{"id":5471,"date":"2023-12-29T08:39:38","date_gmt":"2023-12-29T08:39:38","guid":{"rendered":"https:\/\/bionorica.ua\/pharmacovigilance\/"},"modified":"2024-01-12T15:12:55","modified_gmt":"2024-01-12T15:12:55","slug":"pharmacovigilance","status":"publish","type":"page","link":"https:\/\/bionorica.ua\/ru\/pharmacovigilance\/","title":{"rendered":"\u0424\u0430\u0440\u043c\u0430\u043a\u043e\u043d\u0430\u0434\u0437\u043e\u0440"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"entry\">\n<p>[vc_row css=&#187;.vc_custom_1501838303598{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}&#187;][vc_column css=&#187;.vc_custom_1501838340404{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}&#187;][vc_column_text css=&#187;.vc_custom_1703839147387{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;border-bottom-width: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}&#187;]<\/p>\n<p style=\"padding-left: 20px; font-size: 12px;\"><a href=\"https:\/\/bionorica.ua\/ru\/\">\u0413\u043e\u043b\u043e\u0432\u043d\u0430<\/a>\u00a0&gt;\u00a0\u0424\u0430\u0440\u043c\u0430\u043a\u043e\u043d\u0430\u0433\u043b\u044f\u0434<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#187;.vc_custom_1502102395100{margin-top: 0px !important;border-top-width: 0px !important;padding-top: 0px !important;}&#187;][vc_column width=&#187;1\/4&#8243;][vc_wp_custommenu nav_menu=&#187;58&#8243;][\/vc_column][vc_column width=&#187;3\/4&#8243; css=&#187;.vc_custom_1502102405504{margin-top: 0px !important;border-top-width: 0px !important;padding-top: 0px !important;}&#187;][vc_column_text]<\/p>\n<h1>\u0424\u0430\u0440\u043c\u0430\u043a\u043e\u043d\u0430\u0433\u043b\u044f\u0434<\/h1>\n<p>[\/vc_column_text][vc_column_text]\u0417\u0430\u0441\u0442\u043e\u0441\u0443\u0432\u0430\u043d\u043d\u044f \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430\u043c\u0438 \u044f\u043a\u0456\u0441\u043d\u0438\u0445, \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u0438\u0445 \u0456 \u0431\u0435\u0437\u043f\u0435\u0447\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u0438\u0445 \u0437\u0430\u0441\u043e\u0431\u0456\u0432, \u043a\u043e\u0440\u0438\u0441\u0442\u044c \u0432\u0456\u0434 \u0437\u0430\u0441\u0442\u043e\u0441\u0443\u0432\u0430\u043d\u043d\u044f \u044f\u043a\u0438\u0445 \u043f\u0435\u0440\u0435\u0432\u0438\u0449\u0443\u0454 \u043c\u043e\u0436\u043b\u0438\u0432\u0456 \u0440\u0438\u0437\u0438\u043a\u0438, \u0454 \u043f\u0440\u0456\u043e\u0440\u0438\u0442\u0435\u0442\u043e\u043c \u0434\u043b\u044f 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\u0437\u0430\u0441\u043e\u0431\u0443;<\/li>\n<li>\u043d\u0435\u0441\u043f\u043e\u0434\u0456\u0432\u0430\u043d\u0438\u0439 \u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438\u0447\u043d\u0438\u0439 \u0435\u0444\u0435\u043a\u0442;<\/li>\n<li>\u043d\u0435\u0431\u0430\u0436\u0430\u043d\u0438\u0439 \u0432\u043f\u043b\u0438\u0432 \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443 \u043f\u0456\u0434 \u0447\u0430\u0441 \u043f\u0440\u043e\u0444\u0435\u0441\u0456\u0439\u043d\u043e\u0457 \u0434\u0456\u044f\u043b\u044c\u043d\u043e\u0441\u0442\u0456;<\/li>\n<li>\u0441\u043a\u0430\u0440\u0433\u0438 \u043d\u0430 \u044f\u043a\u0456\u0441\u0442\u044c \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u0438\u0445 \u0437\u0430\u0441\u043e\u0431\u0456\u0432, \u0449\u043e \u0441\u0442\u0430\u043b\u0438 \u043f\u0440\u0438\u0447\u0438\u043d\u043e\u044e \u043f\u043e\u0431\u0456\u0447\u043d\u043e\u0457 \u0440\u0435\u0430\u043a\u0446\u0456\u0457;<\/li>\n<li>\u0431\u0443\u0434\u044c-\u044f\u043a\u0443 \u0456\u043d\u0448\u0443 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044e, \u0449\u043e \u0441\u0442\u043e\u0441\u0443\u0454\u0442\u044c\u0441\u044f \u0431\u0435\u0437\u043f\u0435\u043a\u0438 \u0442\u0430 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0456 \u0437\u0430\u0441\u0442\u043e\u0441\u0443\u0432\u0430\u043d\u043d\u044f \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u0438\u0445 \u0437\u0430\u0441\u043e\u0431\u0456\u0432 \u043a\u043e\u043c\u043f\u0430\u043d\u0456\u0457.<\/li>\n<\/ul>\n<p>\u042f\u043a\u0449\u043e \u0432\u0438 \u0431\u0430\u0436\u0430\u0454\u0442\u0435 \u043f\u043e\u0432\u0456\u0434\u043e\u043c\u0438\u0442\u0438 \u043f\u0440\u043e \u0432\u0438\u043d\u0438\u043a\u043d\u0435\u043d\u043d\u044f \u043f\u043e\u0431\u0456\u0447\u043d\u043e\u0457 \u0440\u0435\u0430\u043a\u0446\u0456\u0457 \u0442\u0430\/\u0430\u0431\u043e \u0432\u0456\u0434\u0441\u0443\u0442\u043d\u0456\u0441\u0442\u044c \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0456 \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u0438\u0445 \u0437\u0430\u0441\u043e\u0431\u0456\u0432 \u043a\u043e\u043c\u043f\u0430\u043d\u0456\u0457 \u00ab\u0411\u0456\u043e\u043d\u043e\u0440\u0438\u043a\u0430\u00bb, \u0442\u0430\/\u0430\u0431\u043e \u0456\u043d\u0448\u0443 \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0443 \u0437 \u0431\u0435\u0437\u043f\u0435\u043a\u0438 \u0437\u0430\u0441\u0442\u043e\u0441\u0443\u0432\u0430\u043d\u043d\u044f \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443, \u0431\u0443\u0434\u044c \u043b\u0430\u0441\u043a\u0430, \u043f\u0440\u043e\u0456\u043d\u0444\u043e\u0440\u043c\u0443\u0439\u0442\u0435 \u043f\u0440\u043e \u0446\u0435 \u0441\u043f\u0435\u0446\u0456\u0430\u043b\u0456\u0441\u0442\u0430 \u0437 \u0444\u0430\u0440\u043c\u0430\u043a\u043e\u043d\u0430\u0433\u043b\u044f\u0434\u0443 \u0443 \u0437\u0440\u0443\u0447\u043d\u0438\u0439 \u0434\u043b\u044f \u0432\u0430\u0441 \u0441\u043f\u043e\u0441\u0456\u0431:<\/p>\n<p><strong>\u0417\u0430\u043f\u043e\u0432\u043d\u0456\u0442\u044c \u0444\u043e\u0440\u043c\u0443-\u043f\u043e\u0432\u0456\u0434\u043e\u043c\u043b\u0435\u043d\u043d\u044f \u043d\u0438\u0436\u0447\u0435<\/strong><br \/>\n\u0430\u0431\u043e \u043d\u0430\u0434\u0430\u0439\u0442\u0435 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044e \u043d\u0430 \u0435\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u0443 \u0430\u0434\u0440\u0435\u0441\u0443, \u0442\u0435\u043b\u0435\u0444\u043e\u043d\u043e\u043c:<br \/>\n\u0422\u0435\u043b.: <a href=\"tel:+38(044)5946688\">+38 (044) 594-66-88<\/a><br \/>\nE-mail: <a href=\"mailto:feedback_ua@bionorica.ua\" target=\"_blank\" rel=\"noopener noreferrer\">feedback_ua@bionorica.ua<\/a><\/p>\n<p><strong>\u0423\u0412\u0410\u0413\u0410!