{"id":1384,"date":"2026-04-27T15:46:48","date_gmt":"2026-04-27T15:46:48","guid":{"rendered":"https:\/\/asistenciasmedicas.com\/?page_id=1384"},"modified":"2026-04-27T16:09:40","modified_gmt":"2026-04-27T16:09:40","slug":"formulario","status":"publish","type":"page","link":"https:\/\/asistenciasmedicas.com\/?page_id=1384","title":{"rendered":"formulario"},"content":{"rendered":"<body>\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1384\" class=\"elementor elementor-1384\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5dfacc2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5dfacc2\" 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-d4baac6\" data-id=\"d4baac6\" 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-4dcf614 elementor-widget__width-initial elementor-widget elementor-widget-wpforms\" data-id=\"4dcf614\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-elementor-widget-4dcf614\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-4dcf614 {\n\t\t\t\t--wpforms-field-border-radius: 8px;\n--wpforms-field-border-color: #cccccc;\n--wpforms-field-border-color-spare: #cccccc;\n--wpforms-field-text-color: #444444;\n--wpforms-label-color: #262626;\n--wpforms-label-sublabel-color: #7f7f7f;\n--wpforms-label-error-color: #ff0000;\n--wpforms-button-border-style: solid;\n--wpforms-button-background-color: #dddddd;\n--wpforms-button-border-color: #cccccc;\n--wpforms-button-text-color: #666666;\n--wpforms-page-break-color: #dddddd;\n--wpforms-label-size-font-size: 14px;\n--wpforms-label-size-line-height: 17px;\n--wpforms-label-size-sublabel-font-size: 13px;\n--wpforms-label-size-sublabel-line-height: 16px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-608\"><form id=\"wpforms-form-608\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"608\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1384\" data-token=\"060214d1d9943b7485d79752cf7cd826\" data-token-time=\"1777479232\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-608-field_1-container\" class=\"wpforms-field wpforms-field-name wpforms-one-third wpforms-first\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-608-field_1\">Datos de la Empresa <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-608-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" placeholder=\"Nombre de la empresa\" aria-errormessage=\"wpforms-608-field_1-error\" required><\/div><div id=\"wpforms-608-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Tipo de Identificacion <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-608-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-608-field_10_1\" name=\"wpforms[fields][10]\" value=\"NIT\" aria-errormessage=\"wpforms-608-field_10_1-error\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-608-field_10_1\">NIT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-608-field_10_2\" name=\"wpforms[fields][10]\" value=\"CEDULA\" aria-errormessage=\"wpforms-608-field_10_2-error\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-608-field_10_2\">CEDULA<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-608-field_11-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-608-field_11\">N\u00famero <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-608-field_11\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][11]\" step=\"any\" aria-errormessage=\"wpforms-608-field_11-error\" required><\/div><div id=\"wpforms-608-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-608-field_15\">Pais <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-608-field_15\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-608-field_15-error\" required><\/div><div id=\"wpforms-608-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-608-field_14\">Ciudad <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-608-field_14\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-608-field_14-error\" required><\/div><div id=\"wpforms-608-field_17-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-608-field_17\">Whatsaap <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-608-field_17\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][17]\" step=\"any\" aria-errormessage=\"wpforms-608-field_17-error\" required><\/div><div id=\"wpforms-608-field_16-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"16\"><fieldset><legend class=\"wpforms-field-label\">Datos del usuario <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-608-field_16\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][16][first]\" aria-errormessage=\"wpforms-608-field_16-error\" required><label for=\"wpforms-608-field_16\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-608-field_16-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][16][last]\" aria-errormessage=\"wpforms-608-field_16-last-error\" required><label for=\"wpforms-608-field_16-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-608-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-608-field_2\">Correo electr\u00f3nico <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-608-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-608-field_2-error\" required><\/div><div id=\"wpforms-608-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-608-field_18\">Contrase\u00f1a <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-608-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-608-field_18-error\" aria-describedby=\"wpforms-608-field_18-description\" required><div id=\"wpforms-608-field_18-description\" class=\"wpforms-field-description\">Ingresa una contrase\u00f1a <\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"608\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/asistenciasmedicas.com\/index.php?rest_route=\/wp\/v2\/pages\/1384\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-608\" 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:\/\/asistenciasmedicas.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\" loading=\"lazy\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\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>\n\t\t<\/body>","protected":false},"excerpt":{"rendered":"<p>Por favor, activa JavaScript en tu navegador para completar este formulario.Por favor, activa JavaScript en tu navegador para completar este formulario.Datos de la Empresa * Tipo de Identificacion * NIT CEDULA N\u00famero *Pais *Ciudad *Whatsaap * Datos del usuario * NombreApellidos Correo electr\u00f3nico *Contrase\u00f1a *Ingresa una contrase\u00f1a Enviar<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-1384","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/asistenciasmedicas.com\/index.php?rest_route=\/wp\/v2\/pages\/1384","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/asistenciasmedicas.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/asistenciasmedicas.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/asistenciasmedicas.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/asistenciasmedicas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1384"}],"version-history":[{"count":4,"href":"https:\/\/asistenciasmedicas.com\/index.php?rest_route=\/wp\/v2\/pages\/1384\/revisions"}],"predecessor-version":[{"id":1393,"href":"https:\/\/asistenciasmedicas.com\/index.php?rest_route=\/wp\/v2\/pages\/1384\/revisions\/1393"}],"wp:attachment":[{"href":"https:\/\/asistenciasmedicas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1384"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}