{"id":39166,"date":"2025-04-09T14:25:41","date_gmt":"2025-04-09T18:25:41","guid":{"rendered":"https:\/\/ipmcmed.com\/for-patients\/forms\/"},"modified":"2025-05-01T15:31:29","modified_gmt":"2025-05-01T20:31:29","slug":"forms","status":"publish","type":"page","link":"https:\/\/ipmcmed.com\/es\/for-patients\/forms\/","title":{"rendered":"Formularios"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"39166\" class=\"elementor elementor-39166\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fce38b7 e-con-full e-flex e-con e-parent\" data-id=\"fce38b7\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6a89215 e-flex e-con-boxed e-con e-child\" data-id=\"6a89215\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-37c4d34 e-con-full e-flex e-con e-child\" data-id=\"37c4d34\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0cb852a content-align-right the7-hover-visibility-disabled preserve-img-ratio-cover transform-overlay-yes exceeding-frame-yes elementor-widget elementor-widget-the7-image-widget\" data-id=\"0cb852a\" data-element_type=\"widget\" data-settings=\"{&quot;hover_visibility&quot;:&quot;disabled&quot;}\" data-widget_type=\"the7-image-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"the7-image-container\"><div class=\"the7-image-wrapper the7-elementor-widget the7-transform-container\"><div class=\"post-thumbnail-rollover layzr-bg img-css-resize-wrapper\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"1000\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#039;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#039;%20viewBox%3D&#039;0%200%201000%201000&#039;%2F%3E\" class=\"attachment-full size-full preload-me aspect lazy lazy-load\" alt=\"\" sizes=\"(max-width: 1000px) 100vw, 1000px\" style=\"--ratio: 1000 \/ 1000;\" data-src=\"https:\/\/ipmcmed.com\/wp-content\/uploads\/2025\/03\/ct-scan-03.jpg\" loading=\"eager\" data-srcset=\"https:\/\/ipmcmed.com\/wp-content\/uploads\/2025\/03\/ct-scan-03.jpg 1000w, https:\/\/ipmcmed.com\/wp-content\/uploads\/2025\/03\/ct-scan-03-300x300.jpg 300w, https:\/\/ipmcmed.com\/wp-content\/uploads\/2025\/03\/ct-scan-03-150x150.jpg 150w, https:\/\/ipmcmed.com\/wp-content\/uploads\/2025\/03\/ct-scan-03-768x768.jpg 768w\" \/><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe7fe15 dt-nav-menu_align-left dt-sub-menu_align-left elementor-widget elementor-widget-the7_nav-menu\" data-id=\"fe7fe15\" data-element_type=\"widget\" data-settings=\"{&quot;submenu_display&quot;:&quot;always&quot;}\" data-widget_type=\"the7_nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav class=\"dt-nav-menu--main dt-nav-menu__container dt-sub-menu-display-always dt-icon-align- dt-icon-position- dt-sub-icon-position- dt-sub-icon-align-\"><ul class=\"dt-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37167 first depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Para pacientes<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37175 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/test-preparation\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Preparaci\u00f3n para pruebas<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37168 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/forms\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Formularios<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37174 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/scheduling-an-appointment\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Reserva de una cita<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37172 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/no-show-late-cancellation\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Inasistencia y cancelaci\u00f3n tard\u00eda<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37169 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/frequently-asked-questions\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Preguntas frecuentes<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37171 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/insurances-accepted\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Seguros aceptados<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37170 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/insurance-payment-questions\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Preguntas sobre seguros y pagos<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37176 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/wc-mva-insurance\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Compensaci\u00f3n laboral y seguro por accidentes de veh\u00edculo<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37173 depth-0\"><a href='https:\/\/ipmcmed.com\/for-patients\/ris\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Sistema de Informaci\u00f3n Radiol\u00f3gica<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37166 depth-0\"><a href='https:\/\/ipmcmed.com\/covid-19\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Informaci\u00f3n sobre el Coronavirus 2019 (COVID-19)<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37463 depth-0\"><a href='https:\/\/ipmcmed.com\/pay-bill\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Pagar cuenta<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-37464 last depth-0\"><a href='https:\/\/ipmcmed.com\/self-pay\/' class=' mega-menu-img' data-level='1'><span