{"id":7492,"date":"2021-12-29T12:42:31","date_gmt":"2021-12-29T12:42:31","guid":{"rendered":"http:\/\/haciendaurbana.com\/?page_id=7492"},"modified":"2021-12-29T13:21:48","modified_gmt":"2021-12-29T13:21:48","slug":"cirugia","status":"publish","type":"page","link":"https:\/\/haciendaurbana.com\/en\/cirugia\/","title":{"rendered":"Anesthesia and Surgery Authorization"},"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-7491\"><form id=\"wpforms-form-7491\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7491\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/7492\" data-token=\"890eed9275557beedcad3eb8911d55c9\" data-token-time=\"1789278144\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Autorizaci\u00f3n de Anestesia y Cirugia<\/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-7491-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_26\">Fecha de Hoy <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" required><\/div><div id=\"wpforms-7491-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_1\">Nombre del Propietario <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-7491-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_13\">Tel\u00e9fono  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-7491-field_50-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_50\">WhatsApp <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-7491-field_50\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][50]\" aria-label=\"WhatsApp\" required><\/div><div id=\"wpforms-7491-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7491-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7491-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_8\">Direcci\u00f3n <\/label><textarea id=\"wpforms-7491-field_8\" class=\"wpforms-field-small\" name=\"wpforms[fields][8]\" ><\/textarea><\/div><div id=\"wpforms-7491-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_9\">Nombre de la Mascota <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-7491-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_28\">Raza de la Mascota <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" required><\/div><div id=\"wpforms-7491-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_10\">Color de la Mascota <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-7491-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_29\">Fecha de Nacimiento <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/div><div id=\"wpforms-7491-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_30\">Microchip <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" required><\/div><div id=\"wpforms-7491-field_31-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_31\">Procedimiento a realizar <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-7491-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/textarea><\/div><div id=\"wpforms-7491-field_2-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Autorizaci\u00f3n al equipo m\u00e9dico de Hacienda Urbana Veterinaria para realizar los procedimientos citdos anteriormente. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7491-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7491-field_2_1\" name=\"wpforms[fields][2][]\" value=\"S\u00ed, autorizo al equipo m\u00e9dico de Hacienda Urbana Veterinaria a realizar los procedimientos citados anteriormente. \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_2_1\">S\u00ed, autorizo al equipo m\u00e9dico de Hacienda Urbana Veterinaria a realizar los procedimientos citados anteriormente.<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Yo, el abajo firmante, propietario y\/o responsable de la mascota descrita previamente, certifico que tengo 18 a\u00f1os edad o m\u00e1s (iniciales) y autorizo al equipo m\u00e9dico de Hacienda Urbana Veterinaria a realizar los procedimientos citados anteriormente. Yo entiendo que existen algunos riesgos relacionados con los anest\u00e9sicos y a la cirug\u00eda y que he discutido con el veterinario todas las dudas que tengo acerca de estos riesgos previo al inicio de cualquier procedimiento. Mi firma en este formulario indica que cualquier pregunta que yo ten\u00eda con relaci\u00f3n a los siguientes puntos fueron respondidas a mi plena satisfacci\u00f3n:<br><br>\r\n\u2022\tOpciones m\u00e9dicas y quir\u00fargicas de tratamiento para mi mascota.<br>\r\n\u2022\tSuficientes detalles del procedimiento hasta haber entendido qu\u00e9 procedimiento se llevar\u00eda a cabo.<br>\r\n\u2022\tExpectativas de en qu\u00e9 tiempo se recuperar\u00e1 mi mascota y como ser\u00e1 tal recuperaci\u00f3n.<br>\r\n\u2022\tLa complicaci\u00f3n m\u00e1s com\u00fan y m\u00e1s seria.<br>\r\n\u2022\tLa duraci\u00f3n y el tipo de seguimiento que requerir\u00e1 tal procedimiento.<br><br>\r\nAl aceptar que todos los procedimientos ser\u00e1n realizados en la mejor de las habilidades del personal de Hacienda Urbana Veterinaria, entiendo que no hay garant\u00eda de los resultados que posteriormente puede haber. <br><br>\r\n<\/div><\/div><div id=\"wpforms-7491-field_33-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"33\"><label class=\"wpforms-field-label\">En caso de que haya una emergencia de vida o muerte y que alg\u00fan cuidado especial tenga que tomarse, o alguna medida o cambios en el plan previamente establecido se requieran y el personal de la hacienda urbana no pueda contactarme en un periodo de 3 minutos a partir de la primera llamada:<\/label><ul id=\"wpforms-7491-field_33\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7491-field_33_1\" name=\"wpforms[fields][33][]\" value=\"El personal CUENTA con mi permiso para proveer tal tratamiento o procedimiento y yo estoy dispuesto a pagar por tales servicios.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_33_1\">El personal CUENTA con mi permiso para proveer tal tratamiento o procedimiento y yo estoy dispuesto a pagar por tales servicios.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-7491-field_33_2\" name=\"wpforms[fields][33][]\" value=\"El personal NO CUENTA con mi permiso para proveer tal tratamiento o procedimiento y yo estoy dispuesto a pagar por tales servicios.