{"id":8962,"date":"2024-02-20T04:46:07","date_gmt":"2024-02-20T10:46:07","guid":{"rendered":"https:\/\/fuersamx.org\/?page_id=8962"},"modified":"2024-03-04T16:59:30","modified_gmt":"2024-03-04T22:59:30","slug":"solicitud-sht-fuersa","status":"publish","type":"page","link":"https:\/\/fuersamx.org\/en\/programa-hipertermia-sht\/solicitud-sht-fuersa\/","title":{"rendered":"Application \u2013 SHT Superior Hyperthermia Program \u2013 FUERSA"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8962\" class=\"elementor elementor-8962\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eadf01b e-con-full e-flex e-con e-parent\" data-id=\"eadf01b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-24302ab e-con-full e-flex e-con e-child\" data-id=\"24302ab\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-c16275c animated-slow e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"c16275c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c0bd9cf elementor-widget elementor-widget-heading\" data-id=\"c0bd9cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Solicitud al Programa FUERSA911 - SHT<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2997993 elementor-widget elementor-widget-heading\" data-id=\"2997993\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" 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\">Transformando Vidas a trav\u00e9s de la Hipertermia Superior (SHT)<\/h2>\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-dfc8589 e-flex e-con-boxed e-con e-child\" data-id=\"dfc8589\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-2804603 e-flex e-con-boxed e-con e-child\" data-id=\"2804603\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f09af9d animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"f09af9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" 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\">Favor de contestar todas las preguntas con los datos del paciente solicitante, toda la informaci\u00f3n obtenida en el presente cuestionario se maneja de acuerdo a nuestro aviso de privacidad que puedes consultar en nuestra <b><a href=\"https:\/\/fuersamx.org\/privacidad\">pol\u00edtica de privacidad<\/a><\/b><\/h2>\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\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1dac012 e-flex e-con-boxed e-con e-child\" data-id=\"1dac012\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a20e12 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"2a20e12\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Siguiente&quot;,&quot;step_previous_label&quot;:&quot;Regresar&quot;,&quot;step_type&quot;:&quot;progress_bar&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Solicitud de SHT\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8962\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"2a20e12\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Solicitud - Programa Hipertermia Superior SHT - FUERSA\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"8962\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_4d8f488 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b577042 elementor-col-100\">\n\t\t\t\t\t<b>1. Informaci\u00f3n personal<\/b><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-correo elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-correo\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCorreo electr\u00f3nico\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[correo]\" id=\"form-field-correo\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre_completo elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre_completo\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre completo del paciente\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre_completo]\" id=\"form-field-nombre_completo\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-edad elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-edad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEdad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[edad]\" id=\"form-field-edad\" rows=\"4\" placeholder=\"Tu respuesta\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-genero elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-genero\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGenero\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Masculino\" id=\"form-field-genero-0\" name=\"form_fields[genero]\" required=\"required\"> <label for=\"form-field-genero-0\">Masculino<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Femenino\" id=\"form-field-genero-1\" name=\"form_fields[genero]\" required=\"required\"> <label for=\"form-field-genero-1\">Femenino<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e92722c elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e92722c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEstado civil\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Soltero\" id=\"form-field-field_e92722c-0\" name=\"form_fields[field_e92722c]\" required=\"required\"> <label for=\"form-field-field_e92722c-0\">Soltero<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Casado\" id=\"form-field-field_e92722c-1\" name=\"form_fields[field_e92722c]\" required=\"required\"> <label for=\"form-field-field_e92722c-1\">Casado<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Divorciado\" id=\"form-field-field_e92722c-2\" name=\"form_fields[field_e92722c]\" required=\"required\"> <label