{"id":14338,"date":"2025-10-24T11:29:01","date_gmt":"2025-10-24T14:29:01","guid":{"rendered":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/?page_id=14338"},"modified":"2025-10-24T11:41:59","modified_gmt":"2025-10-24T14:41:59","slug":"formulario-pesquisa-clinica","status":"publish","type":"page","link":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/","title":{"rendered":"Formul\u00e1rio Pesquisa Cl\u00ednica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14338\" class=\"elementor elementor-14338\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d715971 e-con-full e-flex e-con e-parent\" data-id=\"d715971\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-575d948 e-flex e-con-boxed e-con e-child\" data-id=\"575d948\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2331534 elementor-vertical-align-top elementor-widget elementor-widget-image-box\" data-id=\"2331534\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><p class=\"elementor-image-box-description\">Entre em contato<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-86984de elementor-widget elementor-widget-shortcode\" data-id=\"86984de\" data-element_type=\"widget\" id=\"pesquisa\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f14337-o1\" lang=\"pt-BR\" dir=\"ltr\" data-wpcf7-id=\"14337\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/hospital-marcio-cunha\/wp-json\/wp\/v2\/pages\/14338#wpcf7-f14337-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formul\u00e1rios de contato\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"14337\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pt_BR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f14337-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"formularios\">\n<h4 style=\"color: #fff;\">Este formul\u00e1rio tem o objetivo de avaliar pacientes com c\u00e2ncer e que possuem interesse em participar de Ensaios Cl\u00ednicos com Interven\u00e7\u00e3o\/Protocolos de pesquisa.<\/h4>\n<br><br>\n<h3 style=\"color: #fff;\">Etapa 1 \u2014 Identifica\u00e7\u00e3o e consentimento<\/h3>\n\n<b style=\"color: #fff;\">Por favor, nos informe quem \u00e9 voc\u00ea<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"quem_sou\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"quem_sou[]\" value=\"M\u00e9dico\" \/><span class=\"wpcf7-list-item-label\">M\u00e9dico<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"quem_sou[]\" value=\"Paciente com diagn\u00f3stico de c\u00e2ncer\" \/><span class=\"wpcf7-list-item-label\">Paciente com diagn\u00f3stico de c\u00e2ncer<\/span><\/span><\/span><\/span>\n\n<i style=\"color: #fff;\">Se voc\u00ea \u00e9 oncologista e tem um paciente com interesse em participar de protocolo de pesquisa cl\u00ednica por favor oriente que o seu paciente acesse este link e preencha o formul\u00e1rio de avalia\u00e7\u00e3o.\n<br>\nSe voc\u00ea tem c\u00e2ncer e tem interesse em participar de protocolo de pesquisa cl\u00ednica preencha o pr\u00f3ximo formul\u00e1rio.\n<br>\nConverse com seu oncologista antes de se inscrever, o envio de um relat\u00f3rio m\u00e9dico com os tratamentos pr\u00e9vios de quimioterapia e radioterapia j\u00e1 realizados ser\u00e1 fundamental para avalia\u00e7\u00e3o do seu caso. Voc\u00ea precisar\u00e1 anexar este documento durante o preenchimento do pr\u00f3ximo formul\u00e1rio.\n<br>\nO formul\u00e1rio ser\u00e1 recebido pela equipe de pesquisa cl\u00ednica, caso voc\u00ea preencha os crit\u00e9rios de inclus\u00e3o para algum protocolo com recrutamento aberto voc\u00ea ser\u00e1 contactado em at\u00e9 7 dias ut\u00e9is.\n<br>\nParticipantes de Pesquisa, de uma forma geral, necessitam de visitas frequentes ao hospital para acompanhamento adequado e garantia de seguran\u00e7a durante a participa\u00e7\u00e3o em pesquisa, caso voc\u00ea resida longe da FSFX considere essa quest\u00e3o antes de se inscrever.<\/i><br><br>\n\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aceite\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"aceite\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Eu estou ciente e de acordo em compartilhar dados sens\u00edveis (exames laboratoriais, data de nascimento, endere\u00e7o, contatos e outros documentos anexos ao formul\u00e1rio) para verifica\u00e7\u00e3o de elegibilidade e de eventuais tr\u00e2mites administrativos para participa\u00e7\u00e3o em protocolos de Pesquisa Cl\u00ednica na FSFX.<\/span><\/label><\/span><\/span><\/span>\n\n<br>\n<b style=\"color: #fff;\">Onde voc\u00ea se trata atualmente:<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"onde_trata\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"onde_trata\" value=\"FSFX (Por favor, solicitar que seu m\u00e9dico da FSFX entre em contato diretamente com a Pesquisa Cl\u00ednica. Muito Obrigado!)\" \/><span class=\"wpcf7-list-item-label\">FSFX (Por favor, solicitar que seu m\u00e9dico da FSFX entre em contato diretamente com a Pesquisa Cl\u00ednica. Muito Obrigado!)