{"id":85,"date":"2026-03-19T06:14:13","date_gmt":"2026-03-19T06:14:13","guid":{"rendered":"http:\/\/kanagawa-saiseikai-checkup.local\/?page_id=85"},"modified":"2026-06-29T16:26:14","modified_gmt":"2026-06-29T07:26:14","slug":"yobou-yoyaku","status":"publish","type":"page","link":"https:\/\/kanagawa.saiseikai.or.jp\/kenshin\/yobou-yoyaku\/","title":{"rendered":"\u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u3053\u3061\u3089\u306f\u5065\u5eb7\u8a3a\u65ad\u30fb\u4eba\u9593\u30c9\u30c3\u30af\u306e\u4e88\u7d04\u30d5\u30a9\u30fc\u30e0\u3067\u3059\u3002<br>\u7279\u5b9a\u4fdd\u5065\u6307\u5c0e\u306e\u3054\u4e88\u7d04\u3092\u3054\u5e0c\u671b\u306e\u65b9\u306f<a href=\"\/kenshin\/tokuteihoken-yoyaku\/\">\u7279\u5b9a\u4fdd\u5065\u6307\u5c0e\u5c02\u7528 \u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b<\/a>\u3088\u308a\u3054\u4e88\u7d04\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30c9\u30c3\u30af\u53c8\u306f\u5065\u8a3a\u306e\u5e0c\u671b\u30b3\u30fc\u30b9\u3092\u304a\u9078\u3073\u3044\u305f\u3060\u304d\u3001\u5fc5\u8981\u4e8b\u9805\u3092\u3054\u5165\u529b\u306e\u3046\u3048\u300c\u9001\u4fe1\u300d\u30dc\u30bf\u30f3\u3092\u62bc\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br>\u3054\u5e0c\u671b\u306e\u5185\u5bb9\u3092\u78ba\u8a8d\u3057\u3001\u30e1\u30fc\u30eb\u53c8\u306f\u304a\u96fb\u8a71\u306b\u3066\u4e88\u7d04\u65e5\u6642\u306e\u3054\u9023\u7d61\u3092\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<br>\u4e88\u7d04\u5185\u5bb9\u306b\u3088\u3063\u3066\u306f\u3054\u5e0c\u671b\u306b\u6dfb\u3048\u306a\u3044\u5834\u5408\u304c\u3054\u3056\u3044\u307e\u3059\u306e\u3067\u3001\u4e88\u3081\u3054\u4e86\u627f\u304f\u3060\u3055\u3044\u3002<br>\u5c1a\u3001\u571f\u66dc\u65e5\u3001\u65e5\u66dc\u65e5\u3001\u4f11\u65e5\u306e\u304a\u554f\u3044\u5408\u308f\u305b\u306b\u3064\u304d\u307e\u3057\u3066\u306f\u3001\u7fcc\u55b6\u696d\u65e5\u4ee5\u964d\u3067\u306e\u5bfe\u5fdc\u3068\u306a\u308a\u307e\u3059\u306e\u3067\u3054\u627f\u77e5\u304a\u304d\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading is-style-headline02\"><strong>\u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b\u30d5\u30a9\u30fc\u30e0<\/strong><\/h2>\n\n\n\n<script type=\"text\/javascript\" charset=\"UTF-8\" src=\"https:\/\/zipaddr.github.io\/zipaddrx.js?v=1.43\"><\/script><script defer src=\"data:text\/javascript;base64,ZnVuY3Rpb24gemlwYWRkcl9vd25iKCl7WlAuZGxpPSctJztaUC53cD0nMSc7WlAudXZlcj0nOTMxMDAuMTI3ODInO1pQLnN5c2lkPSdTbm93TW9ua2V5Rm9ybSc7fQ==\"><\/script><script type=\"text\/javascript\" charset=\"UTF-8\" src=\"https:\/\/zipaddr.github.io\/snowmonkeyform.js\"><\/script><form class=\"snow-monkey-form\" id=\"snow-monkey-form-88\" method=\"post\" action=\"\"  enctype=\"multipart\/form-data\" data-screen=\"loading\">\n\t<div class=\"smf-focus-point\" aria-hidden=\"true\"><\/div>\n\t\n\t\t\t<ol class=\"smf-progress-tracker\" aria-label=\"\u30d7\u30ed\u30b0\u30ec\u30b9\u30c8\u30e9\u30c3\u30ab\u30fc\">\n\t\t\t<li class=\"smf-progress-tracker__item smf-progress-tracker__item--input\" aria-current=\"false\">\n\t\t\t\t<div class=\"smf-progress-tracker__item__number\">\n\t\t\t\t\t1\t\t\t\t<\/div>\n\t\t\t\t<div class=\"smf-progress-tracker__item__text\">\n\t\t\t\t\t\u5165\u529b\u753b\u9762\t\t\t\t\t<span class=\"screen-reader-text\" aria-hidden=\"true\">\u73fe\u5728\u8868\u793a\u3055\u308c\u3066\u3044\u308b\u753b\u9762\u3067\u3059\u3002<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/li>\n\n\t\t\t\t\t\t\t<li class=\"smf-progress-tracker__item smf-progress-tracker__item--confirm\" aria-current=\"false\">\n\t\t\t\t\t<div class=\"smf-progress-tracker__item__number\">\n\t\t\t\t\t\t2\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"smf-progress-tracker__item__text\">\n\t\t\t\t\t\t\u78ba\u8a8d\u753b\u9762\t\t\t\t\t\t<span class=\"screen-reader-text\" aria-hidden=\"true\">\u73fe\u5728\u8868\u793a\u3055\u308c\u3066\u3044\u308b\u753b\u9762\u3067\u3059\u3002<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/li>\n\t\t\t\n\t\t\t<li class=\"smf-progress-tracker__item smf-progress-tracker__item--complete\" aria-current=\"false\">\n\t\t\t\t<div class=\"smf-progress-tracker__item__number\">\n\t\t\t\t\t\t\t\t\t\t\t3\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"smf-progress-tracker__item__text\">\n\t\t\t\t\t\u5b8c\u4e86\u753b\u9762\t\t\t\t\t<span class=\"screen-reader-text\" aria-hidden=\"true\">\u73fe\u5728\u8868\u793a\u3055\u308c\u3066\u3044\u308b\u753b\u9762\u3067\u3059\u3002<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t<\/ol>\n\t\n\t\n<div