{"id":468,"date":"2019-10-30T15:32:51","date_gmt":"2019-10-30T20:32:51","guid":{"rendered":"http:\/\/bellamedicalclinic.tempurl.host\/?page_id=468"},"modified":"2026-02-06T18:04:45","modified_gmt":"2026-02-07T00:04:45","slug":"request-an-appointment","status":"publish","type":"page","link":"https:\/\/vidamedicalclinic.org\/es\/request-an-appointment\/","title":{"rendered":"Pedir una cita"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"468\" class=\"elementor elementor-468\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9a79d46 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"9a79d46\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;mountains&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 1000 100\" preserveaspectratio=\"none\">\n\t<path class=\"elementor-shape-fill\" opacity=\"0.33\" d=\"M473,67.3c-203.9,88.3-263.1-34-320.3,0C66,119.1,0,59.7,0,59.7V0h1000v59.7 c0,0-62.1,26.1-94.9,29.3c-32.8,3.3-62.8-12.3-75.8-22.1C806,49.6,745.3,8.7,694.9,4.7S492.4,59,473,67.3z\"\/>\n\t<path class=\"elementor-shape-fill\" opacity=\"0.66\" d=\"M734,67.3c-45.5,0-77.2-23.2-129.1-39.1c-28.6-8.7-150.3-10.1-254,39.1 s-91.7-34.4-149.2,0C115.7,118.3,0,39.8,0,39.8V0h1000v36.5c0,0-28.2-18.5-92.1-18.5C810.2,18.1,775.7,67.3,734,67.3z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M766.1,28.9c-200-57.5-266,65.5-395.1,19.5C242,1.8,242,5.4,184.8,20.6C128,35.8,132.3,44.9,89.9,52.5C28.6,63.7,0,0,0,0 h1000c0,0-9.9,40.9-83.6,48.1S829.6,47,766.1,28.9z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2dc8a2f\" data-id=\"2dc8a2f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-89b8f59 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"89b8f59\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2c8c5e8\" data-id=\"2c8c5e8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f57a40a elementor-widget elementor-widget-text-editor\" data-id=\"f57a40a\" data-element_type=\"widget\" data-e-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<p>Si actualmente no eres paciente de Vida Medical Clinic y est\u00e1s interesado en recibir atenci\u00f3n, \u00a1estamos aqu\u00ed para ayudarte!<\/p><p>Por favor ll\u00e1menos al <a href=\"tel:920-731-4354\" data-wpel-link=\"internal\">920-731-4354<\/a> o env\u00ede una solicitud de cita y una enfermera se comunicar\u00e1 con usted.\u00a0<\/p>\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-e271e1d elementor-widget elementor-widget-heading\" data-id=\"e271e1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formulario de solicitud de cita<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-57328ff elementor-widget elementor-widget-shortcode\" data-id=\"57328ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-1456 forminator-design--flat  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1456\" data-uid=\"69d7bb442b0f1\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-1456\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1456 forminator-design--flat  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"1456\"\r\n\t\t\t\t data-color-option=\"default\" data-design=\"flat\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69d7bb442b0f1\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69d7bb442b0f1\" id=\"forminator-field-name-1_69d7bb442b0f1-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Por ejemplo, Juan\" id=\"forminator-field-name-1_69d7bb442b0f1\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69d7bb442b0f1\" id=\"forminator-field-email-1_69d7bb442b0f1-label\" class=\"forminator-label\">Direcci\u00f3n de correo electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Por ejemplo, john@doe.com\" id=\"forminator-field-email-1_69d7bb442b0f1\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69d7bb442b0f1\" id=\"forminator-field-phone-1_69d7bb442b0f1-label\" class=\"forminator-label\">N\u00famero de tel\u00e9fono <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"(###) ###-####\" id=\"forminator-field-phone-1_69d7bb442b0f1\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-1456__field--select-1_69d7bb442b0f1\" id=\"forminator-form-1456__field--select-1_69d7bb442b0f1-label\" class=\"forminator-label\">Consentimiento para recibir mensajes de texto <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-1456__field--select-1_69d7bb442b0f1\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Please select an option\" data-search=\"false\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1456__field--select-1_69d7bb442b0f1-label\" aria-describedby=\"forminator-form-1456__field--select-1_69d7bb442b0f1-description\"><option value=\"\"  >Por favor seleccione una opci\u00f3n<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">S\u00cd - Doy mi consentimiento para recibir mensajes de texto<\/option><option value=\"two\"  data-calculation=\"0\">No, prefiero que me llames.<\/option><\/select><span id=\"forminator-form-1456__field--select-1_69d7bb442b0f1-description\" class=\"forminator-description\">Al seleccionar la casilla S\u00cd, acepta recibir mensajes de texto de Vida Medical Clinic al n\u00famero proporcionado, incluidos los mensajes enviados por marcador autom\u00e1tico. Vida Medical Clinic puede comunicarse con los pacientes por SMS de forma individualizada si lo solicitan. No utilizamos campa\u00f1as de SMS para enviar mensajes masivos. Se pueden aplicar tarifas por mensajes y datos al enviar mensajes de texto. La frecuencia de los mensajes puede variar. Los tipos de mensajes que se env\u00edan a los pacientes incluyen, entre otros, nuestro horario y ubicaci\u00f3n de atenci\u00f3n, recordatorios para llamar a la cl\u00ednica para programar una cita o para llamar a la cl\u00ednica para obtener una actualizaci\u00f3n sobre los resultados. Los operadores no se responsabilizan de los mensajes retrasados o no entregados. Para obtener ayuda, los pacientes pueden enviar un mensaje de texto con la palabra &quot;AYUDA&quot; y, para dejar de recibir mensajes, pueden enviar un mensaje de texto con la palabra &quot;PARAR&quot; o &quot;CANCELAR LA SUSCRIPCI\u00d3N&quot;. No transferiremos sus datos a organizaciones externas para fines no relacionados con su atenci\u00f3n o el cumplimiento legal, excepto seg\u00fan lo exija la ley. Vida Medical Clinic implementa estrictos controles de acceso, cifrado y auditor\u00edas peri\u00f3dicas para garantizar que sus datos est\u00e9n protegidos contra el acceso no autorizado. Para consultas relacionadas con SMS o para cancelar la suscripci\u00f3n a mensajes de texto, cont\u00e1ctenos al 920-731-3454 o nurse@vidacares.org.