{"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=\"814a4dbeac21b7ee92843e1fa4c354c5\" data-token-time=\"1776958946\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/7503\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Emergency Service Request at the Hacienda Urbana Veterinary Clinic.<\/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\">Owner name <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\">ID <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\">Identity Document<\/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\">Address<\/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\">Phone  <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\">Mobile <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\">Pet's Name <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\">Breed <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\">I formally request the veterinary emergency service at the Hacienda Urbana veterinary clinic.  <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\">I agree with the boarding policy<\/label><\/li><\/ul><div class=\"wpforms-field-description\">It will carry a charge of <b>$ 2,000.00 pesos during daytime emergency<\/b> and <b>$ 3,500.00 pesos overnight emergency<\/b>. <br><br>I understand that this charge exclusively implies the veterinary doctor's travel to the hospital during non-working hours, and that any veterinary service (consultation, surgery, X-rays, medicines, etc.) I will be billed additionally. <\/div><\/div><div id=\"wpforms-7502-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Please, choose one of the following statements, so we can take care the best we can of your pet:<\/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\">I don\u2019t give my authorization at all without my previous consent to do any additional procedure to my pet. Please, contact me before taking any action or making any decision regarding my pet.<\/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\">I give my consent just when the cost is going to be no more than $_______. If the costs are more than that, please contact me first.<\/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\">I authorize the appropriate treatment for my pet regardless of the cost of it, please perform all the procedures that you consider necessary, regardless of the cost.<\/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\">I authorize the appropriate treatment for my pet in case of any problem that may arise in my absence, during my pet's stay at your facilities.<\/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\">If you authorize the appropriate treatment, the cost of the treatment must not be more than $ _____________. <\/label><input type=\"text\" id=\"wpforms-7502-field_23\" class=\"wpforms-field-small\" name=\"wpforms[fields][23]\" ><div class=\"wpforms-field-description\">Only fill in if you choose this option in the previous question. <\/div><\/div><div id=\"wpforms-7502-field_4-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"4\"><label class=\"wpforms-field-label\">The payments of this services have to be totally paid by the time the client is going to do the check-out of the pet in our clinic. No exception <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\">I agree<\/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\">Signature<\/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\">ID <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\">Identity Document<\/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\">Date <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\">Send<\/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":"Solicitud de Servicio De Emergencia en la Cl\u00ednica Veterinaria Hacienda Urbana.Please enable JavaScript in your browser to complete this form.Nombre","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7503","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7503","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=7503"}],"version-history":[{"count":0,"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/pages\/7503\/revisions"}],"wp:attachment":[{"href":"https:\/\/haciendaurbana.com\/en\/wp-json\/wp\/v2\/media?parent=7503"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}