logics&quot;:{&quot;name&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;phone&quot;:&quot;&quot;,&quot;step_1&quot;:&quot;&quot;,&quot;step_2&quot;:&quot;&quot;,&quot;step_3&quot;:&quot;&quot;,&quot;step_4&quot;:&quot;&quot;,&quot;step_5&quot;:&quot;&quot;,&quot;step_6&quot;:&quot;&quot;,&quot;step_7&quot;:&quot;&quot;,&quot;domanda6_bis&quot;:&quot;&quot;,&quot;dichiarazione&quot;:&quot;&quot;,&quot;veridicitainformazioni&quot;:&quot;&quot;,&quot;informativaprivacy&quot;:&quot;&quot;,&quot;informativacovid19&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;name&quot;:&quot;text&quot;,&quot;last_name&quot;:&quot;text&quot;,&quot;email&quot;:&quot;email&quot;,&quot;phone&quot;:&quot;phone_number&quot;,&quot;step_1&quot;:&quot;radio&quot;,&quot;step_2&quot;:&quot;radio&quot;,&quot;step_3&quot;:&quot;radio&quot;,&quot;step_4&quot;:&quot;radio&quot;,&quot;step_5&quot;:&quot;radio&quot;,&quot;step_6&quot;:&quot;radio&quot;,&quot;step_7&quot;:&quot;radio&quot;,&quot;domanda6_bis&quot;:&quot;textarea&quot;,&quot;dichiarazione&quot;:&quot;checkbox&quot;,&quot;veridicitainformazioni&quot;:&quot;checkbox&quot;,&quot;informativaprivacy&quot;:&quot;checkbox&quot;,&quot;informativacovid19&quot;:&quot;checkbox&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/www.cobe.dental\/en\/triage\/\" method=\"post\" class=\"fusion-form fusion-form-5283\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><div class=\"fusion-form-label-wrapper\"><label for=\"name\">Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-user fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"name\" id=\"name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Name *\" data-holds-private-data=\"false\" minlength=\"2\" maxlength=\"50\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><div class=\"fusion-form-label-wrapper\"><label for=\"last_name\">Last Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-user fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"last_name\" id=\"last_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Last Name *\" data-holds-private-data=\"false\" minlength=\"2\" maxlength=\"50\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><div class=\"fusion-form-label-wrapper\"><label for=\"email\">Email <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-envelope fas\"><\/i><input type=\"email\" autocomplete=\"off\" name=\"email\" id=\"email\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Email *\" data-holds-private-data=\"false\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone\">Phone <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"phone\" id=\"phone\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Phone *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">1) Al momento \u00e8 affetta\/o oppure sospetta di essere affetta\/o da COVID-19? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_1-1-0\" type=\"radio\" value=\"Yes\" name=\"step_1\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_1-1-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_1-1-1\" type=\"radio\" value=\"No\" name=\"step_1\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_1-1-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">2) \u00c8 stata\/o, che Lei sappia, affetta\/o da COVID-19? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_2-2-0\" type=\"radio\" value=\"Yes\" name=\"step_2\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_2-2-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_2-2-1\" type=\"radio\" value=\"No\" name=\"step_2\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_2-2-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Se ha risposto S\u00ec alla precedente domanda, \u00e8 stata\/o dichiarata\/o guarita\/o clinicamente o con tampone?<\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_3-3-0\" type=\"radio\" value=\"Yes\" name=\"step_3\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-step_3-3-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_3-3-1\" type=\"radio\" value=\"No\" name=\"step_3\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-step_3-3-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">3) Ha avuto contatti stretti con soggetti COVID-19 positivi negli ultimi 14 giorni? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_4-4-0\" type=\"radio\" value=\"Yes\" name=\"step_4\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_4-4-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_4-4-1\" type=\"radio\" value=\"No\" name=\"step_4\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_4-4-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">4) Ha avuto contatti con pazienti in quarantena, sia autoimposta che stabilita dalle autorit\u00e0 sanitarie negli ultimi 14 giorni? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_5-5-0\" type=\"radio\" value=\"Yes\" name=\"step_5\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_5-5-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_5-5-1\" type=\"radio\" value=\"No\" name=\"step_5\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_5-5-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">5) Ha avuto contatti stretti con pazienti COVID-19 in ambito professionale negli ultimi 14 giorni? