{"id":8976,"date":"2023-03-21T14:32:48","date_gmt":"2023-03-21T11:32:48","guid":{"rendered":"https:\/\/gfmg.ua\/new\/?page_id=8976"},"modified":"2023-03-21T14:35:49","modified_gmt":"2023-03-21T11:35:49","slug":"farmakonadzor","status":"publish","type":"page","link":"https:\/\/gfmg.ua\/en\/farmakonadzor\/","title":{"rendered":"PHARMACOSUPERVISION"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8976\" class=\"elementor elementor-8976\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f7cd96d elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"f7cd96d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d320c56\" data-id=\"d320c56\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ebda07 elementor-widget__width-auto elementor-widget elementor-widget-image\" data-id=\"1ebda07\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/gfmg.ua\/en\/\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/gfmg.ua\/wp-content\/uploads\/2023\/03\/logo_blue-1-1-1-1-1.svg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8614d09 elementor-widget-tablet__width-inherit elementor-widget-mobile__width-inherit elementor-widget elementor-widget-html\" data-id=\"8614d09\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div class=\"flex_top\" id=\"flex_top\">\r\n<div class=\"home_nav-butblock icon\">\r\n  <svg class=\"svg\">\r\n  <defs>\r\n    <filter id=\"gooeyness\">\r\n      <feGaussianBlur in=\"SourceGraphic\" stdDeviation=\"2.2\" result=\"blur\" \/>\r\n      <feColorMatrix in=\"blur\" mode=\"matrix\" values=\"1 0 0 0 0  0 1 0 0 0  0 0 1 0 0  0 0 0 20 -10\" result=\"gooeyness\" \/>\r\n      <feComposite in=\"SourceGraphic\" in2=\"gooeyness\" operator=\"atop\" \/>\r\n    <\/filter>\r\n  <\/defs>\r\n<\/svg>  \r\n  <div class=\"plate\" onclick=\"navTopToggle();\" id=\"plate\">\r\n    <svg class=\"svg burger\" version=\"1.1\" height=\"80\" width=\"80\" viewBox=\"0 0 100 100\">\r\n      <path class=\"line line1\" d=\"M 50,35 H 30\" \/>\r\n      <path class=\"line line2\" d=\"M 50,35 H 70\" \/>\r\n      <path class=\"line line3\" d=\"M 50,50 H 30\" \/>\r\n      <path class=\"line line4\" d=\"M 50,50 H 70\" \/>\r\n      <path class=\"line line5\" d=\"M 50,65 H 30\" \/>\r\n      <path class=\"line line6\" d=\"M 50,65 H 70\" \/>\r\n    <\/svg>\r\n    <svg class=\"svg x\" version=\"1.1\" height=\"80\" width=\"80\" viewBox=\"0 0 100 100\">\r\n      <path class=\"line\" d=\"M 34,32 L 66,68\" \/>\r\n      <path class=\"line\" d=\"M 66,32 L 34,68\" \/>\r\n    <\/svg>\r\n  <\/div>\r\n\r\n <\/div>\r\n \r\n<div class=\"home_nav-block topnavv\" id=\"myTopnavv_full\">\r\n    \r\n    \r\n    <div class=\"home_nav-butblock active navbut\" id=\"first-navv\">\r\n        <a href=\"\" class=\"home_nav-button\">About Us<\/a>\r\n    <\/div>\r\n    \r\n    <div class=\"home_nav-butblock navbut\" id=\"first-navv\">\r\n        <a href=\"\" class=\"home_nav-button\">Over-the-counter<\/a>\r\n    <\/div>\r\n    \r\n    \r\n    <div class=\"home_nav-butblock\">\r\n        <a href=\"\" class=\"home_nav-button\">Prescription<\/a>\r\n    <\/div>\r\n\r\n    \r\n    <div class=\"buttons_lang erebra_nav-butblock\">\r\n        <a href=\"\" class=\"button_lang active\">UA<\/a>\r\n        <span class=\"button_lang\">\\<\/span>\r\n        <a href=\"https:\/\/gfmg.ua\/ru\" class=\"button_lang\">RU<\/a>\r\n        <span class=\"button_lang\">\\<\/span>\r\n        <button type=\"button\" class=\"button_lang active\" href=\"https:\/\/gfmg.ua\/\">EN<\/button>\r\n    <\/div>\r\n    \r\n    \r\n<\/div>\r\n<\/div>\r\n\r\n\r\n<script>\r\nfunction navTopToggle() {\r\n    document.getElementById(\"flex_top\").classList.toggle('active');\r\n    document.querySelectorAll(\".plate\").forEach(plate => {\r\n    plate.classList.toggle('active');\r\n    });\r\n  var x = document.getElementById(\"myTopnavv_full\");\r\n  if (x.className === \"home_nav-block topnavv\" || x.className === \"home_nav-block topnavv out\") {\r\n    x.className = \"home_nav-block topnavv responsive\";\r\n  } else {\r\n    x.className = \"home_nav-block topnavv out\";\r\n  }\r\n}\r\n\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4ba7761 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"4ba7761\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-620f330\" data-id=\"620f330\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0e51744 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"0e51744\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-dfc6116\" data-id=\"dfc6116\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-084ac67 elementor-widget elementor-widget-theme-post-title elementor-page-title elementor-widget-heading\" data-id=\"084ac67\" data-element_type=\"widget\" data-widget_type=\"theme-post-title.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\"><a href=\"\">PHARMACOSUPERVISION<\/a><\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b7eecc2 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"b7eecc2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-8f07946\" data-id=\"8f07946\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-619c965 elementor-widget elementor-widget-heading\" data-id=\"619c965\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">The main priority in the activities of the company \u00abGeolik Farm Marketing Group\u00bb is to provide the population with high-quality medicines. In order to make the treatment process more effective and safe, we need to maintain feedback with health professionals, consumers and distributors.