for=\"form-field-field_e92722c-2\">Divorciado<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Otro\" id=\"form-field-field_e92722c-3\" name=\"form_fields[field_e92722c]\" required=\"required\"> <label for=\"form-field-field_e92722c-3\">Otro<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_538ff85 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_538ff85\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00famero de hijos (si aplica)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_538ff85]\" id=\"form-field-field_538ff85\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_49be047 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_e6609c7 elementor-col-100\">\n\t\t\t\t\t<b>2. Informaci\u00f3n de contacto<\/b><br>\nEscriba sus datos de contacto completos y correctamente. En caso de ser menor de edad, ingresar los datos del representante o tutor legal.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-direccion_completa elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-direccion_completa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDirecci\u00f3n completa\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[direccion_completa]\" id=\"form-field-direccion_completa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-comprobante_de_domicilio elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-comprobante_de_domicilio\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAnexa foto de comprobante de domicilio como: Luz, Telmex, Gas, Agua, Predial, otro.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[comprobante_de_domicilio]\" id=\"form-field-comprobante_de_domicilio\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" required=\"required\" data-maxsize=\"20\" data-maxsize-message=\"This file exceeds the maximum allowed size.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-numero_de_telefono_contacto elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-numero_de_telefono_contacto\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00famero de tel\u00e9fono contacto\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[numero_de_telefono_contacto]\" id=\"form-field-numero_de_telefono_contacto\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_385cdf2 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_c7958a0 elementor-col-100\">\n\t\t\t\t\t<b>3. Formaci\u00f3n acad\u00e9mica<\/b><br>\nEn caso de ser menor de edad, completar con los datos del representante o tutor legal.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-grado_de_estudios elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-grado_de_estudios\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGrado de estudios\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Maestr\u00eda o Doctorado\" id=\"form-field-grado_de_estudios-0\" name=\"form_fields[grado_de_estudios]\" required=\"required\"> <label for=\"form-field-grado_de_estudios-0\">Maestr\u00eda o Doctorado<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Licenciatura o Carrera T\u00e9cnica\" id=\"form-field-grado_de_estudios-1\" name=\"form_fields[grado_de_estudios]\" required=\"required\"> <label for=\"form-field-grado_de_estudios-1\">Licenciatura o Carrera T\u00e9cnica<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Bachillerato\" id=\"form-field-grado_de_estudios-2\" name=\"form_fields[grado_de_estudios]\" required=\"required\"> <label for=\"form-field-grado_de_estudios-2\">Bachillerato<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Secundaria\" id=\"form-field-grado_de_estudios-3\" name=\"form_fields[grado_de_estudios]\" required=\"required\"> <label for=\"form-field-grado_de_estudios-3\">Secundaria<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Primaria\" id=\"form-field-grado_de_estudios-4\" name=\"form_fields[grado_de_estudios]\" required=\"required\"> <label for=\"form-field-grado_de_estudios-4\">Primaria<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Otro\" id=\"form-field-grado_de_estudios-5\" name=\"form_fields[grado_de_estudios]\" required=\"required\"> <label for=\"form-field-grado_de_estudios-5\">Otro<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_46538de elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_46538de\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrabaja\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Si\" id=\"form-field-field_46538de-0\" name=\"form_fields[field_46538de]\" required=\"required\"> <label for=\"form-field-field_46538de-0\">Si<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_46538de-1\" name=\"form_fields[field_46538de]\" required=\"required\"> <label for=\"form-field-field_46538de-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_a855b97 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_2fd66e7 elementor-col-100\">\n\t\t\t\t\t<b>4. Situaci\u00f3n laboral<\/b><br>\nCompletar lo m\u00e1s detallado posible.