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_6-6-0\" type=\"radio\" value=\"Yes\" name=\"step_6\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_6-6-0\">Yes<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-step_6-6-1\" type=\"radio\" value=\"No\" name=\"step_6\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_6-6-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">6) Ha o ha avuto qualcuno di questi sintomi negli ultimi 14 giorni? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-0\" type=\"radio\" value=\"Febbre > 37,3\u00b0\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-0\">Febbre > 37,3\u00b0<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-1\" type=\"radio\" value=\"Tosse\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-1\">Tosse<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-2\" type=\"radio\" value=\"Mal di gola\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-2\">Mal di gola<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-3\" type=\"radio\" value=\"Raffreddore\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-3\">Raffreddore<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-4\" type=\"radio\" value=\"Difficolt\u00e0 respiratoria\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-4\">Difficolt\u00e0 respiratoria<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-5\" type=\"radio\" value=\"Congiuntivite\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-5\">Congiuntivite<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-6\" type=\"radio\" value=\"Alterazione del gusto\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-6\">Alterazione del gusto<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-7\" type=\"radio\" value=\"Alterazione dell'olfatto\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-7\">Alterazione dell'olfatto<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-8\" type=\"radio\" value=\"Sangue dal naso (epistassi)\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-8\">Sangue dal naso (epistassi)<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-9\" type=\"radio\" value=\"Cefalee\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-9\">Cefalee<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-10\" type=\"radio\" value=\"Vomito\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-10\">Vomito<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-11\" type=\"radio\" value=\"Diarrea\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-11\">Diarrea<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-12\" type=\"radio\" value=\"Dolori muscolari diffusi\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-12\">Dolori muscolari diffusi<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-13\" type=\"radio\" value=\"Eruzioni cutanee (bambini, adolescenti)\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-13\">Eruzioni cutanee (bambini, adolescenti)<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-14\" type=\"radio\" value=\"Senso di spossatezza\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-14\">Senso di spossatezza<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-15\" type=\"radio\" value=\"Forti brividi in assenza di febbre\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-15\">Forti brividi in assenza di febbre<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-step_7-7-16\" type=\"radio\" value=\"No, nessun sintomo\" name=\"step_7\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-step_7-7-16\">No, nessun sintomo<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><label for=\"domanda6_bis\">Nel caso abbia segnalato uno o pi\u00f9 di questi sintomi La preghiamo di fornire ulteriori informazioni al riguardo:<\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-stethoscope fas\"><\/i><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"10\" tabindex=\"\" id=\"domanda6_bis\" name=\"domanda6_bis\" class=\"fusion-form-input\" placeholder=\"Descrizione sintomi \" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Dichiarazione <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"checkbox-dichiarazione-1-0\" type=\"checkbox\" value=\"Selezionando questa casella, confermo di aver adeguatamente ed attentamente risposto ai questionari che mi sono stati sottoposti, di volermi attenere alle indicazioni ricevute per l\u2019accesso alle sale operative, impegnandomi a comunicare all\u2019odontoiatra ogni variazione del mio stato di salute.\" name=\"dichiarazione[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-dichiarazione-1-0\">Selezionando questa casella, confermo di aver adeguatamente ed attentamente risposto ai questionari che mi sono stati sottoposti, di volermi attenere alle indicazioni ricevute per l\u2019accesso alle sale operative, impegnandomi a comunicare all\u2019odontoiatra ogni variazione del mio stato di salute.