{"id":7503,"date":"2021-12-29T13:02:30","date_gmt":"2021-12-29T13:02:30","guid":{"rendered":"http:\/\/haciendaurbana.com\/?page_id=7503"},"modified":"2021-12-29T13:02:30","modified_gmt":"2021-12-29T13:02:30","slug":"emergencias","status":"publish","type":"page","link":"https:\/\/haciendaurbana.com\/en\/emergencias\/","title":{"rendered":"Solicitud de Servicio De Emergencia en la Cl\u00ednica Veterinaria Hacienda Urbana"},"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-7502\"><form id=\"wpforms-form-7502\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7502\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/7503\" data-token=\"0abc7dbcf9ab98230863fa7ac666edea\" data-token-time=\"1789278144\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Solicitud de Servicio De Emergencia en la Cl\u00ednica Veterinaria Hacienda Urbana.<\/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-7502-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_1\">Nombre del Propietario de la Mascota <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7502-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-7502-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_26\">C\u00e9dula o Pasaporte <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7502-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" required><div class=\"wpforms-field-description\">Documento de Identidad<\/div><\/div><div id=\"wpforms-7502-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7502-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7502-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_8\">Direcci\u00f3n<\/label><textarea id=\"wpforms-7502-field_8\" class=\"wpforms-field-small\" name=\"wpforms[fields][8]\" ><\/textarea><\/div><div id=\"wpforms-7502-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_13\">Tel\u00e9fono  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7502-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-7502-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_10\">Celular <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7502-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-7502-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_9\">Nombre de la Mascota <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7502-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-7502-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_27\">Raza de la Mascota <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7502-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" required><\/div><div id=\"wpforms-7502-field_2-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Solicito formalmente el servicio de emergencia veterinaria en la cl\u00ednica veterinaria Hacienda Hurbana.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7502-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7502-field_2_1\" name=\"wpforms[fields][2][]\" value=\"Estoy de acuerdo con la pol\u00edtica de abordaje\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7502-field_2_1\">Estoy de acuerdo con la pol\u00edtica de abordaje<\/label><\/li><\/ul><div class=\"wpforms-field-description\">El mismo conllevar\u00e1 un cargo de <b>$2,000.00 pesos emergencia diurna<\/b> y <b>$3,500.00 pesos emergencia nocturna<\/b>. <br><br>Entenderemos que este cargo implica exclusivamente el desplazamiento del m\u00e9dico veterinario hasta el hospital en horas no laborables, y que en cualquier servicio veterinario (consulta, cirug\u00eda, radiograf\u00eda, medicamentos, etc.) Se le facturar\u00e1 adicionalmente. <\/div><\/div><div id=\"wpforms-7502-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Por favor, elija una de las siguientes opciones, para nosotros cuidar lo mejor que podamos a su mascota:<\/label><ul id=\"wpforms-7502-field_22\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-7502-field_22_4\" name=\"wpforms[fields][22][]\" value=\"No autorizo ning\u00fan tratamiento sin mi previo consentimiento. Por favor, contactarme antes de realizar cualquier procedimiento.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7502-field_22_4\">No autorizo ning\u00fan tratamiento sin mi previo consentimiento. Por favor, contactarme antes de realizar cualquier procedimiento.<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-7502-field_22_5\" name=\"wpforms[fields][22][]\" value=\"Autorizo el tratamiento apropiado siempre y cuando el costo del mismo no sea mayor de $________. Si el costo ser\u00e1 mayor, favor contactarme antes de continuar.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7502-field_22_5\">Autorizo el tratamiento apropiado siempre y cuando el costo del mismo no sea mayor de $________. Si el costo ser\u00e1 mayor, favor contactarme antes de continuar.<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-7502-field_22_6\" name=\"wpforms[fields][22][]\" value=\"Autorizo el tratamiento apropiado para mi mascota sin importar el costo del mismo, por favor realizar todos los procedimientos que usted considere necesario, no importa el costo.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7502-field_22_6\">Autorizo el tratamiento apropiado para mi mascota sin importar el costo del mismo, por favor realizar todos los procedimientos que usted considere necesario, no importa el costo.<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-7502-field_22_7\" name=\"wpforms[fields][22][]\" value=\"Autorizo el tratamiento apropiado para mi mascota en caso de cualquier problema que pueda presentarse en mi ausencia, durante la estad\u00eda de mi mascota en sus instalaciones.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7502-field_22_7\">Autorizo el tratamiento apropiado para mi mascota en caso de cualquier problema que pueda presentarse en mi ausencia, durante la estad\u00eda de mi mascota en sus instalaciones.<\/label><\/li><\/ul><\/div><div id=\"wpforms-7502-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_23\">Si autoriza el tratamiento apropiado, el costo del mismo no debe ser mayor de $_____________. <\/label><input type=\"text\" id=\"wpforms-7502-field_23\" class=\"wpforms-field-small\" name=\"wpforms[fields][23]\" ><div class=\"wpforms-field-description\">Solo rellenar si eligi\u00f3 esta opci\u00f3n en la pregunta anterior. <\/div><\/div><div id=\"wpforms-7502-field_4-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Los pagos de los servicios presentados en nuestra empresa por los motivos anteriormente mencionados deben quedar saldados en su totalidad al momento de retirar a su mascota, sin excepci\u00f3n de persona o caso. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7502-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7502-field_4_1\" name=\"wpforms[fields][4][]\" value=\"Estoy de acuerdo\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7502-field_4_1\">Estoy de acuerdo<\/label><\/li><\/ul><\/div><div id=\"wpforms-7502-field_28-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_28\">Firma<\/label><input type=\"text\" id=\"wpforms-7502-field_28\" class=\"wpforms-signature-input wpforms-screen-reader-element\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][28]\" autocomplete=\"off\" inputmode=\"none\" ><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-7502-field_28-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-7502-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_25\">C\u00e9dula o Pasaporte <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7502-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-7502-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-7502-field_6\">Fecha de Firma <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7502-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=\"7502\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7503\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7502\" class=\"wpforms-submit\" data-alt-text=\"Enviando...\" data-submit-text=\"Enviar\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/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><\/form><\/div>  <!-- .wpforms-container --><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"Solicitud de Servicio De Emergencia en la Cl\u00ednica Veterinaria Hacienda Urbana.Please enable JavaScript in your browser to complete this 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