{"id":6338,"date":"2022-07-18T16:51:24","date_gmt":"2022-07-18T16:51:24","guid":{"rendered":"https:\/\/eriecohealthohio.com\/?page_id=6338"},"modified":"2024-12-12T14:10:10","modified_gmt":"2024-12-12T18:10:10","slug":"formularios-del-centro-comunitario-de-salud-del-condado-de-erie","status":"publish","type":"page","link":"https:\/\/eriecohealthohio.com\/es\/health-center\/erie-county-community-health-center-forms\/","title":{"rendered":"FORMULARIOS"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"6338\" class=\"elementor elementor-6338\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-a14b208 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a14b208\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65f41ede\" data-id=\"65f41ede\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-332961b2 elementor-widget elementor-widget-image\" data-id=\"332961b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-no-translation=\"\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>.elementor-element-332961b2{display:none !important}<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-8478a8f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8478a8f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-edfe783\" data-id=\"edfe783\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b2ea961 elementor-widget elementor-widget-image\" data-id=\"b2ea961\" data-element_type=\"widget\" data-e-type=\"widget\" data-no-translation=\"\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1600\" height=\"600\" src=\"https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2024\/08\/Community-Services-Banner-Spanish.png\" class=\"attachment-full size-full wp-image-19164\" alt=\"Community Services Banner Spanish\" srcset=\"https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2024\/08\/Community-Services-Banner-Spanish.png 1600w, https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2024\/08\/Community-Services-Banner-Spanish-300x113.png 300w, https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2024\/08\/Community-Services-Banner-Spanish-1024x384.png 1024w, https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2024\/08\/Community-Services-Banner-Spanish-768x288.png 768w, https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2024\/08\/Community-Services-Banner-Spanish-1536x576.png 1536w, https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2024\/08\/Community-Services-Banner-Spanish-18x7.png 18w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/>\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\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-cd0231f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cd0231f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-d245abe\" data-id=\"d245abe\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c6533db elementor-align-center elementor-widget elementor-widget-button\" data-id=\"c6533db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/eriecohealthohio.com\/es\/centro-de-salud\/erie-county-community-health-center-servicios-que-ofrecemos\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">SERVICIOS<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-3532a44\" data-id=\"3532a44\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26a777a elementor-align-center elementor-widget elementor-widget-button\" data-id=\"26a777a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/eriecohealthohio.com\/es\/centro-de-salud\/formularios-del-centro-comunitario-de-salud-del-condado-de-erie\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">FORMULARIOS<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-cd0a91b\" data-id=\"cd0a91b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5609617 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"5609617\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/eriecohealthohio.com\/es\/centro-de-salud\/tasas-del-centro-de-salud-comunitario-del-condado-de-erie\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">TARIFAS<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-ef35bce\" data-id=\"ef35bce\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a0f7483 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"a0f7483\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/eriecohealthohio.com\/es\/centro-de-salud\/preguntas-frecuentes-del-centro-de-salud-comunitario-del-condado-de-erie\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PREGUNTAS FRECUENTES<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-4fe9360\" data-id=\"4fe9360\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b4bfa8b elementor-align-center elementor-widget elementor-widget-button\" data-id=\"b4bfa8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/eriecohealthohio.com\/es\/portal-del-paciente\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PORTAL<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-c49a1e7\" data-id=\"c49a1e7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ae7fabb elementor-align-center elementor-widget elementor-widget-button\" data-id=\"ae7fabb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/eriecohealthohio.com\/es\/centro-de-salud\/centro-comunitario-de-salud-del-condado-de-erie-contacto\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">CONTACTO<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-0d4f783 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d4f783\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ba78fa5\" data-id=\"ba78fa5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-de381cd elementor-align-center elementor-widget elementor-widget-button\" data-id=\"de381cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/eriecohealthohio.com\/es\/health-center\/locations\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">UBICACIONES<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-3f2c6ef4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3f2c6ef4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-56a6c552\" data-id=\"56a6c552\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-66b7d4f0 elementor-widget elementor-widget-text-editor\" data-id=\"66b7d4f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>CENTRO COMUNITARIO DE SALUD DEL CONDADO DE ERIE - FORMULARIOS<\/h4><p>Puede ahorrar tiempo cumplimentando los formularios necesarios y llev\u00e1ndolos a su cita.<\/p><p class=\"cog-heading\"><a href=\"https:\/\/www.cognitoforms.com\/ErieCountyHealthDepartment\/eriecountycommunityhealthcenterpatientsurvey\" target=\"_blank\" rel=\"noopener\">Encuesta a pacientes del Centro de Salud Comunitario del Condado de Erie<\/a><\/p><p><a href=\"https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2024\/08\/Informed-Consent.pdf\" target=\"_blank\" rel=\"noopener\">Formulario de consentimiento informado<\/a><\/p><p><a href=\"https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2022\/07\/Male-Health-Questionnaire.doc\" target=\"_blank\" rel=\"noopener\">Cuestionario de salud masculina <strong>\u2013 <\/strong><\/a><strong>Obligatorio para todos los pacientes en la primera visita del a\u00f1o<\/strong><\/p><p><a href=\"https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2022\/07\/Female-Health-Questionnaire.doc\" target=\"_blank\" rel=\"noopener\">Cuestionario de salud femenina<\/a> \u2013 <strong>Obligatorio para todos los pacientes en la primera visita del a\u00f1o<\/strong><\/p><p><a href=\"https:\/\/eriecohealthohio.com\/wp-content\/uploads\/2022\/07\/Pediatric-Health-Questionnaire.doc\" target=\"_blank\" rel=\"noopener\">Cuestionario de salud pedi\u00e1trica<\/a> <strong>- Obligatorio para todos los pacientes en la primera visita del a\u00f1o<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>SERVICES FORMS FEES FAQ&#8217;S PORTAL CONTACT LOCATIONS ERIE COUNTY COMMUNITY HEALTH CENTER &#8211; FORMS You can save time by completing the necessary forms and bringing them with you to your appointment. Erie County Community Health Center Patient Survey Informed Consent Form Male Health Questionnaire &#8211; Required for all patients first visit of the year Female [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":6179,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-6338","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/eriecohealthohio.com\/es\/wp-json\/wp\/v2\/pages\/6338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eriecohealthohio.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eriecohealthohio.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eriecohealthohio.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eriecohealthohio.com\/es\/wp-json\/wp\/v2\/comments?post=6338"}],"version-history":[{"count":0,"href":"https:\/\/eriecohealthohio.com\/es\/wp-json\/wp\/v2\/pages\/6338\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/eriecohealthohio.com\/es\/wp-json\/wp\/v2\/pages\/6179"}],"wp:attachment":[{"href":"https:\/\/eriecohealthohio.com\/es\/wp-json\/wp\/v2\/media?parent=6338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}