{"id":49849,"date":"2026-08-14T12:26:11","date_gmt":"2026-08-14T16:26:11","guid":{"rendered":"https:\/\/www.elderplan.org\/?page_id=49849"},"modified":"2026-08-14T12:52:30","modified_gmt":"2026-08-14T16:52:30","slug":"join","status":"publish","type":"page","link":"https:\/\/www.elderplan.org\/zh\/member-benefits\/elderplan-benefits\/otc-benefits\/determine-eligible-for-otc-grocery-meals\/join\/","title":{"rendered":"\u78ba\u8a8d\u64f4\u5927\u7bc4\u570d\u5f8c\u7684 OTC \u8cc7\u683c"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column padding-interior is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong><strong><strong>\u4f5c\u70ba Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u6703\u54e1\uff0c\u60a8\u53ef\u80fd\u7b26\u5408 <\/strong>1<strong><sup> 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class=\"wpcf7-form-control-wrap\" data-name=\"substance_abuse\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"substance_abuse[]\" value=\"\u7269\u8cea\u6feb\u7528\uff08\u9152\u7cbe\u3001\u9d09\u7247\u985e\u85e5\u7269\/\u85e5\u7269\u6feb\u7528\uff09\" \/><span class=\"wpcf7-list-item-label\">\u7269\u8cea\u6feb\u7528\uff08\u9152\u7cbe\u3001\u9d09\u7247\u985e\u85e5\u7269\/\u85e5\u7269\u6feb\u7528\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tobacco_use_and_related_conditions\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"tobacco_use_and_related_conditions[]\" value=\"\u83f8\u8349\u4f7f\u7528\u53ca\u76f8\u95dc\u75c7\u72c0\" \/><span class=\"wpcf7-list-item-label\">\u83f8\u8349\u4f7f\u7528\u53ca\u76f8\u95dc\u75c7\u72c0<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u81ea\u8eab\u514d\u75ab\u6027\u75be\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"polyarteritis_nodosa_ads\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polyarteritis_nodosa_ads[]\" value=\"\u7d50\u7bc0\u6027\u591a\u52d5\u8108\u708e\" \/><span class=\"wpcf7-list-item-label\">\u7d50\u7bc0\u6027\u591a\u52d5\u8108\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"polymyalgia_rheumatica_ads\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polymyalgia_rheumatica_ads[]\" value=\"\u98a8\u6fd5\u6027\u591a\u808c\u75db\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u98a8\u6fd5\u6027\u591a\u808c\u75db\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"polymyositis_ads\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polymyositis_ads[]\" value=\"\u591a\u808c\u708e\" \/><span class=\"wpcf7-list-item-label\">\u591a\u808c\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lupus\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"lupus[]\" value=\"\u5168\u8eab\u6027\u7d05\u6591\u72fc\u7621\" \/><span class=\"wpcf7-list-item-label\">\u5168\u8eab\u6027\u7d05\u6591\u72fc\u7621<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u764c\u75c7\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cancer\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cancer[]\" value=\"\u764c\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u764c\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hodgkin_lymphoma_cancer\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hodgkin_lymphoma_cancer[]\" value=\"\u4f55\u6770\u91d1\u6c0f\u6dcb\u5df4\u7624\" \/><span class=\"wpcf7-list-item-label\">\u4f55\u6770\u91d1\u6c0f\u6dcb\u5df4\u7624<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"leukemia_cancer\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"leukemia_cancer[]\" value=\"\u767d\u8840\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u767d\u8840\u75c5<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u5fc3\u8840\u7ba1\u75be\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cardiovascular_disorders\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cardiovascular_disorders[]\" value=\"\u5fc3\u8840\u7ba1\u75be\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u5fc3\u8840\u7ba1\u75be\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cardiac_arrhythmias\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cardiac_arrhythmias[]\" value=\"\u5fc3\u5f8b\u5931\u5e38\" \/><span class=\"wpcf7-list-item-label\">\u5fc3\u5f8b\u5931\u5e38<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_heart_failure\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_heart_failure[]\" value=\"\u6162\u6027\u5fc3\u529b\u8870\u7aed\" \/><span