\n\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fde083 elementor-widget elementor-widget-heading\" data-id=\"3fde083\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Therefore, if as a result of taking our medicines, you have information about an adverse reaction, the appearance of an unexpected therapeutic effect or the lack of effectiveness of the drug, we ask to inform us about this:\n\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d703845 elementor-widget elementor-widget-html\" data-id=\"d703845\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div>\n    <ol class=\"list ordered-list\">\n        <li>Call us: <a href=\"tel:+380442392641\" class=\"link\">+38(044)239-2641<\/a> and ask a pharmacovigilance specialist;<\/li>\n        <li>Fill  <a href=\"https:\/\/gfmg.ua\/wp-content\/uploads\/2023\/03\/card-message.doc\" class=\"link\">\u00abCard-message\u00bb<\/a> or <a href=\"https:\/\/gfmg.ua\/wp-content\/uploads\/2023\/03\/card-med-message.doc\" class=\"link\">\u00abCard-message for medical workers\u00bb<\/a><br> and send to <a href=\"mailto:farmakonadzor@gfmg.ua\" class=\"link\">farmakonadzor@gfmg.ua<\/a>;<\/li>\n        <p class=\"note\">If you have any questions or difficulties in completing the card, please contact an authorized person with pharmacovigilance:<br>\n            Phone: +38(044)239-2641 \/on weekdays during office hours\/, or +38(050)383-4905 \/24 hours a day\/<\/p>\n        <li>Fill out the online form: <button class=\"btn btn-form btn-form--special\" id=\"btn_formSpecial\">for specialists<\/button> or <button class=\"btn btn-form btn-form--customer\" id=\"btn_formCustomer\">for consumers<\/button><\/li>\n    <\/ol>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b71f3d4 elementor-widget elementor-widget-heading\" data-id=\"b71f3d4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">\u00abThe control of the safety of medicinal products during their use in Ukraine is regulated by the order of the Ministry of Health of Ukraine dated 27.12.2006 No. 898 \"On approval of the procedure for pharmacovigilance for adverse reactions of medicinal products permitted for medical use \" with amendments and additions.\u00bb\n\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-9e96aa6 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"9e96aa6\" data-element_type=\"section\" id=\"form-customer\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-3b0e0e2\" data-id=\"3b0e0e2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ed4fb62 elementor-widget elementor-widget-heading\" data-id=\"ed4fb62\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Appendix 2 <br>\nto the Procedure for the Implementation of Pharmacovigilance <br>\n(subparagraph 5 of paragraph 1 of section III)<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-23bb5ef elementor-widget elementor-widget-heading\" data-id=\"23bb5ef\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">CARD-MESSAGE\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ab3ba2 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"2ab3ba2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">to provide the patient and\/or his representative with information on the adverse reaction (hereinafter AR) of the medicinal product (hereinafter MP) and\/or lack of effectiveness (hereinafter LE) MP\n\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9100f1 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"f9100f1\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"\u041a\u0410\u0420\u0422\u0410-\u041f\u041e\u0412\u0406\u0414\u041e\u041c\u041b\u0415\u041d\u041d\u042f \u0441\u043f\u043e\u0436\u0438\u0432\u0430\u0447\u0430\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8976\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"f9100f1\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Geolik Farm Marketing Group\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_8fe3cbf elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"1. Patient Information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8269282 elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Patient Information\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSecond name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Second name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6d73501 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6d73501\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6d73501]\" id=\"form-field-field_6d73501\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7751ae2 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7751ae2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMiddle name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7751ae2]\" id=\"form-field-field_7751ae2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Middle name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a19d4b7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a19d4b7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a19d4b7]\" id=\"form-field-field_a19d4b7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_69e0cd7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_69e0cd7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\\Fax\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_69e0cd7]\" id=\"form-field-field_69e0cd7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone\\Fax\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_e694227 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"2. Information about the suspect MP\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_00d868c elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Information about the suspect MP\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTradename\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tradename\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_309f008 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_309f008\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tForm of issue\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_309f008]\" id=\"form-field-field_309f008\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Form of issue\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3c207c7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3c207c7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tManufacturer\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3c207c7]\" id=\"form-field-field_3c207c7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Manufacturer\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_4e3e228 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4e3e228\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSuspected MP were assigned to the patient by a