diff --git a/modules/turnero/views/recepcion.php b/modules/turnero/views/recepcion.php
index 3dfb68f..6267e99 100644
--- a/modules/turnero/views/recepcion.php
+++ b/modules/turnero/views/recepcion.php
@@ -30,7 +30,13 @@ try {
     $lugarMuestras = $lugaresDestino[0] ?? null;
 
     $examenes = $pdo->query(
-        "SELECT id, codigo, nombre, categoria FROM exam_tipos WHERE activo = 1 ORDER BY categoria, nombre"
+        "SELECT et.id, et.codigo, et.nombre, et.categoria,
+                IF(COUNT(etc.formulario_id) > 0, 1, 0) AS tiene_consentimiento
+           FROM exam_tipos et
+           LEFT JOIN exam_tipo_consentimientos etc ON etc.exam_tipo_id = et.id
+          WHERE et.activo = 1
+          GROUP BY et.id
+          ORDER BY et.categoria, et.nombre"
     )->fetchAll(PDO::FETCH_ASSOC);
 
     // Agrupar exámenes por categoría
@@ -79,6 +85,8 @@ $adminNombre = $_SESSION['admin_user']['full_name'] ?? $_SESSION['admin_user']['
     <link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.0/dist/css/bootstrap.min.css" rel="stylesheet">
     <link href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.4.0/css/all.min.css" rel="stylesheet">
     <link href="<?= BASE_URL ?>assets/css/styles.css?v=12" rel="stylesheet">
+    <link href="https://cdn.jsdelivr.net/npm/tom-select@2.4.3/dist/css/tom-select.bootstrap5.min.css" rel="stylesheet">
+    <script src="https://cdn.jsdelivr.net/npm/tom-select@2.4.3/dist/js/tom-select.complete.min.js"></script>
     <style>
         /* ── Layout de dos columnas ── */
         .rec-layout {
@@ -172,16 +180,22 @@ $adminNombre = $_SESSION['admin_user']['full_name'] ?? $_SESSION['admin_user']['
             display: flex; align-items: center; justify-content: space-between;
         }
 
-        /* ── Checkboxes de exámenes ── */
-        .exam-group-title { font-size: .75rem; color: #94a3b8;
-            text-transform: uppercase; letter-spacing: .08em; margin: .6rem 0 .3rem; }
-        .exam-cat-label { display: flex; align-items: center; gap: .35rem; cursor: pointer; }
-        .exam-cat-label input[type=checkbox] { cursor: pointer; }
-        .exam-check-item { display: flex; align-items: center; gap: .5rem;
-            padding: .3rem .4rem; border-radius: 6px; cursor: pointer;
-            transition: background .1s; font-size: .88rem; }
-        .exam-check-item:hover { background: #f1f5f9; }
-        .exam-check-item input[type=checkbox] { cursor: pointer; }
+        /* ── Tom Select — exámenes ── */
+        #wrap-examenes .ts-wrapper { font-size: .88rem; }
+        #wrap-examenes .ts-control { min-height: 44px; border-radius: 8px; }
+        #wrap-examenes .ts-dropdown { font-size: .88rem; }
+        #wrap-examenes .ts-dropdown .optgroup-header {
+            font-size: .7rem; font-weight: 700; color: #94a3b8;
+            text-transform: uppercase; letter-spacing: .08em;
+        }
+        .ts-consent-badge {
+            font-size: .65rem; font-weight: 700; border-radius: 4px;
+            padding: 1px 5px; margin-left: 5px;
+            background: #fef3c7; color: #92400e; border: 1px solid #fde68a;
+            white-space: nowrap;
+        }
+        .ts-consent-dot { margin-left: 3px; color: #d97706; font-size: .75rem; }
+        #wrap-examenes.disabled { opacity: .4; pointer-events: none; }
 
         /* ── Consentimientos ── */
         .consent-item {
@@ -322,7 +336,6 @@ $adminNombre = $_SESSION['admin_user']['full_name'] ?? $_SESSION['admin_user']['
         .btn-accion-sec.danger:hover  { background: #fef2f2; }
 
