{"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=\"dda162ea65eaaf20d5d9fae3569a69e8\" data-token-time=\"1776958905\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/7492\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Anesthesia and Surgery Authorization<\/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\">Date <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\">Owner name <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\">Phone  <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\">Address <\/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\">Pet's Name <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\">Breed <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 <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\">Date of Birth <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\">Procedure to be done <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\">I give the authorization to the medical team of hacienda Urbana to perform on my pet the procedure(s) listed previously. <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\">Yes, I give the authorization to the medical team of hacienda Urbana to perform on my pet the procedure(s) listed previously.<\/label><\/li><\/ul><div class=\"wpforms-field-description\">I, the undersigned and, owner and responsible of the pet described previously, certify that I have 18 years old or more and I give the authorization to the medical team of hacienda Urbana to perform on my pet the procedure(s) listed previously. I understand that it might occur risks related to the anesthetics, to the surgery, and that I have discussed with the doctor all my doubts related to the risks previously in this procedure. Mi signature on this form indicates that any question that I had related to the next topics were answered to my entire satisfaction:<br><br>\r\n\u2022\tMedical options and surgical to this procedure for my pet.<br>\r\n\u2022\tEnough details of the procedure until I have understood what procedure my pet is going to have.<br>\r\n\u2022\tRecovery expectations related to time and how my pet is going to recover.<br>\r\n\u2022\tThe most common and seriously complications.<br>\r\n\u2022\tThe kind of follow up and period of time this recovery will take after the procedure.<br><br>\r\nWhen I accept that all the procedures will be performed on the best of the abilities of our team, I understood that there is no guaranty of the results that later could be. <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\">In case there is an emergency life-threatening and any special care have to be taken, or any measure or change on our main plan is going to take place, and the staff can\u2019t contact me in a period of 3 minutes from the first call, you:<\/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\">You HAVE the right to give the treatment or procedure for my pet that needs to have in that moment and I will pay for any additional cost that his might represent.<\/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\">You DO NOT HAVE the right to give the treatment or procedure for my pet that needs to have in that moment and I will pay for any additional cost that his might represent.<\/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\">Terms and Conditions <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\">I agree to these terms and conditions<\/label><\/li><\/ul><div class=\"wpforms-field-description\"><br><b>Important:<br><br><\/b>\r\nThe pet has to be with no food intake for at least 8 hours.<br><br>\r\n<b>We recommend for this pet:<br><\/b>\r\no\tCBC<br>\r\no\tPre anesthetic blood panel<br>\r\no\tThorax x-ray, abdominal x-ray<br>\r\no\tTest 4dx<br>\r\no\tPhysical evaluation<br>\r\no\tNeed to present your shots record, they must be updated.<br><br>\r\nIn case the shots are not updated, we will update them, and they will be charged in your bill. If the shots record is not from a legal center with a veterinary doctor, member of the main identity of the country that regulates the veterinary professionals (colvet) shots has to be applied again.<br><br>\r\nThe shots record has to have the labels of at least the last shots applied, and the date on those labels has to be on date with the application date of the shots. In case the owner brings the card, and it doesn\u2019t have the labels of the shots, a formal certification made from the doctor of the center they were applied has to be presented. <br><br>\r\nThe dates on the labels must be current within the range of application of the vaccine. <br><br>\r\n\r\no\tThe pet must not have any external and internal parasites. (fleas, ticks, mites)<br>\r\no\tThe dewormers have to be up to date.<br>\r\no\tIs mandatory that the pet having the procedure has a bath before the procedure.\r\n\r\n<br><br>\r\n\r\nTo go:<br><br>\r\n\u2022\tOwner must take home \u201cthe cone of shame\u201d for at least 10 days after the procedure if the doctor suggests it that way.<br>\r\n\u2022\tMust take anti-inflammatory and pain meds for the next 10 days and antibiotics for the next 7 days after the procedure.<br>\r\n\u2022\tMust take an ointment for the healing of the wound.<br>\r\n\u2022\tMust take special food for the next 24 hours after the procedure.<br>\r\n\u2022\tMust come for a follow up 15 days after the procedure.<br>\r\n<br>\r\nIf the pet doesn\u2019t come for its follow up, and doesn\u2019t do all that we recommend previously, the clinic and the doctors are not responsible for the effects and results of the procedure.<br><br>\r\nAll these regulations are made for the safety of your pet and the wellbeing of the client and the hospital.<\/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\">Preanesthetic panel<\/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\">I Accept<\/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\">Don't Accept<\/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\">Test 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\">I Accept<\/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\">Don't Accept<\/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\">X-ray<\/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\">I Accept<\/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\">Don't Accept<\/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\">Bath<\/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\">I Accept<\/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\">Don't Accept<\/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\">Boarding pre-surgery<\/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\">I Accept<\/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\">Don't Accept<\/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\">Boarding post-surgery<\/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\">I Accept<\/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\">Don't Accept<\/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\">CBC<\/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\">I Accept<\/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\">Don't Accept<\/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\">Shots<\/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\">I Accept<\/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\">Don't Accept<\/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\">Flea and tick medication   <\/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\">I Accept<\/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\">Don't Accept<\/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\">Antibiotics to go<\/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\">I Accept<\/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\">Don't Accept<\/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\">Pain meds and anti-inflammatory<\/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\">I Accept<\/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\">Don't Accept<\/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\">Ointment for the wound<\/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\">I Accept<\/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\">Don't Accept<\/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\">Cone of shame<\/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\">I Accept<\/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\">Don't Accept<\/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\">Payment Terms and Conditions <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\">I agree to these terms and conditions<\/label><\/li><\/ul><div class=\"wpforms-field-description\">I have received an approximate cost of all the procedures that are going to be done today. <br><br>The amount has to be paid 70% before the procedure and when the pet leaves the clinic the total. <br><br>The bank transfer from a different bank that is not the popular, has to be done \u201cpaid immediately\u201d otherwise the pet will stay on the clinic until the payment is completed, the boarding has to be paid by the owner of the pet. <\/div><\/div><div id=\"wpforms-7491-field_48-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"48\"><label class=\"wpforms-field-label\">The client certify that understood and is agreeing with all the specifications listed preciously. <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\">I certify that I have read completely and understood the terms and conditions indicated previously.<\/label><\/li><\/ul><div class=\"wpforms-field-description\">If the client is not agreeing, we will only perform the ones the client chooses from the services listed previously and the hospital and any of their personal is free of any action, present, or future that the client might want to take because of any unexpected situation that might occur. The client signed this document free and voluntarily and assumes any consequence that might be present, this consent represents a discharge of the hospital\/clinic and all the ones involved. <\/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\">Signature <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\">ID <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\">Identity Document<\/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\">Date <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 --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7491\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7492\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7491\" class=\"wpforms-submit\" data-alt-text=\"Enviando...\" data-submit-text=\"Autorizar\" aria-live=\"assertive\" value=\"wpforms-submit\">Authorize<\/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":"Autorizaci\u00f3n de Anestesia y CirugiaPlease enable JavaScript in your browser to complete this form.Fecha de Hoy *Nombre del Propietario *Tel\u00e9fono","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7492","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7492","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=7492"}],"version-history":[{"count":0,"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7492\/revisions"}],"wp:attachment":[{"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/media?parent=7492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}