{"id":3193,"date":"2023-09-14T18:54:42","date_gmt":"2023-09-14T18:54:42","guid":{"rendered":"https:\/\/alivio.org\/?page_id=3193"},"modified":"2025-06-11T13:23:21","modified_gmt":"2025-06-11T18:23:21","slug":"forms","status":"publish","type":"page","link":"https:\/\/alivio.org\/es\/formulatios\/","title":{"rendered":"Formulatios De Registro De Pacientes"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Formulatios De Registro De Pacientes<\/h2>\n\n\n\n<p>Antes de su visita, puede imprimir, descargar y completar los requeridos formularios de paciente a continuaci\u00f3n para un registro m\u00e1s sencillo. Lleve los formularios completos a su visita.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"\/files\/newpatient\"><strong>Formulario De Registro De Nuevo Paciente<\/strong><\/a><\/strong><\/li>\n\n\n\n<li><strong><strong>Elegibilidad De Escala M\u00f3vil<\/strong><\/strong>\n<ul class=\"wp-block-list\">\n<li><a href=\"\/files\/eligibility\">Formulario de elegibilidad de la escala m\u00f3vil<\/a><\/li>\n\n\n\n<li><a href=\"\/files\/income\">Formulario de verificaci\u00f3n de ingresos<\/a><\/li>\n\n\n\n<li><a href=\"\/files\/list\">Lista de documentaci\u00f3n necesaria para la entrevista financiera<\/a><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong><strong>Consentimiento Del Paciente<\/strong><\/strong>\n<ul class=\"wp-block-list\">\n<li><a href=\"\/files\/privacy\">Consentimiento de aviso de pr\u00e1cticas de privacidad<\/a><\/li>\n\n\n\n<li><a href=\"\/files\/minor\">Formulario de consentimiento del paciente menor<\/a><\/li>\n\n\n\n<li><a href=\"\/files\/hipaa-es\">Privacidad HIPAA<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">regreso a la escuela<\/h3>\n\n\n\n<p>En Illinois, los estudiantes que cambian de escuela, ingresan a la guarder\u00eda de ni\u00f1os, al jard\u00edn de infantes (o al primer grado si no est\u00e1n inscritos previamente en el jard\u00edn de infantes), al sexto grado y al noveno grado en cualquier escuela p\u00fablica o privada de Illinois (incluidas las escuelas ch\u00e1rter) deben proporcionar prueba de examen f\u00edsico.<\/p>\n\n\n\n<p>Si su hijo necesita un examen f\u00edsico escolar, traiga todos sus registros de vacunaci\u00f3n y cualquier resultado anterior de laboratorio a su cita si es un paciente nuevo de Alivio.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/alivio.org\/files\/sportsphys-history-form-for-front-deskparents-spa\/\">Evaluaci\u00f3n f\u00edsica de preparaci\u00f3n para la participaci\u00f3n<\/a> (para estudiantes de secundaria que practican deportes competitivos en su escuela)<\/li>\n\n\n\n<li><a href=\"https:\/\/dph.illinois.gov\/content\/dam\/soi\/en\/web\/idph\/files\/forms\/child-health-exam-form-revised-03-2024-es.pdf\">Certificado del Estado de Illinois de Examen de Salud Infantil<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Antes de su visita, puede imprimir, descargar y completar los requeridos formularios de pacientepara un registro m\u00e1s sencillo. Lleve los formularios completos a su visita.<\/p>\n","protected":false},"author":1,"featured_media":4113,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"651,684,688,678,647,654","_relevanssi_noindex_reason":"","footnotes":""},"categories":[],"class_list":["post-3193","page","type-page","status-publish","has-post-thumbnail","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"es","enabled_languages":["en","es","zh"],"languages":{"en":{"title":true,"content":true,"excerpt":true},"es":{"title":true,"content":true,"excerpt":true},"zh":{"title":true,"content":true,"excerpt":false}}},"acf":[],"yoast_head":"<title>Formulatios De Registro De Pacientes &#8226; Centro M\u00e9dico Alivio<\/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:\/\/alivio.org\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulatios De Registro De Pacientes &#8226; Centro M\u00e9dico Alivio\" \/>\n<meta property=\"og:url\" content=\"https:\/\/alivio.org\/forms\/\" \/>\n<meta property=\"og:site_name\" content=\"Centro M\u00e9dico Alivio\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/AlivioChicago\/\" \/>\n<meta property=\"article:modified_time\" content=\"2025-06-11T18:23:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/alivio.imgix.net\/stock_signature.jpg?ixlib=php-3.3.1\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"960\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/alivio.org\/forms\/\",\"url\":\"https:\/\/alivio.org\/forms\/\",\"name\":\"Formulatios De Registro De Pacientes &#8226; Centro M\u00e9dico Alivio\",\"isPartOf\":{\"@id\":\"https:\/\/alivio.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/alivio.org\/forms\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/alivio.org\/forms\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/alivio.imgix.net\/stock_signature.jpg?ixlib=php-3.3.1\",\"datePublished\":\"2023-09-14T18:54:42+00:00\",\"dateModified\":\"2025-06-11T18:23:21+00:00\",\"description\":\"Antes de su visita, puede imprimir, descargar y completar los requeridos formularios de pacientepara un registro m\u00e1s sencillo. Lleve los formularios completos a su visita.