class=\"smf-form smf-form--business\">\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u3054\u5e0c\u671b\u306e\u30b3\u30fc\u30b9<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"course-type\"><div class=\"smf-radio-buttons-control\">\n\t\t\t\t\t<div class=\"smf-radio-buttons-control__control\" role=\"radiogroup\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"course-type\" value=\"\u4eba\u9593\u30c9\u30c3\u30af\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u4eba\u9593\u30c9\u30c3\u30af<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"course-type\" value=\"\u5065\u5eb7\u8a3a\u65ad\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u5065\u5eb7\u8a3a\u65ad<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"course-type\" value=\"\u6a2a\u6d5c\u5e02\u304c\u3093\u691c\u8a3a\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u6a2a\u6d5c\u5e02\u304c\u3093\u691c\u8a3a<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"course-type\" value=\"\u305d\u306e\u4ed6\u304a\u554f\u3044\u5408\u308f\u305b\uff08\u5065\u8a3a\u30fb\u30a2\u30f3\u30b1\u30fc\u30c8\u30fb\u533b\u7642\u6a5f\u95a2\u53d7\u8a3a\u306a\u3069\uff09\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u305d\u306e\u4ed6\u304a\u554f\u3044\u5408\u308f\u305b\uff08\u5065\u8a3a\u30fb\u30a2\u30f3\u30b1\u30fc\u30c8\u30fb\u533b\u7642\u6a5f\u95a2\u53d7\u8a3a\u306a\u3069\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-ningen-dock\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u4eba\u9593\u30c9\u30c3\u30af\u306e\u7a2e\u985e<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"ningen-dock-type\"><div class=\"smf-radio-buttons-control\">\n\t\t\t\t\t<div class=\"smf-radio-buttons-control__control\" role=\"radiogroup\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"ningen-dock-type\" value=\"\u4eba\u9593\u30c9\u30c3\u30af\uff08\u80c3\u30ab\u30e1\u30e9\uff09\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u4eba\u9593\u30c9\u30c3\u30af\uff08\u80c3\u30ab\u30e1\u30e9\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"ningen-dock-type\" value=\"\u4eba\u9593\u30c9\u30c3\u30af\uff08\u30d0\u30ea\u30a6\u30e0\uff09\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u4eba\u9593\u30c9\u30c3\u30af\uff08\u30d0\u30ea\u30a6\u30e0\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"ningen-dock-type\" value=\"\u304c\u3093\u30c9\u30c3\u30af\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u304c\u3093\u30c9\u30c3\u30af<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"ningen-dock-type\" value=\"\u8133\u30c9\u30c3\u30af\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u8133\u30c9\u30c3\u30af<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"ningen-dock-type\" value=\"\u8a8d\u77e5\u75c7\u8133\u30c9\u30c3\u30af\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u8a8d\u77e5\u75c7\u8133\u30c9\u30c3\u30af<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-kenshin\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u5065\u5eb7\u8a3a\u65ad\u306e\u7a2e\u985e<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"kenshin-type\"><div class=\"smf-radio-buttons-control\">\n\t\t\t\t\t<div class=\"smf-radio-buttons-control__control\" role=\"radiogroup\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"kenshin-type\" value=\"\u4e00\u822c\u5065\u8a3a\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u4e00\u822c\u5065\u8a3a<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"kenshin-type\" value=\"\u751f\u6d3b\u7fd2\u6163\u75c5\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u751f\u6d3b\u7fd2\u6163\u75c5<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"kenshin-type\" value=\"\u5b9a\u671f\u5065\u8a3a\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u5b9a\u671f\u5065\u8a3a<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"kenshin-type\" value=\"\u6a2a\u6d5c\u5e02\u7279\u5b9a\u5065\u8a3a\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u6a2a\u6d5c\u5e02\u7279\u5b9a\u5065\u8a3a<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"kenshin-type\" value=\"\u6a2a\u6d5c\u5e02\u7279\u5b9a\u5065\u8a3a\uff0875\u6b73\u4ee5\u4e0a\uff09\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u6a2a\u6d5c\u5e02\u7279\u5b9a\u5065\u8a3a\uff0875\u6b73\u4ee5\u4e0a\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-gan-kenshin\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u6a2a\u6d5c\u5e02\u304c\u3093\u691c\u8a3a\u306e\u7a2e\u985e<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"gan-kenshin-type\"><div