doctor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_4e3e228-0\" name=\"form_fields[field_4e3e228]\" required=\"required\"> <label for=\"form-field-field_4e3e228-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_4e3e228-1\" name=\"form_fields[field_4e3e228]\" required=\"required\"> <label for=\"form-field-field_4e3e228-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8e6bd1f elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8e6bd1f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tThe patient used MP suspects without prescribing a doctor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_8e6bd1f-0\" name=\"form_fields[field_8e6bd1f]\" required=\"required\"> <label for=\"form-field-field_8e6bd1f-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_8e6bd1f-1\" name=\"form_fields[field_8e6bd1f]\" required=\"required\"> <label for=\"form-field-field_8e6bd1f-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_eaae9a5 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_eaae9a5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDescription manifestations of AR MP and\/or indications of LE MP\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_eaae9a5]\" id=\"form-field-field_eaae9a5\" rows=\"4\" placeholder=\"Description manifestations of AR MP and\/or indications of LE MP\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_4328032 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"3. Information about the notifier\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f87eb42 elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Information about the notifier\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6ca8bb0 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6ca8bb0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSecond name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6ca8bb0]\" id=\"form-field-field_6ca8bb0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Second name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_08bddab elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_08bddab\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_08bddab]\" id=\"form-field-field_08bddab\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d2f5547 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d2f5547\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMiddle name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d2f5547]\" id=\"form-field-field_d2f5547\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Middle name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_3f0e66a elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3f0e66a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\\Fax\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_3f0e66a]\" id=\"form-field-field_3f0e66a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone\\Fax\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_df4483d elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_df4483d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_df4483d]\" id=\"form-field-field_df4483d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_1ce0a67 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1ce0a67\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_1ce0a67]\" id=\"form-field-field_1ce0a67\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-mail\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_27507d9 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"4.Information on the physician, health care institution and place of residence of the patient who has observed AR MP and\/or LE MP\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_3630eee elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Information on the physician, health care institution and place of residence of the patient who has observed AR MP and\/or LE MP\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d25b2c9 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d25b2c9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSecond name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d25b2c9]\" id=\"form-field-field_d25b2c9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Second name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3a019f5 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3a019f5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3a019f5]\" id=\"form-field-field_3a019f5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4b16254 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4b16254\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMiddle name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4b16254]\" id=\"form-field-field_4b16254\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Middle name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c60444b elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c60444b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLocation of the health care institution\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c60444b]\" id=\"form-field-field_c60444b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Location of the health care institution\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_d7c5dcb elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d7c5dcb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\\Fax\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_d7c5dcb]\" id=\"form-field-field_d7c5dcb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone\\Fax\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_13a85e0 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_13a85e0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tThe name of the health care institution where the attending physician works\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_13a85e0]\" id=\"form-field-field_13a85e0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"The name of the health care institution where the attending physician works\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9e0afeb elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9e0afeb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPlace of patient's residence\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9e0afeb]\" id=\"form-field-field_9e0afeb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Place of patient&#039;s residence\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7a67a51 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"7a67a51\" data-element_type=\"section\" id=\"form-special\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7d4090c\" data-id=\"7d4090c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cbec679 elementor-widget elementor-widget-heading\" data-id=\"cbec679\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Appendix 6 <br>\nto the Procedure for the Implementation of Pharmacovigilance <br>\n(subparagraph 3 of paragraph 1 of Section IV) <br> <br>\n\nMedical documentation <br>\nForm No.137\/o<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b54aba0 elementor-widget elementor-widget-heading\" data-id=\"b54aba0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">CARD-MESSAGE\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a3cca4 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"5a3cca4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">about the adverse reaction (hereinafter AR) of the medicinal product (hereinafter MP) and\/or lack of effectiveness (hereinafter LE) MP\n\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-990a98e elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"990a98e\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"\u0424\u043e\u0440\u043c\u0430 \u0434\u043b\u044f \u0441\u043f\u0435\u0446\u0456\u0430\u043b\u0456\u0441\u0442\u0456\u0432\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8976\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"990a98e\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Geolik Farm Marketing Group\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_8fe3cbf elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"1. Patient Information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8269282 elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Patient Information\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFull name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6d73501 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6d73501\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNumber of medical history \/ outpatient card\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6d73501]\" id=\"form-field-field_6d73501\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Number of medical history \/ outpatient card\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_7751ae2 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7751ae2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_7751ae2]\" id=\"form-field-field_7751ae2\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of Birth\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_a19d4b7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a19d4b7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGender\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Man\" id=\"form-field-field_a19d4b7-0\" name=\"form_fields[field_a19d4b7]\" required=\"required\"> <label for=\"form-field-field_a19d4b7-0\">Man<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Woman\" id=\"form-field-field_a19d4b7-1\" name=\"form_fields[field_a19d4b7]\" required=\"required\"> <label for=\"form-field-field_a19d4b7-1\">Woman<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_69e0cd7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_69e0cd7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWeight (kg)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_69e0cd7]\" id=\"form-field-field_69e0cd7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Weight (kg)\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_e4158af elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e4158af\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHeight (sm)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_e4158af]\" id=\"form-field-field_e4158af\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Height (sm)\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_e694227 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"2.Suspected AR\/LE\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_00d868c elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Suspected AR\/LE\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSuspected AR \/ Specifying LE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Suspected AR \/ Specifying LE\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_309f008 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_309f008\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStart date AR\/LE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_309f008]\" id=\"form-field-field_309f008\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Start date AR\/LE\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_dfea065 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dfea065\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStart time AR\/LE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"time\" name=\"form_fields[field_dfea065]\" id=\"form-field-field_dfea065\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\" placeholder=\"Start time AR\/LE\" required=\"required\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_62ef0d0 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_62ef0d0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnd date AR\/LE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_62ef0d0]\" id=\"form-field-field_62ef0d0\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"End date AR\/LE\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_3d66c90 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3d66c90\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnd time AR\/LE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"time\" name=\"form_fields[field_3d66c90]\" id=\"form-field-field_3d66c90\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\" placeholder=\"End time