         /* ── Mejoras de touch target (tablet) ── */
-        .exam-check-item { min-height: 40px; }
         .consent-item    { min-height: 46px; }
         .pac-resultado   { min-height: 50px; }
         .cola-card       { min-height: 62px; }
@@ -574,43 +587,23 @@ document.addEventListener('DOMContentLoaded', function() {
                             <i class="fas fa-vial me-1"></i>Solo entrega de muestras
                         </label>
                     </div>
-                    <div class="input-group input-group-sm mb-2">
-                        <span class="input-group-text text-muted" style="background:#f8fafc"><i class="fas fa-search"></i></span>
-                        <input type="text" id="inp-filtrar-exam" class="form-control"
-                               placeholder="Filtrar exámenes…" autocomplete="off"
-                               oninput="filtrarExamenes(this.value)">
-                        <button class="btn btn-outline-secondary" type="button"
-                                onclick="document.getElementById('inp-filtrar-exam').value='';filtrarExamenes('')"
-                                title="Limpiar filtro">
-                            <i class="fas fa-times"></i>
-                        </button>
+                    <div id="wrap-examenes">
+                        <select id="sel-examenes" multiple placeholder="Buscar y seleccionar exámenes…">
+                            <?php foreach ($examenesAgrupados as $cat => $items): ?>
+                            <optgroup label="<?= htmlspecialchars($cat) ?>">
+                                <?php foreach ($items as $ex): ?>
+                                <option value="<?= (int)$ex['id'] ?>"
+                                        data-consent="<?= (int)$ex['tiene_consentimiento'] ?>">
+                                    <?= htmlspecialchars($ex['codigo']) ?> — <?= htmlspecialchars($ex['nombre']) ?>
+                                </option>
+                                <?php endforeach; ?>
+                            </optgroup>
+                            <?php endforeach; ?>
+                        </select>
                     </div>
-                    <div id="lista-examenes">
-                        <?php foreach ($examenesAgrupados as $cat => $items): ?>
-                        <div class="exam-group-title">
-                            <label class="exam-cat-label">
-                                <input type="checkbox" class="exam-cat-chk"
-                                       data-cat="<?= htmlspecialchars($cat) ?>"
-                                       onchange="toggleCategoria(this)">
-                                <?= htmlspecialchars($cat) ?>
-                            </label>
-                        </div>
-                        <?php foreach ($items as $ex): ?>
-                        <label class="exam-check-item">
-                            <input type="checkbox" class="exam-chk"
-                                   value="<?= (int)$ex['id'] ?>"
-                                   data-nombre="<?= htmlspecialchars($ex['nombre']) ?>"
-                                   data-cat="<?= htmlspecialchars($cat) ?>"
-                                   onchange="actualizarCatChk('<?= htmlspecialchars($cat, ENT_QUOTES) ?>')">
-                            <span><strong><?= htmlspecialchars($ex['codigo']) ?></strong>
-                                — <?= htmlspecialchars($ex['nombre']) ?></span>
-                        </label>
-                        <?php endforeach; ?>
-                        <?php endforeach; ?>
-                    </div>
-                    <div class="mt-2 d-flex gap-2 flex-wrap">
-                        <button class="btn btn-outline-secondary btn-sm" onclick="toggleTodosExamenes(false)">
-                            Limpiar
+                    <div class="mt-2">
+                        <button class="btn btn-outline-secondary btn-sm" onclick="examTS && examTS.clear()">
+                            <i class="fas fa-times me-1"></i>Limpiar selección
                         </button>
                     </div>
                 </div>
@@ -905,14 +898,33 @@ const DESK_NOMBRE = '<?= addslashes($deskNombre ?? 'Recepción') ?>';
 // ── Arranque ──────────────────────────────────────────────────
 let pollingConsentimientosId = null;
 