class=\"smf-checkboxes-control\">\n\t\t\t\t\t<div class=\"smf-checkboxes-control__control\"  role=\"group\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"gan-kenshin-type[]\" value=\"\u80c3\u304c\u3093\u5065\u8a3a\uff08\u80c3\u5185\u8996\u93e1\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u80c3\u304c\u3093\u5065\u8a3a\uff08\u80c3\u5185\u8996\u93e1\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"gan-kenshin-type[]\" value=\"\u80c3\u304c\u3093\u5065\u8a3a\uff08\u30d0\u30ea\u30a6\u30e0\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u80c3\u304c\u3093\u5065\u8a3a\uff08\u30d0\u30ea\u30a6\u30e0\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"gan-kenshin-type[]\" value=\"\u5927\u8178\u304c\u3093\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u5927\u8178\u304c\u3093<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"gan-kenshin-type[]\" value=\"\u80ba\u304c\u3093\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u80ba\u304c\u3093<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"gan-kenshin-type[]\" value=\"\u4e73\u304c\u3093\uff08\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u4e73\u304c\u3093\uff08\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"gan-kenshin-type[]\" value=\"\u524d\u7acb\u817a\u304c\u3093\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u524d\u7acb\u817a\u304c\u3093<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"gan-kenshin-type[]\" value=\"\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u691c\u67fb\uff08\u5e02\u306e\u88dc\u52a9\u306f1\u4eba1\u56de\u9650\u308a\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u691c\u67fb\uff08\u5e02\u306e\u88dc\u52a9\u306f1\u4eba1\u56de\u9650\u308a\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u30aa\u30d7\u30b7\u30e7\u30f3\u306e\u6709\u7121<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"option-preference\"><div class=\"smf-radio-buttons-control\">\n\t\t\t\t\t<div class=\"smf-radio-buttons-control__control\" role=\"radiogroup\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"option-preference\" value=\"\u5e0c\u671b\u3059\u308b\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u5e0c\u671b\u3059\u308b<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"option-preference\" value=\"\u5e0c\u671b\u3057\u306a\u3044\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u5e0c\u671b\u3057\u306a\u3044<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-option\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u30aa\u30d7\u30b7\u30e7\u30f3\u9805\u76ee<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"option-items\"><div class=\"smf-checkboxes-control\">\n\t\t\t\t\t<div class=\"smf-checkboxes-control__control\"  role=\"group\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"1.PSA\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">1.PSA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"2.\u816b\u760d\u30de\u30fc\u30ab\u30fc\uff08\u7537\u6027\u5411\u3051\u30bb\u30c3\u30c8 6\u9805\u76ee\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">2.\u816b\u760d\u30de\u30fc\u30ab\u30fc\uff08\u7537\u6027\u5411\u3051\u30bb\u30c3\u30c8 6\u9805\u76ee\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"3.\u816b\u760d\u30de\u30fc\u30ab\u30fc\uff08\u5973\u6027\u5411\u3051\u30bb\u30c3\u30c88\u9805\u76ee\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">3.\u816b\u760d\u30de\u30fc\u30ab\u30fc\uff08\u5973\u6027\u5411\u3051\u30bb\u30c3\u30c88\u9805\u76ee\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"4.\u3059\u3044\u81d3\u304c\u3093\u30bb\u30c3\u30c8\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">4.\u3059\u3044\u81d3\u304c\u3093\u30bb\u30c3\u30c8<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"5.MCI\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u691c\u67fb\u30d7\u30e9\u30b9\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">5.MCI\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u691c\u67fb\u30d7\u30e9\u30b9<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"6.\u3042\u305f\u307e\u306e\u5065\u5eb7\u30c1\u30a7\u30c3\u30af\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">6.\u3042\u305f\u307e\u306e\u5065\u5eb7\u30c1\u30a7\u30c3\u30af<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"7.\u30c7\u30b8\u30bf\u30eb\u30c4\u30fc\u30eb\u300c\u306e\u3046KNOW\u300d\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">7.\u30c7\u30b8\u30bf\u30eb\u30c4\u30fc\u30eb\u300c\u306e\u3046KNOW\u300d<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"8.