{"id":15263,"date":"2022-07-27T17:10:41","date_gmt":"2022-07-27T17:10:41","guid":{"rendered":"https:\/\/futurewebtestingnow.online\/?page_id=15263"},"modified":"2025-03-07T18:09:45","modified_gmt":"2025-03-07T18:09:45","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/focilmed.com\/es\/patient-forms\/","title":{"rendered":"Formulario para Pacientes"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"15263\" class=\"elementor elementor-15263\">\n\t\t\t\t\t\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-7a66f7e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a66f7e\" data-element_type=\"section\">\n        \n                <div class=\"elementor-container elementor-column-gap-default\">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-27209d2\" data-id=\"27209d2\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-0c7937b elementor-widget elementor-widget-text-editor\" data-id=\"0c7937b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 08-12-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p class=\" translation-block\">Si est\u00e1 planeando su primera visita a <strong> en FocilMed<\/strong>, estamos deseando conocerlo. Para ayudarle a prepararse, en esta p\u00e1gina encontrar\u00e1 toda la informaci\u00f3n que necesita sobre nuestra consulta.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                        <\/div>\n        <\/section>\n                <section class=\"elementor-section elementor-top-section elementor-element elementor-element-226d61d elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"226d61d\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n                    <div class=\"elementor-background-overlay\"><\/div>\n        \n                <div class=\"elementor-container elementor-column-gap-default\">\n                <div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3abbdc4\" data-id=\"3abbdc4\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-a306420 elementor-widget elementor-widget-cms_heading\" data-id=\"a306420\" data-element_type=\"widget\" data-widget_type=\"cms_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"cms-heading-wrapper cms-heading-layout1\">\r\n    \r\n            <h2 class=\"custom-heading\">\r\n            <span >Nuestra misi\u00f3n<\/span>\r\n        <\/h2>\r\n        \r\n    <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28bfc5a elementor-widget elementor-widget-text-editor\" data-id=\"28bfc5a\" 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<p class=\" translation-block\">Proporcionar a toda la comunidad la mejor atenci\u00f3n m\u00e9dica basada en la evidencia cient\u00edfica y el contenido \u00e9tico, acompa\u00f1ando al paciente y a su familia.<br>Colaborar con la educaci\u00f3n del paciente, la familia y la sociedad, proporcionando cuidados y promoviendo estilos de vida saludables.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                <div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7d04b37\" data-id=\"7d04b37\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-e930578 elementor-widget elementor-widget-image\" data-id=\"e930578\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 08-12-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"427\" src=\"https:\/\/focilmed.com\/wp-content\/uploads\/2022\/07\/medium-shot-doctor-checking-woman-1024x683.jpg\" class=\"attachment-large size-large wp-image-13495\" alt=\"\" srcset=\"https:\/\/focilmed.com\/wp-content\/uploads\/2022\/07\/medium-shot-doctor-checking-woman-1024x683.jpg 1024w, https:\/\/focilmed.com\/wp-content\/uploads\/2022\/07\/medium-shot-doctor-checking-woman-300x200.jpg 300w, https:\/\/focilmed.com\/wp-content\/uploads\/2022\/07\/medium-shot-doctor-checking-woman-768x512.jpg 768w, https:\/\/focilmed.com\/wp-content\/uploads\/2022\/07\/medium-shot-doctor-checking-woman-1536x1024.jpg 1536w, https:\/\/focilmed.com\/wp-content\/uploads\/2022\/07\/medium-shot-doctor-checking-woman-2048x1365.jpg 2048w, https:\/\/focilmed.com\/wp-content\/uploads\/2022\/07\/medium-shot-doctor-checking-woman-600x400.jpg 600w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                        <\/div>\n        <\/section>\n                <section class=\"elementor-section elementor-top-section elementor-element elementor-element-90e7073 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"90e7073\" data-element_type=\"section\">\n        \n                <div class=\"elementor-container elementor-column-gap-default\">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3023494\" data-id=\"3023494\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-86d699e elementor-widget elementor-widget-cms_heading\" data-id=\"86d699e\" data-element_type=\"widget\" data-widget_type=\"cms_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"cms-heading-wrapper cms-heading-layout1\">\r\n    \r\n            <h2 class=\"custom-heading\">\r\n            <span >Formulario para Pacientes<\/span>\r\n        <\/h2>\r\n        \r\n    <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-755e41c elementor-widget elementor-widget-text-editor\" data-id=\"755e41c\" 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<p class=\" translation-block\">Para mejorar la experiencia de nuestros pacientes, ahora tendr\u00e1 la posibilidad de completar todos los formularios en l\u00ednea a su conveniencia antes de su cita.  <strong>\u00a1Estamos deseando recibirlo! <\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                        <\/div>\n        <\/section>\n                <section class=\"elementor-section elementor-top-section elementor-element elementor-element-a507f25 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a507f25\" data-element_type=\"section\">\n        \n                <div class=\"elementor-container elementor-column-gap-default\">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-df6c062\" data-id=\"df6c062\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-c5f2c17 elementor-widget elementor-widget-cms_heading\" data-id=\"c5f2c17\" data-element_type=\"widget\" data-widget_type=\"cms_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"cms-heading-wrapper cms-heading-layout1\">\r\n    \r\n            <h2 class=\"custom-heading\">\r\n            <span >Pre-Visit Forms<\/span>\r\n        <\/h2>\r\n        \r\n    <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-235f1b6 elementor-icon-list--layout-inline elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"235f1b6\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/focilmed.com\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-list.min.css\">\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/focilmed.com\/wp-content\/uploads\/2025\/03\/Focilmed_PATIENT-INFORMATION-FORM.pdf.