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c494cef elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c494cef\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOcupaci\u00f3n actual: (describir detalladamente)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c494cef]\" id=\"form-field-field_c494cef\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_58ac338 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_58ac338\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIngreso mensual\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$5,000 a $9,999\" id=\"form-field-field_58ac338-0\" name=\"form_fields[field_58ac338]\" required=\"required\"> <label for=\"form-field-field_58ac338-0\">$5,000 a $9,999<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$10,000 a $19,999\" id=\"form-field-field_58ac338-1\" name=\"form_fields[field_58ac338]\" required=\"required\"> <label for=\"form-field-field_58ac338-1\">$10,000 a $19,999<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$20,000 a $29,999\" id=\"form-field-field_58ac338-2\" name=\"form_fields[field_58ac338]\" required=\"required\"> <label for=\"form-field-field_58ac338-2\">$20,000 a $29,999<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$30,000 a $39,999\" id=\"form-field-field_58ac338-3\" name=\"form_fields[field_58ac338]\" required=\"required\"> <label for=\"form-field-field_58ac338-3\">$30,000 a $39,999<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$40,000 o m\u00e1s\" id=\"form-field-field_58ac338-4\" name=\"form_fields[field_58ac338]\" required=\"required\"> <label for=\"form-field-field_58ac338-4\">$40,000 o m\u00e1s<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8375b29 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8375b29\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDatos del empleador\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8375b29]\" id=\"form-field-field_8375b29\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_41fec8f elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_41fec8f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTiempo en el puesto de trabajo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_41fec8f]\" id=\"form-field-field_41fec8f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_10adc36 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_7a40014 elementor-col-100\">\n\t\t\t\t\t<b>5. Ingresos y gastos<\/b><br>\nEn caso de ser menor de edad, ingresar la informaci\u00f3n del representante o tutor legal.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ad886c3 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ad886c3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIngresos totales del hogar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$5,000 a $9,999\" id=\"form-field-field_ad886c3-0\" name=\"form_fields[field_ad886c3]\" required=\"required\"> <label for=\"form-field-field_ad886c3-0\">$5,000 a $9,999<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$10,000 a $19,999\" id=\"form-field-field_ad886c3-1\" name=\"form_fields[field_ad886c3]\" required=\"required\"> <label for=\"form-field-field_ad886c3-1\">$10,000 a $19,999<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$20,000 a $29,999\" id=\"form-field-field_ad886c3-2\" name=\"form_fields[field_ad886c3]\" required=\"required\"> <label for=\"form-field-field_ad886c3-2\">$20,000 a $29,999<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$30,000 a $39,999\" id=\"form-field-field_ad886c3-3\" name=\"form_fields[field_ad886c3]\" required=\"required\"> <label for=\"form-field-field_ad886c3-3\">$30,000 a $39,999<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"$40,000 o m\u00e1s\" id=\"form-field-field_ad886c3-4\" name=\"form_fields[field_ad886c3]\" required=\"required\"> <label for=\"form-field-field_ad886c3-4\">$40,000 o m\u00e1s<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b12f443 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b12f443\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGastos mensuales (alquiler, servicios, alimentos, transporte, educaci\u00f3n, etc.)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b12f443]\" id=\"form-field-field_b12f443\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2f7cfa4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2f7cfa4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfHay otros ingresos en el hogar adem\u00e1s del los ya mencionados?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2f7cfa4]\" id=\"form-field-field_2f7cfa4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_1866465 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_71ee64a elementor-col-100\">\n\t\t\t\t\t<b>6. Salud<\/b><br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_98f6d10 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_98f6d10\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfTiene el paciente alg\u00fan seguro m\u00e9dico?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SI\" id=\"form-field-field_98f6d10-0\" name=\"form_fields[field_98f6d10]\" required=\"required\"> <label for=\"form-field-field_98f6d10-0\">SI<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_98f6d10-1\" name=\"form_fields[field_98f6d10]\" required=\"required\"> <label for=\"form-field-field_98f6d10-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_71b8e10 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_71b8e10\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTipo de seguro del paciente\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Seguridad Social (IMSS)\" id=\"form-field-field_71b8e10-0\" name=\"form_fields[field_71b8e10]\"> <label for=\"form-field-field_71b8e10-0\">Seguridad Social (IMSS)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)\" id=\"form-field-field_71b8e10-1\" name=\"form_fields[field_71b8e10]\"> <label for=\"form-field-field_71b8e10-1\">Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Seguro de Gastos M\u00e9dicos Mayores\" id=\"form-field-field_71b8e10-2\" name=\"form_fields[field_71b8e10]\"> <label for=\"form-field-field_71b8e10-2\">Seguro de Gastos M\u00e9dicos Mayores<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_47b6185 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6c58eb8 elementor-col-100\">\n\t\t\t\t\t<b>7. Gastos medicos generados<\/b><br>\nMonto y descripci\u00f3n de los gastos m\u00e9dicos generados en estudios, an\u00e1lisis, cirug\u00edas, medicamentos u otros.