+let examTS;
+
 document.addEventListener('DOMContentLoaded', () => {
+    examTS = new TomSelect('#sel-examenes', {
+        plugins: ['remove_button'],
+        maxOptions: null,
+        render: {
+            option(data, escape) {
+                const consent = data.element?.dataset.consent === '1';
+                return `<div class="d-flex align-items-center justify-content-between">
+                    <span>${escape(data.text)}</span>
+                    ${consent ? '<span class="ts-consent-badge"><i class="fas fa-file-signature me-1"></i>Consentimiento</span>' : ''}
+                </div>`;
+            },
+            item(data, escape) {
+                const consent = data.element?.dataset.consent === '1';
+                return `<div>${escape(data.text)}${consent ? '<span class="ts-consent-dot" title="Requiere consentimiento"> ⚠</span>' : ''}</div>`;
+            }
+        }
+    });
+
     cargarCola();
     pollingColaId = setInterval(cargarCola, 3000);
     document.getElementById('inp-buscar-pac')
         .addEventListener('keydown', e => { if (e.key === 'Enter') buscarPaciente(); });
     document.getElementById('sel-lugar')
         .addEventListener('change', onLugarChange);
-    // Refrescar consentimientos al volver a la pestaña (firma en otra pestaña)
     document.addEventListener('visibilitychange', () => {
         if (!document.hidden && turnoActivo) refrescarConsentimientosLugar();
     });
@@ -1443,7 +1455,7 @@ async function guardarSolicitud() {
             return;
         }
     }
-    const examIds = Array.from(document.querySelectorAll('.exam-chk:checked')).map(c => parseInt(c.value));
+    const examIds = examTS ? examTS.getValue().map(v => parseInt(v)) : [];
     if (!soloMuestras && !examIds.length) { mostrarError('Seleccione al menos un examen.'); return; }
 
     const btn = document.getElementById('btn-guardar');
@@ -1864,16 +1876,15 @@ function escJs(s) { return String(s||'').replace(/\\/g,'\\\\').replace(/'/g,"\\'
 
 function toggleSoloMuestras() {
     const solo = document.getElementById('chk-solo-muestras').checked;
-    document.querySelectorAll('.exam-chk').forEach(c => { c.checked = false; c.disabled = solo; });
-    document.getElementById('lista-examenes').style.opacity = solo ? '0.4' : '';
+    const wrap = document.getElementById('wrap-examenes');
+    if (examTS) { examTS.clear(); solo ? examTS.disable() : examTS.enable(); }
+    wrap.classList.toggle('disabled', solo);
 }
 
 function resetCheckboxes() {
     document.getElementById('chk-solo-muestras').checked = false;
-    document.querySelectorAll('.exam-chk').forEach(c => { c.checked = false; c.disabled = false; });
-    document.getElementById('lista-examenes').style.opacity = '';
-    const fi = document.getElementById('inp-filtrar-exam');
-    if (fi) { fi.value = ''; filtrarExamenes(''); }
+    if (examTS) { examTS.clear(); examTS.enable(); }
+    document.getElementById('wrap-examenes').classList.remove('disabled');
     document.getElementById('sel-pago').value = '';
     document.getElementById('inp-total').value = '';
     document.getElementById('inp-obs').value = '';
@@ -1881,43 +1892,6 @@ function resetCheckboxes() {
     resetMedico();
 }
 
-function filtrarExamenes(q) {
-    const query = q.toLowerCase().trim();
-    document.querySelectorAll('#lista-examenes .exam-check-item').forEach(item => {
-        item.style.display = (!query || item.textContent.toLowerCase().includes(query)) ? '' : 'none';
-    });
-    document.querySelectorAll('#lista-examenes .exam-group-title').forEach(title => {
-        let next = title.nextElementSibling;
-        let anyVisible = false;
-        while (next && !next.classList.contains('exam-group-title')) {
-            if (next.style.display !== 'none') anyVisible = true;
-            next = next.nextElementSibling;
-        }
-        title.style.display = anyVisible ? '' : 'none';
-    });
-}
-function toggleTodosExamenes(val) {
-    document.querySelectorAll('.exam-chk').forEach(c => c.checked = val);
-    document.querySelectorAll('.exam-cat-chk').forEach(c => c.checked = val);
-}
-
-function toggleCategoria(chk) {
-    const cat = chk.dataset.cat;
-    document.querySelectorAll(`.exam-chk[data-cat="${CSS.escape(cat)}"]`).forEach(c => {
-        if (c.closest('.exam-check-item')?.style.display !== 'none') c.checked = chk.checked;
-    });
-}
-
-function actualizarCatChk(cat) {
-    const catChk = document.querySelector(`.exam-cat-chk[data-cat="${CSS.escape(cat)}"]`);
-    if (!catChk) return;
-    const items = Array.from(document.querySelectorAll(`.exam-chk[data-cat="${CSS.escape(cat)}"]`))
-        .filter(c => c.closest('.exam-check-item')?.style.display !== 'none');
-    const checked = items.filter(c => c.checked).length;
-    catChk.checked = checked === items.length && items.length > 0;
-    catChk.indeterminate = checked > 0 && checked < items.length;
-}
-
 function escHtml(str) {
     const d = document.createElement('div');
     d.appendChild(document.createTextNode(String(str)));