<\/strong><br \/>\n<strong>\u041f\u043e\u0432\u0456\u0434\u043e\u043c\u043b\u0435\u043d\u043d\u044f \u043f\u043e\u0432\u0438\u043d\u043d\u043e \u043c\u0456\u0441\u0442\u0438\u0442\u0438 \u043d\u0430\u0441\u0442\u0443\u043f\u043d\u0443 \u043c\u0456\u043d\u0456\u043c\u0430\u043b\u044c\u043d\u0443 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044e:<\/strong><\/p>\n<ol style=\"list-style: decimal; margin-left: 20px;\">\n<li>\u041d\u0430\u0437\u0432\u0430 \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443<\/li>\n<li>\u041e\u043f\u0438\u0441 \u043f\u043e\u0431\u0456\u0447\u043d\u043e\u0457 \u0440\u0435\u0430\u043a\u0446\u0456\u0457 \u0442\u0430\/\u0430\u0431\u043e \u0432\u043a\u0430\u0437\u0456\u0432\u043a\u0430 \u043f\u0440\u043e \u0432\u0456\u0434\u0441\u0443\u0442\u043d\u0456\u0441\u0442\u044c \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0456<\/li>\n<li>\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430, \u0443 \u044f\u043a\u043e\u0433\u043e \u0432\u0438\u043d\u0438\u043a\u043b\u0430 \u043f\u043e\u0431\u0456\u0447\u043d\u0430 \u0440\u0435\u0430\u043a\u0446\u0456\u044f (\u041f\u0406\u0411 (\u0456\u043d\u0456\u0446\u0456\u0430\u043b\u0438), \u0432\u0456\u043a, \u0441\u0442\u0430\u0442\u044c \u0430\u0431\u043e \u0456\u043d\u0448\u0430 \u0432\u0430\u0436\u043b\u0438\u0432\u0430 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f)<\/li>\n<li>\u041a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u0456 \u0434\u0430\u043d\u0456 \u0442\u0430 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043e\u0441\u043e\u0431\u0443, \u044f\u043a\u0430 \u043d\u0430\u0434\u0441\u0438\u043b\u0430\u0454 \u043f\u043e\u0432\u0456\u0434\u043e\u043c\u043b\u0435\u043d\u043d\u044f (\u043b\u0456\u043a\u0430\u0440, \u043f\u0430\u0446\u0456\u0454\u043d\u0442, \u0440\u043e\u0434\u0438\u0447 \u0430\u0431\u043e \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043d\u0438\u043a \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430, \u0439\u043e\u0433\u043e \u041f\u0406\u0411 \u0442\u0430 \u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u0456 \u0434\u0430\u043d\u0456 \u0434\u043b\u044f \u0437\u0432\u2019\u044f\u0437\u043a\u0443).<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"color: #ff0000;\">\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f, \u0449\u043e \u043d\u0430\u0434\u0456\u0441\u043b\u0430\u043d\u0430 \u0412\u0430\u043c\u0438, \u0454 \u0441\u0443\u0432\u043e\u0440\u043e \u043a\u043e\u043d\u0444\u0456\u0434\u0435\u043d\u0446\u0456\u0439\u043d\u043e\u044e \u0442\u0430 \u043d\u0435 \u043f\u0456\u0434\u043b\u044f\u0433\u0430\u0454 \u0440\u043e\u0437\u0433\u043e\u043b\u043e\u0448\u0435\u043d\u043d\u044e, \u043a\u0440\u0456\u043c \u0432\u0438\u043f\u0430\u0434\u043a\u0456\u0432, \u0432\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u0445 \u0437\u0430\u043a\u043e\u043d\u043e\u0434\u0430\u0432\u0441\u0442\u0432\u043e\u043c.<\/span><\/strong><br \/>\n<strong><span style=\"color: #ff0000;\">\u0406\u043d\u0444\u043e\u0440\u043c\u0443\u044e\u0447\u0438 \u043d\u0430\u0441, \u0412\u0438 \u043f\u0456\u0434\u0442\u0432\u0435\u0440\u0434\u0436\u0443\u0454\u0442\u0435 \u0437\u0433\u043e\u0434\u0443 \u043d\u0430 \u043e\u0431\u0440\u043e\u0431\u043a\u0443 \u043f\u0435\u0440\u0441\u043e\u043d\u0430\u043b\u044c\u043d\u0438\u0445 \u0434\u0430\u043d\u0438\u0445.<\/span><\/strong><\/p>\n<p><strong>\u0417\u0410\u041f\u041e\u0412\u041d\u0406\u0422\u042c \u0424\u041e\u0420\u041c\u0423<\/strong>[\/vc_column_text][vc_tta_accordion style=&#187;modern&#187; c_icon=&#187;triangle&#187; active_section=&#187;9999999&#8243; collapsible_all=&#187;true&#187; el_class=&#187;forms-accordeon&#187;][vc_tta_section title=&#187;\u0414\u043b\u044f \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430 \u0442\u0430\/\u0430\u0431\u043e \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043d\u0438\u043a\u0430 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430&#187; tab_id=&#187;1703979436818-3e40851d-c369&#8243;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5479-o1\" lang=\"uk\" dir=\"ltr\" data-wpcf7-id=\"5479\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ru\/wp-json\/wp\/v2\/pages\/5471#wpcf7-f5479-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u041a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u0430 \u0444\u043e\u0440\u043c\u0430\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5479\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"uk\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5479-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"vform\">\n\t<p class=\"vform-title\"><b>1.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430<\/b>\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p1-initials\">\u0406\u043d\u0456\u0446\u0456\u0430\u043b\u0438 <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p1-initials\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"p1-initials\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p1-initials\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p1-age\">\u0414\u0430\u0442\u0430 \u043d\u0430\u0440\u043e\u0434\u0436\u0435\u043d\u043d\u044f\/\u0432\u0456\u043a<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p1-age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"p1-age\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p1-age\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p1-sex\">\u0421\u0442\u0430\u0442\u044c<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p1-sex\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"p1-sex\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"p1-sex\" value=\"\u0427\u043e\u043b\u043e\u0432\u0456\u043a\" \/><span class=\"wpcf7-list-item-label\">\u0427\u043e\u043b\u043e\u0432\u0456\u043a<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"p1-sex\" value=\"\u0416\u0456\u043d\u043a\u0430\" \/><span class=\"wpcf7-list-item-label\">\u0416\u0456\u043d\u043a\u0430<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">2.