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Patient Information Forms<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e947765 elementor-icon-list--layout-inline elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"e947765\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/focilmed.com\/wp-content\/uploads\/2025\/03\/Focilmed_PATIENT-INFORMATION-FORM_ES.pdf.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Spanish Patient Information Forms<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                        <\/div>\n        <\/section>\n                <section class=\"elementor-section elementor-top-section elementor-element elementor-element-59ff851 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"59ff851\" data-element_type=\"section\">\n        \n                <div class=\"elementor-container elementor-column-gap-default\">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9059d9d\" data-id=\"9059d9d\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-0b0b258 elementor-widget elementor-widget-cms_heading\" data-id=\"0b0b258\" data-element_type=\"widget\" data-widget_type=\"cms_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"cms-heading-wrapper cms-heading-layout1\">\r\n    \r\n            <h2 class=\"custom-heading\">\r\n            <span >Seguros y facturaci\u00f3n\n<\/span>\r\n        <\/h2>\r\n        \r\n    <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-729873d elementor-widget elementor-widget-text-editor\" data-id=\"729873d\" 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<p>Por favor, p\u00f3ngase en contacto con nuestra oficina para verificar la aceptaci\u00f3n de su aseguranza. Los requisitos para la cobertura del seguro pueden variar debido a la particularidad de cada procedimiento. Estamos encantados de gestionar la cobertura de su seguro para su reembolso, siempre y con la libertad de elegir su propio m\u00e9dico.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                        <\/div>\n        <\/section>\n                <section class=\"elementor-section elementor-top-section elementor-element elementor-element-402c267 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"402c267\" data-element_type=\"section\">\n        \n                <div class=\"elementor-container elementor-column-gap-default\">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3d0d987\" data-id=\"3d0d987\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-1db8dac elementor-widget elementor-widget-cms_heading\" data-id=\"1db8dac\" data-element_type=\"widget\" data-widget_type=\"cms_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"cms-heading-wrapper cms-heading-layout1\">\r\n    \r\n            <h2 class=\"custom-heading\">\r\n            <span >Opciones de Pago<\/span>\r\n        <\/h2>\r\n        \r\n    <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ae7aaf elementor-widget elementor-widget-text-editor\" data-id=\"5ae7aaf\" 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<p>Please call our billing department at 805- 486-6565 with any payment or insurance questions.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                        <\/div>\n        <\/section>\n                <section class=\"elementor-section elementor-top-section elementor-element elementor-element-edef499 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"edef499\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n                    <div class=\"elementor-background-overlay\"><\/div>\n        \n                <div class=\"elementor-container elementor-column-gap-default\">\n                <div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-76c7478\" data-id=\"76c7478\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-a396a3e elementor-widget elementor-widget-cms_heading\" data-id=\"a396a3e\" data-element_type=\"widget\" data-widget_type=\"cms_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"cms-heading-wrapper cms-heading-layout1\">\r\n    \r\n            <h2 class=\"custom-heading\">\r\n            <span >Ubicaci\u00f3n<\/span>\r\n        <\/h2>\r\n        \r\n            <div class=\"custom-heading-description\">Si tiene alguna pregunta o necesita ayuda, no dude en ponerse en contacto con nosotros para recibir asistencia m\u00e9dica.<\/div>\r\n    <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                <div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4caca8b\" data-id=\"4caca8b\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-f5b0425 elementor-widget elementor-widget-google_maps\" data-id=\"f5b0425\" data-element_type=\"widget\" data-widget_type=\"google_maps.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 08-12-2023 *\/\n.elementor-widget-google_maps .elementor-widget-container{overflow:hidden}.elementor-widget-google_maps .elementor-custom-embed{line-height:0}.elementor-widget-google_maps iframe{height:300px}<\/style>\t\t<div class=\"elementor-custom-embed\">\n\t\t\t<iframe loading=\"lazy\"\n\t\t\t\t\tsrc=\"https:\/\/maps.google.com\/maps?q=%20300%20S%20A%20St%20%23105%2C%20Oxnard%2C%20CA%2093030%2C%20United%20States&#038;t=m&#038;z=15&#038;output=embed&#038;iwloc=near\"\n\t\t\t\t\ttitle=\" 300 S A St #105, Oxnard, CA 93030, United States\"\n\t\t\t\t\taria-label=\" 300 S A St #105, Oxnard, CA 93030, United States\"\n\t\t\t><\/iframe>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n                        <\/div>\n        <\/section>\n        \t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>If you&#8217;re planning your first visit to FocilMed we look forward to meeting you. To help prepare you, you&#8217;ll find all the information you need about our practice on this page. Our Mission Provide to the entire community the best medical care based on scientific evidence and ethical content, accompanying the patient and his family.Collaborate [&hellip;]<\/p>","protected":false},"author":1,"featured_media":16245,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15263","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Patient Forms, Payment Options, Location | FocilMed Clinic<\/title>\n<meta name=\"description\" content=\"Planning your first visit FocilMed. You\u2019ll find all the information you need about our practice. 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