class=\"wpcf7-list-item-label\">\u6162\u6027\u5fc3\u529b\u8870\u7aed<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_venous_thromboembolic_cvds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_venous_thromboembolic_cvds[]\" value=\"\u6162\u6027\u975c\u8108\u8840\u6813\u6813\u585e\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u6162\u6027\u975c\u8108\u8840\u6813\u6813\u585e\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"coronary_artery_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"coronary_artery_disease[]\" value=\"\u51a0\u72c0\u52d5\u8108\u75be\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u51a0\u72c0\u52d5\u8108\u75be\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hypertension\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hypertension[]\" value=\"\u9ad8\u8840\u58d3\" \/><span class=\"wpcf7-list-item-label\">\u9ad8\u8840\u58d3<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"peripheral_vascular_disease_cvds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"peripheral_vascular_disease_cvds[]\" value=\"\u5468\u908a\u8840\u7ba1\u75be\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u5468\u908a\u8840\u7ba1\u75be\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diabetes_mellitus_ds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"diabetes_mellitus_ds[]\" value=\"\u7cd6\u5c3f\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u7cd6\u5c3f\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diabetic_nephropathy_ds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"diabetic_nephropathy_ds[]\" value=\"\u7cd6\u5c3f\u75c5\u814e\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u7cd6\u5c3f\u75c5\u814e\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diabetic_neuropathy_ds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"diabetic_neuropathy_ds[]\" value=\"\u7cd6\u5c3f\u75c5\u795e\u7d93\u75c5\u8b8a\" \/><span class=\"wpcf7-list-item-label\">\u7cd6\u5c3f\u75c5\u795e\u7d93\u75c5\u8b8a<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diabetic_retinopathy_ds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"diabetic_retinopathy_ds[]\" value=\"\u7cd6\u5c3f\u75c5\u8996\u7db2\u819c\u75c5\u8b8a\" \/><span class=\"wpcf7-list-item-label\">\u7cd6\u5c3f\u75c5\u8996\u7db2\u819c\u75c5\u8b8a<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u6162\u6027\u8178\u80c3\u75be\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"celiac_disease_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"celiac_disease_cgids[]\" value=\"\u8179\u8154\u75be\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u8179\u8154\u75be\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"crohns_disease_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"crohns_disease_cgids[]\" value=\"\u514b\u9686\u6c0f\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u514b\u9686\u6c0f\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cystic_fibrosis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cystic_fibrosis[]\" value=\"\u56ca\u816b\u7e96\u5316\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u56ca\u816b\u7e96\u5316\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"end_stage_liver_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"end_stage_liver_disease[]\" value=\"\u7d42\u672b\u671f\u809d\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u7d42\u672b\u671f\u809d\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hepatitis_b\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hepatitis_b[]\" value=\"B \u578b\u809d\u708e\" \/><span class=\"wpcf7-list-item-label\">B \u578b\u809d\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hepatitis_c\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hepatitis_c[]\" value=\"C \u578b\u809d\u708e\" \/><span class=\"wpcf7-list-item-label\">C \u578b\u809d\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ibd_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ibd_cgids[]\" value=\"\u708e\u75c7\u6027\u8178\u9053\u75be\u75c5 \uff08IBD\uff09\" \/><span class=\"wpcf7-list-item-label\">\u708e\u75c7\u6027\u8178\u9053\u75be\u75c5 \uff08IBD\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ibs_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ibs_cgids[]\" value=\"\u8178\u6613\u6fc0\u7d9c\u5408\u5f81 \uff08IBS\uff09\" \/><span class=\"wpcf7-list-item-label\">\u8178\u6613\u6fc0\u7d9c\u5408\u5f81 \uff08IBS\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ulcerative_colitis_cgids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ulcerative_colitis_cgids[]\" value=\"\u6f70\u760d\u6027\u7d50\u8178\u708e\" \/><span class=\"wpcf7-list-item-label\">\u6f70\u760d\u6027\u7d50\u8178\u708e<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u56b4\u91cd\u7684\u8840\u6db2\u75be\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anemia\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"anemia[]\" value=\"\u8ca7\u8840\" \/><span class=\"wpcf7-list-item-label\">\u8ca7\u8840<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aplastic_anemia_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"aplastic_anemia_shds[]\" value=\"\u518d\u751f\u969c\u7919\u6027\u8ca7\u8840\" \/><span class=\"wpcf7-list-item-label\">\u518d\u751f\u969c\u7919\u6027\u8ca7\u8840<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_venous_thromboembolic_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_venous_thromboembolic_shds[]\" value=\"\u6162\u6027\u975c\u8108\u8840\u6813\u6813\u585e\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u6162\u6027\u975c\u8108\u8840\u6813\u6813\u585e\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"essential_thromocythemia_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"essential_thromocythemia_shds[]\" value=\"\u539f\u767c\u6027\u8840\u5c0f\u677f\u589e\u591a\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u539f\u767c\u6027\u8840\u5c0f\u677f\u589e\u591a\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hemochromatosis_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hemochromatosis_shds[]\" value=\"\u8840\u8272\u7d20\u6c89\u8457\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u8840\u8272\u7d20\u6c89\u8457\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hemophilia\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hemophilia[]\" value=\"\u8840\u53cb\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u8840\u53cb\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"immune_thrombocytopenic_purpura\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"immune_thrombocytopenic_purpura[]\" value=\"\u81ea\u8eab\u514d\u75ab\u6027\u8840\u5c0f\u677f\u6e1b\u5c11\u6027\u7d2b\u7622\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u81ea\u8eab\u514d\u75ab\u6027\u8840\u5c0f\u677f\u6e1b\u5c11\u6027\u7d2b\u7622\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"myelodysplastic_syndrome\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"myelodysplastic_syndrome[]\" value=\"\u9aa8\u9ad3\u589e\u751f\u7570\u5e38\u7d9c\u5408\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u9aa8\u9ad3\u589e\u751f\u7570\u5e38\u7d9c\u5408\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"polycythemia_vera_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polycythemia_vera_shds[]\" value=\"\u771f\u6027\u7d05\u8840\u7403\u589e\u591a\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u771f\u6027\u7d05\u8840\u7403\u589e\u591a\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sickle_cell_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"sickle_cell_disease[]\" value=\"\u942e\u72c0\u7d30\u80de\u75c5\uff08\u4e0d\u5305\u62ec\u942e\u72c0\u7d30\u80de\u6027\u72c0\uff09\" \/><span class=\"wpcf7-list-item-label\">\u942e\u72c0\u7d30\u80de\u75c5\uff08\u4e0d\u5305\u62ec\u942e\u72c0\u7d30\u80de\u6027\u72c0\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"thalassemia\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"thalassemia[]\" value=\"\u5730\u4e2d\u6d77\u578b\u8ca7\u8840\" \/><span class=\"wpcf7-list-item-label\">\u5730\u4e2d\u6d77\u578b\u8ca7\u8840<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"thrombocytopenia_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"thrombocytopenia_shds[]\" value=\"\u8840\u5c0f\u677f\u6e1b\u5c11\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u8840\u5c0f\u677f\u6e1b\u5c11\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"waldenstrom_macroglobulinemia_shds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"waldenstrom_macroglobulinemia_shds[]\" value=\"\u539f\u767c\u6027\u5de8\u7403\u86cb\u767d\u8840\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u539f\u767c\u6027\u5de8\u7403\u86cb\u767d\u8840\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hiv_aids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"hiv_aids[]\" value=\"HIV\/AIDS\uff08\u827e\u6ecb\u75c5\uff09\" \/><span