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u0438\u0439 \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u0438\u0439 \u0437\u0430\u0441\u0456\u0431\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p2-tradeName\">\u0422\u043e\u0440\u0433\u043e\u0432\u0430 \u043d\u0430\u0437\u0432\u0430<span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p2-tradeName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"p2-tradeName\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p2-tradeName\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p2-releaseForm\">\u0424\u043e\u0440\u043c\u0430 \u0432\u0438\u043f\u0443\u0441\u043a\u0443<span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p2-releaseForm\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"p2-releaseForm\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p2-releaseForm\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p2-seriesNumber\">\u041d\u043e\u043c\u0435\u0440 \u0441\u0435\u0440\u0456\u0457<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p2-seriesNumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"p2-seriesNumber\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p2-seriesNumber\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">3.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p3-byDoctor\">\u041f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u0438\u0439 \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u0438\u0439 \u0437\u0430\u0441\u0456\u0431 \u0431\u0443\u0432 \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u0438\u0439 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0443 \u043b\u0456\u043a\u0430\u0440\u0435\u043c<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p3-byDoctor\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"p3-byDoctor\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"p3-byDoctor\" value=\"\u0422\u0430\u043a\" \/><span class=\"wpcf7-list-item-label\">\u0422\u0430\u043a<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"p3-byDoctor\" value=\"\u041d\u0456\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0456<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">4.\u041e\u043f\u0438\u0441 \u043f\u0440\u043e\u044f\u0432\u0456\u0432 \u043f\u043e\u0431\u0456\u0447\u043d\u043e\u0457 \u0440\u0435\u0430\u043a\u0446\u0456\u0457 \u0442\u0430\/\u0430\u0431\u043e \u0437\u0430\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f \u043f\u0440\u043e \u0432\u0456\u0434\u0441\u0443\u0442\u043d\u0456\u0441\u0442\u044c \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0456 \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p4-description\">\u041e\u043f\u0438\u0441<span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p4-description\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"p4-description\" aria-required=\"true\" aria-invalid=\"false\" name=\"p4-description\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">5.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043f\u043e\u0432\u0456\u0434\u043e\u043c\u043d\u0438\u043a\u0430\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p5-fsl\">\u041f\u0406\u0411<span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p5-fsl\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"p5-fsl\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p5-fsl\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p5-tel\">\u0422\u0435\u043b\u0435\u0444\u043e\u043d<span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p5-tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"p5-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"p5-tel\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p5-email\">\u0415\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u0430 \u043f\u043e\u0448\u0442\u0430<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p5-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" id=\"p5-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"p5-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">6.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043b\u0456\u043a\u0430\u0440\u044f \u0442\u0430 \u043f\u0440\u043e \u0437\u0430\u043a\u043b\u0430\u0434 \u043e\u0445\u043e\u0440\u043e\u043d\u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u2019\u044f, \u0434\u0435 \u043f\u0440\u0430\u0446\u044e\u0454 \u043b\u0456\u043a\u0443\u044e\u0447\u0438\u0439 \u043b\u0456\u043a\u0430\u0440\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p6-fslDoctor\">\u041f\u0406\u0411<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p6-fslDoctor\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"p6-fslDoctor\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p6-fslDoctor\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p6-telDoctor\">\u0422\u0435\u043b\u0435\u0444\u043e\u043d<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p6-telDoctor\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"p6-telDoctor\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"p6-telDoctor\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p6-clinicName\">\u041d\u0430\u0439\u043c\u0435\u043d\u0443\u0432\u0430\u043d\u043d\u044f \u0437\u0430\u043a\u043b\u0430\u0434\u0443 \u043e\u0445\u043e\u0440\u043e\u043d\u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u2019\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p6-clinicName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"p6-clinicName\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p6-clinicName\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"p6-clinicAddress\">\u041c\u0456\u0441\u0446\u0435\u0437\u043d\u0430\u0445\u043e\u0434\u0436\u0435\u043d\u043d\u044f \u0437\u0430\u043a\u043b\u0430\u0434\u0443 \u043e\u0445\u043e\u0440\u043e\u043d\u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u2019\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"p6-clinicAddress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"p6-clinicAddress\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"p6-clinicAddress\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w-acceptance\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w-acceptance\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\"><b>\u042f \u043f\u043e\u0433\u043e\u0434\u0436\u0443\u044e\u0441\u044c \u043d\u0430 \u0437\u0431\u0456\u0440 \u0442\u0430 \u043e\u0431\u0440\u043e\u0431\u043a\u0443 \u043c\u043e\u0457\u0445 \u043f\u0435\u0440\u0441\u043e\u043d\u0430\u043b\u044c\u043d\u0438\u0445 \u0434\u0430\u043d\u0438\u0445<\/b><span class=\"mandatory\">*<\/span><\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u0412\u0456\u0434\u043f\u0440\u0430\u0432\u0438\u0442\u0438\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_tta_section][vc_tta_section title=&#187;\u0414\u043b\u044f \u0437\u0430\u043f\u043e\u0432\u043d\u0435\u043d\u043d\u044f \u043c\u0435\u0434\u0438\u0447\u043d\u0438\u043c\u0438 \u0442\u0430 \u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442\u0438\u0447\u043d\u0438\u043c\u0438 \u043f\u0440\u0430\u0446\u0456\u0432\u043d\u0438\u043a\u0430\u043c\u0438&#187; tab_id=&#187;1703979436824-a5210d23-bffd&#187;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5482-o2\" lang=\"uk\" dir=\"ltr\" data-wpcf7-id=\"5482\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ru\/wp-json\/wp\/v2\/pages\/5471#wpcf7-f5482-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u041a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u0430 \u0444\u043e\u0440\u043c\u0430\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5482\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"uk\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5482-o2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"vform\">\n\t<p class=\"vform-title\">1.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u0440\u0435\u043f\u043e\u0440\u0442\u0435\u0440\u0430\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w1-fsl\">\u041f\u0406\u0411 <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w1-fsl\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"w1-fsl\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w1-fsl\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w2-phone\">\u041a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u0438\u0439 \u0442\u0435\u043b\u0435\u0444\u043e\u043d <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w1-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"w2-phone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"w1-phone\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w1-email\">\u0415\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u0430 \u043f\u043e\u0448\u0442\u0430<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w1-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" id=\"w1-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"w1-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w1-reporter\">\u041f\u043e\u0432\u0456\u0434\u043e\u043c\u043b\u0435\u043d\u043d\u044f \u043d\u0430\u0434\u0430\u0454 <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w1-reporter\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\" id=\"w1-reporter\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"w1-reporter\" value=\"\u043b\u0456\u043a\u0430\u0440\" \/><span class=\"wpcf7-list-item-label\">\u043b\u0456\u043a\u0430\u0440<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w1-reporter\" value=\"\u0430\u043a\u0443\u0448\u0435\u0440\" \/><span class=\"wpcf7-list-item-label\">\u0430\u043a\u0443\u0448\u0435\u0440<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w1-reporter\" value=\"\u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442\" \/><span class=\"wpcf7-list-item-label\">\u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w1-reporter\" value=\"\u043f\u0440\u043e\u0432\u0456\u0437\u043e\u0440\" \/><span class=\"wpcf7-list-item-label\">\u043f\u0440\u043e\u0432\u0456\u0437\u043e\u0440<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w1-reporter\" value=\"\u0444\u0435\u043b\u044c\u0434\u0448\u0435\u0440\" \/><span class=\"wpcf7-list-item-label\">\u0444\u0435\u043b\u044c\u0434\u0448\u0435\u0440<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"w1-reporter\" value=\"\u043c\u0435\u0434\u0441\u0435\u0441\u0442\u0440\u0430\" \/><span class=\"wpcf7-list-item-label\">\u043c\u0435\u0434\u0441\u0435\u0441\u0442\u0440\u0430<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w1-place\">\u041d\u0430\u0437\u0432\u0430 \u0442\u0430 \u043c\u0456\u0441\u0446\u0435\u0437\u043d\u0430\u0445\u043e\u0434\u0436\u0435\u043d\u043d\u044f \u0437\u0430\u043a\u043b\u0430\u0434\u0443 \u043e\u0445\u043e\u0440\u043e\u043d\u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u2019\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w1-place\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w1-place\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w1-place\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w1-date\">\u0414\u0430\u0442\u0430 \u0437\u0430\u043f\u043e\u0432\u043d\u0435\u043d\u043d\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w1-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" id=\"w1-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"w1-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">2.