AR\/LE\" required=\"required\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3c207c7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3c207c7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCorrection AR\/LE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_3c207c7]\" id=\"form-field-field_3c207c7\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"without therapy\">without therapy<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"non-pharmacological therapy\">non-pharmacological therapy<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"pharmacological therapy\">pharmacological therapy<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"surgical intervention\">surgical intervention<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"dialysis\">dialysis<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_4e3e228 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4e3e228\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tConsequence AR\/LE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_4e3e228]\" id=\"form-field-field_4e3e228\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"recovery without consequences\">recovery without consequences<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"recovers\">recovers<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"without changes\">without changes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"recovery with consequencesdeath\">recovery with consequencesdeath<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"unknown\">unknown<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8e6bd1f elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8e6bd1f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tThese manifestations of AR are considered serious (concerns the AR case as a whole)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_8e6bd1f-0\" name=\"form_fields[field_8e6bd1f]\" required=\"required\"> <label for=\"form-field-field_8e6bd1f-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_8e6bd1f-1\" name=\"form_fields[field_8e6bd1f]\" required=\"required\"> <label for=\"form-field-field_8e6bd1f-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_4328032 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"3. Suspect Information MP\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f87eb42 elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Suspect Information MP\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6ca8bb0 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6ca8bb0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSuspected MP (trade name, dosage form, manufacturer)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6ca8bb0]\" id=\"form-field-field_6ca8bb0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Suspected MP (trade name, dosage form, manufacturer)\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_08bddab elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_08bddab\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSerial number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_08bddab]\" id=\"form-field-field_08bddab\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Serial number\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d2f5547 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d2f5547\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIndication (if possible according to ICD-10)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d2f5547]\" id=\"form-field-field_d2f5547\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Indication (if possible according to ICD-10)\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_3f0e66a elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3f0e66a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStrength of action\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_3f0e66a]\" id=\"form-field-field_3f0e66a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Strength of action\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_df4483d elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_df4483d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSingle dose\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_df4483d]\" id=\"form-field-field_df4483d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Single dose\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_17137cb elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_17137cb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMultiplicity of admission\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_17137cb]\" id=\"form-field-field_17137cb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Multiplicity of admission\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a8bb57c elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a8bb57c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMethod of administration\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a8bb57c]\" id=\"form-field-field_a8bb57c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Method of administration\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_4da45de elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4da45de\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of onset of therapy\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_4da45de]\" id=\"form-field-field_4da45de\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of onset of therapy\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_16a9b3e elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_16a9b3e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTime of onset of therapy\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"time\" name=\"form_fields[field_16a9b3e]\" id=\"form-field-field_16a9b3e\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\" placeholder=\"Time of onset of therapy\" required=\"required\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_80ffcc5 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_80ffcc5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of therapy