class=\"wpcf7-list-item-label\">HIV\/AIDS\uff08\u827e\u6ecb\u75c5\uff09<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u6162\u6027\u80ba\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"asthma\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"asthma[]\" value=\"\u54ee\u5598\" \/><span class=\"wpcf7-list-item-label\">\u54ee\u5598<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bronchitis_clds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"bronchitis_clds[]\" value=\"\u652f\u6c23\u7ba1\u708e\" \/><span class=\"wpcf7-list-item-label\">\u652f\u6c23\u7ba1\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_bronchitis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_bronchitis[]\" value=\"\u6162\u6027\u652f\u6c23\u7ba1\u708e\" \/><span class=\"wpcf7-list-item-label\">\u6162\u6027\u652f\u6c23\u7ba1\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_obstructive_pulmonary_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_obstructive_pulmonary_disease[]\" value=\"\u6162\u6027\u963b\u585e\u6027\u80ba\u75c5 \uff08COPD\uff09\" \/><span class=\"wpcf7-list-item-label\">\u6162\u6027\u963b\u585e\u6027\u80ba\u75c5 \uff08COPD\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"emphysema\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"emphysema[]\" value=\"\u80ba\u6c23\u816b\" \/><span class=\"wpcf7-list-item-label\">\u80ba\u6c23\u816b<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pulmonary_fibrosis_clds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"pulmonary_fibrosis_clds[]\" value=\"\u80ba\u7e96\u7dad\u5316\" \/><span class=\"wpcf7-list-item-label\">\u80ba\u7e96\u7dad\u5316<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pulmonary_hypertension_clds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"pulmonary_hypertension_clds[]\" value=\"\u80ba\u52d5\u8108\u9ad8\u8840\u58d3\" \/><span class=\"wpcf7-list-item-label\">\u80ba\u52d5\u8108\u9ad8\u8840\u58d3<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u6162\u6027\u7cbe\u795e\u5065\u5eb7\u75be\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"bipolar_disorders\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"bipolar_disorders[]\" value=\"\u8e81\u9b31\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u8e81\u9b31\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"eating_disorders\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"eating_disorders[]\" value=\"\u98f2\u98df\u5931\u8abf\" \/><span class=\"wpcf7-list-item-label\">\u98f2\u98df\u5931\u8abf<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"major_depressive_disorders\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"major_depressive_disorders[]\" value=\"\u56b4\u91cd\u6291\u9b31\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u56b4\u91cd\u6291\u9b31\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"paranoid_disorder\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"paranoid_disorder[]\" value=\"\u504f\u57f7\u6027\u969c\u7919\" \/><span class=\"wpcf7-list-item-label\">\u504f\u57f7\u6027\u969c\u7919<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"schizoaffective_disorder\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"schizoaffective_disorder[]\" value=\"\u7cbe\u795e\u5206\u88c2\u611f\u60c5\u578b\u969c\u7919\" \/><span class=\"wpcf7-list-item-label\">\u7cbe\u795e\u5206\u88c2\u611f\u60c5\u578b\u969c\u7919<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"schizophrenia\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"schizophrenia[]\" value=\"\u7cbe\u795e\u5206\u88c2\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u7cbe\u795e\u5206\u88c2\u75c7<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u795e\u7d93\u529f\u80fd\u969c\u7919\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"amyotrophic_lateral_sclerosis_als\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"amyotrophic_lateral_sclerosis_als[]\" value=\"\u808c\u840e\u7e2e\u6027\u810a\u9ad3\u5074\u7d22\u786c\u5316\u75c7 \uff08ALS\uff09\" \/><span class=\"wpcf7-list-item-label\">\u808c\u840e\u7e2e\u6027\u810a\u9ad3\u5074\u7d22\u786c\u5316\u75c7 \uff08ALS\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"epilepsy\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"epilepsy[]\" value=\"\u7672\u7647\" \/><span