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-tipo_de_gasto elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tipo_de_gasto\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTipo de gasto\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Estudios\" id=\"form-field-tipo_de_gasto-0\" name=\"form_fields[tipo_de_gasto]\" required=\"required\"> <label for=\"form-field-tipo_de_gasto-0\">Estudios<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"An\u00e1lisis\" id=\"form-field-tipo_de_gasto-1\" name=\"form_fields[tipo_de_gasto]\" required=\"required\"> <label for=\"form-field-tipo_de_gasto-1\">An\u00e1lisis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Cirug\u00edas\" id=\"form-field-tipo_de_gasto-2\" name=\"form_fields[tipo_de_gasto]\" required=\"required\"> <label for=\"form-field-tipo_de_gasto-2\">Cirug\u00edas<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Medicamentos\" id=\"form-field-tipo_de_gasto-3\" name=\"form_fields[tipo_de_gasto]\" required=\"required\"> <label for=\"form-field-tipo_de_gasto-3\">Medicamentos<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Otros\" id=\"form-field-tipo_de_gasto-4\" name=\"form_fields[tipo_de_gasto]\" required=\"required\"> <label for=\"form-field-tipo_de_gasto-4\">Otros<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fdc79ed elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fdc79ed\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMonto y descripci\u00f3n detallada\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_fdc79ed]\" id=\"form-field-field_fdc79ed\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-archivos_gastos_medicos elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-archivos_gastos_medicos\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCargar los archivos mencionados en su respuesta anterior, preferentemente en PDF \u00f3 Imagen JPEG\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[archivos_gastos_medicos][]\" id=\"form-field-archivos_gastos_medicos\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" multiple=\"multiple\" data-maxsize=\"20\" data-maxsize-message=\"This file exceeds the maximum allowed size.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_a687add elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a1ef72e elementor-col-100\">\n\t\t\t\t\t<b>8. Seguro de Gastos M\u00e9dicos Mayores<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre_de_aseguradora elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre_de_aseguradora\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre de la Aseguradora\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre_de_aseguradora]\" id=\"form-field-nombre_de_aseguradora\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-tipo_de_cobertura elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tipo_de_cobertura\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTipo de cobertura y\/o monto asegurado\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[tipo_de_cobertura]\" id=\"form-field-tipo_de_cobertura\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2131d03 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2131d03\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfHa tenido gastos generados no cubiertos por su seguro de gastos m\u00e9dicos mayores? SI\/NO - MONTO\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2131d03]\" id=\"form-field-field_2131d03\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_658eda1 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_20d5ce0 elementor-col-100\">\n\t\t\t\t\t<b>9. Vivienda<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_25e8d74 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_25e8d74\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEs propietario o inquilino?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Propietario\" id=\"form-field-field_25e8d74-0\" name=\"form_fields[field_25e8d74]\" required=\"required\"> <label for=\"form-field-field_25e8d74-0\">Propietario<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Inquilino\" id=\"form-field-field_25e8d74-1\" name=\"form_fields[field_25e8d74]\" required=\"required\"> <label for=\"form-field-field_25e8d74-1\">Inquilino<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_99cb444 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_99cb444\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCosto mensual de la vivienda\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_99cb444]\" id=\"form-field-field_99cb444\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_2e29021 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2e29021\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfLa vivienda actual es adecuada para las necesidades de tratamiento del paciente?