end\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_80ffcc5]\" id=\"form-field-field_80ffcc5\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of therapy end\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_bac177c elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bac177c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTime of therapy end\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"time\" name=\"form_fields[field_bac177c]\" id=\"form-field-field_bac177c\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\" placeholder=\"Time of therapy end\" required=\"required\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_046d5c7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_046d5c7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMeasures that have been taken against suspect MPs for AR\/LE correction\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_046d5c7]\" id=\"form-field-field_046d5c7\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"cancellation of suspect MP\">cancellation of suspect MP<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"not applied (for example, if MP suspects are used once)\">not applied (for example, if MP suspects are used once)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"medicamental therapy AR\/LE (MP, strength of action, duration of appointment are indicated)\">medicamental therapy AR\/LE (MP, strength of action, duration of appointment are indicated)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"unknown\">unknown<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_95efc62 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_95efc62\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhether the suspects of the MP were reapplied\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_95efc62-0\" name=\"form_fields[field_95efc62]\" required=\"required\"> <label for=\"form-field-field_95efc62-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_95efc62-1\" name=\"form_fields[field_95efc62]\" required=\"required\"> <label for=\"form-field-field_95efc62-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ac5a2a7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ac5a2a7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid AR \/ LE reoccur after re-assignment of the suspect MP\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_ac5a2a7-0\" name=\"form_fields[field_ac5a2a7]\" required=\"required\"> <label for=\"form-field-field_ac5a2a7-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_ac5a2a7-1\" name=\"form_fields[field_ac5a2a7]\" required=\"required\"> <label for=\"form-field-field_ac5a2a7-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_27507d9 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"4. Information about companion MP\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_3630eee elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Information about companion MP\n<\/p>\n<p class=\"form-group--title form-group--decription\">(except for MP that were used to correct the consequences of AR\/LE)\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d25b2c9 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d25b2c9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAssociated MP, (trade name, dosage form, manufacturer, serial number)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d25b2c9]\" id=\"form-field-field_d25b2c9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Associated MP, (trade name, dosage form, manufacturer, serial number)\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3a019f5 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3a019f5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIndication (if possible according to ICD-10)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3a019f5]\" id=\"form-field-field_3a019f5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Indication (if possible according to ICD-10)\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4b16254 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4b16254\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStrength of action\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4b16254]\" id=\"form-field-field_4b16254\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Strength of action\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c60444b elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c60444b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSingle dose\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c60444b]\" id=\"form-field-field_c60444b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Single dose\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_d7c5dcb elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d7c5dcb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMultiplicity of admission\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_d7c5dcb]\" id=\"form-field-field_d7c5dcb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Multiplicity of admission\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_13a85e0 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_13a85e0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMethod of administration\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_13a85e0]\" id=\"form-field-field_13a85e0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Method of administration\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9e0afeb elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9e0afeb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate and time of onset of therapy\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9e0afeb]\" id=\"form-field-field_9e0afeb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Date and time of therapy end\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_489ef67 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_489ef67\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate and time of therapy end\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_489ef67]\" id=\"form-field-field_489ef67\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Date and time of therapy end\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_be06563 