class=\"wpcf7-list-item-label\">\u7672\u7647<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"extensive_paralysis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"extensive_paralysis[]\" value=\"\u5927\u7bc4\u570d\u7671\u7613\uff08\u4f8b\u5982\uff0c\u504f\u7671\u3001\u56db\u80a2\u7671\u7613\u3001\u622a\u7671\u3001\u55ae\u7671\uff09\" \/><span class=\"wpcf7-list-item-label\">\u5927\u7bc4\u570d\u7671\u7613\uff08\u4f8b\u5982\uff0c\u504f\u7671\u3001\u56db\u80a2\u7671\u7613\u3001\u622a\u7671\u3001\u55ae\u7671\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stroke\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"stroke[]\" value=\"\u4e2d\u98a8\u53f2\" \/><span class=\"wpcf7-list-item-label\">\u4e2d\u98a8\u53f2<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"polyneuropathy_nds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"polyneuropathy_nds[]\" value=\"\u591a\u767c\u6027\u795e\u7d93\u75c5\u8b8a\" \/><span class=\"wpcf7-list-item-label\">\u591a\u767c\u6027\u795e\u7d93\u75c5\u8b8a<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"post_organ_transplant_nds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"post_organ_transplant_nds[]\" value=\"\u5668\u5b98\u79fb\u690d\u5f8c\" \/><span class=\"wpcf7-list-item-label\">\u5668\u5b98\u79fb\u690d\u5f8c<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"spinal_stenosis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"spinal_stenosis[]\" value=\"\u690e\u9aa8\u72f9\u7a84\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u690e\u9aa8\u72f9\u7a84\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stroke_related_neuro_deficit_nds\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"stroke_related_neuro_deficit_nds[]\" value=\"\u4e2d\u98a8\u76f8\u95dc\u7684\u795e\u7d93\u529f\u80fd\u7f3a\u640d\" \/><span class=\"wpcf7-list-item-label\">\u4e2d\u98a8\u76f8\u95dc\u7684\u795e\u7d93\u529f\u80fd\u7f3a\u640d<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u514d\u75ab\u7f3a\u9677\u548c\u514d\u75ab\u6291\u5236\u6027\u75be\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cgd_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cgd_iids[]\" value=\"\u6162\u6027\u8089\u82bd\u816b\u75c5 \uff08CGD\uff09\" \/><span class=\"wpcf7-list-item-label\">\u6162\u6027\u8089\u82bd\u816b\u75c5 \uff08CGD\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cvid_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cvid_iids[]\" value=\"\u5e38\u898b\u8b8a\u7570\u6027\u514d\u75ab\u7f3a\u9677 \uff08CVID\uff09\" \/><span class=\"wpcf7-list-item-label\">\u5e38\u898b\u8b8a\u7570\u6027\u514d\u75ab\u7f3a\u9677 \uff08CVID\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"complement_def_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"complement_def_iids[]\" value=\"\u88dc\u9ad4\u7f3a\u9677\" \/><span class=\"wpcf7-list-item-label\">\u88dc\u9ad4\u7f3a\u9677<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"digeorge_syndrome_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"digeorge_syndrome_iids[]\" value=\"\u72c4\u55ac\u6cbb\u6c0f\u75c7\u5019\u7fa4\" \/><span class=\"wpcf7-list-item-label\">\u72c4\u55ac\u6cbb\u6c0f\u75c7\u5019\u7fa4<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"scid_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"scid_iids[]\" value=\"\u56b4\u91cd\u8907\u5408\u578b\u514d\u75ab\u7f3a\u9677 \uff08SCID\uff09\" \/><span class=\"wpcf7-list-item-label\">\u56b4\u91cd\u8907\u5408\u578b\u514d\u75ab\u7f3a\u9677 \uff08SCID\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"wiskott_aldrich_synd_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"wiskott_aldrich_synd_iids[]\" value=\"Wiskott-Aldrich \u6c0f\u75c7\u5019\u7fa4\" \/><span class=\"wpcf7-list-item-label\">Wiskott-Aldrich \u6c0f\u75c7\u5019\u7fa4<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"xla_iids\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"xla_iids[]\" value=\"X \u9023\u9396\u7121\u4e19\u7a2e\u7403\u86cb\u767d\u8840\u75c7 \uff08XLA\uff09\" \/><span class=\"wpcf7-list-item-label\">X \u9023\u9396\u7121\u4e19\u7a2e\u7403\u86cb\u767d\u8840\u75c7 \uff08XLA\uff09<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u8a8d\u77e5\u969c\u7919\u76f8\u95dc\u75be\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alzheimers_disease_and_other_dementias\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"alzheimers_disease_and_other_dementias[]\" value=\"\u963f\u8332\u6d77\u9ed8\u75c7\u548c\u5176\u4ed6\u5931\u667a\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u963f\u8332\u6d77\u9ed8\u75c7\u548c\u5176\u4ed6\u5931\u667a\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"delirium_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"delirium_cics[]\" value=\"\u8b6b\u5984\" \/><span class=\"wpcf7-list-item-label\">\u8b6b\u5984<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dementia_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"dementia_cics[]\" value=\"\u5931\u667a\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u5931\u667a\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"depression_other_psych_conditions_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"depression_other_psych_conditions_cics[]\" value=\"\u6182\u9b31\u75c7\u8207\u5176\u4ed6\u7cbe\u795e\u75be\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u6182\u9b31\u75c7\u8207\u5176\u4ed6\u7cbe\u795e\u75be\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ftd_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ftd_cics[]\" value=\"\u984d\u9873\u8449\u5931\u667a\u75c7 \uff08FTD\uff09\" \/><span class=\"wpcf7-list-item-label\">\u984d\u9873\u8449\u5931\u667a\u75c7 \uff08FTD\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"huntingtons_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"huntingtons_disease[]\" value=\"\u4ea8\u5ef7\u9813\u6c0f\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u4ea8\u5ef7\u9813\u6c0f\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lewy_body_dementia_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"lewy_body_dementia_cics[]\" value=\"\u8def\u6613\u9ad4\u7661\u5446\" \/><span class=\"wpcf7-list-item-label\">\u8def\u6613\u9ad4\u7661\u5446<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nph_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"nph_cics[]\" value=\"\u6b63\u5e38\u58d3\u529b\u8166\u7a4d\u6c34 \uff08NPH\uff09\" \/><span class=\"wpcf7-list-item-label\">\u6b63\u5e38\u58d3\u529b\u8166\u7a4d\u6c34 \uff08NPH\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"parkinsons_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"parkinsons_disease[]\" value=\"\u5e15\u91d1\u68ee\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u5e15\u91d1\u68ee\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prion_diseases_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"prion_diseases_cics[]\" value=\"\u670a\u75c5\u6bd2\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u670a\u75c5\u6bd2\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sleep_disorders_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"sleep_disorders_cics[]\" value=\"\u7761\u7720\u969c\u7919\" \/><span class=\"wpcf7-list-item-label\">\u7761\u7720\u969c\u7919<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tbi_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"tbi_cics[]\" value=\"\u5275\u50b7\u6027\u8166\u640d\u50b7 \uff08TBI\uff09\" \/><span class=\"wpcf7-list-item-label\">\u5275\u50b7\u6027\u8166\u640d\u50b7 \uff08TBI\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vascular_dementia_cics\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"vascular_dementia_cics[]\" value=\"\u8840\u7ba1\u6027\u7661\u5446\" \/><span class=\"wpcf7-list-item-label\">\u8840\u7ba1\u6027\u7661\u5446<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u529f\u80fd\u6027\u6311\u6230\u72c0\u6cc1\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"arthritis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"arthritis[]\" value=\"\u95dc\u7bc0\u708e\" \/><span class=\"wpcf7-list-item-label\">\u95dc\u7bc0\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"multiple_sclerosis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"multiple_sclerosis[]\" value=\"\u591a\u767c\u6027\u786c\u5316\" \/><span class=\"wpcf7-list-item-label\">\u591a\u767c\u6027\u786c\u5316<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"muscular_dystrophy_fccs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"muscular_dystrophy_fccs[]\" value=\"\u808c\u8089\u840e\u7e2e\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u808c\u8089\u840e\u7e2e\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"osteoarthritis_fccs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"osteoarthritis_fccs[]\" value=\"\u9aa8\u95dc\u7bc0\u708e\" \/><span