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-field_2e29021-0\" name=\"form_fields[field_2e29021]\"> <label for=\"form-field-field_2e29021-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_2e29021-1\" name=\"form_fields[field_2e29021]\"> <label for=\"form-field-field_2e29021-1\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tal vez\" id=\"form-field-field_2e29021-2\" name=\"form_fields[field_2e29021]\"> <label for=\"form-field-field_2e29021-2\">Tal vez<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_baaaeb5 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_7c74c30 elementor-col-100\">\n\t\t\t\t\t<b>10. Deudas<\/b><br>\nEn caso de que el paciente sea menor de edad, referirse a su representante o tutor legal.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_342ec44 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_342ec44\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEl paciente tiene deudas actualmente?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-field_342ec44-0\" name=\"form_fields[field_342ec44]\" required=\"required\"> <label for=\"form-field-field_342ec44-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_342ec44-1\" name=\"form_fields[field_342ec44]\" required=\"required\"> <label for=\"form-field-field_342ec44-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b0c8aad elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b0c8aad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDescriba brevemente las deudas pendientes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b0c8aad]\" id=\"form-field-field_b0c8aad\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_08e1f65 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b2de5de elementor-col-100\">\n\t\t\t\t\t<b>11. Red de apoyo<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_c164ca3 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c164ca3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEl paciente recibe apoyo financiero de amigos o familiares?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-field_c164ca3-0\" name=\"form_fields[field_c164ca3]\" required=\"required\"> <label for=\"form-field-field_c164ca3-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_c164ca3-1\" name=\"form_fields[field_c164ca3]\" required=\"required\"> <label for=\"form-field-field_c164ca3-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_49381c3 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_49381c3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfCuenta con alg\u00fan apoyo emocional? (Recibe o acude a terapia grupal y\/o personal soportada por un profesional psiquiatra)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-field_49381c3-0\" name=\"form_fields[field_49381c3]\" required=\"required\"> <label for=\"form-field-field_49381c3-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_49381c3-1\" name=\"form_fields[field_49381c3]\" required=\"required\"> <label for=\"form-field-field_49381c3-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_0a84793 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0a84793\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfPuede contar con apoyo emocional de su red cercana?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"S\u00ed\" id=\"form-field-field_0a84793-0\" name=\"form_fields[field_0a84793]\" required=\"required\"> <label for=\"form-field-field_0a84793-0\">S\u00ed<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_0a84793-1\" name=\"form_fields[field_0a84793]\" required=\"required\"> <label for=\"form-field-field_0a84793-1\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tal vez\" id=\"form-field-field_0a84793-2\" name=\"form_fields[field_0a84793]\" required=\"required\"> <label for=\"form-field-field_0a84793-2\">Tal vez<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_d6ad68d elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_3677a73 elementor-col-100\">\n\t\t\t\t\t<b>12. Otras consideraciones<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5adf5e2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5adf5e2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfExisten otras circunstancias particulares que afecten la situaci\u00f3n financiera del paciente y su capacidad para acceder a la terapia?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5adf5e2]\" id=\"form-field-field_5adf5e2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tu respuesta\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_d70afbe elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_963c086 elementor-col-100\">\n\t\t\t\t\t<b>13. Formatos para descargar, completar, firmar, escanear y anexar<\/b><br>\n<a href=\"https:\/\/docs.google.com\/document\/d\/1RD6F9t6hIl3mAK8N19phMtRwCDds4-mR\/edit?usp=sharing&amp;ouid=103395942518930963781&amp;rtpof=true&amp;sd=true\" target=\"_blank\" rel=\"noopener\">Descargar: Solicitud Inscripci\u00f3n<\/a>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_932a08d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_932a08d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEscanear y subir el archivo Solicitud inscripci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_932a08d]\" id=\"form-field-field_932a08d\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" required=\"required\" data-maxsize=\"20\" data-maxsize-message=\"This file exceeds the maximum allowed size.