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"onde_trata\" value=\"Outros Servi\u00e7os\" \/><span class=\"wpcf7-list-item-label\">Outros Servi\u00e7os<\/span><\/label><\/span><\/span><\/span>\n<br>\n<hr style=\"border: 0; height: 1px; background-color: #ffffff; opacity: 0.6;\">\n<br>\n<h3 style=\"color: #fff;\">Etapa 2 \u2014 Dados pessoais<\/h3>\n<div class=\"lado-a-lado\">\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nome_completo\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nome completo\" value=\"\" type=\"text\" name=\"nome_completo\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Telefone com DDD\" value=\"\" type=\"tel\" name=\"telefone\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"idade\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Idade\" value=\"\" type=\"number\" name=\"idade\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sexo\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"sexo\"><option value=\"Masculino\">Masculino<\/option><option value=\"Feminino\">Feminino<\/option><\/select><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"peso\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" placeholder=\"Peso (Kg)\" value=\"\" type=\"number\" name=\"peso\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"altura\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" placeholder=\"Altura (m, ex: 1.72)\" value=\"\" type=\"number\" name=\"altura\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cep\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"CEP\" value=\"\" type=\"text\" name=\"cep\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"endereco\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Endere\u00e7o (Rua\/Avenida)\" value=\"\" type=\"text\" name=\"endereco\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"numero\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"N\u00famero\" value=\"\" type=\"text\" name=\"numero\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"complemento\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Complemento\" value=\"\" type=\"text\" name=\"complemento\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"meios_transporte\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"meios_transporte[]\" value=\"Carro \/ T\u00e1xi \/ Uber\" \/><span class=\"wpcf7-list-item-label\">Carro \/ T\u00e1xi \/ Uber<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"meios_transporte[]\" value=\"\u00d4nibus \/ Metr\u00f4 \/ Trem\" \/><span class=\"wpcf7-list-item-label\">\u00d4nibus \/ Metr\u00f4 \/ Trem<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"meios_transporte[]\" value=\"A\u00e9reo\" \/><span class=\"wpcf7-list-item-label\">A\u00e9reo<\/span><\/span><\/span><\/span>\n<\/div>\n\n<br><br>\n<hr style=\"border: 0; height: 1px; background-color: #ffffff; opacity: 0.6;\">\n<br>\n\n<h3 style=\"color: #fff;\">Etapa 3 \u2014 Dados m\u00e9dicos<\/h3>\n<div class=\"uma-linha\">\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medico_instituicao_contato\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nome e contatos (Telefone com DDD e\/ou e-mail) do seu m\u00e9dico e\/ou institui\u00e7\u00e3o que trata sua doen\u00e7a atualmente\" value=\"\" type=\"text\" name=\"medico_instituicao_contato\" \/><\/span>\n\n<b style=\"color: #fff;\">Qual seu tumor prim\u00e1rio (local onde o tumor come\u00e7ou)?<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tumor_primario\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"tumor_primario\"><option value=\"Mama\">Mama<\/option><option value=\"Intestino\">Intestino<\/option><option value=\"Pulm\u00e3o\">Pulm\u00e3o<\/option><option value=\"Cabe\u00e7a e pesco\u00e7o\">Cabe\u00e7a e pesco\u00e7o<\/option><option value=\"Melanoma\">Melanoma<\/option><option value=\"Pr\u00f3stata\">Pr\u00f3stata<\/option><option value=\"F\u00edgado\">F\u00edgado<\/option><option value=\"Rim\">Rim<\/option><option value=\"Bexiga\">Bexiga<\/option><option value=\"Outros\">Outros<\/option><\/select><\/span>\n\n<b style=\"color: #fff;\">Voc\u00ea tem resultado de bi\u00f3psia confirmando o diagn\u00f3stico da doen\u00e7a?<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"biopsia_confirmada\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"biopsia_confirmada\" value=\"Sim\" \/><span class=\"wpcf7-list-item-label\">Sim<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"biopsia_confirmada\" value=\"N\u00e3o\" \/><span class=\"wpcf7-list-item-label\">N\u00e3o<\/span><\/label><\/span><\/span><\/span>\n\n<b style=\"color: #fff;\">Como voc\u00ea percebe sua doen\u00e7a?<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"doenca_avancada\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"doenca_avancada\" value=\"Localizada (Sem met\u00e1stases)\" \/><span class=\"wpcf7-list-item-label\">Localizada (Sem met\u00e1stases)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"doenca_avancada\" value=\"Avan\u00e7ada (Com met\u00e1stases)\" \/><span class=\"wpcf7-list-item-label\">Avan\u00e7ada (Com met\u00e1stases)<\/span><\/label><\/span><\/span><\/span>\n\n<b style=\"color: #fff;\">Como voc\u00ea classifica seu estado de sa\u00fade atualmente?