\",\"breadcrumb\":{\"@id\":\"https:\/\/alivio.org\/forms\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/alivio.org\/forms\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/alivio.org\/forms\/#primaryimage\",\"url\":\"https:\/\/alivio.imgix.net\/stock_signature.jpg?ixlib=php-3.3.1\",\"contentUrl\":\"https:\/\/alivio.imgix.net\/stock_signature.jpg?ixlib=php-3.3.1\",\"width\":1280,\"height\":960,\"caption\":\"Signature\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/alivio.org\/forms\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/alivio.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Patient Registration Forms\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/alivio.org\/#website\",\"url\":\"https:\/\/alivio.org\/\",\"name\":\"Centro M\u00e9dico Alivio\",\"description\":\"Una Presencia Activa para una Comunidad Fuerte\",\"publisher\":{\"@id\":\"https:\/\/alivio.org\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/alivio.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/alivio.org\/#organization\",\"name\":\"Centro M\u00e9dico Alivio\",\"url\":\"https:\/\/alivio.org\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/alivio.org\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/alivio.imgix.net\/logo_full.png?ixlib=php-3.3.1\",\"contentUrl\":\"https:\/\/alivio.imgix.net\/logo_full.png?ixlib=php-3.3.1\",\"width\":354,\"height\":78,\"caption\":\"Centro M\u00e9dico Alivio\"},\"image\":{\"@id\":\"https:\/\/alivio.org\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/AlivioChicago\/\",\"https:\/\/www.linkedin.com\/company\/alivio-medical-center-inc-\"]}]}<\/script>","yoast_head_json":{"title":"Formulatios De Registro De Pacientes &#8226; Centro M\u00e9dico Alivio","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/alivio.org\/forms\/","og_locale":"es_ES","og_type":"article","og_title":"Formulatios De Registro De Pacientes &#8226; Centro M\u00e9dico Alivio","og_url":"https:\/\/alivio.org\/forms\/","og_site_name":"Centro M\u00e9dico Alivio","article_publisher":"https:\/\/www.facebook.com\/AlivioChicago\/","article_modified_time":"2025-06-11T18:23:21+00:00","og_image":[{"width":1280,"height":960,"url":"https:\/\/alivio.imgix.net\/stock_signature.jpg?ixlib=php-3.3.1","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/alivio.org\/forms\/","url":"https:\/\/alivio.org\/forms\/","name":"Formulatios De Registro De Pacientes &#8226; Centro M\u00e9dico Alivio","isPartOf":{"@id":"https:\/\/alivio.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/alivio.org\/forms\/#primaryimage"},"image":{"@id":"https:\/\/alivio.org\/forms\/#primaryimage"},"thumbnailUrl":"https:\/\/alivio.imgix.net\/stock_signature.jpg?ixlib=php-3.3.1","datePublished":"2023-09-14T18:54:42+00:00","dateModified":"2025-06-11T18:23:21+00:00","description":"Antes de su visita, puede imprimir, descargar y completar los requeridos formularios de pacientepara un registro m\u00e1s sencillo. Lleve los formularios completos a su visita.","breadcrumb":{"@id":"https:\/\/alivio.org\/forms\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/alivio.org\/forms\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/alivio.org\/forms\/#primaryimage","url":"https:\/\/alivio.imgix.net\/stock_signature.jpg?ixlib=php-3.3.1","contentUrl":"https:\/\/alivio.imgix.net\/stock_signature.jpg?ixlib=php-3.3.1","width":1280,"height":960,"caption":"Signature"},{"@type":"BreadcrumbList","@id":"https:\/\/alivio.org\/forms\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/alivio.org\/"},{"@type":"ListItem","position":2,"name":"Patient Registration Forms"}]},{"@type":"WebSite","@id":"https:\/\/alivio.org\/#website","url":"https:\/\/alivio.org\/","name":"Centro M\u00e9dico Alivio","description":"Una Presencia Activa para una Comunidad Fuerte","publisher":{"@id":"https:\/\/alivio.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/alivio.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/alivio.org\/#organization","name":"Centro M\u00e9dico Alivio","url":"https:\/\/alivio.org\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/alivio.org\/#\/schema\/logo\/image\/","url":"https:\/\/alivio.imgix.net\/logo_full.png?ixlib=php-3.3.1","contentUrl":"https:\/\/alivio.imgix.net\/logo_full.png?ixlib=php-3.3.1","width":354,"height":78,"caption":"Centro M\u00e9dico Alivio"},"image":{"@id":"https:\/\/alivio.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/AlivioChicago\/","https:\/\/www.linkedin.com\/company\/alivio-medical-center-inc-"]}]}},"jetpack_sharing_enabled":true,"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/pages\/3193","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/comments?post=3193"}],"version-history":[{"count":37,"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/pages\/3193\/revisions"}],"predecessor-version":[{"id":6538,"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/pages\/3193\/revisions\/6538"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/media\/4113"}],"wp:attachment":[{"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/media?parent=3193"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/alivio.org\/es\/wp-json\/wp\/v2\/categories?post=3193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}