class=\"wpcf7-list-item-label\">\u9aa8\u95dc\u7bc0\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rheumatoid_arthritis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"rheumatoid_arthritis[]\" value=\"\u985e\u98a8\u6fd5\u6027\u95dc\u7bc0\u708e\" \/><span class=\"wpcf7-list-item-label\">\u985e\u98a8\u6fd5\u6027\u95dc\u7bc0\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"stroke_fccs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"stroke_fccs[]\" value=\"\u4e2d\u98a8\" \/><span class=\"wpcf7-list-item-label\">\u4e2d\u98a8<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u640d\u5bb3\u8996\u529b\u3001\u807d\u529b\uff08\u8033\u807e\uff09\u3001\u5473\u89ba\u3001\u89f8\u89ba\u548c\u55c5\u89ba\u7684\u6162\u6027\u75be\u75c5\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acoustic_neuroma_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"acoustic_neuroma_cscs[]\" value=\"\u807d\u795e\u7d93\u7624\" \/><span class=\"wpcf7-list-item-label\">\u807d\u795e\u7d93\u7624<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"amd_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"amd_cscs[]\" value=\"\u5e74\u9f61\u76f8\u95dc\u6027\u9ec3\u6591\u9000\u5316 \uff08AMD\uff09\" \/><span class=\"wpcf7-list-item-label\">\u5e74\u9f61\u76f8\u95dc\u6027\u9ec3\u6591\u9000\u5316 \uff08AMD\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"amblyopia_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"amblyopia_cscs[]\" value=\"\u5f31\u8996\" \/><span class=\"wpcf7-list-item-label\">\u5f31\u8996<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aied_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"aied_cscs[]\" value=\"\u81ea\u9ad4\u514d\u75ab\u6027\u5167\u8033\u75be\u75c5 \uff08AIED\uff09\" \/><span class=\"wpcf7-list-item-label\">\u81ea\u9ad4\u514d\u75ab\u6027\u5167\u8033\u75be\u75c5 \uff08AIED\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"carpal_tunnel_synd_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"carpal_tunnel_synd_cscs[]\" value=\"\u8155\u96a7\u9053\u75c7\u5019\u7fa4\" \/><span class=\"wpcf7-list-item-label\">\u8155\u96a7\u9053\u75c7\u5019\u7fa4<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"guillain_barre_synd_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"guillain_barre_synd_cscs[]\" value=\"\u683c\u6797-\u5df4\u5229\u75c7\u5019\u7fa4\" \/><span class=\"wpcf7-list-item-label\">\u683c\u6797-\u5df4\u5229\u75c7\u5019\u7fa4<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lyme_disease_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"lyme_disease_cscs[]\" value=\"\u840a\u59c6\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u840a\u59c6\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menieres_disease_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"menieres_disease_cscs[]\" value=\"\u6885\u5c3c\u723e\u6c0f\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u6885\u5c3c\u723e\u6c0f\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"optic_neuritis_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"optic_neuritis_cscs[]\" value=\"\u8996\u795e\u7d93\u708e\" \/><span class=\"wpcf7-list-item-label\">\u8996\u795e\u7d93\u708e<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"otosclerosis_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"otosclerosis_cscs[]\" value=\"\u8033\u786c\u5316\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u8033\u786c\u5316\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ted_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ted_cscs[]\" value=\"\u7532\u72c0\u817a\u773c\u75be \uff08TED\uff09\" \/><span class=\"wpcf7-list-item-label\">\u7532\u72c0\u817a\u773c\u75be \uff08TED\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"usher_syndrome_cscs\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"usher_syndrome_cscs[]\" value=\"\u5c24\u585e\u6c0f\u7d9c\u5408\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u5c24\u585e\u6c0f\u7d9c\u5408\u75c7<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u9700\u8981\u6301\u7e8c\u6cbb\u7642\u670d\u52d9\u4ee5\u7dad\u6301\u6216\u6062\u5fa9\u529f\u80fd\u7684\u75c5\u75c7\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\uff1a\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-checkbox-columns\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"bipolar_disorder_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"bipolar_disorder_ctss[]\" value=\"\u8e81\u9b31\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u8e81\u9b31\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cerebral_palsy_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"cerebral_palsy_ctss[]\" value=\"\u5927\u8166\u6027\u9ebb\u75fa\" \/><span