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_33_2\">El personal NO CUENTA con mi permiso para proveer tal tratamiento o procedimiento y yo estoy dispuesto a pagar por tales servicios.<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">T\u00e9rminos y Condiciones <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7491-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7491-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Estoy de acuerdo con estos t\u00e9rminos y condiciones\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_24_1\">Estoy de acuerdo con estos t\u00e9rminos y condiciones<\/label><\/li><\/ul><div class=\"wpforms-field-description\"><br><b>Importante:<br><br><\/b>\r\nLa mascota debe tener 8 horas minima de ayuna<br><br>\r\n<b>Se recomienda realizar:<br><\/b>\r\no\tHemograma<br>\r\no\tPerfil pre-anestesico<br>\r\no\tRadiografia de torax, radiografia abdominal<br>\r\no\tTest 4dx<br>\r\no\tEvaluacion fisica<br>\r\no\tDebe traer su tarjeta de vacunas, las mismas deben de estar al dia.<br><br>\r\nEn caso de no estar al dia se pondran al dia en hacienda urbana y se cargara a la cuenta del cliente. Si la tarjeta de vacunacion no es de un centro de vacunacion el cual tenga veterinarios colegiados en el mismo, la vacuna no es valida, por lo que tendra que aplicarseles nuevamente.<br><br>\r\nLa tarjeta de vacuna debe tener las etiquetas de minimo las ultimas vacunas aplicadas como prueba o en caso de esta misma ser un duplicado, debe ir acompa\u00f1ado de una certificacion del veterinario indicando que la misma es un duplicado. <br><br>\r\nLas fechas de las etiquetas deben estar vigentes dentro del rango de aplicaci\u00f3n de la vacuna. <br><br>\r\n\r\no\tDebe estar libre de ectoparasitos (pulgas, piojos y garrapatas)<br>\r\no\tDebe tener sus controles de parasitos al dia<br>\r\no\tEs obligatorio el ba\u00f1o de dicha mascota antes del procedimiento quirurgico.\r\n\r\n<br><br>\r\n\r\nPara la casa:<br><br>\r\n\u2022\tDebe llevarse collar isabelino, el cual se le colocara por m\u00ednimo 10 d\u00edas al paciente seg\u00fan lo sugiera el doctor.<br>\r\n\u2022\tDebe llevar medicamentos antiinflamatorios por 10 d\u00edas y antibi\u00f3ticos por 7 d\u00edas.<br>\r\n\u2022\tDebe llevar pomada cicatrizante para aplicar en casa.<br>\r\n\u2022\tDebe llevar alimento especial para las pr\u00f3ximas 24 horas.<br>\r\n\u2022\tDebe volver a revisi\u00f3n en un periodo de 15 d\u00edas.<br>\r\n<br>\r\nDe la mascota no venir a sus citas de seguimiento, y no cumplir con lo indicado anteriormente, la cl\u00ednica y la doctora no se hacen responsables de los efectos y resultados de dicho procedimiento realizado.<br><Br>\r\nEstas medidas se toman por la seguridad de la mascota y el bienestar del cliente y el hospital veterinario.<\/div><\/div><div id=\"wpforms-7491-field_34-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Perfil Preanest\u00e9sico<\/label><ul id=\"wpforms-7491-field_34\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_34_1\" name=\"wpforms[fields][34]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_34_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_34_2\" name=\"wpforms[fields][34]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_34_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_35-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"35\"><label class=\"wpforms-field-label\">Prueba 4dx<\/label><ul id=\"wpforms-7491-field_35\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_35_1\" name=\"wpforms[fields][35]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_35_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_35_2\" name=\"wpforms[fields][35]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_35_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_36-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"36\"><label class=\"wpforms-field-label\">Radiogragia<\/label><ul id=\"wpforms-7491-field_36\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_36_1\" name=\"wpforms[fields][36]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_36_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_36_2\" name=\"wpforms[fields][36]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_36_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_37-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"37\"><label class=\"wpforms-field-label\">Ba\u00f1o<\/label><ul id=\"wpforms-7491-field_37\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_37_1\" name=\"wpforms[fields][37]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_37_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_37_2\" name=\"wpforms[fields][37]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_37_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_38-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"38\"><label class=\"wpforms-field-label\">Internamiento Pre Quirurgico<\/label><ul id=\"wpforms-7491-field_38\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_38_1\" name=\"wpforms[fields][38]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_38_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_38_2\" name=\"wpforms[fields][38]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_38_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_39-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"39\"><label class=\"wpforms-field-label\">Internamiento Post Quirurgico<\/label><ul id=\"wpforms-7491-field_39\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_39_1\" name=\"wpforms[fields][39]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_39_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_39_2\" name=\"wpforms[fields][39]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_39_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_40-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"40\"><label class=\"wpforms-field-label\">Hemograma<\/label><ul id=\"wpforms-7491-field_40\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_40_1\" name=\"wpforms[fields][40]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_40_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_40_2\" name=\"wpforms[fields][40]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_40_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_41-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"41\"><label