{"id":7485,"date":"2021-12-29T09:40:30","date_gmt":"2021-12-29T09:40:30","guid":{"rendered":"http:\/\/haciendaurbana.com\/?page_id=7485"},"modified":"2021-12-29T13:15:15","modified_gmt":"2021-12-29T13:15:15","slug":"consentimiento","status":"publish","type":"page","link":"https:\/\/haciendaurbana.com\/en\/consentimiento\/","title":{"rendered":"Informed consent"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-7484\"><form id=\"wpforms-form-7484\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7484\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/7485\" data-token=\"2567ca093c8baf8e52eb404153b4a43d\" data-token-time=\"1776958805\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/7485\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Informed consent<\/div><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-7484-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-7484-field_1\">Full Name of Who Subscribes <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7484-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-7484-field_2-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Are you of legal age? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7484-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7484-field_2_1\" name=\"wpforms[fields][2][]\" value=\"S\u00ed, soy mayor de edad\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-7484-field_2_1\">Yes, I am of legal age<\/label><\/li><\/ul><\/div><div id=\"wpforms-7484-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-7484-field_3\">Identity Document No.  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7484-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><div class=\"wpforms-field-description\">ID<\/div><\/div><div id=\"wpforms-7484-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-7484-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7484-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7484-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-7484-field_8\">Address<\/label><textarea id=\"wpforms-7484-field_8\" class=\"wpforms-field-small\" name=\"wpforms[fields][8]\" ><\/textarea><\/div><div id=\"wpforms-7484-field_4-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Informed consent <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7484-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7484-field_4_1\" name=\"wpforms[fields][4][]\" value=\"Estoy de acuerdo con el Consentimiento Informado\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-7484-field_4_1\">I agree to the Informed Consent<\/label><\/li><\/ul><div class=\"wpforms-field-description\">1. I understand all the benefits and choices of the procedure that my pet is going to have.<br><br>\r\n2. I am agreeing that my pet has the treatments registered, according to the diagnose.<br><br>\r\n3. I had informed completely and correctly the clinical history present and past during my talk to the clinical staff of my pet. I know that until today, my pet hasn\u2019t showed any allergy to any of the medications that the clinic will use in this case. I informed if my pet is taking any medication that can make a difference on the treatment my pet is going to have. I will inform as well if my pet is pregnant or nursing.<br><br>\r\n4. I confirm that, in case that my pet had receive a treatment in another center, I will give details of the kind of treatment that my pet received.<br><br>\r\n5. I authorize, if necessary, any additional exams, tests, interconsult or consult if is to help with the diagnose, treatment or procedure of my pet\u2019s condition.<br><br>\r\n6. I am agreeing of any picture, filming, before, during and after any treatment with the only purpose of educating and making awareness to other pet owners, and to complete the clinical chart of the pet.<br><br>\r\n7. I give my consent to Hacienda Urbana to use the pictures and media taken to my pet for the publicity, academic and research without violate the privacy of my pet and client.  And the confidentiality.<br><br>\r\n8. I accept and authorize that any local or general anesthesia is given to my pet for the best of the physical and psychological health of my pet, the safety of Hacienda Urbana staff and the comfort of the procedures that my pet is going to have on the clinic. And that I will cover the expenses of this extra education given to my pet.<br><br>\r\n9. I am agreeing that if I want to reach the desired results for my pet\u2019s treatment, I have to be engaged with the indications and care given by my doctor in every case.<br><br>\r\n10. I am engaged with the instructions given by Hacienda Urbana\u2019s medical staff before and after any treatment given.<br><br>\r\n11. I here declare that I won\u2019t take any legal or physical action for this company, or its employees, or members, or involved with the company at that time, or in the future, under any condition, and that I won\u2019t publish any content under any platform, or by any channel, and that any situation will be informed internally to the company in the best friendly and respectful possible way.<br><br><\/div><\/div><div id=\"wpforms-7484-field_9-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-7484-field_9\">Signature<\/label><input type=\"text\" id=\"wpforms-7484-field_9\" class=\"wpforms-signature-input wpforms-screen-reader-element\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][9]\" autocomplete=\"off\" inputmode=\"none\" ><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-7484-field_9-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveaspectratio=\"xMidYMid meet\" viewbox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><div id=\"wpforms-7484-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-7484-field_6\">Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7484-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7484\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7485\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7484\" class=\"wpforms-submit\" data-alt-text=\"Enviando...\" data-submit-text=\"Firmar\" aria-live=\"assertive\" value=\"wpforms-submit\">Sign<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/haciendaurbana.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>  <!-- .wpforms-container --><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"Consentimiento InformadoPlease enable JavaScript in your browser to complete this form.Nombre Completo de Quien Suscribe *\u00bfEres mayor de edad? *S\u00ed,","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7485","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7485","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/comments?post=7485"}],"version-history":[{"count":0,"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7485\/revisions"}],"wp:attachment":[{"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/media?parent=7485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}