\u9838\u52d5\u8108\u8d85\u97f3\u6ce2\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">8.\u9838\u52d5\u8108\u8d85\u97f3\u6ce2<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"9.ABI\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">9.ABI<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"10.Lox-index\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">10.Lox-index<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"11.\u8d85\u60aa\u7389\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">11.\u8d85\u60aa\u7389\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"12.\u7532\u72b6\u817a\u30bb\u30c3\u30c8\uff08\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3+\u7532\u72b6\u817a\u30a8\u30b3\u30fc\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">12.\u7532\u72b6\u817a\u30bb\u30c3\u30c8\uff08\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3+\u7532\u72b6\u817a\u30a8\u30b3\u30fc\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"13.\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">13.\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"14.\u4e73\u623f\u8d85\u97f3\u6ce2\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">14.\u4e73\u623f\u8d85\u97f3\u6ce2<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"15.\u5b50\u5bae\u9838\u304c\u3093\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">15.\u5b50\u5bae\u9838\u304c\u3093<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"16.\u66f4\u5e74\u671f\u30bb\u30c3\u30c8\uff08\u5375\u5de3\u6a5f\u80fd\u691c\u67fb\u30fb\u9aa8\u5bc6\u5ea6\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">16.\u66f4\u5e74\u671f\u30bb\u30c3\u30c8\uff08\u5375\u5de3\u6a5f\u80fd\u691c\u67fb\u30fb\u9aa8\u5bc6\u5ea6\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"17.\u30a2\u30df\u30ce\u30a4\u30f3\u30c7\u30c3\u30af\u30b9\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">17.\u30a2\u30df\u30ce\u30a4\u30f3\u30c7\u30c3\u30af\u30b9<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"18.ProtoKey-CRC\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">18.ProtoKey-CRC<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"19.\u80c3\u306eABC\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">19.\u80c3\u306eABC<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"20.\u982d\u90e8MRI\u30fbMRA\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">20.\u982d\u90e8MRI\u30fbMRA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"21.\u80f8\u90e8CT\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">21.\u80f8\u90e8CT<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"22.\u9aa8\u5bc6\u5ea6\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">22.\u9aa8\u5bc6\u5ea6<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"23.\u5185\u8996\u93e1\u93ae\u9759\u5264\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">23.\u5185\u8996\u93e1\u93ae\u9759\u5264<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"24.\u5927\u8178\u5185\u8996\u93e1\u691c\u67fb\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">24.\u5927\u8178\u5185\u8996\u93e1\u691c\u67fb<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"25.\u514d\u75ab\u4fbf\u6f5c\u8840\uff082\u65e5\u6cd5\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">25.\u514d\u75ab\u4fbf\u6f5c\u8840\uff082\u65e5\u6cd5\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"26.InBody+(InBody+\u30a2\u30c7\u30dd\u30cd\u30af\u30c1\u30f3\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">26.InBody+(InBody+\u30a2\u30c7\u30dd\u30cd\u30af\u30c1\u30f3\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"27.\u30de\u30a4\u30ca\u30a4\u30c1\u30f3\u30b2\u30fc\u30eb\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">27.\u30de\u30a4\u30ca\u30a4\u30c1\u30f3\u30b2\u30fc\u30eb<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"28.\u6b6f\u5468\u75c5\u5224\u5b9a\u30bb\u30c3\u30c8\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">28.\u6b6f\u5468\u75c5\u5224\u5b9a\u30bb\u30c3\u30c8<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"29.\u8178\u5185\u30d5\u30ed\u30fc\u30e9\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">29.