class=\"wpcf7-list-item-label\">\u5927\u8166\u6027\u9ebb\u75fa<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ptsd_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ptsd_ctss[]\" value=\"\u5275\u50b7\u5f8c\u61c9\u6fc0\u969c\u7919 \uff08PTSD\uff09\" \/><span class=\"wpcf7-list-item-label\">\u5275\u50b7\u5f8c\u61c9\u6fc0\u969c\u7919 \uff08PTSD\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"severe_anxiety_disorders_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"severe_anxiety_disorders_ctss[]\" value=\"\u91cd\u5ea6\u7126\u616e\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u91cd\u5ea6\u7126\u616e\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"severe_depression_ctss\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"severe_depression_ctss[]\" value=\"\u91cd\u5ea6\u6182\u9b31\u75c7\" \/><span class=\"wpcf7-list-item-label\">\u91cd\u5ea6\u6182\u9b31\u75c7<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_kidney_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"chronic_kidney_disease[]\" value=\"\u6162\u6027\u814e\u75c5\" \/><span class=\"wpcf7-list-item-label\">\u6162\u6027\u814e\u75c5<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"end_stage_renal_disease\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"end_stage_renal_disease[]\" value=\"\u9700\u8981\u900f\u6790\u7684\u665a\u671f\u814e\u75c5 \uff08ESRD\uff09\" \/><span class=\"wpcf7-list-item-label\">\u9700\u8981\u900f\u6790\u7684\u665a\u671f\u814e\u75c5 \uff08ESRD\uff09<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"osteoporosis\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span 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\uff08RSD\uff09\" \/><span class=\"wpcf7-list-item-label\">\u53cd\u5c04\u6027\u4ea4\u611f\u795e\u7d93\u5931\u990a\u75c7\u5019\u7fa4 \uff08RSD\uff09<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"condition-section mb-32\">\n\t\t\t\t<p class=\"font-22 mb-16\">\u8ab0\u586b\u5beb\uff1f\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"who-is-filling\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"who-is-filling\"><option value=\"\">\u81ea\u6211<\/option><option value=\"\u5bb6\u5ead\">\u5bb6\u5ead<\/option><option value=\"\u670b\u53cb\">\u670b\u53cb<\/option><option value=\"Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u5de5\u4f5c\u4eba\u54e1\">Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u5de5\u4f5c\u4eba\u54e1<\/option><option value=\"\u7d93\u7d00\u4eba\">\u7d93\u7d00\u4eba<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"not-self-group\" style=\"display:none\">\n\t\t\t\t\t<p class=\"font-22 mb-16\">\u8bf7\u8f93\u5165\u60a8\u7684\u5168\u540d\u3002\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"not-self-full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"not-self-full-name\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u63d0\u4ea4\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"screen-reader-response\">\n\t<div role=\"status\">\n\t<\/div>\n<\/div>\n<p><script>\n(function () {\n function populateOtcFields(data) {\n var idField = document.querySelector('input[name=\"otc-elderplan-id\"]');\n var dobField = document.querySelector('input[name=\"dob-otc\"]');\n if (idField) idField.value = data.id;\n if (dobField) dobField.value = data.dob;\n }\n\n fetch('\/wp-json\/sd-cf7\/v1\/otc-token', { credentials: 'same-origin' })\n .then(function (r) { return r.ok ? r.json() : null; })\n .then(function (data) { if (data && data.id) populateOtcFields(data); });\n})();\n<\/script>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n<\/form>\n<\/div>\n\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u4f5c\u70ba Elderplan\uff08\u9577\u8001\u8a08\u5283\uff09\u6703\u54e1\uff0c\u60a8\u53ef\u80fd\u7b26\u5408 1 \u8cc7\u683c\u00a0\u4f7f\u7528\u00a0\u60a8\u7684\u00a0\u975e\u8655\u65b9 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