<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Veridicit\u00e0 delle informazioni fornite <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"checkbox-veridicitainformazioni-2-0\" type=\"checkbox\" value=\"Selezionando questa casella, dichiaro di essere consapevole che chiunque rilascia dichiarazioni mendaci \u00e8 punito ai sensi del codice penale e delle leggi speciali in materia, ai sensi e per gli effetti dell'Art. 46 D.P.R. No. 445\/2000.\" name=\"veridicitainformazioni[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-veridicitainformazioni-2-0\">Selezionando questa casella, dichiaro di essere consapevole che chiunque rilascia dichiarazioni mendaci \u00e8 punito ai sensi del codice penale e delle leggi speciali in materia, ai sensi e per gli effetti dell'Art. 46 D.P.R. No. 445\/2000.<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Informativa sulla Privacy <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"checkbox-informativaprivacy-3-0\" type=\"checkbox\" value=\"Selezionando questa casella, acconsento al trattamento delle informazioni da me fornite tramite il presente modulo Triage COVID-19 dopo aver consapevolmente preso completa visione dell'Informativa sulla Privacy pubblicata su questo sito.\" name=\"informativaprivacy[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-informativaprivacy-3-0\">Selezionando questa casella, acconsento al trattamento delle informazioni da me fornite tramite il presente modulo Triage COVID-19 dopo aver consapevolmente preso completa visione dell'Informativa sulla Privacy pubblicata su questo sito.<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Informativa COVID-19 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"checkbox-informativacovid19-4-0\" type=\"checkbox\" value=\"Selezionando questa casella, confermo di avere consapevolmente preso completa visione dell'Informativa COVID-19 in merito al rischio di contagio della COVID-19.\" name=\"informativacovid19[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-informativacovid19-4-0\">Selezionando questa casella, confermo di avere consapevolmente preso completa visione dell'Informativa COVID-19 in merito al rischio di contagio della COVID-19.<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"5283\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-span-yes  button-default form-form-submit\" data-form-number=\"5283\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Send<\/span><\/button><\/div><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">The Triage Form has been sent, thanks.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">The Triage Form was not sent because of a techcnical error. Please try later, thanks.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_store_ip_ua\" value=\"false\"><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-bg-parallax\" data-bg-align=\"center center\" data-direction=\"right\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.3\" data-mobile-enabled=\"true\" data-break_parents=\"0\" data-bg-image=\"https:\/\/www.cobe.dental\/wp-content\/uploads\/2021\/04\/Cobe_Call_To_Action.jpg\" data-bg-repeat=\"false\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container fusion-parallax-right nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:80px;--awb-padding-bottom:100px;--awb-background-image:url(&quot;https:\/\/www.cobe.dental\/wp-content\/uploads\/2021\/04\/Cobe_Call_To_Action.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#ffffff;--awb-margin-top:30px;--awb-font-size:90px;\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#eff3f9;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h2 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;font-size:1em;\">Rediscover the pleasure of smiling<\/h2><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#eff3f9;\"><\/div><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:15px;width:100%;\"><\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#6487c2;--button_border_hover_color:#6487c2;--button_gradient_top_color:#4fc3a3;--button_gradient_bottom_color:#4fc3a3;--button_gradient_top_color_hover:#ffffff;--button_gradient_bottom_color_hover:#ffffff;\" target=\"_self\" href=\"http:\/\/www.cobe.dental\/contatti\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Contact us<\/span><\/a><\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":18,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":[],"_links":{"self":[{"href":"https:\/\/www.cobe.dental\/en\/wp-json\/wp\/v2\/pages\/5280"}],"collection":[{"href":"https:\/\/www.cobe.dental\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cobe.dental\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cobe.dental\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cobe.dental\/en\/wp-json\/wp\/v2\/comments?post=5280"}],"version-history":[{"count":5,"href":"https:\/\/www.cobe.dental\/en\/wp-json\/wp\/v2\/pages\/5280\/revisions"}],"predecessor-version":[{"id":5285,"href":"https:\/\/www.cobe.dental\/en\/wp-json\/wp\/v2\/pages\/5280\/revisions\/5285"}],"wp:attachment":[{"href":"https:\/\/www.cobe.dental\/en\/wp-json\/wp\/v2\/media?parent=5280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}