<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"estado_saude\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"estado_saude\"><option value=\"Realizo minhas atividades sem restri\u00e7\u00f5es\">Realizo minhas atividades sem restri\u00e7\u00f5es<\/option><option value=\"Realizo minhas atividades com restri\u00e7\u00f5es leves\">Realizo minhas atividades com restri\u00e7\u00f5es leves<\/option><option value=\"Realizo minhas atividades com muitas restri\u00e7\u00f5es\">Realizo minhas atividades com muitas restri\u00e7\u00f5es<\/option><option value=\"Passo mais de 50% do dia sentado ou deitado\">Passo mais de 50% do dia sentado ou deitado<\/option><option value=\"Tenho restri\u00e7\u00f5es severas e n\u00e3o consigo me levantar\">Tenho restri\u00e7\u00f5es severas e n\u00e3o consigo me levantar<\/option><\/select><\/span>\n<\/div>\n\n<br>\n<hr style=\"border: 0; height: 1px; background-color: #ffffff; opacity: 0.6;\">\n<br>\n\n<h3 style=\"color: #fff;\">Etapa 4 \u2014 Outras condi\u00e7\u00f5es de sa\u00fade<\/h3>\n\n<b style=\"color: #fff;\">Voc\u00ea possui diagn\u00f3stico de alguma outra doen\u00e7a al\u00e9m do c\u00e2ncer?<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diagnostico_outra_doenca\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"diagnostico_outra_doenca\" value=\"Sim\" \/><span class=\"wpcf7-list-item-label\">Sim<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"diagnostico_outra_doenca\" value=\"N\u00e3o\" \/><span class=\"wpcf7-list-item-label\">N\u00e3o<\/span><\/span><\/span><\/span>\n\n<b style=\"color: #fff;\">Voc\u00ea usa algum rem\u00e9dio de uso continuo?<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"uso_medicacao_continua\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"uso_medicacao_continua\" value=\"Sim\" \/><span class=\"wpcf7-list-item-label\">Sim<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"uso_medicacao_continua\" value=\"N\u00e3o\" \/><span class=\"wpcf7-list-item-label\">N\u00e3o<\/span><\/span><\/span><\/span>\n\n<b style=\"color: #fff;\">Voc\u00ea procura por algum protocolo de estudo espec\u00edfico?<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"procura_protocolo_especifico\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"procura_protocolo_especifico\" value=\"Sim\" \/><span class=\"wpcf7-list-item-label\">Sim<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"procura_protocolo_especifico\" value=\"N\u00e3o\" \/><span class=\"wpcf7-list-item-label\">N\u00e3o<\/span><\/span><\/span><\/span>\n\n<br>\n<hr style=\"border: 0; height: 1px; background-color: #ffffff; opacity: 0.6;\">\n<br>\n\n<h3 style=\"color: #fff;\">Etapa 5 \u2014 Anexos<\/h3>\n\n<b style=\"color: #fff;\">Por favor, inserir abaixo todos os documentos solicitados\nATEN\u00c7\u00c3O TODOS OS DOCUMENTOS DEVEM SER ESCANEADOS E ENVIADOS EM PDF N\u00c3O SER\u00c3O ACEITAS FOTOS DE DOCUMENTOS<br><br>\nRG frente e verso\n<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rg_frente_verso\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"rg_frente_verso\" \/><\/span>\n\n<b style=\"color: #fff;\">Comprovante de resid\u00eancia:<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"comprovante_residencia\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"comprovante_residencia\" \/><\/span>\n\n<b style=\"color: #fff;\">CPF:<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cpf\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"cpf\" \/><\/span>\n\n<b style=\"color: #fff;\">Laudo Anatomopatol\u00f3gico - Bi\u00f3psia ou material de cirurgia, \u00e9 o exame que confirmou seu diagn\u00f3stico de c\u00e2ncer<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"laudo_anatomopatologico\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"laudo_anatomopatologico\" \/><\/span>\n\n<b style=\"color: #fff;\">Relat\u00f3rio M\u00e9dico com informa\u00e7\u00f5es sobre seus tratamentos pr\u00e9vios para o c\u00e2ncer e comorbidades<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"relatorio_medico_tratamentos\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"relatorio_medico_tratamentos\" \/><\/span>\n\n<b style=\"color: #fff;\">Anexe seus \u00faltimos exames de sangue ( Se poss\u00edvel incluir laudo de \u00faltimo hemograma e creatinina)<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"exames_sangue\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"exames_sangue\" \/><\/span>\n\n<b style=\"color: #fff;\">Anexe seus \u00faltimos laudos de imagem (tomografias e\/ou resson\u00e2ncia)<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"laudos_imagem\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"laudos_imagem\" \/><\/span>\n\n<b style=\"color: #fff;\">Por favor anexe caso tenha realizado alguma avalia\u00e7\u00e3o adicional no tumor imunohistoqu\u00edmica ou molecular<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"imunohistoquimica_molecular\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"imunohistoquimica_molecular\" \/><\/span>\n\n<b style=\"color: #fff;\">Cart\u00e3o Nacional do SUS<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cartao_sus\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"cartao_sus\" \/><\/span>\n\n<b style=\"color: #fff;\">Campo livre para anexar outros documentos, caso deseje.