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w2-fslPatient\">\u0406\u043d\u0456\u0446\u0456\u0430\u043b\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430 <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w2-fslPatient\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"w2-fslPatient\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w2-fslPatient\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w2-cardNumber\">\u041d\u043e\u043c\u0435\u0440 \u0456\u0441\u0442\u043e\u0440\u0456\u0457 \u0445\u0432\u043e\u0440\u043e\u0431\u0438 \/ \u0430\u043c\u0431\u0443\u043b\u0430\u0442\u043e\u0440\u043d\u043e\u0457 \u043a\u0430\u0440\u0442\u0438<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w2-cardNumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w2-cardNumber\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w2-cardNumber\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w2-birthday\">\u0414\u0430\u0442\u0430 \u043d\u0430\u0440\u043e\u0434\u0436\u0435\u043d\u043d\u044f\/\u0432\u0456\u043a<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w2-birthday\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w2-birthday\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w2-birthday\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w2-sex\">\u0421\u0442\u0430\u0442\u044c<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w2-sex\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w2-sex\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"w2-sex\" value=\"\u0427\u043e\u043b\u043e\u0432\u0456\u043a\" \/><span class=\"wpcf7-list-item-label\">\u0427\u043e\u043b\u043e\u0432\u0456\u043a<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"w2-sex\" value=\"\u0416\u0456\u043d\u043a\u0430\" \/><span class=\"wpcf7-list-item-label\">\u0416\u0456\u043d\u043a\u0430<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w2-anotherInfo\">\u0406\u043d\u0448\u0430 \u0432\u0430\u0436\u043b\u0438\u0432\u0430 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f (\u0441\u0443\u043f\u0443\u0442\u043d\u0456 \u0434\u0456\u0430\u0433\u043d\u043e\u0437\u0438, \u0430\u043b\u0435\u0440\u0433\u0456\u044f, \u0432\u0430\u0433\u0456\u0442\u043d\u0456\u0441\u0442\u044c \u0456\u0437 \u0437\u0430\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f\u043c \u0442\u0440\u0438\u0432\u0430\u043b\u043e\u0441\u0442\u0456 \u0442\u043e\u0449\u043e)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w2-anotherInfo\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"w2-anotherInfo\" aria-invalid=\"false\" name=\"w2-anotherInfo\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">3.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u0438\u0439 \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u0438\u0439 \u0437\u0430\u0441\u0456\u0431 (\u041f\u041b\u0417)\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-tradeName\">\u0422\u043e\u0440\u0433\u043e\u0432\u0430 \u043d\u0430\u0437\u0432\u0430 <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-tradeName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"w3-tradeName\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-tradeName\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-releaseForm\">\u0424\u043e\u0440\u043c\u0430 \u0432\u0438\u043f\u0443\u0441\u043a\u0443 <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-releaseForm\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"w3-releaseForm\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-releaseForm\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-serial\">\u0421\u0435\u0440\u0456\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-serial\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w3-serial\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-serial\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-dose\">\u0420\u0430\u0437\u043e\u0432\u0430 \u0434\u043e\u0437\u0430<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-dose\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w3-dose\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-dose\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-multiplicityInput\">\u041a\u0440\u0430\u0442\u043d\u0456\u0441\u0442\u044c \u0432\u0432\u0435\u0434\u0435\u043d\u043d\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-multiplicityInput\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w3-multiplicityInput\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-multiplicityInput\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-methodIntroduction\">\u0421\u043f\u043e\u0441\u0456\u0431 \u0432\u0432\u0435\u0434\u0435\u043d\u043d\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-methodIntroduction\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w3-methodIntroduction\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-methodIntroduction\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-indicationsAppointment\">\u041f\u043e\u043a\u0430\u0437\u0430\u043d\u043d\u044f \u0434\u043b\u044f \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-indicationsAppointment\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w3-indicationsAppointment\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-indicationsAppointment\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-startPLZ\">\u041f\u043e\u0447\u0430\u0442\u043e\u043a \u0442\u0435\u0440\u0430\u043f\u0456\u0457 \u041f\u041b\u0417<span class=\"mandatory\">*<\/span> (\u0434\u0430\u0442\u0430<span class=\"mandatory\">*<\/span>, \u0447\u0430\u0441)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-startPLZ\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"w3-startPLZ\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-startPLZ\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w3-endPLZ\">\u0417\u0430\u043a\u0456\u043d\u0447\u0435\u043d\u043d\u044f \u0442\u0435\u0440\u0430\u043f\u0456\u0457 \u041f\u041b\u0417 (\u0434\u0430\u0442\u0430, \u0447\u0430\u0441)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w3-endPLZ\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w3-endPLZ\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w3-endPLZ\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">4.