\u8178\u5185\u30d5\u30ed\u30fc\u30e9<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"30.OCT\u691c\u67fb\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">30.OCT\u691c\u67fb<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"31.HBS\u6297\u539f\uff08CLEIA\u6cd5\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">31.HBS\u6297\u539f\uff08CLEIA\u6cd5\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"32.HBS\u6297\u4f53\uff08CLEIA\u6cd5\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">32.HBS\u6297\u4f53\uff08CLEIA\u6cd5\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"33.HCV\u6297\u4f53\uff08CLEIA\u6cd5\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">33.HCV\u6297\u4f53\uff08CLEIA\u6cd5\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"34.\u9ebb\u75b9\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">34.\u9ebb\u75b9<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"35.\u98a8\u75b9\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">35.\u98a8\u75b9<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"36.\u8033\u4e0b\u817a\u708e\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">36.\u8033\u4e0b\u817a\u708e<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"37.\u6c34\u75d8\u30fb\u30d8\u30eb\u30da\u30b9\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">37.\u6c34\u75d8\u30fb\u30d8\u30eb\u30da\u30b9<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"38.HbA1c\uff08NGSP\u5024\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">38.HbA1c\uff08NGSP\u5024\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"39.\u8840\u6db2\u578b\uff08ABO\u5f0f\u3000Rh\u5f0f\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">39.\u8840\u6db2\u578b\uff08ABO\u5f0f\u3000Rh\u5f0f\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"40.\u30ea\u30a6\u30de\u30c1\u56e0\u5b50\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">40.\u30ea\u30a6\u30de\u30c1\u56e0\u5b50<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"41.\u30a2\u30ec\u30eb\u30ae\u30fc\u691c\u67fb\uff0839\u7a2e\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">41.\u30a2\u30ec\u30eb\u30ae\u30fc\u691c\u67fb\uff0839\u7a2e\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"42.\u5c3f\u691c\u67fb\uff08\u9ebb\u85ac\u30fb\u5927\u9ebb\u30fb\u30a2\u30d8\u30f3\u4e2d\u6bd2\u3067\u306f\u306a\u3044\u3053\u3068\u306e\u691c\u67fb\uff09\u3068\u8a3a\u65ad\u66f8\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">42.\u5c3f\u691c\u67fb\uff08\u9ebb\u85ac\u30fb\u5927\u9ebb\u30fb\u30a2\u30d8\u30f3\u4e2d\u6bd2\u3067\u306f\u306a\u3044\u3053\u3068\u306e\u691c\u67fb\uff09\u3068\u8a3a\u65ad\u66f8<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"43.\u5c3f\u691c\u67fb\uff08\u9ebb\u85ac\u30fb\u5927\u9ebb\u30fb\u30a2\u30d8\u30f3\u4e2d\u6bd2\u3067\u306f\u306a\u3044\u3053\u3068\u306e\u691c\u67fb\uff09\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">43.\u5c3f\u691c\u67fb\uff08\u9ebb\u85ac\u30fb\u5927\u9ebb\u30fb\u30a2\u30d8\u30f3\u4e2d\u6bd2\u3067\u306f\u306a\u3044\u3053\u3068\u306e\u691c\u67fb\uff09<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"44.\u6587\u66f8\u4f5c\u6210\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">44.\u6587\u66f8\u4f5c\u6210<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-items[]\" value=\"45.\u753b\u50cfCD\u4f5c\u6210\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">45.\u753b\u50cfCD\u4f5c\u6210<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-option-notice-mammo\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">13.\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc \u6ce8\u610f\u4e8b\u9805\u306e\u78ba\u8a8d<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<ul class=\"wp-block-list is-style-list01 mb10 mt0\">\n<li>\u751f\u7406\u524d\u5f8c1\u9031\u9593\u306f\u75db\u307f\u3092\u4f34\u3044\u3001\u6240\u898b\u304c\u8a8d\u3081\u306b\u304f\u304f\u306a\u308b\u53ef\u80fd\u6027\u304c\u3054\u3056\u3044\u307e\u3059\u305f\u3081\u907f\u3051\u3066\u3044\u305f\u3060\u3044\u3066\u304a\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li>\u598a\u5a20\u4e2d\u3082\u3057\u304f\u306f\u598a\u5a20\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u65b9\u3001\u6388\u4e73\u4e2d\u3001\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u30fc\u30fb\u30b7\u30e3\u30f3\u30c8\u30c1\u30e5\u30fc\u30d6\u30fb\u30dd\u30fc\u30c8\u304c\u80f8\u90e8\u306b\u3042\u308b\u65b9\u3001\u8c4a\u80f8\u624b\u8853\u3092\u53d7\u3051\u305f\u65b9\u306f\u691c\u67fb\u3092\u304a\u53d7\u3051\u3044\u305f\u3060\u3051\u307e\u305b\u3093\u3002<\/li>\n\n\n\n<li>\u4e73\u623f\u306e\u624b\u8853\u6b74\u304c\u3042\u308b\u65b9\u3001\u8eca\u6905\u5b50\u3001\u4f53\u306b\u9ebb\u75fa\u304c\u3042\u308b\u65b9\u306f\u305d\u306e\u4ed6\u304a\u554f\u3044\u5408\u308f\u305b\u5185\u5bb9\u306b\u3054\u8a18\u5165\u304f\u3060\u3055\u3044\u3002<\/li>\n<\/ul>\n\n\n\n<div class=\"smf-placeholder\" data-name=\"option-confirm-mammography\"><div class=\"smf-checkboxes-control\">\n\t\t\t\t\t<div class=\"smf-checkboxes-control__control\"  role=\"group\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-confirm-mammography[]\" value=\"\u6ce8\u610f\u4e8b\u9805\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u6ce8\u610f\u4e8b\u9805\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-option-notice-cervical\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">15.