<\/b>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"outros_documentos\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"outros_documentos\" \/><\/span>\n\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Enviar formul\u00e1rio\" \/>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Entre em contato<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-14338","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formul\u00e1rio Pesquisa Cl\u00ednica - Hospital M\u00e1rcio Cunha<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formul\u00e1rio Pesquisa Cl\u00ednica - Hospital M\u00e1rcio Cunha\" \/>\n<meta property=\"og:description\" content=\"Entre em contato\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/\" \/>\n<meta property=\"og:site_name\" content=\"Hospital M\u00e1rcio Cunha\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-24T14:41:59+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/\",\"url\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/\",\"name\":\"Formul\u00e1rio Pesquisa Cl\u00ednica - Hospital M\u00e1rcio Cunha\",\"isPartOf\":{\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#website\"},\"datePublished\":\"2025-10-24T14:29:01+00:00\",\"dateModified\":\"2025-10-24T14:41:59+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formul\u00e1rio Pesquisa Cl\u00ednica\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#website\",\"url\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/\",\"name\":\"Hospital M\u00e1rcio Cunha\",\"description\":\"O Hospital M\u00e1rcio Cunha (HMC) \u00e9 um hospital geral de alta complexidade, com 558 leitos e tr\u00eas unidades, sendo uma unidade exclusiva para o tratamento oncol\u00f3gico.\",\"publisher\":{\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#organization\",\"name\":\"HMC - Hospital M\u00e1rcio Cunha\",\"url\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-content\/uploads\/sites\/9\/2022\/04\/logo-hmc-color.png\",\"contentUrl\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-content\/uploads\/sites\/9\/2022\/04\/logo-hmc-color.png\",\"width\":264,\"height\":59,\"caption\":\"HMC - Hospital M\u00e1rcio Cunha\"},\"image\":{\"@id\":\"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Formul\u00e1rio Pesquisa Cl\u00ednica - Hospital M\u00e1rcio Cunha","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/","og_locale":"pt_BR","og_type":"article","og_title":"Formul\u00e1rio Pesquisa Cl\u00ednica - Hospital M\u00e1rcio Cunha","og_description":"Entre em contato","og_url":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/","og_site_name":"Hospital M\u00e1rcio Cunha","article_modified_time":"2025-10-24T14:41:59+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. tempo de leitura":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/","url":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/","name":"Formul\u00e1rio Pesquisa Cl\u00ednica - Hospital M\u00e1rcio Cunha","isPartOf":{"@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#website"},"datePublished":"2025-10-24T14:29:01+00:00","dateModified":"2025-10-24T14:41:59+00:00","breadcrumb":{"@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/formulario-pesquisa-clinica\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/"},{"@type":"ListItem","position":2,"name":"Formul\u00e1rio Pesquisa Cl\u00ednica"}]},{"@type":"WebSite","@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#website","url":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/","name":"Hospital M\u00e1rcio Cunha","description":"O Hospital M\u00e1rcio Cunha (HMC) \u00e9 um hospital geral de alta complexidade, com 558 leitos e tr\u00eas unidades, sendo uma unidade exclusiva para o tratamento oncol\u00f3gico.","publisher":{"@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#organization","name":"HMC - Hospital M\u00e1rcio Cunha","url":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#\/schema\/logo\/image\/","url":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-content\/uploads\/sites\/9\/2022\/04\/logo-hmc-color.png","contentUrl":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-content\/uploads\/sites\/9\/2022\/04\/logo-hmc-color.png","width":264,"height":59,"caption":"HMC - Hospital M\u00e1rcio Cunha"},"image":{"@id":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-json\/wp\/v2\/pages\/14338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-json\/wp\/v2\/comments?post=14338"}],"version-history":[{"count":7,"href":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-json\/wp\/v2\/pages\/14338\/revisions"}],"predecessor-version":[{"id":14348,"href":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-json\/wp\/v2\/pages\/14338\/revisions\/14348"}],"wp:attachment":[{"href":"https:\/\/www.fsfx.com.br\/hospital-marcio-cunha\/wp-json\/wp\/v2\/media?parent=14338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}