\u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u0441\u0443\u043f\u0443\u0442\u043d\u0456 \u041b\u0417 (\u0421\u041b\u0417), \u044f\u043a\u0456 \u0449\u0435 \u043e\u0442\u0440\u0438\u043c\u0443\u0432\u0430\u0432 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\n\t<\/p>\n\t<div class=\"vform-row cursiv\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w4-unknown\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w4-withLz\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"w4-unknown\" value=\"\u0421\u0443\u043f\u0443\u0442\u043d\u0456 \u041b\u0417\" \/><span class=\"wpcf7-list-item-label\">\u0421\u0443\u043f\u0443\u0442\u043d\u0456 \u041b\u0417<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div id=\"w4-withLz-container\" style=\"display: none\">\n\t\t<div class=\"vform-row\">\n\t\t\t<p><label for=\"w4-tradeName\">\u0422\u043e\u0440\u0433\u043e\u0432\u0430 \u043d\u0430\u0437\u0432\u0430<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w4-tradeName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w4-tradeName\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w4-tradeName\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vform-row\">\n\t\t\t<p><label for=\"w4-releaseForm\">\u0424\u043e\u0440\u043c\u0430 \u0432\u0438\u043f\u0443\u0441\u043a\u0443<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w4-releaseForm\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w4-releaseForm\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w4-releaseForm\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vform-row\">\n\t\t\t<p><label for=\"w4-singleDose\">\u0420\u0430\u0437\u043e\u0432\u0430 \u0434\u043e\u0437\u0430<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w4-singleDose\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w4-singleDose\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w4-singleDose\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vform-row\">\n\t\t\t<p><label for=\"w4-multiplicityInput\">\u041a\u0440\u0430\u0442\u043d\u0456\u0441\u0442\u044c \u0432\u0432\u0435\u0434\u0435\u043d\u043d\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w4-multiplicityInput\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w4-multiplicityInput\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w4-multiplicityInput\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vform-row\">\n\t\t\t<p><label for=\"w4-methodIntroduction\">\u0421\u043f\u043e\u0441\u0456\u0431 \u0432\u0432\u0435\u0434\u0435\u043d\u043d\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w4-methodIntroduction\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w4-methodIntroduction\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w4-methodIntroduction\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vform-row\">\n\t\t\t<p><label for=\"w4-indicationsAppointment\">\u041f\u043e\u043a\u0430\u0437\u0430\u043d\u043d\u044f \u0434\u043b\u044f \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w4-indicationsAppointment\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w4-indicationsAppointment\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w4-indicationsAppointment\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vform-row\">\n\t\t\t<p><label for=\"w4-startSLZTherapy\">\u041f\u043e\u0447\u0430\u0442\u043e\u043a \u0442\u0435\u0440\u0430\u043f\u0456\u0457 \u0421\u041b\u0417 (\u0434\u0430\u0442\u0430, \u0447\u0430\u0441)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w4-startSLZTherapy\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w4-startSLZTherapy\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w4-startSLZTherapy\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vform-row cursiv\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w4-unknown\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w4-concomitantDrugsPrescribed\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"w4-unknown\" value=\"\u0421\u0443\u043f\u0443\u0442\u043d\u0456 \u041b\u0417 \u043d\u0435 \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0430\u043b\u0438\u0441\u044f\" \/><span class=\"wpcf7-list-item-label\">\u0421\u0443\u043f\u0443\u0442\u043d\u0456 \u041b\u0417 \u043d\u0435 \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0430\u043b\u0438\u0441\u044f<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row cursiv\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w4-unknown\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w4-unknown\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"w4-unknown\" value=\"\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"vform-title\">5. \u0406\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u043f\u0440\u043e \u043f\u043e\u0431\u0456\u0447\u043d\u0443 \u0440\u0435\u0430\u043a\u0446\u0456\u044e\/\u0432\u0456\u0434\u0441\u0443\u0442\u043d\u0456\u0441\u0442\u044c \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0456 \u041b\u0417\n\t<\/p>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w5-descriptionAdverseReaction\">\u041e\u043f\u0438\u0441 \u041f\u043e\u0431\u0456\u0447\u043d\u043e\u0457 \u0440\u0435\u0430\u043a\u0446\u0456\u0457\/\u0432\u0456\u0434\u0441\u0443\u0442\u043d\u043e\u0441\u0442\u0456 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0456 <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-descriptionAdverseReaction\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w5-descriptionAdverseReaction\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w5-descriptionAdverseReaction\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w5-prStartDate\">\u0414\u0430\u0442\u0430 \u043f\u043e\u0447\u0430\u0442\u043a\u0443 \u041f\u0420 <span class=\"mandatory\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-prStartDate\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"w5-prStartDate\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"w5-prStartDate\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w5-prEndDate\">\u0414\u0430\u0442\u0430 \u0437\u0430\u043a\u0456\u043d\u0447\u0435\u043d\u043d\u044f \u041f\u0420<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-accompanyingMedicines\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-accompanyingMedicines\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"w5-accompanyingMedicines\" value=\"\u0414\u0430\u0442\u0430\" \/><span class=\"wpcf7-list-item-label\">\u0414\u0430\u0442\u0430<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-accompanyingMedicines\" value=\"\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"w5-accompanyingMedicines\" value=\"\u042f\u0432\u0438\u0449\u0435 \u043f\u0440\u043e\u0434\u043e\u0432\u0436\u0443\u0454\u0442\u044c\u0441\u044f\" \/><span class=\"wpcf7-list-item-label\">\u042f\u0432\u0438\u0449\u0435 \u043f\u0440\u043e\u0434\u043e\u0432\u0436\u0443\u0454\u0442\u044c\u0441\u044f<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div style=\"display: none\" id=\"w5-prEndDate-container\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w5-prEndDate\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" id=\"w5-prEndDate\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"w5-prEndDate\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"withdrawalSuspectedMedicinal\">\u0417\u0430\u0441\u043e\u0431\u0438 \u043a\u043e\u0440\u0435\u043a\u0446\u0456\u0457 \u043f\u043e\u0431\u0456\u0447\u043d\u043e\u0457 \u0440\u0435\u0430\u043a\u0446\u0456\u0457\/\u0432\u0456\u0434\u0441\u0443\u0442\u043d\u043e\u0441\u0442\u0456 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0456<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row cursiv\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w5-withdrawalSuspectedMedicinal\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-withdrawalSuspectedMedicinal\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"w5-withdrawalSuspectedMedicinal\" value=\"\u0412\u0456\u0434\u043c\u0456\u043d\u0430 \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443\" \/><span class=\"wpcf7-list-item-label\">\u0412\u0456\u0434\u043c\u0456\u043d\u0430 \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row pl-15\">\n\t\t<p><label for=\"wasWithdrawalSuspected\">\u0427\u0438 \u0441\u0443\u043f\u0440\u043e\u0432\u043e\u0434\u0436\u0443\u0432\u0430\u043b\u0430\u0441\u044c \u0432\u0456\u0434\u043c\u0456\u043d\u0430 \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443 \u0437\u043d\u0438\u043a\u043d\u0435\u043d\u043d\u044f\u043c \u041f\u042f?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-wasWithdrawalSuspected\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-wasWithdrawalSuspected\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"w5-wasWithdrawalSuspected\" value=\"\u0422\u0430\u043a\" \/><span class=\"wpcf7-list-item-label\">\u0422\u0430\u043a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-wasWithdrawalSuspected\" value=\"\u041d\u0456\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0456<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"w5-wasWithdrawalSuspected\" value=\"\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row cursiv\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w5-2\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-2\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"w5-2\" value=\"\u041f\u043e\u0432\u0442\u043e\u0440\u043d\u0435 \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u0443\" \/><span class=\"wpcf7-list-item-label\">\u041f\u043e\u0432\u0442\u043e\u0440\u043d\u0435 \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u0443<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row pl-15\">\n\t\t<p><label for=\"w5-1\">\u0427\u0438 \u0432\u0456\u0434\u043c\u0456\u0447\u0435\u043d\u043e \u043f\u043e\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044f \u041f\u042f \u043f\u0456\u0441\u043b\u044f \u043f\u043e\u0432\u0442\u043e\u0440\u043d\u043e\u0433\u043e \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-1\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-1\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"w5-1\" value=\"\u0422\u0430\u043a\" \/><span class=\"wpcf7-list-item-label\">\u0422\u0430\u043a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-1\" value=\"\u041d\u0456\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0456<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"w5-1\" value=\"\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row cursiv\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w5-3\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-3\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"w5-3\" value=\"\u0417\u043c\u0456\u043d\u0430 \u0434\u043e\u0437\u043e\u0432\u043e\u0433\u043e \u0440\u0435\u0436\u0438\u043c\u0443 \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443 (\u0437\u043d\u0438\u0436\u0435\u043d\u043d\u044f\/\u043f\u0456\u0434\u0432\u0438\u0449\u0435\u043d\u043d\u044f, \u0437\u0430\u0437\u043d\u0430\u0447\u0438\u0442\u0438, \u043d\u0430 \u0441\u043a\u0456\u043b\u044c\u043a\u0438)\" \/><span class=\"wpcf7-list-item-label\">\u0417\u043c\u0456\u043d\u0430 \u0434\u043e\u0437\u043e\u0432\u043e\u0433\u043e \u0440\u0435\u0436\u0438\u043c\u0443 \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443 (\u0437\u043d\u0438\u0436\u0435\u043d\u043d\u044f\/\u043f\u0456\u0434\u0432\u0438\u0449\u0435\u043d\u043d\u044f, \u0437\u0430\u0437\u043d\u0430\u0447\u0438\u0442\u0438, \u043d\u0430 \u0441\u043a\u0456\u043b\u044c\u043a\u0438)<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row pl-15\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w5-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w5-4\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w5-4\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row pl-15\">\n\t\t<p><label for=\"w5-5\">\u0427\u0438 \u0432\u0456\u0434\u043c\u0456\u0447\u0435\u043d\u043e \u043f\u043e\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044f \u041f\u042f\/\u0412\u0415 \u043f\u0456\u0441\u043b\u044f \u0437\u043c\u0456\u043d\u0438 \u0434\u043e\u0437\u043e\u0432\u043e\u0433\u043e \u0440\u0435\u0436\u0438\u043c\u0443 \u043f\u0456\u0434\u043e\u0437\u0440\u044e\u0432\u0430\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0430\u0441\u043e\u0431\u0443?