\u5b50\u5bae\u9838\u304c\u3093 \u6ce8\u610f\u4e8b\u9805\u306e\u78ba\u8a8d<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<ul class=\"wp-block-list is-style-list01 mb10 mt0\">\n<li>\u5f53\u9662\u3088\u308a\u5f92\u6b69\uff15\u5206\u306e\u795e\u5948\u5ddd\u30a6\u30a4\u30e1\u30f3\u30ba\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306e\u3054\u53d7\u8a3a\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li>\u4eba\u9593\u30c9\u30c3\u30af\u3092\u3054\u53d7\u8a3a\u306e\u65b9\u30fb\u5185\u8996\u93e1\u93ae\u9759\u5264\u4f7f\u7528\u306e\u65b9\u306f\u300114\uff1a30\uff5e<\/li>\n\n\n\n<li>\u305d\u306e\u4ed6\u306e\u5065\u8a3a\u306e\u65b9\u306f\u300111\uff1a30\uff5e<\/li>\n\n\n\n<li>\u5f53\u9662\u306b\u306f\u623b\u3089\u305a\u305d\u306e\u307e\u307e\u3054\u5e30\u5b85\u3044\u305f\u3060\u3051\u307e\u3059\u3002<\/li>\n\n\n\n<li>\u751f\u7406\u4e2d\u30fb\u598a\u5a20\u4e2d\u306e\u5834\u5408\u306f\u3054\u53d7\u8a3a\u3044\u305f\u3060\u3051\u307e\u305b\u3093\u3002<\/li>\n<\/ul>\n\n\n\n<div class=\"smf-placeholder\" data-name=\"option-confirm-cervical\"><div class=\"smf-checkboxes-control\">\n\t\t\t\t\t<div class=\"smf-checkboxes-control__control\"  role=\"group\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-confirm-cervical[]\" value=\"\u6ce8\u610f\u4e8b\u9805\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u6ce8\u610f\u4e8b\u9805\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-option-notice-mri\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">20.\u982d\u90e8MRI\u30fbMRA \u6ce8\u610f\u4e8b\u9805\u306e\u78ba\u8a8d<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<ul class=\"wp-block-list is-style-list01 mb10 mt0\">\n<li>\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u30fc\u3001\u4eba\u5de5\u5185\u8033\u3001\u907f\u598a\u30ea\u30f3\u30b0\u304c\u3042\u308b\u5834\u5408\u3084\u598a\u5a20\u4e2d\u306f\u691c\u67fb\u3092\u304a\u53d7\u3051\u3044\u305f\u3060\u3051\u307e\u305b\u3093\u3002<\/li>\n\n\n\n<li>\u9589\u6240\u6050\u6016\u75c7\u308430\u5206\u5f31\u306e\u4ef0\u5411\u3051\u304c\u96e3\u3057\u3044\u5834\u5408\u306f\u3001\u305d\u306e\u4ed6\u304a\u554f\u3044\u5408\u308f\u305b\u5185\u5bb9\u306b\u8a18\u8f09\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/li>\n\n\n\n<li>\u30cd\u30a4\u30eb\u306f\u9664\u53bb\u3057\u3066\u304b\u3089\u306e\u3054\u6765\u9662\u3092\u304a\u9858\u3044\u3057\u307e\u3059\u3002\u30cd\u30a4\u30eb\uff08\u624b\u8db3\uff09\u3092\u3057\u3066\u3044\u308b\u5834\u5408\u306f\u3001MRI\u691c\u67fb\u306f\u5b9f\u65bd\u3067\u304d\u307e\u305b\u3093\u3002<\/li>\n<\/ul>\n\n\n\n<div class=\"smf-placeholder\" data-name=\"option-confirm-head-mri\"><div class=\"smf-checkboxes-control\">\n\t\t\t\t\t<div class=\"smf-checkboxes-control__control\"  role=\"group\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"option-confirm-head-mri[]\" value=\"\u6ce8\u610f\u4e8b\u9805\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u6ce8\u610f\u4e8b\u9805\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u3054\u5e0c\u671b\u306e\u65e5\u306b\u3061<br>\uff08\u7b2c\u4e00\u5e0c\u671b\uff09<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"preferred-date-1\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"date\" pattern=\"\\d{4}-\\d{2}-\\d{2}\" name=\"preferred-date-1\" value=\"\" min=\"2026-07-14\" class=\"smf-text-control__control\" data-validations=\"date required\" data-required-default=\"1\" data-booking-date=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u3054\u5e0c\u671b\u306e\u65e5\u306b\u3061<br>\uff08\u7b2c\u4e8c\u5e0c\u671b\uff09<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"preferred-date-2\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"date\" pattern=\"\\d{4}-\\d{2}-\\d{2}\" name=\"preferred-date-2\" value=\"\" min=\"2026-07-14\" class=\"smf-text-control__control\" data-validations=\"date