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_9f105bd elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_20a2b04 elementor-col-100\">\n\t\t\t\t\t<b>14. Video de solicitud de patrocinio<\/b><br>\nDeber\u00e1s grabarte en un video de NO mas de <b>2 minutos<\/b> donde integre los siguientes puntos:\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_e028004 elementor-col-100\">\n\t\t\t\t\t<b>Presentaci\u00f3n Personal:<\/b><br>\n\nComienza el video present\u00e1ndote con tu nombre, edad y una breve descripci\u00f3n de qui\u00e9n eres. Aseg\u00farate de transmitir una impresi\u00f3n amigable y genuina.\n\n<br><br><b>Contexto M\u00e9dico:<\/b><br>\n\nExplica de manera clara y concisa tu situaci\u00f3n m\u00e9dica actual. Proporciona detalles sobre la condici\u00f3n que est\u00e1s enfrentando y por qu\u00e9 la terapia de hipertermia superior es esencial para tu tratamiento.\n\n<br><br><b>Impacto en Tu Vida:<\/b><br>\n\nDescribe c\u00f3mo la terapia de hipertermia superior puede impactar positivamente en tu vida. Destaca los beneficios que esperas obtener y c\u00f3mo esto marcar\u00e1 la diferencia en tu bienestar general.\n\n<br><br><b>Necesidad de Patrocinio:<\/b><br>\n\nExplica honestamente por qu\u00e9 necesitas el patrocinio. Detalla los desaf\u00edos econ\u00f3micos que enfrentas y c\u00f3mo el apoyo financiero permitir\u00e1 que contin\u00faes con la terapia de manera consistente.\n\n<br><br><b>Compromiso y Agradecimiento:<\/b><br>\n\nAseg\u00farate de expresar tu compromiso total con el tratamiento y tu disposici\u00f3n a seguir todas las indicaciones del equipo m\u00e9dico. \n\n<br><br>Agradece de antemano cualquier apoyo que la fundaci\u00f3n pueda brindar, mostrando tu agradecimiento por la oportunidad que esto representa para tu recuperaci\u00f3n.\n\n<br><br>\nRecuerda mantener el video breve y enfocado, resaltando la autenticidad y sinceridad de tu solicitud. Puedes utilizar un tono positivo y optimista para transmitir esperanza y confianza en la efectividad de la terapia. \n\n<br><br>\u00a1Buena suerte con tu solicitud!\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-video_de_solicitud elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-video_de_solicitud\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCargar video\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[video_de_solicitud]\" id=\"form-field-video_de_solicitud\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" required=\"required\" data-maxsize=\"300\" data-maxsize-message=\"This file exceeds the maximum allowed size.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_8890fbd elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_00e4914 elementor-col-100\">\n\t\t\t\t\t<b>15. Mensaje equipo FUERSA<\/b><br><br>\nAgradecemos sinceramente tu inter\u00e9s en participar en el Programa FUERSA911. Tu solicitud es valiosa para nosotros y ser\u00e1 analizada cuidadosamente por nuestro equipo. En caso de ser aceptada, nos comprometemos a explorar, en la medida de lo posible, oportunidades de patrocinio dentro de nuestra red de contactos y aliados.\n<br><br>\nEs importante destacar que el patrocinio no est\u00e1 garantizado y la b\u00fasqueda de apoyo financiero depender\u00e1 de la disponibilidad de recursos en el momento de la revisi\u00f3n. Este proceso se llevar\u00e1 a cabo sin que exista obligaci\u00f3n por parte de ninguna de las partes participantes.\n<br><br>\nQueremos asegurarte que todos los datos proporcionados ser\u00e1n tratados con la m\u00e1s estricta confidencialidad, de acuerdo con nuestro Aviso de Privacidad para el Manejo de Datos Personales, el cual puedes consultar en nuestra p\u00e1gina oficial: www.fuersamx.org\n<br><br>\nAgradecemos tu confianza en la Fundaci\u00f3n FUERSA911. En breve, nos pondremos en contacto contigo para informarte sobre el estado de tu solicitud. Mientras tanto, te instamos a mantener la esperanza y la fortaleza en tu camino hacia la recuperaci\u00f3n.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\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\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Transforming Lives through Superior Hyperthermia (SHT)<\/p>","protected":false},"author":1,"featured_media":6623,"parent":8715,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"give_campaign_id":0,"footnotes":""},"class_list":["post-8962","page","type-page","status-publish","has-post-thumbnail","hentry"],"campaignId":"","_links":{"self":[{"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/pages\/8962","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/comments?post=8962"}],"version-history":[{"count":268,"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/pages\/8962\/revisions"}],"predecessor-version":[{"id":9251,"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/pages\/8962\/revisions\/9251"}],"up":[{"embeddable":true,"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/pages\/8715"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/media\/6623"}],"wp:attachment":[{"href":"https:\/\/fuersamx.org\/en\/wp-json\/wp\/v2\/media?parent=8962"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}