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-5\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-5\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"w5-5\" value=\"\u0422\u0430\u043a\" \/><span class=\"wpcf7-list-item-label\">\u0422\u0430\u043a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-5\" value=\"\u041d\u0456\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0456<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"w5-5\" value=\"\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e\" \/><span class=\"wpcf7-list-item-label\">\u041d\u0435\u0432\u0456\u0434\u043e\u043c\u043e<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row cursiv\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w5-6\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-6\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"w5-6\" value=\"\u041c\u0435\u0434\u0438\u043a\u0430\u043c\u0435\u043d\u0442\u043e\u0437\u043d\u0430 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u041f\u0420\/\u0412\u0415\" \/><span class=\"wpcf7-list-item-label\">\u041c\u0435\u0434\u0438\u043a\u0430\u043c\u0435\u043d\u0442\u043e\u0437\u043d\u0430 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u041f\u0420\/\u0412\u0415<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w5-7\">\u0417\u0430\u0437\u043d\u0430\u0447\u0438\u0442\u0438 \u041b\u0417, \u0434\u043e\u0437\u043e\u0432\u0438\u0439 \u0440\u0435\u0436\u0438\u043c, \u0442\u0440\u0438\u0432\u0430\u043b\u0456\u0441\u0442\u044c \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"w5-7\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"w5-7\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row cursiv\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"w5-8\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-8\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"w5-8\" value=\"\u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044e \u041f\u0420\/\u0412\u0415 \u043d\u0435 \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u043b\u0438\" \/><span class=\"wpcf7-list-item-label\">\u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044e \u041f\u0420\/\u0412\u0415 \u043d\u0435 \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u043b\u0438<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w5-9\">\u041d\u0430\u0441\u043b\u0456\u0434\u043e\u043a \u041f\u0420\/\u0412\u0415<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-9\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-9\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"w5-9\" value=\"\u0432\u0438\u0434\u0443\u0436\u0430\u043d\u043d\u044f\" \/><span class=\"wpcf7-list-item-label\">\u0432\u0438\u0434\u0443\u0436\u0430\u043d\u043d\u044f<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-9\" value=\"\u0432\u0438\u0434\u0443\u0436\u0443\u0454\" \/><span class=\"wpcf7-list-item-label\">\u0432\u0438\u0434\u0443\u0436\u0443\u0454<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-9\" value=\"\u0431\u0435\u0437 \u0437\u043c\u0456\u043d\" \/><span class=\"wpcf7-list-item-label\">\u0431\u0435\u0437 \u0437\u043c\u0456\u043d<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-9\" value=\"\u043d\u0435\u0432\u0456\u0434\u043e\u043c\u043e\" \/><span class=\"wpcf7-list-item-label\">\u043d\u0435\u0432\u0456\u0434\u043e\u043c\u043e<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-9\" value=\"\u0432\u0438\u0434\u0443\u0436\u0430\u043d\u043d\u044f \u0437 \u043d\u0430\u0441\u043b\u0456\u0434\u043a\u0430\u043c\u0438\" \/><span class=\"wpcf7-list-item-label\">\u0432\u0438\u0434\u0443\u0436\u0430\u043d\u043d\u044f \u0437 \u043d\u0430\u0441\u043b\u0456\u0434\u043a\u0430\u043c\u0438<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-9\" value=\"\u0441\u043c\u0435\u0440\u0442\u044c \u043d\u0435 \u0432\u0456\u0434 \u041f\u0420\" \/><span class=\"wpcf7-list-item-label\">\u0441\u043c\u0435\u0440\u0442\u044c \u043d\u0435 \u0432\u0456\u0434 \u041f\u0420<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"w5-9\" value=\"\u0441\u043c\u0435\u0440\u0442\u044c, \u043c\u043e\u0436\u043b\u0438\u0432\u043e \u0432\u0456\u0434 \u041f\u0420\" \/><span class=\"wpcf7-list-item-label\">\u0441\u043c\u0435\u0440\u0442\u044c, \u043c\u043e\u0436\u043b\u0438\u0432\u043e \u0432\u0456\u0434 \u041f\u0420<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"w5-9\" value=\"\u0441\u043c\u0435\u0440\u0442\u044c \u0432 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0456 \u041f\u0420\" \/><span class=\"wpcf7-list-item-label\">\u0441\u043c\u0435\u0440\u0442\u044c \u0432 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0456 \u041f\u0420<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"vform-row\">\n\t\t<p><label for=\"w5-10\">\u041a\u0430\u0442\u0435\u0433\u043e\u0440\u0456\u044f \u041f\u0420\/\u0412\u0415<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"w5-10\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"w5-10\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"w5-10\" value=\"\u0441\u043c\u0435\u0440\u0442\u044c \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430\" \/><span class=\"wpcf7-list-item-label\">\u0441\u043c\u0435\u0440\u0442\u044c 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