required\" data-required-default=\"1\" data-booking-date=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u3054\u5e0c\u671b\u306e\u65e5\u306b\u3061<br>\uff08\u7b2c\u4e09\u5e0c\u671b\uff09<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"preferred-date-3\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"date\" pattern=\"\\d{4}-\\d{2}-\\d{2}\" name=\"preferred-date-3\" value=\"\" min=\"2026-07-14\" class=\"smf-text-control__control\" data-validations=\"date\" data-booking-date=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u5065\u5eb7\u4fdd\u967a\u7d44\u5408\u306e\u52a9\u6210\u306f<br>\u3042\u308a\u307e\u3059\u304b\uff1f<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"insurance-subsidy\"><div class=\"smf-radio-buttons-control\">\n\t\t\t\t\t<div class=\"smf-radio-buttons-control__control\" role=\"radiogroup\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"insurance-subsidy\" value=\"\u52a9\u6210\u3042\u308a\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u52a9\u6210\u3042\u308a<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"insurance-subsidy\" value=\"\u52a9\u6210\u306a\u3057\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u52a9\u6210\u306a\u3057<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-insurance\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u7d44\u5408\u540d<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"insurance-name\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"text\" name=\"insurance-name\" value=\"\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-insurance\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u533a\u5206<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"insurance-category\"><div class=\"smf-radio-buttons-control\">\n\t\t\t\t\t<div class=\"smf-radio-buttons-control__control\" role=\"radiogroup\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"insurance-category\" value=\"\u672c\u4eba\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u672c\u4eba<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"insurance-category\" value=\"\u914d\u5076\u8005\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u914d\u5076\u8005<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"insurance-category\" value=\"\u5bb6\u65cf\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u5bb6\u65cf<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-insurance\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u4fdd\u967a\u8005\u756a\u53f7<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"insurance-number\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"text\" name=\"insurance-number\" value=\"\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-insurance\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u4fdd\u967a\u8a3c\u8a18\u53f7<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"insurance-symbol\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"text\" name=\"insurance-symbol\" value=\"\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item conditional-insurance\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u4fdd\u967a\u8a3c\u756a\u53f7<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"insurance-id\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"text\" name=\"insurance-id\" value=\"\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u304a\u540d\u524d<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"fullname\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"text\" name=\"fullname\" value=\"\" placeholder=\"\u5c71\u7530 \u82b1\u5b50\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u30d5\u30ea\u30ac\u30ca<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"furigana\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"text\" name=\"furigana\" value=\"\" placeholder=\"\u30e4\u30de\u30c0 \u30cf\u30ca\u30b3\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u6027\u5225<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"gender\"><div class=\"smf-radio-buttons-control\">\n\t\t\t\t\t<div class=\"smf-radio-buttons-control__control\" role=\"radiogroup\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"gender\" value=\"\u7537\u6027\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u7537\u6027<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-radio-button-control\">\n\t\t\t\t\t\t<input type=\"radio\" name=\"gender\" value=\"\u5973\u6027\" class=\"smf-radio-button-control__control\">\n\t\t\t\t\t\t<span class=\"smf-radio-button-control__label\">\u5973\u6027<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u751f\u5e74\u6708\u65e5<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"birthday\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"date\" pattern=\"\\d{4}-\\d{2}-\\d{2}\" name=\"birthday\" value=\"\" class=\"smf-text-control__control\" data-validations=\"date