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_be06563\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOther important information\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_be06563]\" id=\"form-field-field_be06563\" rows=\"4\" placeholder=\"Other important information\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_14b953c elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"5. Information about the notifier\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a9ff914 elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\"> Information about the notifier\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c061ffb elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c061ffb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFull name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c061ffb]\" id=\"form-field-field_c061ffb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f622204 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f622204\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSpecialty\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f622204]\" id=\"form-field-field_f622204\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Specialty\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_76d19e8 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_76d19e8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHealth care institution\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_76d19e8]\" id=\"form-field-field_76d19e8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Health care institution\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_296b195 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_296b195\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLocation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_296b195]\" id=\"form-field-field_296b195\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Location\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_a661b7f elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a661b7f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_a661b7f]\" id=\"form-field-field_a661b7f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-mail\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_f9e464e elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f9e464e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_f9e464e]\" id=\"form-field-field_f9e464e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_362a5ad elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_362a5ad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_362a5ad]\" id=\"form-field-field_362a5ad\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_2c10846 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"6. Information about the medical\/pharmaceutical specialist\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_435baae elementor-col-100\">\n\t\t\t\t\t<p class=\"form-group--title\">Information about the medical\/pharmaceutical specialist\n<\/p>\n<p class=\"form-group--title form-group--decription\">(if not the notifier)\n\n<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fdeb94f elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fdeb94f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFull name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_fdeb94f]\" id=\"form-field-field_fdeb94f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_355248c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_355248c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSpecialty\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_355248c]\" id=\"form-field-field_355248c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Specialty\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_30eb8df elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_30eb8df\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHealth care institution\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_30eb8df]\" id=\"form-field-field_30eb8df\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Health care institution\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1b001c3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1b001c3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLocation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1b001c3]\" id=\"form-field-field_1b001c3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Location\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_0bfb264 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0bfb264\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_0bfb264]\" id=\"form-field-field_0bfb264\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-mail\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_e3ffafe elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e3ffafe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_e3ffafe]\" id=\"form-field-field_e3ffafe\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_807fd0d elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_807fd0d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_807fd0d]\" id=\"form-field-field_807fd0d\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-b028ce8 elementor-widget elementor-widget-html\" data-id=\"b028ce8\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script>\n    let formSpecial = document.querySelector(\"#form-special\"),\n        formCustomer = document.querySelector(\"#form-customer\"),\n        btn_formSpecial = document.querySelector(\"#btn_formSpecial\"),\n        btn_formCustomer = document.querySelector(\"#btn_formCustomer\");\n        \n    btn_formSpecial.onclick = function() {\n        openTab(formSpecial, formCustomer);\n    }\n    btn_formCustomer.onclick = function() {\n        openTab(formCustomer, formSpecial);\n    }\n    \n    function openTab(open, close) {\n        close.classList.remove('active');\n        open.classList.add('active');\n    }\n    \n<\/script>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-895f8ec elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"895f8ec\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dd8ada7\" data-id=\"dd8ada7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-656f526 elementor-widget-mobile__width-initial elementor-widget-tablet__width-initial elementor-widget__width-auto elementor-widget elementor-widget-image\" data-id=\"656f526\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/gfmg.ua\/en\/\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/gfmg.ua\/wp-content\/uploads\/2023\/03\/logo_blue-1-1.svg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-22b39b3 elementor-widget-tablet__width-inherit elementor-widget-mobile__width-inherit elementor-widget elementor-widget-html\" data-id=\"22b39b3\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div class=\"flex_top\" id=\"flex_top\">\r\n<div class=\"home_nav-butblock icon\">\r\n  <svg class=\"svg\">\r\n  <defs>\r\n    <filter id=\"gooeyness\">\r\n      <feGaussianBlur in=\"SourceGraphic\" stdDeviation=\"2.2\" result=\"blur\" \/>\r\n      <feColorMatrix in=\"blur\" mode=\"matrix\" values=\"1 0 0 0 0  0 1 0 0 0  0 0 1 0 0  0 0 0 20 -10\" result=\"gooeyness\" \/>\r\n      <feComposite in=\"SourceGraphic\" in2=\"gooeyness\" operator=\"atop\" \/>\r\n    <\/filter>\r\n  <\/defs>\r\n<\/svg>  \r\n  <div class=\"plate\" onclick=\"navTopToggle();\" id=\"plate\">\r\n    <svg class=\"svg burger\" version=\"1.1\" height=\"80\" width=\"80\" viewBox=\"0 0 100 100\">\r\n      <path class=\"line line1\" d=\"M 50,35 H 30\" \/>\r\n      <path class=\"line line2\" d=\"M 50,35 H 70\" \/>\r\n      <path class=\"line line3\" d=\"M 50,50 H 30\" \/>\r\n      <path class=\"line line4\" d=\"M 50,50 H 70\" \/>\r\n      <path class=\"line line5\" d=\"M 50,65 H 30\" \/>\r\n      <path class=\"line line6\" d=\"M 50,65 H 70\" \/>\r\n    <\/svg>\r\n    <svg class=\"svg x\" version=\"1.1\" height=\"80\" width=\"80\" viewBox=\"0 0 100 100\">\r\n      <path class=\"line\" d=\"M 34,32 L 66,68\" \/>\r\n      <path class=\"line\" d=\"M 66,32 L 34,68\" \/>\r\n    <\/svg>\r\n  <\/div>\r\n\r\n <\/div>\r\n \r\n<div class=\"home_nav-block topnavv\" id=\"myTopnavv_full\">\r\n    \r\n    \r\n    <div class=\"home_nav-butblock active navbut\" id=\"first-navv\">\r\n        <a href=\"\" class=\"home_nav-button\">About Us<\/a>\r\n    <\/div>\r\n    \r\n    <div class=\"home_nav-butblock navbut\" id=\"first-navv\">\r\n        <a href=\"\" class=\"home_nav-button\">Over-the-counter<\/a>\r\n    <\/div>\r\n    \r\n    \r\n    <div class=\"home_nav-butblock\">\r\n        <a href=\"\" class=\"home_nav-button\">Prescription<\/a>\r\n    <\/div>\r\n\r\n    \r\n    <div class=\"buttons_lang erebra_nav-butblock\">\r\n        <a href=\"\" class=\"button_lang active\">UA<\/a>\r\n        <span class=\"button_lang\">\\<\/span>\r\n        <a href=\"https:\/\/gfmg.ua\/ru\" class=\"button_lang\">RU<\/a>\r\n        <span class=\"button_lang\">\\<\/span>\r\n        <button type=\"button\" class=\"button_lang active\" href=\"https:\/\/gfmg.ua\/\">EN<\/button>\r\n    <\/div>\r\n    \r\n    \r\n<\/div>\r\n<\/div>\r\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>About Us Over-the-counter Prescription UA RU EN The main priority in the activities of the company \u00abGeolik Farm Marketing Group\u00bb is to provide the population with high-quality medicines. In order to make the treatment process more effective and safe, we need to maintain feedback with health professionals, consumers and distributors. Therefore, if as a result of taking our medicines, you have information about an adverse reaction, the appearance of an unexpected therapeutic effect or the lack of effectiveness of the drug, we ask to inform us about this: Call us: +38(044)239-2641 and ask a pharmacovigilance specialist; Fill \u00abCard-message\u00bb or \u00abCard-message for medical workers\u00bb and send to farmakonadzor@gfmg.ua; If you have any questions or difficulties in completing the card, please contact an authorized person with pharmacovigilance: Phone: +38(044)239-2641 \/on weekdays during office hours\/, or +38(050)383-4905 \/24 hours a day\/ Fill out the online form: for specialists or for consumers \u00abThe control of the safety of medicinal products during their use in Ukraine is regulated by the order of the Ministry of Health of Ukraine dated 27.12.2006 No. 898 &#8220;On approval of the procedure for pharmacovigilance for adverse reactions of medicinal products permitted for medical use &#8221; with amendments and additions.\u00bb Appendix 2 to the Procedure for the Implementation of Pharmacovigilance (subparagraph 5 of paragraph 1 of section III) CARD-MESSAGE to provide the patient and\/or his representative with information on the adverse reaction (hereinafter AR) of the medicinal product (hereinafter MP) and\/or lack of effectiveness (hereinafter LE) MP Appendix 6 to the Procedure for the Implementation of Pharmacovigilance (subparagraph 3 of paragraph 1 of Section IV) Medical documentation Form No.137\/o CARD-MESSAGE about the adverse reaction (hereinafter AR) of the medicinal product (hereinafter MP) and\/or lack of effectiveness (hereinafter LE) MP About Us Over-the-counter Prescription UA RU EN<\/p>\n","protected":false},"author":2,"featured_media":8804,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-8976","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PHARMACOSUPERVISION - Geolik Farm Marketing Group<\/title>\n<meta name=\"description\" content=\"The main priority in the activities of the company \u00abGeolik Farm Marketing Group\u00bb is to provide the population with high-quality medicines. In order to make the treatment process more effective and safe, we need to maintain feedback with health professionals, consumers and distributors.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gfmg.ua\/en\/farmakonadzor\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PHARMACOSUPERVISION - Geolik Farm Marketing Group\" \/>\n<meta property=\"og:description\" content=\"The main priority in the activities of the company \u00abGeolik Farm Marketing Group\u00bb is to provide the population with high-quality medicines. 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