class=\"wpforms-field-label\">Vacunaciones<\/label><ul id=\"wpforms-7491-field_41\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_41_1\" name=\"wpforms[fields][41]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_41_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_41_2\" name=\"wpforms[fields][41]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_41_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_42-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"42\"><label class=\"wpforms-field-label\">Control De Garrapatas   <\/label><ul id=\"wpforms-7491-field_42\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_42_1\" name=\"wpforms[fields][42]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_42_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_42_2\" name=\"wpforms[fields][42]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_42_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_43-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"43\"><label class=\"wpforms-field-label\">Antibioticos<\/label><ul id=\"wpforms-7491-field_43\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_43_1\" name=\"wpforms[fields][43]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_43_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_43_2\" name=\"wpforms[fields][43]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_43_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_44-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Analgesicos Y Antiinflamatorios<\/label><ul id=\"wpforms-7491-field_44\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_44_1\" name=\"wpforms[fields][44]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_44_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_44_2\" name=\"wpforms[fields][44]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_44_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_45-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"45\"><label class=\"wpforms-field-label\">Crema Cicatrizante<\/label><ul id=\"wpforms-7491-field_45\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_45_1\" name=\"wpforms[fields][45]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_45_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_45_2\" name=\"wpforms[fields][45]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_45_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_46-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Collar Isabelino<\/label><ul id=\"wpforms-7491-field_46\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_46_1\" name=\"wpforms[fields][46]\" value=\"Acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_46_1\">Acepto<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7491-field_46_2\" name=\"wpforms[fields][46]\" value=\"No acepto\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_46_2\">No acepto<\/label><\/li><\/ul><\/div><div id=\"wpforms-7491-field_47-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"47\"><label class=\"wpforms-field-label\">T\u00e9rminos y Condiciones de Pago <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7491-field_47\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7491-field_47_1\" name=\"wpforms[fields][47][]\" value=\"Estoy de acuerdo con estos t\u00e9rminos y condiciones\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_47_1\">Estoy de acuerdo con estos t\u00e9rminos y condiciones<\/label><\/li><\/ul><div class=\"wpforms-field-description\">He recibido un estimado de costos de los procedimientos que se van a realizar. <br><br>El monto incurrido en el procedimiento realizado debe saldarse en un 70% al momento del dep\u00f3sito de la mascota y al momento de dicha mascota ser retirada de nuestras instalaciones debe haber saldado el 100% sin excepci\u00f3n. <br><br>Las transferencias de otros bancos que no sean popular deben hacerse efectivas de inmediato o en su defecto la mascota se quedara en nuestras instalaciones hasta que dicho pago se haga efectivo corriendo la estad\u00eda de la mascota por cuenta del due\u00f1o. <\/div><\/div><div id=\"wpforms-7491-field_48-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"48\"><label class=\"wpforms-field-label\">El cliente certifica haber entendido y estar de acuerdo con todas las especificaciones indicadas mas arriba. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7491-field_48\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7491-field_48_1\" name=\"wpforms[fields][48][]\" value=\"Certifico que he le\u00eddo completamente y he entendido los t\u00e9rminos y condiciones indicadas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7491-field_48_1\">Certifico que he le\u00eddo completamente y he entendido los t\u00e9rminos y condiciones indicadas<\/label><\/li><\/ul><div class=\"wpforms-field-description\">En caso de no ser asi, solo se realizar\u00e1n los procedimientos que apruebe el cliente y la clinica queda libre de cualquier accion, presente o a futuro que quiera tomar el propietario por situaciones imprevistas que pudiesen pasar, el cliente firma libre y voluntariamente y asume cualquier consecuencia que pueda presentarse, este consentimiento informado representa un descargo de la clinica. <\/div><\/div><div id=\"wpforms-7491-field_49-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_49\">Firma del Propietario de la Mascota <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_49\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][49]\" autocomplete=\"off\" inputmode=\"none\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-7491-field_49-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-7491-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_25\">C\u00e9dula o Pasaporte <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" required><div class=\"wpforms-field-description\">Documento de Identidad<\/div><\/div><div id=\"wpforms-7491-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-7491-field_6\">Fecha de Firma <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7491-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><\/div><!-- .wpforms-field-container 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