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69d7bb442b0f1-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69d7bb442b0f1-label\" class=\"forminator-label\">Tipo de cita (seleccione todas las opciones que correspondan) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-1-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Prueba de embarazo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Pregnancy-Test\" id=\"forminator-field-checkbox-1-1-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-1-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Prueba de embarazo<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-2-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Informaci\u00f3n sobre las opciones de embarazo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Pregnancy-Option-Information\" id=\"forminator-field-checkbox-1-2-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-2-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Informaci\u00f3n sobre las opciones de embarazo<\/span><\/label><label id=\"forminator-field-checkbox-1-3-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-3-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Ultrasonido\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Ultrasound\" id=\"forminator-field-checkbox-1-3-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-3-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ultrasonido<\/span><\/label><label id=\"forminator-field-checkbox-1-4-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-4-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Pruebas de ETS\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"STI-Testing\" id=\"forminator-field-checkbox-1-4-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-4-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Pruebas de ETS<\/span><\/label><label id=\"forminator-field-checkbox-1-5-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-5-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Examen de Papanicolaou\/Mama\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Pap-Smear\" id=\"forminator-field-checkbox-1-5-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-5-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Examen de Papanicolaou\/Mama<\/span><\/label><label id=\"forminator-field-checkbox-1-6-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-6-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Examen f\u00edsico deportivo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Sports-Physical\" id=\"forminator-field-checkbox-1-6-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-6-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Examen f\u00edsico deportivo<\/span><\/label><label id=\"forminator-field-checkbox-1-7-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-7-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Educaci\u00f3n sobre el parto\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Childbirth-Education\" id=\"forminator-field-checkbox-1-7-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-7-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Educaci\u00f3n sobre el parto<\/span><\/label><label id=\"forminator-field-checkbox-1-8-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-8-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Educaci\u00f3n sobre la lactancia materna\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Breastfeeding-Education\" id=\"forminator-field-checkbox-1-8-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-8-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Educaci\u00f3n sobre la lactancia materna<\/span><\/label><label id=\"forminator-field-checkbox-1-9-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-9-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Reversi\u00f3n de la p\u00edldora abortiva\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Abortion-Pill-Reversal\" id=\"forminator-field-checkbox-1-9-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-9-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Reversi\u00f3n de la p\u00edldora abortiva<\/span><\/label><label id=\"forminator-field-checkbox-1-10-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-10-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Apoyo post aborto\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Post-Abortive-Support\" id=\"forminator-field-checkbox-1-10-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-10-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Apoyo post aborto<\/span><\/label><label id=\"forminator-field-checkbox-1-11-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-11-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Educaci\u00f3n para padres\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Parenting-Education\" id=\"forminator-field-checkbox-1-11-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-11-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Educaci\u00f3n para padres<\/span><\/label><label id=\"forminator-field-checkbox-1-12-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-1-12-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Otro\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Other\" id=\"forminator-field-checkbox-1-12-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-1-12-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Otro<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-69d7bb442b0f1-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-69d7bb442b0f1-label\" class=\"forminator-label\">\u00bfQu\u00e9 ubicaci\u00f3n de cl\u00ednica m\u00e9dica prefiere para su cita? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-4-1-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-4-1-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Appleton (720 W. Association Dr. Appleton, WI 54914)\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"one\" id=\"forminator-field-checkbox-4-1-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-4-1-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Appleton (720 W. Association Dr. Appleton, WI 54914)<\/span><\/label><label id=\"forminator-field-checkbox-4-2-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-4-2-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Green Bay (670 Cormier Road, Suite B, Green Bay, WI 54304)\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"Green-Bay-(670-Cormier-Road,-Suite-B,-Green-Bay-WI\" id=\"forminator-field-checkbox-4-2-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-4-2-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Green Bay (670 Cormier Road, Suite B, Green Bay, WI 54304)<\/span><\/label><label id=\"forminator-field-checkbox-4-3-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-4-3-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Oshkosh (1484 W South Park Ave., Oshkosh, WI 54902)\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"Oshkosh-(\" id=\"forminator-field-checkbox-4-3-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-4-3-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Oshkosh (1484 W South Park Ave., Oshkosh, WI 54902)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69d7bb442b0f1-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69d7bb442b0f1-label\" class=\"forminator-label\">\u00bfQu\u00e9 d\u00eda(s) trabaja(n) para usted? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-2-1-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-2-1-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Lunes (solo ubicaci\u00f3n de Appleton)\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Monday\" id=\"forminator-field-checkbox-2-1-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-2-1-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Lunes (solo ubicaci\u00f3n de Appleton)<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-2-2-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Martes (ubicaciones de Appleton y Green Bay)\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Tuesday\" id=\"forminator-field-checkbox-2-2-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-2-2-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Martes (ubicaciones de Appleton y Green Bay)<\/span><\/label><label id=\"forminator-field-checkbox-2-3-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-2-3-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Mi\u00e9rcoles (ubicaciones de Appleton y Green Bay)\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Wednesday\" id=\"forminator-field-checkbox-2-3-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-2-3-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mi\u00e9rcoles (ubicaciones de Appleton y Green Bay)<\/span><\/label><label id=\"forminator-field-checkbox-2-4-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-2-4-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Jueves (ubicaciones de Appleton y Oshkosh)\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Thursday\" id=\"forminator-field-checkbox-2-4-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-2-4-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Jueves (ubicaciones de Appleton y Oshkosh)<\/span><\/label><label id=\"forminator-field-checkbox-2-5-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-2-5-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Viernes (Solo en la sucursal de Oshkosh)\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Friday\" id=\"forminator-field-checkbox-2-5-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-2-5-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Viernes (Solo en la sucursal de Oshkosh)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69d7bb442b0f1-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-69d7bb442b0f1-label\" class=\"forminator-label\">\u00bfQu\u00e9 horario te conviene? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-3-1-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-3-1-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Ma\u00f1ana\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Morning\" id=\"forminator-field-checkbox-3-1-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-3-1-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ma\u00f1ana<\/span><\/label><label id=\"forminator-field-checkbox-3-2-69d7bb442b0f1-label\" for=\"forminator-field-checkbox-3-2-69d7bb442b0f1\" class=\"forminator-checkbox\" title=\"Tarde\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Afternoon\" id=\"forminator-field-checkbox-3-2-69d7bb442b0f1\" aria-labelledby=\"forminator-field-checkbox-3-2-69d7bb442b0f1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Tarde<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\" style=\"margin: 0;\"><div id=\"captcha-1\" class=\"forminator-field-captcha  forminator-col-12\"><div class=\"forminator-captcha-left forminator-g-recaptcha recaptcha-invisible\" data-theme=\"light\" data-badge=\"bottomright\" data-sitekey=\"6LfDU78hAAAAAIEpbxntFqmr8AwaILLwSDfpyL9F\" data-size=\"invisible\"><\/div> <\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69d7bb442b0f1\" id=\"forminator-field-textarea-1_69d7bb442b0f1-label\" class=\"forminator-label\">Texto<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69d7bb442b0f1\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Enviar solicitud<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"72767c68f5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/468\" \/><input type=\"hidden\" name=\"form_id\" value=\"1456\"><input type=\"hidden\" name=\"page_id\" value=\"468\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/vidamedicalclinic.org\/es\/request-an-appointment\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_10\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellene este campo. <input id=\"input_10\" type=\"text\" name=\"input_10\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/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-e7804c8 elementor-widget elementor-widget-text-editor\" data-id=\"e7804c8\" data-element_type=\"widget\" data-e-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<p><em>Este formulario no garantiza una cita. Una enfermera de Vida se pondr\u00e1 en contacto con usted una vez que env\u00ede este formulario para programar una cita. Todos los servicios son gratuitos para usted.<\/em><\/p>\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>If you are not currently a patient at Vida Medical Clinic and are interested in receiving care, we are here to help you! Please call us at 920-731-4354 or submit an appointment request, and a nurse will contact you.\u00a0 Request An Appointment Form This form does not guarantee an appointment. A Vida nurse will be [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":971,"parent":0,"menu_order":15,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-468","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Request an Appointment - Vida Medical Clinic<\/title>\n<meta name=\"description\" content=\"Request an appointment at Vida Medical Clinic for confidential pregnancy services and compassionate support. Schedule your visit today and get the care you deserve.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vidamedicalclinic.org\/es\/request-an-appointment\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Request an Appointment - Vida Medical Clinic\" \/>\n<meta property=\"og:description\" content=\"Request an appointment at Vida Medical Clinic for confidential pregnancy services and compassionate support. 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