required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u90f5\u4fbf\u756a\u53f7<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"zip\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"text\" name=\"zip\" value=\"\" placeholder=\"123-4567\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u4f4f\u6240<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"addr\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"text\" name=\"addr\" value=\"\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u96fb\u8a71\u756a\u53f7<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"phone-number\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"tel\" name=\"phone-number\" value=\"\" placeholder=\"000-0000-0000\" autocomplete=\"tel-national\" class=\"smf-text-control__control\" data-validations=\"required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"email\"><div class=\"smf-text-control\">\n\t\t\t\t<input type=\"email\" autocomplete=\"email\" name=\"email\" value=\"\" placeholder=\"example@kanagawa.saiseikai.or.jp\" class=\"smf-text-control__control\" data-validations=\"email required\" data-required-default=\"1\">\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u304a\u96fb\u8a71\u304c\u3064\u306a\u304c\u308a\u3084\u3059\u3044<br>\u6642\u9593\u5e2f<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"preferred-call-time\"><div class=\"smf-checkboxes-control\">\n\t\t\t\t\t<div class=\"smf-checkboxes-control__control\"  role=\"group\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"preferred-call-time[]\" value=\"\u5348\u524d9\u6642\u301c12\u6642\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u5348\u524d9\u6642\u301c12\u6642<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"preferred-call-time[]\" value=\"12\u6642\u301c13\u6642\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">12\u6642\u301c13\u6642<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"preferred-call-time[]\" value=\"13\u6642\u301c17\u6642\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">13\u6642\u301c17\u6642<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"preferred-call-time[]\" value=\"\u7279\u306b\u306a\u3057\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span class=\"smf-checkbox-control__label\">\u7279\u306b\u306a\u3057<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-snow-monkey-forms-item smf-item\"><div class=\"smf-item__col smf-item__col--label\"><div class=\"smf-item__label\"><span class=\"smf-item__label__text\">\u305d\u306e\u4ed6\u554f\u3044\u5408\u308f\u305b\u5185\u5bb9<\/span><\/div><\/div><div class=\"smf-item__col smf-item__col--controls\"><div class=\"smf-item__controls\">\n<div class=\"smf-placeholder\" data-name=\"message\"><div class=\"smf-textarea-control\">\n\t\t\t\t<textarea name=\"message\" rows=\"5\" class=\"smf-textarea-control__control\"><\/textarea>\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center mt30 mb10 wp-block-paragraph\"><a href=\"\/kenshin\/privacy\/\" data-type=\"page\" data-id=\"93\" target=\"_blank\" rel=\"noreferrer noopener\">\u500b\u4eba\u60c5\u5831\u4fdd\u8b77\u65b9\u91dd<\/a> \u3092\u898b\u308b<\/p>\n\n\n\n<div class=\"wp-block-group text-center\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"smf-placeholder\" data-name=\"terms-agree\"><div class=\"smf-checkboxes-control\">\n\t\t\t\t\t<div class=\"smf-checkboxes-control__control\"  role=\"group\" data-validations=\"required\" data-required-default=\"1\"><div class=\"smf-label\">\n\t\t\t\t<label>\n\t\t\t\t\t<span class=\"smf-checkbox-control\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"terms-agree[]\" value=\"\u500b\u4eba\u60c5\u5831\u4fdd\u8b77\u65b9\u91dd\u306b\u540c\u610f\u3059\u308b\" class=\"smf-checkbox-control__control\">\n\t\t\t\t\t\t<span 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value=\"f00d3fb2d5242ec9a3b979aed66e5d6d\">\t<\/form>\n","protected":false},"excerpt":{"rendered":"<p>\u3053\u3061\u3089\u306f\u5065\u5eb7\u8a3a\u65ad\u30fb\u4eba\u9593\u30c9\u30c3\u30af\u306e\u4e88\u7d04\u30d5\u30a9\u30fc\u30e0\u3067\u3059\u3002\u7279\u5b9a\u4fdd\u5065\u6307\u5c0e\u306e\u3054\u4e88\u7d04\u3092\u3054\u5e0c\u671b\u306e\u65b9\u306f\u7279\u5b9a\u4fdd\u5065\u6307\u5c0e\u5c02\u7528 \u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b\u3088\u308a\u3054\u4e88\u7d04\u304f\u3060\u3055\u3044\u3002 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