class=\"item-content\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"56\" height=\"56\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M224.49,136.49l-72,72a12,12,0,0,1-17-17L187,140H40a12,12,0,0,1,0-24H187L135.51,64.48a12,12,0,0,1,17-17l72,72A12,12,0,0,1,224.49,136.49Z\"><\/path><\/svg><span class=\"menu-item-text\"><span class=\"menu-text\">Self Pay<\/span><\/span><\/span><span class=\"\" data-icon = \"\"> <\/span><\/a><\/li> <\/ul><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ade6fd2 e-con-full e-flex e-con e-child\" data-id=\"ade6fd2\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-224f6d2 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"224f6d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tTodos los pacientes que se sometan a los procedimientos que se enumeran a continuaci\u00f3n deben completar los formularios de evaluaci\u00f3n correspondientes. Para su comodidad, hemos puesto estos formularios a su disposici\u00f3n en l\u00ednea, para que los llene y los traiga el d\u00eda de su cita.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c605116 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c605116\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ba340e elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"9ba340e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Resonancia magn\u00e9tica (MRI)<\/h4><p>\u00a1Por favor, aseg\u00farese de imprimir y completar este formulario antes de su cita para la resonancia magn\u00e9tica!<\/p><p><a href=\"https:\/\/ipmcmed.com\/wp-content\/uploads\/2025\/04\/mri-questionnaire.pdf\" target=\"_blank\" rel=\"noopener\">Cuestionario para resonancia magn\u00e9tica<\/a><\/p><hr class=\"the7-p-gap\" style=\"padding-bottom: 30px;\" \/><h4>Tomograf\u00eda computarizada de pulm\u00f3n para detecci\u00f3n de c\u00e1ncer<\/h4><p>Para la tomograf\u00eda de baja dosis para detecci\u00f3n de c\u00e1ncer de pulm\u00f3n, por favor imprima y complete este formulario antes de visitar la oficina:<\/p><p><a href=\"https:\/\/ipmcmed.com\/wp-content\/uploads\/2025\/04\/ldct-forms.pdf\" target=\"_blank\" rel=\"noopener\">Formulario de consentimiento y orden para tomograf\u00eda de pulm\u00f3n<\/a><\/p><hr class=\"the7-p-gap\" style=\"padding-bottom: 30px;\" \/><h4>Mamograf\u00eda<\/h4><p>\u00a1Por favor, aseg\u00farese de imprimir y completar este formulario antes de su cita para mamograf\u00eda!<\/p><p><a href=\"https:\/\/ipmcmed.com\/wp-content\/uploads\/2025\/04\/mammography-questionnaire.pdf\">Cuestionario para mamograf\u00eda<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f501138 e-con-full e-flex e-con e-child\" data-id=\"f501138\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-510ef1d e-flex e-con-boxed e-con e-child\" data-id=\"510ef1d\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-af09c09 e-flex e-con-boxed e-con e-child\" data-id=\"af09c09\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ef64662 elementor-widget-tablet__width-inherit elementor-widget__width-initial elementor-widget elementor-widget-the7-heading\" data-id=\"ef64662\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"the7-heading-title elementor-size-default\">Programar su visita es f\u00e1cil.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4be2455 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"4be2455\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Simplemente complete el formulario y nuestro equipo se pondr\u00e1 en contacto para confirmar su cita.<\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bad4a18 e-con-fit e-flex e-con e-child\" data-id=\"bad4a18\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-86d67d5 elementor-tablet-align-left elementor-widget elementor-widget-the7_button_widget\" data-id=\"86d67d5\" data-element_type=\"widget\" data-widget_type=\"the7_button_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\"><a href=\"#elementor-action%3Aaction%3Dpopup%3Aopen%26settings%3DeyJpZCI6IjE3MDM5IiwidG9nZ2xlIjpmYWxzZX0%3D\" class=\"box-button elementor-button elementor-size-xl\">Solicitar cita<\/a><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Todos los pacientes que se sometan a los procedimientos que se enumeran a continuaci\u00f3n deben completar los formularios de evaluaci\u00f3n correspondientes. Para su comodidad, hemos puesto estos formularios a su disposici\u00f3n en l\u00ednea, para que los llene y los traiga el d\u00eda de su cita. Resonancia magn\u00e9tica (MRI) \u00a1Por favor, aseg\u00farese de imprimir y completar&hellip;<\/p>\n","protected":false},"author":2,"featured_media":43364,"parent":39060,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-39166","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Formularios - IPMC - Independent Physicians Medical Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ipmcmed.com\/es\/for-patients\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formularios - IPMC - Independent Physicians Medical Center\" \/>\n<meta property=\"og:description\" content=\"Todos los pacientes que se sometan a los procedimientos que se enumeran a continuaci\u00f3n deben completar los formularios de evaluaci\u00f3n correspondientes. Para su comodidad, hemos puesto estos formularios a su disposici\u00f3n en l\u00ednea, para que los llene y los traiga el d\u00eda de su cita. 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